Ping to post 71 strictly for educational purposes in case you ever see it. This happened just about the time AD’s started being passed out like candy by Shrinks.
I’ve seen Serotonin Syndrome. Yeah it can be sneaky. Sometimes just stiffness. Delirium should be pretty obvious. One of the reasons we fear dealing with alcoholics, drug users and psych patients in the ER. They are all ticking time bombs and you can never let your guard down.