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Mount Pleasant

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Client Note (Gage)

Gage

Client ID 044

Name
Gage
Primary Diagnosis
SCI
Insurance
BCBS
Referring Physician
M. Sunderlin, MD
Age
24
Gender Identity
Male
Pronouns
He/him/his
Race/Ethnicity
White

24yo WM with ASIA B SCI (T12, sensory incomplete) secondary to spinal infarct during combined liver-intestinal transplant at 5 years old. Hospitalized for 3 months in acute care followed by 1 month of pediatric inpatient rehabilitation. Received OT/PT throughout childhood. Does not currently receive therapy services. History also includes short bowel syndrome with bowel lengthening surgery, combined liver-intestinal transplant, and hospitalizations for urinary tract infections.

Marital status:Single

Primary language:English

Current level of function:Modified independent, completing ADL/IADLs at wheelchair-level with adaptive equipment PRN, including driving with hand controls and ultralightweight manual wheelchair.

Employment/work/school:College education. Graduate student in occupational therapy doctoral program.

Play/leisure/interests:Enjoys participating in adaptive sports program activities, including wheelchair basketball, bowling, boccia, pickleball, archery, and trap shooting. Takes guitar lessons and hangs out with friends weekly.

Environmental factors:Lives with grandparents in a one-story house with ramp at entry. Zero-entry shower with shower chair, handheld shower head, no grab bars.

Prograf
Oxybutynin

Disclaimer: Although the individuals in ICE videos are real patients, the exact history has been altered to protect their identities.