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. While he is under sedation he will check the battery pack. There were no changes to the medications. Mr.…
My Cesarean Section The day was finally here, June 26, 2015, I was nervous to the point of nausea because I had been told horror stories about the anesthesia not working. I was instructed not to have anything to eat or drink after midnight but the nervousness gave me dry mouth so I had a bottle of water on the way to the hospital. When we arrived at the hospital I sign in and anxiously await my name to be called. I hear my name and the nervousness seems to subside. I feel a calmness and an…
I perform fluoroscopy examinations, give epidural steroid injections for back and leg pain, review requests and direct technologists who do CT, MRI and other scans. I interpret those scans, mammograms, chest x-rays, ultrasounds and other imaging studies. I spend about one hour on administrative…
Chao-xing is visiting her OB/GYN for the first time. Chao-xing is a full-time homemaker and attends college online. She immigrated to the United States 3 years ago with her husband and 4 year old daughter, from the northern part of China. Her husband is employed in the auto industry. She lives in a two bedroom apartment with her family. She has no family here in the United States except for her husband and child. She reports that her last menstrual period was 5/28 of this year, with an EDD of…
a child significantly impacted my decision to pursue medicine. It was a quiet Thursday night, but the Labor and Delivery unit was bright. Working with the nurse to prepare for an emergency C-section, I held the patient’s hand as she was given an epidural block. She smiled at me and thanked me for my help since it was her first pregnancy. The large beaming white lights shined on the patient’s pregnant abdomen. Within minutes,…
The class I watched broke down child birth into three different periods of birth, prenatal, labor and birth, and postnatal. During the prenatal video, Holliday Tyson opens up about how the fathers of the babies are basically put on the back burner. The mothers need to include them in their pregnancy. Furthermore, Ms. Tyson went onto to explaining the anatomy of the pelvis. The way the anatomy was explained was designed for a non-medical person. Ms. Tyson did take in consideration for diversity…
Andrew Rider of Insurance Company referred this file for medical case management. Instructions were given to meet with Karen Hartman and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 11/9/16 I met Ms. Hartman at the office of Dr. McPherson. Ms. Hartman works at this medical office so she was already at work. She has not lost time due to her injury. She is alert and oriented and willing to work with a nurse…
I used to think that giving birth was overrated and believed that the emotional rollercoaster leading up the birth was insincere. In my opinion, giving birth had always seemed frightening, long and most of all painful. Surprisingly, my whole outlook on giving birth and its emotional impact changed when I gave birth to my first child, Joy. I remember the day as if it was yesterday, despite the fact that it took place almost nine years ago. It was a rainy Sunday in February when I invited my best…
CLINICAL SUMMARY: DOI: 5/11/2012. Patient is a 48-year old male truck driver who sustained a work-related injury to his back when he was rear ended by another party. Patient is status post bilateral L3-L4 and L4-L5 left-sided and sublaminar laminotomy with neuroforaminotomy; and synovial facet cyst resection at left L4-L5 per the operative report dated 04/20/15. MRI of the lumbar spine dated 02/03/16 revealed transitional lumbosacral junction, sacralized L5 and rudimentary L5-S1 disc;…
my heart and the shallow rapid breaths of my anxiety. Our birth plan was completely derailing. I am supposed to be awake when she finally makes her first breathy coo; however, her heartbeat mimicked a fragile flutter. I wish I could have felt the epidural pull out, or else my husband and I could jubilantly greet our bundle of joy. Instead, I was alone trying to focus on the sounds of voices, the buzz of razors, and squeaks of tennis shoes on the floor. I took the two shaky breaths, as…