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I think it would be difficult to provide evidence rather than opinion that wearing the muffs didn't "cause" the seizure (However I do agree with you) . In my organisation this would be likely to end up in litigation, I think the winner will be the side with the most skilful legal representative rather than the accuracy of the facts. Personally I don't think the specialist will provide any more useful information - but I do think that a report maybe should be sought in order for you to state in further proceedings that you sought expert opinion The bigger issue I think is that his condition doesn't appear to be that well controlled, irrespective of what ear defenders he wears - They all occlude the ear canal so all may have the capacity to induce a fit if that's what he says happened. maybe he shouldn't be on the factory floor at all. -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Clare Atkinson Sent: 02 June 2008 15:34 To: [log in to unmask] Subject: [OCC-HEALTH] epilepsy and earmuffs Hi all Opinions please: employee with epilepsy working in food production factory. Factory policy now to wear mandatory ear muff style defenders. He came to me saying that he has worn his earmuffs with a gap at the bottom and has now been told to wear them covering his ears and he felt that this would cause him to have a seizure as he has been feeling dizzy. I explained that I thought this was unlikely and his symptoms are more likely to be caused by the incorrect positioning of the earmuffs. I provided him with a different set to try, educated him on the correct wearing position and gave him a leaflet to take away (which I saw him put in the bin outside my office) Taht afternoon he had a seizure on the factory floor including loss of bladder function! I have seen him today and he is saying it is because he couldn't wear the earmuffs with a gap and it is mine and the managers fault for making him do this and watching him. I explained that I thought the fact that he got stressed and worked up about the issue was more of a trigger than the earmuffs. Your thoughts?? Clare ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk This email was received from the INTERNET and scanned by the Government Secure Intranet anti-virus service supplied by Cable&Wireless in partnership with MessageLabs. (CCTM Certificate Number 2007/11/0032.) In case of problems, please call your organisation's IT Helpdesk. Communications via the GSi may be automatically logged, monitored and/or recorded for legal purposes. The original of this email was scanned for viruses by the Government Secure Intranet virus scanning service supplied by Cable&Wireless in partnership with MessageLabs. (CCTM Certificate Number 2007/11/0032.) On leaving the GSi this email was certified virus free. Communications via the GSi may be automatically logged, monitored and/or recorded for legal purposes. ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk