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Family, Internal Medicine, General Medical Questions/Questions Answered by Expert Diane Chambers

SubjectDate Asked
Insect bite or spider bite7/23/2010
  Q: Sir, In month of Apr my husband had a boil on his left hand and was told by doctor that its becoz of ...
  A: It seems to me this may be an issue for an infectious disease specilaist not a skin specilaist. ...
FREEZING1/4/2009
  Q: I was wondering would you please explain to me: whenever we eat ice cream, how come we get brain ...
  A: "Brain freeze" is the pain sometimes inflicted by devouring something cold like ice cream or a cold ...
high blood pressure1/3/2009
  Q: after a night of drinking my blood pressure jumps up to 150 or over and recently getting hand ...
  A: Without a thought- please go to your physician and relay this message. My reccomendation is this ...
Tingling6/4/2008
  Q: Approximately two weeks ago, while wearing a pair of 3 1/2 inch slip in high heels shoes, i stumbled ...
  A: SOunds as though you may have some residual nerve damage. I am not a physician.....it may have been ...
Head neck injury6/4/2008
  Q: I have a question regarding ortho. I was recently in an auto accident (2.5 months ago). I was ...
  A: It can take several weeks or even months - depending on the injury itself. Since I am not a ...
Swollen Ankle5/6/2008
  Q: Im 30 years old and have suffered from a right swollen ankle since my early 20's although I'm very ...
  A: I have no idea what type of testing that was done to confirm that this is an ankle sprain- however, ...
gas5/3/2008
  Q: Age 69,good health; but for six months, night or day, I have a problem of passing gas. It is not ...
  A: You may want to try activa- it is a yogurt that is designed to aid the digestive system and it ...
Breathing4/29/2008
  Q: I have a few question about breathing. 1. Is breathing voluntary or involuntary control or both? ...
  A: Breathing is involuntary however you can control to some extent the rate and depth of your ...
High CPK and Muscle Soreness4/28/2008
  Q: My parents and I are seeking information about my dad. He has had a high CPK of over 300 for 3 years ...
  A: I am not sure what type of doctor your father is seeing but I qwould suggest having your Dad be seen ...
objects shoved in ears4/15/2008
  Q: My 3 yr old son put a crayon in his ear 2 weeks ago and pulled it back out and had no complaints but ...
  A: Just my personal opinion - I would call the ENT and tell them exactly what the story is- if they ...
baby poop4/15/2008
  Q: doctpr, my question is . I ahve a 15 month son who had problems with acid reflux and lactose ...
  A: First may I start out by saying I am not a doctor. You may want to make sure your child is ...
Bone density tests, metabolism question4/9/2008
  Q: I have Blue Cross Health Options. They are really big on preventative physicals. I was wondering if ...
  A: Bone density studies are usually not considered preventative at this time- mainly because less ...
my 6 year old son has frequent nosebleeds.4/5/2008
  Q: I have a 6 year old son who complains of a headache which is sometimes accompanied by a nose bleed. ...
  A: Sandra, I would be more inclined to take him to an otolaryngologist (ear, nose and throat ...
bump on pinky side of hand3/25/2008
  Q: My husband has a bump/nodule on the pinky side of his hand. He doesn't remember hitting it or ...
  A: I am not a physician so I can not diagnose- but this may be a form of gout or gouty arthritis- your ...
Hypotension3/20/2008
  Q: Diane, hi-hope you are well. Diane these days I feel very tired, and sleepy, and slow in general. ...
  A: That is entirely too low- low bp is a concern because of blood flow to the brain and this can cause ...
Sprained Ankle3/18/2008
  Q: I have recently badly sprained my left ankle for the 2nd time in 4yrs both times in large swelling ...
  A: Phillip, You may want to try some physical therapy to strengthen the ankle and use an ankle ...
GO AWAY3/10/2008
  Q: I was wondering would you please explain to me: how do we get headaches? Thanks C Barwick
  A: Cameron, Headaches come from several sources- tension, migraine, tumors in the brain- this is too ...
blood in urine3/10/2008
  Q: This past Friday I finally went to my family MD because for the past year I have had reddish colored ...
  A: Could be prostrate problem...I have no idea what type of testing your doctor did- here is some info ...
persistant viral infection3/6/2008
  Q: I've had a viral infection(antibiotics didn't budge it)for over 10 weeks.Now I'm struggling, not ...
  A: Martha, Viral infections are very tough and take a long time to get rid of. Try a heating pad on ...
leg pain and hematoma2/24/2008
  Q: It has been three weeks now since my injury, and I developed a hematoma from it. With this I also ...
  A: I am not a doctor so I can not advise you what medical care to undertake- insurance or not you need ...
Pain in the left hand side of my stomach1/15/2008
  Q: I have a pain in the left hand side of my stomach and its been there for a fews weeks may a ...
  A: Mark, I cannot tell you what you have (I am not a physician) however, I would suggest having a ...
fmla1/6/2008
  Q: I'm out of work on workers comp and my company's policy is that you also take fmla. they stated ...
  A: FMLA- protects your job- worker's comp pays your salary (usually 66 2/3) and is responsible for your ...
Hygiene1/3/2008
  Q: This may be a crazy question, but I use a clean towel every time I bathe or shower. I know some ...
  A: It all depends on what places you dry with the towel. If it possible then using a clean towel is a ...
22 yr old chest pain left side12/22/2007
  Q: I want to start off by thanking you for taking the time to answer some questions that I have about ...
  A: Michael, You are very welcome and I do this because I so much want to help people. It sounds to me ...
cancer and insurance12/21/2007
  Q: I noticed you worked for an insurance company, maybe you can help me. My mother has recurrent ...
  A: Cindy, My thoughts and prayers are with your through this most difficult and trying time. Your mom ...
headache and ct scan12/5/2007
  Q: I've been having headaches now for about 4 weeks. It all started in the back of my head 4 weeks ago ...
  A: The best diagnostic studies are with the dye- if you are allergic to or think you may be allergic ...
Foot Itch11/28/2007
  Q: On and off now for about 6 months I will have an outbreak where my feet will start itching ...
  A: Becky, I have no idea what type of blood tests your doctor's performed or what they were testing ...
internal shiangles11/26/2007
  Q: i have been dianoised with shingles ,ablut a week ago and i still haven't broke out with the rash ...
  A: What is shingles? Shingles (herpes zoster) is a viral infection of the nerve roots. It causes pain ...
SICK11/8/2007
  Q: I was wondering would you please explain to me: why do you feel achy when your sick? Thanks C ...
  A: Hey Cameron, Thanks for writing again. When you are sick- depending on when it is viral or ...
swollen ankle11/6/2007
  Q: How long will my ankle swell during the days, when I'm walking on it? I broke it 7 weeks ago, one ...
  A: Paula, Yes, the swelling should subside once the circulation is back to normal with walking. Try ...
Gout???10/13/2007
  Q: my husband is in terrible pain with his toe and now feels it is spreading to his ankle. His toe ...
  A: Heather, That is exactly what it sounds like and he needs to take medication...so he needs to get ...
SO SICK9/29/2007
  Q: I was wondering would you please explain to me: why do we get upset stomachs? Thanks C Barwick
  A: Cameron, This is such a general question. Upset stomachs come in many varieties. It can be from a ...
cellulitis9/27/2007
  Q: I'm going to be 56 in November and I've been sick with whatever this is for over 2 yearsn now but ...
  A: Elizabeth, You need to see a doctor who specializes in infectious disease. If they cannot help you ...
Scioliosis Screening School9/21/2007
  Q: My 12 year old daughter had the scoliosis screening done at school and returned home with a letter ...
  A: I am so sorry - I did answer this question but obviously it did not go through. I would recommend ...
Swollen feet9/19/2007
  Q: For the last couple of months or so my feet have been swollen. I am overweight and am bothered ...
  A: You mentioned you have had heart problems. I would strongly suggest you discuss the feet swelling ...
neck pain shoulder pain9/4/2007
  Q: i have had pain in my neck goes down my left arm numbness tingling.. it could get rally bad but now ...
  A: You definitely need to see a neurologist. My main concern right now would be the swelling in your ...
Chest pain9/3/2007
  Q: For 10 years now, I regularly get chest pain.It happens every day or two for a week or so and then ...
  A: You need to discuss this with your physician and maybe have an upper endoscopy to see if you have ...
Fatty Liver9/2/2007
  Q: I have all the symptoms of fatty liver,cheif of which is the inability to lose weight,an enlarged ...
  A: what you have to look forward to is a better life. The liver has a tremendous ability to regenerate ...
Shingles and FMLA8/31/2007
  Q: I'm an ICU RN who came down with shingles at the age of 32! My physician suggested I apply for FMLA ...
  A: Sharon, Sounds to me like your doctor needs to document more specific reasons why you need to be ...
hi8/25/2007
  Q: went to a doc in ny for initial visit doc drew blood and also gave b12 shot and total visti time was ...
  A: I would first start out by obtaining a copy of the charges billed to medicare. Medicare usually ...
Wrist pain after fall on outstretched hand8/7/2007
  Q: This is not another question but my computer had a problem so your answer disappeared before I could ...
  A: Sorry to hear about your computer problems........they are a pain. Unfortunately waiting 6 weeks ...
Wrist pain after fall on outstretched hand8/4/2007
  Q: I fell on my hand 7 weeks ago and still have bad pain on the thumb side of my wrist when moving or ...
  A: You are having pain that has not gone away...........you need to see a specilaist- that is only my ...
meningitis vaccine7/30/2007
  Q: I recently received the meningitis vaccine, the day after I received the shot, I woke up and the ...
  A: it is probably just the reaction from the vaccine. Remember when you get a vaccine it is really ...
Caring for a stroke vicitim7/25/2007
  Q: I have recently taken on trying to help my boyfriends mother who just had her second stroke. She has ...
  A: Deborah, You have undertaken a very trying situation and you are to be commended for your efforts. ...
hand7/11/2007
  Q: In 2004 I had surgery on my hand to remove two cysts that had made themselves part of the tendon ...
  A: My suggestion would to see the doctor that performed the previous surgery if possible. It could be ...
tiredness in legs7/11/2007
  Q: My main complaint is tiredness, mostly in my thighs going up to the hip joint, especially when going ...
  A: God Bless You ...you sound like you are doing all the right things!!! It may be a circulatory ...
Head pains7/3/2007
  Q: I'm 14 years old, and i have found that i have Really bad head pains on the left side of my head, it ...
  A: I am assuming you are a female and your low iron may be related to female related issues. If the ...
Nicotine and insurance testing6/29/2007
  Q: I am about to take a blood test for a term life insurance policy. I smoked a cigar about 10 days ...
  A: Unfortunately it does take about 30 days or so for nicotine to be out of your system. Your ...
blood pressure test6/15/2007
  Q: With regard to taking a person's blood pressure, should the cuff be wrapped around a person's bare ...
  A: To take a more accurate bp the cuff should be placed on the bare skin. This allows more accurate ...
Edema6/11/2007
  Q: I had a medicinal question. I've found as of late that my ankles have been swelling through the ...
  A: Kaytlyn, There very well could be a correlation between your birth control pills and the ankle ...
genetic testing6/5/2007
  Q: Although there are laws against it, I have heard that information from my genetic testing could ...
  A: Lynn, I have not heard anything about genetic testing affecting children. Most insurances are ...
Hardened veins5/25/2007
  Q: My 17-year old son has cancer. He has one day of chemo to complete in his scheduled series. At his ...
  A: Michelle, Unfortunately from using the veins so often they develop scar tissue. They may improve ...
anal pain5/4/2007
  Q: I am concerned about the pain I have been having on and off for a couple months now. The pain is ...
  A: Sounds like it may be internal hemorrhoids however anytime there is bleeding I recommend a doctor ...
my health , help!5/2/2007
  Q: I am a 44 year old female who on March 22 after returning to work from lunch suddenly became dizzy, ...
  A: Tammy, I am so sorry you are going through so much. Was a neurologist consulted? Endocrinologist? ...
back4/30/2007
  Q: .since last night i have had a big red mark in the midddle of my back which is really hot, its also ...
  A: Sam, You did not give me too much information such as is there any itiching or was it raised or any ...
DVT4/21/2007
  Q: My husband was diagnosed with DVT last weekend as the result of a broken ankle 9 weeks ago. The ...
  A: My answer to that is to never take a chance if there is a previous history of DVT especially since ...
help4/18/2007
  Q: I'm 34 years old and I'm not sure of this I went to 3 cardologist they said I'm find I'm worried ...
  A: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1475802 checkout the web site for burgada ...
supracondylar fracture4/14/2007
  Q: I know this is not your expertise but I hope you can give an opinion. My 5 year old daughter fell ...
  A: It is very difficult to keep a child down. The doctor put the pins to help stabilize the fracture. ...
whats going on3/20/2007
  Q: stomach and brest like im going to have a period but i already had one the 6 until the 10 of this ...
  A: Jessica, If you are sexually active anything is possible. Easy way to check it out is a pregnancy ...
alopecia areata3/12/2007
  Q: I have a friend who suffers from alopecia areata. is there any cure or treatment that's really ...
  A: The most important part of curing an illness is to find out what the cause is. You friend needs to ...
Hi Em3/3/2007
  Q: "are there any anti depressants or anti anxiety drugs that are": qucik acting, titratable, i ...
  A: This question needs to be referred to your physician.......you can ask your Dr about Lexapro which ...
Phen phen1/23/2007
  Q: I am a 37 year old male that has been treated for asthma for the past 10 years. Nothing ever showed ...
  A: Asthma has many effects on the heart. This may be the results of how your asthma has affected you. ...
Healthy guy, high BP.1/17/2007
  Q: My husband is 31 years old and has high blood pressure. In the last year, I've made him measure his ...
  A: 1. Breakfast is the most important meal of the day. 2. Salt can elevate blood pressure, so be aware ...
worker's comp1/16/2007
  Q: I'll try to make this brief as possible. I had gastric bypass in May 2006 and have lost 110 lbs. I ...
  A: This is a rough call. It depends on how the treating physician dictates his report. Did you go to ...
hi1/13/2007
  Q: which specialist does this and what r the side affects? is there another way to temporary eliminate ...
  A: Yom, Speak with your family physician about your history and your current concerns. He/she should ...
low oxygen12/14/2006
  Q: How does low oxygen effect your heart? does it cause palpatations or shortness of breath?
  A: Our bodies need oxygen to survive. Low oxygen levels can cause heart damage, shortness of breath ...
arythmia12/7/2006
  Q: mostly after my heart slows down from being exerted or excited. but i have been noticing sometimes ...
  A: Sounds like it may possibly be a mitral valve prolapse or an atrial fibrillation. You may want to ...
large belly12/7/2006
  Q: I am 48,in good health. I exercise and watch what I eat,and am fairly skinny except for a protruding ...
  A: Have you spoken with your doctor about this to make sure there are no physical /medical reasons why ...
test11/29/2006
  Q: I am a 37 year old woman with a swollen left ankle. I could not bear weight without having severe ...
  A: Who x-rayed your ankle and diagnosed the fracture? How long have you had the back pain? When was ...
forced on meds that might not work11/27/2006
  Q: I have been disabled for 14 years. I have health insurance under United Health Care. How can I get ...
  A: You need to speak with your doctor about this. If the medication you are taking is working and the ...
low red blood cells and body pain11/25/2006
  Q: both my mother and I have low red blood cell and chronic anemia. We pay attention to our eating ...
  A: It appears that you and your mother have a hereditary disease. You did not indicate the name or how ...
pituatary gland11/23/2006
  Q: Our grandson had brain cancer when he was 8 yrs. He's just turned 15 & has been told the radiation ...
  A: I am going to refer you to a website: www.pituitarysociety.org/ http://www.pituitarysociety.org/ ...
Atrial Fibrillation11/20/2006
  Q: I have two questions. 1. Can Atrial Fibrillation be caused by a birth defect of the heart? 2. ...
  A: I am going to refer you to a website "medicinenet.com" look for atrial fibrillation. This website ...
pumonary embolism11/17/2006
  Q: I was just diagnosed just a little over a week ago with pulmonary embolisms. I am 19 years old, not ...
  A: I am so sorry to hear about this. Birth control pills have so many bad side effects and to be your ...
hi11/17/2006
  Q: is "toxemia of pregnancy" in a 31 year old woman a reason for termination? 6 weeks pregnant what r ...
  A: NO - Please read. You are in: eMedicine Specialties > Medicine, Ob/Gyn, Psychiatry, and Surgery > ...
phlegm11/13/2006
  Q: My 95 yr.old father is constantly clearing his throat of phlegm. Never smoked, not sick, and no ...
  A: This is a commmon problem in the elderly. It may be caused from certain medications, however, you ...
chest/back11/11/2006
  Q: For over a month now, my chest has been hurting. It doesn't hurt when I breathe. It hurts in the ...
  A: I am sorry you are not feeling well. I am also very sorry that your doctor took such an "i don't ...
Pneumonia Shot(s)11/10/2006
  Q: I was under the impression that one receives a pneumonia shot and then a follow up shop every five ...
  A: Bob, I hope this answers your questions, however, you should always confirm these issues with your ...
lump in shoulder11/1/2006
  Q: I am a 51 year old woman who has suffered from shoulder pain in my right shoulder for the last 6-7 ...
  A: When it comes to lumps, bumps and protrusions I would not meant to venture a guess. You need to have ...
pain and range of motion10/31/2006
  Q: With regard to a dislocated-shoulder situation, can you tell me if there is a relationship between ...
  A: I believe you have sent me questions in the past regarding this situation. If you reach maximum ...
sigmoidoscopy10/30/2006
  Q: What is the difference between a sigmoidoscopy and a colonoscopy? Which is best for a 1st time test ...
  A: Judi, A sigmoidoscopy only allows the physician to view the lower portion of the intestine or the ...
Food poisoning10/29/2006
  Q: Is food poisoning diagnosed properly with chest xrays and partial upper body CAT scans? In other ...
  A: I don't know what symptoms you presented with. Usually food poisoning reveals symptoms of diarrhea, ...
calf pain10/19/2006
  Q: My 68 yr old mother has been having calf pain for months. She has seen several Drs., but no definite ...
  A: I am sorry to hear your Mom is having such pain. It is very frustrating to hurt and not get ...
thick white substance fcomming from vagina10/5/2006
  Q: I am 25, Some times (once in 3 or 4 months) I find some white thick substance comming from my ...
  A: This can be one of several things which you need to have checked out by your doctor. It can be ...
PASSING GAS10/4/2006
  Q: MY HUSBAND BEEN PASSING GAS FROM BOTH ENDS FOR ABOUT THREE WEEKS NOW WE TRIED EVERTHING IN THE ...
  A: This is from an article related to your husband's problem. **Flatulence results from the production ...
Bile9/24/2006
  Q: My father had gallbladder surgery last year but he throws up very often this thick yellow liquid, ...
  A: Blanca, You did not say what type of surgery your father had. Did he have the entire gall bladder ...
EEG9/16/2006
  Q: Where can a person go to get an eeg for biofeedback?
  A: Most of the time your physician would have to provide you with a referral for a EEG with ...
employee death9/13/2006
  Q: We had an employee die while at work r/t a heart attack. He was 300+ pounds, never saw a doctor due ...
  A: Unfortunately I do not handle this type of claim. However I would certainly speak with your ...
Internal Gas9/12/2006
  Q: It feels like I have trapped gas. I can feeling it bubbling in my stomach and behind my rib acge. ...
  A: You did not uindicate if you are having any nausea, vomiting or diahhrea. You may want to contact ...
cholesterol9/11/2006
  Q: I'm a 64 yr. old male with high choleserol - I've been told about 30% above a healthier level and ...
  A: There has been much said about cholesterol and elevated lipids being partially due to familial ...
Fainting/Unconsciousness9/1/2006
  Q: I have a friend who often faints/goes unconscious. When she gets stressed she will pass out. ...
  A: Tracey, You present a very interesting situation. All your friend's tests are normal. You ddn't ...
Pain8/26/2006
  Q: Hope you're well. Would you be able to recommend some shoulder exercises for me please? The outer ...
  A: Without knowing if you injured your shoulder in some way I would be cautious as far as exercise. ...
Pain8/22/2006
  Q: I have RA and have had it for about 4 years. The past few weeks i have had this horrible pain in my ...
  A: Reeva, I am sorry to hear about your pain. You did not say whether you are seeing a rheumatologist ...
Bowel Movement in a toddler8/21/2006
  Q: I take care of a little girl that will be two in October about 98% of the time when she has a bowel ...
  A: I agree with you the child needs something to make this process more comfortable. Does she eat ...
hello8/18/2006
  Q: i realize it would be ahrd to answer all of this but please help me as much as you can > i ...
  A: In all honesty these are questions you need to sit down with your physicians and discuss. You ...
rapid beating8/16/2006
  Q: I DO HAVE HEALTH COVERAGE PLAN ON HAVING IT CHECKED OUT BUT WOULD LIKE TO HAVE YOUR OPINION. I'M ...
  A: I am glad to hear you say you are having this symptom checked out. There are several reasons your ...
Chronic Lymphocytic Leukemia and disability8/15/2006
  Q: My sister was diagnosed with Chronic Lymphocytic Leukemia 4 months ago and present treatment has not ...
  A: Mike, I am very sorry to hear about your sister. I am not sure about the medical assistance ...
Acid Reflux Disease8/13/2006
  Q: I am not sure if you can help me but I had to try. A couple of years ago I was diagnosed with acid ...
  A: Melinda, This type of pain should not be ignored......symptoms can be from several different ...
h8/7/2006
  Q: if am rh negative 25 y.o. female and had on e child and the docs in us presumably know i was rh ...
  A: We cannot assume anything. Ask you doctor if he is aware that you are Rh negative. Is your husband ...
Strange Skin Rash8/6/2006
  Q: I have raised, red whelps on below my breasts and on each side of my neck. They appeared a week and ...
  A: You did't provide too much information other than you are taking BP medication (Hyzarr)and you have ...
hi8/6/2006
  Q: i am a 24 y.o female who was told that i am rh negative what r the implicashuns of this? i ahd one ...
  A: To answer some of you questions Rh negative mothers can have a child with an Rh+ man. The problem ...
ACID RELUX8/5/2006
  Q: I am 10kg or so overweight so I guess I should lose at least 10kg first. I rarely eat spicy food but ...
  A: Ten pounds is not terribly overweight. You did not give me the type of medications you are taking ...
glutten test8/4/2006
  Q: If you have been on a glutten free diet for an extended time would that influence a glutten ...
  A: When the doctor performs a gluten intolerance test, they are checking for antibodies in the blood. ...
HYPOTENSION/LEG EDEMA6/1/2006
  Q: I hope this email address is still valid. I found your information while perusing medical ...
  A: Sunny, First let me congratulate you on your overcoming anorexia. You are a very strong person and ...
Yasmin5/13/2006
  Q: I have been on Yasmin for 7 months now, and have experienced amenorrhea for the past 2 months while ...
  A: To be very honest with you the best information I can give you here is to review information over ...
antibacterial gels harmful to you?5/9/2006
  Q: I hope I'm finding you in the best of health. I saw places like Crabtree&Evelyn sell antibacterial ...
  A: Regarding your question about antibacterial gels that do not use water. Most of these ...
epidimitis5/8/2006
  Q: Is epidimitis a std, or is it somthing that men get at a certain age
  A: Epididimytis is an inflammation of the epididymis which are tubes that are located behind each ...
Ear infections5/2/2006
  Q: I recently went to the doctor to find out i have a middle ear infection. I currently taking 1500mg ...
  A: The medication should begin working within a few days. Antibiotics usually have to reach a peak ...
how to write a consent form for photographed patients?4/24/2006
  Q: I'm a dermatologist, I need to formulate a consent form for my patients to sign before I take ...
  A: Al-Ali, Just as you have a Hippa form for your patients medical information you can simply procduce ...
dislocated shoulder4/22/2006
  Q: In a typical case of a dislocated shoulder, from the day that an orthopedist places the ball of the ...
  A: The period of time for the shoulder to obtain normal range of motion depends upon the injury and ...

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Diane Chambers

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Expertise

I am involved with case management for a large insurance company. I have many years of experience in the area of short term and long term disability and FMLA. I have a vast background of work experience including many specialty areas. I am not a physician, I am a nurse.

Through my experience I am able to answer most general questions related to cardiac, orthopedics, oncology, nephrology and general medicine. I am also able to assist with questions pertainig to home health arrangements and disability from the work place.

Experience

I have been in the nursing field since 1971. I have worked with family practice,hematology/oncology,nephrology,orthopedics and cardiology providers. My work also includes hospital and home health nursing. At this time I am involved with case management for a large insurance company with experience in the area of short term and long term disability and FMLA and chart reviews. I am responsible for the transition of members from the hospital to the Acute inpatient rehab, skilled nursing facility or Long Term Care facility.

Education/Credentials
BCC Nursing Sheridan Vocational School On going CEU for nursing

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