Cpt Hu Case Study

MRI of the right shoulder obtained on 12/29/15 showed limited portions of the study due to motion artifact. There is a full thickness tear of the supraspinatus tendon. The torn tendon is indistinct but appears to be retracted to the level of the acromioclavicular joint. Mild arthritis changes are noted.

Healthcare has to be abundant, effective, easy and cheap but in the real world health care is limited, ineffective and very expensive. Managers have to create healthcare that can survival the ever changing risks and challenges (Grigg, 2010).

As you know I have been trying to meet with you to discuss your case with you since January of this year. Specifically, you had appointments scheduled for January 20, 2017, January 24, 2017, February 9, 2017, February 24, 2017 and, March 21, 2017. You failed to keep any of these appointments. The reason I wanted to meet with you was to explain why I was not interested in pursuing this case. I wanted to give you the respect of a face to face explanation of the issues I found in your medical records, which I believe will make it impossible to recover substantial compensation in this matter.

The MRI revealed a troublesome rotator cuff tear in Lt. Scalzo’s left shoulder. Since the condition required an immediate treatment, Dr. Tehrany recommended and promptly scheduled a shoulder surgery to repair the rotator cuff tear.

The reviewer in this case has been asked to address the following concerns related to this member:

The patient has completed physical therapy, time, rest, medications, chiropractic care, and acupuncture with no alleviation of the pain. Significant pathology on the MRI is noted with degenerative disk disease, neural foraminal stenosis and a nerve root impingement in the cervical spine.

On examination, there is tenderness upon palpation over right medial knee joint line. Mild atrophy of right medial quadriceps muscle is noted. Strength is 4/5 with knee extension on the right compared to the left.

With football being the most popular sport among children and teenagers in the United States, parents and coaches face a real challenge: how to prevent severe knee injuries in children while enjoying this dynamic sport?

MRI of the lumbar spine dated 09/01/15 showed L5 to S1 pars defects with mild spondylolisthesis. There is a 4.5mm generalized disc bulging and redundancy of the disc annulus with impingement of existing L5 nerve roots at neural foraminal level, right greater than left.

Today I got the opportunity to go to the single day surgery clinic for a clinical rotation. I arrived at about six fifty to be a little early. When I arrived, I received a badge to be able to get through the building since it’s a locked unit, which means that you must have badge access to be able to get into the operating rooms or any areas that aren’t patient rooms. When I walked in the nurses were doing their daily huddle. That when they talk about how many surgeries they will have that day, and if they are missing any nurses or doctors. I got to meet all the nurses from both the post and pre-operative side. I had previously worked with a few of the nurses before at

DOI: 07/17/2013. This is a 25-year-old female cashier who incurred injury to her low back when she missed a step and fell off a ladder while stocking sleeping bags. MRI of the lumbar spine dated 10/03/2013 revealed broad based central disc protrusion at L4-L5; moderate discogenic edema along endplates at L4-5; and broad bulge with a central annual tear at L5-S1. CT scan of the lumbar spine dated 01/08/2014 revealed that at L3, bilateral pars interarticularis defects are seen with sclerotic margins. The vertebrae at L3-4 are normal in present on the prior MRI. The vertebrae at L3-4 are normal in alignment. At L4-3, there is 2 mm of anterolisthesis. Bilateral L4 pars interarticularis defects are seen with sclerotic margins. Office notes dated 06/28/2016

The Hupacasath community was facing high rates of unemployment and poor social conditions. The people that were being affected were Hupacasath Community and the Port Alberni community. The community members were unsure of how to access and work the local industry. It was important for the community to come together and organize a solution because without doing so they would have continues to sink further into poverty. In result off the communities coming together they were able to decide which route they wanted to proceed in regarding restoring wealth back to their land. In ways they did such was by the Hupacasath Community hosted events for the neighboring Alberni community to help shed light on their situation thus bringing more positive attention. Soon

Appleton, D. J., Rand, J. S., & Sunvold, G. D. (2000). Feline obesity: Pathogenesis and implications for the risk of diabetes. In 2000 IAMS Nutrition Symposium (Vol. 3, pp. 81-90). Orange Frazer Press.

Based on the latest medical report dated 07/15/16, the patient notes his neck pain radiating to his left upper extremity is now described as 5/10 in intensity and notes the associated tingling on his left arm is now worse. He states his left shoulder pain is improving and is now described as 7/10 in intensity.

Tendon disrepair stage attempts to regain organisation within the extracellular matrix sctructiure through increased activation of cells along with the possibility of neuronal and vascular ingrowth (G.Andersson etal 2007). This presents issues from a clinical perspective as tendons become too difficult to distinguish (Cook and Khan, etal,