Primary diagnosis: Fractures of lower limb. Secondary diagnosis: Osteoarthrosis and allied disorders. The claimant was a 51-year-old woman. Alleged disability: fractured hip, high blood pressure, diabetes, depression, sciatica. She reported that had not been able to walk. She had “a lot of health issues” and it seemed that they were related to a job injury. She went multiple times to the Emergency Room (ER), received therapy, and took heavy medications. It seemed that she had problems sleeping. Education: 9th grade (1979). Work experience (1995-2014) office/clerical jobs and “mail” for a delivery company. Decision under Review: Per the Disability Determination (12/17/2015), the claimant’s disability began on 12/14/2014. The primary diagnosis was Fractures of lower limb. The secondary diagnosis was Osteoarthrosis and allied disorders. Per medical records (2015), the claimant had a …show more content…
She had uncontrolled diabetes (required insulin injections) and high blood pressure. She could “barely” afford medication because she did not have any income. Because of the health issues, she was unable to work. She reported depression as one of the causes of disability; however, there were no records of a mental diagnosis, treatment, or prescription of psychotropic medications. The claimant met disability listing 1.06 B (Fracture of the femur, tibia, pelvis, or on or more of the tarsal bones). Sciatica is a common type of pain affecting the sciatic nerve, a large nerve extending from the lower back down the back of each leg. Often, the pain extends from the lower back all the way through the back of the thigh and down through the leg. Depending on where the sciatic nerve is affected, the pain may also extend to the foot or toes. For some people, the pain from sciatica can be severe and
May 18th 2014 Mr. Beaird fell and broke his hip. This followed hip surgery performed by Dr. Baker and 21 day rehabilitation form Cordova NH. Before his 21 days was up Mr. Beaird tried to break out of NH by running his scooter though the front door at the NH. When the scooter hit the door, the door opened and Mr. Beaird rolled onto the front porch during this altercation, his foot was injured and the ambulance was called. Mr. Beaird was admitted to Senior Care and diagnosed with a
I met Mr. Eigner at the office of Dr. Taha. Mr. Eigner reports he is not taking any pain medications at this time. He reports he has a jolting shooting pain to the right and left legs only occasionally. He denied any pain to his right forearm. X-rays taken showed good alignment and healing of the fracture. The incisions are all healed except for a couple small spots on the right ankle. There is some swelling to the right ankle which Dr. Taha said is to be expected. The range of motion to the left ankle and toes was good. The range of motion to the right stores was limited. Dr. Taha said there is scar tissue at times from this type of repair and he would like physical therapy to start working on that. He is still going to be non-weight bearing for another 6 to 8 weeks on the right leg. He is now allowed full weight bearing as tolerated to the left leg. Dr. Taha ordered a rolling scooter to aid with ambulation and stop using the wheelchair. I have contacted Reverence physical therapy and faxed the new orders so the service can begin. I will process the rolled scooter with directions from the adjuster. The attendant care and replacement services will continue through to the next appointment.
diagnosed as being in a persistent vegetative state. Her doctors decided that she would need
A behavioral health physician statement completed by Victorino De Jesus, MD (Internal Medicine), dated 05/10/2017, indicated that the claimant was incapacitated for a single continuous period of time due to her medical condition, including any time for treatment and recovery from 05/09/2017 - 07/09/2017. The claimant had impaired concentration and train of thought that affect work performance. She also had osteoarthritis of the bilateral elbow, hands, fingers, and feet.
had a tough life because she had to inject herself because she had diabetes. She also
health began to decline and she soon discovers that she has multiple conditions that “impact her
The claimant was a 54 year old male who alleged disability because of spinal cord injury and depression. He reported that he had problems sleeping because of severe pain. He had difficulty with most activities of daily living (ADLs), could not stand longer than 15 minutes, could not walk long distances, could not lift at all and could not bend. He also had difficulty with memory, concentration, understanding and following directions, and completing tasks. He had issues with anxiety and did not like to be around many people. He was forgetful and needed reminders to take his medications.
The claimant is a 50 year old filing a concurrent claim alleging disability due to left and right total hip replacements, cervical spine surgery, depression, and high blood pressure as of 06/22/2016.
She has been diagnosed with intellectual disability and a drug addiction along with hypochondriasis. On average, she is in the hospital once or twice a week, frequently changing her doctor or even hospital. This woman knows of her disorder, but has actually claimed to be cured and told her family that they no longer need to worry about her with this disorder. After her family came back the Caribbean, she claimed to either have yellow fever or malaria, depending on who she was talking to. When asked about her illness on December 13th, 2014, she again refused to admit that she had the disorder, that she had been cured of it. In an ironic twist, she had to hang up to go to the doctor for a test due to a mini stroke she had a few weeks prior. When she was in the hospital for this, she had to get a nurse to give family members a diagnosis due to the lack of belief they held for her medical
Medical record/bills – Medical records showing Mrs. Bennett’s treatment, as well as any other documented illnesses and expenses resulting of losing her job.
Per the Disability Determination (02/02/2017), the claimant’s disability began on 03/31/2016. The primary diagnosis was chronic
She has neither past psychiatric problems nor a history of hospitalization or outpatient treatment. The client has sought medical help regarding the sleep problems. She was told there was no medical diagnosis, and she should seek psychological assistance.
This 60-year-old claimant is filing a concurrent claim alleging disability since 4/23/2014 due to arthritis, diabetes, depression, anxiety, surgery on right knee, problems with both knees, back problems, right shoulder problems, and thyroid issues.
In the United States there are “1.7 million people living with limb loss (NLLIC, 2008, p.1). According to the CDC, “each year about 1,500 babies in the united states are born with upper limb reductions (CDC, 2014, p.1).” As systemic diseases continue to increase, so are the chances of people having upper limb amputations. Some of the common systemic diseases that can cause upper limb amputations are diseases of the vascular system, diabetes, and cancer (NLLIC, 2008, p.1). Other common causes are infections, burns, and accidents (Capital Health, n.d., p.1).
HISTORY OF PRESENT ILLNESS: Ms. Branson is here today for followup evaluation of her left tibial shaft fracture for which she underwent operative stabilization with intramedullary nailing and small medial plate, three weeks ago. She also sustained a grade 3 AC joint separation on the left at the time of injury. She has been attending physical therapy and has shown excellent progress with her range of motion in the shoulder. She remains nonweightbearing on the left lower extremity, as instructed, and is tolerating this well. She has not required any pain medication, other than over the counter anti-inflammatories for the last one to two weeks and feels good with her progress.