Mr. Jetke had completed an Independent Medical Evaluation (IME) and a clarification addendum was received by the claims adjuster, Rachel Ryke. Mrs. Ryke has now recommended case management to proceed with closure, as the IME physician does not feel that surgery is related to his work related injury, but rather it is degenerative in nature/aging process of the shoulder. No further treatment is needed pertaining to his work incident.
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SUMMARY
Mr. Jetke reported that he has been working his regular job delivering fire extinguishers. It was a windy day and the rear door hit him on his right side. Mr. Jetke had achy pain to his right side. Mr. Jetke completed his delivery and reported this accident to his employer. Mr. Jetke was seen at Concentra …show more content…
Jetke was evaluated by Dr. Scott and completed seven sessions of physical therapy. Mr. Jetke felt that his mobility has improved compared to prior weeks and rated his shoulder pain at a “6” when not in use, but when he uses his right arm, he rates his discomfort a “10” on the 1-10 pain scale. Mr. Jetke was unable to sleep on his right side so he sleeps intervals and propped up. Mr. Jetke had an increase in his numbness and tingling sensation in his right arm, which radiates into his fingers especially the index finger. Dr. Scott referred Mr. Jetke to a Neurologist for an EMG. Dr. Scott thought the pain was from the C5. Dr. Giancarlo indicated that his testing revealed mild carpal tunnel not related to the neck …show more content…
The physician felt that the multiple findings would relate more to degeneration of the soft tissue of the left shoulder as well as osteoarthritis being related to degenerative changes of his shoulder related to aging process. The physician didn’t feel that the incident that Mr. Jetke described would cause these multiple changes of the right shoulder. The physician recommended that Mr. Jetke continue under the care of Dr. Scott and that he didn’t feel that the surgery recommended would be related to the work
.
SUMMARY
Mr. Jetke reported that he has been working his regular job delivering fire extinguishers. It was a windy day and the rear door hit him on his right side. Mr. Jetke had achy pain to his right side. Mr. Jetke completed his delivery and reported this accident to his employer. Mr. Jetke was seen at Concentra …show more content…
Jetke was evaluated by Dr. Scott and completed seven sessions of physical therapy. Mr. Jetke felt that his mobility has improved compared to prior weeks and rated his shoulder pain at a “6” when not in use, but when he uses his right arm, he rates his discomfort a “10” on the 1-10 pain scale. Mr. Jetke was unable to sleep on his right side so he sleeps intervals and propped up. Mr. Jetke had an increase in his numbness and tingling sensation in his right arm, which radiates into his fingers especially the index finger. Dr. Scott referred Mr. Jetke to a Neurologist for an EMG. Dr. Scott thought the pain was from the C5. Dr. Giancarlo indicated that his testing revealed mild carpal tunnel not related to the neck …show more content…
The physician felt that the multiple findings would relate more to degeneration of the soft tissue of the left shoulder as well as osteoarthritis being related to degenerative changes of his shoulder related to aging process. The physician didn’t feel that the incident that Mr. Jetke described would cause these multiple changes of the right shoulder. The physician recommended that Mr. Jetke continue under the care of Dr. Scott and that he didn’t feel that the surgery recommended would be related to the work