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  1. #1
    Join Date
    Mar 2019
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    4

    Default Shoulder Slu Percentages with Special Consideration

    Can anyone explain how the total SLU percentage is calculated?
    IME examine is as follows
    Range of motion of left shoulder forward flexion 100 degrees, abduction 90 degrees, backward extension
    30 degrees (normal to 60 degrees), adduction 15 degrees (normal to 30 degrees), internal rotation 80 degrees, external rotation 80 degrees.
    Special Consideration = 10%
    Please note that the internal rotation 80 degrees, external rotation 80 degrees was not performed (videoed the examine)
    I've add 2 totals from the IME doctor. First one was addendem by the insurance carrier. Neither report contains the same data.

    totally confused

  2. #2
    Join Date
    Oct 1971
    Posts
    4,983

    Default Re: Shoulder Slu Percentages with Special Consideration

    iqjq
    totally confused
    I bet you are if you're trying to decifer that word salad.
    They should asign a percentage, you shouldn't have to worry about it.
    Anyhoo, here's the charts, see pg 23 - 2.5.Shoulder Joint

    New York State Guidelines for Determining Permanent Impairment and Loss of Wage Earning Capacity
    2.5.Shoulder Joint
    http://www.wcb.ny.gov/content/main/h...rmentGuide.pdf

    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
    Mar 2019
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    4

    Default Re: Shoulder Slu Percentages with Special Consideration

    Quote Quoting tony View Post
    iqjq I bet you are if you're trying to decifer that word salad.
    They should asign a percentage, you shouldn't have to worry about it.
    Anyhoo, here's the charts, see pg 23 - 2.5.Shoulder Joint

    New York State Guidelines for Determining Permanent Impairment and Loss of Wage Earning Capacity
    2.5.Shoulder Joint
    http://www.wcb.ny.gov/content/main/h...rmentGuide.pdf

    Tony
    This is exactly how it appears in my report. The first report had a typo. IME doctor stated 10 degree instead of 100 degrees so he changed the %, but my question is why the data is different. My doctor calculated it totally different.


    IME Doctor
    Range of motion of left shoulder -forward flexion 10 degrees, abduction 90 degrees, backward extension 30 degrees, adduction 15 degrees, internal rotation 80 degrees, external rotation 80 degrees.

    IME summary
    Original report

    67% SLU of left arm

    Defects with
    Forward flexion 10 degrees = 60%
    Adduction Moderate = 7 1/2%

    Second report
    50% SLU of left arm
    Defects with
    Special Consideration #5 = 10%
    Abduction to 90 degrees = 40%



    My Doctor's breakdown

    Flexion and/or abduction - 120 degrees = 25% SLU
    Adduction (normal to 30 degrees) - 10 degrees = 10%
    Posterior Extension (normal to 60 degrees) - 30 degrees = 7 1/2%
    Sum total for shoulder ROM deficits = 42.5 %
    Sum total for shoulder "Secial Considerations # 5" = 10%
    Total Permanancy = 52.5%
    Last edited by iqjq; 03-11-2019 at 04:47 AM.

  4. #4
    Join Date
    Oct 1971
    Posts
    4,983

    Default Re: Shoulder Slu Percentages with Special Consideration

    iqjq
    The first report had a typo. IME doctor stated 10 degree instead of 100 degrees so he changed the %, but my question is why the data is different. My doctor calculated it totally different.
    An IME is to give an alternate opinion to support the carriers interest - Of course there's going to be a difference or even a conflict, that's what they're hired to do.

    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
    Mar 2019
    Posts
    4

    Default Re: Shoulder Slu Percentages with Special Consideration

    Just seems there should be a standard operating procedure for consistencies.....apples to oranges scenario if you ask me. Anyway, a hearing is scheduled for the final settlement. I'll let the judge figure it out.

  6. #6
    Join Date
    Oct 1971
    Posts
    4,983

    Default Re: Shoulder Slu Percentages with Special Consideration

    People have to understand, that IME is hired by the carrier to give an alternate opinion that's independent from the treating doctor's influence.
    As long as your treating physician has objective evidence to support his opinion, you should be fine.
    An IME doesn't mean it's "independent" or fair, it's purpose is to test the credibility of your claim.

    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
    Mar 2019
    Posts
    4

    Default Re: Shoulder Slu Percentages with Special Consideration

    Tony
    Consulted my attorney as to why the IME report only contained two points of data. Turns out that is correct since the change from the 2012 guidelines and 2017 guidelines.
    2012 allowed multiple data points while the 2017 only allows for a single ROM on top of the special consideration

    2012
    Resection of the clavicle, either end, equals 10% for bone loss; entire clavicle equals 15% loss of use of the arm. Add for mobility defects if present.

    2017
    Resection of the clavicle, either end, equals 10% for bone loss; entire clavicle equals 15% loss of use of the arm. Add for mobility deficits of the single most notable in relation to functional deficit if present.

    I've decided to settle. Hope to add future medical.
    Thanks for your advice.

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