Chief Complaint: Right hip/side cramps. Secondary complaints: low immunity, left tooth abscess (upper molar #16).
Medical History: Patient involved in MVA at age 14. She was a pedestrian hit by car. Multiple surgeries to repair fractured left femur and pelvis. Removal of left kidney and spleen. Currently, patient takes Chinese herbal supplements only.
Questioning exam: Patient is friendly and always smiles. Her voice sounds apologetic and she seems not comfortable in her body. When asked to show her tongue, patient always coughs, apologizes and says “ah”. Coping style is focused on removing herself from situation with girlish laugh and voice, and apologies.
Chief Complaint: Left Hip and Knee pain
Medical History: Pain started after having gallbladder and right Kidney removed. After right kidney was removed patient had an infected scar and was put on anti-inflammatory drugs for some time, during which there was no pain. Once off drugs pain returned. Patient (F 59) was checked for rheumatoid arthritis and negative, arthritis was also ruled out, and was recommended to visit an acupuncturist. No prior pain to operations. On hypertension drugs also, blood pressure is under control.