03/12/2024ER Visit
1–4Anika Patel, M.D.
HPI: Workplace lift at County Logistics. Immediate lumbar pain, no radiation.
CC: Low-back pain after lifting a carton.
DX: Lumbar strain.
TX: NSAIDs, activity modification, outpatient follow-up.
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Garcia, M.
Records
X-ray — Lumbar Spine
Radiology
X-ray — Lumbar Spine
David Chen, M.D.
03/15/2024 · 32–34
32–34
32248
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General (5)
03/14/2024PTP Initial Eval
5–11Priya Nair, M.D.
HPI: Reports 03/12/2024 carton lift at County Logistics with persistent lumbar pain.
CC: Low-back pain limiting bending and lifting.
DX: Lumbar strain; rule out disc injury.
TX: Off work, NSAID, ice, and imaging ordered.
03/22/2024PT Evaluation
45–52Luis Ortega, P.T.
HPI: Started outpatient PT for lumbar strain after the 03/12/2024 lift.
CC: Pain with flexion and sit-to-stand.
DX: Lumbar strain with reduced mobility.
TX: Core stabilization, flexion intolerance education, home program.
04/02/2024Therapy Note
18–21James Hale, D.C.
HPI: Follow-up for low-back stiffness with left-sided radiation.
CC: Low back stiffness with left-sided radiation.
DX: Lumbar strain with left radicular symptoms.
TX: Spinal manipulation, myofascial release, and home stretching.
05/19/2024Therapy Note
28–31James Hale, D.C.
HPI: Improved lumbar mobility with residual morning stiffness.
CC: Residual lumbar stiffness, improved radiation.
DX: Improving lumbar strain.
TX: Continued chiropractic adjustments and lumbar stabilization.
Diagnostic (3)03/15/2024X-ray — Lumbar Spine
32–34David Chen, M.D.
Findings: No fracture or listhesis. Mild L4–L5 disc-space narrowing.
Impression: Degenerative change without acute osseous injury.
03/18/2024MRI — Lumbar Spine
12–15David Chen, M.D.
Findings: L4–L5 disc displacement with mild left foraminal narrowing.
Impression: Findings correlate with reported left radicular symptoms.
06/12/2024EMG / NCS
140–146Omar Shah, M.D.
Findings: Mild left L5 irritability without axon loss. No plexopathy.
Impression: Electrodiagnostic findings support a mild left radiculopathy.
Comprehensive (11)
04/11/2024PTP Follow-up
78–84Priya Nair, M.D.
HPI: MRI reviewed. Residual left-sided symptoms with improved sitting tolerance.
CC: Low-back pain with intermittent left radiation.
DX: Lumbar strain; L4–L5 disc displacement.
TX: Continue PT and chiropractic. Modified duty, 25 lb limit.
04/28/2024PT Progress Note
90–96Luis Ortega, P.T.
HPI: Eight visits completed. Morning stiffness improved, lifting still limited.
CC: Pain at end-range flexion.
DX: Improving lumbar strain.
TX: Progressed lumbar stabilization and work-simulation drills.
06/03/2024Ortho Consult
110–128Rachel Kim, M.D.
HPI: Referred for persistent L4–L5 symptoms after conservative care.
CC: Low-back pain with left-sided radiation after industrial lift.
DX: Lumbar disc displacement without surgical indication at this time.
TX: Continue non-operative care. Injection deferred.
06/20/2024PTP Follow-up
155–162Priya Nair, M.D.
HPI: EMG reviewed. Patient remains on modified duty at County Logistics.
CC: Activity-limited low-back pain.
DX: Lumbar strain with mild left radiculopathy.
TX: Continue therapy. Re-evaluate MMI in 6–8 weeks.
07/08/2024Therapy Note
168–174James Hale, D.C.
HPI: Standing tolerance improved. Residual stiffness after warehouse shifts.
CC: End-of-shift lumbar stiffness.
DX: Improving lumbar strain.
TX: Adjustments, hip flexor stretching, and posture cues.
07/22/2024PT Progress Note
180–186Luis Ortega, P.T.
HPI: Functional lifting improved to 20 lb with good mechanics.
CC: Fatigue with repetitive bending.
DX: Improving lumbar strain.
TX: Work hardening emphasis; continue home program.
08/05/2024PTP Follow-up
198–204Priya Nair, M.D.
HPI: Ongoing modified duty. No new injury. Symptoms stable.
CC: Intermittent lumbar stiffness.
DX: Lumbar strain, improving.
TX: Maintain 25 lb restriction. No surgery planned.
08/12/2024PR-2 Report
210–224Priya Nair, M.D.
HPI: Industrial lumbar strain from 03/12/2024 lift, still under conservative care.
CC: Low-back pain with residual left symptoms.
DX: Lumbar strain; L4–L5 disc displacement.
TX: Continued modified duty and therapy. MMI not yet declared.
08/18/2024Therapy Note
228–234James Hale, D.C.
HPI: Maintenance visit. Radiation largely resolved with residual stiffness.
CC: Mild lumbar stiffness after prolonged standing.
DX: Improving lumbar strain.
TX: Adjustment and home stretching; reduced visit frequency.
08/22/2024Work Status
240–248Priya Nair, M.D.
HPI: Updated work status for County Logistics modified-duty placement.
CC: Activity-limited low-back pain.
DX: Lumbar strain with residual symptoms.
TX: 25 lb lifting limit, no repetitive bending. Full duty not released.
08/26/2024QME Cover Letter
249–254Priya Nair, M.D.
HPI: Records packet prepared for orthopedic QME review of the 03/12/2024 injury.
CC: Industrial lumbar strain with residual symptoms.
DX: Lumbar strain; L4–L5 disc displacement.
TX: No change in modified duty pending QME.
Non-medical (4)
04/08/2024Claims Correspondence
255–258Pacific Compensation
HPI: Carrier letter acknowledging the 03/12/2024 claim and requesting records.
CC: Industrial injury claim correspondence.
DX: Not applicable.
TX: Records request and benefit notice enclosed.
05/02/2024Wage Statement
259–261County Logistics
HPI: Employer wage printout covering 13 weeks before the DOI.
CC: Average weekly wage documentation.
DX: Not applicable.
TX: Submitted for temporary disability calculation.
03/13/2024Claim Form
262–264County Logistics
HPI: DWC-1 signed the day after the carton lift at County Logistics.
CC: Low-back injury claim.
DX: Not applicable.
TX: Claim opened with Pacific Compensation.
07/01/2024Records Subpoena
265–268Valley Ortho QME
HPI: Subpoena for prior Harbor Family Clinic records from 2018.
CC: Prior records request.
DX: Not applicable.
TX: Return of records requested within 15 days.
Labs (2)
04/19/2024CBC
269–270Pacific Imaging
Findings: WBC mildly elevated. Remaining cell lines within reference range.
Impression: Nonspecific leukocytosis. No other acute hematologic abnormality.
04/19/2024Metabolic Panel
271–272Pacific Imaging
Findings: Electrolytes, creatinine, and glucose within reference range.
Impression: No metabolic contraindication to NSAID as prescribed.
Operatives (1)
04/26/2024Ketorolac Injection
273–275Priya Nair, M.D.
HPI: In-office ketorolac for flare of lumbar pain after prolonged standing.
CC: Acute-on-chronic low-back pain.
DX: Lumbar strain, symptomatic flare.
TX: IM ketorolac administered. Observed and released.
Deposition (1)
05/03/2024Deposition Excerpt
276–280M. Garcia
HPI: Applicant describes the carton lift at County Logistics and ongoing bending limits.
CC: Low-back pain after industrial lift.
DX: Not applicable.
TX: Testimony only. No treatment rendered.
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Garcia, M.
RecordsER Visit
Occupational Medicine
ER Visit
Anika Patel, M.D.
03/12/2024 · 1–4
1–4
1248
RecordsFiles
27 RecordsShow
Table of Contents Only
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Manage "Dr. Chen — Orthopedic"
General (5)03/12/2024ER Visit
1–4Anika Patel, M.D.
HPI: Workplace lift at County Logistics. Immediate lumbar pain, no radiation.
CC: Low-back pain after lifting a carton.
DX: Lumbar strain.
TX: NSAIDs, activity modification, outpatient follow-up.
03/14/2024PTP Initial Eval
5–11Priya Nair, M.D.
HPI: Reports 03/12/2024 carton lift at County Logistics with persistent lumbar pain.
CC: Low-back pain limiting bending and lifting.
DX: Lumbar strain; rule out disc injury.
TX: Off work, NSAID, ice, and imaging ordered.
03/22/2024PT Evaluation
45–52Luis Ortega, P.T.
HPI: Started outpatient PT for lumbar strain after the 03/12/2024 lift.
CC: Pain with flexion and sit-to-stand.
DX: Lumbar strain with reduced mobility.
TX: Core stabilization, flexion intolerance education, home program.
04/02/2024Therapy Note
18–21James Hale, D.C.
HPI: Follow-up for low-back stiffness with left-sided radiation.
CC: Low back stiffness with left-sided radiation.
DX: Lumbar strain with left radicular symptoms.
TX: Spinal manipulation, myofascial release, and home stretching.
05/19/2024Therapy Note
28–31James Hale, D.C.
HPI: Improved lumbar mobility with residual morning stiffness.
CC: Residual lumbar stiffness, improved radiation.
DX: Improving lumbar strain.
TX: Continued chiropractic adjustments and lumbar stabilization.
Diagnostic (3)03/15/2024X-ray — Lumbar Spine
32–34David Chen, M.D.
Findings: No fracture or listhesis. Mild L4–L5 disc-space narrowing.
Impression: Degenerative change without acute osseous injury.
03/18/2024MRI — Lumbar Spine
12–15David Chen, M.D.
Findings: L4–L5 disc displacement with mild left foraminal narrowing.
Impression: Findings correlate with reported left radicular symptoms.
06/12/2024EMG / NCS
140–146Omar Shah, M.D.
Findings: Mild left L5 irritability without axon loss. No plexopathy.
Impression: Electrodiagnostic findings support a mild left radiculopathy.
Comprehensive (11)04/11/2024PTP Follow-up
78–84Priya Nair, M.D.
HPI: MRI reviewed. Residual left-sided symptoms with improved sitting tolerance.
CC: Low-back pain with intermittent left radiation.
DX: Lumbar strain; L4–L5 disc displacement.
TX: Continue PT and chiropractic. Modified duty, 25 lb limit.
04/28/2024PT Progress Note
90–96Luis Ortega, P.T.
HPI: Eight visits completed. Morning stiffness improved, lifting still limited.
CC: Pain at end-range flexion.
DX: Improving lumbar strain.
TX: Progressed lumbar stabilization and work-simulation drills.
06/03/2024Ortho Consult
110–128Rachel Kim, M.D.
HPI: Referred for persistent L4–L5 symptoms after conservative care.
CC: Low-back pain with left-sided radiation after industrial lift.
DX: Lumbar disc displacement without surgical indication at this time.
TX: Continue non-operative care. Injection deferred.
06/20/2024PTP Follow-up
155–162Priya Nair, M.D.
HPI: EMG reviewed. Patient remains on modified duty at County Logistics.
CC: Activity-limited low-back pain.
DX: Lumbar strain with mild left radiculopathy.
TX: Continue therapy. Re-evaluate MMI in 6–8 weeks.
07/08/2024Therapy Note
168–174James Hale, D.C.
HPI: Standing tolerance improved. Residual stiffness after warehouse shifts.
CC: End-of-shift lumbar stiffness.
DX: Improving lumbar strain.
TX: Adjustments, hip flexor stretching, and posture cues.
07/22/2024PT Progress Note
180–186Luis Ortega, P.T.
HPI: Functional lifting improved to 20 lb with good mechanics.
CC: Fatigue with repetitive bending.
DX: Improving lumbar strain.
TX: Work hardening emphasis; continue home program.
08/05/2024PTP Follow-up
198–204Priya Nair, M.D.
HPI: Ongoing modified duty. No new injury. Symptoms stable.
CC: Intermittent lumbar stiffness.
DX: Lumbar strain, improving.
TX: Maintain 25 lb restriction. No surgery planned.
08/12/2024PR-2 Report
210–224Priya Nair, M.D.
HPI: Industrial lumbar strain from 03/12/2024 lift, still under conservative care.
CC: Low-back pain with residual left symptoms.
DX: Lumbar strain; L4–L5 disc displacement.
TX: Continued modified duty and therapy. MMI not yet declared.
08/18/2024Therapy Note
228–234James Hale, D.C.
HPI: Maintenance visit. Radiation largely resolved with residual stiffness.
CC: Mild lumbar stiffness after prolonged standing.
DX: Improving lumbar strain.
TX: Adjustment and home stretching; reduced visit frequency.
08/22/2024Work Status
240–248Priya Nair, M.D.
HPI: Updated work status for County Logistics modified-duty placement.
CC: Activity-limited low-back pain.
DX: Lumbar strain with residual symptoms.
TX: 25 lb lifting limit, no repetitive bending. Full duty not released.
08/26/2024QME Cover Letter
249–254Priya Nair, M.D.
HPI: Records packet prepared for orthopedic QME review of the 03/12/2024 injury.
CC: Industrial lumbar strain with residual symptoms.
DX: Lumbar strain; L4–L5 disc displacement.
TX: No change in modified duty pending QME.
Non-medical (4)04/08/2024Claims Correspondence
255–258Pacific Compensation
HPI: Carrier letter acknowledging the 03/12/2024 claim and requesting records.
CC: Industrial injury claim correspondence.
DX: Not applicable.
TX: Records request and benefit notice enclosed.
05/02/2024Wage Statement
259–261County Logistics
HPI: Employer wage printout covering 13 weeks before the DOI.
CC: Average weekly wage documentation.
DX: Not applicable.
TX: Submitted for temporary disability calculation.
03/13/2024Claim Form
262–264County Logistics
HPI: DWC-1 signed the day after the carton lift at County Logistics.
CC: Low-back injury claim.
DX: Not applicable.
TX: Claim opened with Pacific Compensation.
07/01/2024Records Subpoena
265–268Valley Ortho QME
HPI: Subpoena for prior Harbor Family Clinic records from 2018.
CC: Prior records request.
DX: Not applicable.
TX: Return of records requested within 15 days.
Labs (2)04/19/2024CBC
269–270Pacific Imaging
Findings: WBC mildly elevated. Remaining cell lines within reference range.
Impression: Nonspecific leukocytosis. No other acute hematologic abnormality.
04/19/2024Metabolic Panel
271–272Pacific Imaging
Findings: Electrolytes, creatinine, and glucose within reference range.
Impression: No metabolic contraindication to NSAID as prescribed.
Operatives (1)04/26/2024Ketorolac Injection
273–275Priya Nair, M.D.
HPI: In-office ketorolac for flare of lumbar pain after prolonged standing.
CC: Acute-on-chronic low-back pain.
DX: Lumbar strain, symptomatic flare.
TX: IM ketorolac administered. Observed and released.
Deposition (1)05/03/2024Deposition Excerpt
276–280M. Garcia
HPI: Applicant describes the carton lift at County Logistics and ongoing bending limits.
CC: Low-back pain after industrial lift.
DX: Not applicable.
TX: Testimony only. No treatment rendered.
Garcia, M.
RecordsER Visit
Occupational Medicine
ER Visit
Anika Patel, M.D.
03/12/2024 · 1–4
1–4
1248
RecordsFiles
27 RecordsShow
Table of Contents Only
GroupingRecord Type
Sorting
Chronological
Filter
Record TypesAuthorSpecialtyFacilityFlaggedExcludedFilter...
All Excluded Records
Duplicate Records
Different Patient
Excluded by user
Filter...
Chiropractic
Family Medicine
Occupational Medicine
Orthopedic
Radiology
MediViews
Switch Preset
Manage "Dr. Chen — Orthopedic"
General (5)03/12/2024ER Visit
1–4Anika Patel, M.D.
HPI: Workplace lift at County Logistics. Immediate lumbar pain, no radiation.
CC: Low-back pain after lifting a carton.
DX: Lumbar strain.
TX: NSAIDs, activity modification, outpatient follow-up.
03/14/2024PTP Initial Eval
5–11Priya Nair, M.D.
HPI: Reports 03/12/2024 carton lift at County Logistics with persistent lumbar pain.
CC: Low-back pain limiting bending and lifting.
DX: Lumbar strain; rule out disc injury.
TX: Off work, NSAID, ice, and imaging ordered.
03/22/2024PT Evaluation
45–52Luis Ortega, P.T.
HPI: Started outpatient PT for lumbar strain after the 03/12/2024 lift.
CC: Pain with flexion and sit-to-stand.
DX: Lumbar strain with reduced mobility.
TX: Core stabilization, flexion intolerance education, home program.
04/02/2024Therapy Note
18–21James Hale, D.C.
HPI: Follow-up for low-back stiffness with left-sided radiation.
CC: Low back stiffness with left-sided radiation.
DX: Lumbar strain with left radicular symptoms.
TX: Spinal manipulation, myofascial release, and home stretching.
05/19/2024Therapy Note
28–31James Hale, D.C.
HPI: Improved lumbar mobility with residual morning stiffness.
CC: Residual lumbar stiffness, improved radiation.
DX: Improving lumbar strain.
TX: Continued chiropractic adjustments and lumbar stabilization.
Diagnostic (3)03/15/2024X-ray — Lumbar Spine
32–34David Chen, M.D.
Findings: No fracture or listhesis. Mild L4–L5 disc-space narrowing.
Impression: Degenerative change without acute osseous injury.
03/18/2024MRI — Lumbar Spine
12–15David Chen, M.D.
Findings: L4–L5 disc displacement with mild left foraminal narrowing.
Impression: Findings correlate with reported left radicular symptoms.
06/12/2024EMG / NCS
140–146Omar Shah, M.D.
Findings: Mild left L5 irritability without axon loss. No plexopathy.
Impression: Electrodiagnostic findings support a mild left radiculopathy.
Comprehensive (11)04/11/2024PTP Follow-up
78–84Priya Nair, M.D.
HPI: MRI reviewed. Residual left-sided symptoms with improved sitting tolerance.
CC: Low-back pain with intermittent left radiation.
DX: Lumbar strain; L4–L5 disc displacement.
TX: Continue PT and chiropractic. Modified duty, 25 lb limit.
04/28/2024PT Progress Note
90–96Luis Ortega, P.T.
HPI: Eight visits completed. Morning stiffness improved, lifting still limited.
CC: Pain at end-range flexion.
DX: Improving lumbar strain.
TX: Progressed lumbar stabilization and work-simulation drills.
06/03/2024Ortho Consult
110–128Rachel Kim, M.D.
HPI: Referred for persistent L4–L5 symptoms after conservative care.
CC: Low-back pain with left-sided radiation after industrial lift.
DX: Lumbar disc displacement without surgical indication at this time.
TX: Continue non-operative care. Injection deferred.
06/20/2024PTP Follow-up
155–162Priya Nair, M.D.
HPI: EMG reviewed. Patient remains on modified duty at County Logistics.
CC: Activity-limited low-back pain.
DX: Lumbar strain with mild left radiculopathy.
TX: Continue therapy. Re-evaluate MMI in 6–8 weeks.
07/08/2024Therapy Note
168–174James Hale, D.C.
HPI: Standing tolerance improved. Residual stiffness after warehouse shifts.
CC: End-of-shift lumbar stiffness.
DX: Improving lumbar strain.
TX: Adjustments, hip flexor stretching, and posture cues.
07/22/2024PT Progress Note
180–186Luis Ortega, P.T.
HPI: Functional lifting improved to 20 lb with good mechanics.
CC: Fatigue with repetitive bending.
DX: Improving lumbar strain.
TX: Work hardening emphasis; continue home program.
08/05/2024PTP Follow-up
198–204Priya Nair, M.D.
HPI: Ongoing modified duty. No new injury. Symptoms stable.
CC: Intermittent lumbar stiffness.
DX: Lumbar strain, improving.
TX: Maintain 25 lb restriction. No surgery planned.
08/12/2024PR-2 Report
210–224Priya Nair, M.D.
HPI: Industrial lumbar strain from 03/12/2024 lift, still under conservative care.
CC: Low-back pain with residual left symptoms.
DX: Lumbar strain; L4–L5 disc displacement.
TX: Continued modified duty and therapy. MMI not yet declared.
08/18/2024Therapy Note
228–234James Hale, D.C.
HPI: Maintenance visit. Radiation largely resolved with residual stiffness.
CC: Mild lumbar stiffness after prolonged standing.
DX: Improving lumbar strain.
TX: Adjustment and home stretching; reduced visit frequency.
08/22/2024Work Status
240–248Priya Nair, M.D.
HPI: Updated work status for County Logistics modified-duty placement.
CC: Activity-limited low-back pain.
DX: Lumbar strain with residual symptoms.
TX: 25 lb lifting limit, no repetitive bending. Full duty not released.
08/26/2024QME Cover Letter
249–254Priya Nair, M.D.
HPI: Records packet prepared for orthopedic QME review of the 03/12/2024 injury.
CC: Industrial lumbar strain with residual symptoms.
DX: Lumbar strain; L4–L5 disc displacement.
TX: No change in modified duty pending QME.
Non-medical (4)04/08/2024Claims Correspondence
255–258Pacific Compensation
HPI: Carrier letter acknowledging the 03/12/2024 claim and requesting records.
CC: Industrial injury claim correspondence.
DX: Not applicable.
TX: Records request and benefit notice enclosed.
05/02/2024Wage Statement
259–261County Logistics
HPI: Employer wage printout covering 13 weeks before the DOI.
CC: Average weekly wage documentation.
DX: Not applicable.
TX: Submitted for temporary disability calculation.
03/13/2024Claim Form
262–264County Logistics
HPI: DWC-1 signed the day after the carton lift at County Logistics.
CC: Low-back injury claim.
DX: Not applicable.
TX: Claim opened with Pacific Compensation.
07/01/2024Records Subpoena
265–268Valley Ortho QME
HPI: Subpoena for prior Harbor Family Clinic records from 2018.
CC: Prior records request.
DX: Not applicable.
TX: Return of records requested within 15 days.
Labs (2)04/19/2024CBC
269–270Pacific Imaging
Findings: WBC mildly elevated. Remaining cell lines within reference range.
Impression: Nonspecific leukocytosis. No other acute hematologic abnormality.
04/19/2024Metabolic Panel
271–272Pacific Imaging
Findings: Electrolytes, creatinine, and glucose within reference range.
Impression: No metabolic contraindication to NSAID as prescribed.
Operatives (1)04/26/2024Ketorolac Injection
273–275Priya Nair, M.D.
HPI: In-office ketorolac for flare of lumbar pain after prolonged standing.
CC: Acute-on-chronic low-back pain.
DX: Lumbar strain, symptomatic flare.
TX: IM ketorolac administered. Observed and released.
Deposition (1)05/03/2024Deposition Excerpt
276–280M. Garcia
HPI: Applicant describes the carton lift at County Logistics and ongoing bending limits.
CC: Low-back pain after industrial lift.
DX: Not applicable.
TX: Testimony only. No treatment rendered.
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