Buchanan's Case Summary

In 1916 there was a Land Ordinance in Louisville, KY, which stated that African Americans where prohibited from living on a block where the majority of residents were white. It also prohibited whites from living on a block where the majority of residents were black. In order to challenge this law, Warley, a black man, agreed to purchase Buchanan 's house. Buchanan was white. Just by this simple action, Warley and Buchanan 's lives would change, and would indeed challenge not only the law, but the court as well.

James Buchanan was an unsuccessful president due to his unwillingness to see the national effects of his decisions on slavery. In his inaugural address, Buchanan signaled his desire to serve as a “peacemaker.” At the time of his election to President in 1856 under the Democratic nomination, few people expected him to have Republicans in the cabinet. Yet he almost had no Democratic representation. Regardless of the appointees to his cabinet, Buchanan was stubborn and stuck to his own views, either choosing not to see the effects slavery had on the nation, or simply being clueless to the repercussions. James Buchanan supported the Dred Scott case in the Supreme Court, was in favor of the Kansas-Nebraska act, and created stronger sectionalism, greatly affecting the political parties.

12/31/15 Progress Report described that the patient has cervical spine, right shoulder, and right wrist pain. She rates her cervical spine at 8/10-scale level and frequent; right shoulder pain at 8/10-scale level; and bilateral wrist pain at 6/10-scale level. The pain is frequent and improved since last visit. Rest and medications make the pain better. Weather

As per medical report dated 3/10/2016, patient complains of low back pain rated at 7/10 with left lower

As per medical report dated 2/18/16, patient complains of constant low back pain in a L4-5 distribution. Patient has undergone physical therapy as well as medication management without amelioration of the pain and continues to be symptomatic. He had previous epidural steroid injection. He also had acupuncture

The patient presents with constant pain in their joints which does not vary with movement. In addition, the pain comes and goes in waves. The individual is negative for joint damage or previous fractures and does not have arthritis. The patient is seeking treatment.

The claimant went to the St. Bernard’s Emergency Department on August 16, 2017 complaining of low back pain and headache. It was noted upon examination that her range of motion was mildly limited due to pain. However, due to insurance requirements, an appointment was made to see her primary care

The patient is a 62-year-old male with a long history of cervical and lumbar pain secondary to degenerative disk disease and spondylosis. He also is noted to have multiple other problems including a fairly severe left rotator cuff arthropathy which does require surgery on the left. It is important to note that this is important because the patient has been wheelchair bound since 2013 and now has difficulty with ambulation. He also has a history of prior cervical decompression in the remote past at C3-4. The patient complains of both cervical and lower extremity pain as well as radiating symptoms in the left upper extremity all the way down into the level of the hand. He denies

Based on the medical report dated 11/22/16, the patient complains of low back pain, rated as 6-7/10. It is characterized as constant, sharp, aching, and stabbing. He has not found anything that helps relieve the pain. The pain worsens with prolonged walking/sitting, back flexion, job-related repetitive lifting with back strain, twisting movements, and lifting. The pain radiates to the left and right calf. Associated symptoms include

Based on the pain medicine re-evaluation report dated 11/24/15, the patient complains of neck pain which radiates down the bilateral upper extremities and low back pain which radiates down the bilateral lower extremities. The pain is aggravated by activity, bending, prolonged sitting, standing, turning, twisting and walking. The patient reports severe difficulty in sleep. He also has pain to both shoulders. Pain is rated as 3-4/10 with medications and 8/10 without medications since last visit. The patient’s pain is reported as unchanged since his last visit.

The patient was subsequently diagnosed with unspecified enthesopathy, lower limb, excluding foot; and other intervertebral disc displacement, lumbar region. As per office note dated 4/14/2016, patient complains of right hip pain radiating to right groin and low back pain. Urine toxicology was performed in the office with pending results. As per appeal letter dated 5/7/2016, the patient experienced heartburn. As per visit note dated 5/12/16, the patient complains of right hip pain radiating to right groin and low back pain. The pain is constant, and moderate in intensity associated with weakness in the right leg. He rates pain as 7-8/10 on visual analog scale and reports medications provides fair relief. In addition, he complains of increased anxiety and multiple nocturnal awakenings secondary to lack of progress. He continues to ambulate with assistive device. The patient ambulates with cane favoring his left lower extremities. Examination of the lumbar spine reveals range of motion to forward flexion of 50 degrees, extension of 15 degrees and side bending of 20 degrees bilaterally. There is tenderness

The patient is a 93-year-old gentleman who presents to the ED complaining of intractable back pain. The The patient said he has had pain present intermittently for a few weeks, but it was mild and suddenly developed severe mid back pain since Friday which is has affected his mobility. He denies any recent trauma. He has had no falls in the past 3 months. He said the last time he fell was 4-5 months a ago. ER CAT scan revealed new compression thoracic fractures. The patient's medical history is significant for a mediastinal mass, ampullary mass which is an interval palmar adenocarcinoma. He has had stenting to the region, chronic kidney disease stage III, coronary disease status, coronary bypass grafting, He has a permanent pacemaker in

His more recent issue is that of excessive daytime sleepiness. He is going to bed at around 10.30pm, falling asleep well and rising from bed at 6.30am unrefreshed. He has symptoms of excessive daytime sleepiness that started around lunchtime, and he is actually planning naps in the middle of his day to get through the afternoon. His wife is not reporting any snoring and he has not restless legs symptoms

Kristie had a road traffic accident some time ago and had concerns about a throbbing pain in her lower back and neck. She also had concerns about a slight pain in her shoulders.

The patient is an 86-year-old female who presents complaining of severe back pain. She states that she is in the ED on Monday and Tuesday. They gave her pills for the back pain but they were not helping her. She states the pain is acute. She does not know what the mechanism of the injury would be. The pain is located in the lower back. They do not radiate. The episodes began about a week ago. If she sits absolutely still the symptoms are relieve but are aggravated by any movement. Her medical history is significant in that she is has end-stage renal disease on hemodialysis, had a DVT in her right upper arm, chronic obstructive pulmonary disease, congestive heart failure, she had a recent bowel perforation and she now lives with a colostomy.