Kadwa or Simone

Had lamanectomy on lumbar area of back 2 weeks ago. I have developed seroma around incision site. What will help body absorb fluid or dissipate the fluid




1. Age,sex,weight,body and face appearance, country, occupation.
ANS. 65,M, 215,W, 6'2",USA Speech Therpist

2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like hands,legs etc; duration of trouble.
ANS. Leg, Buttox, pain and numbness Lower back stiffness and sometimes pain
b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
ANS. dull pain in back of left leg mainley
c)What are the factors that causes this trouble according to you.
ANS. MRI says that L1-5 are compressed and causing this problem
d)Condition under which the complaint is reduced or you feel better like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS. I have to sit to get relief when pain is at its peek. Mornings are better and late evenings/nite are usually the worst
e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS.Standing is the worst when the legs are in pain
f)Any other complaint any where in the body.
ANS.Anal Fissure acts up sometimes
g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
ANS. Started with Fissure about 2 years ago, neck had to be operated on to release pressure on spinal chord a year ago last August, and 3 months after that this back problem developed(12/2013)
h)Treatment method adopted and its result.
ANS.Homopathic remedies, Physical therapy,(neck& back) chiropractic(back, epidural(back)

3. History of diseases in family.
ANS.Mom-dementia, Dad-plursey of lung(retired major smoker)

4. Personal History.
a)About childhood.
ANS.
b)Academic performance.
ANS.Masters 3.5on a 4.
c)Any major incidents in life and the effect of it on life.
ANS. Early teens-car wreck killing girl riding with me. Had a lot of years doing drugs and partying thru the 70's. Married in 72 to same woman i live with now
My son had a motorcycle accident about 4 years ago that almost killed him. We have been raising his son or we keep him every weekend. Wife had heart attack a little over a year ago
d)How you are satisfied with your sex life, friends, family members, company etc.
ANS.Sex life non existent wife has problems with having sex-right now more important things to handle, family is good, wife has a lot of friends, I choose only a few friends i call friends. I do need more friends but not something i dwell on

5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS. I drink my share of beer, used to drink alcohol but was a mean drunk so only occasionaly do i drink alcohol
no sleeping pills, I do take a probiotic at night to help make sure i don't get constipated
b)Masturbation and frequency.
ANS.decline

6. How is your Appetite and Thirst.
ANS. Has always been good

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee.
ANS. I eat healthy most of the time I eat a lot of vegtables and fruits, whole grains, low sodium, but I do eat a lot of bad foods also. I like all I do like sweets, love ice cream( i think it replaced alcohol)
b)Anything else about like and dislike of any activity with you or surrounding.
ANS.

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
ANS. Everything good here for now.
b)Any discomforts associated with stool.
ANS.

9. Urine.
a)Frequency, nature, volume.
ANS. Seems fine, night time more (enlarged prostrate)
b)Any discomfort before, during or after urination/odour
ANS.none

10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
ANS.everything working fine i think
b)Any other trouble in sex.
ANS.

11. For Females.
a)Menses, Regular, Irregular,Early, Late.
ANS.
b)Duration of menses.
ANS.
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
ANS.

12. Sleep.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
ANS. Sleeping on left side and stomach mostly-sleeping like a log most of the time. I was taking Valerian root &/or bendryl at night but not lately

13. Sweat
a)How much, what parts, staining, Odour.
ANS.when i work

14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
ANS.weather doesn't affect me with regard to tolerance I simply dress appropriately

15. Mental Status
a)The quality of the patient's life in relationship to loved ones, family, friends and colleagues. Overall quality of energy available to function in daily life, and under various circumstances.
ANS. Fair
b)Any mental/emotional shocks occurring in the patient's life-grief, major financial losses separation from loved ones, death, identity crisis and other stress in life.
ANS.Dealing with death/demise of our parents
c)Memory,ability to concentrate/comprehend.
ANS.Good for the most part
d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
ANS.I seem to have grown more claustrophobic over the years when in small tight places(crawl spaces mainly) I dont like high places especially
e)Are you anxious about anything: if yes, give details.
ANS.
f)Are you impatient.
ANS.yes
g)Are you doubtful or suspicious.
ANS.always
h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
ANS.Yes and it depends on situation but not normally
i)Does your pride get hurt easily.
ANS.Yes
j)Are you depressed, if so, reason/circumstances.
ANS. this back and the latest battles ofhealth our family has had
k)Do you like to share your problems.
ANS.with some-this exercise is difficult
l)Effect of consolation.
ANS.with the right person moving
m)Do you ever become suicidal when? How.
ANS.no
n)Memory- quality if poor, for what ( eg. Names, places, people, what you read).
ANS.
o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
ANS.not really
p)Are you easily irritated. What makes you angry, how do you express it.
ANS. yes
q)Are you destructive.
ANS.i have been known to
r)How good are you in making decisions.
ANS.Fair
s)Do you like company or like to remain alone.
ANS I like both
t)How seriously are you affected by disorder and uncleanness in your surroundings.
ANS. Anal about the kitchen
u)How does failure appear to you?
ANS.Learning curve
v)Are there any matters that you deeply dislike?
ANS. arogance, righteousness
w)What activities you deeply like? How does it affect your mood?
ANS. Hunting, fishing, golf, garden -upbeat
x)Are you affectionate? How does others sorrow affect you?
ANS. Yes it affects me
y)Any present fears in your life or future.
ANS. health care lately
z)Any present life or future life desires.
ANS. Retirement
[message edited by cjsva on Fri, 07 Aug 2015 01:35:07 UTC]