Daimarkus is a 27-year-old AA male who presents to CRU 2 from UPC. He is on ACOT for PAD. Patient stated he was in prison for 3 years for attempted armed robbery, he was released on the 04/14/17. He was recently discharged from DVH. According to his Psy eval from UPC, he was stayed on COT whiles at DVH.…
D-Met with the patient upon his arrival. This writer addressed with the patient about TEAM's decision of not reinstating him for treatment due to his non-compliance of his multiple AWOLs and following through with Hartford Dispensary with regards to making his payment to the clinic. According to the patient, he did everything on his end with the Hartford Dispensary, but the clinic wants him to be taper off on his methadone. This writer questioned the patient if he had obtained a letter from his prescriber stipulating that he cannot get off on his benzos script and no response to this question. When the patient was questioned as to whether or not he did indeed paid the Hartford Dispensary, he says, " I did, but if I have to do it again, I will."…
The patient has seasonal allergies and she reports that she smoked in her 20’s. She had a change in her job and now works as an assistant at an Artisan Bread Bakery. She had to take this job to help with finances. She could be behind on bills. She possibly took a pay cut.…
The topic I choose for this assignment is “Study Drugs”. The two sources I used for my assignment are Motlow’s library and Gale General OneFile Database. Both of these sources I used were chosen from peer review only. Using the database inside the library and double check to make sure they were peer reviewed in order to be certain the credibility of the sources are legitimate.…
I attended a hearing on your behalf in the above matter before Judge Burke in Hudson, New York on 07/18/17. The claimant was not present. His attorney, Paul Lahey, appeared by phone. As you know, this case is established for an injury to the back injury with an average weekly wage of $1,241.00. The claimant has been out of work since 2006.…
The Department of Human Resources received a report on Ms. Mary McGinnis on 10/7/15 alleging Michael McGinnis, caregiver/son of Ms. McGinnis, had not been giving medication properly. Patient scored a 0 on MMSE and son reported to ER doctor he gave her a dose of his methadone because she was in pain. On 10/13 worker made first victim contact at Senior Care. Ms. McGinnis was alert but unable to answer questions appropriately or aware of surroundings.…
D-This writer met with Nursing Director Chrystal to see whether or not the patient can in fact dose inside since her last conversation about the bed bugs. According to the Nursing Director, the patient did her home inspection and addressed the bed bugs situation. She then granted the patient to dose inside of the clinic. This writer cleared the patient's HOLD so that she can dose before conducting her counseling session.…
We have investigated your concerns regarding this issue. Our office contacted the office of physician Steven Bowley and spoke with Lucas the Office Manager. Lucas pulled your file and advised Steven Bowley did a new patient evaluation and submitted an order for order for lab at Sonora Quest. Lucas advised us there are no notes regarding any verbal issues between you and the provider. Office Manager sincerely apologizes for the provider’s misconduct.…
The counselor met with Loc for his Addiction Index Severity assessment. Mr. Tieu arrived on time with his brother for his scheduled appointment. Mr. Tieu is a 33 year old Vietnamese male recently divorce 2 months ago. Mr. Tieu currently lives with his parents, brother, sister-law and niece. He reports being released from HCPC hospital on August 25, 2015 where he stayed for a weeks.…
This writer address with the patient about his UA result dated on 5/15/2017 as there were mutliple reschedule and cancellation from this writer and the patient. This writer address with the patient about the opiate and benzo use. The patient was admit that he haven't relapse on any benzo since his last conversation with this writer and honestly feels that the benzo could potentially have been in the "dope." This writer discuss the seriousness with the patient about his recovery and discuss clinical intervention with the patient. First and foremost, this writer discuss with the patient about his depression but according to the patient, he is not depress anymore.…
OBJECTIVE #1 - The clinical manifestation of, and risk factors for, rhabdomyolysis • Rhabdomyolysis is a condition of skeletal muscle breakdown due to the release of intracellular components into the bloodstream, including myoglobin, creatine kinase, aldolase, lactate dehydrogenase, and electrolytes (DynaMed Plus, 2016). • The patient may experience systemic symptoms that may include fever, malaise, nausea, dyspepsia, emesis, muscle pain, weakness and swelling of injured muscles, tea-colored urine (DynaMed Plus, 2016). • High statin dosage and renal disease combined are associated with an increased risk for developing rhabdomyolysis (Wiley, 2006, p. 357). Other high risk factors include the use of drugs and/or alcohol, high body temperature,…
On 11/22/16, Ms. Bassett submitted to a random drug screen with Tasc. On 11/26/16, the test returned positive for Methadone. On 11/30/16, Ms. Bassett admitted to using cocaine on 11/28/16. Please note, the test with Tasc was positive for Methadone. However, Ms. Bassett stated that methadone was placed in the cocaine and she was not aware of it.…
On Sunday, July 24, 2016 at 1519 hours I, your affiant Patrolman Joshua J. Pastucka and Patrolman David Stamets was dispatched to a domestic at 408 Furnace St., County advised that half the party has since left. I spoke with the caller John Mazack via telephone, John said his wife Roberta Mazack is at it again. John stated Roberta left the home and he is at the neighbors at the moment. He requested to speak with me in person. Stamets and I went to John's residence, upon arriving on scene I first observed his wife's vehicle in front of the home and then her outside of the house.…
I, Officer Thomas CROSS, was dispatched to 119 Kramer Street (Sewickley BMW) at 1914 hours, along with Officer William HANLON for a non-reportable accident. While enroute, dispatch advised that there were no injuries at the present time as well. Upon arriving on location, I observed the defendant, Rhett BARKER, exchanging information with the secondary party involved. The accident was a minor “rear end collision” with the presence of paint transfer on both vehicles. While speaking with BARKER, officers noticed that he displayed bloodshot/glassy eyes and delayed reactions.…
There are 6 questions you should ask when carefully exploring a question; questions of fact, (understanding/ explanation), analysis, (creation/combination), (process of figuring out the worth, amount, or quality of something) and application. To my understanding it seemed as if the medicine made him (usual/ commonly and regular/ healthy) but took away his ability to ask the question of "(understanding/ explanation)" (this can be seen where his friend came to look for him while he was on his porch and he showed him his latest work that he as planning to use to get back in the school. It showed nothing but random numbers and symbols circled making no…