1 in the circuit court of the 11th judicial circuit - American Association ...

9 Fox hard to examine?
10 A. Because he really couldn't give me
11 answers at times to -- I couldn't question him,
12 and basically instead of having the patient tell
13 me in words, I had to use, usually in this case
14 would have used system responses for the patient.
15 For instance, for sensation, a pin
16 would be used to check to see if there was
17 withdrawal to painful stimuli, if sensation was
18 intact.
19 Q. (BY MR. SPIEGELMAN) So the fact that
20 he was hard to examine was a communication problem
21 that he was having?
22 A. Well, he was simply sleeping with
23 respect to the exam, is what I'm assuming. I
24 don't have any direct recall, but I wouldn't have
25 written that if something like that wasn't the
37
1 case.
2 Q. Do you know if it had anything to do
3 with the amount of pain that he was in?
4 A. I don't know.
5 Q. How would you check his neurovascular
6 status in his lower extremity, or how did you?
7 A. I felt for his pulses.
8 Q. Where?
9 A. At his posterior tibial and -- which
10 is behind the medial malleolus, and by his dorsal
11 pedis, which is on top of the foot. Check the
12 sensation to withdrawal and the temperature of his