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Social Work Case Summary

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CC Mrs. Estell is a 47-year-old female here today for followup and discussion of recent events in her life. The patient has not been seen in the office since December 2014. HPI The patient tells me she is under a lot of stress of late. She has suffered a fracture of her foot in the past year. In addition, she had undergone the surgery for her back with Dr. Banco and tells me that she is still recovering from that. She has been going to physical therapy, which has been helpful. She is working with Dr. Greenspan for her pain medications and they are slowly starting to wean down. She is hoping with her next visit that they can all be stopped. She tells me that unfortunately, very unexpectedly, her father-in-law passed away in May. The majority of this 25 minute visit was spent …show more content…

She becomes very emotional when discussing her father-in-law and his death. A/P Jill Marie Estell is a 47-year-old female here today for followup. Back pain. This is improving status post her surgery with Dr. Banco down in Boston. She is continuing with physical therapy, as well as her pain management with Dr. Greenspan and feels that she is definitely making progress with that, which I am quite pleased about. I have encouraged her to continue to work on those exercises and I will follow along. Depression and anxiety. She is being followed by Dr. Lidstrom. She is really struggling of late since the passing of her father-in-law and dealing with her mother-in-law and the emotions surrounding this change in their life and I am pleased that she is going to counseling as I think that would be very useful for her. She will continue her follow up with them and continue with her current medications. Migraine headache. She is seeing Dr. Somireddy. She is going to go ahead and continue her follow up with her as well and will continue with her current

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