Opioid Epidemic

Adolescents and young adults prescribed opioid pain medications after surgery commonly refill these prescriptions for months beyond typical recovery time, indicating a possible pathway to continued, non-medical opioid use. “The opioid epidemic is a significant public...

Concealed Medications

Drug seeking employees, ER visits, and unexpected injuries are budget and reserve killers. Most of the time the clues are obvious, behaviors truth telling. Is there an ethical way to let an injured worker (IW) know that you suspect they are not telling the truth about...

Healing or Harming?

Healthcare Provider (HCP) interactions with injured workers and insurers in workers’ compensation (WC) systems are complex relationships that influence an injured worker’s recovery process. Interactions between HCPs and insurers can also affect injured...

CAT Case – Preventing the ‘Vortex of Failure’

Those of us who have years of experience working with catastrophically injured claimants see the disturbing pattern time and time again: The claimant presents to the emergency room with the initial injury and subsequently travels through a fragmented healthcare...

Just 7 Days – Seizure Prophylaxis after TBI

Do you remember when Antiepileptics, used for seizure prophylaxis after traumatic brain injury (TBI), were being prescribed for months on end? Do you also remember some treating doctors (for work comp injuries) issuing seemingly endless “off work status” due to...