History: Date & time: 01/08/23 10:00 am Full Name: JC DOB: 01/04/1992 Address: Jamaica, NY  Age: 30 y/o Sex: Male  Race: Hispanic Religion: Christian  Source: Pt. himself Transportation: Self   Reliability: Questionable   Location: Jamaica, NY  Chief Complaint: erratic behavior in the context of “MS 13 is trying to kill me” x 1 day History of Present Illness:      30 y/o Latino male undomiciled, single, unemployed with PMH of substance abuse (cocaine, heroin) and self reported anxiety and depression BIBEMS/NYPD (not under arrest) for erratic behavior and psychiatric evaluation in the context of substance abuse. As per police report pt. called 911 because …

For physical diagnosis 2 I can confidently say I felt a lot more comfortable when doing my history and physical at my hospital visits. This semester I began to question myself less and be more confident in my own abilities which I believe showed through my work. I would also say that now I am able to do my history and physical in a reasonable amount of time while also still hitting all the points that I need to for my respective patient.  The addition of the differential diagnosis and plan did cause me to struggle a little bit in …

History: Date & time: 09/13/22 10:00 am Full Name: AA DOB: 09/23/1961 Address: Jamaica, NY Age: 60 y/o Sex: Male Race: Hispanic Religion: Christian Source: Pt. himself Transportation: Self  Reliability: Reliable Location: Flushing, NY Chief Complaint: “My chest hurts” x 1 days History of Present Illness:      60 y/o male with PMH of HTN, HLD, DM2, CAD with triple vessel disease s/p 3 stents in 2015 presented to the ED 4 days ago complaining of chest pain with exertion at home. Pt. states that the pain started right before he came in and had a sudden onset that occurred when …

History: Date & time: 11/15/22 9:00 am Full Name: LK DOB: 05/14/1993 Address: Jamaica, NY Age: 29 y/o Sex: Male Race: Asian Religion: Christian Source: Pt. himself Transportation: Self  Reliability: Reliable Location: Flushing, NY Chief Complaint: “My stomach hurts” x  4 days History of Present Illness:      29 y/o male with no PMH other than an ED visit 3 months ago with a diagnosis of appendicitis and abx treatment, presents to the ED ℅ abdominal pain for 3 days. Pt. states the onset of his pain was sudden and is predominantly localized to his right lower quadrant. He describes the …

     I believe that I had a good grasp of all the topics discussed in our sessions and was able to pull out crucial information from the cases presented. One thing I realized in this class is that I need to trust myself more, I tend to not trust myself like I should and look for confirmation of my thoughts through the internet. Furthermore, I believe I supported my ideas and points adequately and was able to efficiently “connect the dots” within each case. Within regards to communication, I believe that I contributed a good amount to the class, as …

Policy Brief To: John C. Liu From: Isaiah Tekalign Date: 07/16/2022 Re: Federal Mandate to decrease tobacco usage and abuse Statement of issue: Cigarette use is the leading cause of preventable disease, disability, and death within the United States of America. This substance has accounted for more than 480,000 deaths in the US every year. It has also been found that more than 30.8 million adults currently smoke and more than 16 million of them have been diagnosed with a smoking related disease. Some of the smoking related diseases include cancer, heart disease, stroke, diabetes, COPD, and tuberculosis. Without intervention …

The article I have chosen represents a conflict within the field of assisted reproduction and is between the two principles of patient autonomy and nonmaleficence. Before I delve into those aspects and why they relate to the article I am going to summarize the case. In this case a couple is presenting to an infertility clinic with the hopes of having a child despite both future parents having achondroplasia. They are aware of the risk of the child suffering from a still birth if his/her genetics are homozygous for achondroplasia. The doctor knowing this as well suggests preimplantation genetic diagnosis …

The Limits of Patient Autonomy in Regards to Religious Values As future medical providers, we are taught that respect for patient autonomy is one of the four pillars of medical ethics. It is our due diligence to no longer tell a patient what to do but rather via shared decision making, educate the patient on what their medical options are, what we would recommend based on our expertise and together, determine what the next course of action may be. This idea of shared decision making also considers that the patient is of sound mind, understands inherent risks and benefits of …