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Guides Newsletter (2014) 19 (5): 13–15.
Published: 01 September 2014
..., with the need to take two medications leading to a higher impairment rating. Three medications would be rated higher than two, and so on. This method of rating impairment was first used in 1987 by Moira Chan-Yeung who authored the article, Evaluation of Impairment/Disability in Patients with Occupational...
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Guides Newsletter (2020) 25 (2): 3–8.
Published: 01 March 2020
..., particularly workers' compensation claims adjudicators and others, in determining the financial compensation to be given to individuals who suffer measurable medical loss, i.e., impairment from injuries and illness that arose out of and in the course of employment. Now in its sixth edition, the AMA Guides...
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Guides Newsletter (2005) 10 (5): 8–11.
Published: 01 September 2005
...Robert J. Barth, PhD; Christopher R. Brigham, MD © 2005 American Medical Association. All Rights Reserved. 2005 American Medical Association Who should evaluate? The answer to this commonly asked question is, “It depends.” It depends on the issues, the context, and the evaluator...
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Guides Newsletter (2002) 7 (4): 6–7.
Published: 01 July 2002
... to the Evaluation of Permanent Impairment ( AMA Guides ) specifically addresses IDET. Evaluators who use the AMA Guides, Fifth Edition, apply the Diagnosis-related estimates (DRE) method to assess impairment when the patient is at maximum medical improvement (MMI). Because the long-term effects of IDET...
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FIGURE 4&lt;sup&gt;&lt;xref ref-type=&quot;bibr&quot; rid=&quot;B28&quot;&gt;28&lt;&#x2F;xref&gt;&lt;&#x2F;sup&gt;.: An audiogram for a person <span class="search-highlight">who</span> has
Published: 01 January 2019
FIGURE 4 28 . An audiogram for a person who has “noise-induced” hearing loss The hearing loss is more common in the 3000-6000 dB range This is what is referred to as the “noise notch.” More about this image found in FIGURE 428 .: An audiogram for a person who has “noise-induced” hearing loss The hearing ...
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Guides Newsletter (2023) 28 (6): 46–47.
Published: 01 November 2023
... a different perspective and, by definition, is a patient advocate; therefore, the treating physician would be biased. The treating physician may be uncomfortable providing opinions that will negatively affect the patient and/or the physician–patient relationship. Treating physicians who focus on clinical care...
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Guides Newsletter (2021) 26 (4): 8.
Published: 01 July 2021
...Steven D. Feinberg, MD; Christopher R. Brigham, MD Who is in the better position to evaluate, the treating physician or an independent medical examination (IME) physician? A treating physician has a patient-advocate role because he or she has a doctor-patient relationship with the patient/claimant...
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Guides Newsletter (2023) 28 (4): 29–39.
Published: 01 July 2023
... Medical Association The next step is scientifically identified risk factors for the relevant clinical presentation—risk factors other than the claimed cause—must be ruled out as being relevant. 7 – 12 Based on the fourth edition of the WHO Histological Classification of Tumours of the CNS, 1...
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Guides Newsletter (2020) 25 (6): 7–9.
Published: 01 November 2020
... , Fifth Edition, in which its impairment rating methodology is based on the World Health Organization's (WHO's) International Classification of Functioning, Disability and Health (ICF) framework. Impairment rating is but one of several determinants of disability, and the one most amenable to physician...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 16–17.
Published: 01 November 2019
... Practice , by Mohammed I. Ranavaya, MD, JD, MS, and published by the American Medical Association in 2019, is a splendid resource for any physician or other healthcare provider who wants to perform medicolegal work. Much of the unique knowledge and skills necessary to be successful in this arena...
Newsletter Articles
Guides Newsletter (2020) 25 (2): 9.
Published: 01 March 2020
...Steven Feinberg, MD; Christopher R. Brigham, MD An independent medical evaluation (IME) is a specialized examination or evaluation best performed by a physician who has special training and experience in assessing issues unique to an IME. IMEs must be independent, and opinions should be consistent...
Newsletter Articles
Guides Newsletter (2023) 28 (1): 16–30.
Published: 01 January 2023
... pain and informed of its presence and significance. In summary: Today, over 85,000 diseases are recognized in ICD-11. 2 The number of recognized diagnoses has increased more than six-fold in the past 43 years. The World Health Organization (WHO) publishes the International Classification...
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Guides Newsletter (2023) 28 (3): 11.
Published: 01 May 2023
...Christopher R. Brigham, MD © 2023 American Medical Association. All Rights Reserved. 2023 American Medical Association QUESTION : A police officer who was shot and has a retained bullet in his chest was evaluated. His physician has advised him that it would be best not to remove...
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Guides Newsletter (2016) 21 (5): 9–10.
Published: 01 September 2016
... should not find for both sides equally (ie, should not attempt to achieve parity in outcomes), particularly because any case sent for review has some feature that raised questions in the mind of an experienced observer. This experienced observer requires an impartial, expert physician advisor who can...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 3–11.
Published: 01 January 2020
.... This article addresses the question of rating the impairment for an individual with no history of substance use disorder before a work injury, who is prescribed opioids for this injury, and who subsequently develops opioid use disorder (OUD). The Diagnostic and Statistical Manual of Mental Disorders, Fifth...
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Guides Newsletter (2022) 27 (6): 16–38.
Published: 01 November 2022
...Stephen L. Demeter, MD, MPH Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease 2019 [COVID-19]) infections began in late 2019/early 2020 and quickly achieved pandemic proportions. Of significance is that, while most individuals recover, some do not. Those who have...
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