Documentation

  • Apportioning a Preexisting Condition with a New Trauma

    Apportioning a Preexisting Condition with a New Trauma

    The phrase “preexisting condition” often causes some confusion for health care providers when they are asked to apportion a percentage of a patient’s condition between a preexisting condition and a new trauma.  The purpose of…

  • Withdrawal vs. Abandonment of Patient Care

    Withdrawal vs. Abandonment of Patient Care

    By Adler Giersch ps Despite a provider’s best efforts, there are times when a relationship with a patient becomes too problematic to continue to provide care. The patient may consistently ignore the provider’s recommendations, demand care…

  • Biomechanics of Cervical Hyperextension/flexion Injuries

    Biomechanics of Cervical Hyperextension/flexion Injuries

    The cervical spine is a very complex structure. An understanding of the mechanisms involved in hyperextension/flexion injuries requires the patient’s doctor to be familiar with the anatomy of the neck, how acceleration forces impact the…

  • Reasonable and Necessary Treatment In a Personal Injury Claim

    Reasonable and Necessary Treatment In a Personal Injury Claim

    Washington law has long established that third-party tortfeasors are liable for all reasonable and necessary medical care and treatment proximately caused by their negligent conduct in causing injury. Palmer vs. Jensen, 132 Wn.2d 193 (1997);…

  • Pain Questionnaire Objectifies Subjective Aspects of Injury

    Pain Questionnaire Objectifies Subjective Aspects of Injury

    Traditionally, objective measurements of neck and back injuries such as palpable spasms, loss of lordotic curve on x-ray and disc protrusions have been thought reliable as “hard evidence” when measuring the extent of traumatic personal…

  • A Better Assessment of Head Injury Symptoms Using Questionnaires

    A Better Assessment of Head Injury Symptoms Using Questionnaires

    Complaints of post-concussion symptoms and head injury are common among populations of auto accident and other trauma victims, particularly during the acute phase of injury. Symptoms frequently involve reports of memory and attention deficit, headaches…