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Unveiling Inconsistencies: Understanding the Complexities of Clinical Assessment

In the realm of medical examinations, inconsistencies can often emerge, posing challenges for healthcare professionals aiming to advise accurate medical diagnoses, treatment recommendations, capacity and impairment assessments. These inconsistencies might be subtle, but they hold immense significance in determining the veracity of the reported symptoms, and the true extend of disability. In this article, we delve into the world of medical assessments, focusing on the intricacies of recognizing and addressing inconsistencies in various contexts. Unmasking the Veil of Inconsistent Medical Histories One common area where inconsistencies rear their head is in patients' medical histories. The failure to disclose relevant medical [...]

Workplace and the Psychological Hazards

Workplace and the Psychological Hazards The aftermath of the COVID-19 pandemic has had far-reaching effects on various aspects of society, and one of the most significant areas of impact has been the realm of work and employment. As individuals and organizations navigated through the challenges posed by the pandemic, it became evident that burnout, stress, and heightened workplace expectations were taking a toll on the psychological well-being of workers worldwide. This alarming trend prompted a re-evaluation of traditional work structures and a shift toward more employee-centric approaches. The convergence of burnout, stress, and excessive workplace expectations created a perfect storm [...]

Preventing Carpal Tunnel Syndrome: A Guide to Work-Related Wellness

Preventing Carpal Tunnel Syndrome: A Guide to Work-Related Wellness Carpal Tunnel Syndrome (CTS) has become increasingly prevalent in modern workplaces, affecting individuals across various industries. This condition, characterized by numbness, tingling, and weakness in the hand and fingers, is often associated with repetitive hand movements, awkward wrist postures, and prolonged occupational activities, such as heavy manual work, working with vibrating tools, and highly repetitive tasks for example computer use. Fortunately, there are several proactive measures that individuals can take to reduce the risk of developing work-related Carpal Tunnel Syndrome and maintain their hand health. Ergonomic Workspace Setup Creating an ergonomic workspace [...]

The Purpose of the Independent Medical Exam

The Purpose of the Independent Medical Exam…… An Independent Medical Examination (IME) can play a significant role in assessing compensation, particularly in cases involving personal injury claims, workers' compensation, disability claims, and where the extent of injuries or medical conditions is in dispute. Here's how an IME can help: Objective Medical Evaluation: An IME involves a medical assessment conducted by an independent medical expert who is not involved in the claimant's treatment. This objectivity can provide a more accurate and unbiased evaluation of the claimant's injuries, medical condition, and functional limitations. Evidence of Causation: In legal cases, it's essential to [...]

COVID – 19 Update

We have entered unpredictable times with the recent global pandemic. In NSW we are currently in Stage 2 action, with the prediction that Stage 3 response may not be far off.We understand the impact that this may have for some of the appointments already made and the delay in claims processing for many claimants.As a result, and where possible we are offering the following services:Psychiatrist evaluation – TelehealthReview assessments with Occupational Physician TelehealthAssessments where physical examination is not imperative – e.g. treatment disputesFile ReviewsInjury Management Consultation File reviewWe are also aware that a number of pre booked appointments may require [...]

How to ensure your instructions to experts are asking the right questions.

Dr Alan Home, Occupational Physician, held a symposium on Personal Injuries Professional Skills - How to ensure your instructions to experts are asking the right questions, in March 2019. This educational event proved to be of great value to our professional legal audience, by providing Dr Home’s in-depth experience on ‘How to ensure your instructions to experts are asking the right questions’. Dr Home provided advise regarding communication with doctors, and in particular, expert medical witnesses. Dr Home’s presentation was thorough and ensured the topic was understood by all levels of professionals. Inviting an open forum throughout his presentation [...]

Guidelines on approach to shoulder injuries

Introduction Shoulder Injuries are prevalent in our general population.  The most common condition being a rotator cuff lesion. The general prevalence is 13% in people over 50, to more than 50% n persons over 80.  However 2/3  of these lesions are asymptomatic. Approximately 54% of asymptomatic people over the age of 60 have rotator cuff lesions. What is the rotator cuff? The shoulder has 30 muscles.  The muscles move and stabilize the shoulder.  The rotator cuff muscles refer to 4 muscles: •           Supraspinatus •           Infraspinatus •           Teres Minoris •           Subscapularis The tendons of these muscles come together to form the rotator [...]

Guidelines on approach to Carpal Tunnel Syndrome

Introduction Carpal tunnel syndrome (CTS) is a medical condition in which a nerve  is compressed as it travels through a tunnel in the wrist.  This tunnel is called the Carpal Tunnel.  As a result of the compression on the nerve, the affected individual may experience pain, numbness and tingling. What is the Carpal Tunnel? The carpal tunnel is a compartment located at the base of the palm. Through this tunnel pass nine tendons and the nerve (known as the median nerve). This nerve provides sensation to the thumb, index finger, long finger, and half of the ring finger. At the level of the [...]