[MCOH-EH] Work injury/illness causation

[Kevin Trangle]

It happened to me some time ago. I was asked not only not to discuss the injury with the employee, but also to minimize the diagnostic scope as mitigate future costs. I refused and subsequently my contract was terminated directly because of my refusal. I have never regretted that stance;  principles should trump payments.

Incidentally, as time progressed, the case went to trial and I testified on behalf of the claimant. It took the jurors 5 minutes to grant him everything.


Kevin Trangle, MD, MBA, BCIM
FACOEM, FAADEP, CIME, CMRO

[cid:image001.png at 01D90170.A754FCB0]
Paragon Center Two
6150 Parkland Blvd. Suite 110
Mayfield Heights, OH 44124
P (216) 504-0400
C (216) 926-6481
F (216) 504-0404
ktrangle at kta-md.com
www.kevintrangleassociates.com


From: MCOH-EH <mcoh-eh-bounces+ktrangle=mdimex.com at mylist.net> On Behalf Of Savul, Sajjad
Sent: Thursday, November 24, 2022 11:24 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: McKenna, Patrick <Patrick.McKenna at nationwidechildrens.org>
Subject: Re: [MCOH-EH] Work injury/illness causation

It's an interesting question. I have never been asked to do so.

Saj


Sajjad A. Savul, MD, MS, FACOEM, FASAM

University of Pennsylvania

Program Director, Occupational & Environmental Medicine Residency

Assistant Professor, Department of Emergency Medicine, Perelman School of Medicine

Medical Director, Occupational Medicine, Penn Presbyterian Medical Center

Senior Aviation Medical Examiner, Federal Aviation Administration

Certified Medical Review Officer

3600 Civic Center Blvd, Suite -100

Philadelphia, PA 19104



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From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of McKenna, Patrick via MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Sent: Wednesday, November 23, 2022 9:24:35 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net> <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: McKenna, Patrick <Patrick.McKenna at nationwidechildrens.org<mailto:Patrick.McKenna at nationwidechildrens.org>>
Subject: [External] [MCOH-EH] Work injury/illness causation


Has anyone in this group encountered the employer telling the occupational health medical provider (physician, NP/PA, or nurse) that they are not to opine on the causation of an injury or illness, either in counseling the injured/ill worker or in medical documentation of the illness/injury?



Anything anyone is able to share would be very helpful.

Thanks!



Patrick McKenna, DO MPH FACOEM

Employee Health Medical Director

Nationwide Children's Hospital

700 Children's Drive Room  A1034

Columbus, OH 43205-2664

Office: 614-355-4135





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