How To Use Open Notes – Your Guide to the World of Open Notes

After an office visit, doctors, nurses, and other healthcare providers write notes that summarize important information about you. These notes become a part of your medical record.

When a note is shared with you it becomes an “open note.” Notes are the story of your health care and connect other elements in your medical record. 

Did you know?

• Health systems are required to share your notes with you
• Reading your notes can help you manage your healthcare
• Reading your notes can help you take more control of your health
• Studies show that open communication with your doctor or nurse benefits you and your care partners

After a medical visit, doctors, nurses, and other healthcare providers write notes that summarize important information about you. These notes become a part of your medical record. When a note is shared with you, it becomes an “open note.”

An open note may include:

• A summary of what you told the doctor or nurse, also called a “history.”
• The provider’s findings from a physical exam. Examples may include blood pressure, weight, how your lungs or heart sound, a description of a growth on your skin, or observations about your mood.
• Your provider’s thoughts about the results of your lab tests, x-rays, scans, biopsies, or other tests.
• Summary thoughts about any medical conditions or symptoms. This section may also be called “assessment” or “impressions.”
• Recommendations were made during the visit. This section is often called the “treatment plan” or “plan of care.” Notes might include ordered tests, prescribed medications, follow-up appointments, referrals, exercises, or recommended changes to your diet.

How notes look depends on many things, including who wrote the note, the kind of visit you had, or where you get care. Some notes are short. Others might include a complete description of your visit. Longer notes may include additional details about your health, such as past problems or test results. Some notes may include information that doesn’t seem relevant due to various insurance requirements or other rules and regulations.

Research shows that most people remember less than half of what they talk about with their doctor. An open note helps you remember important information. It also gives you freedom to review details of your visit at any time.

Studies show that reading open notes can help you:

Manage your health care in a way that makes you feel more confident, prepared, and in control

Better understand your medications and what you need to do between visits

Remember to schedule follow-up appointments and tests, such as mammograms or eye exams

Do you rely on help for your own care? Sharing notes makes partnering easier. Many adults help parents, children, and others facing medical issues. People who read their notes say the notes make it easier to share health information with family members and others.

Information is power. More than 9 out of 10 people report understanding their notes. Open notes also build trust between patients and their healthcare team.

Having access to and looking at your medical information helps you ask better questions. Research also shows that people who read notes can identify mistakes in their records and help make sure the records are accurate. How To Use Open Notes – Your Guide to the World of Open Notes

Read your notes after a visit and refer to them in between visits. Often, the notes contain things you forget. They may remind you about important plans, medications, tests, or other next steps. When you review your note, make sure the information is accurate and up to date. Let your healthcare team know if there’s a problem you feel is important. Check to make sure the medications you are taking are named correctly in your notes. And make sure the medications match your name and describe how much you take and how often.

Read your notes between visits if you need to remind yourself about your treatment plan. Reading your notes can remind you of upcoming procedures, tests, and appointments.

Use your note to make a “to do” list for yourself. Bring it to your next visit.

You might share your note with family, care partners, or others involved in your care. It’s important to have your entire care team on the same page.

Before your next visit, read your note to remind yourself about your last conversation with your doctor or nurse. Ask yourself, “What has happened since I last saw my doctor? What are my two or three most important goals or questions for this visit?”

How to get the most out of your notes: FAQs for patients

Online Therapy: Artifically Intelligent Chatbots

The Therapy Apps Trying To Help You Deal While You’re On The NHS Waiting List

Mental health problems are on the rise, with some people in the UK having to wait for up to two years to receive therapeutic treatment.

With many being forced to take matters into their own hands, therapy apps could help provide those in need with a cheap and effective short-term alternative. Some of these apps have been around for a while, but there is also a growing number of artificially intelligent (AI) breeds that provide an increasingly personalized and emotional response, and they're on a mission to democratize therapy.

The use of A.I. may alleviate some waiting people by offering an immediate therapeutic chat session on the subject of their concern(s).

Democratizing therapy means "radical accessibility," says Dr. Alison Darcy, clinical research psychologist and founder of Woebot, an artificially intelligent chatbot grounded in cognitive behavioral therapy (CBT). Dr. Darcy told me Woebot’s goal is to break down "common barriers" to seeking mental health support, such as stigma or lack of financial resources. AI can offer quick and efficient progress across these barriers, making good mental health practices "easy  for everyone" 

Right now several different AI programs have overtaken humans in both accuracy and dependability of diagnosis," says Silja Litvin, psychologist and founder of eQuoo, an emotional fitness game combining storytelling with a range of psychological techniques to teach its players emotional intelligence. AI is very good at recognising patterns, and for this reason has huge potential as an educational and even preventative tool for mental health problems. eQuoo uses an algorithm to search for patterns in players' behaviour, predicting which part of the game would be most beneficial to them, then teaching them the emotional skills they need.

Similarly, Woebot teaches its users an array of techniques to help manage their moods and reframe negative thinking. Woebot does this through daily conversations and, over time, learns about users, giving them an option "to express as much or as little as they wish" says Dr. Darcy. The app then uses a series of decision trees to identify a user’s mood, helping them to recognize their own negative thought patterns. Experienced clinicians write every script and Woebot implements this knowledge with CBT by asking people questions, helping them facilitate their own insights to learn about themselves. Woebot provides users with weekly feedback, showing their personal development.

Replika. 

Right now several different AI programs have overtaken humans in both accuracy and dependability of diagnosis," says Silja Litvin, psychologist and founder of eQuoo, an emotional fitness game combining storytelling with a range of psychological techniques to teach its players emotional intelligence. AI is very good at recognizing patterns, and for this reason, has huge potential as an educational and even preventative tool for mental health problems. eQuoo uses an algorithm to search for patterns in players' behavior, predicting which part of the game would be most beneficial to them, and then teaching them the emotional skills they need.

Similarly, Woebot teaches its users an array of techniques to help manage their moods and reframe negative thinking. Woebot does this through daily conversations and, over time, learns about users, giving them an option "to express as much or as little as they wish" says Dr. Darcy. The app then uses a series of decision trees to identify a user’s mood, helping them to recognize their own negative thought patterns. Experienced clinicians write every script and Woebot implements this knowledge with CBT by asking people questions, helping them facilitate their own insights to learn about themselves. Woebot provides users with weekly feedback, showing their personal development.

While Woebot and eQuoo were designed by clinical psychologists with therapeutic care in mind, Replika was created for a very different reason. In 2015, Replika cofounder Eugenia Kuyda’s best friend Roman died. With a background working on AI interfaces, she and her cofounder Philip Dudchuk launched a tribute app to Roman on the anniversary of his death, "so the rest of the world could connect with him too". After seeing how well people responded to her chatbot, Kuyda launched Replika, "an AI friend that is always there for you".

Online Therapy: Artificially Intelligent Chatbots

The BMJ Investigates The Broken System Known As VAERS

The British Are Coming!

It does not take a Paul Revere riding through the night on horseback to announce, " The Broken System Known As VAERS"

All patients would do well to read this report from the British Medical Journal.  The well-respected British Medical Journal reports about " The Broken System Known As VAERS"

The BMJ Investigates The Broken System Known As VAERS.  Pubmed (National Library of Medicine reports 165 cases reported to VAERS.

The CDC (Communicable Disease Centers reported numerous adverse events from the mass COVID-19 campaigns and mandates in the United States.

Safety Alert - FDA Warns Consumers Not to Purchase or Use Due to Risk of Eye Infection

TOPIC: Certain Eye Drops by Several Major Brands: Safety Alert - FDA Warns Consumers Not to Purchase or Use Due to Risk of Eye Infection AUDIENCE: Consumer, Health Professional, Ophthalmology, Pharmacy  ISSUE: FDA is warning consumers not to purchase and to immediately stop using 26 over-the-counter eye drop products due to the potential risk of eye infections that could result in partial vision loss or blindness. Patients who have signs or symptoms of an eye infection after using these products should talk to their health care provider or seek medical care immediately. These products are marketed under the following brands: CVS Health Leader (Cardinal Health) Rugby (Cardinal Health) Rite Aid Target Up&Up Velocity Pharma CVS, Rite Aid and Target are removing the products from their store shelves and websites. Products branded as Leader, Rugby and Velocity may still be available to purchase in stores and online and should not be purchased. FDA has not received any adverse event reports of eye infection associated with these products at this time.  For more information about this alert, click on the red button "Read Alert" below. BACKGROUND: The products being recalled are intended to be sterile. Ophthalmic drug products pose a potential heightened risk of harm to users because drugs applied to the eyes bypass some of the body’s natural defenses. RECOMMENDATIONS:  FDA recommended the manufacturer of these products recall all lots on October 25, 2023, after agency investigators found insanitary conditions in the manufacturing facility and positive bacterial test results from environmental sampling of critical drug production areas in the facility. FDA also recommends consumers properly discard these products.

Health professionals and consumers are encouraged to report adverse events or side effects related to the use of these products to the FDA's MedWatch Safety Information and Adverse Event Reporting Program: Complete and submit the report online. Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on form, or submit by fax to 1-800-FDA-0178.

Health Beneftis of Fiber in your diet

The NIH Study reveals that eating a type of dietary fiber called chitin evoked an immune response in mice that was linked to better metabolic health. The findings suggest a potential therapeutic target for obesity and other metabolic diseases.

• The Health Benefits of Dietary Fibers Vary
• Fiber In Diet Linked to Cancer Immunotherapy Response
• Eating Highly Processed Foods Linked to Weight Gain
• Dietary Fiber Protects Obese Mice from Arthritis
• How Dietary Factors Influence Disease Risk
• Rough Up Your Diet: Fit More Fiber into Your Day
• Keeping Your Gut in Check: Healthy Options to Stay on Tract
• Your Digestive System & How It Works
• Questions and Answers on Dietary Fiber (FDA)

Immune response to eating chitin linked to better health

At a Glance

• Eating a type of dietary fiber called chitin evoked an immune response in mice that was linked to better metabolic health.
• The findings suggest a potential therapeutic target for obesity and other metabolic diseases.

Mushrooms, along with insects and crustaceans, are high in the dietary fiber chitin. Dubova / Shutterstock

Dietary fiber reduces the risk of metabolic disorders such as obesity. Chitin is a common type of fiber found in fungi and the exoskeletons of insects and crustaceans. It can trigger an immune response akin to an allergic reaction. Unlike most dietary fibers, chitin can be digested by mammals. But the mechanism by which this happens is unclear.

An NIH-funded research team, led by Dr. Steven Van Dyken at Washington University in St. Louis, examined how the immune and digestive systems of mice respond to eating chitin. Their findings appeared in Science on September 8, 2023.

Feeding mice a diet containing chitin caused their stomachs to expand. This triggered an immune response in the stomach and small intestine. Certain immune cells proliferated, and the signaling molecules produced by these cells increased. Similar immune cell and signaling responses also occurred in fat tissue. Of note, chitin induced these same responses in germ-free mice, which lacked gut microbes. This shows that the immune responses to dietary chitin didn’t depend on these microbes.

Chitin digestion required an enzyme called acidic mammalian chitinase (AMCase). This enzyme is made by cells in the stomach called chief cells. The researchers found AMCase activity in the stomachs of chitin-fed mice. Mice that lacked this enzyme could not digest chitin. Furthermore, production of AMCase required the immune response that chitin consumption triggered. This suggests that one role of the immune response to chitin is to boost AMCase production. This, in turn, aids in chitin digestion.

To test the metabolic effects of eating chitin, the researchers fed mice high-fat diets that contained either chitin or another fiber. In addition, some of the mice lacked the ability to produce AMCase, so they couldn’t break down chitin. All the mice ate similar amounts. However, chitin-fed mice had better insulin sensitivity than those fed the other fiber. Those who ate chitin but couldn’t break it down had the strongest immune response, gained the least weight, and had the least body fat.

These findings suggest that the immune response to chitin has benefits for metabolic health. This may be because the chief cells that produce AMCase also produce other digestive enzymes. The immune response to chitin may increase production of these as well to improve overall digestion. This process could be a potential therapeutic target for obesity or other metabolic diseases.

“Obesity is an epidemic,” Van Dyken says. “What we put into our bodies has a profound effect on our physiology and on how we metabolize food. We're investigating ways to counteract obesity based on what we learn about how the immune system is engaged by diet.”

What if your child says "I am gay ?

Despite  LGBTQ becoming more acceptable as modern science has realized this is not a mental illness there remain many people who chose not to accept this.  Some religions cling to the belief it is a 'mortal sin' due to passages in the bible regarding LGBTQ. However, the pendulum is still swinging in that regard. In Western religions it is becoming acceptable, however, in Islam it is still a condition deserving of a death sentence.  

When I was in medical school (1964-1968) I was taught it was a mental disorder and even had a DSM category

The psychodynamics of homosexuality, like any other sexual orientation, has been a subject of study and debate in psychology and related fields. It's important to approach this subject with sensitivity and respect for the diverse experiences of individuals.

Portions of the following were written by generative  AI (ChatGPT). and as such may not be totally accurate.  The content has been reviewed to rule out hallucinations.

1. **Sexual Orientation as a Natural Variation:** The prevailing consensus among mental health professionals and researchers is that homosexuality is a natural variation of human sexuality. It is not a mental disorder, nor is it a choice. People do not choose their sexual orientation; it is a fundamental aspect of who they are.

2. **Biological Factors:** There is evidence to suggest that biological factors, including genetics and prenatal hormonal influences, may play a role in determining a person's sexual orientation. However, these factors are not the sole determinants and research in this area is ongoing.

3. **Psychological Factors:** While homosexuality itself is not considered a psychological disorder, the experience of coming to terms with one's sexual orientation can have psychological implications. Individuals may face stigma, discrimination, and mental health challenges related to societal attitudes and family dynamics.

4. **Social and Cultural Factors:** Society's attitudes and cultural norms can have a significant impact on the psychological well-being of individuals who identify as homosexual. Acceptance and support from family, friends, and society at large can positively influence mental health outcomes.

5. **Intersectionality:** It's crucial to recognize that the experience of being LGBTQ+ intersects with other aspects of a person's identity, such as race, ethnicity, gender, and socioeconomic status. These intersecting factors can influence the psycho-dynamics of homosexuality in unique ways.

6. **Mental Health and Well-being:** LGBTQ+ individuals may face higher rates of mental health challenges, such as depression and anxiety, due to experiences of discrimination and social stigma. It is important to provide mental health support and create inclusive environments to promote well-being.

7. **Identity Development:** Like anyone else, individuals who identify as homosexual go through a process of identity development. This process can involve self-discovery, self-acceptance, and, in some cases, challenges related to family and social acceptance.

In summary, the psychodynamics of homosexuality encompass a range of biological, psychological, social, and cultural factors. It's essential to approach this topic with empathy, respect, and an understanding of the diversity of experiences within the LGBTQ+ community. Promoting acceptance, inclusivity, and mental health support is critical to the well-being of individuals who identify as homosexual or as part of the broader LGBTQ+ spectrum.

8. **Coming Out:** Coming out is a crucial aspect of the psychodynamics of homosexuality. It is the process by which individuals disclose their sexual orientation to others. This can be a highly emotional and challenging experience, as it often involves navigating fear of rejection, discrimination, and the potential impact on personal relationships.

9. **Family Dynamics:** Family reactions to a child or family member coming out as homosexual can vary significantly. Some families are accepting and supportive, while others may struggle to come to terms with it. Understanding and addressing family dynamics is an important part of psycho dynamics, as family acceptance can greatly impact an individual's mental well-being.

10. **Identity Formation:** For many people, their sexual orientation is a central aspect of their identity. Understanding and embracing one's sexual identity is a lifelong process, and it can involve exploring one's values, beliefs, and sense of self in the context of their sexual orientation.

11. **Intersection of Religion and Sexuality:** The intersection of religious beliefs and sexual orientation can be a source of conflict for some individuals. Many religions have varying stances on homosexuality, which can lead to internal and external conflicts as individuals reconcile their faith with their sexual orientation.

12. **Social Support:** The availability of social support systems, such as LGBTQ+ communities, support groups, and affirming friends, plays a significant role in the well-being of homosexual individuals. These networks provide a sense of belonging and validation, which can counteract the negative effects of discrimination and social stigma.

13. **Mental Health Disparities:** Research has shown that LGBTQ+ individuals, including those who identify as homosexual, are at a higher risk of mental health challenges, including depression, anxiety, and substance abuse. These disparities are often linked to the stressors related to societal discrimination and prejudice.

14. **Advocacy and Activism:** Many individuals who identify as homosexual become advocates and activists for LGBTQ+ rights and acceptance. This involvement can be a powerful way to channel personal experiences into creating positive change in society.

15. **Legal and Political Factors:** The legal and political landscape surrounding homosexuality varies widely around the world. In some countries, homosexuality is criminalized, while in others, it is fully accepted and protected by anti-discrimination laws. These factors can significantly influence the psycho dynamics of homosexuality, impacting individuals' sense of safety and freedom.

It's important to remember that each individual's experience with their sexual orientation is unique, and the psychodynamics can differ widely from person to person. The understanding and acceptance of homosexuality have evolved over time, but challenges and disparities still exist. Advocacy, education, and fostering inclusive environments are essential steps toward promoting understanding and well-being for homosexual individuals and the broader LGBTQ+ community.

16. **Gender Identity and Expression:** It's important to recognize that sexual orientation and gender identity are distinct aspects of a person's identity. While sexual orientation refers to whom one is attracted to, gender identity relates to one's internal sense of being male, female, a blend of both, or neither. Some individuals who identify as homosexual may also have diverse gender identities, such as transgender or gender-nonconforming, adding complexity to their psychodynamics.

17. **Coping Strategies:** LGBTQ+ individuals, including those who identify as homosexual, often develop coping strategies to navigate discrimination and stigma. These strategies can include resilience, humor, finding supportive communities, and seeking therapy or counseling to address mental health challenges.

18. **Media Representation:** Media plays a significant role in shaping societal attitudes and perceptions of homosexuality. Positive and accurate representation in media can contribute to increased acceptance and understanding, while stereotypes and negative portrayals can perpetuate discrimination.

19. **Education and Awareness:** Education and awareness initiatives are crucial in addressing prejudice and discrimination related to homosexuality. Schools, workplaces, and communities can implement programs to educate people about sexual orientation, promote tolerance, and prevent bullying.

20. **Healthcare Disparities:** LGBTQ+ individuals, including those who identify as homosexual, often face disparities in healthcare access and quality. Culturally competent healthcare providers and policies that address these disparities are essential for the well-being of this community.

21. **Aging and Long-term Relationships:** Like heterosexual individuals, homosexual individuals may desire and form long-term relationships, including marriages or partnerships. Understanding the unique challenges and needs of aging LGBTQ+ individuals is an important aspect of the psychodynamics, as they may face issues related to caregiving, legal recognition, and healthcare access in later life.

22. **Global Perspectives:** The psycho dynamics of homosexuality can vary significantly depending on cultural, social, and legal contexts. In some countries, homosexuality is fully accepted and integrated into society, while in others, it remains a criminal offense. Understanding these global perspectives is crucial for fostering international LGBTQ+ rights and acceptance.

23. **Generational Differences:** Attitudes and acceptance of homosexuality can vary between generations. Younger generations often report higher levels of acceptance, while older generations may have had different experiences growing up in less accepting times. Bridging generational gaps and fostering intergenerational dialogue is important for creating understanding and acceptance.

24. **Mental Health Resilience:** Many homosexual individuals demonstrate remarkable resilience and personal growth in the face of adversity. Understanding the factors that contribute to mental health resilience within this community can offer insights into developing effective support systems and interventions.

25. **Legal Advances:** Legal recognition and rights for LGBTQ+ individuals, including those who identify as homosexual, have evolved significantly in many parts of the world. These legal advances can have a profound impact on the psycho dynamics, as they can contribute to a sense of validation and acceptance.

In conclusion, the psychodynamics of homosexuality are multifaceted and influenced by a wide range of individual, social, cultural, and political factors. Promoting acceptance, understanding, and equality for LGBTQ+ individuals remains a critical endeavor for creating a more inclusive and compassionate society.

FDA warns consumers not to purchase or use certain eye drops from several major brands due to risk of eye infection

In an overabundance of caution (unlike the mRNA COVID19 vaccines)

 [11/3/2023] Cardinal Health Inc. has initiated a voluntary recall for all lots of six Leader brand ophthalmic products. The list the FDA provided on October 27 included five products branded as Leader. The list has been updated to include the sixth product.

Additionally, Harvard Drug Group LLC also initiated a voluntary nationwide recall for all lots of two Rugby Laboratories brand eye drops.

The agency has updated the list of products to include the national drug codes (NDCs) that have been confirmed. FDA will provide additional information as it becomes available.

[10/30/2023] The FDA is updating the list of over-the-counter eye drop products consumers should not purchase or use to include Equate Hydration PF Lubricant Eye Drop 10 mL sold by Walmart in stores and online. Walmart is removing the product from their store shelves and website.

[10/27/2023] The FDA is warning consumers not to purchase and to immediately stop using 26 over-the-counter eye drop products due to the potential risk of eye infections that could result in partial vision loss or blindness. Patients who have signs or symptoms of an eye infection after using these products should talk to their healthcare provider or seek medical care immediately. These products are marketed under the following brands:

• CVS Health
• Leader (Cardinal Health)
• Rugby (Cardinal Health)
• Rite Aid
• Target Up & Up
• Velocity Pharma

These products are intended to be sterile. Ophthalmic drug products pose a potential heightened risk of harm to users because drugs applied to the eyes bypass some of the body’s natural defenses.

FDA recommended the manufacturer of these products recall all lots on October 25, 2023, after agency investigators found insanitary conditions in the manufacturing facility and positive bacterial test results from environmental sampling of critical drug production areas in the facility. FDA also recommends consumers properly discard these products.

CVS, Rite Aid, and Target are removing the products from their store shelves and websites. Products branded as Leader, Rugby, and Velocity may still be available to purchase in stores and online and should not be purchased.

FDA has not received any adverse event reports of eye infection associated with these products at this time. FDA encourages health care professionals and patients to report adverse events or quality problems with any medicine to FDA’s MedWatch Adverse Event Reporting program:

• Complete and submit the report online at Medwatch; or
• Download and complete the form, then submit it via fax at 1-800-FDA-0178.
• Consult with your eye physician

Eye Drop Retailers and Product Information

Retailer/ Label	Product	Product Information	National Drug Code (NDC)*
CVS Health	Lubricant Eye Drops 15 ml (single pack)	Carboxymethylcellulose Sodium 0.5%	To be provided
	Lubricant Eye Drops 15 ml (twin pack)	Carboxymethylcellulose Sodium 0.5%	To be provided
	Lubricant Gel Drops 15 ml (single pack)	Carboxymethylcellulose Sodium 1%	To be provided
	Lubricant Gel Drops 15 ml (twin pack)	Carboxymethylcellulose Sodium 1%	To be provided
	Multi-Action Relief Drops 15 ml	Polyvinyl Alcohol 0.5%, Povidone 0.6%, and Tetrahydrozoline Hydrochloride 0.05%	To be provided
	Lubricating Gel drops 10 ml	Polyethylene Glycol 400 0.4% and Propylene Glycol 0.3%	To be provided
	Lubricant Eye Drops 10 ml (single pack)	Propylene Glycol 0.6%	To be provided
	Lubricant Eye Drops 10 ml (twin pack)	Propylene Glycol 0.6%	To be provided
	Mild Moderate Lubricating Eye Drops 15 ml (single pack)	Polyethylene Glycol 400 0.25%	To be provided
Leader (Cardinal Health)	Eye Irritation Relief 0.5 FL OZ (15 ml)	Polyvinyl Alcohol 0.5%, Povidone 0.6% and Tetrahydrozoline Hydrochloride 0.05%	70000-0087-1
	Dry Eye Relief 0.5 FL OZ (15 ml)	Carboxymethylcellulose Sodium 1%	70000-0089-1
	Lubricant Eye Drops 0.5 FL OZ (15 ml) (single)	Carboxymethylcellulose Sodium 0.5%	70000-0090-1
	Lubricant Eye Drops 0.5 FL OZ (15 ml) (twin pack)	Carboxymethylcellulose Sodium 0.5%	70000-0090-2 (carton) 70000-0090-1 (bottle)
	Dry Eye Relief 0.33 FL OZ (10 ml)	Polyethylene Glycol 400 0.4% and Propylene Glycol 0.3%	70000-0088-1
	Lubricant Eye Drops 0.33 FL OZ (10 ml)	Polyethylene Glycol 0.6%	70000-0587-1
Rugby (Harvard Drug Group)	Lubricating Eye Drops 0.5 oz (15 ml)	Polyvinyl Alcohol 1.4%	0536-1325-94
	Lubricating Tears Eye Drops 0.5 oz (15 ml)	Dextran/Hypromellose 0.1%/0.3%	0536-1282-94
Rite Aid	Lubricant Eye Drops 15 ml (twin pack)	Carboxymethylcellulose Sodium 0.5%	To be provided
	Lubricant Eye Drops 10 ml (twin pack)	Propylene Glycol 0.6%	To be provided
	Gentle Lubricant Gel Eye Drops 15 ml	Hypromellose 0.3%, Glycerin 0.2%, Dextran 70 0.1%	To be provided
	Lubricant Gel Drops 15 ml	Carboxymethylcellulose Sodium 1%	To be provided
	Lubricating Gel Drops 10 ml	Polyethylene Glycol 400 0.4% and Propylene Glycol 0.3%	To be provided
	Multi-Action Relief Drops 15 ml	Polyvinyl Alcohol 0.5%, Povidone 0.6% and Tetrahydrozoline Hydrochloride 0.05%	To be provided
Target	Up&Up Dry Eye Relief Lubricant Eye Drops 30 ml	Polyethylene Glycol 400 0.4% and Propylene Glycol 0.3%	To be provided
	Up&Up Extreme Relief Dry Eye 15 ml (single pack)	Polyethylene Glycol 400 0.4% and Propylene Glycol 0.3%	To be provided
	Up&Up Extreme Relief Dry Eye 30 ml (twin pack)	Carboxymethylcellulose Sodium 0.5%	To be provided
Velocity Pharma LLC	Lubricant Eye Drop 10 ml (triple pack)	Propylene Glycol 0.6%	To be provided
Walmart	Equate Hydration PF Lubricant Eye Drop 10 mL	Polyethylene Glycol 400 0.4% and Propylene Glycol 0.3%	To be provided