New Hope Clinic Weekly Reports March Weekly Report March 2-6, 2015
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- Derick Lewis
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1 New Hope Clinic Weekly Reports March 2015 Weekly Report March 2-6, 2015 This week we saw a total of 100 patients, 30 of whom were unable to pay because of limited financial I sent a 4 year old girl to Tegucigalpa with acute diarrhea syndrome and moderate to severe dehydration. The evacuations were accompanied by small bits of blood and she was in a bad nutrition condition. The child was transported and helped economically with clinic funds because the mother of the child does not have the economic resources and she lost her husband in an accident 6 months ago. The child is out of danger from her diarrhea condition but is still in the nutrition ward until she gains weight and her nutritional state is improved. This week we did a clean-up operation in the community of El Nance and gve a talk to the students on dental hygiene. 1 patient with dysentery 4 patients with gastroenteritis 2 patients with signs and symptoms of CRUP 1 patient with signs and symptoms of senile dementia 2 patients with grade I sprains 2 patients with common warts 4 patients with signs and symptoms of urinary infection 1 patient with infected wound on the right hand 1 patient for control of partial facial paralysis 1 [patient with seborrhea dermatitis 2 patients with anemia as shown by lab results 2 patients with allergic conjunctivitis 2 patients with elevated uric acid 2 patients for control of insufficient venous 1 patient with bacterial conjunctivitis 3 patients with acute diarrhea syndrome 4 patients recalled for Pap smear results and treatment 6 patients with common colds 2 Patients with bronchitis 1 patient for control of leg ulcer caused by insufficient venous 2 patients with rhinitis 2 patients for menstrual pains 2 cases of control for bronchial asthma 2 patients for pregnancy tests 1 patient with erectile dysfunction 4 patients for family planning 2 patients with toenail fungus 2 patients with viral throat infections 2 patients for catheter changes 3 patients for minor surgery 2 patients with inner ear infections 2 patients for control of irritable colon problems
2 1 patient for wound cleaning 2 patients with allergic dermatitis 2 patients positive for helicobacter Pylori 1 patient with depression syndrome 2 patients with grade II varicose veins 2 patients with post menopause syndrome 3 prenatal visits 3 Pap smears 9 patients for diabetes control 6 patients for hypertension control In Christ, Dr. Davila Dental Clinic Report This week I saw a total of 30 patients, 8 of whom were unable to pay because of limited financial Extractions 16 Prophylaxis 3 Fillings 17 Dental Surgery 1 Weekly Report for March 9-13, 2015 This week we saw a total of 90 patients, 28 of whom were unable to pay because of limited financial This week we saw an emergency of a 16 year old girl who was cutting wood with a machete and accidentally hit her foot with the machete producing a wound to the bone on her tibia. The patient came to the clinic 72 hours after having suffered the accident because the wound was infected and the bone was exposed. We immediately transferred her to Hospital Escuela. The patient was admitted to the orthopedic ward for a stay of more than 2 weeks. She is now in good health. This week we met with the health Committee to coordinate the next vaccination campaign which begins in April. 1 patient for wound cleaning 3 patients for allergic dermatitis 1 patient with gonorrhea 1 patient with hepatomegalia 5 cases of gastroenteritis 2 cases of hemorrhoids 2 patients with grade II varicose veins 3 patients with post menopause syndrome 2 patients with athlete's foot
3 4 prenatal visits 4 Pap smears 12 patients for diabetes control 10 patients for hypertension control 1 patient with kidney stones 3 patients for control of irritable colon problems 2 patients with impetigo 2 patients with lactose intolerance syndrome 2 patients with probable arthritis 2 patients with osteocondritis 1 patient with signs and symptoms of hair loss 1 patient with ringworm 3 patients with elevated uric acid 2 patients with hyperhidrosis 2 patients with scabies 2 patients with stomatitis 2 patients with signs and symptoms of muscle weakness 2 patients with possible ovarian cysts 2 patients with vaginal infection probably gardnerella 1 patient with nasal polyp 1 patient with benign lipoma 3 patients with probable intestinal Giardia lambia 2 patients with Gingivitis 2 patients with anemia as shown by lab results 2 patients with allergic conjunctivitis In Chris, Dr. Davila Dental Clinic Report This week I saw a total of 38 patients, 11 of whom were unable to pay because of limited financial Extractions 18 Prophylaxis 2 Fillings 25 Dental Surgery 1 Root Canal 1 Weekly Report March 16-20, 2015 This week we saw a total of 92 patients, 40 of whom were unable to pay because of limited financial This week I attended an emergency birth of a 20 year old, with no history of births nor birth control. When the patient arrived dilation was almost complete. We admitted her to the delivery room and
4 shortly a rather healthy baby was born. The mother suffered a grade I tear which was satisfactorily repaired. The baby boy weighed 7 pounds with no apparent congenital malformations. Thanks be to the Lord it was a success. I gave a talk on adolescent pregnancy and organized a clean-up operation in the community of Piedra Gorda. Commented [SS1]: 1 normal birth 2 cases of control for bronchial asthma 2 patients for suture removal 4 patients recalled for Pap smear results and treatment 4 patients for catheter changes 2 patients with elevated uric acid 2 patients with sinusitis 1 patient with rhinitis 4 cases of gastritis 2 patients for gastroenteritis 2 patients for control of irritable colon problems 2 patients with mastitis 1 patient with stomatitis 2 patients for acute diarrhea syndrome 2 patients with inner ear infections 4 prenatal visits 2 Pap smears 2 patients with common warts 7 patients for hypertension control 8 patients for diabetes control 3 patients with probable arthritis 1 patient with athlete's foot 1 patient with venous circulation problems 1 patient with muscle spasm problems 1 patient with signs and symptoms of slight pneumonia 1 patient with signs and symptoms of acute abdominal? 1 patient with dysentery 1 patient with Lumbago 1 patient with torticollis 1 patient with Gingivitis 2 patients with lipoma 3 patients for pregnancy tests 2 patients with melasma 1 patient with impetigo 2 patients for wound cleaning 1 patient with a foreign object in the right eye 1 patient with diaper rash 1 patient with bacterial conjunctivitis 8 common colds 1 patient with bronchitis 2 patients for minor surgery
5 1 patient with seborrhea dermatitis In Christ, Dr. Davila Dental Clinic This week I saw a total of 40 patients, 9 of whom were unable to pay because of limited financial Extractions 25 Prophylaxis 2 Fillings 29 Root Canals 9 Weekly Report March 23-27, 2015 This week we saw a total of 90 patients, 24 of whom were unable to pay because of limited financial This week I took care of an emergency of a 52 year old man who had suffered a crushing of his first and second fingers of his left hand. He is a mason and was working and a concrete block fell accidentally from a height of two meters causing the crushing. Unfortunately the patient lost the tips of the two fingers. We cleaned and repaired the wounds. When the patient entered the clinic he had very low blood pressure caused by the great loss of blood. It was necessary to give him intravenous liquids to bring up his arterial pressure. The patient is doing well now, but with bad memories of the accident. He is however grateful to the clinic for the opportune help. I gave a talk on Dengue y Malaria in the community of Los Perez. 1 patient with a crushed first and second finger of the left hand 2 patients with oral Candidiasis 1 patient with nasal polyps 2 patients with depression syndrome 2 patients with stomatitis 1 patient with signs and symptoms of hair loss 1 patient with infected wound 1 patient with grade I sprain 1 patient with ringworm 2 patients with scabies 3 patients with signs and symptoms of muscle weakness 1 patient with possible ovarian cyst 4 patients with gastroenteritis 2 patients with menstrual pain 2 patients with scalp ringworm 2 patients with vaginal infection, probably gardnerella 2 patients with muscles tears 2 patients with labial herpes
6 2 patients with probable intestinal Giardia lambia 2 patients with Gingivitis 2 patients with allergic conjunctivitis 8 common colds 2 patients with bronchitis 2 patients with allergic dermatitis 1 patient with signs and symptoms of heatstroke 2 patients for control of irritable colon problems 1 patient with hemorrhoids 2 patients with probable arthritis 2 patients with osteocondritis 2 patients with diarrhea syndrome and moderate dehydration 4 Pap smears 2 patients for IUD replacement 9 patients for hypertension control 10 patients for diabetes control 4 patients for family planning In Christ. Dr. Davila Dental Clinic This week I saw a total of 22 patients, 7 of whom were unable to pay because of limited financial Extractions 10 Prophylaxis 3 Fillings 20 Dental Surgery 2
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This week we saw a total of 85 patients, 25 of whom were unable to pay because of limited financial resources.
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Name: Phone: ( CompassionMassage.com Client Intake Form ) E-Mail: Address: _ City: State: Zip: Date of Birth: Occupation: Referred by: In case of emergency: Phone: ( Chiropractor: ) General & Medical Information:
Sonoma Skin Dermatology - 1 Appointment Date: 3/19/2013 Name: Nickname: DOB: Age: Gender: Female Male Marital Status: S M D W O
Sonoma Skin Dermatology - Appointment Date: /9/0 Nickname: DOB: Age: Gender: Female Male Marital Status: S M D W O Spouse/Partner s SSN: DL# State: Home #: Work #: Cell Phone #: E-mail Address: Preferred
Johanna M. Hoeller, DC PS
ENTRANCE FORM Birth date: Height: Weight: Emergency Contact: Emergency Contact Phone: ( ) Spouse/Partner or Parent s name: Children s names: Occupation (Your): Employer: Address: City/State/Zip: Phone:
NEW PATIENT HISTORY. Primary Care Physician Preferred Pharmacy Pharmacy address Phone. Reason for today s visit. Pregnancies abortions miscarriages
NEW PATIENT HISTORY Name Date of Birth Today s date Primary Care Physician Preferred Pharmacy Pharmacy address Phone _ Reason for today s visit Date of last menstrual period OB HISTORY NUMBER NUMBER NUMBER
New Patient History. Patient Name: Date of Birth: Reason for Today s Visit: Today s Date: Who is your Primary Care Physician (PCP)?
ew Patient History Patient ame: Date of Birth: Reason for Today s Visit: Today s Date: Who is your Primary Care Physician (PCP)? Review of Systems Please circle any concerning symptoms you are currently
Women s and Men s Health Intake Form Comprehensive Physical Therapy Center
Name: (Last, First) DOB: Date: Age: Referring Physician: Next Physician Appointment: Today s visit: What is the main reason you came to the office today? When did it start? What treatments have you had
SHEILA WOLFSON, M.Ed., C.N.S. Nutritionist and Health Counselor. 20 Main Street, Suite 300, Natick, MA Phone/Fax (508)
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Candida Questionnaire: Are your health problems yeast connected?
Candida Questionnaire: Are your health problems yeast connected? The following questionnaire can be given to your clients if you suspect candida is a problem. YES NO Have you taken repeated courses of
Application For Admission Jersey Shore Low Back Center DRX 9000 Severe Back Pain Solution Program
Application For Admission Jersey Shore Low Back Center DRX 9000 Severe Back Pain Solution Program If you are reading this you have been fortunate enough to qualify for a consultation with Dr. Zammito at