Kevin Henry Gallant experienced severe abdominal pain, indigestion, fever, reflux symptoms, nausea, and ulcerations following a bidirectional endoscopy procedure. In an attempt to monitor his condition, the medical team scheduled him for further diagnostic procedures and gave him a bloodwork requisition.

Mr. Gallant had Crohn's disease and his condition worsened after the endoscopy. He was given requisition for bloodwork to test for potential hepatitis b, hepatitis c, and tuberculosis. Further diagnostic procedures were arranged.

"Kevin Henry Gallant experienced severe abdominal pain, indigestion, fever, reflux symptoms, nausea, and ulcerations following a bidirectional endoscopy procedure. In an attempt to monitor his condition, the medical team scheduled him for further diagnostic procedures and gave him a bloodwork requisition."
- This information is found in the document content.

Reference: 90, 91
June 16 2023 Dr. Randy MacKinnon Chart - K Gallant (1).pdf

Kevin Henry Gallant, with a history of Crohn's disease, underwent a bidirectional endoscopy due to increased abdominal discomfort and blood in loose stool. The procedure was more painful than previous ones he has had. The medical team planned to develop a treatment plan after the biopsy results.

Mr. Gallant's endoscopy was painful. There was an indication of disease progression as evident from the symptoms. The treatment plan was yet to be developed after the biopsy results.

"The procedure was more painful than previous ones he has had."
- Mr. Gallant

Reference: 89
June 16 2023 Dr. Randy MacKinnon Chart - K Gallant (1).pdf

1. Kevin underwent a CT abdomen and pelvis. The results showed a dilated small bowel loop but no evidence of obstruction or perforation.
2. Kevin had moderate active disease at the neoterminal ileum. His last colonoscopy showed minor aphthous ulcers in the terminal ileum.
3. Kevin Henry Gallant visited the emergency department with a tearing sensation in the left upper quadrant and chest, and numbness in the lower extremities. He was examined for abdominal aortic aneurysm, but no abnormalities were found. The medical team suspected partial or early bowel obstruction and suggested another CT scan in the morning. However, Kevin declined to stay at the hospital.

1. This test did not show any signs of obstruction or perforation.
2. Kevin has been advised to lose weight to manage his symptoms better.
3. Mr. Gallant reported new symptoms of tearing sensations in his chest and numbness in the limbs. Despite the medical team's recommendations for another CT scan, he opted to leave the hospital.

"Mr. Gallant reported new symptoms of tearing sensations in his chest and numbness in the limbs. Despite the medical team's recommendations for another CT scan, he opted to leave the hospital."
- Foley, Mark G, MD

Reference: 83, 82, 94, 95, 96
June 16 2023 Dr. Randy MacKinnon Chart - K Gallant (1).pdf

Kevin Gallant, a 46-year-old patient, was involved in a motor vehicle accident resulting in a rear-end collision. This caused various physical damages including neck pain, headaches, lower back pain, and leg pains. He also experienced visual disturbances such as trouble focusing his eyes at night, loss of vision in his left lower quadrant, and sensitivity to light (photophobia). These symptoms progressively got worse over time.

Kevin was receiving physiotherapy and massages three times a week which provided some relief, but he had to stop as his insurance coverage ended. He reported experiencing a burning sensation, numbness, pins and needles, and a throbbing sensation in his right leg and foot while sitting. He also experiences muscle cramping in his thigh when he lies down. Additionally, he reported significant lower back pain while driving and inability to drive over long distances. His pain worsens with activity and he experiences shooting pain to his right hip that changes to a throbbing sensation at rest. No similar symptoms were reported on his left side.

"Kevin Gallant, a 46-year-old patient, was involved in a motor vehicle accident resulting in a rear-end collision. This caused various physical damages including neck pain, headaches, lower back pain, and leg pains. He also experienced visual disturbances such as trouble focusing his eyes at night, loss of vision in his left lower quadrant, and sensitivity to light (photophobia). These symptoms progressively got worse over time."

Reference: 33, 34
June 16 2023 Dr. Randy MacKinnon Chart - K Gallant (1).pdf

1. Kevin Gallant was rear-ended in a motor vehicular collision, causing him to hit his head. Resultant physical conditions include neck and back pain, leg pain, numbness, tingling sensations, and headaches. He also noted experiencing altered sleep patterns, depressed mood, anxiety, and cognitive issues. The post-incident symptoms have negatively affected his professional life as a truck driver, daily household tasks, and recreational activities. For pain relief, he is currently medicating with Percocet.
2. Kevin Henry Gallant was involved in a motor vehicle collision where he was rear-ended. Upon occurrence, Kevin was able to exit the vehicle and interact with the other driver. However, after some time, he started experiencing escalating neck and back pain. After medical assessment, he was diagnosed with whiplash-associated disorder grade 2, cervical\/lumbar spine injuries, a left trapezius injury, and a concussion. Additionally, it was reported that he started showing post-concussive symptoms and a likelihood of a flare-up in an underlying left ulnar neuropathy. Multiple subsequent medical evaluations and tests were conducted to monitor Kevin's conditions and to establish an effective treatment protocol.

1. The accident has led to a combination of physical and mental health issues. These have far-reaching consequences on his personal and professional life. The analgesic Percocet is important in managing his chronic pain but needs to be considered for its potential side-effects and dependency risk.
2. The accident led to the diagnosis of several severe body injuries including a concussion, whiplash-associated disorder grade 2, and cervical\/lumbar spine injuries. Kevin also started showing signs of post-concussive symptoms and a potential exacerbation in his underlying left ulnar neuropathy.

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Reference: 4, 5, 6, 7, 8, 9, 10, 11, 54
June 16 2023 Dr. Randy MacKinnon Chart - K Gallant (1).pdf

Kevin Gallant contacted the doctor's office reporting 75-80% improvement in his health since the last consultation. He mentioned occasional bloating and pain after supper, which resolved by the morning after a bowel movement.

Kevin was advised to continue taking Pantoprazole, avoid trigger foods, and take prednisone if symptoms worsened during his trip to Mexico. He was encouraged to seek medical care if he had any new or concerning symptoms.

"Kevin is leaving for Mexico tomorrow and returning on the 27th. We had a conversation about whether or not he should start taking prednisone. As discussed last week, I am not sure he has active inflammation at this time. I have suggested that he take the prescription of prednisone with him to Mexico and if he feels his symptoms are getting worse, he could try it. He is going to continue taking pantoprazole twice daily for the duration of time he is away and we will plan for a follow-up visit when he is back. I have encouraged him to seek medical care while he is away if he has any new or concerning symptoms."
- Laurie Thomas, Gastroenterology IBD Nurse Practitioner

Reference: 30
June 16 2023 Dr. Randy MacKinnon Chart - K Gallant (1).pdf