Mercy Clinic Orthopedic Summary

2. Client is demonstrating phase of life problems and which is presenting as restlessness, anxiety, and loss of identity (un-fulfillment) due to his child pulling away from him as she enters school full time.

Beacon Orthopedics has become one of my favoirute places to be. Its diffrent, many would say a vacation spot but Beacon has become a place of many achievements for me. With 6 bone injuries and an inflamed rotator cuff, Ive visted Beacon more times than the average person.

The patient is a 72 year old female. She has been experiencing progressively worse pain and stiffness in her joints. She is reports that she is having decreased range of motion, redness, and swelling in her joints. She is reports symptoms occur in the same joints on both sides of her body. She is also reporting the symptoms are worse when she first wakes up in the morning.

A visit note from Evan Ross, DPM, dated 09/20/2017, indicated that the claimant presented with pain in her whole leg rated as 10/10. She had plantar fasciitis in the left foot. She was diagnosed with posterior tibial tendon dysfunction of the right foot, ligament laxity, and left foot plantar fasciitis. Physical therapy was recommended.

The purpose and limits of confidentiality were explained to Mrs. Smith in the initial clinical interview. Mrs. Smith was informed that the examiner would be under the direct supervision of Dr. Shefali Gandhi, Psy.D. Mrs. Smith was informed that she would receive a copy of the finalized report, and the findings would be discussed in a feedback session. Mrs. Smith signed consent forms indicating that she understood the limits of confidentiality and agreed to psychological testing.

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

Of note, anteroposterior and lateral views of the left foot taken on this visit reveal no evidence of fracture or dislocation. There is mild periarticular osteophyte formation, however, no Joint space narrowing is noted.

DOI: 9/26/2015. Patient is a 29-year-old male construction worker who sustained a work-related injury to his neck, back, left shoulder and right knee when he slipped and fell. He is status post left shoulder arthroscopy on 8/05/2016.

Orthopedic Surgeons usually work in three types of practices. One type of practice that an Orthopedic Surgeon works in, is that they work as solo practitioners. When orthopedic Surgeons are solo practitioners, they often run their own office and treat their own patients, however they often work with, and around other Orthopedic Surgeons within an Orthopedic office. Another type of practice an Orthopedic surgeon will work in, is within an Orthopedic group. An orthopedic group is a group of orthopedic surgeons that work together in treating patients, either with a hospital, or private practice office. The last practice an Orthopedic Surgeon can work in is an multi-specialty group. A multi specialty group, is a group of medical professionals with different degrees that work together in treating a patient. This type of practice can take place within multiple different

HISTORY OF PRESENT ILLNESS: This patient is a 10-year-old male. He was in a Motocross accident this past Saturday, sustaining tibial eminence fracture, displaced. He presents today for evaluation.

DOI: 7/27/2007. The patient is a 57-year-old male forklift driver who sustained a right knee injury when his right foot got caught and twisted while getting off a forklift. As per OMNI, the patient is status post partial meniscectomy of the right knee.

Per medical report dated 12/30/14, IW’s Xray of the foot with 3 views showed malunion of previously attempted subtalar and talonavicular arthrodesis. The medial plate is broken.

“Failure to respond to all available conservative treatment options including activity modification (e.g., restriction of athletic pursuits and avoidance of symptomatic motion), pharmacological intervention (e.g., nonsteroidal anti-inflammatory drugs [NSAIDS]), injections of local anesthetics into the joint) and physiotherapy”

A surgeon is a type of doctor that helps cure and prevent sickness through surgery. There are many types of surgeons such as a general surgeon who focuses mainly on the abdomen. After that there is the orthopedic surgeon who focuses mainly on injuries affecting muscles, bones, joints, and nerves. Another surgeon is a neurological surgeon who focuses on the nervous system and diseases that effect it. In addition, there is the cosmetic or plastic surgeon who focuses on reconstruction, replacing, and repairing damaged and defective tissue. Additionally, there is the ophthalmologists who mainly focus on the eye and vision. In addition, there is the thoracic surgeon who treat conditions effecting organs inside the chest such as the heart and lungs. Another example of a surgeon is the vascular surgeon whom focus mainly on unblocking arteries and managing aneurysms. Then there is the urologist which treats and diagnoses patients that have urinary and genital organ disorders. Finally, there is the pediatric surgeon which focuses on children and newborns.

In 1998, the Massachusetts General Orthopedic Associates (MGOA), a specialized unit within Massachusetts General Hospital (MGH), hired Dr. Harry Rubash and Dr. James Herndon, respectively, to help to remedy the annual financial deficits, which were “financed” by dipping into endowment and borrowings from MGH. These financial deficits have been continually getting into MGOA’s mission of providing high-quality patient care, research, and teaching (Barro 3). In the immediate months after accepting their positions of leadership, both Rubash and Herndon steered the hospital into the green turning a modest profit. However, it was clear that their new initiatives wouldn’t be viable for the long term. To do so, Rubash and Herndon proposed a new physician compensation plan. This plan included a development fund tax, a bonus, in addition to periodic adjustments to a base salary based on individual physician performance in regards to how profitable the physician was for MGOA. Initial physicians’ reaction to the proposed plan varied, however, if the case study was an indication, Rubash and Herndon were determined to implement their plan.