CONTACTS
SUBJECTS
Back Injury Fall Stairs 090728 Urgent Care Examination Kaiser Miner
1203 -
1203 - ..
1204 - Summary/Objective
1205 -
120501 - Follow up ref SDS 3 0000, ref SDS 2 0000.
120502 -
120503 -
120504 -
120505 -
120506 -
120508 - ..
1206 -
1207 -
1208 - Progress
1209 -
120901 - Millie slipped and fell going downstairs Tueaday evening on 090728
120902 - 2043. ref SDS 3 RB5J
120904 - ..
120905 - Millie fell and was treated in Minor Injury last year on 080204 1045.
120906 - ref SDS 1 546N
120908 - ..
120909 - Yesterday she went to the Mall and took a sandwich for a picnic. She
120910 - was testing to see how her back holds up. When she returned, her back
120911 - was worse. Millie seemed to be struggling just walking and holding
120912 - herself verticle. She laid down on the couch in the livingroom with a
120913 - heating pad. She took two Vicodin pills for pain, and seemed to get
120914 - through the night okay.
120916 - ..
120917 - Millie stayed in bed until noon. Made a ham and cheese sandwich with
120918 - avacados. When Millie tried to get up for lunch, this effort hurt her
120919 - back. It took several minutes for Millie to maneuver herself into a
120920 - position sitting up on the edge of the bed. She then needed several
120921 - more minutes to actually stand up.
120923 - ..
120924 - Decided to get evaluation at Kaiser.
120925 -
120926 -
120928 - ..
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121301 - Millie at Kaiser Minor Injury Clinic on ground floor of clinic.
121302 -
121303 - She was examined by Doctor Baitoo. He ordered an xray.
121304 -
121306 - ..
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121701 - Millie went to Radiology for the xray.
121702 -
121704 - ..
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122101 - Millie got the xray and returned to Minor Injury.
122102 -
122103 - Technician said nothing jumped out at significantly amiss in the
122104 - xray.
122105 -
122106 -
122108 - ..
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122501 - Millie back at Minor Injury, waiting to see doctor.
122502 -
122503 - Doctor Baitoo shows xrays on the computer screen in the examination
122504 - room. There are 3 or 4 different scans. The doctor spends most of
122505 - the time looking at the lungs. He sees no fluid in the lungs,
122506 - including no signs of blood in the lungs. Doctor Baitoo says Millie's
122507 - lungs look good compared to other patients.
122509 - ..
122510 - The report on xray taken today was received a few days later during
122511 - meeting with primary care physician, who transmitted the report using
122512 - Kaiser's Knowledge Mangement system...
122514 - ..
122515 - X-ray Report
122521 - ..
122522 - Received: 8/4/09 1:27 PM
122524 - ..
122525 - Procedure Note 0357370407/31/200914:46:56WCRX0101 7/31/2009
122528 - ..
122529 - Document Text
122530 - PA LATERAL CHEST AND RIGHT RIB DETAIL
122531 -
122532 - ** HISTORY **:
122533 - Right ribs with trauma
122535 - ..
122536 - ** FINDINGS **:
122537 - Technique: Two unilateral views of the right ribs and a frontal
122538 - chest view were obtained.
122540 - ..
122541 - Chest: Comparison: 07/09/2009.
122543 - ..
122544 - Right Port-A-Cath is unchanged in position. Patient is status
122545 - post left mastectomy. The cardiomediastinal silhouette is stable.
122546 - Stable biapical scarring. Minimal stable blunting of left
122547 - costophrenic angle.
122549 - ..
122550 - Ribs: Right ribs appear intact.
122551 -
122552 - ** IMPRESSION **:
122553 - Right ribs appear intact. See above.
122554 -
122561 - ..
122562 - As a casual observer, the left lung seems to have less total volume
122563 - than the right lung, in the sense that the lower right side of the
122564 - left lung seems to have more "white stuff" than the right lung. This
122565 - is not discussed with the doctor today.
122567 - ..
122568 - Assume Doctor Baitoo can recognize lung cancer. He does not mention
122569 - seeing signs of lung cancer.
122571 - ..
122572 - He says there is no broken or cracked ribs, nor injury of any kind to
122573 - anything evident in the 3 or 4 xray scans. ref SDS 0 R972
122575 - ..
122576 - The doctor diagnoses that Millie has bruised ribs.
122578 - ..
122579 - He said treatment for bruised ribs is the same as for broken ribs.
122580 - Kaiser no longer wraps the torso. The new theory is to permit normal
122581 - breathing. Patients take 10 deep breaths every hour with a pillow or
122582 - similar object pressed on the sore area.
122584 - ..
122585 - Recovery estimated 4 - 6 weeks.
122586 -
122587 - [On 090807 0818 Millie recovering from back pain. ref SDS 5
122588 - UH7H
122590 - ..
122591 - To relieve pain the doctor prescribed Percocet. This is...
122592 -
122593 - oxycodone w/appap 5-325 MG tablets.
122594 - RX # 511 4904641
122595 -
122596 - [On 090919 0742 Doctor Kung in the ER removed
122597 - Oxychodone from the list of Millie's prescribed
122598 - medicatoins, because she is no longer taking it.
122599 - ref SDS 6 MI3L
122601 - ..
122602 - Research on Wikipedia says in part...
122603 -
122604 - Oxycodone is an opioid analgesic medication synthesized from
122605 - opium-derived thebaine.
122606 -
122607 - http://en.wikipedia.org/wiki/Oxycodone
122609 - ..
122610 - Doctor Baitoo prepared a written prescription instead of entering the
122611 - order in the computer. He advised that oxycodone is stronger than
122612 - vicodin, and is a "controlled substance." To reduce drug abuse, and
122613 - dependence, the Kaiser Pharmacy requires patients to submit a signed
122614 - order from the doctor to fill prescriptions for oxycodone.
122616 - ..
122617 - Doctor Baitoo recommended today that Millie switch to Vicodin when
122618 - pain subsides to a level that Vicodin is effective.
122619 -
122620 - [On 090807 0818 Millie recovering from back pain decided to
122621 - stop taking oxychodone and Vidodin, because she feels there is
122622 - a bad reaction from too much high-strength pain medication.
122623 - ref SDS 5 UH7H
122625 - ..
122626 - Kaiser's published guidance says...
122627 -
122628 - May cause drowsiness. Alcohol may intensity this effect. Use
122629 - care when operating a care or dangerous machinery.
122630 -
122631 - May cause dizziness.
122633 - ..
122634 - Taking more of this drug than recommended may cause breathing
122635 - problems.
122637 - ..
122638 - Do not drink alcoholic beverages when taking this medication.
122640 - ..
122641 - This medication contains acetaminophen. Taking more
122642 - acetaminophen than recommended may cause serious liver
122643 - problems.
122645 - ..
122646 - Do not take other acetaminophen containing products at the same
122647 - time without first checking with your doctor. Check all
122648 - medical labels carefully.
122650 - ..
122651 - May cause constipation. Ask your doctor or pharmacist about
122652 - how to trat or prevent constipatio while taking this
122653 - medication.
122655 - ..
122656 - Obtain medical advice before taking nonprescription drugs.
122657 - Some may affect the action of this mediation.
122658 -
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122662 - ..
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123001 - Visited Pharmacy on 1st floor to get Percodet (oxycodine) medication
123002 - prescribed to relieve severe pain.
123003 -
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123401 - Millie's prescription ready, name displayed on monitor.
123402 -
123403 - She pays for medication, and gets orientation from the pharmacist.
123404 -
123406 - ..
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123801 - Home from Kaiser.
123802 -
123803 - Millie takes oxycodone (Percocet).
123804 -
123806 - ..
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124201 - Millie has dinner. Eats pretty well under the circumstances.
124202 -
124203 - Millie is concerned oxycodone is not relieving pain as quickly as
124204 - expected.
124206 - ..
124207 - Millie called Jana to explain what happened today.
124209 - ..
124210 - Pleased she received calls of support from Pam and Ron Jr.
124211 -
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124214 - ..
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1244 -
1245 - 1930
1246 -
124601 - Millie decides to take 2 vicodin pills to increase pain relief, since
124602 - this was effective last night.
124604 - ..
124605 - She is concerned that taking 2 oxycodone pills could increas breathing
124606 - problems, per Kaiser guidance shown above. ref SDS 0 YN7G
124607 -
124609 - ..
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125001 - Millie is sleeping.
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