On 3/2/ 17 I met Mr. Kraxner for a follow up appointment with Dr. Morse. Mr. Kraxner is able to actively raise his right arm to just above the shoulder level; passively he has full range of motion. The muscle is weak. He gives great effort while in physical therapy along with a home exercise program. He reports he take 600mg Motrin 3 times per day, and use the cold compression device along with the TENS unit to help with pain. He is sleeping in a bed. Dr. Morse reminds him that he had a very large tear, that 2 of the four muscles were torn away. This is going to make his recovery process slower. Dr. Morse was happy with his progress. He said it would take a full year of healing to regain full strength. Physical therapy will continue.
Russell Carrington is a 25 year old right handed relief pitcher for the MLB team the Baltimore Orioles. Carrington has been playing baseball since he was seven years old and this was his third season in the Major Leagues. Carrington was at the mound and in the motion of throwing a fastball, when he felt a “pop” in his overhand motion. He dropped to his knees and clinched his right shoulder in pain. Athletic trainers came onto the field an upon examination Carrington stated his arm felt like it was “dead” and felt like it was “catching”. Carrington was seen by the team physician. She performed ROM exercises, strength, and stability tests on his shoulder and examined his neck and head to ensure pain wasn’t coming from a pinched nerve. She concluded that further testing and imaging was necessary. Carrington had an X-ray and MRI done on his shoulder and he was diagnosed with a type II SLAP (Superior Labrum Anterior and Posterior) lesion. He didn’t want surgery done because he would miss the remainder of the season and possibly the next, so doctors prescribed non-steroid anti-inflammatory medication and five months physical therapy to strengthen the shoulder capsule. After completion of physical therapy, the pain didn’t improve and arthroscopy surgery was recommended.
The patient is a 12 year old female who presented to the ED with thoughts of self harm and cutting behaviors. The patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. The patient reports that she has been sad lately. Per- documentation the patient reports to peers at her school that she was trying to kill herself, which the school sent her to DayMark. Further, Daymak IVC the patient and requested further evaluation.
The patient notes that the injury happen when he was lifting some metal trash trays into a trash bin when he felt a sharp pain in his shoulders. Treatment history notes that the treatment to date has consisted of medications. Of note, the MRI done showed a large full thickness tear with retraction of the tendon. Physical examination of the left shoulder revealed that the range of motion has forward flexion of 0-175 degrees, external rotation of 0-40 degrees, and internal rotation to T12. There is positive Hawkins’ and Neer’s sign for impingement. There is weakness with abduction testing. Treatment plan notes recommendation, surgical intervention in the form of a left shoulder, subacromial decompression, rotator cuff repair surgery as necessary. A follow up of 2 to 3 weeks if surgery is authorized. As per medical summary and work status dated 6/14/16, it was noted that the patient has not improved significantly and would be needing surgery. The patient’s return to work date is 6/14/16 with no lifting over 10 pounds and no overhead reach. Follow up to clinic date is on
I'm harassed daily at Pitt University, Greensburg under the Hands of William Bill Franicola. These employees know they can get away with their action of laughing in our faces, slurs, hand gestures and comments Mr. Franicola is present letting this behavior continue. Nothing is confiding at Pitt after Joe told me he was keeping an eye on Bob Godzik, outside the pole building Donna Myers, Vicki Hoak is pointing there two fingers at Bob saying they are keeping their eyes on you then moving their fingers towards their eyes. They did the same Hand gestures to Dan Kelly when Bob Godzik was present in the office. When Joe changed my work area to Cassel Hall due to harassment from Bob and Julie Godzik after the change there was several anti-Bullying
Mr. Krupp had the repair to the torn bicep tendon on 6/30/17. He reported that he was given a cold compression device and that really helped with the pain. On 7/10/17 I met him at the MSU sport medicine clinic. We met with Dr. Supinanski. The sutures were removed to the left inner aspect of the arm. There are no signs of infection. Mr. Krupp said he has not taken any pain medications for days. Instructions are no lifting with the left hand of a pound or more. He will start physical therapy now. At the next appointment Dr. Scorfar will address the left shoulder. At this point, no repair to the left shoulder can be done, we need to let the bicep tendon heal
As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative
After spending the day observing a fourth grade inclusive class and attending a fourth grade PLC meeting focused on testing, I began my community service at the after school program. I was quite curious to see what the after school program is like as I work as a supervisor at an after school program in Sussex County. At dismissal, all the students came to the cafeteria and began their homework. They were very talkative and sitting in close proximity as there were only a few tables left down for the students. Once everyone had arrived, the teachers called out that all students were to quietly work on homework.
The psychiatric clinical rotation at Clinch Mountain House was a very prodigious experience. This facility is unique because of the role it plays in the community; it serves to provide daily recreation for the members of the community who suffer from mental illnesses. This facility focuses on providing essential social skills to this community and accomplishes this goal by providing social interaction, a structured schedule, and daily assignments for each member.
My participant observation research project is on sex offenders. A few topics I would be interested in is different type of offenders, such as pedophilic and non-pedophilic. I know sex offending is horrible all together but I really hate when I hear about children and teens being hurt. My questions would be what causes their urge to offend children? How do they know the victim? How to help the offender?
There have been no appointments this reporting period. Mr. Kraxner has been provided the cold compression device. He reports it has helped with the pain. He is able to sleep better and has a little more range of motion. He is back to just taking Motrin for pain. Between the TENS unit and the cold compression device he said that has made a big difference. I have spoken with physical therapist Crystal Wright. She reports he has crepitus of the right shoulder with most plains of active range of motion. This limits his progress. Dr. Morse said this was a large tear requiring 7 to 8 anchors. The recovery is going to be slower just due to the large tear. Physical therapy continues. Mr. Kraxner gives full effort the whole time he is in
This clinical rotation I was assigned to observe at the operating room, where they conduct various surgical procedures. The night prior to the clinical, I have to admit, was every bit unnerving. Especially, the fear of not knowing what to expect was daunting. There must have been a thousand scenario of what to expect or what might possibly go wrong playing through my head that night. However, after being introduced to the nurse I would be following, and meeting the surgeon and the rest of the team; my nerves settled down. The surgery scheduled was for a ventral hernia, which seemed routine, but complicated by a previous bowel realignment previously. The whole operation, from beginning to end, lasted a little over four hours. Although, the procedure lasted that long, it did not bother me even bit. In spite of standing for the whole duration of the observation, I never felt tired nor gotten bored. Notably, watching the surgical team working cohesively is like watching an artists who have
what city he lives in, and his telephone number. The child was able to tell me his first name, last name, age, and that he is a boy. The child had reported living in the United States as the city he lives in. The child stated “why should I know that”. The child was able to tell me his telephone number. The fourth task I instructed the child to put on his coat and zip it up. The child struggled at first but was successful at zipping his coat up alone. The fifth task I had to ask the mother if her child uses the toilet by himself. The mother responded, “He can use the restroom by himself when he knows he has to go”. The final task I asked the mother is her child share toys with others. The mother responded, “He share toys that he does not like”. The mother also reported that her child does hear well.
The first educator that I observed was Mrs. Crystal Sullivan at Fox Meadow Elementary on September 14, 2017. Mrs. Sullivan is a music teacher at this school and on this particular day, Mrs. Sullivan had special needs students in her classroom in the early morning. I chose to observe Mrs. Sullivan while teaching special needs because I had a great interest in special needs students. The students came into the classroom and first went to sit on the risers in the back of the room. Accompanying them were 4 other adults who assisted the special education teacher. Mrs. Sullivan began her class with the “Hello” song which the students were receptive to. She played a small guitar while singing the song and they also began to pat the beat on their legs. The disabilities of the students ranged from severe to non-severe. There was one student who did not seem to enjoy the music because he continued to cover his ears. The teachers accommodated him by encouraging him to listen and participate. Mrs. Sullivan used many engaging techniques such as physical activity while teaching her music class with the special needs students. For example, Mrs. Sullivan played the “All Fall Down” song on the smart board and each student performed a move at various times in the song. The students would either act like they were cranking up or they would crank down and fall to the carpet. She also utilized the parachute which students held and walked around as music played. Mrs. Sullivan also used dynamics
My practicum took place on September 7,2016 from nine thirty to ten thirty. The practicum took place at Impact Early College High School in Baytown. The class I observed was Ms. Nguyen’s class of juniors and seniors that contained twenty students, seven boys and thirteen girls. The class appeared to be alert and ready to learn. Since this was their second period class they already had enough time to shake off their fatigue. The subject was Pre-Calculous and the topic was operations of functions. Students entered the classroom in a calm manner and socialized until it was time to start class. The teacher instructed the students to take their seats and take five minutes to write their assignments into their academic calendar. The teacher went
After observing my mother in at the emergency room where she works, I finally understand the difficulty of being a doctor. Doctors constantly having to take care of anyone who walks through the door on a stretcher. Doctors have to try their best to feel empathetic towards everyone, putting themselves in other people’s shoes and trying to understand their situation. Whether they are good or bad, it doesn’t matter, the main goal is to stabilize the patients and make sure they receive the help they need. For example, last night walked in a psychopath who had killed 3 people, who also stabbed himself in attempt at suicide. By some miraculous move by God he didn’t die, only required immediate medical attention. As I watched my mother operate