Medical Case Summary

To schedule an appointment please call the office or leave a message. I will return your call as soon as I can. Typical individual session with general run around 50 minutes. In some cases addition time may be necessary which would add another 40 minutes to the session.  This office is operated on appointments only. Should an emergency happen before our appointment please contact 911 or your local emergency services.

On 11/23/16 I met Mr. Westover and his daughter Jackie Syms. Mr. Westover has made good progress with the continued physical therapy. He has resumed driving locally. Mr. Westover reported he had been in the hospital for 5 days recently for pneumonia. He is not using his cane now unless it is slick outside. He reports still feeling weak in the left leg. The Neurontin did work but Mr. Westover reported he stopped taking it and feels fine. Per Ms. Syms Mr. Westover’s PCP has him taking the blood thinner again. Mr. Westover agreed to take it until January 2017. Mr. Westover asked to have his home physical therapy continue, he doesn’t want to drive on winter roads. The last update from therapy asked for 3 more weeks and then they would

Most of the time, they do group counseling which includes ten to twelve, but they also do some individual and family. For the group counseling, it always takes about three hours each time, and the program is thirty-five days’ long. After the program, the following care of clients will be continued for another year.

The patient is a 34 year old black male. The patient reports he is single with 3 daughter ages 3, 11, and 13. The 3 year old live with him. He reports currently live with his mother and brother. The patient reports he has 14 years of education however has not received his degree. The patient reports being on probation for Injury to a child for the next two years. The patient is scheduled to be complete his probation in September 2016. The patient reports Cannabis is primary substances and his last use July 20, 2015. He stated on that day he smoked about 5 joint. The patient also report that he tried Xanax . The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Thursday, July 30, 2015 at

There were infact 3 meetings linked together SCID 24065 Congreso AEEH ( 24-27 febrero 2015 ) MEDICO. With TOV being completed for all three.

a twenty-four-hour waiting period after the session. In some states the waiting time could be

The counselor met Reynaldo for his scheduled individual session. Mr. Reynaldo denies any substances use this week. Reynaldo and I went over the AA meeting scheduled for the 24hour group in his community. Reynaldo agreed to attend two AA meeting by our next individual session. Reynaldo denies any HI/SI during the session. Reynaldo appears to be in the contemplation stage of change as evidenced by him continued to seek recovery. The counselor next individual session with Mr. Ventura is on Tuesday September 8, 2015 at 2:30pm.

Dr. Sinclair reports the choice for MDA medical director was promoted in Houston; a new search to begin. He says MDA creates challenges. Dr. Debbie Kuban is serving as interim medical director. Karen says defining affiliate physician private practice/flexibility on both sides being looked at. Dr. Sinclair says Scripps has more control than what may appear evident.

On Monday, June 1, 2015 I interviewed Dr. Ishida at his office located at 6744 Clayton Road Suite 302, St. Louis, MO.

History of Present Illness: The patient has been seen in this clinic since 2016. She is diagnosed to have ADHD, Bipolar II disorder, Generalized Anxiety disorder, Alcohol and Cannabis use dependence. The patient has struggled with separation from an abusive ex-husband, who is currently

Dr. Gregory Cooke recently retired from active medical practice to provide a range of management services as a senior consultant. Since June of 2016, he has advised a client base of medical practices as Chief Medical Officer of ON3 Healthcare and a client base of hospital organizations as Chief Medical Officer of Health Plus Global. Both of these businesses

D-This writer met with the patient to address the status of her appointment at Charter Oak. According to the patient, the clinic only did a medical assessment, not a physical and an EKG. The patient as she reported has to wait 30 days for a physical exam and an order for an EKG, which upset the patient In addition, it was recommended for the patient to see a cardiologist specialist for block arteries and

This letter is in support of Dr. Andrew Bruce as he undergoes his three-year review. I have thoroughly enjoyed working with Dr. Bruce and found him to be a supportive, professional, and wonderful colleague. I support his reappointment wholeheartedly.

The patient returned to the clinic as he was hospitalized at the Hartford Hospital from 8/10-17-8/14/2017. According to the patient, he was hospitalized due to cardic arrest and difficulties breathing. Denies any recent relapse. The patient reports that Hartford Hospital shared with the patient that Saint Francis Hospital had released him too soon as the patient still had pneumonia. The patient was not medicated during his 4 days stay, only recieved clonidine. Furthermore, the patient was prescribed with several new medications from the Hartford Hospital that hasn't yet been refilled. Patient is scheduled to see his cardiologist tomorrow at noon and scheduled to see his PCP on the 24th. Addressing the suboxone treatment, the patient said,

I hope all is well. Thank you for allowing me to connect with Dr. Diaz-Loyo. Unfortunately, we have yet to find a suitable time for me to shadow. I understand Dr. Diaz is extremely busy and I look forward to reconnecting with him soon. However, I am happy to say that I have begun to acquire patient interaction as a mobile healthcare provider for Family Van. On a regular basis, I am able to provide basic health screenings and provide preliminary referrals with other providers.