Eulogical Reflection
On 8/9/6 I met Ms. Wharram at the office of Dr. Sorscher. Ms. Wharram returned to work on 7/11/16. She continued to attend physical therapy and wears her brace while at work. The doctor’s office was full and our wait was long. During our wait Ms. Wharram was able to outline all of her current problems. She reports the knee has a small round “pouch”, she is unable to kneel on the right knee, and there are 2 spots to the inner and top of the ankle that she can feel the hardware. She is concerned that this will bother her when wearing winter boots. There is also pain in the ankle when she is trying to ambulate using a heal toe walk. Her ankle swells, and she has a depression on her shin that is numb and looks “funny”. She reports she
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She expressed concern about walking with a limp and what would happen when she gets older. Overall she says she is very upset about her progress or lack thereof. X-rays taken today showed good bone healing, good alignment of the hardware and no areas of concern per Dr. Sorscher. Dr. Sorscher took time to examine all of the areas Ms. Wharram was concerned with. He said the knee will be painful to kneel on for a while yet, the “pouch” on her knee is also on the left knee, and the swelling will get better. He said he cannot tell what will occur in the future. He wants her to continue to work with physical therapy and do her home exercise program. He refilled the Norco but, told her that she should try some extra strength Tylenol and see if that will help. When asked about work Dr. Sorscher said “you tell me what you’re able to do at work and I will write that”. Next follow …show more content…
Wharram will return to fulltime work on 8/23/16.
ASSESSMENT
Ms. Wharram still is resistive to returning to full duty work. She has increased her therapy from 2 times a week to 3 times and hopes this will help with pain and range of motion.
PLAN/RECOMMENDATIONS
1. Contact Ms. Wharram every 2 to 4 weeks for an update on her medical status.
2. Attend follow up appointment with Dr. Sorscher Orthopedic surgeon on 9/20/16 for a treatment plan, work status and projection for MMI.
3. Update adjuster after appointment, Ms. Castle will update the employer.
4. Facilitate physician
She expressed concern about walking with a limp and what would happen when she gets older. Overall she says she is very upset about her progress or lack thereof. X-rays taken today showed good bone healing, good alignment of the hardware and no areas of concern per Dr. Sorscher. Dr. Sorscher took time to examine all of the areas Ms. Wharram was concerned with. He said the knee will be painful to kneel on for a while yet, the “pouch” on her knee is also on the left knee, and the swelling will get better. He said he cannot tell what will occur in the future. He wants her to continue to work with physical therapy and do her home exercise program. He refilled the Norco but, told her that she should try some extra strength Tylenol and see if that will help. When asked about work Dr. Sorscher said “you tell me what you’re able to do at work and I will write that”. Next follow …show more content…
Wharram will return to fulltime work on 8/23/16.
ASSESSMENT
Ms. Wharram still is resistive to returning to full duty work. She has increased her therapy from 2 times a week to 3 times and hopes this will help with pain and range of motion.
PLAN/RECOMMENDATIONS
1. Contact Ms. Wharram every 2 to 4 weeks for an update on her medical status.
2. Attend follow up appointment with Dr. Sorscher Orthopedic surgeon on 9/20/16 for a treatment plan, work status and projection for MMI.
3. Update adjuster after appointment, Ms. Castle will update the employer.
4. Facilitate physician