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Symptoms: coordination difficulties, numbness and tingling, muscle stiffness, depression. Diagnosis: relapsing-remitting multiple sclerosis. History of Patient: 32-year-old female with relapsing-remitting multiple sclerosis diagnosed 10 years ago, experiencing functional decline. Plan of Action: Fatigue management strategies, adaptive equipment trial, home safety assessment, energy conservation. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Variable depending on symptoms. Equipment_needs: walker.
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Dr. Collins: Good morning, I'm Dr. Collins from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Pamela. I need help with equipment assessment. Dr. Collins: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing coordination difficulties, numbness and tingling. Dr. Collins: How long has this been going on? Patient: This has been developing over 10 years. Dr. Collins: Can you tell me about your medical background? Patient: I'm 32 years old and I have relapsing-remitting multiple sclerosis from unknown etiology. Dr. Collins: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Collins: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm variable depending on symptoms for most activities. Dr. Collins: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: neglect syndrome, swallowing difficulties, cognitive impairment, emotional lability. Diagnosis: brainstem stroke. History of Patient: 71-year-old male with brainstem stroke from embolic stroke 10 years ago, requiring rehabilitation. Plan of Action: Wheelchair prescription, home modifications, caregiver training, outpatient therapy referrals. Vision_status: Impaired. Hearing_status: Impaired. Hand_function: Right side dominant. Mobility_level: Dependent for mobility. Equipment_needs: arm support.
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Dr. Alvarez: Good morning, I'm Dr. Alvarez from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Edwin. I need help with my seating. Dr. Alvarez: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing neglect syndrome, swallowing difficulties. Dr. Alvarez: How long has this been going on? Patient: This has been developing over 10 years. Dr. Alvarez: Can you tell me about your medical background? Patient: I'm 71 years old and I have brainstem stroke from embolic stroke. Dr. Alvarez: How are your vision and hearing? Patient: My vision is impaired and my hearing is impaired. Dr. Alvarez: Tell me about your hand function and mobility level. Patient: right side dominant, and I'm dependent for mobility for most activities. Dr. Alvarez: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
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Doctor: What are some medications you are on?
Patient: I am on pain pills.
Doctor: Do you know their names?
Patient: Yes. Oxycontin and Vicodin.
Doctor: Okay that helps.
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medical
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Symptoms: poor sitting balance, forward head posture, pelvic obliquity, muscle spasms. Diagnosis: C6 incomplete spinal cord injury. History of Patient: 73-year-old male with C6 incomplete spinal cord injury from diving accident 5 years ago, wheelchair user seeking seating assessment. Plan of Action: Custom seating system fabrication, transfer training, wheelchair skills training, pressure relief education. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Independent wheelchair user. Equipment_needs: power wheelchair.
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Dr. Browning: Good morning, I'm Dr. Browning from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Jonathan. I need help with my seating. Dr. Browning: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing poor sitting balance, forward head posture. Dr. Browning: How long has this been going on? Patient: This has been developing over 5 years. Dr. Browning: Can you tell me about your medical background? Patient: I'm 73 years old and I have C6 incomplete spinal cord injury from diving accident. Dr. Browning: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Browning: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm independent wheelchair user for most activities. Dr. Browning: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: N/A.
Diagnosis: EXTERNAL GENITALIA: Normal for age. Normal penis with bilaterally descended testes that are normal in size, shape, and contour, and without evidence of hernia or hydrocele.
History of Patient: N/A.
Plan Of Action: N/A.
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Doctor: Okay, let me quickly examine him. Mom do you give the permission? I will quickly check his genitalia. Can you pull his pants down?
Guest_family: Sure, you can check.
Doctor: Well, everything looks fine, his penis and testes are normal shape and size for his age. No fluid accumulation or swelling in the scrotum area, no evidence of herniation there.
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medical
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Symptoms: scissoring of legs, forward head posture, hip subluxation, contractures. Diagnosis: spastic diplegia cerebral palsy. History of Patient: 17-year-old female with spastic diplegia cerebral palsy from birth complications, requiring postural management. Plan of Action: Custom wheelchair configuration, communication device integration, family training, school equipment. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Requires assistance. Equipment_needs: orthotics.
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Dr. Williams: Good morning, I'm Dr. Williams from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Diana. I need help with my seating. Dr. Williams: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing scissoring of legs, forward head posture. Dr. Williams: How long has this been going on? Patient: This has been developing over 3 months. Dr. Williams: Can you tell me about your medical background? Patient: I'm 17 years old and I have spastic diplegia cerebral palsy from birth complications. Dr. Williams: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Williams: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm requires assistance for most activities. Dr. Williams: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: progressive muscle weakness, difficulty with transfers, respiratory compromise, cardiac issues. Diagnosis: Becker muscular dystrophy. History of Patient: 38-year-old male with Becker muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Progressive equipment planning, family education, school accommodation, transition planning. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Power wheelchair user. Equipment_needs: power wheelchair.
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Dr. Robinson: Good morning, I'm Dr. Robinson from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Amanda. I need help with equipment assessment. Dr. Robinson: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing progressive muscle weakness, difficulty with transfers. Dr. Robinson: How long has this been going on? Patient: This has been developing over 3 months. Dr. Robinson: Can you tell me about your medical background? Patient: I'm 38 years old and I have Becker muscular dystrophy from inherited disorder. Dr. Robinson: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Robinson: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm power wheelchair user for most activities. Dr. Robinson: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: secondary progressive MS. History of Patient: 49-year-old female with secondary progressive MS diagnosed 3 months ago, experiencing functional decline. Plan of Action: Fatigue management strategies, adaptive equipment trial, home safety assessment, energy conservation. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Right side dominant. Mobility_level: Independent with walking aids. Equipment_needs: cooling vest.
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Dr. Campbell: Good morning, I'm Dr. Campbell from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Rodney. I need help with my seating. Dr. Campbell: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Campbell: How long has this been going on? Patient: This has been developing over 3 months. Dr. Campbell: Can you tell me about your medical background? Patient: I'm 49 years old and I have secondary progressive MS from unknown etiology. Dr. Campbell: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Campbell: Tell me about your hand function and mobility level. Patient: right side dominant, and I'm independent with walking aids for most activities. Dr. Campbell: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: N/A
Diagnosis: growth on thyroid, thyroid cancer
History of Patient: Total thyroidectomy performed approximately three years ago due to a growth on the thyroid, no complications post surgery
Plan of Action: N/A
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Doctor: Any surgical history?
Patient: I had my thyroids taken out.
Doctor: When did you have them taken out?
Patient: Hm three years ago. Man, time flies.
Doctor: Did you experience any complications post surgery?
Patient: Nothing out of the ordinary.
Doctor: Who was the surgeon who did your thyroidectomy?
Patient: Doctor X.
Doctor: What was the final diagnosis?
Patient: I had a growth on my thyroids.
Doctor: Was the growth cancerous?
Patient: It was. I was initially reluctant to get them out, but I realized it was necessary. I didn't have much of a choice if I wanted to live ya know.
Doctor: That's understandable. I'm sorry you had to go through that. Surgery is daunting, let alone surgery to remove cancer.
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medical
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Symptoms: N/A
Diagnosis: N/A
History of Patient: History of surgeries including a D and C for HPV treatment, removal of bone fragment from right arm, recent ovarian cancer staging biopsy with post-procedural pain
Plan of Action: N/A
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Doctor: Do you have a history of surgeries?
Patient: I had a bone fragment removed from my right arm. I had a D and C done a long time ago. It was a treatment for H P V. More recently I had an ovarian cancer staging biopsy done. I have not heard back with the results yet. I only had it done less then a week ago.
Doctor: How are you feeling after the biopsy?
Patient: I had a significant amount of pain for two to three days after. I feel better now.
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medical
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Symptoms: scissoring of legs, forward head posture, hip subluxation, contractures. Diagnosis: spastic diplegia cerebral palsy. History of Patient: 30-year-old male with spastic diplegia cerebral palsy from birth complications, requiring postural management. Plan of Action: Custom wheelchair configuration, communication device integration, family training, school equipment. Vision_status: Impaired. Hearing_status: Impaired. Hand_function: Both hands functional. Mobility_level: Independent with adapted equipment. Equipment_needs: postural supports.
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Dr. Casey: Good morning, I'm Dr. Casey from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Andrea. I need help with equipment assessment. Dr. Casey: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing scissoring of legs, forward head posture. Dr. Casey: How long has this been going on? Patient: This has been developing over 1 year. Dr. Casey: Can you tell me about your medical background? Patient: I'm 30 years old and I have spastic diplegia cerebral palsy from birth complications. Dr. Casey: How are your vision and hearing? Patient: My vision is impaired and my hearing is impaired. Dr. Casey: Tell me about your hand function and mobility level. Patient: both hands functional, and I'm independent with adapted equipment for most activities. Dr. Casey: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: neglect syndrome, swallowing difficulties, cognitive impairment, emotional lability. Diagnosis: right CVA with left hemiparesis. History of Patient: 60-year-old male with right CVA with left hemiparesis from embolic stroke 6 months ago, requiring rehabilitation. Plan of Action: Wheelchair prescription, home modifications, caregiver training, outpatient therapy referrals. Vision_status: Impaired. Hearing_status: Impaired. Hand_function: Left side dominant. Mobility_level: Independent with supervision. Equipment_needs: ankle-foot orthosis.
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Dr. Contreras: Good morning, I'm Dr. Contreras from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Katherine. I need help with equipment assessment. Dr. Contreras: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing neglect syndrome, swallowing difficulties. Dr. Contreras: How long has this been going on? Patient: This has been developing over 6 months. Dr. Contreras: Can you tell me about your medical background? Patient: I'm 60 years old and I have right CVA with left hemiparesis from embolic stroke. Dr. Contreras: How are your vision and hearing? Patient: My vision is impaired and my hearing is impaired. Dr. Contreras: Tell me about your hand function and mobility level. Patient: left side dominant, and I'm independent with supervision for most activities. Dr. Contreras: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: weakness on affected side, balance deficits, visual field cuts, aphasia. Diagnosis: brainstem stroke. History of Patient: 34-year-old male with brainstem stroke from ischemic stroke 2 years ago, requiring rehabilitation. Plan of Action: Hemiplegia positioning program, one-handed techniques training, visual compensation strategies, swallowing assessment. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Independent with supervision. Equipment_needs: arm support.
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Dr. Vega: Good morning, I'm Dr. Vega from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Amy. I need help with my posture. Dr. Vega: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing weakness on affected side, balance deficits. Dr. Vega: How long has this been going on? Patient: This has been developing over 2 years. Dr. Vega: Can you tell me about your medical background? Patient: I'm 34 years old and I have brainstem stroke from ischemic stroke. Dr. Vega: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Vega: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm independent with supervision for most activities. Dr. Vega: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: weakness on affected side, balance deficits, visual field cuts, aphasia. Diagnosis: left CVA with right hemiparesis. History of Patient: 74-year-old male with left CVA with right hemiparesis from hemorrhagic stroke 6 months ago, requiring rehabilitation. Plan of Action: Hemiplegia positioning program, one-handed techniques training, visual compensation strategies, swallowing assessment. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Dependent for mobility. Equipment_needs: lap tray.
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Dr. Haley: Good morning, I'm Dr. Haley from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Catherine. I need help with equipment assessment. Dr. Haley: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing weakness on affected side, balance deficits. Dr. Haley: How long has this been going on? Patient: This has been developing over 6 months. Dr. Haley: Can you tell me about your medical background? Patient: I'm 74 years old and I have left CVA with right hemiparesis from hemorrhagic stroke. Dr. Haley: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Haley: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm dependent for mobility for most activities. Dr. Haley: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: Depression, sadness, low energy, lack of enthusiasm
Diagnosis: History of heroin addiction, history of methadone use, depression
History of Patient: Patient previously lived in the city and became addicted to drugs, specifically heroin, received methadone treatment which was not effective, attempted to wean off methadone unsuccessfully, currently living with mother to avoid drug environment, last heroin use approximately eight days ago, last methadone use approximately one week ago, presenting today requesting methadone, denies suicidal or homicidal ideations, denies Symptoms of bipolar disorder, no significant past medical history except for voluntary left kidney donation
Plan of Action: Further evaluation and discussion regarding methadone treatment, assessment and management of depression, referral to appropriate resources for addiction treatment and mental health support
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Doctor: Good afternoon, sir. Is this your mother?
Patient: Good afternoon, doctor. Yes, this is my mom.
Doctor: Great, please, give me some background information on your history.
Patient: Well, I used to live here in the city when I went to college, but I wanted to get away from a bad crowd, so I came back to live with my mom.
Doctor: What do you mean, bad crowd?
Patient: Well, I got addicted to drugs out there, and I used to inject heroin.
Doctor: Did you see a doctor for this addiction?
Patient: Yeah, I saw another doctor in the city.
Doctor: How did they treat you at that time?
Patient: They prescribed me methadone for a while.
Doctor: Did that help at all?
Patient: Honestly, no, it didn't help at all.
Doctor: Do you remember the dosage that you were given?
Patient: Um, it was ten M G.
Doctor: How long did you take methadone for?
Patient: Um, it was for three or four months.
Doctor: Did you ever try to decrease your dosage?
Patient: Yeah, um, I tried to wean off it for a while, but I was never really successful.
Doctor: Have you been using heroin since?
Patient: Um, yeah, I've been using it occasionally.
Doctor: Were you roommates at school using drugs?
Patient: Yeah, so it's hard to get away from the stuff, it was all over the house.
Guest_family: Well, he can now, especially because he lives with me.
Doctor: Good, when was the last time you used heroin?
Patient: Um, it's been about eight days now.
Doctor: Good, congratulations. When was the last time you had methadone?
Patient: Um, it's been about a week for that now, too. Am I able to get more today?
Doctor: We can discuss that. Have you had any feelings of depression recently?
Patient: Yeah, I feel down and sad a lot.
Doctor: What about your energy?
Patient: I really don't have much.
Doctor: What about your enthusiasm for the foods or activities you enjoy?
Guest_family: He hasn't had much enthusiasm for anything, either.
Doctor: Are you having any suicidal or homicidal thoughts or actions at this time?
Guest_family: No, nothing like that, doctor.
Doctor: Good, what about delusions, hallucinations, or disorganized thoughts or behaviors?
Patient: No, nothing like that either, doctor.
Doctor: Do you have any medical conditions in the past that I should know about?
Patient: No, not that I know of.
Guest_family: No, he hasn't been treated for anything before, doctor.
Doctor: You completed your family and social history earlier with the nurses, is there anything you want to add to that?
Patient: No, everything there is complete.
Doctor: Do you have any allergies?
Patient: No, I don't have any.
Doctor: Good, and do you take any medications right now?
Patient: No, doctor. I don't take anything.
Doctor: Have you had any surgeries in the past?
Patient: I voluntarily donated my left kidney.
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medical
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Symptoms: poor sitting balance, forward head posture, pelvic obliquity, muscle spasms. Diagnosis: T6 complete spinal cord injury. History of Patient: 79-year-old female with T6 complete spinal cord injury from fall from height 5 years ago, wheelchair user seeking seating assessment. Plan of Action: Comprehensive wheelchair and seating evaluation, pressure mapping, postural assessment, equipment trials. Vision_status: Normal. Hearing_status: Impaired. Hand_function: Both hands impaired. Mobility_level: Requires assistance for transfers. Equipment_needs: headrest.
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Dr. Little: Good morning, I'm Dr. Little from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Kimberly. I need help with my wheelchair. Dr. Little: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing poor sitting balance, forward head posture. Dr. Little: How long has this been going on? Patient: This has been developing over 5 years. Dr. Little: Can you tell me about your medical background? Patient: I'm 79 years old and I have T6 complete spinal cord injury from fall from height. Dr. Little: How are your vision and hearing? Patient: My vision is normal and my hearing is impaired. Dr. Little: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm requires assistance for transfers for most activities. Dr. Little: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: N/A
Diagnosis: N/A
History of Complaint: Generally very healthy
Plan of Action: N/A
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Doctor: Does she have any past medical history or health problems?
Guest_family: No. She is a healthy child.
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medical
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Symptoms: difficulty with wheelchair propulsion, postural instability, pressure sores on sacrum, shoulder pain. Diagnosis: T12 incomplete spinal cord injury. History of Patient: 21-year-old female with T12 incomplete spinal cord injury from diving accident 5 years ago, wheelchair user seeking seating assessment. Plan of Action: Comprehensive wheelchair and seating evaluation, pressure mapping, postural assessment, equipment trials. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side dominant. Mobility_level: Independent wheelchair user. Equipment_needs: manual wheelchair.
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Dr. Cochran: Good morning, I'm Dr. Cochran from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Jennifer. I need help with my seating. Dr. Cochran: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing difficulty with wheelchair propulsion, postural instability. Dr. Cochran: How long has this been going on? Patient: This has been developing over 5 years. Dr. Cochran: Can you tell me about your medical background? Patient: I'm 21 years old and I have T12 incomplete spinal cord injury from diving accident. Dr. Cochran: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Cochran: Tell me about your hand function and mobility level. Patient: left side dominant, and I'm independent wheelchair user for most activities. Dr. Cochran: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: difficulty with wheelchair propulsion, postural instability, pressure sores on sacrum, shoulder pain. Diagnosis: T6 complete spinal cord injury. History of Patient: 51-year-old male with T6 complete spinal cord injury from motor vehicle accident 3 months ago, wheelchair user seeking seating assessment. Plan of Action: Custom seating system fabrication, transfer training, wheelchair skills training, pressure relief education. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Modified independent with equipment. Equipment_needs: pressure-relief cushion.
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Dr. Russell: Good morning, I'm Dr. Russell from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Stephen. I need help with my posture. Dr. Russell: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing difficulty with wheelchair propulsion, postural instability. Dr. Russell: How long has this been going on? Patient: This has been developing over 3 months. Dr. Russell: Can you tell me about your medical background? Patient: I'm 51 years old and I have T6 complete spinal cord injury from motor vehicle accident. Dr. Russell: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Russell: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm modified independent with equipment for most activities. Dr. Russell: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: loss of ambulation, postural changes, equipment breakdown, growth changes. Diagnosis: limb-girdle muscular dystrophy. History of Patient: 35-year-old male with limb-girdle muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Power wheelchair assessment, postural support evaluation, respiratory equipment, home accessibility. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Transitioning from walking to wheelchair. Equipment_needs: ventilator support.
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Dr. Dunn: Good morning, I'm Dr. Dunn from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Suzanne. I need help with equipment assessment. Dr. Dunn: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing loss of ambulation, postural changes. Dr. Dunn: How long has this been going on? Patient: This has been developing over 1 year. Dr. Dunn: Can you tell me about your medical background? Patient: I'm 35 years old and I have limb-girdle muscular dystrophy from inherited disorder. Dr. Dunn: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Dunn: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm transitioning from walking to wheelchair for most activities. Dr. Dunn: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: Negative for dementia. Her mother died of a stroke at the age of 62.
Plan of Action: N/A
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Doctor: Has anyone in your family suffered from dementia?
Patient: Not that I'm aware of.
Doctor: Is there any other medical history in your family? Any other medical issues?
Patient: My mom died of a stroke.
Doctor: How old was your mom when she died?
Patient: She was sixty two.
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medical
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: Patient smokes about a third of a pack a day, drinks occasional alcoholic drinks. Married with three grown successful sons, one of whom is a gastroenterologist in San Diego, California.
Plan of Action: N/A
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Doctor: How's your family?
Patient: They're doing well, thank you. My three boys are all grown up. Hard to believe they're living their own as young professionals. One of them is actually a G I doctor in San Diego, California.
Doctor: You must be so proud of your boys.
Patient: My wife and I always say how lucky we are.
Doctor: I'm sure. And I have a few more questions before we wrap up.
Patient: Go for it.
Doctor: Do you drink or smoke?
Patient: I smoke about a third of a pack a day and I drink every now and again, but nothing crazy.
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medical
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Symptoms: Weakness on the right side of the face, right-sided facial drooping.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
|
Doctor: Tell me, what's going on?
Guest_family: She is complaining of weakness on the right side of her face.
Patient: And I feel the right side is drooping.
Doctor: Okay, let me look at it.
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medical
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: cholecystectomy, appendectomy, oophorectomy
Plan of Action: N/A
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Doctor: What types of surgeries have you had in the past?
Patient: I had gall bladder and appendix surgery then they also took out my ovaries.
Doctor: Okay.
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medical
|
Symptoms: weakness on affected side, balance deficits, visual field cuts, aphasia. Diagnosis: brainstem stroke. History of Patient: 26-year-old female with brainstem stroke from embolic stroke 3 months ago, requiring rehabilitation. Plan of Action: Hemiplegia positioning program, one-handed techniques training, visual compensation strategies, swallowing assessment. Vision_status: Normal. Hearing_status: Normal. Hand_function: Right side impaired. Mobility_level: Requires assistance. Equipment_needs: lap tray.
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Dr. Morrison: Good morning, I'm Dr. Morrison from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Eric. I need help with my seating. Dr. Morrison: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing weakness on affected side, balance deficits. Dr. Morrison: How long has this been going on? Patient: This has been developing over 3 months. Dr. Morrison: Can you tell me about your medical background? Patient: I'm 26 years old and I have brainstem stroke from embolic stroke. Dr. Morrison: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Morrison: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm requires assistance for most activities. Dr. Morrison: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: loss of ambulation, postural changes, equipment breakdown, growth changes. Diagnosis: Becker muscular dystrophy. History of Patient: 85-year-old female with Becker muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Power wheelchair assessment, postural support evaluation, respiratory equipment, home accessibility. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Transitioning from walking to wheelchair. Equipment_needs: patient lift.
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Dr. Floyd: Good morning, I'm Dr. Floyd from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Brian. I need help with my wheelchair. Dr. Floyd: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing loss of ambulation, postural changes. Dr. Floyd: How long has this been going on? Patient: This has been developing over 6 months. Dr. Floyd: Can you tell me about your medical background? Patient: I'm 85 years old and I have Becker muscular dystrophy from genetic condition. Dr. Floyd: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Floyd: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm transitioning from walking to wheelchair for most activities. Dr. Floyd: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: Progressive numbness and weakness in lower extremities since 2001, now involving legs above knees and hands, burning sensation and numbness, difficulty feeling hot objects in hands, objects slipping out of hands, muscle jerks in hands and shoulders, unsteadiness with gait, pain (primary concern), difficulty sleeping due to pain
Diagnosis: Diabetes, hypertension, previous stroke in 2002 with residual right-sided weakness, two myocardial infarctions, status post pacemaker insertion
History of Complaint: Symptoms initially presented in 2001, progressively worsening, recent exacerbation of symptoms including difficulty feeling hot objects, objects slipping out of hands, muscle jerks, and pain
Plan of Action: Tried gabapentin with no effect, oxycodone provides partial relief, insulin stopped after pacemaker insertion, currently only on oral medication for diabetes
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Doctor: How old are you, sir?
Patient: I am sixty two year old African American.
Doctor: Do you have any relevant past medical history?
Patient: I do have diabetes, high blood pressure and I had a stroke in the year two thousand and two. I do have weakness on my right side after that. I also had two heart attacks. Ah.
Doctor: Any history of surgery?
Patient: I have a pacemaker.
Doctor: It shows here that you came to us in two thousand and one for weakness and numbness in your legs. How is that now?
Patient: Oh, it was never gone. Instead, it has also moved to my hands and areas above my knees.
Doctor: What are your symptoms now?
Patient: It's mostly like something is burning and numbness is still there.
Doctor: Is that your main concern?
Patient: Yeah, it is. That is my main problem. I do have pain, but it is not that much of a concern.
Patient: For the last six months, I cannot feel anything hot in my hands. Things slip out of my hand. I don't have any weakness as such, but it's just like that feeling of clumsiness and it's just lots of sensation.
Patient: Sometimes I feel, like, these jerks in my body, mainly my shoulders and both hands.
Doctor: Has it been for some time?
Patient: It has been like forever but now I am noticing it more than before.
Doctor: Do you get any kind of tremors?
Patient: No.
Doctor: Any neck pain?
Patient: No, but as you might have noticed I am using this walker because I do not feel safe walking.
Doctor: Have you used anything for your pain?
Patient: Yeah, they tried different medicines but only oxycodone helped a little. It does give me sometimes around three hours of relief. Gabapentin did not work at all.
Doctor: How is your sleep?
Patient: I cannot sleep properly because of the pain. It has been for many years. I haven't had a proper sleep.
Doctor: When did you get your pacemaker?
Patient: It was around six months ago after the heart attack and pacemaker I was transferred to a nursing home. There they stopped my insulin and since then, I'm taking tablets for that.
Doctor: Do you have any back pain?
Patient: Nope.
Doctor: Any change in bathroom routine?
Patient: No.
Doctor: Did you ever have any accidents or any injury before all this started?
Patient: No, nothing like that.
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medical
|
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Family history of heart issues, stroke,blood pressure.
Plan of Action: N/A.
|
Doctor: Is there any family medical history?
Patient: I have a whole list. See, my grand aunt had a stroke. My M G had heart issues same as my mom, who died of a heart attack at sixty three. My father had some sort of cancer. I don't know what exactly. And my sisters have blood pressure issues.
Doctor: Wow, that sure is a list. Anyone with diabetes?
Patient: No. Well, that is one thing that skipped my family.
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medical
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Symptoms: N/A.
Diagnosis: N/A.
History of Patient: None.
Plan Of Action: N/A.
.
|
Doctor: Do you have any past or present medical conditions?
Patient: No.
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medical
|
Symptoms: neglect syndrome, swallowing difficulties, cognitive impairment, emotional lability. Diagnosis: brainstem stroke. History of Patient: 58-year-old female with brainstem stroke from ischemic stroke 3 months ago, requiring rehabilitation. Plan of Action: Wheelchair prescription, home modifications, caregiver training, outpatient therapy referrals. Vision_status: Impaired. Hearing_status: Impaired. Hand_function: Right side impaired. Mobility_level: Requires assistance. Equipment_needs: lap tray.
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Dr. Hunt: Good morning, I'm Dr. Hunt from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Anna. I need help with my seating. Dr. Hunt: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing neglect syndrome, swallowing difficulties. Dr. Hunt: How long has this been going on? Patient: This has been developing over 3 months. Dr. Hunt: Can you tell me about your medical background? Patient: I'm 58 years old and I have brainstem stroke from ischemic stroke. Dr. Hunt: How are your vision and hearing? Patient: My vision is impaired and my hearing is impaired. Dr. Hunt: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm requires assistance for most activities. Dr. Hunt: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: Memory loss.
Diagnosis: N/A.
History of Patient: History of peptic ulcer disease (PUD), possible stroke three or four years ago, memory difficulty in the past 1-2 years.
Plan of Action: N/A.
|
Doctor: Any past medical history?
Guest_family: She has a history of peptic ulcer disease and we think she may have had a possible stroke three or four years ago. I would have to double check.
Doctor: Let me see if I can find it in her records.
Doctor: Does she see a neurologist?
Guest_family: Um I'm not sure. I can call her son?
Doctor: Yes, if you could find out that'd be great.
Guest_family: She's also experiencing some memory loss as of one to two years ago. I think that's it for medical history.
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medical
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Symptoms: altered mental status.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
|
Doctor: Is everything fine?
Guest_family: My mom is not well.
Doctor: When did this start?
Guest_family: I don't know but she is not in her correct state of mind.
Doctor: Okay let's see what we can do, how old is she?
Guest_family: She is around seventy four years old.
Doctor: Okay. Don't worry, we will see what we can do.
Guest_family: Thanks!
Doctor: Of Course.
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medical
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Symptoms: Exertional shortness of breath, frequent urination
Diagnosis: N/A
History of Patient: Denies chest pain, GI problems, bleeding disorders or bleeding history
Plan of Action: N/A
|
Doctor: Do you have any chest pain?
Patient: No, I don't.
Doctor: Any breathlessness?
Patient: Yes, I do get breathless only when I have to do some form of exertion like walking a long time or running.
Doctor: Okay. How about any bowel issues?
Patient: No, I don't have any stomach problems except I have to go frequently to use a bathroom.
Doctor: Okay frequency. How about any prolonged bleeding issues or anything like that sort?
Patient: No nothing like that.
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medical
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Symptoms: neglect syndrome, swallowing difficulties, cognitive impairment, emotional lability. Diagnosis: brainstem stroke. History of Patient: 28-year-old female with brainstem stroke from hemorrhagic stroke 1 year ago, requiring rehabilitation. Plan of Action: Hemiplegia positioning program, one-handed techniques training, visual compensation strategies, swallowing assessment. Vision_status: Impaired. Hearing_status: Impaired. Hand_function: Right side dominant. Mobility_level: Dependent for mobility. Equipment_needs: ankle-foot orthosis.
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Dr. Dorsey: Good morning, I'm Dr. Dorsey from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Nicholas. I need help with equipment assessment. Dr. Dorsey: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing neglect syndrome, swallowing difficulties. Dr. Dorsey: How long has this been going on? Patient: This has been developing over 1 year. Dr. Dorsey: Can you tell me about your medical background? Patient: I'm 28 years old and I have brainstem stroke from hemorrhagic stroke. Dr. Dorsey: How are your vision and hearing? Patient: My vision is impaired and my hearing is impaired. Dr. Dorsey: Tell me about your hand function and mobility level. Patient: right side dominant, and I'm dependent for mobility for most activities. Dr. Dorsey: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: poor sitting balance, forward head posture, pelvic obliquity, muscle spasms. Diagnosis: C6 incomplete spinal cord injury. History of Patient: 81-year-old female with C6 incomplete spinal cord injury from motor vehicle accident 10 years ago, wheelchair user seeking seating assessment. Plan of Action: Custom seating system fabrication, transfer training, wheelchair skills training, pressure relief education. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Requires assistance for transfers. Equipment_needs: power wheelchair.
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Dr. Ross: Good morning, I'm Dr. Ross from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Brian. I need help with my seating. Dr. Ross: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing poor sitting balance, forward head posture. Dr. Ross: How long has this been going on? Patient: This has been developing over 10 years. Dr. Ross: Can you tell me about your medical background? Patient: I'm 81 years old and I have C6 incomplete spinal cord injury from motor vehicle accident. Dr. Ross: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Ross: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm requires assistance for transfers for most activities. Dr. Ross: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Partial removal of ovaries, appendectomy, abdominoplasty.
Plan of Action: N/A.
|
Doctor: Did you have any surgeries in the past?
Patient: Yes, I had a partial removal of my ovaries and then I also had my appendix removed.
Doctor: Okay anything else?
Patient: Yeah, I also got my tummy tucked.
Doctor: Okay.
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medical
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Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: relapsing-remitting multiple sclerosis. History of Patient: 47-year-old male with relapsing-remitting multiple sclerosis diagnosed 1 year ago, experiencing functional decline. Plan of Action: Power mobility evaluation, symptom management, exercise program, caregiver training. Vision_status: Unsure. Hearing_status: Normal. Hand_function: Left side dominant. Mobility_level: Independent with walking aids. Equipment_needs: walker.
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Dr. Mcgee: Good morning, I'm Dr. Mcgee from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Kayla. I need help with my wheelchair. Dr. Mcgee: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Mcgee: How long has this been going on? Patient: This has been developing over 1 year. Dr. Mcgee: Can you tell me about your medical background? Patient: I'm 47 years old and I have relapsing-remitting multiple sclerosis from autoimmune condition. Dr. Mcgee: How are your vision and hearing? Patient: My vision is unsure and my hearing is normal. Dr. Mcgee: Tell me about your hand function and mobility level. Patient: left side dominant, and I'm independent with walking aids for most activities. Dr. Mcgee: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: hyperesthesia on right abdomen, left abdomen, and left medial thigh, intermittent problem, more pronounced in the past eight days on abdomen and right hip area, painful when touched
Diagnosis: hyperesthesia
History of Patient: Symptoms started six weeks before the holidays, cleared for a while, then recurred mainly on right lower abdomen, no treatment received, no skin changes observed, bathes daily with minimal soap use, married, works as an airplane mechanic
Plan of Action: Further tests to find underlying cause of hyperesthesia, followed by treatment
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Doctor: Hello sir, it's been a while since your last visit. How have you been?
Patient: Hello doctor, yes, I have come a long way. I guess last time I was here was in two thousand and two if I am not wrong. Was does your system say?
Doctor: You are right! It was August second of two thousand and two to be very precise.
Doctor: Please confirm for the records, you are a white married man and must be forty nine years old now. Am I right?
Patient: You got it all right doctor!
Doctor: Are you still working in that airplane company?
Patient: Yes sir, still with Alaska Airlines but I have been promoted and work as a plane mechanic.
Doctor: That is so nice! Good for you man! So, tell me how can I help you today? What brought you to our dermatology department today?
Patient: I'm having pain in my stomach on the right side and down here.
Doctor: Is it only on the right side or anywhere else?
Patient: It is on both sides and now I can feel it on the middle part of my left thigh as well.
Doctor: Tell me more about it. How did it start? When did you first notice it?
Patient: It's been going on and off. It was not there for a while, but now it is like back again mainly on my tummy, down here. It is painful when I touch it. At first, I thought maybe I'm having shingles.
Doctor: When did you notice it?
Patient: It all started before the holidays, I think one and a half months before the holidays. It is still going on for the past eight days in my tummy and the hips mainly on the right side.
Doctor: Did you get any treatment for this? Any over the counter medicines?
Patient: No, as I told you I thought it was shingles, but then there was no change in the skin, no rashes, nothing. I was not sure what to take.
Doctor: Okay, do you bathe every day?
Patient: Yes, I do but I try to use as little soap as possible.
Doctor: Okay, here is what I think, all your symptoms are pointing towards hyperesthesia. I would like to run some tests to find the underlying cause and then we will start the treatment. A nurse will come and take you to the lab. Does this sound good to you?
Patient: Yes.
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medical
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Symptoms: Pain and locking sensation in the right thumb
Diagnosis: Stenosing tendinosis (trigger finger)
History of Complaint: Patient has a longstanding history of pain and locking sensation in the right thumb, diagnosed with stenosing tendinosis
Plan of Action: Proceed with release of A1 pulley, risks and benefits of the surgery discussed and agreed upon by the patient
|
Doctor: Hello, ma'am. How are you doing today?
Patient: My right hand hurts.
Doctor: Is that your dominant hand?
Patient: It is.
Doctor: I see. What seems to be the problem?
Patient: I feel like my right thumb just locks up, and I can't move it anymore.
Doctor: Does it stay locked?
Patient: No, it doesn't. It just moves out of nowhere. Like right now!
Doctor: I can see that. Have you seen someone about your thumb before?
Patient: I have. These are the notes from that visit. Here you go.
Doctor: Thank you. It looks liked you were diagnoses with stenosing tendinosis, which is trigger finger.
Patient: Is that common for a fifty one year old woman like me?
Doctor: Yeah, it is. We can proceed by releasing the A one pulley?
Patient: Could you describe what that means? Could you also go over the risks and benefits of the surgery?
Doctor: Of course. I'll explain it and give it to you in writing.
Patient: Thank you. I'll most likely agree to it. I need to fix this thumb.
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medical
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Symptoms: difficulty with wheelchair propulsion, postural instability, pressure sores on sacrum, shoulder pain. Diagnosis: C6 incomplete spinal cord injury. History of Patient: 66-year-old female with C6 incomplete spinal cord injury from diving accident 6 months ago, wheelchair user seeking seating assessment. Plan of Action: Comprehensive wheelchair and seating evaluation, pressure mapping, postural assessment, equipment trials. Vision_status: Normal. Hearing_status: Normal. Hand_function: Right side dominant. Mobility_level: Modified independent with equipment. Equipment_needs: manual wheelchair.
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Dr. Gonzalez: Good morning, I'm Dr. Gonzalez from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Karen. I need help with my posture. Dr. Gonzalez: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing difficulty with wheelchair propulsion, postural instability. Dr. Gonzalez: How long has this been going on? Patient: This has been developing over 6 months. Dr. Gonzalez: Can you tell me about your medical background? Patient: I'm 66 years old and I have C6 incomplete spinal cord injury from diving accident. Dr. Gonzalez: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Gonzalez: Tell me about your hand function and mobility level. Patient: right side dominant, and I'm modified independent with equipment for most activities. Dr. Gonzalez: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: scoliosis, contractures, fatigue, difficulty with stairs. Diagnosis: limb-girdle muscular dystrophy. History of Patient: 38-year-old male with limb-girdle muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Power wheelchair assessment, postural support evaluation, respiratory equipment, home accessibility. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Transitioning from walking to wheelchair. Equipment_needs: postural supports.
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Dr. Baker: Good morning, I'm Dr. Baker from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm James. I need help with my wheelchair. Dr. Baker: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing scoliosis, contractures. Dr. Baker: How long has this been going on? Patient: This has been developing over 6 months. Dr. Baker: Can you tell me about your medical background? Patient: I'm 38 years old and I have limb-girdle muscular dystrophy from genetic condition. Dr. Baker: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Baker: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm transitioning from walking to wheelchair for most activities. Dr. Baker: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: secondary progressive MS. History of Patient: 40-year-old male with secondary progressive MS diagnosed 6 months ago, experiencing functional decline. Plan of Action: Fatigue management strategies, adaptive equipment trial, home safety assessment, energy conservation. Vision_status: Unsure. Hearing_status: Normal. Hand_function: Both hands functional. Mobility_level: Wheelchair dependent. Equipment_needs: walker.
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Dr. Mack: Good morning, I'm Dr. Mack from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Charles. I need help with equipment assessment. Dr. Mack: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Mack: How long has this been going on? Patient: This has been developing over 6 months. Dr. Mack: Can you tell me about your medical background? Patient: I'm 40 years old and I have secondary progressive MS from unknown etiology. Dr. Mack: How are your vision and hearing? Patient: My vision is unsure and my hearing is normal. Dr. Mack: Tell me about your hand function and mobility level. Patient: both hands functional, and I'm wheelchair dependent for most activities. Dr. Mack: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: secondary progressive MS. History of Patient: 38-year-old female with secondary progressive MS diagnosed 3 months ago, experiencing functional decline. Plan of Action: Fatigue management strategies, adaptive equipment trial, home safety assessment, energy conservation. Vision_status: Unsure. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Independent with walking aids. Equipment_needs: cooling vest.
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Dr. Weaver: Good morning, I'm Dr. Weaver from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Kevin. I need help with my seating. Dr. Weaver: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Weaver: How long has this been going on? Patient: This has been developing over 3 months. Dr. Weaver: Can you tell me about your medical background? Patient: I'm 38 years old and I have secondary progressive MS from unknown etiology. Dr. Weaver: How are your vision and hearing? Patient: My vision is unsure and my hearing is normal. Dr. Weaver: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm independent with walking aids for most activities. Dr. Weaver: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: Family history of stroke, bone cancer, and dementia
Plan of Action: N/A
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Doctor: I remember you had mentioned that one of your family members had bone cancer. Are there any other medical problems that run in your family?
Patient: Sadly, yes. Stroke and dementia are the other two big ones.
Doctor: I'm sorry to hear that.
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medical
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Symptoms: dizziness
Diagnosis: atrial fibrillation
History of Patient: N/A
Plan of Action: N/A
|
Doctor: You have atrial fibrillation from the past?
Patient: Yes, rhythm problem is bad.
Doctor: And no dizziness?
Patient: Yes. I do.
Doctor: Okay well...
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medical
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Symptoms: poor sitting balance, forward head posture, pelvic obliquity, muscle spasms. Diagnosis: T6 complete spinal cord injury. History of Patient: 84-year-old female with T6 complete spinal cord injury from diving accident 6 months ago, wheelchair user seeking seating assessment. Plan of Action: Comprehensive wheelchair and seating evaluation, pressure mapping, postural assessment, equipment trials. Vision_status: Normal. Hearing_status: Impaired. Hand_function: Left side impaired. Mobility_level: Modified independent with equipment. Equipment_needs: headrest.
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Dr. Villanueva: Good morning, I'm Dr. Villanueva from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Samantha. I need help with my posture. Dr. Villanueva: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing poor sitting balance, forward head posture. Dr. Villanueva: How long has this been going on? Patient: This has been developing over 6 months. Dr. Villanueva: Can you tell me about your medical background? Patient: I'm 84 years old and I have T6 complete spinal cord injury from diving accident. Dr. Villanueva: How are your vision and hearing? Patient: My vision is normal and my hearing is impaired. Dr. Villanueva: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm modified independent with equipment for most activities. Dr. Villanueva: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: Take Rest and Re-visit if condition worsens
|
Doctor: Your condition and all your vital signs look stable to me right now. You must be very careful as your condition can get poor or it might improve as well.
Patient: Okay, so what do you recommend?
Doctor: Do you have any support system? Is there anyone at home to take care of you?
Patient: Yes, my son and his family lives with me. They are very caring.
Doctor: That is good. Do take care of yourself and let me know if your condition worsens.
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medical
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Symptoms: N/A
Diagnosis: N/A
History of Complaint: 19-year-old male involved in a fight, punched someone in the face or mouth, punched a glass resulting in three cuts on his right hand, wound cleaned with tap water and attempted closure with gauze and superglue by navy corpsman, wound continues to bleed prompting ED presentation
Plan of Action: N/A
|
Doctor: How old are you young man?
Patient: I am nineteen.
Doctor: What happened? How did you get hurt?
Patient: I was in a fight. Some people are just rude.
Doctor: Oh, that's bad! How did you hurt your right hand?
Patient: Ah, I punched that other guy in face or maybe his mouth, I don't remember exactly but he got a good one. Later, in anger I punched in a glass. It broke the glass and spilled all the drink. I think I got a cut as it was bleeding badly.
Doctor: I see three cuts in your right hand.
Doctor: When you came here in Emergency your wound was clean and looked like somebody tried to fix your cut. Do you remember any details about it?
Patient: Yeah, I remember there was a navy corpsman. He was very helpful; he cleaned my cut with the tap water. He also tried to close it up with gauze and superglue. He said it will stop bleeding, but nothing helped. They called for help and here I am in emergency.
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medical
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Symptoms: coordination difficulties, numbness and tingling, muscle stiffness, depression. Diagnosis: secondary progressive MS. History of Patient: 83-year-old female with secondary progressive MS diagnosed 3 months ago, experiencing functional decline. Plan of Action: Fatigue management strategies, adaptive equipment trial, home safety assessment, energy conservation. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Independent with walking aids. Equipment_needs: grab bars.
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Dr. Wade: Good morning, I'm Dr. Wade from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm James. I need help with my posture. Dr. Wade: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing coordination difficulties, numbness and tingling. Dr. Wade: How long has this been going on? Patient: This has been developing over 3 months. Dr. Wade: Can you tell me about your medical background? Patient: I'm 83 years old and I have secondary progressive MS from autoimmune condition. Dr. Wade: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Wade: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm independent with walking aids for most activities. Dr. Wade: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: progressive muscle weakness, difficulty with transfers, respiratory compromise, cardiac issues. Diagnosis: Duchenne muscular dystrophy. History of Patient: 49-year-old male with Duchenne muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Power wheelchair assessment, postural support evaluation, respiratory equipment, home accessibility. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands functional. Mobility_level: Wheelchair dependent. Equipment_needs: postural supports.
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Dr. Long: Good morning, I'm Dr. Long from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Thomas. I need help with my wheelchair. Dr. Long: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing progressive muscle weakness, difficulty with transfers. Dr. Long: How long has this been going on? Patient: This has been developing over 2 years. Dr. Long: Can you tell me about your medical background? Patient: I'm 49 years old and I have Duchenne muscular dystrophy from inherited disorder. Dr. Long: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Long: Tell me about your hand function and mobility level. Patient: both hands functional, and I'm wheelchair dependent for most activities. Dr. Long: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: unemployed, formerly worked at herbicide plant
Plan of Action: N/A
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Doctor: What is your living status? Do you live alone or with family?
Patient: I live with my boyfriend.
Doctor: Do you smoke?
Patient: Yes.
Doctor: For how long you are smoking?
Patient: Around ten years.
Doctor: How many cigarettes do you take?
Patient: Well, one pack of cigarettes lasts for around three days.
Doctor: Do you drink?
Patient: I do take beer.
Doctor: How many do you drink a day?
Patient: I take around six bottles once a week.
Doctor: Are you working somewhere?
Patient: I was working in a herbicide plant. There were so many layoffs because of this pandemic. I lost my job too.
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medical
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Symptoms: decreased endurance, transfer difficulties, equipment breakdown, seating discomfort. Diagnosis: L1 complete spinal cord injury. History of Patient: 61-year-old male with L1 complete spinal cord injury from gunshot wound 10 years ago, wheelchair user seeking seating assessment. Plan of Action: Custom seating system fabrication, transfer training, wheelchair skills training, pressure relief education. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Independent wheelchair user. Equipment_needs: power wheelchair.
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Dr. Anderson: Good morning, I'm Dr. Anderson from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Timothy. I need help with my wheelchair. Dr. Anderson: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing decreased endurance, transfer difficulties. Dr. Anderson: How long has this been going on? Patient: This has been developing over 10 years. Dr. Anderson: Can you tell me about your medical background? Patient: I'm 61 years old and I have L1 complete spinal cord injury from gunshot wound. Dr. Anderson: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Anderson: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm independent wheelchair user for most activities. Dr. Anderson: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: scoliosis, contractures, fatigue, difficulty with stairs. Diagnosis: Duchenne muscular dystrophy. History of Patient: 49-year-old male with Duchenne muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Progressive equipment planning, family education, school accommodation, transition planning. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands functional. Mobility_level: Wheelchair dependent. Equipment_needs: postural supports.
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Dr. Velasquez: Good morning, I'm Dr. Velasquez from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Richard. I need help with equipment assessment. Dr. Velasquez: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing scoliosis, contractures. Dr. Velasquez: How long has this been going on? Patient: This has been developing over 2 years. Dr. Velasquez: Can you tell me about your medical background? Patient: I'm 49 years old and I have Duchenne muscular dystrophy from inherited disorder. Dr. Velasquez: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Velasquez: Tell me about your hand function and mobility level. Patient: both hands functional, and I'm wheelchair dependent for most activities. Dr. Velasquez: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: lateral capsular release surgery recommended, outpatient procedure, risks discussed including infection, anesthesia, need for postoperative rehab, mammogram advised at the age of forty five
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Doctor: Is this baby number two?
Patient: Yes, this is baby number two.
Doctor: How many times have you been pregnant, including miscarriages or abortions if any?
Patient: I've been pregnant two times in total. No miscarriages or abortions.
Doctor: When was your last period?
Patient: About a month ago.
Doctor: And how would you describe your periods? Light, normal, heavy?
Patient: Pretty normal.
Doctor: Any abnormal pap smears?
Patient: No, fortunately they've all been normal.
Doctor: That's wonderful to hear. And my last question for you is if you've ever gotten a mammogram?
Patient: I haven't gotten one before. Do I need to get one? I just turned thirty nine. What's the recommended age again?
Doctor: It depends. For example, the recommended age would be younger for someone who has a family history of breast cancer. Given that you don't have a positive family history of breast cancer, I'd advise getting one in a few years at the age of forty five.
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medical
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Symptoms: progressive muscle weakness, difficulty with transfers, respiratory compromise, cardiac issues. Diagnosis: limb-girdle muscular dystrophy. History of Patient: 36-year-old female with limb-girdle muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Power wheelchair assessment, postural support evaluation, respiratory equipment, home accessibility. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Power wheelchair user. Equipment_needs: power wheelchair.
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Dr. Bright: Good morning, I'm Dr. Bright from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm John. I need help with equipment assessment. Dr. Bright: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing progressive muscle weakness, difficulty with transfers. Dr. Bright: How long has this been going on? Patient: This has been developing over 3 months. Dr. Bright: Can you tell me about your medical background? Patient: I'm 36 years old and I have limb-girdle muscular dystrophy from inherited disorder. Dr. Bright: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Bright: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm power wheelchair user for most activities. Dr. Bright: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: weakness on affected side, balance deficits, visual field cuts, aphasia. Diagnosis: left CVA with right hemiparesis. History of Patient: 31-year-old male with left CVA with right hemiparesis from hemorrhagic stroke 2 years ago, requiring rehabilitation. Plan of Action: Hemiplegia positioning program, one-handed techniques training, visual compensation strategies, swallowing assessment. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Requires assistance. Equipment_needs: lap tray.
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Dr. Carr: Good morning, I'm Dr. Carr from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Jordan. I need help with equipment assessment. Dr. Carr: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing weakness on affected side, balance deficits. Dr. Carr: How long has this been going on? Patient: This has been developing over 2 years. Dr. Carr: Can you tell me about your medical background? Patient: I'm 31 years old and I have left CVA with right hemiparesis from hemorrhagic stroke. Dr. Carr: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Carr: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm requires assistance for most activities. Dr. Carr: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: N/A
Diagnosis: N/A
History of Patient: He is employed as a United States Marine officer, artillery repair specialist. He was a social drinker in the past but quit altogether two years ago. He never used tobacco products or illicit/intravenous drugs.
Plan of Action: N/A
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Doctor: What do you do for living?
Patient: I am an officer at United States Marine office, artillery repair specialist.
Doctor: Do you drink alcohol?
Patient: I use to drink socially but stopped two years back.
Doctor: How about smoking and drugs?
Patient: No not that.
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medical
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Symptoms: N/A.
Diagnosis: Normal blood urea nitrogen (BUN) and creatinine levels.
History of Patient: N/A.
Plan of Action: N/A.
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Doctor: Okay so your blood report is back and the cardiac enzyme we were looking for are negative.
Patient: Okay.
Doctor: Your blood urea nitrogen, also known as B U N, is within normal limits and hydrogen is stable. Creatinine is also within the normal range.
Patient: Great!
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medical
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Symptoms: difficulty with wheelchair propulsion, postural instability, pressure sores on sacrum, shoulder pain. Diagnosis: T6 complete spinal cord injury. History of Patient: 48-year-old female with T6 complete spinal cord injury from diving accident 10 years ago, wheelchair user seeking seating assessment. Plan of Action: Custom seating system fabrication, transfer training, wheelchair skills training, pressure relief education. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Independent wheelchair user. Equipment_needs: headrest.
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Dr. Bennett: Good morning, I'm Dr. Bennett from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Sonya. I need help with my wheelchair. Dr. Bennett: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing difficulty with wheelchair propulsion, postural instability. Dr. Bennett: How long has this been going on? Patient: This has been developing over 10 years. Dr. Bennett: Can you tell me about your medical background? Patient: I'm 48 years old and I have T6 complete spinal cord injury from diving accident. Dr. Bennett: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Bennett: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm independent wheelchair user for most activities. Dr. Bennett: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: contractures, shoulder subluxation, foot drop, spasticity. Diagnosis: left CVA with right hemiparesis. History of Patient: 66-year-old male with left CVA with right hemiparesis from embolic stroke 6 months ago, requiring rehabilitation. Plan of Action: Wheelchair prescription, home modifications, caregiver training, outpatient therapy referrals. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands functional. Mobility_level: Dependent for mobility. Equipment_needs: lap tray.
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Dr. Wilson: Good morning, I'm Dr. Wilson from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Kathy. I need help with equipment assessment. Dr. Wilson: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing contractures, shoulder subluxation. Dr. Wilson: How long has this been going on? Patient: This has been developing over 6 months. Dr. Wilson: Can you tell me about your medical background? Patient: I'm 66 years old and I have left CVA with right hemiparesis from embolic stroke. Dr. Wilson: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Wilson: Tell me about your hand function and mobility level. Patient: both hands functional, and I'm dependent for mobility for most activities. Dr. Wilson: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: progressive multiple sclerosis. History of Patient: 21-year-old female with progressive multiple sclerosis diagnosed 10 years ago, experiencing functional decline. Plan of Action: Power mobility evaluation, symptom management, exercise program, caregiver training. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Wheelchair dependent. Equipment_needs: cooling vest.
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Dr. Shah: Good morning, I'm Dr. Shah from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Christian. I need help with my seating. Dr. Shah: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Shah: How long has this been going on? Patient: This has been developing over 10 years. Dr. Shah: Can you tell me about your medical background? Patient: I'm 21 years old and I have progressive multiple sclerosis from autoimmune condition. Dr. Shah: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Shah: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm wheelchair dependent for most activities. Dr. Shah: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: fatigue, muscle weakness, balance problems, visual disturbances. Diagnosis: secondary progressive MS. History of Patient: 44-year-old female with secondary progressive MS diagnosed 10 years ago, experiencing functional decline. Plan of Action: Power mobility evaluation, symptom management, exercise program, caregiver training. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Independent with walking aids. Equipment_needs: grab bars.
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Dr. Baker: Good morning, I'm Dr. Baker from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Jeffery. I need help with my wheelchair. Dr. Baker: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing fatigue, muscle weakness. Dr. Baker: How long has this been going on? Patient: This has been developing over 10 years. Dr. Baker: Can you tell me about your medical background? Patient: I'm 44 years old and I have secondary progressive MS from autoimmune condition. Dr. Baker: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Baker: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm independent with walking aids for most activities. Dr. Baker: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: progressive muscle weakness, difficulty with transfers, respiratory compromise, cardiac issues. Diagnosis: Becker muscular dystrophy. History of Patient: 22-year-old male with Becker muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Progressive equipment planning, family education, school accommodation, transition planning. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Power wheelchair user. Equipment_needs: postural supports.
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Dr. Shelton: Good morning, I'm Dr. Shelton from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Cameron. I need help with my seating. Dr. Shelton: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing progressive muscle weakness, difficulty with transfers. Dr. Shelton: How long has this been going on? Patient: This has been developing over 5 years. Dr. Shelton: Can you tell me about your medical background? Patient: I'm 22 years old and I have Becker muscular dystrophy from inherited disorder. Dr. Shelton: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Shelton: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm power wheelchair user for most activities. Dr. Shelton: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: Left leg pain.
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
|
Doctor: How are you Mister James?
Patient: I have been better!
Doctor: Oh, tell me what's going on with you?
Patient: I have this leg pain on my left side.
Doctor: Hm, left leg pain?
Patient: Yeah.
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medical
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Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Retired insurance salesman, denies history of tobacco or illicit drug use, no history of alcohol abuse, currently abstinent from alcohol.
Plan Of Action: N/A.
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Doctor: Do you or have you used tobacco products,sir?
Patient: No. I have never been a smoker.
Doctor: Do you have any history of alcohol or recreational drugs use?
Patient: I have never been a drug user, but I used to drink a little, but it was never a problem. I don't drink any more.
Doctor: What do you do for a living?
Patient: I am retired. I used to be an insurance salesman.
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medical
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Symptoms: Headaches for about two days, lasting a couple of hours, consistent nausea and vomiting, dizziness, no vision changes, no chest pain, irregular heartbeat, numbness, or tingling, no diarrhea, melena, hematemesis, no urinary or fecal blood
Diagnosis: HEENT: See has had headaches, and some dizziness. She denies any vision changes. CARDIAC: She denies any chest pain or palpitations. RESPIRATORY: She denies any shortness of breath. GI: She has had persistent nausea and vomiting. She denies diarrhea, melena or hematemesis. NEUROLOGICAL: She denies any neurological deficits. All other systems were reviewed and were negative unless otherwise mentioned in HPI.
History of Complaint: N/A
Plan of Action: N/A
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Doctor: How many days has it been since your headaches started?
Patient: About two days now.
Doctor: How long do they normally last?
Patient: A couple hours.
Doctor: Any nausea or vomiting with the headaches? Any vision changes?
Patient: Yeah, it's been pretty consistent. No vision changes.
Doctor: Have you tried to take anything for it?
Patient: No, nothing. Oh and I have some dizziness with the headaches, too.
Doctor: How would you describe the dizziness? Room spinning?
Patient: Um kind of.
Doctor: Is this new for you?
Patient: Yeah. I've never had headaches like this before.
Doctor: Do you have any chest pains or an irregular heart beat?
Patient: No.
Doctor: Any numbness or tingling on any part of your body?
Patient: No.
Doctor: Okay. How is your urine and feces? Any blood? Any diarrhea?
Patient: None, thankfully.
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medical
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Symptoms: N/A
Diagnosis: N/A
History of Patient: taking Accutane for acne, no other medications
Plan of Action: N/A
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Doctor: Are you taking any medications?
Patient: Yes, I am taking Accutane for my acne issues.
Doctor: Okay, any other medicines?
Patient: No, just that.
Doctor: Okay.
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medical
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Symptoms: weakness on affected side, balance deficits, visual field cuts, aphasia. Diagnosis: bilateral stroke. History of Patient: 76-year-old male with bilateral stroke from embolic stroke 1 year ago, requiring rehabilitation. Plan of Action: Wheelchair prescription, home modifications, caregiver training, outpatient therapy referrals. Vision_status: Impaired. Hearing_status: Impaired. Hand_function: Right side dominant. Mobility_level: Requires assistance. Equipment_needs: ankle-foot orthosis.
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Dr. Gillespie: Good morning, I'm Dr. Gillespie from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Carrie. I need help with my seating. Dr. Gillespie: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing weakness on affected side, balance deficits. Dr. Gillespie: How long has this been going on? Patient: This has been developing over 1 year. Dr. Gillespie: Can you tell me about your medical background? Patient: I'm 76 years old and I have bilateral stroke from embolic stroke. Dr. Gillespie: How are your vision and hearing? Patient: My vision is impaired and my hearing is impaired. Dr. Gillespie: Tell me about your hand function and mobility level. Patient: right side dominant, and I'm requires assistance for most activities. Dr. Gillespie: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: difficulty with wheelchair propulsion, postural instability, pressure sores on sacrum, shoulder pain. Diagnosis: L1 complete spinal cord injury. History of Patient: 33-year-old male with L1 complete spinal cord injury from fall from height 3 months ago, wheelchair user seeking seating assessment. Plan of Action: Comprehensive wheelchair and seating evaluation, pressure mapping, postural assessment, equipment trials. Vision_status: Normal. Hearing_status: Impaired. Hand_function: Left side dominant. Mobility_level: Independent wheelchair user. Equipment_needs: headrest.
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Dr. Guzman: Good morning, I'm Dr. Guzman from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Guy. I need help with my posture. Dr. Guzman: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing difficulty with wheelchair propulsion, postural instability. Dr. Guzman: How long has this been going on? Patient: This has been developing over 3 months. Dr. Guzman: Can you tell me about your medical background? Patient: I'm 33 years old and I have L1 complete spinal cord injury from fall from height. Dr. Guzman: How are your vision and hearing? Patient: My vision is normal and my hearing is impaired. Dr. Guzman: Tell me about your hand function and mobility level. Patient: left side dominant, and I'm independent wheelchair user for most activities. Dr. Guzman: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: decreased endurance, transfer difficulties, equipment breakdown, seating discomfort. Diagnosis: T6 complete spinal cord injury. History of Patient: 67-year-old male with T6 complete spinal cord injury from motor vehicle accident 5 years ago, wheelchair user seeking seating assessment. Plan of Action: Custom seating system fabrication, transfer training, wheelchair skills training, pressure relief education. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands functional. Mobility_level: Modified independent with equipment. Equipment_needs: lateral supports.
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Dr. Marshall: Good morning, I'm Dr. Marshall from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Maxwell. I need help with equipment assessment. Dr. Marshall: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing decreased endurance, transfer difficulties. Dr. Marshall: How long has this been going on? Patient: This has been developing over 5 years. Dr. Marshall: Can you tell me about your medical background? Patient: I'm 67 years old and I have T6 complete spinal cord injury from motor vehicle accident. Dr. Marshall: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Marshall: Tell me about your hand function and mobility level. Patient: both hands functional, and I'm modified independent with equipment for most activities. Dr. Marshall: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: progressive multiple sclerosis. History of Patient: 47-year-old female with progressive multiple sclerosis diagnosed 10 years ago, experiencing functional decline. Plan of Action: Power mobility evaluation, symptom management, exercise program, caregiver training. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Wheelchair dependent. Equipment_needs: walker.
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Dr. Perez: Good morning, I'm Dr. Perez from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Tyler. I need help with my posture. Dr. Perez: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Perez: How long has this been going on? Patient: This has been developing over 10 years. Dr. Perez: Can you tell me about your medical background? Patient: I'm 47 years old and I have progressive multiple sclerosis from unknown etiology. Dr. Perez: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Perez: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm wheelchair dependent for most activities. Dr. Perez: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: relapsing-remitting multiple sclerosis. History of Patient: 80-year-old male with relapsing-remitting multiple sclerosis diagnosed 10 years ago, experiencing functional decline. Plan of Action: Fatigue management strategies, adaptive equipment trial, home safety assessment, energy conservation. Vision_status: Unsure. Hearing_status: Normal. Hand_function: Right side impaired. Mobility_level: Variable depending on symptoms. Equipment_needs: walker.
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Dr. Martinez: Good morning, I'm Dr. Martinez from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Dana. I need help with my seating. Dr. Martinez: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Martinez: How long has this been going on? Patient: This has been developing over 10 years. Dr. Martinez: Can you tell me about your medical background? Patient: I'm 80 years old and I have relapsing-remitting multiple sclerosis from autoimmune condition. Dr. Martinez: How are your vision and hearing? Patient: My vision is unsure and my hearing is normal. Dr. Martinez: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm variable depending on symptoms for most activities. Dr. Martinez: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: decreased endurance, transfer difficulties, equipment breakdown, seating discomfort. Diagnosis: T6 complete spinal cord injury. History of Patient: 30-year-old female with T6 complete spinal cord injury from fall from height 6 months ago, wheelchair user seeking seating assessment. Plan of Action: Comprehensive wheelchair and seating evaluation, pressure mapping, postural assessment, equipment trials. Vision_status: Normal. Hearing_status: Normal. Hand_function: Right side impaired. Mobility_level: Independent wheelchair user. Equipment_needs: lateral supports.
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Dr. Lee: Good morning, I'm Dr. Lee from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Joanna. I need help with equipment assessment. Dr. Lee: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing decreased endurance, transfer difficulties. Dr. Lee: How long has this been going on? Patient: This has been developing over 6 months. Dr. Lee: Can you tell me about your medical background? Patient: I'm 30 years old and I have T6 complete spinal cord injury from fall from height. Dr. Lee: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Lee: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm independent wheelchair user for most activities. Dr. Lee: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: widow, local resident, no smoking or illicit drug use
Plan of Action: N/A
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Doctor: So, do you live in the area?
Patient: Yes, my husband and I have lived here for a long time. He died a few years back.
Doctor: I'm sorry to hear that.
Patient: It's alright.
Doctor: Do you smoke or drink?
Patient: No, I don't.
Doctor: Do you use any illicit drugs or substances?
Patient: No, I don't do anything like that.
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medical
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Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: progressive multiple sclerosis. History of Patient: 83-year-old female with progressive multiple sclerosis diagnosed 2 years ago, experiencing functional decline. Plan of Action: Power mobility evaluation, symptom management, exercise program, caregiver training. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side dominant. Mobility_level: Wheelchair dependent. Equipment_needs: cooling vest.
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Dr. Molina: Good morning, I'm Dr. Molina from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Ashley. I need help with my wheelchair. Dr. Molina: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Molina: How long has this been going on? Patient: This has been developing over 2 years. Dr. Molina: Can you tell me about your medical background? Patient: I'm 83 years old and I have progressive multiple sclerosis from unknown etiology. Dr. Molina: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Molina: Tell me about your hand function and mobility level. Patient: left side dominant, and I'm wheelchair dependent for most activities. Dr. Molina: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: relapsing-remitting multiple sclerosis. History of Patient: 60-year-old female with relapsing-remitting multiple sclerosis diagnosed 2 years ago, experiencing functional decline. Plan of Action: Power mobility evaluation, symptom management, exercise program, caregiver training. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands functional. Mobility_level: Wheelchair dependent. Equipment_needs: power wheelchair.
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Dr. Edwards: Good morning, I'm Dr. Edwards from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Emily. I need help with my wheelchair. Dr. Edwards: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Edwards: How long has this been going on? Patient: This has been developing over 2 years. Dr. Edwards: Can you tell me about your medical background? Patient: I'm 60 years old and I have relapsing-remitting multiple sclerosis from unknown etiology. Dr. Edwards: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Edwards: Tell me about your hand function and mobility level. Patient: both hands functional, and I'm wheelchair dependent for most activities. Dr. Edwards: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: progressive muscle weakness, difficulty with transfers, respiratory compromise, cardiac issues. Diagnosis: limb-girdle muscular dystrophy. History of Patient: 46-year-old male with limb-girdle muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Progressive equipment planning, family education, school accommodation, transition planning. Vision_status: Normal. Hearing_status: Normal. Hand_function: Right side impaired. Mobility_level: Power wheelchair user. Equipment_needs: ventilator support.
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Dr. Glenn: Good morning, I'm Dr. Glenn from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Terri. I need help with equipment assessment. Dr. Glenn: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing progressive muscle weakness, difficulty with transfers. Dr. Glenn: How long has this been going on? Patient: This has been developing over 5 years. Dr. Glenn: Can you tell me about your medical background? Patient: I'm 46 years old and I have limb-girdle muscular dystrophy from genetic condition. Dr. Glenn: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Glenn: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm power wheelchair user for most activities. Dr. Glenn: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: scissoring of legs, forward head posture, hip subluxation, contractures. Diagnosis: athetoid cerebral palsy. History of Patient: 20-year-old female with athetoid cerebral palsy from brain injury at birth, requiring postural management. Plan of Action: Custom wheelchair configuration, communication device integration, family training, school equipment. Vision_status: Impaired. Hearing_status: Impaired. Hand_function: Right side impaired. Mobility_level: Independent with adapted equipment. Equipment_needs: communication device.
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Dr. Hammond: Good morning, I'm Dr. Hammond from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Wendy. I need help with my posture. Dr. Hammond: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing scissoring of legs, forward head posture. Dr. Hammond: How long has this been going on? Patient: This has been developing over 1 year. Dr. Hammond: Can you tell me about your medical background? Patient: I'm 20 years old and I have athetoid cerebral palsy from brain injury at birth. Dr. Hammond: How are your vision and hearing? Patient: My vision is impaired and my hearing is impaired. Dr. Hammond: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm independent with adapted equipment for most activities. Dr. Hammond: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Consume Alcohol.
Plan of Action: N/A.
|
Doctor: Do you use tobacco products, alcohol, or recreational drugs, miss?
Patient: I have a drink every once and a while.
Doctor: How many drinks do you consume in a week?
Patient: I don't even drink that often. I probably have one drink per month.
Doctor: Are you married?
Patient: I was engaged but that is not happening anymore. It is a long story.
Doctor: I am sorry the hear that. What do you do for work?
Patient: I am a metal grinder.
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medical
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Symptoms: coordination difficulties, numbness and tingling, muscle stiffness, depression. Diagnosis: secondary progressive MS. History of Patient: 38-year-old male with secondary progressive MS diagnosed 5 years ago, experiencing functional decline. Plan of Action: Power mobility evaluation, symptom management, exercise program, caregiver training. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Independent with walking aids. Equipment_needs: power wheelchair.
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Dr. Moore: Good morning, I'm Dr. Moore from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Rebecca. I need help with my posture. Dr. Moore: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing coordination difficulties, numbness and tingling. Dr. Moore: How long has this been going on? Patient: This has been developing over 5 years. Dr. Moore: Can you tell me about your medical background? Patient: I'm 38 years old and I have secondary progressive MS from unknown etiology. Dr. Moore: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Moore: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm independent with walking aids for most activities. Dr. Moore: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: loss of ambulation, postural changes, equipment breakdown, growth changes. Diagnosis: Becker muscular dystrophy. History of Patient: 27-year-old male with Becker muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Progressive equipment planning, family education, school accommodation, transition planning. Vision_status: Normal. Hearing_status: Normal. Hand_function: Right side impaired. Mobility_level: Power wheelchair user. Equipment_needs: ventilator support.
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Dr. Richardson: Good morning, I'm Dr. Richardson from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Bill. I need help with my posture. Dr. Richardson: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing loss of ambulation, postural changes. Dr. Richardson: How long has this been going on? Patient: This has been developing over 5 years. Dr. Richardson: Can you tell me about your medical background? Patient: I'm 27 years old and I have Becker muscular dystrophy from inherited disorder. Dr. Richardson: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Richardson: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm power wheelchair user for most activities. Dr. Richardson: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
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Symptoms: Swelling, pain onset immediately after injury, pain with weightbearing activities, limping
Diagnosis: Inversion injury, tenderness around the navicular
History of Patient: Injured foot during basketball game while traveling to Duke, landed on another player's foot, taped by trainer John Houston, continued playing after injury
Plan of Action: Patient has been in a walking boot, foot taped firmly, advised to continue wearing the tape, continue monitoring for pain and swelling
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Doctor: How's it going X Y Z? I see you're in a walking boot. What happened?
Patient: I hurt my foot pretty bad yesterday.
Doctor: How'd it happen?
Patient: Basketball. I play for the University of Houston. I went up for a three and came down and landed on this guy's foot. I was so pissed.
Doctor: Dang, that sucks. Were you guys playing a home game?
Patient: We were traveling to Duke. We could've won the game if I didn't get hurt.
Doctor: You'll get them next time. Did you keep playing?
Patient: Yeah, I did. I got taped up by the trainer, and I went back into the game.
Doctor: I see. Who was the trainer that helped you?
Patient: His name is John Houston. Do you know him?
Doctor: Oh, John! He's a good friend of mine.
Patient: Yeah, he told me to come see you. He checked my foot. Here's the notes he wrote.
Doctor: It looks like you have some tenderness around your navicular, which is a bone in your ankle.
Patient: Dang, that's whack.
Doctor: Which way did you twist your ankle?
Patient: My foot twisted inwards. Kind of like this.
Doctor: I see. Your foot inverted. Did it swell up right away?
Patient: Aw, man. My foot was huge right after it happened. It hurt so much too.
Doctor: Continue to keep that tape on. Are you limping or anything?
Patient: Yeah, I am. I can't really put weight on my foot because it'll hurt a lot.
Doctor: I see. Well, I examined your foot, and it looks like the pain is around the top, back and middle of your foot.
|
medical
|
Symptoms: contractures, shoulder subluxation, foot drop, spasticity. Diagnosis: brainstem stroke. History of Patient: 67-year-old female with brainstem stroke from ischemic stroke 3 months ago, requiring rehabilitation. Plan of Action: Wheelchair prescription, home modifications, caregiver training, outpatient therapy referrals. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Right side dominant. Mobility_level: Requires assistance. Equipment_needs: lap tray.
|
Dr. Carter: Good morning, I'm Dr. Carter from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Robert. I need help with my seating. Dr. Carter: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing contractures, shoulder subluxation. Dr. Carter: How long has this been going on? Patient: This has been developing over 3 months. Dr. Carter: Can you tell me about your medical background? Patient: I'm 67 years old and I have brainstem stroke from ischemic stroke. Dr. Carter: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Carter: Tell me about your hand function and mobility level. Patient: right side dominant, and I'm requires assistance for most activities. Dr. Carter: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
Symptoms: neglect syndrome, swallowing difficulties, cognitive impairment, emotional lability. Diagnosis: left CVA with right hemiparesis. History of Patient: 69-year-old male with left CVA with right hemiparesis from hemorrhagic stroke 6 months ago, requiring rehabilitation. Plan of Action: Hemiplegia positioning program, one-handed techniques training, visual compensation strategies, swallowing assessment. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Left side dominant. Mobility_level: Independent with supervision. Equipment_needs: hemi-wheelchair.
|
Dr. Knight: Good morning, I'm Dr. Knight from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Ashley. I need help with my posture. Dr. Knight: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing neglect syndrome, swallowing difficulties. Dr. Knight: How long has this been going on? Patient: This has been developing over 6 months. Dr. Knight: Can you tell me about your medical background? Patient: I'm 69 years old and I have left CVA with right hemiparesis from hemorrhagic stroke. Dr. Knight: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Knight: Tell me about your hand function and mobility level. Patient: left side dominant, and I'm independent with supervision for most activities. Dr. Knight: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: fatigue, muscle weakness, balance problems, visual disturbances. Diagnosis: secondary progressive MS. History of Patient: 23-year-old female with secondary progressive MS diagnosed 2 years ago, experiencing functional decline. Plan of Action: Power mobility evaluation, symptom management, exercise program, caregiver training. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side dominant. Mobility_level: Variable depending on symptoms. Equipment_needs: walker.
|
Dr. James: Good morning, I'm Dr. James from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Jennifer. I need help with equipment assessment. Dr. James: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing fatigue, muscle weakness. Dr. James: How long has this been going on? Patient: This has been developing over 2 years. Dr. James: Can you tell me about your medical background? Patient: I'm 23 years old and I have secondary progressive MS from autoimmune condition. Dr. James: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. James: Tell me about your hand function and mobility level. Patient: left side dominant, and I'm variable depending on symptoms for most activities. Dr. James: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
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rehabilitation
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: No abnormal behavior noted, no coughing, gagging, vomiting, or other Symptoms observed; child spilled liquid on clothes, ground, and hands, but no ingestion witnessed
Plan of Action: N/A
|
Doctor: Have you notied her behaving strangly in any way?
Guest_family: No. She is acting perfectly normal.
Doctor: Has she been gagging, coughing, vomiting or any other symptoms?
Guest_family: No. The only thing that I noticed is that she spilled the liquid all over her clothes, the ground and on her hands.
Doctor: Did you see her ingest any of the fluid?
Guest_family: No. We didn't see her put it in her mouth. I looked inside her mouth and didn't see anything.
|
medical
|
Symptoms: difficulty with wheelchair propulsion, postural instability, pressure sores on sacrum, shoulder pain. Diagnosis: T12 incomplete spinal cord injury. History of Patient: 50-year-old female with T12 incomplete spinal cord injury from motor vehicle accident 1 year ago, wheelchair user seeking seating assessment. Plan of Action: Custom seating system fabrication, transfer training, wheelchair skills training, pressure relief education. Vision_status: Impaired. Hearing_status: Impaired. Hand_function: Right side impaired. Mobility_level: Independent wheelchair user. Equipment_needs: power wheelchair.
|
Dr. Li: Good morning, I'm Dr. Li from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Lauren. I need help with my wheelchair. Dr. Li: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing difficulty with wheelchair propulsion, postural instability. Dr. Li: How long has this been going on? Patient: This has been developing over 1 year. Dr. Li: Can you tell me about your medical background? Patient: I'm 50 years old and I have T12 incomplete spinal cord injury from motor vehicle accident. Dr. Li: How are your vision and hearing? Patient: My vision is impaired and my hearing is impaired. Dr. Li: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm independent wheelchair user for most activities. Dr. Li: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: The patient is married. She is a nonsmoker and nondrinker.
Plan of Action: Refill medication. Patient's stress management includes meditation and yoga, supported by her husband. Patient is nonsmoker and nondrinker.
|
Doctor: Hello, miss. How are you? What brings you to my office today?
Patient: I am doing well. Just here for a refill on my medication.
Doctor: Great. That should be easy. How has the stress management been going to control the acne?
Patient: It is going well. My husband has been on board with my meditations and yoga. He is very supportive.
Doctor: Wonderful. Are will still clean from drinking and smoking? That can interact with your medications.
Patient: Yeah I know. I don't drink or smoke.
|
medical
|
Symptoms: loss of ambulation, postural changes, equipment breakdown, growth changes. Diagnosis: limb-girdle muscular dystrophy. History of Patient: 30-year-old female with limb-girdle muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Power wheelchair assessment, postural support evaluation, respiratory equipment, home accessibility. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands functional. Mobility_level: Power wheelchair user. Equipment_needs: patient lift.
|
Dr. Collins: Good morning, I'm Dr. Collins from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Mark. I need help with equipment assessment. Dr. Collins: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing loss of ambulation, postural changes. Dr. Collins: How long has this been going on? Patient: This has been developing over 5 years. Dr. Collins: Can you tell me about your medical background? Patient: I'm 30 years old and I have limb-girdle muscular dystrophy from inherited disorder. Dr. Collins: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Collins: Tell me about your hand function and mobility level. Patient: both hands functional, and I'm power wheelchair user for most activities. Dr. Collins: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
Symptoms: loss of ambulation, postural changes, equipment breakdown, growth changes. Diagnosis: limb-girdle muscular dystrophy. History of Patient: 57-year-old male with limb-girdle muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Power wheelchair assessment, postural support evaluation, respiratory equipment, home accessibility. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Power wheelchair user. Equipment_needs: power wheelchair.
|
Dr. Lawrence: Good morning, I'm Dr. Lawrence from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Brandon. I need help with my posture. Dr. Lawrence: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing loss of ambulation, postural changes. Dr. Lawrence: How long has this been going on? Patient: This has been developing over 10 years. Dr. Lawrence: Can you tell me about your medical background? Patient: I'm 57 years old and I have limb-girdle muscular dystrophy from genetic condition. Dr. Lawrence: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Lawrence: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm power wheelchair user for most activities. Dr. Lawrence: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: anemia, high cholesterol, hypothyroidism
Plan of Action: N/A
|
Doctor: Do you have any chronic medical conditions that I should know about?
Patient: What do you mean by that, doctor?
Doctor: Well, it could be anything from high blood pressure, to depression, to cancer. Do any of those sound familiar?
Patient: Oh, yeah, I have a few things like that. I have anemia, high cholesterol, and, um, hypothyroidism.
|
medical
|
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: G3 (gravida 3, meaning total number of pregnancies including current one), P1 (para 1, meaning number of live births), history of one previous miscarriage before the birth of her son, currently 5 months' pregnant.
Plan Of Action: N/A.
|
Doctor: Welcome to the clinic.
Patient: Thank you.
Doctor: It looks like you were referred to us by Doctor Jones.
Patient: Yes I was.
Doctor: Great! The chart notes that Doctor Jones sent over says you are currently twenty weeks pregnant. Is that correct?
Patient: Yes, I am.
Doctor: Do you have any other children?
Patient: Yes. I have a two year old son.
Doctor: Have you ever had any pregnancies? Including miscarriages or abortions.
Patient: Yes. I had a miscarriage before my son was born.
Doctor: I am so sorry to hear that.
Patient: Thank you.
|
medical
|
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
|
Doctor: Does anyone in your family have a neurological disorder?
Patient: No, not to my knowledge.
|
medical
|
Symptoms: scissoring of legs, forward head posture, hip subluxation, contractures. Diagnosis: spastic quadriplegia cerebral palsy. History of Patient: 42-year-old female with spastic quadriplegia cerebral palsy from brain injury at birth, requiring postural management. Plan of Action: Postural management program, spasticity assessment, seating modifications, orthotics evaluation. Vision_status: Normal. Hearing_status: Normal. Hand_function: Left side impaired. Mobility_level: Requires assistance. Equipment_needs: communication device.
|
Dr. Kelly: Good morning, I'm Dr. Kelly from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Jacob. I need help with my seating. Dr. Kelly: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing scissoring of legs, forward head posture. Dr. Kelly: How long has this been going on? Patient: This has been developing over 3 months. Dr. Kelly: Can you tell me about your medical background? Patient: I'm 42 years old and I have spastic quadriplegia cerebral palsy from brain injury at birth. Dr. Kelly: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Kelly: Tell me about your hand function and mobility level. Patient: left side impaired, and I'm requires assistance for most activities. Dr. Kelly: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
Symptoms: poor sitting balance, forward head posture, pelvic obliquity, muscle spasms. Diagnosis: L1 complete spinal cord injury. History of Patient: 61-year-old male with L1 complete spinal cord injury from motor vehicle accident 2 years ago, wheelchair user seeking seating assessment. Plan of Action: Comprehensive wheelchair and seating evaluation, pressure mapping, postural assessment, equipment trials. Vision_status: Impaired. Hearing_status: Impaired. Hand_function: Right side impaired. Mobility_level: Independent wheelchair user. Equipment_needs: power wheelchair.
|
Dr. Shaw: Good morning, I'm Dr. Shaw from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Teresa. I need help with my seating. Dr. Shaw: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing poor sitting balance, forward head posture. Dr. Shaw: How long has this been going on? Patient: This has been developing over 2 years. Dr. Shaw: Can you tell me about your medical background? Patient: I'm 61 years old and I have L1 complete spinal cord injury from motor vehicle accident. Dr. Shaw: How are your vision and hearing? Patient: My vision is impaired and my hearing is impaired. Dr. Shaw: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm independent wheelchair user for most activities. Dr. Shaw: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: episode of syncope, seizure activity, no Symptoms of chest pain or shortness of breath, no palpitation, no prior cardiac history.
Plan of Action: N/A.
|
Doctor: Good afternoon Sir. Do you know how you got here?
Patient: Yes, I passed out and the paramedics brought me to the hospital.
Doctor: Do you have any recollection of the incidences leading up to your loss of consciousness?
Patient: I think I had a seizure and then I passed out.
Doctor: Prior to the episode did you experience any chest pain or shortness of breath?
Patient: No.
Doctor: Any feelings of abnormal heart rhythm?
Patient: No.
Doctor: Do you have any history of any cardiac problems?
Patient: No.
Doctor: How are you feeling now?
Patient: I feel fine.
Doctor: Do you know how old you are?
Patient: I am sixty nine.
|
medical
|
Symptoms: loss of ambulation, postural changes, equipment breakdown, growth changes. Diagnosis: Duchenne muscular dystrophy. History of Patient: 34-year-old male with Duchenne muscular dystrophy, progressive neuromuscular disorder requiring adaptive equipment. Plan of Action: Progressive equipment planning, family education, school accommodation, transition planning. Vision_status: Normal. Hearing_status: Normal. Hand_function: Both hands functional. Mobility_level: Wheelchair dependent. Equipment_needs: ventilator support.
|
Dr. Hamilton: Good morning, I'm Dr. Hamilton from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Andrew. I need help with my seating. Dr. Hamilton: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing loss of ambulation, postural changes. Dr. Hamilton: How long has this been going on? Patient: This has been developing over 6 months. Dr. Hamilton: Can you tell me about your medical background? Patient: I'm 34 years old and I have Duchenne muscular dystrophy from genetic condition. Dr. Hamilton: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Hamilton: Tell me about your hand function and mobility level. Patient: both hands functional, and I'm wheelchair dependent for most activities. Dr. Hamilton: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
Symptoms: fatigue, muscle weakness, balance problems, visual disturbances. Diagnosis: progressive multiple sclerosis. History of Patient: 26-year-old female with progressive multiple sclerosis diagnosed 1 year ago, experiencing functional decline. Plan of Action: Fatigue management strategies, adaptive equipment trial, home safety assessment, energy conservation. Vision_status: Unsure. Hearing_status: Normal. Hand_function: Both hands impaired. Mobility_level: Independent with walking aids. Equipment_needs: cooling vest.
|
Dr. Harrison: Good morning, I'm Dr. Harrison from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Jared. I need help with my wheelchair. Dr. Harrison: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing fatigue, muscle weakness. Dr. Harrison: How long has this been going on? Patient: This has been developing over 1 year. Dr. Harrison: Can you tell me about your medical background? Patient: I'm 26 years old and I have progressive multiple sclerosis from unknown etiology. Dr. Harrison: How are your vision and hearing? Patient: My vision is unsure and my hearing is normal. Dr. Harrison: Tell me about your hand function and mobility level. Patient: both hands impaired, and I'm independent with walking aids for most activities. Dr. Harrison: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
Symptoms: decreased endurance, transfer difficulties, equipment breakdown, seating discomfort. Diagnosis: L1 complete spinal cord injury. History of Patient: 82-year-old male with L1 complete spinal cord injury from fall from height 10 years ago, wheelchair user seeking seating assessment. Plan of Action: Comprehensive wheelchair and seating evaluation, pressure mapping, postural assessment, equipment trials. Vision_status: Normal. Hearing_status: Normal. Hand_function: Right side impaired. Mobility_level: Modified independent with equipment. Equipment_needs: manual wheelchair.
|
Dr. Vargas: Good morning, I'm Dr. Vargas from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Julie. I need help with equipment assessment. Dr. Vargas: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing decreased endurance, transfer difficulties. Dr. Vargas: How long has this been going on? Patient: This has been developing over 10 years. Dr. Vargas: Can you tell me about your medical background? Patient: I'm 82 years old and I have L1 complete spinal cord injury from fall from height. Dr. Vargas: How are your vision and hearing? Patient: My vision is normal and my hearing is normal. Dr. Vargas: Tell me about your hand function and mobility level. Patient: right side impaired, and I'm modified independent with equipment for most activities. Dr. Vargas: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
Symptoms: tremor, cognitive changes, bladder dysfunction, heat sensitivity. Diagnosis: progressive multiple sclerosis. History of Patient: 73-year-old female with progressive multiple sclerosis diagnosed 2 years ago, experiencing functional decline. Plan of Action: Power mobility evaluation, symptom management, exercise program, caregiver training. Vision_status: Impaired. Hearing_status: Normal. Hand_function: Right side dominant. Mobility_level: Independent with walking aids. Equipment_needs: walker.
|
Dr. Hardy: Good morning, I'm Dr. Hardy from the rehabilitation engineering unit. What brings you here today? Patient: Hi, I'm Vincent. I need help with equipment assessment. Dr. Hardy: I see. Can you tell me about the specific problems you're having? Patient: I'm experiencing tremor, cognitive changes. Dr. Hardy: How long has this been going on? Patient: This has been developing over 2 years. Dr. Hardy: Can you tell me about your medical background? Patient: I'm 73 years old and I have progressive multiple sclerosis from unknown etiology. Dr. Hardy: How are your vision and hearing? Patient: My vision is impaired and my hearing is normal. Dr. Hardy: Tell me about your hand function and mobility level. Patient: right side dominant, and I'm independent with walking aids for most activities. Dr. Hardy: What are your main goals for this assessment? Patient: I want to improve my independence and comfort with daily activities.
|
rehabilitation
|
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in Data Studio
MSK-Medical-Rehabilitation-Dialogue-Assessment
Dataset Description
This dataset combines medical consultations with rehabilitation engineering assessments for training models on healthcare dialogue and entity extraction tasks.
Dataset Summary
- Total Samples: 4,301
- Medical Consultations: 1,200 (from MTS-Dialog dataset)
- Rehabilitation Assessments: 3,000 (synthetic, covering wheelchair/seating evaluations)
- Format: Doctor-patient dialogues with structured clinical notes
Data Structure
dialogue: Conversation between healthcare provider and patientsection_text: Structured clinical note with extracted entitiessource: Data source ("medical" or "rehabilitation")
Entity Types Extracted
Medical Entities:
- Symptoms, Diagnosis, Medical History, Plan of Action
Rehabilitation-Specific Entities:
- Vision_status, Hearing_status, Hand_function, Mobility_level, Equipment_needs
Use Cases
- Clinical dialogue understanding
- Medical entity extraction
- Healthcare NLP model training
- Cross-domain generalization research
Dataset Creation
This dataset combines:
- MTS-Dialog dataset (1,200 samples) - General medical consultations
- Synthetic rehabilitation assessments (3,000 samples) - Generated specifically for musculoskeletal and rehabilitation engineering scenarios
Citation
If you use this dataset, please cite:
@dataset{msk_medical_rehab_2024,
title = {MSK Medical Rehabilitation Dialogue Assessment Dataset},
author = {Abiola Ayuba},
year = {2024},
publisher = {Hugging Face},
url = {https://huggingface.co/datasets/Atereoyin/MSK-Medical-Rehabilitation-Dialogue-Assessment}
}
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