Patient Advocate Results DL Walker

Case 2: 88-Year-Old Misdiagnosed with Gait Abnormality

 Actual diagnosis: Normal Pressure Hydrocephalus

Savings vs. Traditional Care: $12,842/month, $77,050 total over 6 months

TRADITIONAL MEDICINE

Interventions:

None due to misdiagnosis.

 

Outcomes:

  • Loss of the ability to walk
  • Progressive urinary incontinence
  • Cognitive decline/dementia
  • Home modifications for wheelchair
  • Home bound and/or 24-hour care
  • Supervision for safety required

Timeline:

Patient's decline occurred over 12–18 months following misdiagnosis.  

Progression would have continued indefinitely without corrective surgical intervention.

 

Costs:
Potential Costs over 6 months:
Monthly Cost: $13,800

6-Month Total: $82,800
(24-hour caregiver $15,000-$20,000/month

Home Modifications $45,000 one-time)


PATIENT ADVOCACY

Interventions:

Advocate identified and suggested further neurological testing. Full neuro diagnostic series → NPH was confirmed. Found and

coordinated care with a neurosurgeon with shunt surgery performed. Oversaw and coordination rehabilitation in the home. 

 

Outcomes:

  • ↑ Independence walking with walker
  • ↑ Continence and Mental cognition
  • ↑ Able to remain home with wife 
     
  • ↓ Eliminated need for home renovations
  • ↓ Eliminated need fo 24-hour caregiver
  • ↓ No need for supervised safety 
     

Timeline:

6 months
 

Costs:
Monthly Cost: $1,000-1,5000

6-Month Total: $7,500.00

Case Study 3: 37-Year-Old Female with Misdiagnosed Meniscus Tear

Actual diagnosis: Tibial Plateau Fracture

Savings vs. Traditional Care: $1,250 – $3250 USD

TRADITIONAL MEDICINE

Interventions:

Patient managed with an incorrect treatment plan of bracing and walking. Ongoing pain and confusion due to lack of progress

Repeat imaging inconclusive. 

 

Outcomes:

  • Misdiagnosis delayed proper treatment

  • Persistent pain, risk of worsening fracture

  • Emotional stress and frustration

  • Potential long-term dysfunction

Timeline:

5 weeks of incorrect management

 

Cost per episode:
$2,000–$4,000 (specialist visits, imaging, loss of work, pain medications)


PATIENT ADVOCACY

Interventions:

Comprehensive evaluation revealed inconsistency with meniscus tear. 

Advocate communicated report of findings with physician and suggested further testing.Third x-ray confirmed tibial plateau fracture. Proper treatment initiated.

 

Outcomes:

  • Correct diagnosis & treatment initiated 

  • Patient recovered fully 

  • Avoided long term damage 

  • Avoided surgical intervention

Timeline:

2 weeks 

 

Cost:
$750

Case Study 4: 36-Year-Old Female with Vertigo

Actual diagnosis: Brain Tumor 

Savings vs. Traditional Care: Priceless $8,500

TRADITIONAL MEDICINE

Interventions:

  • Treated with antibiotics for suspected infection

  • No additional diagnostic testing ordered

  • Symptoms persisted, no resolution

  • Risk of mismanagement with worsening condition and possible death

 

Outcomes:

  • Ongoing vertigo and discomfort

  • Underlying condition (brain tumor) missed

  • Risk of life-threatening progression if untreated

  • Potential long-term neurological deficits

  • Loss of work/unable to care for children

Timeline:

8 weeks of incorrect management

 

Cost episode:
$8,000 loss of income/unable to work

$800 child care


PATIENT ADVOCACY

Interventions:

  • 90-minute evaluation & consultation

  • Determined symptoms inconsistent with infection and inner ear pathology

  • Letter to physician requesting MRI

  • Proper diagnosis of brain tumor

  • Surgical treatment scheduled and performed

 

Outcomes:

  • Successful surgical removal of tumor

  • Patient asymptomatic post-surgery

  • Able to resume daily activities without lingering issues

  • Avoided prolonged misdiagnosis and risk

  • Able to return to work and care for children

Timeline:

2 days

 

Cost:
$750 (60-minute evaluation and follow-up)

Case Study 5: 70-Year-Old Competitive Senior Tennis Player

Canadian Nationals 2025 RESULTS: Doubles Champion — 3rd Place Singles

 

POTENTIAL COST SAVINGS: $1,500

TRADITIONAL MEDICINE

Interventions:

  • Orthopedic follow-up for THR and knee pain

  • Standard PT/rehab exercises

  • Medications for pain and inflammation

  • Vision/eye-tracking decline untreated or referred separately

  • Limited attention to performance optimization

Outcomes/Expected Results:

  • No direct improvements in neuromuscular coordination or reaction time

  • Inability to compete at elite level

  • No direct improvements in neuromuscular coordination or reaction time

  • Higher risk of overuse injuries, longer recovery time

  • Noticeable slowing, delayed recovery, shorter sprints, slower footwork

  • Loss of muscle mass, less explosive movement

Timeline:

Management of chronic conditions

 

Costs/year (USD):

$6000


PATIENT ADVOCACY

Treatment:

  • Functional Corrective Manual therapy techniques

  • Neuromuscular system optimization

  • Mindset and Emotional Treatment

  • Eye-tracking and reaction-time training

  • Strategic support before and during the tournament with harmonic frequencies.

  • Alignment and movement training

 

Outcomes:

  • ↑ High reaction time and eye tracking

  • ↑ Stamina for both Doubles and Singles

  • ↑ Mobility, Agility and Shot Quality

  • ↑ Consistent Performance and Recovery
     

  • ↓ No injury, soreness or stiffness

  • ↓ No fatigue

  • ↓ Medications required
     

Timeline:

3 weeks X 3 tournaments/year

 

Cost/year (USD):
$4500 

Case Study 6: 16-Year-Old Athlete Diagnosed with Mononucleosis

RESULTS: Full Recovery And Return To Training in 10 days 

 

POTENTIAL COST SAVINGS: $44,000-$173,500

TRADITIONAL MEDICINE

Interventions:

  • Over-the-counter medications for pain

  • Rest and monitoring only

  • 4–6 weeks bed rest and limited activities

  • No complementary therapies or support

  • Dr. visits and follow-up testing

Outcomes/Expected Results:

  • Symptoms persist for weeks to months

  • Loss of conditioning, strength, and sport participation

  • Risk of prolonged fatigue and reactivation of illness

  • Frustration and delayed return to play

Timeline:

4-6 weeks

 

Potential loss of Scholarship (USD):
$46,000-175,000


PATIENT ADVOCACY

Interventions; 

  • Over-the-counter medications for pain

  • Complementary therapies to accelerate immune recovery and pain management

  • Supportive care with close monitoring

  • Safe return-to-play strategy

 

Outcomes:

  • Completely asymptomatic in 10 days

  • Returned to gym/training within 2 weeks

  • No relapse or residual symptoms

  • Maintained competitive trajectory
     

Timeline:

10 days

 

Cost (USD):
$1,500