Impairment Compliance

The patient is a 59-year-old right-handed white female who was admitted in June to Portsmouth Regional Hospital for what was determined to be either transient global amnesia or complicated migraine. I did review those notes. She was seen by Galina Simkin, MD. The symptomatology discussed in the H&P is consistent with transient global amnesia. She was having problems asking questions inappropriately, repeating sentences, repeating questions over and over again, and seeming somewhat confused. There were no other neurological symptoms at that time. No evidence for seizure activity. No evidence for stroke. She was brought to the emergency room, where she underwent a CAT scan, which was

This 66 year old is filing a DIB claim alleging disability due to stroke, fatigue, headache, mixed hyperlipidemia, hypertensive heart disease, benign heart failure, cerebrovascular left hemiparesis, allergic rhinitis, pollen induced, acid reflux disease, depression, benign hypotrophy, PTSD, elevated PSA, abnormal glucose, and a Vitamin D deficiency of 04/11/2014.

On Thursday, 10/22/2015 the claimant stated he reported for work pain-free and was not suffering from any pain or discomfort from four other work related injuries that he reported as claims and received judgments. The claimant was unable to account for the real dates of his past work-related injuries that occurred between 2010 and 1/2013. The claimants past industrial-related injuries ranged from a left wrist injury, head injury and two separate right wrist injuries which he says did not include any injury to any other body parts.

This problem question is about claiming for damages due to psychiatric harm. It involves questions regarding primary victims, secondary victims, and special duties problems.

This 59- year old is filing a DIB claim alleging disability due to diabetes, high blood pressure, high cholesterol, arthritis, amnesia and right eye problems as of 06/01/2015.

On 5/30/18 I met Mr. Reid at the office of Dr. Rampersaud. I explained that the insurance carrier is not getting the form filled out correctly regarding his narcotic medications. I asked his permission to meet with Dr. Rampersaud when they go back to the examination room and leave once we discussed the form. Mr. Reid agreed. He reports that since having the spinal cord stimulator battery replaced his pain is 60% better. He reports his pain level is a 6. He continues to have his legs give out unexpectable. He reports needing help from his wife to roll him over when he is in bed. He continues to use a wheelchair. Mr. Reid said he wanted to speak with Dr. Rampersaud regarding decreasing his medications at least for the summer. He feels the warm weather makes his pain more tolerable.

The claimant alleges that her current claim to her bilateral wrists, elbows, arms, shoulders, neck, and upper and lower back, resulted from a CT claim from her former employer The View Corporation. The claimant alleges the CT claim she filed occurred during the early months of 2012 when she worked at The View Sonic Corporation. She could not recall the dates of when the CT claim were.

Gilbert suffers from Graves Disease, an immune system disorder with an overproduction of thyroid hormones. Gilbert also suffers from severe migraines but cannot afford the prescription medication that alleviates them. She gave

He also had right more than left mastoid opacifications and states that he was recently treated for otitis media. He has hypertension, hyperlipidemia, coronary disease and had been noncompliant with his medications in the past. His exam was essentially normal except for the subjective vertigo. There was no nystagmus and no diplopia on the initial exam. On 06/19/2015, he gave a different history. He states that he had a strike to the left temporal on Tuesday 06/16/2015. This did not result in any vertigo or any other neurological symptoms at that time. It was two days later that he had the vertigo at work. The patient also claimed that he had been seeing double since the previous night and the morning of the 19th. However, his neurological exam at that time, failed to reveal any actual disconjugate gaze. The patient had an MRI MRA, which revealed old white matter ischemic disease and mild intracranial atherosclerosis, but no evidence for acute stroke or posterior circulation significant stenosis. His diagnosis was labyrinthitis, possibly due to his bilateral mastoiditis. He was treated with Augmentin for 10 days. His symptoms resolved prior to discharge on meclizine. On physical therapy on discharge, he had no

Ms. Castellano denies mental health. Client denies any in-patient psychiatric hospitalization or out-patient treatment. Client denies history of homicidal or suicidal ideation or behavior. Client denies history of Alcohol Abuse and Substance Abuse.

Borbely had physician appointment with his PCP Dr. Boggs and cardiac. Mr. Borbely declined surgery with cardiac physician. Medical records were requested from Henry Ford Hospital. Mr. Borbely had a neuropsychological testing and Dr. Kamoo is in the progress of contact his nephew for a review. Dr. Boggs felt Mr. Borbely had a dramatic cognitive changes compared to one year prior to the accident and is looking forward to the neuropsychological results. Dr. Boggs did feel Mr. Borbely had a head injury. I was contacted by claims adjuster confirming medical records status and informed that at this time to close his

Additional, the client has met a Major Depressive Episode, which includes him currently meeting the three criteria; A, B, and C. Criteria A suggest that the client meet five symptoms during a two week time period. The client’s symptoms are as follows: depressed mood most of the day nearly every day as indicated by observation of his wife, marked diminished interest in activities most of the day, nearly every day indicated by observation of him not going to work in the past two weeks, psychomotor retardation nearly every day the last two weeks observed by his wife due to him not leaving the bed, diminished ability to think noticed by others when suggesting courses of action as to what may be helpful to him, and lastly, recurrent suicidal thoughts of death demonstrated by his irrational inquiries about an un-diagnosable disease of him dying soon. Criteria B reads that the client’s symptoms have to put significant distress or impairment in life areas of function, which the client does meet due to him not being able to currently leave his home/bed. Finally, criteria C is met because the client has to history of substance abuse or another medical condition that indicates attributable physiological effects. Although, the narrative suggests that there is history of Major Depressive Disorder, those particular episodes, I believe are not clinically attached to this particular manic episode, where he is now saying, “My skin is coming off in

The claimant had 9 physical therapy visits for cervicalgia and low back pain from 01/12/2017 t0 02/01/2017.

The Department’s Representative LB testified that the Appellant filed an application for MA and HCBS in February 2017. The Application was initially submitted electronically and then a paper application was received. The MA/HCBS combination application was initially denied for failure to provide verification of an emergency medical condition. The Department realized that the Appellant had case activity on two different record numbers therefore, requested new medical information and the application was reviewed again. The IMCW testified that on April 25, 2017, the medical information was received and sent to the Office of Long Term Living (OLTL) for a determination; the following day, they requested additional medical

When the witnessing family member has the intention to make a psychological distress case, the family member will have to provide documentary evidence that affirms the victim’s personal testimony concerning the psychological distress they experienced. Testimony from close friends, fellow workers, relatives or existing doctors can support the claim. The appearance of a psychotherapist’s therapy records will also support the emotional distress claim.