{"history": [{"sno": "new", "year": "2025", "answer": [{"options": {"value": "Sean Laine", "optionId": "u4v"}, "questionId": "K-lowx"}, {"options": {"value": "NH006696800", "optionId": "vvv"}, "questionId": "B-lowx"}, {"options": {"value": "1961-10-21", "optionId": "tdb"}, "questionId": "M-iz6p"}, {"options": {"value": "2025-07-02T14:25"}, "questionId": "W-iz6p"}, {"options": {"value": "6033550361", "optionId": "uphno"}, "questionId": "U-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "b4v"}, "questionId": "Q-lowx"}, {"options": {"value": "Focus Care", "optionId": "p4v"}, "questionId": "X-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "q4v"}, "questionId": "N-lowx"}, {"options": {"value": "CHF, Other, SDOH, Behavioral Health", "optionId": ["uv5", "epq", "sdo", "bhd"]}, "questionId": "U-w165"}, {"options": {"value": "supplies, specialists follow up, fall risk ", "optionId": "C-MV65"}, "questionId": "C-MV65"}, {"options": {"value": "8048745660", "optionId": "i4v"}, "questionId": "S-lowx"}, {"options": {"value": "Yes", "optionId": "su8"}, "questionId": "Q-jtcz"}, {"options": {"value": "No", "optionId": "l6B"}, "questionId": "A-que"}, {"options": {"value": "No", "optionId": "l6D"}, "questionId": "B-que"}, {"options": {"value": "Referral:<br>- member has been using bath wipes to wipe due to diarrhea his hemorrhoids are very painful and this is the only thing he is able to use. Would like to know if they can be supplied or could he get assistance.  <br>- Member would like to have different specialists because the ones that are at Dartmouth Cheshire do not seem like they are not taking care of properly.  He feels that they are not listening to his issues and they all seem to be throwing medications or that he is trying to be difficult.  This has really decreased his faith in the medical system and Wellsense as his insurance provider.<br>- Member had an iron infusion scheduled  but the infusion center called and cancelled due to cut backs and they  have not rescheduled<br>- Infusion for UC - possible treatment for once a month - chronic diarrhea - following up with GI specialist.  <br> - Lebanon, NH - brain surgery -  has to resolve aneurysm attempted twice with no success - He would like to have a 2nd opinion in Boston or Springfield, MA to see if they are able to resolve the aneurysm.<br> - stent in thigh and right carotid artery - needs follow up to see if his left carotid can be recovered.  <br>- poor dentation - member needs assistance with dental appointments.  <br>- MRI spine and hip - arthritis - former EMT, firefighter, and National Guard 8 years, truck driver's - He needs assistance with obtaining benefits from VA as a veteran.  <br>- Memory problems - he feels that his member may be effected.  Reports that his head feels like a glass of water filling up - possible hydrocephaly - neurosurgery consult<br>- hemorrhoids due to diarrhea - 5 years now and he has had a hard time with the pain and random moments of bleeding<br>- inhaler has multiple and not sure which ones he is supposed to be taking<br>- increased yeast infections may possibly due to his use of Jardiance<br>- Atorvastatin -look and see if this could be a possible reason for his increase in diarrhea<br>- transportation has not been listening to member and he has missed or had to cancel transportation.<br>- The member states that at his last ER visit he and his wife were falsely accused of threatening the nurse - patient relations will not call him back to address this and member refuses to go back to the hospital<br>- His current Advocate at WellSense is not very helpful and he feel it would be best if he had a different advocate<br>- Neglected care received in hospital 2 years ago - thrown out of the hospital and had to come back 2 days later for internal bleeding needed 5 units of blood to replace  <br>- Pain management - intense pain in lumbar spine and hips<br>- Due to medical condition he is feels like he would be better off dead.  <br>- not able to go outside. - member states that he usually does not<br>- had to cancel appointments due to his constant diarrhea<br>- Member has not been able to leave his home in 5 years to even go to a sit-down restaurant since COVID.  He states that when he sits up for too long, he needs to go and lay down because his head feels like it is filling up.  Discussed with member the importance of having a therapist and someone to speak with.  Member agreed and would like to have someone to talk to.  Also, he would like someone that will listen to him and help with his mental health and his physical health.  He is feeling weak and tired from everything that his body has been going through.  Member definitely needs a medication revamp that addresses his pain, mental health, and physical health.  He feels that many of his providers are not helping or addressing his needs. Will send referral for follow up on mental health as well as neurology consult post stroke as well as to address his aphasia.  Member also needs a neurosurgery consult to address his cerebral aneurysm that has not been coiled.", "optionId": "l6l"}, "questionId": "P-gbms"}], "clientId": "client_013", "memberId": "NH006696800", "referralId": "vu8", "submittedBy": "chembrick", "sentToQADate": "2025-07-02T18:32:18.935Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}], "last_updated": "07-02-2025 14:32:19"}