Tina Castle of Maxcis Insurance Company referred this file for medical case management. Instructions were given to meet with Darrell Morgan and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery.

INTERVIEW SETTING

On 717/17 I met Mr. Morgan at the office of Dr. Kohn. Mr. Morgan arrived alone. He is willing to provide prior and current medical history and work with a nurse case manager.

MEDICAL FACTORS

Mr. Morgan reports that while working he was throwing a tailgate into the dumpster the left arm was hit in the bicep when it bounced back. He had immediate deformity to the arm. He was seen at an urgent care clinic and sent to orthopedic Dr. Kohn for repair of a torn bicep tendon. The …show more content…
CURRENT STATUS

Mr. Morgan said he has pain when he makes certain movements. He is not taking any medications for pain. He also reports the thumb of the left hand is weak, and there is numbness to the forearm. Examination showed weakness to the thumb and the wrist. Dr. Kohn asked about physical therapy and Mr. Morgan said he has not had any yet.

CURRENT TREATMENT PLAN

Dr. Kohn would like Mr. Morgan to start physical therapy and work on motion and strength. If he continues to have weakness at the next appointment he may recommend an EMG at that time. Dr. Kohn said the numbness to the forearm is not unusual since they move nerves, they do not cut nerves though and it will get better. Dr. Kohn told Mr. Morgan his arm will be fine and he will be able to go back to his normal work.

ADDITIONAL CONTACTS

Orion Physical Therapy, 1210 S. Lapeer Rd, Lake Orion, MI 248-814-8060. Physical therapy will start on 7/25/17.

ATTENDING PHYSICIANS

Name: Dr. Mark Richter (family physician)
Address: 8355 Highland Rd, White Lake, MI 48386

Phone: …show more content…
Morgan reports he is allergic to Lisinopril

DURABLE MEDICAL EQUIPMENT

N/A

ADL’S

Mr. Morgan reports he is independent, related to personal care and needs some help with household services

MEDICAL/SURGICAL HISTORY

Mr. Morgan reports he has a positive medical history for the following:
Hyperlipidemia
Hypertension
Sinusitis

Mr. Morgan’s surgical history if positive for the following:
Rhinoplasty
Lithotripsy

Mr. Morgan said he doesn’t drink or smoke and denied drug use.

EDUCATIONAL HISTORY

Mr. Morgan graduate from high school in North Carolina in 1974.

EMPLOYMENT HISTORY

1. Place of Employment: Szott M59 Chrysler Jeep Inc.
• Job Title: Body Technician
• Start date: 2/5/2000 Stop date: current
• Hours per week: 40 hours
• Job requirements and physical demands: lift, carry, push, pull, walk, stand, bend, twist, and over head work.)

CURRENT EMPLOYER CONTACT INFORMATION

Ms. Castle will update the employer of the current medical and work status.

WORKERS’ COMPENSATION HISTORY

Mr. Morgan denied any prior work injuries.

FAMILY/SOCIAL/FINANCIAL FACTORS

Mr. Morgan said he has a very supportive wife and family. He is able to function within his home without difficulty.
Emergency Contact –Mrs. Morgan