Dr. Johnson 's Case

Isabella, it is good to see that you took a moral approach to this dilemma; the strengths of your argument is in your personal conviction that you needed to do the right thing in this situation, regardless of how important it could be for anyone else that you to take an unlawful action. Just as significant was you’re the effectiveness in trying to persuade Dr. Jones to take the right course of action. You turn it all around on him, so that he would consider how the wrong decision could destroy his medical career, and hurt what he treasures the most, his family and his patients.

On 4/5/17 I met Mr. Johnson at the VA eye clinic to and eye examination. This was a long appointment to allow for eye drops and different providers performing testing. He has finished physical therapy and has a home exercise program. All testing and appointments have been completed and Mr. Johnson is back to baseline. He has been cleared to drive but due to some financial difficulties is unable to get a car loan. There are no further appointments scheduled related to the auto accident.

Based on the medical report dated 03/31/16 by Dr. Schonwald, the patient reports pain in his low back, left lower extremity, right lower extremity, as well as in his left hand that originates at his left elbow and to his fingertips.

From our observations, the processes and procedures used by the court were a good way to arrive the “truth”. We believed that the process of proving the Ellis’ brain injuries and the truth behind the car accident, each side's’ lawyer tried to thoroughly define the eligibility of the witness Dr.O'shaughnessy’s education status and his expertise. After the witness’ eligibility is assured to everyone in the court, the plaintiff lawyer opened the questions regard to Dr.O'shaughnessy’s examinations about Ellis from the first report (Jan 2011). The lawyer asked Dr. O’Shaughnessy in an order of the timeline from the accident occurs and the witness had a loud and clear speech to all of his answers. After Dr.O'shaughnessy has claimed and proved the

Review of diagnostic studies and medical-legal reports is included in the physician’s notes. Objective findings note that the patient is mildly obese and appears to be in moderate pain. He does not show signs of intoxication or withdrawal. His gait is antalgic gait and is assisted by cane. Lumbar range of motion is restricted with 50 degrees of flexion, 10 degrees of extension, 10 degrees of right lateral bending, and 10 degrees of left lateral bending. All range of motion is limited by pain. There is tenderness noted in the bilateral paravertebral muscles. Lumbar facet loading is positive on the left side. Ankle jerk is ¼ on the right and 2/4 on the left. Patellar jerk is ¼ on the right side and 2/4 on the left side. There is tenderness noted over the trochanter and pain to the lateral hip with range of motion. Right side motor strength of ankle dorsi flexor is 4/5 and ankle plantar flexor is 4/5. Hip flexor is 5-/5. Light touch sensation is decreased over the lateral calf on the left. Patient has resting tremor of the left lower extremity. His medications are Prilosec 20mg, Celebrex 200mg, Neurontin 800mg, Flexeril 10mg, Duragesic 75mcg/hour patch, Viagra 100mg, Nuvigil 150mg, and Silenor 6mg, Evzio 0.4 mg, and Norco

Patient is a 63-year-old right-hand white male who states that since April when he was in rehab for his left total knee replacement he has been having pain along his abdomen. He describes this as a band of numbness and dysesthesia. He outlines a strip involving T9-T11. He states this is mostly on the right. It does extend past the midline a little to the left, but is not significantly disturbing on the left. He gets spontaneous stabbing pain, tingling and dysesthesias in that area. Also, he is extremely sensitive to touch, more so anteriorly and laterally than posteriorly. Posteriorly, it goes to the mid-axillary line on the right and again it just extends past the midline to the left. He states that he did have a fall 12 years ago with a coccyx fracture. He has not had any recent injuries or recent x-rays. He does have some numbness and tingling in his feet, but it is not significant. He did not notice any vesicular rash on his torso at any time since the onset of these symptoms. He is unable to give any further history.

I am applying to Johnson in hopes to be able to study and major in global health in missions with a minor in intercultural studies. Health and Missions are both something that I have wanted to study, and been very interested in for a few years. After viewing some of Johnson’s courses and being able to sit in some classes and meet the teachers, I feel that this is the perfect place for me to get my best education on those topics. I live knowing that I have a commitment to my faith, and strive to keep God and His word the center of all that I do and to do everything for His glory. My relationship with God and my faith are very important to me and I always want to keep that my main focus. In my life, I want to be able to serve as a missionary wherever God calls me to, whether it is through my job or through ministry in other countries.

1. What are 1-2 issues/items that you agree with that he discusses in the video?

The pain has been worsening over the left buttock area associated with tingling and numbness down to the left leg. Medical treatment to date notes physical therapy and Nonsteroidal Antiinflammatory Drugs (NSAIDs) with limited improvement. Medical history and review of system notes that the patient is significant for hypertension. Examination of the lumbar spine revealed slight loss of lumbar lordosis. On palpation, there is moderate-to-severe guarding with reproduction of deep myofascial pain on deep palpation, mostly on the left side. Pain level is 7/10 at the time of examination. Range of motion revealed forward flexion of 50 degrees, extension of 10 degrees, right lateral flexion of 20 degrees, and left lateral flexion of 20

The problem presented here it that Dr. Brown is diagnosing a patient based on results he believe are a mistake. Meanwhile, there is a medical student who, after looking at the patient results, believes the diagnosis given and the treatment that is being order is incorrect and could cause the patient even more harm. The medical student does not know what to do to make sure no unavoidable harm comes to the patient while still being respectful to Dr. Brown.

In 1968 after graduating from college, Joseph Hyde III began working for his family which operated a wholesale grocery business. Hyde was very driven and looked for ways to take the company to the next level, so at age 26 he took his family business and began to expand into other opportunities starting with drug stores, sporting goods stores and eventually moving into the automobile parts industry. In 1979, he opened a small retail auto parts store called the Auto Shack which was designed to cater to the do-it-yourself (DIY) market. The organization created growth over the years by opening 74 stores in their local area in 1982 to opening stores in 15 different states by 1986. Once the Auto Shack business began to grow, Hyde decided to take himself out of all other avenues of the family business and create a new identity for

Ms. Johnson has failed to provide for the educational needs of Anthony Johnson, Aidan Johnson, Nevaeh Wilson, and Eva-Marie's by their mother Adrienne- Marie Johnson.

Dr. Sanchez refers this 30-year-old, RH, active duty Coast Guard male for evaluation of myalgias. He states he was doing well until 03/2017. Around that time he started noting achiness in his muscles in his upper and lower extremities and felt the joints were involved to a certain degree. He recalls that when he was on the Coast Guard ship, he had trouble getting out of his bunk-type bed. He was feeling weak overall. He denied any fevers. The patient had been on Lipitor at that time for almost two years, he states, for elevated lipids, which runs in his family. When he saw Dr. Sanchez, I believe in May 2017, he was taken off the Lipitor. At that time he had CK, myoglobin, RF, and TSH, which were all normal. He also had a normal neurologic exam. He was referred to my office on 05/30/2017.

History: A 67-year-old Caucasian male with a past medical history of type 2 diabetes mellitus and osteoarthritis presented to the ED with complaints of dark stools for three days associated with lightheadedness.He reported inability to maintain his usual schedule due to fatigue. He also reported his stools to appear darker than usual with a sticky texture and a malodorous smell. He described a recent worsening in intensity of a long-standing epigastric burning sensation which has been occurring intermittently for years. He denied any significant relief with doubling the usual dose of Tums during this time. He denied any associated chest pain, palpitations, dyspnea or syncopal episode. His current medications include metformin 500 mg twice a

I, Stephen Mwangi Gathigi brother to Johnson Kariuki wish to state that I am Familiar with the Land sale agreement between my brother and Dr. Kamara.