Category: The Sociology of Injury

Injury

Injury: If a wealthy man were to win the Lottery, his spending behavior is unlikely to be significantly altered. He was already in touch with his material and investment needs and was deprived of neither. A sudden influx of lottery money is most often applied to the same rules and limits that he has acquired. …

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Vice Grip

Vice-Grip: Within workers’ compensation there is continual pressure to address only that which seems immediately and plausibly related to injury. Any other assessment or treatment plan is denied. Indeed, even those complaints clearly related to injury may be denied, including tests, medications, and procedures. In this system we become conditioned that if it feels unrelated, then …

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Mis-management

Mis-Management: Many psychological complications arise from case mis-management when clear signs of emerging problems go unnoticed. Missing the need for psychological assistance can be decidedly easy and difficult to fault: a. The ATP (authorizing treating physician) can exclusively focus upon the physical pathology, limitations, functional capacity, and objective need for post-injury treatment. S/he can ignore any …

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Discarded

Discarded patients: Several years ago, I passed the threshold of having seen 5,000 injured workers. Most of the patients recovered from both their injuries and the emotional consequences of the injury. However, there are a large number of these patients who remain deeply burned into my psyche and will forever be concerning, simply because they …

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The Mill

The Mill: I had a patient with a persistent headache and dizziness. He told his friend, a gastroenterologist, about the symptoms. The friend recommended “a colonoscopy and then maybe a neurologist.” Many are guilty of seeing the world solely through their own perspective, their mill. The breast cancer survivor wants to do charitable work in …

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relatedness

Relatedness

Relatedness to injury: There are far too many times that when treating an injured worker, I come upon serious health problems …
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injury

Injury

Injury: If a wealthy man were to win the Lottery, his spending behavior is unlikely to be significantly altered. He was already …
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tertiary

Tertiary

Gain: “The concept of secondary gain is a frequently addressed observation as to the benefits a patient receives from …
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