Discussion: View Thread

Back to Discussions 

IARP CONNECT Code of Conduct

  • 1.  Treatment for life time for non cat. cases

    Posted 03-16-2016 15:55

    All, I had a conversation with an attorney earlier and he asked me if there is any thing in our CLCP literature supporting lifetime treatment for  a patient who underwent lumbar and cervical surgeries at ate 41. The treating ortho recommends that  beyond a reasonable degree of medical certainty, his patient will need anti inflammatory, pain meds, anti muscle spasm meds for their lifetime -he included blood testing for monitoring blood levels. Any feedback appreciated as for articles supporting or refuting such.

    ------------------------------
    Ted Deshotels, Owner
    LRC, CRC, CLCP
    tpdeshotels@gmail.com
    Lafayette, LA United States
    ------------------------------


  • 2.  RE: Treatment for life time for non cat. cases

    Posted 03-16-2016 20:47
    Just curious. What is his current status?  Is it already a 'failed back' situation at this time?  Is he currently requiring those medications post operatively?

    Ellen Carey RN BSN CLCP
    Health Links LLC


    Sent from my iPhone



    Original Message


  • 3.  RE: Treatment for life time for non cat. cases

    Posted 03-17-2016 06:04

    Ted:

    We have some literature, but need more details.  Does the person have cuada equina, stenosis, failed back, pseudoarthosis, successful fusion (or not), other structural damage, etc.? 

    --Reg

    ------------------------------
    Reg Gibbs
    rgibbs@rmrehab.com
    Billings, MT United States
    Rocky Mountain Rehab, P.C.

    Original Message


  • 4.  RE: Treatment for life time for non cat. cases

    Posted 03-17-2016 10:00
    Ted,

    The front page of the March 16 issue of USA Today carried a story that the CDC has just come out urging doctors to avoid prescribing powerful opiate pain-killers for patients with chronic pain, saying the risks far outweigh the benefits for most people.

    David



    Original Message


  • 5.  RE: Treatment for life time for non cat. cases

    Posted 03-17-2016 10:23
    Ted, I'm confused by your question. By definition, a life care plan is appropriate for one with "chronic health needs." We see life care plans for post fusion individuals all the time. If you have medical foundation for these future care needs, I believe that's all you need in order to write a life care plan consistent with those medical recommendations.  I would, however, get specificity from the doc as to frequency, duration of treatment and specific medication dosages, frequency of lab work, etc. that he is recommending as you could not do that as a non-– medical expert.  Why try to "bolster" a life care plan with "research" as you have this medical opinion?

    Can you expand a bit on the reasoning behind your question?  Why do you feel that you need "articles" when you have an orthopedic expert giving you general recommendations that you can clarify with a medical conference?  

    What I see too often are life care planners making only research – based recommendations for a LCP that are not supported by the data in a specific case; you don't have that here.   Writing a LCP based on "research" alone can be fatal. I think you have what you need from the doc if you can fine-tune his recommendations.  That will allow you to crunch the numbers you need.

    Thanks.

    Bob

    Robert H. Taylor
    4745 Tanglewood Trail
    Boulder, CO 80301-3928
    (928) 713-6833
    Sent from my iPad



    Original Message


  • 6.  RE: Treatment for life time for non cat. cases

    Posted 03-18-2016 09:03
    Bob I am not making medical rec's on treatment here and it's not my plan either. My question has to do with foundational literature that support an ortho treating a patient for their lifetime w PT and meds w lab work following two spinal surgeries. An Atty friend simply asked me if we have data on that.

    Thank you,

    Ted Deshotels


    Original Message


  • 7.  RE: Treatment for life time for non cat. cases

    Posted 03-18-2016 23:31

    I agree with Bob…consult with the treating physician…if you have that you can back up info that can be obtained throughBrightsun Technologies…they are inexpensive and a good investment….406 252-6651 ask for Reg.

     

     

    Ronald Smolarski

     

    ron@beaconrehab.com

    www.beaconrehab.com

    (800) 821-8463

     

    rons 2014 picture

     




    Original Message


  • 8.  RE: Treatment for life time for non cat. cases

    Posted 03-19-2016 10:09
    To all
    I agree with Mr. Taylor and his insights  and recommendations.
    I see plans where  the research ultimately contradicts the medical recommendations made by either the treating or examining physician.

    Alex Karras OTR,CRC,CCM,MSCC,
    CLCP
    Diplomate American Board of
    Disability Analyst
    Owner
    Alex Karras Consulting
    1659 Brook Ln.
    Jamison Pennsylvania 18929
    Cell 215-530-5041
    Fax 267-224-4486

    Sent from iPhone and likely dictated using Siri so please excuse typos.




    Original Message