Thank you for referring Susan Humfrey, a 39-year-old part-time primary school teacher who also works as a bookkeeper for a family business. Susan is the mother of two children under the age of three years, a non-smoker and seldom consumes alcohol. Regular medications are sertraline that she has taken for the last three months and prior to that she was taking Cymbolta intermittently for 15 months, having had a four-month period off it. She takes the contraceptive pill and Uramine?? prn that she says is to promote alertness.
My selected patient was a 22-year-old lady, Emma (pseudonym), who came to see me at the outpatient clinic for the follow-up appointment about her psoriasis. She had been diagnosed and treated as mild psoriasis for 10 years with a moderate response. Although her lesions were mainly limited to upper and lower limbs, her lesions often flared up, due to physical trauma and stress. Additionally, she was very self-conscious about her psoriasis and would like to discuss the referral to a dermatologist for further treatments. Emma was chosen for a discussion as a part of a monthly conference of the
Joe’s Rehab center in Bellingham and Bothell FM/CFS/Chronic Pain Support group meets the second Tuesday of each month in Bothell. One of my Aunt’s was diagnosed with this condition about 20 years ago and ever since her diagnosis, I had wondered exactly what Fibromyalgia was. She had suffered for years with unexplained chronic pain and depression due to the pain. After reading about the effects that fibromyalgia has on a person’s body, mind and daily life, I can understand now why she was always so miserable. I just hope that the research and studies continue to improve diagnosis and treatment for this terrible debilitating chronic
Subjective CC/HPI: Patient is a 26 year-old female who presents with frequent shortness of breath and wheezing. She reports experiencing shortness of breath 4 times a week and experiences nighttime awakenings twice a month due to her symptoms. Patient claims to use her Flovent inhaler one puff twice a day, less than her prescribed dose due to cost issues, and her rescue inhaler 3 times a week for when her wheezing is severe. Patient also presented with a persistent runny nose and itchy eyes starting 5 weeks prior. Her inhaler technique was assessed and deemed correct.
She is a diagnosed patient with type 2 diabetes mellitus for last 10 years and was taking oral metformin for the control. Her glycemic control was not satisfactory and she was told that her renal functions were slightly impaired since last year. Latest creatinine clearance done 3 months back was 60 mg/dl/min. Physical examination revealed a mild hypoxia and tachypnea with mild respiratory distress. Her vital signs were; temperature - 103.7 0F, pulse rate - 126/min, respiratory rate - 28/min, blood pressure - 139/82mmHg and SpO2 of 81% on room air.
Praulent, a new cholesterol drug, when used with older statin medicines, help lower risk of heart events and deaths. The results of the big study of heart attack survivors were shared on Saturday at an American College of Cardiology conference in Florida. Sanofi and Regeneron Pharmaceuticals, the makers of Praulent which sponsored the study, said they will work with insurers on pricing to get the drug to those who need it the most. While the benefit may appear small, since 167 people have to take the medication for almost three years to prevent a single death, Dr. Philippe Gabriel Steg, from Hospital Bichat in Paris, pointed out that it is the ultimate outcome that matters to patients. High cost However, the high cost of Praulent may deter patients from using the cholesterol-lowering drug.
Samantha, a 6-year, 10-month-old female, was evaluated at the Eastern Illinois University (EIU) Speech-Language-Hearing Clinic (Clinic) on April 1, 2011. Speech-language pathologist (SLP) Lynn Calvert referred Samantha for an evaluation. Samantha’s mother, Mrs. Brown, noted that Samantha currently uses pronoun mix-ups that may not be age-appropriate, confuses verb tenses, has speech sounds errors, and leaves morphemes off words. Her mother first noticed the problem around the age of four and currently is not sure what may have caused the problem. She reported that Samantha has made slight improvements since the problem was first noticed.
For my Life-Span interview project, I decided to interview someone who was in the late adulthood period of their life. The interview was conducted in the interviewee 's home, on November 12th, 2015. The woman I choose to interview was known to me, and she is currently 76 years of age, a grandmother with four children and seven grandchildren. We sat down and chatted for about an hour and a half. I started the interview by making small talk and then moved into the interview questions.
Identity “23 hours a day, seven days a week, for one to two years.” These words were the start of my journey with Scoliosis. I was with my mom at the chiropractor. The appointment was for her but since I couldn’t drive yet, I came along. After he was done adjusting her, he asked me to stand up. He looked me up and down, and told me that one shoulder was higher than the other, and there was a slight curve in my back.
I mentioned in the above paragraph that my father no longer experienced pain his back after the operation. However, a new setback came up; since he was in pain for months and not being able to walk upright this caused the nerves in his left leg to become damaged. I have been serving as a part time caregiver along with my mother and a professional caregiver. After my father was released from his final rehabilitation facility it has been an ongoing excruciating experience having him home. My shift for taking care of my father starts right after my mother goes to bed which is around 11:30pm.