Bruinsma, 010419 WIWC, 2016-028907
Case Date | January 04, 2019 |
Court | Wisconsin |
At 5:30 a.m. on Saturday, November 19, 2016, the applicant sought emergency treatment for his symptoms at Memorial Medical Center in Neillsville, Wisconsin, near where he had planned to go deer hunting. The history of this "Triage" visit was recounted on a clinic note completed by an individual named Beth A. Maske, whose position and qualifications are not identified on the note. It could be that Maske is a registered nurse, because there is an illegible signature on a line in the clinic note identified as: "Triage RN signature." Maske noted that the applicant complained of "chronic" and "throbbing" left shoulder pain for which he had been taking medication. She also recorded that the pain, "...has been going on for months...denies injury or trauma to the area. Does work for a masonary (sic) as his job." Without explanation, Maske recorded the visit as "Non-Urgent" and "Not Work Related."
Maske noted that the applicant was seen by a Dr. Holets, and that he was given a nonsteroidal anti-inflammatory drug, Toradol, which helped relieve his pain. Dr. Holets refilled the applicant's prescriptions and advised him to follow up with his hometown physician. He released the applicant at approximately 6:15 a.m. The applicant did not go hunting but telephoned his parents who drove up to where was to give him a ride home.2. Delete the second, third, and fourth paragraphs on page 3 of the ALJ's decision and substitute the following paragraphs therefor:
Later in the day on November 19, 2016, the applicant was treated at Froedtert Hospital in Milwaukee for worsening neck and left shoulder pain. The clinic note recounts the details of the work injury, but incorrectly indicates that it occurred at "the end of August." The note also records: "Pain was manageable up until 3 days ago. No re-injury." He was seen by Marc A. Kostic, M.D., who noted that the applicant had been dealing with his symptoms "for almost 3 months," and that a cervical MRI was the next step.
Later that same Saturday, the applicant telephoned his parents who agreed to drive up and give him a ride back to his home. That evening he went with his wife to Froedert Hospital due to increasing symptoms. A history was taken there of recurring and worsening pain to the left shoulder and side, since the work incident. The history indicates the pain had been manageable until three days ago. "No pertinent past medical history," other than the work injury, was noted. Marc A. Kostic, M.D., administered a trigger point injection of lidocaine at the base of the neck and left trapezius muscle. Dr. Kostic indicated that the next step should be a cervical...
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