Gary R Watson Case Summary

Improved Essays
We have received the Panel Qualified Medical Examination report of Dr. Gary R. Watson, dated April 20, 2017. I believe you were also served with a copy. If this is not the case, please let me know, and I will happily forward one to you.

Summary

Unfortunately, Dr. Watson did not find the applicant permanent and stationary, despite the fact the applicant was discharged from care by the primary treating physician, Dr. Gary Hatcher on or about November 16, 2016. Frankly, I am very displeased with Dr. Watson’s conclusions.

Dr. Watson diagnosed the applicant with cervical strain and lumbar sprain/strain.

As for causation, Dr. Watson opined a motor vehicle accident of this type often result in a neck and back injury. However, it appears Dr.
…show more content…
Watson opined while these may not be within his specialty, he believes the applicant’s headache complaints may be associated with the applicant’s neck pain. Luckily, Dr. Watson did not make any referrals to a neurologist.

Overall, Dr. Watson’s report is very short and not very detailed. Dr. Watson documented the applicant’s present complaints indicate the primary pain in the mid-lower back, with some weakness in the lower extremity as well as some occasional mild neck pain.

Dr. Watson’s physical examination of the neck and back reveal generally normal findings. Dr. Watson documented the applicant has expressed pain with the extension movement of the applicant’s lumbar spine.

As for the applicant’s activity of daily living, Dr. Watson did not explicitly indicate what has caused the effect on the applicant’s activities of daily living.

In conclusion, Dr. Watson did not believe the applicant is considered permanent and stationary and recommended additional treatment, including physical therapy, acupuncture, chiropractic treatment, and other medications. Also, Dr. Watson believed the applicant should undergo and X-ray of the lumbar spine/thoracic spine, and cervical
…show more content…
Based from what I know, the MVA was very minor. Fortunately, Dr. Watson only included the recommendation for the X-ray of the cervical, lumbar and thoracic spine in the future medical treatment section. Therefore, the diagnostic studies where not requested to make a medical-legal determination. As you know, in this case, the option to request a diagnostic study is deferred to the primary treating physician as this is a recommendation for medical

Related Documents

  • Improved Essays

    The patient was admitted for Posterior Lumbar instrumental infusion and decompression following constant low back pain. Posterior Lumbar instrumental infusion is the type of surgery that is done to treat compressed nerves in the lower (lumbar) spine (NHS Choices 2015. A pseudonym Danty has been used for the patient in the case study for legal, professional and ethical…

    • 1482 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Case Study: Lumbar Spine

    • 656 Words
    • 3 Pages

    DOI: 11/22/2006. Patient is a 55-year-old male route sales representative who sustained injuries to his right elbow, shoulder, neck and back while he was exiting a truck and he stepped on the bumper, when the bumper collapsed. MRI of the lumbar spine performed on 03/31/16 showed disc herniations at L3-S1 deforming the thecal sac with bilateral neural foraminal extension at all three levels, abutting the exiting L5 nerve roots with left neural foraminal narrowing at L5-S1, left greater than right abutting the exiting left L4 nerve root at L4-5, and right greater than left, abutting the exiting right L3 nerve roots at L3-4 in addition to L4-5 and L5-S1 grade I spondylolisthesis, and L3-4 and L4-5 mild central spinal stenosis in conjunction…

    • 656 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Group I, Category 19 Incorrect RFC Decision ISSUE The DDS proposed a medical vocational allowance determination. The evidence in file does not support the severity as assessed by the DDS. CASE DISCUSSION & POLICY ANALYSIS (INCLUDING SPECIFIC REFERENCES) This 45-year-old claimant is filing a DIB claim alleging disability due Ehlers-Danlos Syndrome, fibromyalgia, Raynaud's Syndrome, chronic regional pain syndrome, chronic migraines, madelung's deformity, PTSD; panic, anxiety disorder, vertigo, and tendonitis of the left ankle as of 08/26/2014.…

    • 580 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Cashier Case Summary

    • 245 Words
    • 1 Pages

    During physical examination of the thoracolumbar spine, it was noted that the patient is depressed and anxious. Palpation revealed tender trigger points over…

    • 245 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    A progress note from Dr. Johnson, dated 07/17/2017, indicated that the claimant presented with a mid/low back pain radiating to his feet and toes with numbness. She had nerve block injection in the sciatic nerve, bilaterally. On a follow-up visit with Dr. Johnson dated 07/26/2017, it was noted that the claimant had been having anxiety issues with her thyroid effect on her hair. She stated that it feels like her hair was growing.…

    • 333 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Lumbar Spine Case Summary

    • 353 Words
    • 2 Pages

    Patient reports his pain as 7/10. On examination of the cervical…

    • 353 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The pain radiates towards the neck, upper and low back area, including the shoulders area going to forearms to fingers. He describes it as aching feeling, stinging, and throbbing pain. According to the patient, symptoms are constant (75-100%). The patient rates his pain as 10 when he is twisting and bending his head and neck on a consistent basis. He feels worse with bending at the head and neck, lifting, pulling, pushing, reaching, and twisting of the head and neck.…

    • 612 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    DOI: 11/6/2013. Patient is a 40-year-old female consumer loan specialist I who sustained a work-related injury to her neck, shoulders, and arms due to repetitive work. Per progress report dated 01/02/16, patient complained of right upper extremity pain. Current medications are Celebrex, Gabapentin, Cymbalta, and Norco.…

    • 260 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Ime Report Sample

    • 403 Words
    • 2 Pages

    DOI: 6/1/2014. Patient is a 46-year-old male dishwasher who sustained injuries to his right shoulder, back and both legs when he slipped and fell while detaching grill. Per IME report dated 08/24/15 by Dr. Katz, it was noted that the IW has received conservative management that includes PT, acupuncture, massage therapy, 7-8 low back injections, back brace/cane and heat/ice treatments. It was opined that the IW’s cervical/lumbar and right shoulder condition warrants further treatment in orthopedics.…

    • 403 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    DOI: 6/13/2012. Patient is a 64-year-old female customer service representative who sustained a work-related injury when she slipped and fell while she was going down the stairs. Per OMNI, she was initially diagnosed with closed fracture of the upper end humerus, and adhesive capsulitis of the left shoulder. Internal QME Dr. Sachs deemed that she has reached permanent and stationary status last 6/17/15. She is post-op left shoulder surgery on 6/29/15.…

    • 356 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    DOI: 10/22/2014. Patient is a 32 -year-old male satellite radio technician who sustained a work-related injury when he fell asleep while on road and his truck drove off road and hit a tree. Per PT daily note dated 5/22/2015, patient feels more functional trunk mobility. Pain is primarily at the central aspect of the sternum, secondarily in the upper and middle thoracic spine.…

    • 312 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    From an Orthopedic standpoint, the patient requires no further physical therapy, orthopedic treatment, or diagnostic testing. Per the medical report dated 10/22/15, an MRI of the lumbar spine dated 10/17/15, demonstrates at L5/S1, there is a disc herniation with severe lateral recess stenosis and bilateral foraminal impingement. At L4/5, there is a broad based disc herniation with significant lateral recess stenosis. There is anterior thecal sac impingement.…

    • 513 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Summary On Radiculopathy

    • 563 Words
    • 3 Pages

    Summary: The patient is a 62-year-old individual who sustained an injury on 05/01/11. The mechanism of injury was not documented in the reports reviewed. The patient was diagnosed with intervertebral disc disorders with radiculopathy in the lumbosacral region, intervertebral disc disorders with radiculopathy in the lumbar region, and pain disorder with related psychological factors. Prior treatments included physical therapy, home exercise program, chiropractic treatment, acupuncture with some benefits, the use of a knee brace, walker, and medications.…

    • 563 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Unable to handle stress and normal requirements of the jobs. Decision under Review: Per the Disability Determination (06/15/2017), the claimant’s disability began on 03/31/2017. The primary diagnosis was cardiac arrhythmia. The secondary diagnosis was migraine.…

    • 436 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Physical Medicine Guidelines – Allow for fading of treatment frequency. The patient reported chronic lumbar spine, right ankle and right foot pain. Review completed on 11/02/15 denied additional chiropractic for right ankle/foot 3 X 4; additional chiropractic for lumbar spine 3 X 4; additional physiotherapy for lumbar spine 3 X 4; and additional physical therapy for right knee 3 X 4. The prior review noted that Nancy from Dr. Kohan’s office explained that this request for additional physiotherapy for the right knee 3x4 is a typographical error. The latest progress report and appeal to UR indicated that the patient did report significant amount of improvement in regard to ROM and functional capacity from prior chiropractic treatment and PT.…

    • 984 Words
    • 4 Pages
    Great Essays