is suing defendants John Smith M.D. and Pat Jones P.A.C. The plaintiff sustained a work injury and came to the ER at Laskey County Memorial Hospital; there he was prescribed three days worth of tramadol. He then visited Smith & Smith Medical Center for treatment. P.A. Jones prescribed him more tramadol and followed up with an appointment eight days later, Mr. Marshall described a 50% improvement with his symptoms. At that appointment a Flector patch was applied to reduce acute pain. At the…
In the world of medicine, pain is associated with different types of diseases. Pain can be sudden such as a headache, fever, aches and pains, or pain can be continuous such as arthritis. There are many different kinds of pain relievers available to help reduce pain either by prescription or non-prescription medications. The first type of medication is non-narcotic analgesic drugs that can be bought over-the-counter without a prescription. According to Turley, (2014) aspirin (Bayer),…
partial lateral meniscectomy, tricompartmental synovectomy, lysis of adhesions, & debridement on 10/23/15 11/13/15 UD testing report indicates negative results for the prescribed opioids that the patient has been inconsistent with Hydrocodone and Tramadol. 8/25/15 progress report described that the patient presented with ongoing left knee pain despite conservative treatments including PT and pain medications. She experienced swelling, clicking and popping in the left knee. The exam revealed…
her wrist. She tripped. She immediately felt pain, as well as there was swelling in the right wrist as well. She went to an urgent care and I do not have notes from that visit. Reportedly, x-rays were done and were normal. She was given some tramadol for pain, which she said did not help at all and she is no longer taking it and was recommended to follow up with orthopedics. She actually has an appointment with Christina Scardina, PA this week on Thursday, September 17th. She said that…
DOI: 3/5/1998. The patient is a 62-year old male material handler/breaker who sustained a work-related injury to his low back from lifting heavy objects. As per OMNI entry, the patient is status post L4-5 discectomy. His future medical care includes office visits, non-steroidal anti-inflammatory drugs, analgesics, physical therapy up to 12 times a year, and epidural steroid injection, with the possibility of surgery. Per the medical report dated 03/04/2016, the patient is being seen for his…
injury he went to the Laskey County Memorial Hospital on September 9, 2010. Pat Jones P.A. and Dr. Smith treated him there. He explained to Pat Jones that he could not take (NSAID) and was prescribed a sample amount of Tramadol. He returned on September 12, 2010 for more Tramadol. His condition improved by a reported 50% when he went to see Pat Jones again on September 20,…
while transferring a patient. Per the medical report dated 03/23/16, the patient presented with low back and left leg pain, lumbar paravertebral muscle spasms and medial thigh pain. He has been refractory to 12 PT visits. Current medications include tramadol, ibuprofen, loratadine and Claritin. MRI of the lumbar spine obtained on 03/31/16 revealed a mild left lateral disc protrusion at L4-5 which causes a mild left L4-5 neural foraminal stenosis. There is lumbarization of the S1 vertebral…
The first lady that we watched take the stand was being seen because of a probation violation. The women had been placed on probation for unable to practice safely by reason of alcohol or other substance abuse. Ms. Owens was reported by a co-worker to have a slurred speech, was confusing co-workers’ names, appeared disoriented, and staggered while walking. The DON was called and came into the facility where Ms. Owens was working to observe her and then requested she submit a drug test where at…
study. Moderate limping gait was noted. MD noted that the patient has completed 4 postoperative rehabilitation therapy sessions with some improvement but needs additional sessions. Current request is for 30 Lidoderm Patches 5%; and 30 Tablets of Tramadol Extended Release 100 mg between 1/26/2016 and…
drugs (i.e., venlafaxine and mirtazapine)18. The study performed a causality assessment and reported that, serotonin syndrome was observed after adding Tramadol to the existing medication regime (of venlafaxine and mirtazapine). Based on the analysis of results, a combination of multiple drugs caused the serotonin syndrome and serotonin release by Tramadol (which certainly contributed) cannot be solely attributable to the adverse drug event. In addition, the case study only included one patient…