Health Care Case Study

An attending physician statement completed by Dr. Peter Chweyah (Internal Medicine), dated 06/16/2016, indicated that the claimant presented with complaints of lower extremity weakness, neuropathy, weight loss, acute renal failure, and gout, as well as anemia. Objective findings showed an extreme weakness of the legs and pain in the feet. He also had diabetes mellitus type 2, chronic kidney disease, and hypertension. It was noted that the claimant was totally disabled from 05/30/2017 through 06/15/2017 and 05/23/2017 - 05/26/2017 secondary to gout.

Per medical records (2008-2014), the claimant had a history of multiple medical issues, including migraines, right hand tremors, alcohol abuse, obesity, gastro-esophageal reflux disease (GERD), nausea, abdominal pain, endometriosis and degenerative changes in the left knee. In 2014, she was evaluated for hip

Claimant reports history of multiple medical complaints. Since the age of 60 she reports struggling with urinary incontinence, which impacts her functioning at work. She reports feeling ashamed and guilty that she is unable to control her urination and has the need to periodically utilize the restroom or go to her car taking time away from her responsibilities. In the past few years claimant has severe intensification of physical symptoms, including back pain, right shoulder and hand weakness, blood pressure, headaches, sleep difficulty, and depression-related fluctuating appetite, fatigue and sluggishness. She reports experiencing heart palpitations present (racing heart), dizziness, and fear of actual fainting, a feeling of choking and not being able to breathe, chest pains, nausea or intestinal pains, shortness of breath, tremors in the hands, hot flashes and tunnel vision. The claimant reports that she sleeps very minimally; averaging 3-4 hours of sleep per night on an interrupted basis due to physical and emotional pain. She reports that she has very poor mobility due to pain and depression-related poor motivation.

This is 39 year old AAM. Patient is here with several complaints. Patient has no medical condition, or long term medications. Patient denies any other issues except as listed.

Patient is a nineteen-year-old college student working as a CNA. Patient’s has multiple chronic conditions such as Celiac Disease, Spina Bifida, Sjogren, Malabsorptive Disorder, Gluten Intolerant, Anemia, MTHFR Gene Mutation, deafness on right side, and Protein S deficient. Patient also has PTSD which contributed to depression, anxiety, and binge eating. Patient also complained of tiredness and being lethargic for 4-5 years and was put on Zoloft for depression. Patient is allergic to nickel and aloe vera. Patient is also at risk for breast cancer due to family history. Patient’s medications are Sertraline, Oxybutynin, Magnesium, Vitamin D, Vitamin E, Iron, and Vitamin B.

L.V. is a 51-year-old Hispanic female. She is 5’4 height and 150 lbs. Patient denies pain, discomfort, or chest pain during physical assessment. Patient is allergic to Aspirin she states that she gets rashes when she takes it. She was diagnosed with thyroid cancer 5 years ago and got her thyroid glands surgically removed. Patient denies the use of tobacco and drinks 2-3 beers on special occasions. Patient works for an American Restaurant as a server, she’s been serving for over ten years. Patient states that she’ll be getting her first colonoscopy next month and she just recently got her yearly mammogram done and results were normal. Immunizations are up to date and she gets the flu shot every year. Patient has four daughters and has been happily married for 20 years. Patient denies using glasses or contacts she visits her optometrist every year and has never had a problem with her vision.

The first section to be filled out on the CMS 1500 form in boxes one through 13 include patient demographic information as well as insurance information. This information is captured to ensure the proper claim is associated with the correct patient.

The American Healthcare System has been the topic lately in the news. This attention comes down to the executive order that President Trump has forwarded to the legislation. However, there is much debate going on about this executive order that has been issued. As stated in The New York Times, (Qiu,L) “Most people think of the term “bailout,” as a political pejorative,”(A17). This is currently one of the competing solutions to the “ObamaCare” or rather the Affordable Healthare Act, where a type of bailout has been placed into order as a solution to the deficit the AHA has had on the economy. Another solution is an executive order from President Trump to repeal and or replace the AHA, which in many views seems to be a desperate measure to

This patient has a regular pattern of this disease and does not want to take medication because he has adapted to this lifestyle of highs and lows. Over time the patient cannot resist any help and will make a change to better their lives.

The Veterans Administration Medical Center (VA) hospital system has been in the national headlines for many years. This has generally not been in a positive way. Many issues have tarnished the reputation of the VA system including, in the distant past questions on sterilization issues reportedly resulting in veterans contracting Hepatitis C from a colonoscope (Tasker, 2011), to more current issues with access and timeliness of care for veterans ("Memo shows VA gaming appointments system to hide wait times", 2014; "Nearly 100 patients died waiting for care from los angeles VA", 2017). Our local Veterans Administration Medical Center is no different and has recently been in the spotlight for

The patient was admitted of January 21, 2018 for physical and occupational therapy. M.G suffers from traumatic arthritis of the right hip,

The patient is a 70-year-old gentleman who presented to the ED with the complaint of numbness, noticeable changes mental status and is also noted glucose of 43. His medical history is significant for long-standing history of insulin-dependent diabetes mellitus, chronic alcoholism, chronic pancreatitis, paroxysmal atrial fibrillation, he is on no coagulation because of a history frequent falls, coronary artery disease, past history of a CVA, as well as COPD. Review of the chart and discussion with the patient reveals that he attends a daycare center five days a week. He lives alone, his sister and his niece do his food shopping for him. He prepares his own meals and he gives himself his insulin on the weekend otherwise it’s given to him

This is 51 year old WF. Patient has several issues. Patient's mental healthe is followed by JBS. Patient's Current medications are Zertec, prilosec, topamax, effexor. Patient's been out of her zyrtec, prilosec for the past 3 weeks. Patient states her GERD is back. Sharp burning sensation, this is a chronic issue for the patient. Patient aslo have a degenerative joint of Right knee, patient reports pain is 5-6/10 daily, acceptable pain isd 3-4/10. Patient brought medical record and chart's been reviewed. Patient is to comeback in one week for additional follow up. Patient states her depressive moods are well managed with current plan of care by JBS. Patient denies thoughts of suicide or homicide. Patient has a history of attempted suicide.

The patient was not seeking medical help for many years. She started to follow the physicians for the last few years. She had some CKD that is progressing to stage 5 recently. Her kidney disease is attributed to longstanding insulin dependent diabetes mellitus. She has never had a kidney biopsy done. Her last creatinine is 3.8 with an estimated GFR of 13. She had 4.5 proteinuria in July 2015. She is still not on dialysis yet. She will be starting peritoneal dialysis when it is medically indicated. She has not been evaluated for kidney or pancreas transplant in the past.

How will Congresswoman Moody ‘s provide healthcare coverage for her district, including undocumented workers, while still taking into account financial and political considerations?