When you originally presented to the office, you presented with chronic burning, tingling, and numbness in both lower legs and feet. How did you respond to our neuropathy program, and how are you doing today I’ve responded remarkably and I am doing, I would say, 95 better today so far on the program. I had basically in my feet area I was not having the feeling that I should have had. Of course it had affected my personality, basically getting hard to live with, but now I am just feeling 95 100 better. Since I’ve started.
Spinal Cord Injury Attorney Los Angeles
Our los angeles law firm has specialized in spinal cord injury cases for over 30 years. The second case that I ever tried it was a very interesting case where young man became paralyzed from his shoulders down in fact the only thing he could move was his chin this young man was a gymnast he actually was teaching and a gymnastic Academy during a break he and the other instructors we’re having fun they were utilizing what we call a minitrial and they were jumping from the mini tramp onto a map.
This particular matter used on this day was brand new with his hands hit the mat something gave away his head went into the map his body continue to move in the spinal cord snap for a devastating injury we started doing some research and what we found is this particular Matt was designed for a pit that utilize when you pull we sue that my life after we said you misrepresented what this product was I took the case to trial was a monthlong trial and in that particular case the maximum coverage there for a spinal cord injury was.
Was fifteen million dollars the last offer they had made was four hundred thousand all we gone from the jury there were two this fifteen million dollars at that point in time when you invest it in actually gave him not money that he would get optimum medical care for the rest of his life it was a nap money that he could buy a home that he can’t outbid as a handicap home it gave him enough money to have 24hour nursing to protect him as a los angeles spinal cord injury lawyer.
Pediatric Pain Management Program Nemours Childrens Hospital
Dr. SantanaRojas Good morning. So there are two types of pain. There is acute pain, which is immediate pain after an injury. But if it lasts more than 3 to 6 months, that will be a chronic pain problem. And here in the program, that’s one of the criteria that we have it’s chronic pain for more than 3 to 6 months. Leslie Edwards, Mom About two years ago, she laid down to take a nap one day. And woke up that afternoon and she said Mama, I just don’t feel good.’.
And we put her in the shower and she just started screaming bloody murder. And she’s got juvenile rheumatoid arthritis, but she’s also got an amplified pain disorder. Dr. SantanaRojas She was not able to go to school full time, not dancing, no playing basketball. Savannah When I first met Dr. Santana she asked me, Are you sure you want to do our program’ And I told her Yes, because I want something to keep down the pain low and not me feeling it.’ Dr. Boris Pain programs really have to be quite intensive in their approach.
Most patients we’ve seen here have seen many providers in many different institutions. But what they haven’t done is come into a place where they’re seen day in and day out for a series of days up to a month long, focused directly on strengths and building back their capability. Dr. SantanaRojas It’s a three hour program. We have an hour of physical therapy, an hour of occupational therapy and one hour of behavioral therapy. There are together the emotional and the sensory component of pain, and you have to have a balance between those two.
That’s why the behavioral component in our pain program is so important. Dr. Boris So we teach kids how to understand how the pain signals in their body work and how they can overcome those signals. With Savannah we addressed everything from physical rehabilitation to the psychology of learning how to breathe in order to manage the pain and dampen the signals. Kaylin Luu, LCSW Savannah had created goals for herself to improve her mood at home, improve her interactions with her family, and definitely wanted to return to her sports and dance in school.
Mom took her back to the Ronald McDonald House where they were staying and practiced their exercises all night and was ready for the next day. Savannah Well they gave me this exercise. Just think of a place where you really want to be. And just forget about everything. Kaylin We have weekly meetings with the team and then with the family so that they’re able to hear feedback from us, give feedback of their own and ask any questions so that we’re all on the same page and all treating the child effectively.
Tim Finlan, MSM, MHS, OTRL Savannah was at a point where she could exercise some, but then felt that that pain would come on after the exercise and be overbearing. So she stopped doing her exercise and stopped being involved in activities that she liked. Dr. Boris Very often kids will come in with anxiety. They’ve been fearing discomfort day in and day out, and so they’re heightened in terms of feeling anxious. Tim The first thing we need to do to break that cycle is get them moving again. Seeing that patient over and over and over, you create a bond with that patient.
And a real strong trust with that patient which is really what we need to help push them to that next step. Leslie They took a lot of time with her, with both of us, but especially her. Because this was our last hope. If this didn’t work, then we were just going to have to keep on the medicine and keep on with the pain and just kind of live life as best we could. Dr. Boris Kids like Savannah, who is a brave girl, are classic for us.
They’re kids who have been suffering, often in silence, for month after month after month. And what they need is a place where, again, they can get a variety of professionals putting their heads together and creating an intervention plan tailored to their needs. Dr. SantanaRojas You know my job is to have no zero pain in all my patients. So I’m going to do anything that is in my hands to figure out what’s going on to treat it. Kaylin Some of our patients come in in a wheelchair because of the pain.
Shingles neuralgia of the eye Testimonial From A Patient of David D. Richardson, MD, Inc.
Hello, my name is Ron, and I’ve been coming to San Gabriel Valley Eye Associates since I was diagnosed with shingles in my right eye. I’ve been coming here since early November of 2009. The care that I’ve gotten here at San Gabriel Valley Eye Associates is far superior to any ophthalmology care that I’ve had in the Los Angeles area. I have leukemia, and part of the chemotherapy drugs, zapped my optic nerves. So I suffer from low vision. I’ve gotten more information at this clinic about my low vision and how to cope with it than I’ve received from.
All the other ophthalmologists and neuroophthalmologists that I’ve encountered in the Los Angeles area. So I highly recommend San Gabriel Valley Eye Associates. I highly recommend Dr. Kratz. I’ve not had the opportunity to meet Dr. Richardson yet, but I know but I know that I will be meeting him at the end of the month, and I look forward to doing so. So far, I feel really comfortable at this clinic. They helped me deal with my low vision problems and, of course, with the post shingles neuralgia of the eye, and I can’t recommend them highly enough!.
How To Find A Good Pain Management Specialist in Woodstock and Canton Superior Healthcare
Hey everybody this is Neil with Local Highlights TV. I want to thank you for joining us again today. I’m very excited today because I have a special guest that is a in a field that is very near and dear to me we have Dr. Steve with us from Superior Health Care. They have a couple of locations in the Woodstock and Canton areas, and Dr. Steve is a pain management specialist. They do various forms of treatment but as a back pain sufferer for several years myself I can appreciate the job that these guys do is very important and there’s.
Millions of us out there who suffer from some kind of pain whether it’s back or neck or knees or what have you. So I wanted to get Dr. Steve to come on and talk with us today about how to find a really good pain management specialist. Somebody that can kinda help us through those tough times, get us rehabilitated back on our feet again so to speak. So I’m really excited to have him, Dr. Steve I want to thank you for joining us and let me start off the questions here today by asking you.
If you had to give advice to a friend or loved one who was hurting and in pain I’m trying to find a good pain management specialist somebody that can help me with my back pain and get me back at least patched together so I can have a a somewhat normal life. What kind of advice would you give to the person who’s out there in the market there’s a million opportunities they are being bombarded with everywhere, how do they really focus down in and look at the right features the right characteristics.
How can I find a good pain management specialist Well Neil, what I think is best is track record, obviously. You’re looking for someone that has had the problem that you have and help other patients with it. The other thing that I think is important is to go to a place that has many different services to offer you that way if one of the services doesn’t work then there are other options and what I find wrong in health care today, is if you have a single service delivery system.
Let’s say it’s pain management you just get a prescription that could fail and then the patient ultimately doesn’t get better. Wow great yeah I can certainly appreciate that. I’ve been down a few of those paths I’m sure a lot of our viewers have as well. Tell me a little bit more about what kind of treatments do you guys do if I or what kinda treatments do you recommend for a person in my position who is dealing with some pain and they really need to get back on their feet.
Well if you’re dealing with low back pain and that’s what you have right now, there’s really three areas to look at. One would be muscle, the next would be the disk, the other would be the nerve. The treatments that you would want for that would address all 3 areas. So obviously everybody knows what a surgeon does, that’s nothing new here. They’re going to go in and cut that disk but if there was a way to heal the disk or get the fluid back into the disk you would want to have that service. The other problem that I see.
Is muscle. As you have an injury and it ages over and over for a period of time, that muscle starts to get scar tissue in it and wherever scar tissue is it’s almost like a homing beaker that always going to go back to that area so getting rid of scar tissue prevents future injuries. And then the last part and I think the most important part is making sure the nerves are open to revitalize that area because we don’t just have the same body we are walking around in.
That body changes every 30 days and so if the nerve supplies continues to open up your body will continue to heal after the treatment. Well it’s interesting I actually had never heard some of that before I guess I need to talk you guys a little better. That’s great I appreciate that very much. So kind of walk me through I’m a first time patient I just had an accident or injury or something’s happened and I’m dealing with some pain and I really need some help with it. If I come into one of your facilities what kind of.
Process am I gonna go through when I get there tell me a little bit about that. Well I’d like to say we try to be opposite what a hospital would do. So everybody’s been to the hospital and waited for hours in trying to get through and ultimately you may or may not get service. It takes a long time it’s very fatiguing and very expensive. The first thing that we want to do is greet you more like restaurant, meaning when you sit down there’s a case manager that talks to you.
That sees and makes sure that we can help you, it’s important to know that you’re in the right place, so we do that within 5 minutes. The second thing is instead of just handling the area that you come in with, like the low back pain, we’re gonna do a complete functional exam to make sure we haven’t missed anything And because we have physical therapist, medical doctors, chiropractors, athletic trainers, we’re in a 15 thousand square foot facility We’re trying to put together a care plan or plan of care.
That’s gonna handle your problem for the next ten years. We want to get you well and so you don’t have to see us any more. And so that’s why we created these large facilities, because we know inevitably insurance isn’t going to work forever and the patients need to be well and need to be responsible and be able to take care of their own bodies. And so we created a facility that they can do that in. That’s great I appreciate that. Give me just a a quick overview or what type’s of.
Therapies or treatments you know do you guys offer there in your facilities. Well there’s six distinct service centers that we offer. So the first I would say is the evaluation and management the way that we analyze a body, it’s more of a physical performance test, not so much Hey Neil what’s wrong with you It’s we’re gonna check your body out like its you’re going to a car and it’s a 40 point inspection check, we’re definitely going to do that. The second thing is we are gonna deal with that muscle component.
So we have a very unique style of doing that We have specific injections that we do to get rid of scar tissue and then we have machines that we use that are almost like hydraulic machines to knead out the scar tissue so that it goes away within 30 days because if you don’t have scar tissue then ultimately later on you can strengthen that muscle. And we’ve also developed a rehab, our rehab has vibration plates we have this huge gym facility where you are working one on one with a trainer.
Its it’s important to get the core strengthened, to get the balance and flexibility in and not just reduced the pain because if we get those other two or three things done what’s going to happen if you want me to keep coming back over and over. Wow that would be great, yeah as one in that position already I can certainly appreciate not having to to deal with this much pain trouble for the rest of my life so that sounds like a great deal. Now you and I talked a little bit.
Kinda before we got started and hear that you guys do some really neat things for first time patience that might want to give you guys a try or just come in and check you out, let you check them out so to speak, so tell us all a little bit about kinda what you guys do special for that first time patient coming in. Well many patients when they’re coming in there their biggest concern, their number one concern is hey I don’t want to go to a place where.
It’s going to cost me a lot of money and waste my time. I mean we’ve all been in that situation and to be told I can’t help you and get a bill for $150 is not a nice thing. So the first thing is we do a free consultation to find out if we can help you and we also will verify your insurance to let you know if you want to use your benefits, it’s available. The second thing is our massage Neil, we have great massage therapist that work on injury specific massages.
So initially that first massage or an hour massage you know it’d cost $60$90 dollars. We’re gonna do that for the patients that want to come in at $15 for the first massage so that even if we can’t help them they are going to walk out with hey, that helped me out and I feel better. Wow that’s awesome. That’s an incredible offer I’m actually gonna come down and get one of those myself I’m sure we have a lot of people here who will appreciate that, that’s fantastic. Well thank you so much.
I really appreciate your time here and some good tips and information there’s as you know well there’s millions a pain suffers out there it’s a terrible thing to have to live with and I speak that first hand so I can appreciate the unique approach that you guys take to this so Thank you for sharing the information and especially for that great offer if anybody wants to take you up on that, your number, the number to Superior Health Care the website address is at the bottom of the screen here.
Get Rid of Your Toenail Fungus with Laser Therapy
If you’re watching this tutorial you probably have unsightly, yellow, discolored toenails. I know this can cause you to be embarrassed while going barefooted or wearing your opentoed shoes in public. Chances are you have a fungal infection in your toenails, a condition also known as onychomycosis. Fungal toenails are caused by one or more organisms that feed on your nails main structure, that being keratin. The fungus likes to grow in warm, moist places like your shoes. Many patients pick up fungal toenail infections in the gym locker room, from a nail salon, wet shoes, or from trauma. Fungus can harbor in the nails for many years.
And spread very quickly. There are currently three treatment modalities for this condition. They include topical medications, which are 812 percent successful, oral medications which are typically 70 successful and can cause some serious sideeffects to your liver, and the newest modality, which is laser therapy. Here at the Laser Nail Center of Houston, we were very fortunate to be the first to have this new technology, and grow with the advancements of more sophisticated lasers. These are cleared by the FDA for treatment of fungal nails. This wonderful technology focuses a concentrated beam of laser light.
Doctors Nerve blocks can help chronic pain
OBESITY RELATED CANCERS WERE AMONG PEOPLE HAVING IN NORTH AMERICA AND EUROPE. ACCORDING TO THE AMERICAN ACADEMY OF PAIN MANAGEMENT, MILLIONS SUFFER FROM CHRONIC PAIN AND WHEN INDICATIONS AND OTHER TREATMENTS DO NOT WORK DOCTORS MAY TURN TO NERVE BLOCKS NOT ONLY TO HELP DIAGNOSE THE CAUSE BUT ALSO RELIEVE THE PAIN AS WELL. DONNA HAMILTON HAS MORE IN TWO NIGHTS WOMAN’S DOCTOR. GALE ENJOYS BEING ACTIVE. ROLLERSKATING SHOULD SHE WAS SEVEN, WALKING WITH HER FRIENDS, BUT THAT ALL CHANGED IN YEARS AGO WHEN AN INTENSE PAIN TO OVER HER RIGHT SIDE.
IT STARTED FROM THE KNEECAP AND WORKED ITS WAY UP TO THE PELVIC AREA. IT IS LIKE A THOUSAND LITTLE PINS AND NEEDLES STICKING, ALL ATTACKING AT ONE TIME. QUICK SHE HAD SOMETHING CALLED MERALGIA PARAESTHETICA. WHICH IS ENTRAPMENT OF A NERVE IN THE THIGH. DAVID MAINE SAYS ONE PAIN MEDICATION DID NOT HELP GALE RECEIVED NERVE BLOCKS AREA QUICK’S MOST OF THE TIME THAT INVOLVES ADMINISTERING AN ANTIINFLAMMATORY OR SOME TYPE OF STEROID. WHETHER THAT IS IN THE SPINE OR THE PERIPHERY. BUT WE THINK IT DEPENDS ON THE SITUATION OR WHAT WE THINK.
IS CAUSING THE COMPLAINTS. HERE IS THE NEEDLE COMING THROUGH THE OUTSET OF FOR THIGH AND THEN AROUND THIS REGION THE NERVES COLA’S AS IF THE BRANCHES OF A TREE ARE COMING TO FORM THE TRUNK AND WE CAN SEE THAT HERE. AT THAT POINT WE INJECT THE ANESTHETIC AND THE ANTIINFLAMMATORY. IT WORKED FOR ME. IS IMPORTANT TO CAN YOU TO CONTINUE MANAGING YOUR PAIN. YOU DO NOT WANT THAT PAIN TO COME BACK SO FOLLOWUP IS PART OF IT. I DEALT WITH THAT FOR A LONG TIME SO NOW TO BE PAIN FREE, IT.
Side Effects of Chemo for Colon Cancer
When I talk with my patients about chemotherapy, naturally a part of the conversation is side effect management. So let’s talk about it right now. Generally, depending on stage, the optimal chemotherapy or systemic therapy for colon cancer is based on a backbone of more traditional cytotoxic drugs often referred to by patients as chemo and more modern biologic drugs that we have used over the past few years which are not traditional chemotherapy drugs but have very specific side effects. So when I discuss chemotherapy side effects with my patients, they are the general side effects.
That everybody should be aware of such as fatigue, generalized weakness, lack of energy, nausea and vomiting, but it is important to realize in 2013, we have very, very good medication to control most of the side effects so although we do mention them, it is more for the patient to be aware that these kind of occur, so the patient can bring those up so we can manage them. Nausea, fatigue, mouth sores, change in bowel habits, could be diarrhea or constipation and you know infectious risk, bleeding risk because of effects on the bone marrow, white.
Blood cell count will drop, platelet count will drop, the occasional patient might need red blood cell transfusion. Hair loss will depend on what chemotherapy agent is used, so it is actually not very common in most frontline regimens for colon cancer patients, but down the road it will happen. It is important to know the hair will grow back after that chemotherapy is completed. More rare side effects such as dysfunction of the heart, these are also temporarily, but we will talk about those with the patient. The biologic drugs that we have are geared toward the blood vessels to attack the blood vessels of the.
Tumor and its supply. The approved drug is called bevacizumab obviously because how it works it affects blood cells. It does interfere with wound healing, so we don’t use it six weeks before or after surgeries and there is a small but real risk of serious complications such as bowel perforation where you get a hole in your bowel or major bleeding events, but those are really rare and we try to select the right patient for the treatment. Another class of drugs that affects specific protein called EGFR on the tumor cells is called cetuximab.
Or panitumumab. These are very difficult names but important to know that they have antitumor effect. They have very characteristic side effects such as a rash which might be very mild to actually very, very advanced, where the patient has to be treated with antibiotics and lotions. The good news for the patient is I always tell them it has been shown if you do develop a rash, then you are more likely to respond to the therapy. Other side effects such as diarrhea and magnesium level changes, we are usually able to monitor and manage.