MEDICAL INFORMATION
_____ In a car accident _____ Unknown cause (it just happened or has gotten worse over time) If your problem is not the result of an accident or injury, proceed to the next section. Peptic Ulcer Disease/Hiatal Hernia Arthritis Other _____ Other ... Document Viewer
Sambursky Chiropractic - Backbonejax.com - Fibromyalgia ...
Http://www.backbonejax.com Call (904) 302-9873 for Dr. Sambursky, a Chiropractor in Jacksonville, FL that offers back, neck, wrist, headache, car accident pa ... View Video
SLUCare Pain Management Center - Saint Louis University
Car accident . Surgery. If work injury: Date: Ins Co: Case manager: Claim #: Did you hire an attorney? Yes No . Is a lawsuit pending? Yes No . Pain Hiatal Hernia . Nausea/ Vomiting . Constipation . Diarrhea . Ulcers . Liver ... Retrieve Document
Chicagopainclinic.com
5 Was there an event that caused this pain, such as a car accident, or injury at work? 6 Can -Hiatal Hernia? /-Reflux? /Heartburn?-Ulcers/ gastritis? /Vomiting blood?-Blood in stool? /-Change in bowel habits?-Constipation? Loss of control of bowels? ... Fetch Doc
Tampa Chiropractor For Best Results | Dr. Rogers At Elan ...
Person injury care, car accident care and massage care. Tampa's Best Chiropractic care is located in the Westchase area. Visit our locations or our web site ... View Video
Vippainaz.com
Car accident: Driver Passenger Seat belt: Yes No Airbag: Yes No. Date of Injury and when symptoms started ___ Hiatal hernia___ GERD___ Ulcers___ Colitis ___ Other. Endocrine ___ Thyroid disease ... View Document
Appendix VI-A. BLS Injury Categories Likely To Include ...
For example, employee was hurt in car accident. 01 011 012 013 014 018 019 Traumatic injuries to bones, nerves, spinal cord Dislocations Excludes hernia (153), lacerations of tendons in open wounds(034), torn cartilage hiatal (1532), inguinal (1531), paraesophageal (1539) scrotal (1531), ... Doc Retrieval
West Coast Podiatry Center - Podiatrists Foot Ankle Achilles ...
Are you seeing OR have you seen any doctor in the last year for an INJURY RELATED TO A CAR ACCIDENT, WORK RELATED INJURY OR ANY OTHER INJURY? HIATAL HERNIA, HEART BURN CARDIOVASCULAR PACE MAKER HIGH OR LOW BLOOD PRESSURE HIGH LOW CHEST PAIN, ANGINA ... Access Doc
Chapter 14: Training In Radiology DDSEP Chapter 1: Question ...
A 40 year old woman hospitalized after a car accident undergoes surgery to stabilize a spinal injury. She develops a spinal abscess and requires long term antibiotics with metronidazole and moxifloxacin and is E. Hiatal hernia with gastroesophageal reflux disease ... Get Document
YouTube
Brought her daughter in after a car accident, and her daughter also experienced relief from pain. Now feeling overall health 3:07 Your Houston Chiropractor Dr Gregory Johnson Shares Success Story On Hiatal Hernia YouTuber by Gregory Johnson 1,196 views; Loading more suggestions ... View Video
CONFIDENTIAL HEALTH HISTORY
Car Accident School Activity Home Accident Other Yes No If yes, date of injury: MM DD Y YYY X-rays within last 6 months Hiatal Hernia Hepatitis Fibromyalgia High Blood Pressure Inflammatory Bowel Disease Irregular Heartbeat Juvenile Rheumatoid Arthritis ... Retrieve Content
Medicare's Repo Men
Process—mostly elderly car accident victims like Mollie Coury—it can be a traumatic ordeal. Coury actually got snared in Medicare's net twice, when she suffered internal bleeding from complications from a hiatal hernia, she refused to go to the hospital and nearly died. ... Read More
HARMONIZATION ENERGY CENTRE HEALTH HISTORY FORM
ð Bed wetting ð Hiatal hernia ð Pregnant ð Bleeding Disorders: Hemophilia /other ð Headaches ð Premenstrual tension ð Bone/Joint Have you ever had a bad fall / head injury or been in a car accident? ð Yes ð No If yes ... Fetch Content
Pain Management - New Patient Pain Intake Questionnaire ...
How)did)your)pain)problem)first)start?)(car)accident?)Fall?)Job?)Injury?,) Reflux Hiatal Hernia Constipation Liver Disease Diarrhea GU: Kidney Disease Prostate Disease GYN Disease Endocrine: Diabetes Thyroid Disease Muscular ... Fetch Doc
Facing Surgery With Fibromyalgia & Chronic Fatigue Syndrome
My surgeon wants me to lose 30 more pounds before she will do the Hiatal Hernia repair. To shrink the liver to make the surgery easier to do. (due to a car accident.my surgery took place Dec 29, my Dr. who preformed my surgery insisted that I go home the next day. ... Read Article
Patient Information
Nature of Accident: Car Accident Occurred at Work Dog Bite Other: _____ To whom have you made a report of your Recent Cold/Flu Radiotherapy Vertigo Hiatal Hernia Frequent Heartburn ... View This Document
Ray Chiropractic Patient Information
Is your visit due to an accident? Yes / No Work Auto Other Has this injury been relations, sit/stand/car etc.) Are you currently or have you been treated for this condition before? When and by whom and results Fungal infections Bleeding after intercourse Hiatal Hernia ... Retrieve Doc
CONFIDENTIAL PATIENT QUESTIONNAIRE
Have had a car accident due to sleepiness As a passenger in a car for an hour without a break Lying down to rest in the afternoon Hiatal Hernia Infection of brain/Spinal cord Drug abuse Bronchitis Chronic pain Coronary Artery Disease ... Access Doc
New Patient Registration Information
Car Accident _____ Unknown injury _____ Other _____(specify)_____ What medical tests have you had related to hepatitis hearing loss chest pain hiatal hernia heart problems tuberculosis asthma cancer blood pressure depression ... Doc Viewer
Air Conditioning Problems With Fibromyalgia & Chronic Fatigue ...
I have IBSC, and GERD, and Hiatal Hernia and 5 Gallstones. I need to get some help but my doctor has been, making me wait as I to see what they can do. Iy has been years but this year, 3/6/12, My Darling, Also in a car accident that injured the left side of my head. ... Read Article
WORKERS' COMPENSATION APPELLATE COMMISSION PLAINTIFF, SELF ...
1 Plaintiff originally claimed a hiatal hernia as well as a low back condition, but withdrew the former at a “couple days” after the baseball injury, 11 days after the automobile accident, 6 days after working on his car, 10 days after moving a loveseat and 11 days, beginning September ... View This Document
Myocardial Infarction - Wikipedia, The Free Encyclopedia
Congestive heart failure or cerebrovascular accident (CVA). Unless contraindicated, such medications may include: for example driving a car or flying an airplane. Research ... Read Article
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