Older Audience Draft: An email write up of a patient's visit to a doctor, sent out to other doctors.
Kaitlyn
A. Pike, M.D.
Pacific
Coast Electrodiagnostic Medicine
4587
Ocean Way, Suite 208
Valdez,
Alaska 99686
Phone:
907-656-5558
Fax:
907-767-8436
Patient:
Forest O’Kelp
Date: 08/31/2015
DOB:
11/21/1995
Referring Party: Carl Neptune, M.D. ________________________________________
HISTORY: The patient is a 19-year-old surfer. All his life, his brother,
Otto O’Kelp, has assisted him until recently when Otto slipped in oil and had
to be hospitalized for his injuries. Now on his own, he has fallen and suffered
a leg injury after stepping on a poisonous sea urchin, which has stunted his
growth. Dr. Neptune operated on his growth plate on 5/15/2015. The operative
report is reviewed. Post operatively, possibly from the sea urchin, there
appears to be damage his sciatic nerve. Dr. Neptune’s most recent re-evaluation
from 08/25/2015 is reviewed and the patient is here today for my examination
and testing.
For further medical history,
complete symptom list and medications taken, I refer to the comprehensive
patient intake form that is filled out and signed by the patient.
FAMILY HISTORY: Does not contribute to patient’s reason for
visit.
REVIEW OF SYSTEMS: For patient drawing of areas of pain, please
refer to the intake form. Also, he has pain in the upper left buttock region.
Currently, he also has pain radiating down his left leg. The patient reports no
symptoms on the right side. When asked if symptoms are improving, getting
worse, or staying the same, he thinks that they have gotten significantly worse
in recent weeks.
OBJECTIVE: After a quick examination, I determine him to be a smart and
athletic young man. He is six feet, three inches tall, with the left leg
appearing to be one to two inches shorter than the right leg.
All dorsal and lumbar nerves
are intact.
There is no evidence of
atrophy of the lower extremities or buttocks region.
Range of motion at the hip is
painful, and there is obvious swelling at the lower back on the left side.
He is very tender over the fifth
lumbar vertebral body.
All major muscles are intact.
NERVE CONDUCTION STUDY:

IMPRESSION: This is an abnormal study.
1.
The
patient has severe damage to the sciatic nerve caused by a spinal disc
herniation, most likely due to the fall. More work must be done on the patient
to determine the exact location of the herniated disk, though most likely it is
between the fourth and fifth lumbar vertebral bodies.
2.
The lack
of growth in the patient’s leg is the more pressing issue. Unfortunately,
without his brother’s help, the patient may suffer another injury that could
further damage the growth plate.
3.
The
sciatic nerve damage is isolated, and may or may not have been caused by the
poisonous sea urchin – further tests must be performed to determine if there
will be lasting damage.
After all testing and
observation was completed, I discussed my impressions with the patient and
communicated the worries I had about his situation. All of his questions were
answered.
Kaitlyn A. Pike, M.D.
Kaitlyn Ann Pike MD
cc. Carl Neptune, M.D. 2936 De La
Vina, 1st Floor, Santa Barbara, CA 93105. UCSB, Student Health
Services, Physical Therapy, Susan/Andrea, University of California, Santa
Barbara, CA 93106
Younger Audience Draft: an in class worksheet for kids in 4-5th grade about business terms
Business Animals!
Pretend that a new
friend, Jack, has a cool new Pokémon card that you really, really want. You
just got allowance for cleaning your room this week, so you offer to buy Jack’s
Pokémon card. If Jack agrees to let you buy it, this is what businessmen call
an acquisition.
Everyone is happy in an acquisition, both business agree to the terms and leave
with something they want.
But what if Jack
doesn’t want to sell you his card? Even if you beg him and ask super nicely,
Jack still says no. You want the card so badly that you start to bully Jack and
eventually pressure him to sell his card and throw your money at him. You guys
aren’t friends anymore, but you have a new Pokémon card and Jack has your
money. This is called a “hostile” takeover, and it’s when one company
bullies another company into agreeing to the deal and it is not very nice.
Now that you’re
familiar with these two new terms, let’s look at another, more business related
example!
In a city in
Alaska there were two companies. The local otter family ran one of the
businesses. They were very big and successful, and they made a lot of money.
The boss, Mr. Oscar Otter, walks into a store one day that is owned by the
Kelly’s, which were a family of kelp plants! Mr. Oscar really likes Mrs. Kelly
Kelp’s business and offers to give her money so she can continue to grow. In
this acquisition, Mr. Oscar and Mrs.
Kelly both get something they want and they work together peacefully!
One day, a new,
even richer and bigger boss comes in. His name is Mr. Valdez. He doesn’t care
about making anybody happy but himself. So he comes in and bullies Mr. Oscar
into accepting a deal. The deal was that Mr. Oscar has to leave town and sell
his part of Mrs. Kelly’s company to Mr. Valdez.
Mr. Valdez sent in
his minion sea urchin workers to start taking over the stores that Mrs. Kelly
used to run! Mrs. Kelly worked really hard to stay in business, and ten years
later Mr. Oscar is still gone. While she is still working to keep her business
running, the sea urchins are looking to move in at the first opportunity! Mrs.
Kelly really wishes that Mr. Oscar will come back and help fight back against
the sea urchins!
Answer these
questions on a separate sheet of paper!
Definitions
1. What is an acquisition?
2. What is a “hostile” takeover?
Comprehension
Questions
3. How could you have figured out that Mr.
Oscar acquired Mrs. Kelly’s business? What clues in the story tell you?
4. What would you call the interaction between
Mr. Valdez’s company and Mr. Oscar’s company? How do you know?
Free Writing
5. Do you think Mrs. Kelly can keep Mr. Valdez
from taking over her company? What do you think Mr. Oscar would say about Mr.
Valdez’s sea urchin workers treating Mrs. Kelly so meanly?
Older:
Intended audience was doctors, physical therapists, and other occupations in
medicine. I tailored my intended audience by presenting some of the article’s
information in a report of a patient’s visit. I tried to incorporate aspects of
the ecology aspect of the article into medical terms like when I talked about
Forest O’Kelp’s growth plate being broken after a fall caused by stepping on a
sea urchin. I kept the tone simple and to the point because it was a write up
of a medical test and doctor’s visit. There’s not room for flourishes here
because the other doctors want to know the results and what I (the doctor)
thought.
Younger: I
chose to do an educational worksheet handout that elementary school kids in 4-5th
grade would receive in class. Its purpose is to teach the kids about two types
of ways that businesses come together. As an example, I made the otters, the
kelp, and the sea urchins into bosses of businesses that go through a series of
interactions. Using key words and bolding, I bring attention to important
details that relate directly back to the simple example definitions in the
beginning of the worksheet. (personal note) I want to try to go back and give
the worksheet a double meaning type of thing, where it teaches new business
terms, but also shows that kelp and otters have a very close relationship and
that the otters keep the kelp from being overtaken by the sea urchins.
No comments:
Post a Comment