An Emergency Room Visit For Back Pain

Legally and ethically under Informed consent a patient has the right to refuse specialty treatment or referral but needs to be informed about the risks involved with delay or lack of the specific treatment recommended. Mostly, if the patient does agree to visit the specialist then, the specialist is responsible for the informed consent for the specific treatment. But is has been contested and help in courts that the primary care physician still is responsible for the patients welfare in all phases of treatment. For a provider in a busy practice it is difficult to keep track of all the referrals and at times, the specialist’s office has a different outlook on the matter.

Mrs. Smith signs in the emergency room with chest pain. Several nurses rush to get her vitals, blood samples to send to the lab, and obtain an EKG. While performing an assessment on Mrs. Smith, the nurse inquires about the amount of time she has been feeling this way. Mrs. Smith replies " My sister passed away 2 weeks ago and I have been having this chest pain ever since". After the physician reviews over all of Mrs. Smith 's lab and radiology test results, he informs her that she is not having chest pain from a heart attack, it is simply the result of untreated anxiety.

A 42-year-old female by the name of Mrs. Janice checked into the emergency department (ED) for low back pain. Mrs. Janice has a history of chronic back pain from an

CP is a retired, 89-year-old male of upper-middle socioeconomic status. CP earned a degree in law to become an attorney. Prior to retirement he had 35 years of experience and his own practice. He had a right posterior hip replacement following a fall that fractured the right femoral neck. The fall occurred when he was walking from his home to the end of the driveway to throw away linens. Part of the linens slipped out from underneath the pile he was carrying, he stepped on it, fell and rolled down the driveway. He was taken to the hospital where he was to have a right hip replacement. The surgery went well, but he had to receive a blood transfusion. He has been transferred from the hospital and is currently at an inpatient rehabilitation center.

Authorizations to see a specialist to have services provided are the result of a doctor putting

I was also unable to navigate my own vehicle to the hospital from excruciating pain and assisted by my younger brother. I was not discharged from HackensackUniversity Hospital until Friday, 7/22/2016 at 5:30am which I followed at 10am in contacting Joann requested a sick day. The pain did not decrease and remained through the weekend where I was unable to perform any workload. I was finally able to have some sensation and movement on my left arm on Monday, 7/25/2016 in which I notified CMS I was not able to complete any work from home and provided hospital discharge documentation. I attempted to complete as much paperwork in a timely manner while still experiencing pain. I acknowledge the tardiness in workload; however, felt my health wasn't taken into consideration. I also maintained consistent communication with

This is simply not true what so ever. I am in severe pain and stated that I want to get to the bottom of pain not just continue to mask the problem with a pain pill. I did fill the pain pill prescriptions that had been prescribed to me. I am in severe pain and I know they wouldn't want to just suffer with out any pain medication while waiting to be diagnosed. I feel that she (Sandi) violated my HIPAA rights as well as slandered me. I have already been struggling with this pain and trying to find someone willing to help me figure out what is wrong with me. She humiliated me in front of everyone and just as hurtful it wasn't true. I just need someone who actually cares enough to help me figure out what is wrong with me. Nashville Metro General Hospital claimed they would but they was focus on my heart problem. My heart isn't hurting me right now. It's this other unknown problem that I need medical help trying to figure it out this is why I went there in the first place. When I went to Nashville Metro General on 16th of August and saw Dr. Soleye and Dr. John

I would like to file an appeal. On December 8.2016 my primary care physician Dr. Christopher Prihoda sent a referral to Dr. Munir Shaw, of the Memorial Herman Sports Medicine & Rehabilitation, due to carpal tunnel. After being assessed Dr. Shaw then sent me to Dr. Lee Pollack for a nerve test for both hands and neck. I had spoken to an Aetna representative as well as a member of Dr. Phrihoda’s staff who stated that in most cases if a specialist sends a patient to a second specialist they are to contact my primary care physician so that a second referral is sent. If I had not been given this information I would have requested the second referral myself. Needless to say a referral to Dr. Pollack was not sent and I received a bill from

At today's visit he is awake, alert and oriented. He complains of generalized pain. He states “I have pain all over today, my head, my back, my feet" I have not felt good for the last few days”. He rates his pain as 6/10 in severity; he describes his pain as shooting pain in different places. His pain does

In 2004 the plaintiff Andrea Larkin suffered from ongoing bouts of dizziness, she sought the care of the defendant Dr. Jehane Johnston of Dedham Medical Associates. She underwent MRI and CTA testing twice, once during 2004 upon her initial visit with the defendant and another in 2005 for a follow up. During both times it was determined that the plaintiff showed abnormalities in her brain- a venous varix in the left side and an aneurism on her right side of the brain. In 2006 Mrs. Larkin claimed that she was due for another imaging study but the defendant failed to order the tests or set up a referral. Dr. Johnston also failed to place information regarding her condition on the patient’s problems list database of the hospital. The plaintiff

SC met with Pa, for scheduled RA HV in Pa's home on 03/1/2016. The completed both the LCD and CMI assessment. Pa appeared clean, appropriately dressed in PJ's and sitting on the couch SC in the home. Present in the home were the Pa visiting nurse Scott from Millennium home care. He was on the phone trying to order the Pa medicines. Also Pa’s aide was present from the agency aide. Pa appeared weak and in discomfort. The SC asked Pa if she okay and she reported that she is in a lot of pain. The SC asked if she is taking her medications and she reported that she ran out that’s why the nurse is helping now. The SC asked the Pa how did that happen and she stated that when she saw her PCP in January for her post hospital and rehab discharged he

I did receive a significant amount of records from this patient's PCP, as well as neurology consult in followup and infectious disease notes. In short, he is a 67-year-old right-handed white male who while living in Alaska developed some hip pain, as well as medial right hand numbness. He did have an EMG on 10/2000 that showed ulnar neuropathy with cubital tunnel syndrome on the right. Ulnar nerve transposition was considered, but the patient deferred this. He did have an MRI of the cervical spine, which revealed most significantly C3-4, moderate bilateral neuroforaminal narrowing, C4-5 severe left and moderate right neuroforaminal narrowing, C5-6 severe bilateral neuroforaminal narrowing. He did

John is a forty-five year old male who presented in the emergency room experiencing abdominal pain in the right lower quadrant of the ventral cavity. The pain is felt in the umbilical region, right iliac region, and right lumbar region. He is also experiencing pale skin and fatigue. John has a previous history of gastritis(inflammation of the stomach), gastroesophageal reflux disease(stomach acids coming into esophagus), and bradycardia (abnormally slow heart rate). After the laboratory drew blood, the doctor began examining John. Upon his examination, he discovered that John's epidermis was abnormally dry and flaky; this is also known as ichthyosis, proximal to the tibia and fibula. Once the blood work came back, the doctor found the source

At today's visit, he is found lying in bed in his room at palm gardens SNF. He is alert and oriented. He reports chronic SOB, resulting from his COPD. He is wearing his oxygen. He complains of chronic dull low back pain that does not radiate. His pain is a 4/10 in severity, When he reposition, it aggravates his pain. He reports that his pain regimen includes MS ER 15 mg po q 12 hours and Percocet

Many patients are referred to an interventional pain specialist after an initial visit to their general