Treated for non-specific chronic pain with opiates prior to moving to Oregon; no long taking pain medication and no longer on pain contract. No primary care in Oregon.
Dispatch info: Chest pain, no nausea, feels feverish (did not mention arm or swelling)
27 pack year smoker
IV heroin use average 2x/day; last used 1 week ago
Pain onset was 6 days ago after mild trauma at work. Co-worker dropped a metal beam they were both carrying and extreme vibration hurt his left hand and wrist.
Patient was seen at two different emergency rooms 2 and 4 days ago, both took X-rays; one prescribed ibuprofen and the other gave hydrocodone, last taken yesterday.
States that today pain and swelling are much worse, and he now feels like he has a fever. Patient states he last used heroin 1 week ago, last injected heroin into left arm 2 weeks ago; injection site was vein on top of L thumb.
Extreme edema in left arm, radial pulse intact.
Left arm skin is very tight, edema is non-pitting.
Swelling extends up to elbow, radiates up arm into shoulder. Left arm is warm to touch.
Patient reports hand going numb en route to hospital.
August 28: India ONLINE Conference:
Prof. Vijendra Jain: Management of CVJ Anomalies in Children - Personal Experience"
August 28: India Online Conference: Ped Neurosurg: Subodh Raju, MD "Surgical Options in Craniosynostosis"
July 22: John Giannios MD, Precision Medicine Leader, talks about "Precision Epigenomic Medicine of Incurable Solid Tumors "
July 20: John Giannios MD, Precision Medicine Leader, talks about "Precision Cancer Medicine in the Postgenomics Era"
July 19: John Giannios MD, talks about "NANOSURGERY FOR ERADICATION OF METASTATIC CANCER STEM CELLS "
July 20: Joe Krainin MD, Neurologist, Sleep Apnea expert, talk to A Fib expert, Steve Ryan Phd, meet and discuss AFib and Sleep Apnea
July 9: Iype Cherian MD, Neurosurgery Superstar, presents "Basilar Artery Dissection, for the ACNS Online Conference
July 9: Roberto Herrera MD: Presenting Case in Online Neurosurgery Conference, a New Wave of Conferences
July 9 Ramesh Nair MD, English Neurosurgeon, Presents a Few Skull Base Cases
May 3: John Byler, noted TBI Support Advocate, talks about his book, "You Look Great"
April 20: Catherina Borgenstierna of Sweden Presents her Robotic Assisted Eating Device, Bestic
April 19: Jon Dreyer of Nuance Healthcare Communication talks about New Dragon Voice Recording Platform
John Adler MD: Stanford Neurosurgeon: Inventor of Cyberknife: "Cureus.com and Innovative Medical Publishing"
March 27 "Diving into the Rhoton Collection": Iraqui Neurosurgeons Discusses
March 27: Bernardo de Andrada MD: Brazil Neurosurgeon: "Intracranial Meningiomas"
Victor Volovici MD: Dutch Neurosurgeon: " Petrous Bone: Cave of Wonders"
March 27: Peter Galkin MD: Russian Neurosurgeon: "Saphenous Vein Greaft for CAD"
March 27: Carlos Lllumiguano MD: Ecuador Neurosurgeon: "Pituitary Tumors: Surgical Indications"