Ricardo Case Summary

PHYSICAL EXAMINATION: Vital Signs. TEMPERATURE: 101.0, Blood Pressure- 127/179, Heart Rate-129, Respirations- 185, Weight-215. Situations 96% on room air. Pain Scale- 8/10. HEENT-Normal cephalic, atrumatic pupils equally round and reactive to light. Extra ocular motions intact. ORAL: Shows oral pharynx clear but slightly dry mucosal membranes. TMS: Clear. NECK: Supple, No thrangegally or JVD. No cervical, subclavicular, axilarry or lingual lymphinalpathy.

SKIN: She has some mild ecchymosis on her skin, and some erythema. She has patches but no obvious skin breakdown. She has some fissuring in the buttocks crease. PULMONARY: Clear to percussion and auscultation bilaterally. CARDIOVASCULAR: No murmurs or gallops noted. ABDOMEN: Soft, nontender, protuberant, no orgonomegaly, and positive bowel sounds. NEUROLOGIC EXAM: Cranial nerves II through XII are grossly intact. Diffuse hyporeflexia. MUSCULOSKELETAL: Erosive, destructive changes in the elbows, wrists, and hands consistent with rheumatoid arthritis. Has bilateral total knee replacements with stovepipe legs, and perimalleolar pitting edema 1 +. I feel no pulses distally in either leg. PSYCHIATRIC: Patient is a little anxious about these new symptoms and their significance. We discussed her situation and I offered her psychologic services. She refused for now.

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

PAST MEDICAL/SURGICAL HISTORY: As above. SOCIAL HISTORY: Status post heavy smoking, 50+-pack-year history. He quit 10 years ago. Status post alcohol abuse, quit 3 or 4 years ago. He lives by himself and no longer drives but has 2 daughters here in Miami who take him where he needs to go. FAMILY HISTORY: Patient’s wife died 14 years ago of COPD due to lifelong smoking. Brother has diabetes mellitus. Unremarkable family history otherwise. REVIEW OF SYSTEMS: No fever, no nausea, no vomiting. Patient has incontinence of bowel. No shortness of breath, no chest pain, no palpitations. PHYSICAL EXAMINATION: Well-developed, well-nourished white male who is alert and oriented x3. Wears bilateral hearing aids. Afebrile with blood pressure 130/70. NECK: No carotid bruits. LUNGS: Clear to auscultation bilaterally. HEART: S1, S2 normal. No murmur. No S3 or S4. ABDOMEN: Soft, nontender. No arterial bruits. No masses, no organomegaly. EXTREMITIES: No edema. No pulses present in the lower extremities. The right great toe is absent. The left great toe shows a 2 x 1 cm deep ulcer with redness around the toe with pus extruding. PLAN 1. Get consult with Dr. Beth Brian, Infectious Disease. 2. Follow up with Dr. Hirsch, Orthopedics. (Continued)

The client’s primary care physician is Dr. Damian Covington. The client does not currently have a psychiatrist.

Review of the medical record indicates that he had a MVA in 1977 with C4-5 injury that resulted in him been a Quadriplegic. Due to his bedbound and immobility status he has had multiple pressure ulcers over the years that have resulted in hospital admission and rehab stays. Other medical history include, HTN, hyperlipidemia, Sacral pressure ulcer, Right hip pressure ulcer, Constipation, depression. Bilateral arm contractures, bladder cancer, prostate cancer, urostomy and colostomy, aspiration pneumonia, neuropathy and MRSA.

Albert Rodriguez, Jr. appeals from his conviction for attempted voluntary manslaughter and felony vandalism. First, he contends that the trial court improperly admitted evidence of gang membership ~(AB 12)~ He also asserts the court violated Section 654 of the California Penal Code when it imposed consecutive sentences the vandalism charge. ~(AB 22)~ We conclude that the court properly admitted evidence of gang affiliation. Moreover, even if it was admitted wrongly, any error was harmless. Moreover, we find that the court did not violate section 654 when it imposed consecutive sentences for the manslaughter and vandalism charges. We therefore affirm the judgment.

What happens if the H2 worker stops working for the employer and is designated an absconder? Can Secretary of Homeland Security in consultation with Secretary of State reverse the Congressional Temporary Protected Status (“TPS”) designation for El Salvador or would reversal for this country require legislative action? How many I-9 employer audits (“silent raids”) Obama did each year as compared to administration(s) before him?

Defendants, RICHARD DIAZ and CHARLES LOGAN, by and through undersigned counsel and pursuant to Rule 56 of the Federal Rules of Civil Procedure, move for Summary Judgment on Defendant’s liability under a civil action using 42 U.S.C. § 1983, alleging that Defendants, former correctional officers, engaged in nonconsensual sexual conduct with Plaintiff, an inmate, depriving her of her right under the Eighth Amendment of the Constitution to remain free from cruel and unusual punishment. In further support of this Summary Judgment requesting that Plaintiff’s request for relief be denied, the Defendants respectfully refer the Court to this Memorandum. As grounds therefore, Defendants state the following:

Ricardo Medina Jr. age 38 was sentenced to six years in prison after pleading guilty to manslaughter charges for the January 2015 slaying of his roommate Joshua Sutter. Medina agreed to plea to a reduced charge to avoid a possible murder conviction, which would have resulted in a 15 year to life sentence. The killing was the result of an argument, and Medina used a sword to do the deed. Why a sword you ask? Perhaps Medina’s role as the Red Power Ranger in the much overlooked, but universally acclaimed “Power Rangers Wild Force”, airing for 40 heart stopping episodes in 2002 may have played a role. Maybe Ricardo had a momentary flashback thinking his roommate was actually “Mandilok” returning to wreak havoc on an unsuspecting Los Angeles community

The first article I read about was based on a doctor named by Dr. Henry Lora and Isabel Medina. Henry Lora had written prescriptions for patients that were receiving Medicare benefits. Those prescriptions were not medically necessary and they were prescribed for in return of bribes. Lora faced federal charges for the conspiracy of $20 million Medicare fraud schemes. Plea was scheduled, it carried a 25 year sentence in prison. Medina pleaded guilty of the charges with a 9 year sentence in prison. Both had made false records of patient’s qualification of Medicare

On exactly December 24, 2014, in Rio Grande City the Starr County justice of the peace, Salvador Zarate, was charged with two counts of bribery and one count of a controlled substance. Zarate had agreed to take 500 dollars to lower a man and a women’s bond from 30,000 to 5,000 dollars. Being under doubt, an investigation was done, and a surveillance operation was directed with a specific end goal to get Zarate in the demonstration itself. This data was conveyed to agents by a witness who was likewise the one doing the cash trade amongst Zarate and the two people. At the point when Zarate agreed to the deal, he took the 500 dollars from the source and was immediately encompassed by agents. Investigators took the cash from Zarate and after that

Based on the medical report dated 03/25/16, the patient continues to have significant headaches and bilateral neck and shoulder pain. IW has numbness and tingling in both arms with neck pain.

Case Description: A 25 year old healthy male who is a very active running back in the sport of football came to the emergency room. The patient has a history of previous

Pierre Tremblay received an unidentified envelope marked ‘personal’ to his office, inside he found a competitor's cost date that would be influential to his bid proposal. It is my advice that he contact the individual tendering the bid and confide in them the situation along with the original envelope and data. Suggesting the tender postpone the bid or issue a letter to all inquiries regarding the situation at hand. I would then suggest he remove the subordinated note, shred it and began an internal investigation as to who provided the information. Morally speaking Mr. Tremblay should step forward with the information while simultaneously protecting his company, by not releasing the internal factor of influence. He should not be pretentious