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  1. #1
    Join Date
    Nov 2017
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    Default Incorrect Diagnosis - Left Knee Cap

    June 2017-Fell at work on my part time job, left knee injury. Workmans Comp claim submitted and they are currently paying for my medical appts. Sent to urgent care for six weeks straight, they said I had a knee sprain and arthritis. MRI w/contrast came back negative. 7th week after onset of injury referral for Ortho Specialist. Seen by physicians assistant, she said no arthritis but Patellforal Pain Syndrome. Provided new knee brace and inflamation-pain med. Work restrictions, sit/stand as needed, do not lift over 5lbs, take 10 minutes breaks every hour and only work 4 hour shifts. Script for 8 to 12 weeks of physical therapy. Diagnosed with Patella Pain Syndrome. In PT for almost 4 months now and my regular therapist was out for the day, new therapist read my chart and did a meniscal grind examination, it was positive. I thought I would die from the pain. He believes I have a tear in the menicus despite the negative MRI. My pain is brutal especially if I attempt to squat or twist my knee. The pain wakes me out if my sleep and my knee feels like it's popping and locking every so often. I am so upset. I retained a lawyer. I've been misdiagnosed twice and not only is my knee swelling but my lower extremity swells too. I honestly think they need to do some sort if surgery even though it's the last thing I want. The physician's assistant consulted with the doctor after I called and told them about the therapist physical exam and she still wants me to continue with the new scprit for physical therapy for another 8-12 weeks based on the MRI and her evaluations of me. When I go see her I just sit in the chair and she has pokes my leg and says see you in 8 weeks😣 2nd opinion needed.
    Please provide any advice...
    Last edited by newtothis66; 11-17-2017 at 07:47 PM. Reason: Spelling error

  2. #2
    Join Date
    Oct 1971
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    5,053

    Default Re: Incorrect Diagnosis - Left Knee Cap

    newtothis66
    my regular therapist was out for the day, new therapist read my chart and did a meniscal grind examination, it was positive. I thought I would die from the pain. He believes I have a tear in the menicus despite the negative MRI
    What that " therapist" believes means nothing, he's not a doctor.
    MRI's don't lie, that's objective medical evidence and will hold up in court.
    What counts is the treating physician or specialists reports only, anything else is a worthless opinion.

    The physician's assistant consulted with the doctor after I called and told them about the therapist physical exam
    That's a tad backwards, ya think?
    That therapist is to follow the instructions of the doctor, he isn't qualified to give a diagnosis.
    You're not going to find many Specialists or Primary Treating physicians taking the opinion of a therapist seriously - the idea is ridiculous.

    Tony
    Moderator Responses are based on my personal bias, experience and research - They do not represent the views of the admin nor may be accepted in the legal community, always consult an attorney.

  3. #3
    Join Date
    Nov 2017
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    5

    Default Re: Incorrect Diagnosis - Left Knee Cap

    I understand however the therapist did not diagnosis me he offered an opinion. I'm just at a point where I want to exercise all of my options. The physicians assistant word will be taken however I've only seen her 3 times since June, I go to physical therapy twice a week since August. I just wish that they would communicate better. While it may not be a MT, it could be a cartilage issue. All I know for sure is the pain so I will seek a second opinion and WC rep stated maybe a MRI w/contrast this time.

  4. #4
    Join Date
    Oct 1971
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    5,053

    Default Re: Incorrect Diagnosis - Left Knee Cap

    WC rep stated maybe a MRI w/contrast this time.
    Again that "WC rep" isn't a doctor and can't order anything.
    The only people who can order further testing is your doctor or the specialist - if they have reason to believe it's needed, they'll order it.
    Nobody's going to act on the opinions of a therapist or WC rep (or even the mailman) what these people say is meaningless, they're outside of their credentials, training and authority.

    Tony
    Moderator Responses are based on my personal bias, experience and research - They do not represent the views of the admin nor may be accepted in the legal community, always consult an attorney.

  5. #5
    Join Date
    Nov 2017
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    5

    Default Re: Incorrect Diagnosis - Left Knee Cap

    Alright Tony, the adjuster just mentioned, the therapist offered an opinion and I'm seeking a second opinion from another physician. If you have or had any experiences with knee pain please advise.

  6. #6
    Join Date
    Oct 1971
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    5,053

    Default Re: Incorrect Diagnosis - Left Knee Cap

    Actually yes I have.
    The title of this thread is "Incorrect Diagnosis - Left Knee Cap" you then quote opinions from people who lack the qualifications to support your claim - that's the issue I'm addressing.
    Only one person controls your care and can make a credible diagnosis, that's the primary treating physician - what other people say is meaningless.

    You do have the right to a second opinion.
    Request a second opinion in writing from your employer, if they refuse, request one from the commission.

    Section 97-25. Medical treatment and supplies.
    (b) Upon the written request of the employee to the employer, the employer may agree to authorize and pay for a second opinion examination with a duly qualified physician licensed to practice in North Carolina, or licensed in another state if agreed to by the parties or ordered by the Commission. If, within 14 calendar days of the receipt of the written request, the request is denied or the parties, in good faith, are unable to agree upon a health care provider to perform a second opinion examination, the employee may request that the Industrial Commission order a second opinion examination. The expense thereof shall be borne by the employer upon the same terms and conditions as provided in this section for medical compensation.
    http://www.ic.nc.gov/ncic/pages/statute/97-25.htm

    Tony
    Moderator Responses are based on my personal bias, experience and research - They do not represent the views of the admin nor may be accepted in the legal community, always consult an attorney.

  7. #7
    Join Date
    Nov 2017
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    Default Re: Incorrect Diagnosis - Left Knee Cap

    Thanks, the WC adjuster said I can get a second opinion. Can anyone recommend a good ortho specialist in the Charlotte area?

  8. #8
    Join Date
    Feb 2007
    Location
    831 East Morehead St., Ste 355, Charlotte, NC 28202
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    3,760

    Default Re: Incorrect Diagnosis - Left Knee Cap

    Both Jerry Barron and Glen Perry are good knee orthos in Charlotte. I assume you have been treating with OC, right?
    The North Carolina Court of Appeals has held that "In contested Workers' Compensation cases today, access to competent legal counsel is a virtual necessity." Church v. Baxter Travenol Labs, Inc., and American Motorists Insurance Company, 104 N.C. App. 411, 416 (1991).

    Bob Bollinger, Attorney and Board Certified Specialist in NC Workers' Compensation Law

  9. #9
    Join Date
    Nov 2017
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    5

    Default Re: Incorrect Diagnosis - Left Knee Cap

    Yes, but the tide has turned they now say my knee pain is from a piched nerve. It's just aggrevating.

  10. #10
    Join Date
    Feb 2007
    Location
    831 East Morehead St., Ste 355, Charlotte, NC 28202
    Posts
    3,760

    Default Re: Incorrect Diagnosis - Left Knee Cap

    A pinched nerve where? Lumbar spine, or near your knee? IF the pinched nerve is near your spine, you need to see a spine specialist. Otherwise, the knee doc is probably ok.
    The North Carolina Court of Appeals has held that "In contested Workers' Compensation cases today, access to competent legal counsel is a virtual necessity." Church v. Baxter Travenol Labs, Inc., and American Motorists Insurance Company, 104 N.C. App. 411, 416 (1991).

    Bob Bollinger, Attorney and Board Certified Specialist in NC Workers' Compensation Law

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