Client chronology
Case PI-2026-0322 · Slip and fall — grocery · Incident Thursday, April 2, 2026
This chronology was compiled from contemporaneous entries logged by the client through the Alongside app between Thursday, April 2, 2026 and Tuesday, June 2, 2026. Entries reflect the client’s lived experience of injury, treatment, and recovery in their own words where indicated.
Neck (cervical)
Intensity 6/10 · Stiffness, Spasm
Left shoulder
Intensity 5/10 · Aching
Lower back (lumbar)
Intensity 7/10 · Burning, Sharp on movement
Left arm
Intensity 4/10 · Tingling, Numbness
Head (occipital)
Intensity 5/10 · Migraine
IncidentRear-end collision on I-280
Stopped at red light. Defendant struck at ~35 mph.
TreatmentER — St. Luke's
Whiplash, lumbar strain. Cervical collar issued.
TreatmentSt. Luke's Emergency Dept — ER visit
CT cleared. Diagnosed with whiplash, lumbar strain.
St. Luke's Hospital
Note3 photos — bruising on chest from seatbelt
MedicationStarted Cyclobenzaprine 10 mg
Nightly. Prescribed by Dr. Patel, Family Medicine for Muscle spasm.
Side effects reported: Drowsiness, Dry mouth
MedicationStarted Naproxen 500 mg
Twice daily with food. Prescribed by Dr. Patel for Inflammation, back pain.
Side effects reported: Stomach upset
TreatmentFamily medicine follow-up
Started cyclobenzaprine + naproxen.
TreatmentDr. Patel — Family Medicine — Follow-up
Riverside Clinic · Missed work: Half day
Missed activityMissed work — 2 days
Unable to sit at desk.
ImagingLumbar MRI
L4-L5 disc bulge, facet inflammation.
ImagingCoastal Imaging — MRI — lumbar spine
L4-L5 disc bulge, mild facet inflammation.
Coastal Imaging Center
TreatmentPhysical therapy intake
TreatmentBay Physical Therapy — PT — intake
Bay PT
SymptomNew symptom — left arm tingling
TreatmentNeurology consult — Dr. Ngu
Post-traumatic migraines diagnosed.
MedicationStarted Sumatriptan 50 mg
As needed for migraine. Prescribed by Dr. Ngu, Neurology for Post-traumatic migraines.
Side effects reported: Flushing, Fatigue
TreatmentDr. Ngu — Neurology — Consult
Coastal Neurology · Missed work: Full day
TreatmentGabapentin prescribed for nerve pain
MedicationStarted Gabapentin 300 mg
Three times daily. Prescribed by Dr. Ngu for Nerve pain, tingling left arm.
Side effects reported: Drowsiness, Mild dizziness
TreatmentPT session 6
TreatmentBay Physical Therapy — PT — session 6
Bay PT
Daily check-inDaily check-in
Pain 6/10. Slept poorly (4/10). Symptoms: Neck pain, Lower back, Trouble sleeping. Mood: rough. Client note: "Woke 3 times overnight."
NoteBest day so far — 4/10 pain
Daily check-inBetter day reported
Pain 4/10. Slept well (7/10). Symptoms: Mild stiffness. Mood: a good day overall. Client note: "Best day in weeks."
Daily check-inDaily check-in
Pain 5/10. Sleep 6/10. Symptoms: Lower back ache. Mood: steady. Client note: "Better morning. Worse by 5pm."
Daily check-inDaily check-in
Pain 6/10. Sleep 5/10. Symptoms: Neck stiffness, Shoulder pain. Mood: rough. Client note: "Worked from home, couldn't drive comfortably."
SymptomSevere migraine — 7/10
Lasted full day. Sumatriptan helped after 90 minutes.
Daily check-inFlare day reported
Pain 7/10. Slept poorly (3/10). Symptoms: Migraine, Neck spasm, Nausea. Mood: low. Client note: "Bad migraine all day. Took prescribed sumatriptan."
Daily check-inDaily check-in
Pain 5/10. Sleep 5/10. Symptoms: Lower back ache, Tingling left arm. Mood: steady. Client note: "PT helped a bit. Tired after."
Missed activityLeft son's soccer game at halftime
TreatmentPT session 8
Daily check-inDaily check-in
Pain 6/10. Slept poorly (4/10). Symptoms: Neck stiffness, Headache, Lower back ache. Mood: rough. Client note: "Could not sit through my son's soccer game. Left at halftime."
Functional impactSon's soccer game
Reported by client at daily check-in.
TreatmentBay Physical Therapy — PT — session 8
Bay PT
NoteUpcoming: Dr. Patel — Family Medicine — Follow-up
Riverside Clinic
NoteUpcoming: Bay Physical Therapy — PT — session 9
Bay PT
NoteUpcoming: Dr. Chen — Orthopedic Spine — Consult — possible injection
Orthopedic Specialists