A 47-year-old, living with a spouse, has a medical history that includes coronary artery disease, hypertension, hyperlipidemia, prior stroke, anxiety and anemia. This member is not in a protected plan.
The member’s symptoms included slow speech, mobility deficits and hypertension. Outpatient PT/OT was scheduled for muscle weakness, but ongoing therapy was denied due to lack of progression.
The member had been admitted for necrotic pancreatitis and gastric ischemia, and had an extended ICU stay that included multiple surgeries, drain placement, and wound vac placement.
Additionally, the member reported prior sexual abuse, spousal abuse, and inpatient psychiatric admissions.