Medical Case Study

Dr. Swartz then indicated based on the questionnaire completed by the injured worker at the time of his evaluation in or about June 2016, the applicant’s activities of daily living were not significantly effective. It is noted on the record the injured worker claimed he was able to do various activities. Based on the

On the morning of August 16, 2017, Wilma Waedle came to my office to discuss a past workman’s comp claim. According to her personnel file, the workman’s comp claim that she was referring to was closed in 2015. That released her to full duty as a Qualified Medical Administration/Certified Nursing Assistant. Ms. Waedle stated that her arm from the previous claim was still causing her pain. She also stated that she had the doctor cleared her so she could continue to work but did not get to the real cause of her pain.

Per the Disability Determination (07/20/2017), the claimant’s disability began on 01/09/2006. The primary diagnosis was visual disturbances. The secondary diagnosis was not established (no medical evidence in file).

In this case, the accident is the proximate cause of Mrs. Smith’s injuries and the medical providers are the intervening cause, as their breach of duty exacerbated Mrs. Smith’s injury to the point of permanent disability and disfigurement.

At the reconsideration level the claimant stated that he had ongoing complications with his back and knees, had limited mobility, needed assistance to stand, and was

It may be to your benefit to have us examine your case as the circumstances and the severity of your injury will determine the

He projects the Plaintiff will require pain management care 3-4 times per year and that the Plaintiff’s pain will progress over time. When asked about the fact that prior to the accident, the Plaintiff was already seeking pain management care, Dr. Gonzales stated that he could not determine whether the prior care was for the same pain that the Plaintiff is currently experiencing. He also stated that during his examination of the Plaintiff, the Plaintiff did not convey that she was experiencing any pain in her neck up until the time of the accident. He admitted if she was experiencing neck pain prior to the accident, he would have no way of quantifying any increase in neck pain she may have felt after the accident. He admitted that if the

She did not know of any known or unknown medical problem which Ms. Blanco may have had which gotten worse over time or had got aggravated by Ms. Blanco’s duties as a front counter worker. She seemed to be OK, before her last day of work and never complained or mentioned of any said injuries or illnesses on the day she had voluntary quit her

As you know, this case is established for injuries to the neck and right shoulder with an average weekly wage of $1,614.34. We are presently litigating the issue of permanency. Your consultant, Dr. Cally, examined and found the claimant to have a permanency rating of 3-B. Dr. Kantor completed a C-4.3 on 05/27/17 and found the claimant to have a permanency rating of “E”. We previously have deposed Dr. Cally and medical testimony will be complete with the testimony of Dr. Kantor.

Both surgeries were covered by workers' compensation. Susan claims that after her surgery in 2002 Ergonomic assessment was performed at her work desk and she was given a drop down keyboard holder and the gel pad wrist rest. Susan transferred to MGM – Rincon office, Susan neither contacted occupation health nor did occupation health contact her to do Ergonomic assessment in a new work place. She had the Gel wrist pad from the past which she claims that she didn’t care to use it, she verbalized that she didn’t t think it was going to come back”. On 5th May 2016, Susan claims that she woke up with left shoulder pain, went to urgent care and from there she was advised to go to the ER. All her cardiology results and everything came back normal, so she informed her PCP that it might be carpal tunnel since she has a history of it. MD ordered an EMG which showed that she is suffering from Carpal tunnel and it is worse in the left hand than the right

The claimant went to the St. Bernard’s Emergency Department on August 16, 2017 complaining of low back pain and headache. It was noted upon examination that her range of motion was mildly limited due to pain. However, due to insurance requirements, an appointment was made to see her primary care

Ms. Huttunen was sent for an IME on 7/26/16. No objective findings were found to support an ongoing work injury. Mr. Andrew Rider asked for this file to be closed.

Treatment history includes 24 PT visits, lumbar epidural injection in 10/2014 which helped by 50% and on 01/23/15 with 50% relief and 8 visits of chiropractic treatment. The following medicatiosn were discontinued: Advil and Tylenol with insufficient relief; -Relafen and Flexeril, which helped somewhat decrease his pain;and

From an Internal Medicine perspective, the claimant is not considered disabled from 05/04/2017 through the present. The claimant was noted to have hypothyroidism, centrilobular emphysema, and a history of fungal pneumonia. However, it was noted that he had been doing well, and his condition had been stable without new complaints. The objective findings were insufficient to substantiate a functional impairment secondary to his medical condition that would have precluded him from performing his regular job duties during the referenced time period.

2) We understand that it is likely that the employee has a pre-existing medical diagnosis and a specific medical condition which was not communicated to you before. Therefore, it is questionable if his injury is the consequence of work injury or only the manifestation of his existing condition.