I should imagine that he only doo-wops with one arm.....as in doo-wop-de-dooby-do-de doo-wop.....

 
> Date: Sun, 22 May 2011 22:18:04 +0100
> From: [log in to unmask]
> Subject: Re: [OCC-HEALTH] Adice re long turn sickness please
> To: [log in to unmask]
>
> 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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