The examination findings objectively confirm my diagnosis and clinically correlate with the patient's subjective complaints.  Chiropractic care is therefore medically necessary.

Due to the patient being pregnant all radiographic and advanced imaging procedures are on hold.  Should her pain persist, we will make a decision to image post-delivery.  For now, her condition will be evaluated based on physical examination and correlation to subjective complaints.

Airbag Injury:

 

Version 1

The patient is experiencing worse symptoms as outlined above due to airbag deployment.

"Although airbags reduce the overall risk of injury and death from motor vehicle accidents, injuries attributed to airbag deployment have been extensively reported" (Kapisiz et al., 2010, p. 181).

Version 2

The patient's treatment plan may be prolonged due to these injuries sustained from airbag deployment.

Kapisiz, N. S., Ozpolat, B., Kapisiz, F., & Yücel, E. (2010). Sternal fracture due to airbag injury: Case report. Turkish Journal of Trauma and Emergency Surgery, 16(2), 181-182.

Version 3

The patient is experiencing an exacerbation in symptoms as outlined above due to airbag deployment.

"Although airbags reduce the overall risk of injury and death from motor vehicle accidents, injuries attributed to airbag deployment have been extensively reported" (Kapisiz et al., 2010, p. 181).

Version 4

Due to the injuries sustained from the airbag deployment, the patient’s treatment plan may be prolonged.

Kapisiz, N. S., Ozpolat, B., Kapisiz, F., & Yücel, E. (2010). Sternal fracture due to airbag injury: Case report. Turkish Journal of Trauma and Emergency Surgery, 16(2), 181-182.

Version 5

The patient is experiencing increased symptoms as a result of airbag deployment outlined above.

"Although airbags reduce the overall risk of injury and death from motor vehicle accidents, injuries attributed to airbag deployment have been extensively reported" (Kapisiz et al., 2010, p. 181).

 

 

 

 

 

 

Based on the patient's response to care, I am decreasing the frequency of visits.  The objective evidence is showing that care is effective and that the frequency to this point has been medically necessary and appropriate for their diagnosed condition.  Details are outlined in plan section of this note.

Version 1

The patient has experienced injuries to multiple sites in the spine. Each of these regions is a separate body part and may respond to care at different rates.   I have discussed this with the patient and they understood that they may feel better in different areas at different times.

 

Version 2

The patient is experiencing injuries in multiple regions of the spine.  These regions are distinct and separate injuries that may respond differently to treatment.  This was discussed with the patient and they understand that it is possible for one region to respond at a faster rate than an injury in another region of the spine.

 

Version 3

The patient has multiple injuries to different areas of the spine.  Each of these regions is a distinct injury that may respond differently to chiropractic management and because of the nature of the different injuries, one region may progress more quickly than another region.  This was discussed and understood by the patient.

 

Version 4

There are multiple injuries to separate regions of the patient's spine.  These regions are different body parts and may respond at different rates.  I have discussed the possibility of one region responding differently, or more slowly because they are separate injuries, with the patient and they understand that the different regions may have a different response to care.

 

Version 5

It was discussed with the patient that they have multiple injuries to separate areas of the spine.  The patient understands that these are separate and distinct injuries that may respond differently to treatment and that there may be differing rates of recovery.

 

Version 6

There are multiple sites in the patient's spine that have sustained injury.  Each injury is located in a different part of the spine and considered a separate body part.  Because of this, the separate injuries may respond differently and at different rates to treatment.  This was discussed with the patient and the patient acknowledged understanding the potential for different response rates.

 

Publish modules to the "offcanvs" position.