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Guides Newsletter (2021) 26 (1): 9–17.
Published: 01 January 2021
... equation format for the derivation is essentially parallel in the two enumerations. In appropriate jurisdictions, eye-care clinicians, whose clientele includes injured workers, are encouraged to familiarize themselves with the specific testing modalities that are either required or optional according to...
Guides Newsletter (2021) 26 (2): 13–17.
Published: 01 March 2021
... they are too sharp. Testing both legs for sensation with the person's eyes closed permits the best results on examination. Using a wisp of cotton for light touch perception, explain to the patient what you will be doing. For example, tell the patient: “When I touch your leg with this cotton, I want...
Published: 01 January 2021
TABLE 1. Calculation of the Impairment Rating for the Visual System Note that the prefix visual is used when the score refers to each eye. The prefix functional refers to the estimated performance of the individual. The term vision score combines visual acuity and visual field estimates More
Guides Newsletter (2021) 26 (1): 18.
Published: 01 January 2021
... corneal abrasion is a lesion in which there is trauma to the corneal epithelium. This common eye injury usually heals quickly, within hours or days. The patient often experiences temporary discomfort. However, a corneal abrasion rarely results in a permanent visual impairment. Therefore, it is imperative...
Guides Newsletter (2020) 25 (6): 3–6.
Published: 01 November 2020
... adjustment for occupation and age, or The previous disability or impairment affected a hand, an arm, a foot, a leg, or an eye, and the PD resulting from the subsequent (industrial) injury affects the opposite and corresponding member, and such latter PD, when considered alone and without regard to, or...
Stephen L. Demeter, MD, MPH, Lorne Direnfeld, MD, Richard Katz, MD, James B. Talmage, MD, Christopher R. Brigham, MD
Guides Newsletter (2020) 25 (5): 3–11.
Published: 01 September 2020
... a visual acuity score (VAS) of 5 for both eyes, and applying Table 12-3, Calculation of the Acuity-Related Impairment Rating (6th ed, 289), the functional acuity score (FAS) is 5 and, therefore, the acuity-related impairment rating was 95. Per Figure 12-8, Conversion From VSI to WPI, this converts...
Guides Newsletter (2020) 25 (3): 12–19.
Published: 01 May 2020
... posited that the mere adoption, by reference, of the AMA Guides is, in itself, an unconstitutional delegation of legislative authority to a private entity in violation of the Pennsylvania Constitution. Thus, in these attorneys’ eyes, Section 306(a.3) fails to cure the delegation deficiencies. As...
Guides Newsletter (2011) 16 (6): 7–11.
Published: 01 November 2011
... impairment rating of the visual system by, at most, 15 points (ie, less severe than the total loss of one eye). The ability to rate visual impairment requires significant knowledge and education, and therefore a physician trained in ophthalmology should perform the visual examination and visual system...
Guides Newsletter (2019) 24 (5): 14–15.
Published: 01 September 2019
... eyes closed (anesthesia), or if the person cannot consistently answer correctly whether the stimulus was sharp or dull, this is an abnormal test consistent with loss of ability to tell sharp from dull stimuli. (For detailed treatment on evaluating radiculopathy pursuant to the Sixth Edition, refer to...
Guides Newsletter (2019) 24 (4): 3–14.
Published: 01 July 2019
Guides Newsletter (2019) 24 (2): 12–14.
Published: 01 March 2019
... left column. The patient's history, at the top of the left column, is the key factor and is therefore used to assign the impairment class based on facial abnormalities, loss of supporting structure, loss of an anatomic part of the face (such as an eye or nose), and disruption of social activities. Each...
Guides Newsletter (2019) 24 (1): 3–14.
Published: 01 January 2019
... or Romberg sign (excessive trunk swaying or falling with eyes closed) may indicate dysfunction in the peripheral nerves or their ascending pathways to the brain. Peripheral neuropathy, identified by examination and electrodiagnostic tests, is frequently associated with complaints of imbalance or...
Guides Newsletter (2011) 16 (5): 7–8.
Published: 01 September 2011
... the author offers the usual over-view of the structure of the eye but extends and expands into the different types of vision with comparisons. It seems as if he brings into play the many structured ophthalmic medical personnel courses and ties them smoothly to the assessment and measurement of Visual...
Guides Newsletter (2018) 23 (3): 10–13.
Published: 01 May 2018
... without cutaneous disorder (eg, depressed cheek, nasal, or frontal bones) Facial abnormality involves absence of normal anatomic part or area of face, such as loss of eye or loss of part of nose, with resulting cosmetic deformity; combine with any functional loss, eg, vision (Chapter 12) or...
Guides Newsletter (2018) 23 (2): 3–8.
Published: 01 March 2018
... hands, or both arms, or both feet, or both legs or both eyes, or of any two thereof shall, in the absence of conclusive proof to the contrary, constitute permanent total disability. In all other cases permanent total disability shall be determined in accordance with the facts. (b) Temporary total...
Christopher Brigham, MD, Lorne K. Direnfeld, MD, Steven Feinberg, MD, MPH, Les Kertay, PHD, James B. Talmage, MD
Guides Newsletter (2017) 22 (5): 3–18.
Published: 01 September 2017
... recognition software is used, it is important to review the report with an eye to misinterpretations of the spoken word. The IME report may be used in court or in other adjudication situations, so it should be written with that mind. It should be clearly written as free from errors as possible, and the...
Guides Newsletter (2017) 22 (4): 6–11, 16.
Published: 01 July 2017
... methods of evaluating permanent spinal impairment do not include direct mention of a spinal condition that a physician might attribute to cumulative trauma. Loss of both eyes or the sight thereof; Loss of both hands or the use thereof; An injury that results in a practically total paralysis...
Guides Newsletter (1999) 4 (2): 3–4.
Published: 01 March 1999
... in the home. A physical examination should focus on the eyes, nose, lungs, and skin and should exclude obstructive sleep apnea. A thorough medical evaluation always is required, and assessment of immunologic sensitization involves diagnostic allergy skin testing or laboratory assessment. Although the...
Guides Newsletter (1998) 3 (4): 5.
Published: 01 July 1998
... disfigurement such as a depressed orbital rim, frontal bone, or nasal bone. Class 3 indicates loss of a normal anatomic part or area of the face, eg, an eye. A facial disfigurement so severe that it precludes social acceptance is a Class 4 impairment. 1. Logemann JA . Treatment for aspiration...
Guides Newsletter (2016) 21 (5): 11–15.
Published: 01 September 2016
... effective on several levels, difficulty discerning the relevant Health Insurance Portability and Accountability Act (HIPAA) rules and regulations is an impediment. First, the contact can help legitimize the workplace absence in the eyes of the employer, which, in turn, can reduce the patient's anxiety about...