He was seen for two issues. 1. He just came back from Oak Park Heights last Thursday after he had treatment with C. diff; however, he did have a C. diff in the stool that was done on 09/13/2017, and also a fecal lactoferrin and both of them are positive. At this time, he continues to have abdominal cramping and also loose stool about 2-3 times a day. 2. He has been having chronic back pain. He only takes Tylenol but he claims that it is not really helping prior to him going to Oak Park Heights, he was on tramadol on a p.r.n. basis which really had helped.
OBJECTIVE
His blood pressure today is 142/86, pulse of 76, temp of 97.9, O2 sat of 99%. When he went on the table, he was really having a lot of pain in his back and the