Head Injuries

 Head Injuries
61 year-old man was injure while driving a van for his work. He was rear-end when the other driver failed to reduce speed to avoid a collision. And he was transport to the emergency room where he was initially treat. He sustain head, neck, shoulder and upper and lower back pains and was immobilize and place in a c-collar. Also he was in severe pain from his injuries. CT scans of his head, pelvis, chest, lumbar, thoracic and cervical spines. Led to diagnose sprains of his lumbar, thoracic and cervical spines. He was then discharge with instructions to follow-up if the pain continue.

He continued with pain complaints and underwent numerous tests, one indicating an S/I injury. Upper back and low back adjustments were make at this visit as well. Subsequent x-rays of his right shoulder show joint narrowing with bony proliferative changes involving the right A/C articulation. Subcortical sclerosis was indicate near his right tendinous cuff. He also had an elevate left hemidiaphragm. He then underwent chiropractic treatments yet continue to have pain and dysfunction in his upper back, neck and right shoulder. An orthopaedic specialist was consult and who noted significant tenderness and spasms to his right shoulder.

His A/C joint had a palpable and observable deformity. He was prescribe occupational therapy. His physician noted treatment for training on a HEP for Grade 2-3 AC separation . And cervicalgia, and recommended massage therapy treatments. He was prescribe Mobic and was inform that a steroid injection would be appropriate. He went back to his doctor after continue complaints about his neck.

The diagnosis was rotator cuff syndrome with impingement with cervicalgia. Occupational therapy was discussed and continued. Throughout his therapy sessions his pain gradually got better, but still some nagging pain bothers him to this day. This case settle for $55,000.00. His medical charges total just under $18,000.00, and further dispute economic losses were claim near $7,000.00. All medical charges were reduce to about $3,000.00 (with all zero balances) from the original $18,000.00, and even after all fees and costs, our client went home with tax-free dollars right at $33,000.00. -RS

69 year-old woman injured her head, neck, right shoulder and other body parts when she fell at work. She hit her head on a metal step and the rough edges thereon. While her right shoulder smashed into the “A” frame surrounding the metal step. She received treatment for her injuries. By a doctor who noted four lacerations on our client’s occupit and pain in the right side of her neck. A right shoulder MRI showed an abnormal signal along the supraspinatus tendon consistent with a rotator cuff tear and joint effusiuon. She was diagnose with a right shoulder rotator cuff tear.

She underwent four sessions of physical therapy, because of her lack of improvement in her right shoulder. The doctor recommend a surgical repair of her right shoulder rotator cuff tear. The doctor performe a right shoulder rotator cuff repair, synovectomy and biceps tenotomy. The doctor’s surgical notes indicate significant tearing of the biceps tendon along with the rotator cuff. Following her surgery, she underwent a series of eight physical therapy sessions. She is still hamper from this injury and cannot do all of her job responsibilities and is limit in what she can do. This case settle for $30,476.63 equating to 14% loss of body as a whole as well as a lump sum over $7,000.00 for her future medical needs. -WA

24 year-old male sustain injuries to his head and face when a drill bit struck his forehead in the course of his employment as a coal miner. His doctor diagnose an acute comminute fracture of the left supraorbital rim and lacerations. Our client suffer bruising and swelling as well as cold and numb sensations on his forehead. His doctor recommend and performe a surgical decompression of the fracture by anchoring a plate with screws into his skull. Bone fragments were also found in his nasal cavity during his surgery. A second surgery was perform to remove the plate and screws.

Our client remain off work for 5 3/7 weeks for his treatment, during which time he was paid $771.68 weekly in temporary total disability benefits. Despite our client’s obvious injury, his employer dispute the nature and extent of his disability and disfigurement, average weekly wage, medical causation and medical expenses. We obtain a $29,000.00 settlement, representing 7.4% permanent partial disability of his body, 8 weeks permanent partial disability for disfigurement to his head and face and past medical benefits. – KW.

A 40 year-old male truck driver was assaulte at a truck stop while making a run for his employer. He was struck in the head and receive severe head, facial and right elbow injuries when he fell to the ground. He underwent a right elbow arthrotomy with irrigation and debridement and a revision surgery of a left lower lip scar as well as intra-oral mucosal scarring. This worker also suffer a severe concussion, was diagnos with post-traumatic stress syndrome and chronic headaches from his post-concussion syndrome.

After undergoing neuropsychological evaluations he was found to be suffering from moderate, residual deficits in the areas of response speed and mental stamina, and memory problems when fatigue. The doctor told him he could no longer drive a truck due to his type of residual injuries and the medications he requires. The employer made an initial settlement offer of $132,158.25 representing 45% loss of use of body as a whole, with several options only for payment in a structure settlement method.

After further trial preparation and aggressive negotiations, we were able to settle the case just before trial for almost three times that amount, or $300,000.00. In addition to a one-time lump sum payment of $22,732.10, this 40 year old worker will receive by virtue of the settlement approximately $496.86 in monthly payments for the rest of his life, generate over his life expectancy of approximately 38 years, but with payment continuing for as long as he shall live.

35 year-old male tire store employee sustain injuries to his head, face, torso, legs, knees, arms, shoulders and teeth when a tire explode during installation. Petitioner sustain facial scarring (loss of soft tissue in the forehead region), a tracheotomy scar, a near total nose avulsion and crush sinuses. Petitioner underwent numerous surgical procedures, including two sinus surgeries, scar removal of the left cheek and an implant of bone for the nasal dorsum. Nasal difficulties were treat with conservative treatment, i.e. nasal sprays, filter mask and antibiotics. A subsequent recommendation for removal of hardware was made when conservative measures fail.

A Caldwell-Luc procedure of the maxillary sinus was perform. Petitioner experience mood swings and uneasiness. Upon neurological evaluation, Petitioner had delay visual memory and post-traumatic amnesia. Initial CTs show cerebral edema with paraenchymal and subaracnoid hemorrhages, depress skull fracture and skull base fracture. Multiple comminuE facial fractures throughout sinuses. And post traumatic edema or tissue necrosis in the right occipital lobe. We secure a $60,000 settlement, representing near 50% loss of man as a whole, 40% loss of use of the left leg, 40% disfigurement, medically relate mileage, and unpaid reimbursable medical charges for this low wage earner. – TS.

42-year-old oil field worker sustain physical injuries after a fall at work. His injuries include pulmonary contusions, respiratory failure. A severe fracture with ligament and joint trauma to the right foot and tibia, fibula, and skull fractures. Additionally, as a result of his head injuries, the petitioner developed bi-polar disorder. Experienced loss of consciousness and is now prone to seizures for which he will need medication for the remainder of his life. Settlement was secured for $159,808. – JL.

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