Case Study Of Steven Mischel, D. O

Mr. Purgert sought treatment for those impairments from her primary care physician, Steven Mischel, D.O. On April 3, 2013, upon Dr. Mischel’s recommendation, Mr. Purgert visited Dr. Something Litchfeld, and Dr. Abbas M.D., who are cardiologist, to see what is causing his chest pain. Dr. Abbas performed a nuclear stress test, which came back as negative, however there appeared to be a fixed defect which Dr. Litchfeld thought might be attenuation instread of a right coronary artery blockage. Dr. Litchfeld recommended that he increase his niacin or change it to slow niacin 100 mg every day at bedtime, he has also recommended a carb restrictions and that he should loose weight.
On April 12, 2013 Mr. Purgert visited with his Nephrologist Dr. Steven Mischel, D.O because of a Nephrology consult which was requested ( who requested it?) to help manage his renal transplant. Dr. Michel noted that he had end stage renal disease secondary to polycystic kidney disease, Renal transplant in 1992 with a recent failure requiring dialysis, Severe hypertension at times, Coronary artery disease, and a Successful renal transplant on January 2012. Dr. Mischel recommended an angiography with stenting, insulin for his diabetes.
Mischel wrote an attending physician statement for Mr. Purgert. He noted that he had chronic fatigue, chest pain, dypnea diabetes and history of a renal transplant. Dr. Mischel noted that Mr. Purgert is not allowed to do any heavy lifting and he cannot go to work even if accommodations were made for him in the workplace. However if he does decide to go to work he can only work less than 20 hours a week. He also noted that at home he can perform mild exercises. Dr. Mischel reiterated these symptoms in an attending physician statement on May 31, 2013, he also stressed that Mr. Purgert is still unable to return to