On review of his old record, he was diagnosed in the Butner systems based on our excellent electronic medical record in 02/2011 with hypertensive nephropathy. His 2009 creatinine was 1.5, 2010 his creatinine was 1.8. UA was normal. Ultrasound 10.5 cm kidneys. Fast forwarding to now in 10/2017, creatinine 1.9 (2.4), bicarb 23, potassium 4.0, sodium 140, calcium 8.2, AST 18, albumin 3.3.
A chest x-ray was also obtained which did not show any acute focal infiltrates, however it did show low lung volumes. At the present time, he states he is completely asymptomatic. He recently hiked Mount Major without difficulty and he is exercising on his treadmill on a daily basis, as well. He has no history of asthma, nor does he have any history of COPD PMH: Hypertension. Social History: The patient is married.
During the therapy sessions the therapist and I found that I had little to no feeling in the left side of my left leg and foot. I was given an electrotherapy system which was used to help recover the feeling and use of my leg. During the next year I had to do many exercises and different activities to try to regain my leg strength. I used an ankle brace for the first two seasons because I had little control over my foot movement. For a while I could barely walk without tripping or having to lift my leg up high to clear my foot from the ground.
CC Mr. Fagundo is a 52-year-old male here today complaining of poison ivy. HPI The patient tells me he was cutting his hedges on Tuesday, August 25th. He did not realize there was poison ivy in the hedging that he was working on. The following day, he noticed that his left arm was itchy and when he pulled up his sleeve, he saw a couple of red spots. He says that over the weekend, it seemed to get significantly worse.
ms. Connie Sanders related weight gain began in her 40s. She has a thyroid condition and is receiving medication. She reportedly has gained 60 to 70 pounds within the past six months and stated "I am not eating." Ms. Sanders has not attempted any significant diet plans in the past. Problem foods are fast foods, fried foods, sweets, high glycemic carbohydrates, chocolate, salty snacks, ice cream and eating large quantities.
As you are aware, there was no specific trigger and given his childhood asthma and some chest tightness that was associated with it, thank you for trialling him on Flutiform. He trialled this at the same time as he was trialling Nasonex given his chronic rhinitis. He used both of these for a month and did notice some benefit, but has come off both treatments and the issues persist. He is still describing a runny nose. He has not had any change in his home environment and he has no pets.
DOI: 4/30/2013. The patient is a 41-year old male maintenance technician who sustained a work-related injury to his right shoulder/arm from lifting ladders all day. As per OMNI, the patient is permanent and Stationary as of 8/23/2013 with future medical care to include medications, creams, and possible need for injections. As per office notes dated 7/13/16, the patient co complained of bilateral leg and feet pain, back pain, neck pain and low back pain. The patient’s pain is rated as 7 to 10; average of 8.
There are an estimated 1.9 million amputees in the United States and approximately 185,000 amputations surgeries performed each year. (McGimpsey) Many amputees are hit with the reality that they are unable to participate in many physical activities due to their lack of a limb. Science has come up with a way to make it possible for disabled people to walk, run, and jump with prosthetic legs. In the early 70s there were mostly prosthetics that allowed an amputee to pick up and hold things. Scientists and sport enthusiasts began their work to make it possible for more upper body accessibility with prosthetics.
In other words, she spends $369.26 on drinking bottled water every year1. In terms of waste, Julie does not recycle the bottles that she uses; she throws them away with the rest of her trash. Each bottle of water she drinks from contributes about 12.7 grams of trash. It does not sound like much on its own, but that accumulates to fifty pounds of plastic material waste every year. If Julie were to continue
Mini Nutritional Assessment Findings According to the Mini Nutrition Assessment paper, patient M.L has a BMI of 18 which is less than 19. He has lost appetite since being diagnosed and eats twice daily. This patient does not consume a lot of fluid intakes nor does he include meat, fish, or poultry each day. He has severe depression, and both his total screening score and malnutrition indicator score listed him as malnourished. M.L can self-feed himself and is uncertain about his health status, (Shantelle, W., 2017).
I was able to return to my normal state of working out once per day for 6 days for 2 hours per workout. I was still unable to train legs, but all other muscle groups were worked out. Also, I was still able to consume 8 or more bottles of water per day and had a consistent, well-balanced, high protein diet (no sodas or fatty foods). My overall strength improved in all areas and is now more evident (looking bigger and stronger). I failed to bench press 315 lbs., but did get one rep of 305 lbs.