Ms. Pletscher Case Interview

3J On 6/30/2015, client attended to her ILP meeting with her youngest son Keury. Child was well dress for the weather. Cm observed child very anxiety and he was telling client that he wanted to go to his unit because wanted to watch cartoon. Housing: HOH asked HS when she is

DOI: 12/19/2012. Patient is a 52-year-old female laborer who sustained injury to her neck, back, and right shoulder due to motor vehicle accident. Per OMNI, she underwent an emergency neck surgery with 5 screws at C5-7 and back fusion and rod placement at T8-10.

She said, she fell last night while playing volley ball. She landed on her right shoulder and heard a pop sound, too. She did not take any pain medicines. She applied icepack and felt burning pain. This was an interesting musculoskeletal assessment case. We assessed her right shoulder and compared with the left one. We found slight dislocation of the shoulder joint. She had good circulation in her right arm, no swelling noted in the right hand and the capillary refill was < 2 secs. Mary said, since she had burning pain, it could be a nerve injury, too. We also noted a slight swelling of her trapezius muscle on the right side. She complained of pain on palpation. Mary applied a sling to her right arm to keep it elevated. She may need an MRI to see the damage. Mary sent her to the urgent care. She told her that, since she heard the popped sound, the ER or Urgent care doctor can replace it. It will be a painful procedure, and she will need a strong pain medicine. She gave her the note for her teacher and asked her friend to drive her to the urgent

Summary As you indicated, Dr. Scharf did find the applicant permanent and stationary. He noted a surgery to the applicant’s neck was recommended and authorized. However, the applicant decided not to go forward with the surgery, because he heard from his friend who had undergone a similar surgery in the past and did not have a positive result.

DOI: 9/18/2000. Patient is a 59-year-old female technician who sustained a work-related injury due to being jostled and jolted in the back of a golf cart which ran over a pothole. As per OMNI, she was diagnosed with post cervical protrusions, facet syndromes with headaches, lumbar facet syndrome and status post right shoulder repair/resection.

We have recently received additional records from Florida Rehabilitation and Injury Center pertaining to Ms. Anne Carey. The following serves as a summary of the same. On January 4, 2011, Ms. Carey presented to Florida Rehabilitation and Injury Center with complaints of upper back and mid back pain. Ms.

Alex grew up mostly in Olathe, Kansas after his family moved from California when his dad took a job at the Federal Aviation Administration as an air traffic controller. He graduated from Olathe Northwest High School. He went on to play baseball at Mid-America Nazarene University. After one year of college, he decided to enlist in the United States Army.

She reports tenderness to the posterior aspect of the cervical spine, trapezius region and scapular region with deep palpation.

Dr. Adams reviewed the MRI films. The family found a man who makes custom cervical collars in Florida and they asked for a order so they could try and have one made. Dr. Adams said he is more concerned about the Kyphosis. He asked if the collar had been removed. Mr. Messing said he thought the collar could be removed, Ms. Messing said it has not been removed. Dr. Adams said a custom collar is not the solution, he feels she needs a Halo. He said he doesn’t do those any longer. He recommends Henry Ford, Beaumont or the U of M hospital. He ordered a new ct scan to be done. While were in the exam room Mr. Messing called his daughter a nurse practioner and Dr. Adams spoke with her. She will speak with the neurosurgery department at her hospital and find the appropriate doctor. I spoke with Gail after the appointment as she had requested and provided her with an update. Gail had requested an open claim letter so she could make arrangements for her mother to see her neurologist and her PCP but needs a open claim letter. The letter was obtained and faxed to Dr. Kala

TOTAL RIGHT HIP ARTHROPLASTY OBSERVATION 2 Total Right Hip Arthroplasty Observation On April 11, 2014, I had the privilege of direct observation of a patient’s orthopedic surgery, from the pre-operative to post-operative setting. The patient with the initials N.R, which we will call Mrs. R, arrived to the hospital just prior to 6:30a.m. As the name implies, Mrs. R was a female patient, 76 years old with an admitting diagnosis of right hip osteoarthritis. Due to arthritis in her hip, Mrs. R’s ability to perform daily activities and participate in hobbies such as dancing has been extremely compromised over the last 2 years. The overall goal of Mrs. R’s surgery

DOI: 8/24/2008. Patient is a 55-year-old female manager who sustained injury to her neck and back when she slipped and fell while walking down a set of pull out stairs. Per OMNI, she is diagnosed with cervical strain with radiculopathy and lumbar radiculopathy. She underwent C5-6 partial corpectomy and fusion in 05/31/2011.

Based on the latest medical report dated 02/10/16, the patient has undergone extensive PT. She was diagnosed with sprain/strain derangement of the cervical spine, cervical subluxation complex, and cervical brachial radiculopathy, sprain/strain derangement of the lumbar spine, lumbar subluxation complex and lumbar radiculopathy.

12/31/15 Progress Report described that the patient has cervical spine, right shoulder, and right wrist pain. She rates her cervical spine at 8/10-scale level and frequent; right shoulder pain at 8/10-scale level; and bilateral wrist pain at 6/10-scale level. The pain is frequent and improved since last visit. Rest and medications make the pain better. Weather

I interview Mrs. Bliden. My 1 is What was different in your life? No, they there was nothing different In their family. The 2 is Did you know anyone that served, who? Yes her husband Brother. I thought there will be all more people she knows. The 3 is How old were you? She was 10 I thought she will be younger like 7 or 6. The 4 is How did the war affect/impact you?

On 2/21/17 I went to the office of Neurosurgeon Dr. Schell. Ms. Ostrander had arrived and left before I arrived. Dr. Schell will not speak with case managers. I called Ms. Ostrander. She said Dr. Schell looked at the MRI disc and told her the compression fractures to her Thoracic spine had not healed and she needs a vertebral plasty done. This is going to be scheduled. He also told her that she has compression issues in her cervical spine but he would deal with this after the thoracic spine is taken care of. Dr. Schell’s office is supposed to schedule the surgery. The MRI done on 2/16/17 with and without contrast showed that the mild compression fractures at the anterior superior endplates of T5, T6, T7, and T9 are healed.