Medical Case Study: Michael Gomez

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Michael Gomez is a 45 year-old divorced male of Spanish and Irish ancestry and a non-practicing Catholic. He is disabled from his usual occupation as a pipe fitter in an oil refinery. He suffered a work-related injury 2 years ago and has received extensive surgery, including a spinal fusion and two total knee replacements. In spite of this treatment, his physical limitations still prevent him from returning to his usual occupation. Michael is now enrolled in a vocational rehabilitation program and taking classes in alcohol and drug counseling at the local community college. Michael has a long history of substance dependence, including intravenous heroin use. He has been clean from drugs for one and a half years. He also suffers recessing

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