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Author Topic: Anyone know about Occ Health?  (Read 837 times)

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Offline Doc79316

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Anyone know about Occ Health?
« on: April 19, 2006, 09:30:41 PM »
Hi,

After all that I've been through so far, tomorrow I have to attend a second Occupational Health appointment and it's scaring me silly! Stupid, huh - when I can have surgery without batting an eyelid usually!

My previous appointment with them was with a nurse who didn't seem to know what she was talking about and asked me a few questions which could've been answered over the phone - so why I had to go to their offices, I don't know.

This appointment is with their doctor. I'm told that he can insist on seeing my knee, not that I have a problem with that as such, but he can also physically examine my knee. This is where I draw the line. I don't want a strange man twisting and turning my kneecap about when he's not a knee specialist. Apart from that, it's so painful most days that even I don't touch it. The only person ON EARTH who can touch my leg is my surgeon. Most days I'm in so much pain I can be scraped off the ceiling. Anyone touches my leg, they'll be scraped off the floor.

So, this is my question - is it OK to say no to a physical examination? After all, it's not as though he's going to come up with another more reputable diagnosis.
Am I entitled to say no to him seeing my knee? What does he hope to see other than a basic scar?

I don't know what to say to him, nor whether I should go in with a friendly temperament or one that makes it obvious I don't want to be there. What do I do?

Laura x
« Last Edit: April 19, 2006, 09:38:47 PM by laura79316 »
Left knee surgery
08/06/02 - L/Release
13/08/03 - Fulkerson TTT
05/06/05 - Stabilisation & Medialisation/Tendon Transfer
13/01/06 - Proximal Hamstring Superior Stabilisation
06/03/06 - RSD/CRPS diagnosed
20/07/06 + 03/04/07- Excision of scar tissue
30/07/07 - PKR suggested by OS (no date yet)

Offline UK Girl !

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Re: Anyone know about Occ Health?
« Reply #1 on: April 19, 2006, 09:52:56 PM »
Hi laura - thought you had to go back into hospital tomorrow?

re OH - just tell him that he cannot touch it - tell him its infected and that you dont want any further complications - he can apply to your surgeons for any med stuff he needs - ands he is prob not a specialist other than in OH and prob wont need to touch your knee - he can see from the scar that its not right - he prob doesnt even want to see you but is employed by your co. so has to been seen to be doing his job - he will know b4 he even sees you that you are not 'swinging the lead!'
good luck
1978 - ruptured acl and all cartalidge removed.
several debridements over years
TKR 10TH JULY 2006 http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=28257.0  Aug 07 patellar maltracking - more physio! Still pain - but so much better !
BIOMET AGC  TKR  (with 10 yr warranty !)

Offline kath

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Re: Anyone know about Occ Health?
« Reply #2 on: April 20, 2006, 12:28:31 AM »
Laura...as a requirement of my new job, I too had to see the doctor in my employer's Occupational Health Dept because of my knee replacements.  We simply went over my restrictions so it was documented.  He didn't examine me at all.  Just a nice conversation about how my surgery went, how I'm feeling etc etc.

So, in answer to your question...I wouldn't go in there with a defensive attitude.  I would simply bring him up-to-date on the situation...your clots...infection etc and tell him you are extremely careful in allowing anyone near your knee.  He will know by the meds you are taking how serious this is.  But remember too, he is a doctor and this is in your best interest regarding your job.  This gives you documentation in case your employer wishes you to do something you are unable or shouldn't be doing.  Most corporations will require you to report to Occupational Health if you are going to be off sick for a number of days...it is best to make them your ally!

Just a thought! ...kath
Bi-lateral unicompartmental Nov 2004

Offline SarahJane

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Re: Anyone know about Occ Health?
« Reply #3 on: April 20, 2006, 09:45:53 AM »
Hi Laura,  (hopefully you'll read this before you go!  ;)

 I have to go to Occupational Health regularly at the moment ....  The first time I went, I was really really upset and distressed because I thought that the appointment was the start of a 'medical retirement' plan by my Boss,  when in fact, it was the exact Opposite.

The appointment was to offer support and assess how they could best help me fulfill my job responsibilities.  The staff were absolutely wonderful and have been a great help and support at a difficult time.  I've even been offered counselling to help me come to terms with my situation. 

I work for a Local Authority and they had already applied for my notes from my consultant  (with my permission) so every appointment so far, has just been discussing my mobility probs and what THEY can do to help me. 

I can't imagine that an Occupational Health Doctor would want to examine you - I don't think that's in their remit, but if they try then tell them that they don't have your permission to examine you!  and explain why.   

One thing I did find interesting .... the Head of the Occupational Health Department told me that I was the first person she'd met in SIX years who wanted to return to work!!!  :o  Apparently, most people they see are desperately trying to find ways of NOT returning to work!   Strangely enough, a Junior Registrar I saw recently said exactly the same thing! 

Good luck - let us know how you get on

Sarah
Jan 05: Avulsed Patella Tendon (YUK)
Wired together Feb 05
Constant pain after Cast removed
2nd Op Nov05 to remove a 2cm piece of Bone from my Patella Tendon!!!
2 months later STOP physio due to Pain & Crepitus
Feb 06: Ultrasound shows NO Patella Tendon!
No plans for the future! :-/

Offline Doc79316

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Re: Anyone know about Occ Health?
« Reply #4 on: April 20, 2006, 04:22:14 PM »
Hey all,

I saw the Occ Health doctor this morning. To be honest he didn't seem, to know what to ask me. He was incredibly apologetic about waiting so long to ask for a report from my OS - I gave my consent last August! Apparently the consent lasts for six months so I've had to sign another form.
I answered all his questions - there were only a few. And that was that really. He said he'd wait for the next report frm Mr. Brooks and interpret what he says before getting back to Personnel.
He tried to examine my knee - I said no. Whether he should or shouldn't is irrelevant. It hurts and that's all there is to it. My OS is the one and only person who touches my leg.
The good thing is that I don't have to go back a 3rd. time.

Laura x
Left knee surgery
08/06/02 - L/Release
13/08/03 - Fulkerson TTT
05/06/05 - Stabilisation & Medialisation/Tendon Transfer
13/01/06 - Proximal Hamstring Superior Stabilisation
06/03/06 - RSD/CRPS diagnosed
20/07/06 + 03/04/07- Excision of scar tissue
30/07/07 - PKR suggested by OS (no date yet)