Paul M Deutsch and Associates

Add to Favorites

Physicians & Surgeons, Mental Health Services, Occupational Therapists

Be the first to review!

48 Years

in Business

(407) 977-3223Call

Add Website

Map & DirectionsDirections10 Windsormere WayOviedo, FL 32765 Write a ReviewWrite Review

Accepted Insurance

Paul M Deutsch and Associates has not yet specified accepted insurance plans.

Specialties

Paul M Deutsch and Associates has not yet specified any specialties.

More Info

Payment method: discover, visa, mastercard, paypal, all major credit cards, amex
AKA: Deutsch Paul M PHD
Categories: Physicians & Surgeons, Mental Health Services, Occupational Therapists, Physical Therapists, Physicians & Surgeons, Cardiology, Physicians & Surgeons, Cosmetic Surgery, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gastroenterology (Stomach & Intestines), Physicians & Surgeons, Gynecology, Physicians & Surgeons, Internal Medicine, Physicians & Surgeons, Neurology, Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Ophthalmology, Physicians & Surgeons, Orthopedics, Physicians & Surgeons, Pediatrics, Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Podiatrists, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Pulmonary Diseases, Physicians & Surgeons, Radiology, Physicians & Surgeons, Surgery-General, Physicians & Surgeons, Urology, Psychologists, Rehabilitation Services, Skin Care

Gallery

Be the first to add a photo!

Reviews

Hi there!
Be the first to review!

Click to Rate

Details

Phone: (407) 977-3223

Address: 10 Windsormere Way, Oviedo, FL 32765

People Also Viewed

View similar Physicians & Surgeons

Suggest an Edit

Paul M Deutsch and Associates

General Practitioners

Pediatric Care
Emergency Care
Review and summarizing medical records to assist in preparation of life care planning in catastrophic injury cases. My experience in emergency room nursing is invaluable in assisting determination of individual medical needs.
Colonoscopy
Pain above or below level of lesion: She has pain in her neck and both shoulders. This is a constant burning pain. She is a complete motor lesion, but there is a current indication that she is an incomplete sensory lesion in that she is having pain when certain personal care attendants are doing her digital stimulation. She has had a colonoscopy and is going to see her physiatrist to discuss this. There is concern that the attendant is either pressing on the wall of the bowel or going up to high.
Constipation
Electrocardiogram
Bronchitis

Ophthalmologists

Ophthalmology
Note all operations performed, the date each was performed, and by whom. List the specific procedure with the ICD code, if it can be clearly identified. Note the surgeon's specialty, such as orthopedics, neurosurgery, plastic surgery, or ophthalmology. Note the type of anesthesia used, (local or general). Note the length of the procedure and any complications encountered.
Eye Exam
Marion was admitted from St. Mary’s Hospital with diagnosis of C5 complete quadriplegia. Diagnoses at time of admission included autonomic hypotension, anemia, neurogenic bowel and bladder and polycystic ovary syndrome. Marion had numerous medical issues and was followed by a variety of physicians during her stay. In 8/99 she was experiencing dysreflexia, neck pain and headaches and was referred to Dr. Mason, neurologist. He recommended use of a collar when transferring or during any activity. On 10/26/99, she was admitted to St. Mary’s Hospital for work up to determine cause of dysreflexia and headaches. She suffered extensive hair loss, which was thought to be attributable to the Neurontin. She was seen by endocrinologist, Dr. Alderman, and was placed on Provera, in hopes it would produce menses, which she had not had since her accident. Menses did begin on 9/2/99 prior to taking the medication. Marion consulted an urologist and underwent IVP. She had bladder stones removed in 3/00 by Dr. Peterman. Eye examination was accomplished in 3/00 and artificial tears were prescribed. Marion underwent right tendon transfers in 4/00. In 7/00, she developed necrotic ulceration of left foot and consulted with plastic surgeon. No surgery was needed as foot healed spontaneously. On 9/26/00, Mitrofanoff procedure was performed. Following that surgery, complications developed and Marion’s hospital stay was extended. She was unable to return to Dawson Rehab. Center in the allotted hospital leave days and was administratively discharged on 10/12/00. Prior to admission to hospital for the urinary surgery, Marion had chosen and been accepted, at the Grandeville Apartments in Brooklyn Park, MN. It was an ASI (The Village, Inc.) type setting, with PCA (personal care attendant) staff on site. Marion decided to remain at St. Mary’s for acute rehab to her right hand to learn self-catheterization through the Mitrofanoff site and then transition on to her apartment.

Pelvic Pain

Urology
Marion had consultation with hand surgeon who felt tendon transfer would likely provide her with significant improvement in RUE function. Consideration would be given to that option. From a urology standpoint, she continued to have periodic bladder spasms with some urinary catheter sediment and occasional leaking around the catheter. She was seen by urology earlier in the day and repeat urodynamic study was planned as well as repeat imaging. Dr. Alvarez indicated he would prefer to defer any urological reconstruction until she had completed UE surgery. Marion continued to have difficulty with LE edema and required LE compression garments for orthostatic hypotension.
Endoscopy
Interstitial Cystitis
Urinary Tract Infection
“I see a lot more doctors than I ever have seen before. I have a lot of UTI’s and see a urologist once a month. The UTI’s cause a lot of pain and headaches. Being on antibiotics a lot causes reoccurring yeast infections for which I have to get treated. Since I have limited movement, I have to be careful about decubitus ulcers since I am in my wheelchair thirteen hours per day. I have to watch out for blood clots in my legs due to immobility. I am on medication every day just to stabilize my health. I have blood pressure that tends to be very low, (80 over 60). I intermittently suffer from dysreflexia either related to my bladder or bowel program. I am on Baclofen for spasms. I have spasms, which are moderate. I get bronchial infections every winter largely because I don’t have a productive cough.”

Neurology
Represented for right low back pain of three months duration. Noticed increase in pain during digital rectal exams done by two specific personal care attendants. Examination revealed right low back tenderness near waistband. Referral to Dawson Rehab. Center for PT and massage issued. Advised to make appointment with neurology to discuss further.

Attention Deficit Hyperactivity Disorder (ADHD)
The Center for Creative Learning: Worked as a counselor assisting children diagnosed with ADHD. Additional responsibilities included testing, planning and running parenting groups.
Depression
Mental Health
Paul M. Deutsch Ph.D., CRC, CCM, CLCP, is a Licensed Mental Health Counselor with a Ph.D. in Counseling Psychology and Counselor Education with a specialization in Rehabilitation. He is in his 40th year in the field of Rehabilitation and has been in private practice since June 1, 1976. He is a Board Certified Vocational rehabilitation counselor, Board Certified case manager and Board Certified life care planner. Dr. Deutsch is a Fellow of the International Academy of Life Care Planners and is licensed in the State of Florida under Chapter 491 of the Psychology Practices Act as a Mental Health Counselor, (FL MH#0000117). He specializes in working with catastrophic disabilities resulting from either a birth or traumatic onset. Dr. Deutsch is best known for having developed the basic principles, tenets, methodologies and processes of Life Care Planning. He first published on Life Care Planning as a fundamental tool of Case Management in his 1981 multi-volume text, Damages in Tort Actions (Deutsch, Paul M. and Raffa, Fred, Mathew Bender and Company, 1981, Lexus Nexus 2003). Dr. Deutsch has contributed twelve volumes and more than ninety-five peer reviewed journal articles and chapter contributions including
Behavioral Health
Provided clinical leadership and oversight of service delivery to consumers receiving disability services; responsible and accountable for ensuring consumer's behavioral health needs and disability needs were met.
Anxiety

Endocrinologist

Endocrinology
On 10/23/00, Marion was transferred to the rehabilitation unit for self-catheterization training and aggressive program to increase mobility, transfers and endurance and OT with focus on improving strength and coordination of right hand. During her stay she developed an episode of hypertension. The episode was felt to be secondary to her polycystic ovarian syndrome and OB/GYN consult was obtained. Labs were ordered and bone mineral density examination was performed. Once done, reproductive endocrinology consult was ordered but could not be performed during her stay. Plan was to follow through with consult as outpatient.

Ultrasound
Evaluation for right side pain from mid to low back. Referred to Dawson Rehab. Center for PT/massage/ultrasound to low back 2X/week for 4-6 weeks.
MRI
Left Elbow Pain: Marion had left elbow pain, worse with therapies, that was thought to be secondary to musculoskeletal pain. The pain persisted and responded well to rest and Neurontin. X-rays, MRI and triple phase bone scan were unremarkable. Pain resolved by discharge.
X-Rays
Computed Tomography
Transferred from Gotwalt Memorial Hospital. Upon arrival her main complaint was left shoulder and arm discomfort, some mild shortness of breath and paraplegia. Steroid protocol was instituted before leaving Gotwalt Memorial Hospital and carried on en route. She had Foley catheter and IV’s in place. Neurological examination revealed no sensation to pinprick until the upper anterior chest, just below the level of clavicles, approximately T1-2 level. She had sensation to pinprick out on the shoulders and arms. She had some flexion but no extension of UE’s. There was no motor function in the LE’s. Cervical spine x-rays were unable to be evaluated due to her marked obesity. CT scan of the cervical spine revealed complete disruption of the anterior middle and posterior columns with widening at C6-7.

Orthopedics
Track 8 - Business Principles, Malpractice, and Professional Ethics Faculty- Department of Rehabilitation Counseling, University of Florida. 1976-1978 while in Doctoral program. Taught Research Methodology and Statistical Analysis for the Social Sciences in the Masters Program.
Scoliosis Surgery
Arthroscopy
Neurosurgery
C6/C7 ASIA A spinal cord injury. Upon admission to PM&R unit, Marion was noted to have decreased wrist extension in the left hand as compared to consult done two days earlier. Neurosurgery was notified. MRI was ordered and revealed increased swelling in the C-spine. She was started on Decadron and slowly improved with recovery of strength.
Arthroscopy
Hysterectomy
Admitted for definitive management of heavy vaginal bleeding and abdominal pain. She had chronic anovulation secondary to polycystic ovarian disease. She underwent vaginal hysterectomy and bilateral oophorectomy. Hospital course was uneventful and she was discharged on postoperative day three.
Hip Replacement
Knee Replacement

Plastic Surgeons

Botox
Plastic Surgery
Scar Revision

Cyst
Skin Care
Although all the questions are fairly straightforward, any question in the clinical interview can represent subtleties beyond the basics. Reviewing social activities with a patient can reveal social isolation, withdrawal, and signs of depression or anxiety disorder. In reviewing personal habits, it is appropriate to determine if anyone in the home is smoking or has an alcohol or drug problem. Smoking, even if the patient is a non-smoker, has significant implications for skin care in spinal cord injury, due to exposure to second-hand smoke. The interviewer must focus on more than concrete facts. Instead, develop a critical thinking framework and look beyond the obvious in your interview technique.
Burns

Physical Therapists

Physical Therapy
Therapeutic modalities: The second page of the plan displays the type, schedule, frequency, and duration of therapies planned for the patient. Remember that therapies, like all recommendations, are needs driven and not dollar driven. For example, it is appropriate to note a home-based physical therapy program even when it is designed by the physical therapist during a once per year evaluation but administered by the paraplegic patient on an independent basis. Even when no dollars are displayed in the cost column, it is appropriate to display what is occurring in self-compliance with appropriate care.
Occupational Therapy
Marion was admitted to the Mayo Clinic after midnight on March 9, 1999 and she remained there until June 1, 1999. She was admitted for acute care and surgery, (a fusion to the best of Marion’s recall-see medical summary), at the Mayo Clinic. Within two weeks, she was transferred to the Rehabilitation unit in the Mayo Clinic. She was at the Mayo Clinic for a total of three months. She did participate in a full rehabilitation program consisting primarily of physical and occupational therapy.
Shoulder Pain
Neck Pain
Back Pain
Aquatic Therapy
Neuro Rehabilitation
Deutsch, P.M., Kendall, S. L., Danninhirsh, C., Cimino-Ferguson, S., and McCollom, P., Vocational Outcomes after Brain Injury in a Patient Population Evaluated for Life Care Planning Reliability. NeuroRehabilitation 21 (2006) 1-10, IOS Press.
Orthotics and Prosthetic Therapy
Orthotics and prosthetics: This page addresses any upper or lower extremity splinting needs the patient may have. It is insufficient to only consider what the patient's existing program already contains. Check with the therapist and treating physicians about future needs before budgeting for these items.

Ingrown Toenails
Presented for ingrown toenail, right great toe. Corner 1/5 of the nail removed and blunt dissection beneath the nail was performed. Diagnosis: Paronychia, right great toe, requiring irrigation and debridement. Three to four day wound check recommended.

View All Services

Provided by