Chestatee Emergent Medical Care

07/24/2025

Send a message to learn more

07/23/2025

Wednesday. Dr. Berliner on deck in the clinic. Packed and ready to fly late tonight. Off to Ft. Lauderdale, Florida & the US Open Judo Championship as Chief Referee. We are trying a different referee rotation & oversight system this year. Overcast day. Steady patient flow in the clinic. Sinusitis. Gastroenteritis. Hormone Replacement. Med Refills & Consults. Dyspepsia. Sinus & Bronchospasm. Gastritis. Ear Canal Excoriation /c secondary infection. Folks! Place NO Q-Tips into your ears! Nothing!! Goes into the ear canal smaller than your elbow, and it is put on backwards so it will not fit. A Strep (+) POS Tonsillitis (Mono was (-) NEG). Otitis Interna & Vertigo. Otitis Media & Externa /c severe Headache, on Abx, advised ER for CT. I will blog on more cases later. Took our excellent crew for lunch to Osaka, at noon. Post-CoVID-19 Syndrome. Gout Flare R ankle. L Thumb LAC over Thenar Eminence, Partial suture removal. Two Otitis Media & Upper Respiratory Symptoms. Acute Pancreatitis flare. CA consult for Adjunctive therapy. Auditory Hallucinations & Insomnia. Veteran Disability consult for VA. Diminished Auditory Acuity, (+) Headache, Rhino-Sinusitis, IBS, PTSD, Sleep Apnea. Lab reviews. Insect Bite /c local Allergic reaction, Secondary Infection & Cellulitis. Meds refills. Adult ADD/ADHD. Hypothyroid. Hypertension. (+) POS Epstein-Barr Virus labs, trx. CoVID-19 Prophylaxis. Parasitosis. Multiple lab results called to patients. Urinary tract infections & candida. Folks!! Do not let the kids lounge about in wet swimwear!!! Finished at 33 patients. Heading out to shower and change, then to the airport.

Send a message to learn more

07/22/2025

Tuesday. Dr. Berliner in the clinic. Slow in the morning. Picked up in the afternoon. Then a Pediatric rush on the doors near closing. 35 patients. x4 DOT PE's. Three Otitis Media & Pharyngitis. Croup. Three Otitis Interna with Vertigo. Bronchitis /c COPD Exacerbation. Hypertension check. Four Sinusitis /c Bronchospasm. Viral syndrome. Post CoVID-19 Rhino-Sinusitis /c elevated blood Glucose. Chronic Low back Pain referred to Orthopaedics. Dog bite & abrasions. Recheck R perianal MRSA Abscess, healing. Tinea pedis b/w toes. L Lat. leg Insect bite with secondary infection & cellulitis. Insomnia & Agitation s/p TRT, labs. Four Weight Loss - meds & labs. Residual Headache s/p Sinus mass removal. Urinary Tract infections. Osteo & Rhematoid Arthritis. Med Refills. LBP Sciatica & Dermato-calcinosis. Lft. Lat. leg Phlebitis Ulcer & Cellulitis. Developmental delay with crawling s/p febrile seizures, referral to Physical Therapy. Community Clinic Program renewals. F/U EBV labs. Heading to teach a Judo Class. Dr. Berliner is back on deck tomorrow.

Send a message to learn more

07/21/2025

Monday. Dr. Berliner on deck. Slow morning. Then busy midday & evening. 43 patients. Will blog more on patient cases this evening after Jiu-Jitsu. A community clinic physical, labs, & tests. Three DOT PE's. Infectious Gastroenteritis Persists. Wt. Loss meds & labs. I&D of MRSA Abscesses and cellulitis behind R/L ear lobes (> R) from earring posts. Pedal Edema. Multiple Medication renewals & adjst. L Otitis Media & Mastitis. Seven Sinusitis & Bronchospasms. Chronic Pain. Migraine & Bronchitis. Otitis Media & Otalgia /c Pharyngitis. Recheck healed umbilical staph lesion. Lumbar Scoliosis, T4/T5 Disc Compression, Nerve Root Impingement, Paraspinous Mm Spasms. Low back pain & bilateral hip pain sent for MRI, trx for Chronic Pain. Sports Physical. Vaccine Exemption. Gout. R plantar foot /c necrotic ulceration from Nail puncture, referred to wound care. IA Inj. 3 sites R SI jt. Instability. Urinary tract infection. Depression, Insomnia. Med refills. Hives & Urticaria (torso), Atopic Dermatitis (R Palm), Contact Rhus Dermatitis (Legs). Lance & drain, gentian: Multiple Puncture & secondary Staph lesions on R Thumb Pad, also over the dorsal volar R Middle Finger, Proximal Phalanx. Weight Maintenance. Verrucous shave excision & cauterization L lateral leg. L Neck, Torticollis, Low Back Pain & Arthritis r/o by x-ray. Gingivitis, Periodontitis, L Otitis /c Otalgia & Odontalgia. LPN PE. R 4th fingertip crush injury & partial amputation landscaping. Sports PE. Renal Insufficiency f/u trx, labs. R shoulder partial rhomboid mm. tear: R post. rotator cuff shoulder strain, inj. R/O insect in R ear canal. Urinary tract infection. Upper Respiratory symptoms. Lower GI symptoms. Home & packing up for the US Open Judo Championships as Chief Referee this coming weekend. Dr. Berliner is back on deck this week over Tuesday and Wednesday.

Crush injury, purse string, and flap over closure, partial fingernail retention.

07/20/2025

Sunday. In early. Slammed from 9 AM. Will Blog on cases later. 41 patients by 3:30 PM. A hard rain slowed down near closing time. Foreign Body removed from R neck of 6 year old. Was struck by flying object while watching their dad mow grass. It struck coil side first, otherwise may have penetrated more deeply. Required a linear initial incision, then blunt dissection & closure. Tetanus & Antibiotic prophylaxis provided. Bilateral Otitis media. R Otitis media, Otalgia, & Pharyngitis. Bronchitis & Cough Incontinence. Gastritis, Irritable Bowel Syndrome, & Hiatal Hernia. R Otitis Media /c Pyoeffusion & Otalgia after swimming. Bronchitis. Upper Respiratory Tract Infectn. Intertrigo, mixed Candidia, & Corynebacteria. Diabetes check and Gout. MTP #2. R low back pain & Sciatica. Fatigue and Body Aches. Epstein-Barr, Herpes Simplex, Insomnia. Polyarthritis. COPD Oxygen referral. Multiple Medicines renewed. Nail puncture in lateral thigh, Tetanus IS UTD, Antibiotics provided. Recheck Contact Dermatitis L ankle. Bee sting allergy L eye, Poison ivy. Testosterone supplement. Seizure disorder. Gastroenteritis. Mood Disorder. Adult ADD/ADHD. TB screening (PPD). Deviated septum with Chronic Rhino-sinusitis. Anxiety disorder & Insomnia. Panic Attacks. Labs to assess chronic pedal edema & myalgia. 12 panel drug screen. Red Spot, Sarcoptic Mange from dog, pt. sent by Vet. Hypertension. Polyarthralgia, Joint pain, Myalgia, Dependent Edema. HIV testing. Migraine, insomnia. A second patient (unrelated to the first) /c Sarcoptic mange (Red-Spot). Came from Infectious Ds. Conjunctivitis. Oral Birth Control. Med refills. Heading home, then off to study Mishna Torah with the Rabbi. Dr. Berliner is back on deck tomorrow.

07/20/2025

Saturday. The Black ICE Judo tournament in Forest Park went well. I mostly worked on the tatami, while Mike Takata served as the referee oversight. Sub doctor only saw 9 patients. Suture removal. Sore throats. Metal splinter in left neck. Med refills. Gout. Left eye Conjunctivitis. Dr. Berliner is back on Sunday.

Send a message to learn more

07/18/2025

Friday. Dr. Neilsen on deck. Slow day. Breakfasted with the family. Only a dozen by 1 PM. We will see what the day finishes like. Rock Camp Band performances with Keath at Freedom Mills tonight. 22 patients. 16 in the door. Two Sinusitis /c respiratory symptoms. Otitis Media & Externa. Vertigo. R foot b/w 1,2 toes tinea pedis & cellulitis. R hand insect bite /c secondary infection. Male Hormone replacement. Medicine Renewals & Adjustments. L eye Corneal Abrasion. L ankle contact dermatitis. Thyroid management. Anxiety. Mood Disorders. Gout flare. B-12 inj. Adult ADD/ADHD. Recheck R index finger abscess I&D. Poison Oak. Nares infection (Staph). A Locums Sub-doctor will be on deck tomorrow (Saturday). I will be Chief Referee at the Black Ice Judo Tournament in Forest Park.

Send a message to learn more

07/18/2025

Thursday. Dr. Neilsen on duty. I went in to give an injection & do paper work. 25 patients. One CoVID-19 (+) POS. Gout. Folliculitis. SqCCA lesion on R temple sent to dermatology for MOSE surgery. Sinusitis. Vertigo. R finger abscess. L knee tibial plateau fx sent to Orthopaedics. Chronic Pain. Pharyngitis. Adult ADD/ADHD. Anxiety. Erectile Dysfunction. Med refills. Allergic reaction. I&D Sebaceous cyst, midback. Presyncope. R hand puncture wound. Sinus /c Upper respiratory symptoms. Asthma. Perimenopause hormone treatment. A couple of 12 Panel Drug Screens, for Insight Program. Wt. Loss Meds & Labs. L eye chalazion. Heading home then to Alliance for Jiu-Jitsu. Dr. Neilsen is back on deck Friday & Saturday. Dr. Berliner is back Sunday.

Send a message to learn more

07/16/2025

Wednesday. Rucking, calisthenics, weights, dual swords work. Then into clinic. Dr. Berliner on deck. We were very busy from open until close. 46 patients. One DOT PE. Three Hormone replacement pellets by Dr. Neilsen. Upper respiratory illness /c Sarcoidosis flare. Sinus & Respiratory symptoms. Sinusitis /c a R posterior nuchal nodule x2 yr appears benign on X-ray. Pharyngitis. Bronchitis /c pleurisy. Otitis Media & otalgia. Liver enzymes elevated rtc for more labs. Candida & Intertrigo /c pruritis x3. Poison ivy /c secondary infection. Adult ADD/ADHD. Metastatic CA adjunctive therapy consult x3. Ulcerative colitis, polyarthritis. Medication renewals & adjustments. Psych med consults x4. Folliculitis. Malignant Hypertension. R dorsal hand red, swollen, cellulitis. Asthma /c Reactive airway pulmonary syndrome. Hyperemesis Gravidum. Gastroenteritis & Crohn's Ds. MTP consult. Cystitis. Viral syndrome. Nares excoriation. Vertigo, L OM. R hand Arthritis. Mood & Affect Disorder. Chronic Pancreatitis. Post COVID-19 Pulmonary Syndrome (Long COVID-19). Disability assessments. Psoriatic Arthritis L Elbow, Bi Knees. IM inj. Multi-medical problems consult & med refills. L knee chondromalacia, inj. Polyarthritis & Insomnia. Bacterial Conjunctivitis. Hepatic Insufficiency. Hepatitis assessment. Gout. Carpal Tunnel. Anxiety Disorders. Depression. Diabetes. Thyroid management. Noncompliance sent to ER. Lab & Imaging reviews. Heading home, then off to play Judo & Jiu-Jitsu. Dr. Neilsen is on deck tomorrow.

Send a message to learn more