On 12/12/16 I met Mr. McClellan and his step dad at the office of Dr. Nzoma. The MRI was reviewed. There is a partial tear of the ACL. There is some popping but examination showed good strength and stability. Dr. Nzoma would like physical therapy to continue to help him wean out of the brace and to work on the popping. We discussed a return to work and restrictions were written.
I spoke with Mr. Payson on 12/22/16 he reported that Mr. McClellan tolerated the 4 hours per day work level, He has had some pain to the knee but wants to increase to the 6 to 8 hours. Mr. Payson has updated Dr. Nzoma office and is waiting a new work status slip. On 12/27/16 Mr. Payson called. He reported the employer was never sent a new work status slip. He asked
that I call Dr. Nzoma’s office. I requested an update slip. This was faxed to the employer and the adjuster. Mr. McClellan will now work 6-8 hours for 5 days. His normal work level is 5 days per work averaging 60 hours. WORK STATUS Return to work as of 12/12/16. 4 hours per day 5 days per week. This was successful so the hours are increased to 6 to 8 hours per day, 5 days per week. No repetitive stairs, no climbing, no kneeling, take breaks as needed. The current work status was faxed to the employer on 12/27/16. ASSESSMENT Mr. McClellan has made slow progress in his return to work. He has been apprehensive about returning to work and the increase. His Step Father has been supportive and encouraging of Mr. McClellan’s return to work. PLAN/RECOMMENDATIONS 1. Contact Mr. Payson step father every 4 weeks for update on the increase of work hours and how they are being tolerated. 2. Attend the next appointment with Dr. Nzoma on 1/16/17. Discuss the return to work and if Mr. McCellan is at MMI and released from care. 3. Adjuster Ms. White will update employer on current work status after doctor appointments.
What uncompensated work did the plaintiff claim she performed? What should the district court have done with the statement of another employee that the plaintiff did not engage in work prior to her official start time?
Matt Theurer was an 18 year old high school senior and a member of the National Guard. He is employed by McDonald's, the defendant. Matt's manager knew Matt had to drive about 20 minutes to and from work. Matt was scheduled to work a shift at McDonald's from 3:30 pm to 7:30 pm on April 4th, 1988 and 5:00 am to 8:21 am on April 5th, 1988. He was also given a voluntary opportunity for a cleanup shift from 12:00 am to 5:00 am on April 5th, 1988 which he accepted. Matt worked all of his assigned hours, including the voluntary shift. After the last shift was complete,
On numerous occasions, I left work transported the children and went back to work to remain into the night. On other occasions, I left work during the day to take Stephanie to doctor’s appointments or meetings with the worker’s compensation attorney we retained to pursue her injury as compensable injury. This too required that I work late or on weekends to carry my responsibilities at work. There is no doubt that I was not able to make up the short fall created by my extra parental responsibilities. In the attempt to keep up I worked tired and sick, late in the day and early in the morning. I worked on holidays that were scheduled to be days
In spite of this the rate of ACL injury is almost equal through all levels of sports, from beginner, to recreational, to professional athletes. The most widely publicized incident of ACL damage has come from Theresa Edwards who was a top female athlete. She was a basketball player who went to the limit with sports. She went beyond her capability and her ligament couldn’t withstand the pressure and snapped. She is not the only but just one example of many who have suffered this same problem. As female athletes continue to become more competitive and aggressive, ACL damage continues to rise.
Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
In November of 2010, I was playing basketball in the fifth game of my senior season. It was just like any other game. However, I would soon find out otherwise. It was late in the game; I drove into the lane and got fouled hard. I was knocked so off-balance that I speared the floor with my knee. As soon as my knee hit the floor I heard a “snap” that I will never forget for the rest of my life. Little did I know at the time, that would be the last shot of my high school basketball career. Not long after my injury, I consulted a doctor. After getting an x-ray and an MRI, the doctor informed me that I had completely torn my ACL and would need to have surgery. An ACL tear can be a very devastating injury. The anterior cruciate ligament (ACL) is one of the four major ligaments within the knee. The ACL is one of the most commonly injured ligaments, injured by an estimated 200,000 patients each year. Of the 200,000 annual ACL injuries, surgery is performed in approximately 100,000 cases. There are many types of reconstructive surgery on the ACL. However, there is an alternative to surgery in the form of physical therapy.
Dr. Negron had been contacted on 12/08/2014 after I located him in Washington, Missouri at Mercy Hospital. He had relocated there in November 2014 and is a hospitalist and works 7p.m. to 7a.m. Med Staff had reviewed the complaint and had no questions for the doctor as he had sent the Board a letter dated 06/03/2014 which followed her care from 06/05/2013 to 03/11/2014 which was the last time the doctor saw her. The start date was verified in the medial records as Dr. Negron showed he first saw her on June 5, 2014 in his letter.
The Anterior Cruciate Ligament (ACL) attaches the femur, which is the thighbone, and the tibia, which is the shin, together (northstar). A torn ACL is one of the most excruciating experiences in an athlete’s life. It is the first thing that comes to mind when they hurt their knee on the field; for many it is their greatest fear. A torn ACL can sometimes mean the end of an athlete’s career. It can mean losing the chance to get that scholarship for young athletes, and it can also mean the end of those million dollar paychecks for those who have gone professional. A torn ACL can result in numerous surgeries, months of vigorous exercise and rehabilitation, and a sufficient amount of pain. It requires complete patience, for pushing too hard can result in further, more painful injury. Even after all that, an athlete is not guaranteed he or she will ever be able to play sports again.
Kelly was hired as an assistant language teacher (ALT) and had been working for six months. She was to work three days a week in the board of education office and two days helping with the English program. Her contract stated that her hours were Monday to Friday 8:30 AM to 5 PM. These hours were not the hours of the Japanese workers. Their culture had the employees working six days a week and rarely took time off. Kelly’s contract also had vacation and sick leave time given but stipulations as to when a doctor’s note was needed and the notice time given for time off for vacations.
Fortunately, it wasn’t as difficult as it may have been presented to me at the time. When I was faced with this problem, I thought of the physical therapist that treated me when I had both of my ACL surgeries in middle school. Physical therapy has always interested me, I did my Junior paper on it and the career itself. The therapist that treated me, Dennis Schepmann at the Jackson County Physical Therapy in Phoenix was the perfect candidate to be my mentor. Dennis gladly took me in and set up everything, with which hours I needed to go in, which therapist and which room I went in to in order to complete my project in time.
In January of 2012, I was playing in the first volleyball tournament of the club season. In the second game of the day, I dove to get a ball and landed wrong on my right wrist. My wrist was constantly popping and hurting when I needed to lift something. In May of 2012, my mother took me to the orthopedic doctor at Athens Orthopedic Clinic. I underwent physical therapy, took pain medicine, and played no volleyball for a month. When the month was up and there was still no improvement, I went to get a MRI. The radiologist said that there was nothing wrong, but my orthopedic referred me to an orthopedic surgeon for a second opinion. It only took a minute for my orthopedic surgeon to see what the problem was: a tear in my TFCC (a cartilage structure located on the small finger side of the wrist that, cushions and supports the small carpal bones in the wrist (Midwest). On August 8, 2013, I had surgery on my wrist. Ever since I’ve had surgery I’ve wanted to be an orthopedic surgeon. Although becoming an orthopedic surgeon takes years of education, hours of training, and hours of on-call work, orthopedic surgery’s advantages outnumber the disadvantages.
Injuries to the Anterior Cruciate Ligament (ACL) are one of the most frequent and devastating knee injuries that occur during sporting activities, accounting for one fifth of all sport related knee injuries ¹ ². Injury estimates have been reported in current literature to be between 1.5% - 1.7% per year within a healthy athletic population ³ ⁴. However, incidence rates for ACL injury prove difficult to access as not all individuals with ACL injuries seek medical attention ⁵. Current trends show a direct correlation between the rising incidence of ACL injury and increased sporting participation ⁶. In spite of increasing incidence rates, ACL injuries remain fairly uncommonly in relation to the amount of individuals participating in sporting activities ⁷ ⁸. Nevertheless, they still prove to be a frequent source of disability for those individuals affected ⁷ ⁸. Individuals affected with ACL injury may suffer from a number of adverse effects including dynamic knee instability, altered movement patterns, reduced functional performance and debilitating pain ⁷⁻¹⁰.
My sixteen week class in English 111. I was really nervous about this class. Because English has never been my strong point. This class has hard, but fun all at the same time. I learn a lot from this class. Meanwhile,the first day of class you handed a paper with a question on it. “The first thing I want to say to you who are students is that you must not think of being here to receive an education; instead, you will do much better to think of being here to claim one.” Even though putting my all in what I have learned, claiming my education with hard work because using the skills of the meal plan, as we write to different audiences and learning to be a Critically thinker as I start becoming a critically-Literate Citizenship.
For so many years I’ve asked myself the question, “what are you going to do with your life?” For a period of time I struggled with this question. Today, I sit staring at my computer, confronting myself, asking my subconscious “what do I want to do for the rest of my life?” Have I finally found the answer I 've been looking for, or am I under the false assumption that this is the right path for me. This semester has been the ultimate opportunity to explore my questions, doubt, issues, and concerns. I feel that by the end of this paper I will have answered all these questions, and will have made the best decision for my future.
In 2017, ABC channel released a new show called The Good Doctor, a young surgeon with autism and savant syndrome who joins a renowned hospital’s surgical unit. Here he faces new lessons to connect with others, meeting new people and proving others wrong based on false consensus that people have about him. Along with him are two other surgical residents whom which he grows bonds with, Dr. Jared Kalu, and Dr. Claire Brown.