Good evening
Yet another difficult situation...I will try to be brief
28yr male Polish ( a translator present at all assessments)- production perative in meat factory. Had a seizure 12 months ago. non delcared epilepsy he stated that he had seizures before but not done anything about it.
i referred him to his GP and the gentleman advised me that he had medication to help manage the symptoms. I advsied management to undertake a work place assessment and that he should refrain from working at heights, alone or operate heavy machinery for at least 12 months. After 12 months we could review the situation.
A month ago i saw him again with view for him to return to his original role. He stated that he had taken the three months medication and now was cured as he had not had any further siezures. I was not happy with this. He consented for me to obtain a Gp report.
The report states that he has epiliepsy - lesion on frontal lobe is thought to cause the siezures. Has not attended any follow up appointments for EEG or repeat MRI scan. Seen by GP nurse last August who entered on the notes that he has occasional seizures and is not complient with treatment. GP states in his opinion he should take the medication.
I have discussed the report with the employee. He still denies further seizures. I have advised that it is his decision whether or not he is complient with treatment however I advised that if he is not taking medications I do not think he is fit to return to the workplace. He said he could not get a GP appointment so I made one for him with his consent. He is returning to GP next Tuesday and the work place is suspending on full pay due to medical issues.
In my opinion he is more likely than not to have a seizure without medication. Whilst he is not taking the medication the risk of injury in the work place are increased. If he continues to refuse treatment would you state that he is not fit to work in the factory environment? would you refer to an OHP - I work alone - Thank you for any help as ususal.
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