Call me  a sceptic - but the equation doesn't add up.

The worker can only perform ADLs slowly and yet he is able to carry on
performing as a semi-professional singer. He states that it is because his
wife can carry his kit. (No comment)

If I were his manager I would be pretty cross if I discovered he was
carrying out singing engagements when he states that he was not well enough
to  perform the requirements of his day job. Perhaps the ££££s are the
motivator for carrying out the singing engagements but he is not similarly
motivated to come to work with or without modified duties. He may also find
that he has fallen foul of the SSP scheme.

Anne


On 22/05/2011 09:50, "Wayne Llewellyn" <[log in to unmask]> wrote:

> Tracy, 
> 
> My first question - from a clinical standpoint - would be how much
> Physiotherapy and Rehabilitation has he done. There is no mention of any in
> your email.
> 
> Rotator cuff injuries are notoriously slow in recovery and unless there is
> significant work done rebalancing the parascapular muscles it is unlikely to
> start moving correctly. This is the most common problem with these injuries.
> 
> So, in terms of recovery I would say he needs a full Physiotherapy assessment
> with a MSK specialist to ascertain the stability and balance of the Shoulder
> complex. Once this is diagnosed you will know his chances and time-line of
> recovery.
> 
> 
> Wayne.
> 
> -----Original Message-----
> From: [log in to unmask] on behalf of Tracy Turner
> Sent: Sun 22/05/2011 09:05
> To: [log in to unmask]
> Subject: [OCC-HEALTH] Adice re long turn sickness please
>  
> Good Morning
> 
> Please can I have any advice.
> I have a gentleman - an inherited long term absence aged 50. Fell at work 2
> years ago. Rotary cuff injury - required surgery when did not improve. Three
> attenps back to work in a light duty role all episodes short lived. and 6
> weeks ago returned again following cortizone injection into joint. GP has
> adivsed tooo soon for another injection. The role did not require him to use
> his left arm at all. Three weeks later he went off sick stating that the pain
> in his shoulder was too bad to work. The GP reportedly feels that the effects
> of the injection has worn off. Recent MRI scan shows tear to the bicep tendon
> and spurs in the joint - further surgery may be required to resolve this.
> Specialist assessment pending.
> This gentleman manages ADLS but reportedly in his own time - very slow and
> rests frequently. However he also is a semi professional singer and continues
> with his shows as says his wife carries the equipment and he does not require
> the shoulder to sing! On examination keeps arm close to him in a guarded way -
> dificulty putting coat on and off - very limited movement.
> 
> Work are now considering ending his contract. In my last report I have said
> that given his history he is unlikely to be fit to return to work unles future
> treatment is sucessful i.e surgery and therefore he is likely to remain off
> for several months. I do not have a OHP and when considering referral on an ad
> hoc basis I am not sure how much more information the Busienss will be
> furnished with. Do you think OHP referral should be sought as it is likely
> this gentleman is going to lose his job. A report from his specilaist  states
> that his treatment is ongoing and therefore no further information can be
> given. The specilaist appologised in the letter for the lack of information he
> could give appart from diagnosis and that further surgery may be required and
> that shoudler surgery is known to take along recovery .It was the smallest
> report i have ever seen althought the standard questions were asked.  The
> employee strongly believes that the Busienss is at fault and the fall has made
> him half the man he was - He is claiming significant costs. He says he wants
> to come back to work and that he will be upset if the Business end his
> contract. Sick pay has not run out. He has a further one month sickness. Any
> comments would be appreciated.
> 
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