Presentation

The parent of an employee initially presented with a sudden inability to walk with progressive paralysis after a recent viral illness

After collapsing on the golf course, he was transported to a local hospital and was then transferred to a top neurology institution.  

He continued to experience increased paralysis up to his mid spine, including inability to void.  

MRI showed extensive lesions from T1-T7 with patchy enhancements and subcortical lesions throughout the brain.  

PHM Actions

Upon initial involvement, the PHM team coordinated with the attending neurologists and facilitated comprehensive diagnostic workups, including cerebrospinal fluid analysis and advanced neuroimaging, to elucidate the underlying etiology. 

The team expedited a consultation with a leading expert in demyelinating diseases, ensuring the patient received cutting-edge diagnostic and therapeutic insights promptly during hospitalization.  

PHM provided holistic support, addressing not only the medical needs but also offering substantial emotional and psychological support to the patient and their family, mitigating their anxiety about the uncertain prognosis and complex medical information.  

Through persistent advocacy, the PHM team facilitated the confirmation of a definitive diagnosis of MOGAD, which guided the initiation of targeted immunotherapy, including high-dose corticosteroids and intravenous immunoglobulins (IVIG).  

Post-acute phase, PHM ensured the patient’s discharge plan included intensive rehabilitation services, home health care coordination, and follow-up appointments with neurology and rehabilitation specialists to optimize functional recovery.