He said he was discharged with Motrin and Valium with instructions to follow up with his family doctor. DIAGNOSIS/DIAGNOSTIC STUDIES/ SURGICAL INTERVENTIONS…
Reason for Visit: s/p 14 ESI Visit; LBP Vital Signs - B/P:122/74 Temp: Pulse: 89 Resp:18 O2 Sat 99 % S: TM completed total of 14 ESI visit, and he is here for LBP follow up. TM rates his pain at 2/10 and intermittent shooting pain to his left mid-thigh level.…
I spoke to William Vavrina on 05/16/17. He is calling me today about his 07/02/90 file WCB# 59017370. This case is established for the back with an average weekly wage of $456.40 and he was classified with a permanent total disability by Notice of Decision filed on 05/07/98. That same Decision finds the neurological condition and the neck are not casually related. There is no Section 15(8) and Special Funds was discharged.…
Mr. Lee has had very busy past several months. He has been not been honest in his reporting to this provider and violated the following treatment rules: -If your offense involved children, you shall not be alone with minor males or females. Whenever you have prolonged social contact with minors, an adult that is approved in advance by your treatment provider and is aware of your offense history and the behavioral rules that you must follow when around children must monitor you. -You shall not consume alcohol or use illicit substances, including prescription medication that is prescribed to another individual. -You shall not engage in any romantic/sexual behavior with any individual without my prior knowledge and approval.…
He tells you that he needs some “stronger” pain medication because he is experiencing almost continuous pain which he rates at 5-7 on a 0 to 10 scale. He reports that when he moves, the pain intensifies to 9. He faces another round of surgery because his hip is not healing properly. His pain medicines include Percocet and ibuprofen which he has been advised to take as needed. His mother takes you aside to express her concerns.…
On 3/15, Hugh visited his pulmonary doctor. Dr. Nerella examined Hugh and listened to his lungs. The doctor stated they were clear. Staff discussed with the doctor of the congested breathing that was heard from time to time. Dr. Nerella stated it was congestion in his upper breathing areas that drains from his sinuses.…
Rotator cuff impingement is what happens when the tendons and bursa in the sub-acromial/suprahumeral area are compacted together. Compression can initiate painful friction, stress and mechanical wear on the shoulder. Classic signs and symptoms include pain when flexing or abducting the shoulder above 80 degrees and weakness in the shoulder muscles, which are often detected when the patient is given the Hawkins-Kennedy and Neer impingement tests. This impingement disorder mostly stems from athletes and individuals whose jobs require constant overhead lifting, but can also be the result of an unstable glenohumeral joint caused by aging or tendon pathologies. Because there are multiple causes of rotator cuff impingement, it is classified into two categories; primary and secondary.…
1. In chapter 9, it is mentioned that acromial osteophytic spurring’s are developed as a result of repetitive contact of the humeral head against the acromion. Is there any way we can differentiate that traction spurring’s from a hooked (type III) acromion? Also, are these acromial spurs always related to rotator cuff disorders?…
Intervention/Response: CM met with consumer for the purpose of monitoring and assessing needs. CM and consumer met in a private room at AOP. CM introduced herself to consumer. Consumer stated her clinic appointment went well. CM and consumer discussed consumer medication regimen.…
I represent your patient, Victor Inman, in the above-referenced matter. On 06/06/2017, you filed a request of additional physical therapy in this case. Your request asks for six (6) to eight (8) weeks of additional physical therapy. As you know, Mr. Inman has been a long standing patient of yours and since the addvent of the Board Medical Treatment Guidelines, you have made numerous requests for physical therapy, each of which are one (1) year in duration. You previously testified in this matter that Mr. Inman will need permanent and ongoing physical therapy as a result of his compensable condition.…
Radicular Pain Radicular pain is a type of pain that spreads from your back or neck along a spinal nerve. Spinal nerves are nerves that leave the spinal cord and go to the muscles. Radicular pain occurs when one of these nerves becomes irritated or compressed. Radicular pain is sometimes called radiculopathy, radiculitis, or a pinched nerve. When you have this type of pain, you may also have weakness, numbness, or tingling in the area of the body supplied by the nerve.…
Muscle Pain, Adult Muscle pain (myalgia) may be caused by many things, including: • Overuse or muscle strain, especially if you are not in shape. This is the most common cause of muscle pain. • Injury. • Bruises. • Viruses, such as the flu.…
SW was paged to meet with family. SW talked with nursing staff on the floor who reported Pt was advised she would need to remain in the hospital for another couple of days as they are concerned Pt has developed a PE, and potentially C-Diff. I entered the room and introduced myself to the Pt and her husband. Pt was breastfeeding the baby and appeared frustrated and became tearful. Pt explained she has been through so much and she feels as though she is not getting her questions answered by the medical team.…
The Case of Jeanette M. and the Phone Call The Case of Jeanette M. and the phone call describes a situation as follow. Jeanette, an 80-year-old widow, early in a morning called her physician because she had shortness of breath. The physician was busy and Jeanette explained her condition to the receptionist. At the time of the call, the elderly woman did not have any other health problems so the receptionist said she will pass the message to the physician.…
Racism and Discrimination in Healthcare: How it Goes Both Ways “Never trust anyone who says they do not see color. This means to them, you are invisible” -Nayyirah Waheed March 13th 2013, I had injured my left bicep something fierce like while competing in a mixed martial arts contest. The only way I could describe the pain was as an electric type of shooting constant pain that caused numbness and tingling in my left arm and hand. I must have been referred to no less than four orthopedic doctors, each diagnosing me with a muscle strain.…