In addition to A.D.’s spinal surgery she presented with a past medical history of: Diabetes Mellitus, HTN,
In addition to A.D.’s spinal surgery she presented with a past medical history of: Diabetes Mellitus, HTN,
TM denies tingling or numbness in his lower extremities, loose of movement, weakness, or loss of bowel and bladder control. TM reports chronic LBP, previous injury to the lower back, doesn’t recall when or how. O: On inspection of Lumbar Spine: No discoloration, no muscle atrophy, no edema noted at the Lumbar Spine area.…
A review of the records reveals the member to be an adult female with a birth date of 06/06/1956. The member has a diagnosis of rheumatoid arthritis. The member’s treating provider, Laura Summers, MD recommended the member continue her treatment of Remicade infusions 7 mg/kg every 6 weeks. The carrier has denied coverage of Remicade infusions 7 mg/kg every 6 weeks as not medically necessary.…
. MEDICAL UPDATE: Client continues to report arthritis in her left leg and hand, high blood pressure, stomach hernia and hip replacement surgery. Client continues to report she needs surgery and she can wait to be housed so she can schedule both surgeries stomach and hip replacement.…
Anna Garcia was a diabetic, she was 38 years old. Weight 165 pounds and a height of 64 inches. She had an autopsy on August 15th at 11:00am. Anna didn’t have a balanced diet of proteins, lipids, and carbohydrates and her blood glucose levels were high because of the food she was eating. She had no evidence of alcohol or non-prescription drugs or overdose of prescription drugs on her blood however, her blood glucose was 280 mg/dL which is very high.…
At today’s visit, she is awake, alert and oriented. She reports chronic, dull, constant, sharp left hip pain. She rates her pain as 7/10. She states that the pain affects her mobility and makes it difficult to ambulate. She takes Percocet…
A progress note from Dr. John Gleason (Family Medicine), dated 06/11/2017, indicated that the claimant had been unable to work as she had been very fatigued and had a lot of pain and issues. She reported having a weakness, a burning sensation in at her back, and a poor balance with dilated eyes all the time. She also had a burning sensation in her legs and stated that she was unable to achieve orgasm for many years. Her BMI…
IW is planning to pursue lumbar spinal surgery. It was noted that rehabilitation and acupuncture is helping. Treatments have prevented worsening of pain and is allowing the patient to work, pending spine surgery. Patient is working full-time.…
1. Based on the observation it would be safest to limit the exercise greatly to very light exercise. Having the ulcer with no pain means that she has tingly numb sensation in her leg which can cause more injuries. Her reflexes also might be slower. 2.…
She wants to know why she did everything she could but still ended up with this unfortunate disease. “I received weekly Ayurvedic body therapy, I re-examined all my herbs and supplements with my integrative internal medicine doctor. I took another hard look at my diet, ate more healing foods (like warm milk with ghee, rose petal jam, coconut oil and classic Ayurvedic chavanprash) and I ate less animal protein. I backed off on the harder-core aspects of my exercise regimen in order to nourish my whole self. ”(32)…
On 11/10/17 I met with Ms. Perez at the Chesaning rehab center for a team meeting. Ms. Perez was in her hospital bed. She continues to have weeping edema to her right arm and the lower extremities. She had a recent appointment with, Dr. Malik wound doctor. He was very happy with the progress of the abdominal fold wound.…
Looking at her medication list, her medical history may be rheumatoid arthritis, osteoarthritis, GERD, hypertension, anemia, hypothyroid, and a current infection. Why should you query her on the Bactrim, and would you consider it a routine home medication? Explain your answer. I would question the need for her to be on TMP/SMZ since she has no current infection that she is aware of. Although, she may be on this medication to regulate and prevent endocarditis since she has a history of hypertension.…
Ms. Iversen is dependent on some dressing, bathing, hair washing, meal preparation, house cleaning. She is non weight bearing to the right leg. MEDICAL/SURGICAL HISTORY Ms. Iversen said she has ha history of cervical pain. She has a congenital fusion of the cervical spine. Ms. Iversen denied any smoking, alcohol use or drug use.…
Patient Referral Mrs. Glenys Patterson had been referred to an Exercise Physiologist for 4 sessions in her Chronic Disease Management Plan. Mrs. G. Patterson’s GP referrals goals are to reduce BMI to 25 or less, participate in 150min aerobic exercise per week, reduce blood pressure and progression of Osteoarthritis (OA), improve self- esteem and reduce cardiovascular risk factors. Medical Health Conditions Mrs. G. Patterson’s referral indicated diagnoses history of severe morbid obesity BMI 47.3, hypothyroidism, hypertension, anxiety, depression Osteoarthritis (OA) in hips and knees and hypovitaminosis. Severe morbid obesity is characterised by excess body weight with BMI (47.3 kgm2) commonly used as the defining criterion.…
Amy Tan style of writing came from culture impact of the third generation therefore Amy work was highly inspired by her American up bring and her chinese background. Most of Tan’s novel have one similar connection the importance of mother daughter relationship. The Joy Luck Club was made up into sixteen stories each about club members and American born daughters who immigrated from china. The mothers and daughters share stories of there lives about their families in china and the families that they have in the united states. Amy Tan theme of the novel focuses on mother daughter relationship in both culture and also focus past an present generation.…
Her medical problems started with pain and stiffness in her joints, due to arthritis. Her physician gave her painkillers and anti-inflammatory drugs. The side effects from the medicine gave her heartburn, so the doctor prescribed an acid suppressant. She was also having trouble sleeping, so he prescribed a sleep aid. During her next health check the doctor found her blood pressure was high, which required another prescription.…