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" limited tolerance to work tasks at this time" - i love that phrase and will now nick it for future use......

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From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Carr Barnes
Sent: 20 September 2011 15:17
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Functional capacity WRULD?


I agree that the diagnosis per se (meaning one "proved" my medical tests) is a red herring. WRULDs often don't show up in any medical tests but instead are diagnosed from symptoms leading to a diagnosis of "non specific WRULD".  

I'd present the case back to the company saying that there is evidence of limited tolerance to work tasks at this time, that the OP has recommended total abstinence but further specialist functional capacity assessment may identify a work arrangement that may be satisfactory to the company if they want to explore that route. 


On 20 September 2011 15:00, Wayne Llewellyn <[log in to unmask]> wrote:


	Leslie,
	
	I'm happy to help. My mobile is 07970297936 if you want a quick chat.
	
	Regards,
	Wayne Llewellyn
	Clinical Director
	
	C 6-9 Timber Street, London, EC1Y 0TQ
	 020 7687 7600
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	-----Original Message-----
	From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Lesley Bamford
	
	Sent: 20 September 2011 10:05
	To: [log in to unmask]
	Subject: [OCC-HEALTH] Functional capacity WRULD?
	
	Morning Everyone,
	
	I have an employee diagnosed as having WRULD (by an idependant OHP and GP) from working with a mouse and keying in data . They have seen the OHP on 2 occasions now. They have seen an orthopaedic surgeon and had nerve conduction studies - all returned NAD. They have had physio with little improvement. No further treatment is indicated. The OHP's recent recommendations are going to be very difficult for the company to follow. ie. Keying and PC work removed and no repetitive actions, permanently.  I have previously recommended ergonomic mouse, change of software, using alternative hand for phone, regular breaks etc with no benefit, but now the recommendation is no PC work at all! Voice activated software would be difficult as the employee sits close to colleagues in a small office environment.
	I feel that the advice I have had so far is conflicting. Before the company makes any descisions I feel as though more information should be gained. Can anyone share their thoughts as to which route they would now go down regarding further assessment or am I over killing it?
	
	Many thanks in advance
	
	Lesley
	
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