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why I love personal injury cases

AndyDufrane

Member
15+ Year Member
Sep 6, 2003
286
14
286
so my office gets phone call from a local hospital's trauma service asking if we take care of brachial plexus injuries, we said sure, saw the patient 2 months after her MVA where she has pain and paresthesias in left upper limb, the outside records indicated Cervical CT wnl, working dx cervical radic vs brachial plexus injury, now this is a patient who had 2-3 other MVA in the last 2-3 years, I did the emg, and sure enough, brachial plexopathy, I did see her once after EMG, she was feeling better, there was never any motor deficit, just sensory loss in medial forearm which was also improving, but this lady just gave me a funny vibe there was more to it, she had already been going to PT at the hospital system that referred to us, so I started her up neurontin and NSAID, then she no shows for the subsequent 3 appointment, then calls our office this week after several weeks, to see if I would be willing to write a script for PT, oh, by the way, all of her auto insurance was used up covering the other hospital's expenses, and I do believe she is in litigation, so am not sure if she has already had PT, and not having seen her for several weeks, is it reasonable or not to send her for PT or should I just to make sure to cover my bases?
 

Gauss

Damnit Jim!
15+ Year Member
Mar 4, 2002
1,411
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  1. Attending Physician
if the auto insurance part is used up you can switch to her private medical insurance for reimbursement. assume all MVA's have a lawyer and treat accordingly. In this instance, she has no showed 3 times so you'd be wise to discharge her from practice. No followup means you get nothing.
 
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Jitter Bug

Full Member
10+ Year Member
Jul 17, 2009
614
80
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  1. Attending Physician
I don't actively treat anyone once I know they plan to never see me again. Because treating relationships cannot be one sided, with you doing all the Rx and PT scripts and phone calls, with the patient refusing to come in the office to give you in-person feedback or allow you to re-examine them.

Ask for a followup office visit because it's been 3 months. If she shows, then treat accordingly. If she can't afford it and is a nice lady, then I would kindly give her some general advice like ice packs, home exercise sheets which you can mail her, and OTC pain meds according to the directions on the box.
 
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