On 10/24/16 I met Mr. Russell at the Covenant Occupational medicine clinic. Mr. Russell reports his pain remains a 1-2. He said when he bends or twists his pain will increase. As we waited to be seen Mr. Russell changed positions frequently. He has completed the Functional Capacity Evaluation.…
CC Sore throat and congestion. Lesion on left toe. Puncture wound. Poison ivy.…
He is not using the spinal cord stimulator (SCS) due to the battery heating up. He has tried to use ice as directed by Boston Scientific. They think that since he has lost so much weight that it may need to be tacked down. His tailbone is very painful and he changes positions frequently, he has had an epidural or trigger point injection before to the area which only lasted maybe 2 months. Dr. Rampersaud will do another injection on 9/11/17.…
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.…
For over 30 years, Fairport residents have trusted Dr. Joseph G. DiPrima with all of their foot-related concerns. Whether you’re suffering from a common foot pain problem such as hammertoe and bunions, a sports injury, or nerve damage related to diabetes, you can count on this experienced foot doctor to help you feel better than ever. Dr. DiPrima and his staff work hard to not only treat their patients’ foot pain but to provide valuable information enabling patients to understand their condition and treatment plan. This level of respect, compassion, and individualized attention stems from the practice’s philosophy that patients ought to be treated like family. Born and raised in nearby Rochester, Dr. DiPrima has a deep understanding of his…
1. Could Mr Smith’s culture influence his pain assessment? Why? What strategies could you employ to ensure that you are adequately addressing Mr Smith’s pain? A proper Pain assessment helps in preparing an accurate pain treatment plan.…
Disc problems including sciatica pain, degenerative disc disease and disc prolapse are the serious health aliments that can produce bothersome symptoms. Spinal discs act as a cushion between the back bones and are very susceptible to injury or disease, causing severe pain in the back and legs. These problems greatly affect aging individuals because of wear and tear in the spine disc cartilage, causing the loss of normal function or structure and decrease quality of life. Proper pain management for disc problems is decisive to deal with this painful health ailment and prevent any serious outcome. Symptoms of Disc Problems…
In the above conversation the patient shows the disagreement regarding the crutch that the therapist mentioned to buy as a part of his treatment program. When the therapist ask about buying crutch the patient illustrates the concept of indirect speech acts. Speech acts may be direct or indirect. The indirect speech act of not buying the crutch by mentionioning walker is enough or crutch is not necessary and the lack of money may be the illocutionary force and perlocutionary effect not changing the assistant aid for walking, ie, obstruction to the patient level of independence.…
The decision to have any type of surgery can be an emotional thought provoking process. A feeling of nervousness and anxiety often helps fuel the decision to visit a doctor. Finding the best surgeon helps in making the decision process easier. Dr. Howard Marans an Orange County orthopedics is listed as one of best surgeons in the area for many reasons.…
On 11/8/16 I met with Mr. Sutter. He remains in Lapeer Regional rehabilitation. Mr. Sutter is weight bearing with the cam boot and a walk. He was able to ambulate 130 feet with contact guard. He was able to climb 2 steps with bilateral railing.…
Experiencing something new can be frightening. One of the most nerve-racking experiences I’ve had was when I had surgery for the first time. One day over the summer I started to have pain on the right side of my abdomen. The pain was mild at first but it got worse.…
Reason for Visit: Reassessment of the Left Thumb Sprain TM was sent home X 1 shift the day of the injury yesterday. S: TM was sent home X 1 shift yesterday for the left thumb sprain. TM stats his pain is 0/10 at rest and 8/10 with movement. He thinks he needs few more days of the rest before he can return back to work doing what he is doing prior to his injury.…
The phantom pain is another part of the phantom syndrome, it defer it self because the amputee physically feels a painful sensation. This a knowing sensation to happen in the missing limbs, \textit{especially in a foot or hand}. Not all amputees experience this kind of physicality of the syndrome. It can be describe as a \textit{like a burning crushing, or stabbing sensation}. It is known that these sensations can be a short term…
On 7/25/16 I met Mr. Kabel at the office of Dr. Beird. The office was filled to capacity and the wait was extended. Mr. Kabel reports that the right hand is better. The left hand is still painful. Examination showed that the left hand was still a bit behind the right.…
My day started with going to Judge Lippitt’s courtroom. The trial had already started, the defendant’s councilor was doing his opening statement. He was in the middle of telling everyone in the courtroom that this case was about, disagreement on how much bone was removed. Further, calming that the judgment call was on the surgeon who actually saw joint and arthritis. A doctor was brought up, saying that he wanted the least invasive first for the patient, but then it got to the more invasive procedures.…