Mercy Clinic Orthopedic Summary

Raney was experiencing any pain to the area and Mrs. Raney replied that the only pain is in the right shoulder. Mrs. Raney was able to supinate and pronate her right wrist 30-40 degrees. Her skin was dry. Dr. Mendelson replied that at this time Mrs. Raney no longer required to wear the wrist brace and she can use the extremity. Dr. Mendelson obtained x-rays of her right shoulder as Mrs. Rainey has limited range of motion. After reviewing this, Dr. Mendelson replied that Mrs. Rainey as tremendous arthritis in her shoulder. I inquired if it was traumatic arthritis and the result of the accident. Dr. Mendelson replied that it was not related directly to the accident necessarily but her shoulder was aggravated from the accident. Dr. Mendelson continued to state that symptomatically it will get better and at some point Mrs. Raney did have a glenoral crack. Dr. Mendelson inquired about how Mrs. Raney’s shoulder was prior to the accident and she stated that it was fine and she could raise her arm above her shoulder and head but now she can’t and has had limited movement since the accident. Dr. Mendelson assessed and evaluated her lower extremity and replied that Mrs. Raney’s left incision is now healed. Her right ankle is still healing, the wound is dry and her skin is consolidating over the area. Mrs. Raney has an avagus external rotation of her foot.

An attending physician statement completed by Dr. Peter Chweyah (Internal Medicine), dated 06/16/2016, indicated that the claimant presented with complaints of lower extremity weakness, neuropathy, weight loss, acute renal failure, and gout, as well as anemia. Objective findings showed an extreme weakness of the legs and pain in the feet. He also had diabetes mellitus type 2, chronic kidney disease, and hypertension. It was noted that the claimant was totally disabled from 05/30/2017 through 06/15/2017 and 05/23/2017 - 05/26/2017 secondary to gout.

Based on the medical report dated 03/29/16 by Dr. Riley, the patient complains of increased pain to both heels, left greater than the right. She states that the pain is most severe with the 1st step in the morning or after periods of rest. She is requesting new custom orthotics, as her existing pair have become very worn. They are more than 2 years old. Additionally, she sustained a trip and fall Injury on 2/2 with her knee "giving out." Two days prior to this visit, patient is with pain and swelling to the left great toe joint. She is unclear if the injury occurred with the fall, or in the process of

A visit note from Evan Ross, DPM, dated 09/20/2017, indicated that the claimant presented with pain in her whole leg rated as 10/10. She had plantar fasciitis in the left foot. She was diagnosed with posterior tibial tendon dysfunction of the right foot, ligament laxity, and left foot plantar fasciitis. Physical therapy was recommended.

In 1998, the Massachusetts General Orthopedic Associates (MGOA), a specialized unit within Massachusetts General Hospital (MGH), hired Dr. Harry Rubash and Dr. James Herndon, respectively, to help to remedy the annual financial deficits, which were “financed” by dipping into endowment and borrowings from MGH. These financial deficits have been continually getting into MGOA’s mission of providing high-quality patient care, research, and teaching (Barro 3). In the immediate months after accepting their positions of leadership, both Rubash and Herndon steered the hospital into the green turning a modest profit. However, it was clear that their new initiatives wouldn’t be viable for the long term. To do so, Rubash and Herndon proposed a new physician compensation plan. This plan included a development fund tax, a bonus, in addition to periodic adjustments to a base salary based on individual physician performance in regards to how profitable the physician was for MGOA. Initial physicians’ reaction to the proposed plan varied, however, if the case study was an indication, Rubash and Herndon were determined to implement their plan.

Beacon Orthopedics has become one of my favoirute places to be. Its diffrent, many would say a vacation spot but Beacon has become a place of many achievements for me. With 6 bone injuries and an inflamed rotator cuff, Ive visted Beacon more times than the average person.

Based on the progress report dated 02/02/16, the patient presents for evaluation of his bilateral knee pain. He was last seen on 01/05/2016.

Per medical report dated 12/30/14, IW’s Xray of the foot with 3 views showed malunion of previously attempted subtalar and talonavicular arthrodesis. The medial plate is broken.

The patient is a 72 year old female. She has been experiencing progressively worse pain and stiffness in her joints. She is reports that she is having decreased range of motion, redness, and swelling in her joints. She is reports symptoms occur in the same joints on both sides of her body. She is also reporting the symptoms are worse when she first wakes up in the morning.

Orthopedic Surgeons usually work in three types of practices. One type of practice that an Orthopedic Surgeon works in, is that they work as solo practitioners. When orthopedic Surgeons are solo practitioners, they often run their own office and treat their own patients, however they often work with, and around other Orthopedic Surgeons within an Orthopedic office. Another type of practice an Orthopedic surgeon will work in, is within an Orthopedic group. An orthopedic group is a group of orthopedic surgeons that work together in treating patients, either with a hospital, or private practice office. The last practice an Orthopedic Surgeon can work in is an multi-specialty group. A multi specialty group, is a group of medical professionals with different degrees that work together in treating a patient. This type of practice can take place within multiple different

HISTORY OF PRESENT ILLNESS: This patient is a 10-year-old male. He was in a Motocross accident this past Saturday, sustaining tibial eminence fracture, displaced. He presents today for evaluation.

“Failure to respond to all available conservative treatment options including activity modification (e.g., restriction of athletic pursuits and avoidance of symptomatic motion), pharmacological intervention (e.g., nonsteroidal anti-inflammatory drugs [NSAIDS]), injections of local anesthetics into the joint) and physiotherapy”

Smith has been presenting with depression and anxiety along with chest pains, stomachaches, and headaches. The depression and anxiety symptoms appeared about 3 months ago when Mrs. Smith changed jobs. She also reported having trouble keeping details straight at work and felt that she was not as “sharp as she previously had been. Mrs. Smith expressed that she had relational problems with her children and also found that her daughter was abusing narcotics. Mrs. Smith also reported symptoms of being tearful, fatigued, with reduced appetite, feeling easily overwhelmed, and ruminating thoughts. Mrs. Smith reported that 6 months ago she also started to become overly emotional in stressful

Another man told of his horrible experience with Prozac in an anonymous letter to Ann Tracy, Ph.D., who was doing research on the adverse affects of Prozac. He was taking Prozac for Chronic Fatigue Syndrome and had been using it for a year; "I quite liked the unsought-for increase in confidence, sociability, etc." However, after he stopped taking it he began to experience what he called "a whole host of mental problems that I'd never experienced before." He described a lack of emotional response that soon became a full-blown depersonalization disorder, which was accompanied by episodes of derealization, extreme experiences of mental impairment, and loss of short-term memory. He went to seven of Los Angeles's top psychiatrists, each one telling him the same thing. They claimed that it wasn't the drug and would prescribe him higher doses of Prozac and other mind-altering drugs. He began to experience "nauseatingly violent dreams with a constant state of unremitting depersonalization . . .to the point where I could barely function." It got so bad that he began to consider suicide.

Per medical records (2008-2014), the claimant had a history of multiple medical issues, including migraines, right hand tremors, alcohol abuse, obesity, gastro-esophageal reflux disease (GERD), nausea, abdominal pain, endometriosis and degenerative changes in the left knee. In 2014, she was evaluated for hip