Table of Contents

Chapter 1 Prologue Chapter 2 Introduction Chapter 3 The History of Occupational Medicine: History; Early America; The Industrial Revolution; The Company Doctor; Board Recognition Chapter 4 The Workers' Compensation Environment: Laws; Compensation; Choice of Physician; Independent Medical Examinations; Mental Health Claims; Role of Insurance Companies; Medical Treatment; Quality of Medical Care; Costs; History; Problem Areas; Statistic Chapter 5 The Injured Worker and the Healthcare Professional: Patients; Background; Other Patients; The Workers' Compensation System; Goals; Modified Duty; Medication; Rehabilitation; Progress; Family Members; Supervisor; Case Manager; Practice Guidelines; De Chapter 6 The Injured Worker and Other Stakeholders: Statistics; Managed Care; Insurance Investigators; Insurance; Return to Work Chapter 7 Variables Contributing to the Cost of Injuries: Background; Emotional Disorders; Simulation Disorders; Diagnostic Studies; Rehabilitation; Litigation; Lost Productivity; Tertiary Gain; Chronic Pain; Fitness for Duty; Employer's Representative; The S Chapter 8 Quality of Care Issues: Background; Program Variations; Standards; Past Analysis; Surveys; Other Practice Parameters Chapter 9 Ill-Defined Injury and Illness: Introduction; Emotional Pain; Personality Disorder Traits; Chronic Disability Syndromes; Definitions; Problem; Causation; Management; Chronic Pain; The Second Injury Chapter 10 Disorders of Simulation: Malingering; Compensation Neurosis; Factitious Disorders Chapter 11 Management of the Difficult Patient: Background; Malingering; Further Clues to Malingering; Non-organic Signs; Other Useful Tests in the Physical Examination; Other Useful Sign that Point to Non-organic Pain; Profile; Factitious Disorder; Somatoform Chapter 12 The Corporate Medical Director: Functions; Roles; Effectiveness; Management; Competing Interests; The Scope of Occupational Medicine; Essential Components; Preventive Medicine; Environmental Medicine; Disability Management Chapter 13 Potential Solution: Past History; Recommendation; Certified Medical Providers; Transform the Disability Award System; Employee Counseling; Supervisor Training; Summary Chapter 14 Case Histories: Case #1: The dog bitten patient that became paralyzed; Case #2: The dishonest laborer with a changing history; Case #3: The warehouse worker with a hernia; Case #4: A back injury with no pre-placement physical; Case #5: The hotel wor Chapter 15 Appendices: Attachment A: Comparison of Payments Between the States of the U.S. for Workers' Compensation Medical Services; Attachment B: Barkemeyer-Callon-Jones Malingering Detection Scale Chapter 16 References Chapter 17 Index Chapter 18 About the Author

About the Author

Richard E. Sall is an Occupational Physician at Inland Industrial Medical Group, Ontario, California. The author received his Doctorate of Medicine from Wayne State University Medical School and is Board Certified in Occupational Medicine, General Surgery, and Forensic Medicine. His experience and training has resulted in an extensive knowledge of Occupational Medicine, industrial hygiene principles, toxicology, epidemiology of occupational illnesses, and workers' compensation systems.