Eligibility for a Handicap Placard: MEDICAL CASE STUDY
Patient: Jason M. (Name Changed for Privacy) Eligibility for a Handicap Parking Placard in Florida
Patient Profile:
-Name: Jason M.
-Age:** 54
-Gender:** Male
-Occupation: Restaurant Employee
Location: Miami, Florida
Medical Diagnoses:
Type 2 Diabetes Mellitus, Peripheral Neuropathy, Chronic Obstructive Pulmonary Disease (COPD)
Presenting Concerns:
Jason M. presented to his primary care physician with complaints of worsening mobility issues, particularly difficulty walking long distances and severe pain in his lower extremities. These symptoms have significantly impacted his daily activities, including commuting to work and performing his job duties effectively. Jason’s medical doctor stated she “does not do handicap parking approvals.”
Medical Background:
Jason has a long-standing history of type 2 diabetes mellitus, diagnosed 10 years ago, managed with oral hypoglycemic agents (Metformin) and lifestyle modifications. Despite adherence to treatment, he has developed diabetic peripheral neuropathy over the past five years, characterized by numbness, tingling, and severe pain in his feet and legs. Additionally, Jason was diagnosed with COPD three years ago, resulting in chronic respiratory difficulties and reduced exercise tolerance.
Symptoms:
– Numbness and tingling in feet and lower legs.
– Severe pain in lower extremities, exacerbated by walking or standing for extended periods.
– Shortness of breath and reduced stamina due to COPD.
– Episodes of dizziness and instability while walking.
A review of his medical records which he provided Confirms Jason’s medical Issues:
– Oxygen Saturation: 92% on room air.
Musculoskeletal documentation showed decreased sensation to pinprick and vibration in feet and lower legs. Muscle strength was 4/5 in lower extremities. Positive Romberg sign indicating impaired balance and proprioception. Nerve Conduction Studies Confirmed peripheral neuropathy with reduced nerve conduction velocity in lower extremities.
Pulmonary Function Tests revealed moderate obstruction consistent with COPD.
HbA1c was 7.8%, indicating suboptimal control of diabetes.
Current Prescriptions or OTC treatments:
Metformin- blood sugar control.
Gabapentin for neuropathic pain.
Salmeterol–Long-acting bronchodilator for COPD management.
The medical records also indicate he was prescribed physical therapy specifically for gait training and balance exercises.
Rationale for Handicap Parking Permit:
Given Jason’s medical conditions and their impact on his mobility, he experiences considerable difficulty walking long distances from parking spaces to building entrances. He cannot walk 200 feet without stopping to rest. The peripheral neuropathy causes severe pain and instability, increasing his risk of falls and injury. COPD further limits his physical endurance, making it challenging to traverse large parking areas without experiencing significant respiratory distress.
Handicap Parking Permit Application Process:
After reviewing the patient’s records and a brief consult, a doctor at HandicapDocs completed the Florida Department of Highway Safety and Motor Vehicles (FLHSMV) form HSMV 83039, certifying his need for a handicap parking permit due to his substantial limitations in mobility. The medical decision was supported by detailed medical documentation and a consult reviewing the patient’s history and difficulties.
Outcome:
Jason was approved for a handicapped parking permit by the Florida DMV. This accommodation has markedly improved his quality of life, allowing him easier access to his workplace, medical appointments, and other essential activities. Jason reports a reduction in pain episodes. He is continuing to work on improving his health and preventing or slowing the progression of his COPD.
Conclusion:
Jason’s case underscores the value of our service at HandicapDocs. The approval of his handicap parking permit is a critical step in managing his daily challenges and enhancing his overall quality of life.
