- Joined
- Sep 6, 2003
- Messages
- 292
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- 15
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?