Tuesday, August 8, 2017

Medical Breakout Sessions (Day 2)

10:00 – 5:10 pm    
Crystal Ballroom C                     
Convention Level
(Entrance to G2)

Chiropractic Breakout

Presented by the Florida Chiropractic Association
    

10:00 – 12:00 pm    
Crystal Ballroom C                     
Convention Level
(Entrance to G2)
        
Welcome and Introduction of Speaker
    
Program Moderator:
Mollie A. Frawley, RN
Help Desk Coordinator
Florida Chiropractic Association
Tallahassee, FL
    
10:00 – 12:00 pm    
Non-surgical Treatment for Carpal Tunnel Syndrome, Ulnar Nerve Entrapment, Rotator Cuff Impingement and Tendonitis

    
Speaker:
Mitchell Mally, DC
TRI-MED Health & Wellness 
Davenport, IA 

Workplace injuries of the extremities too often result in surgery, drugs, and permanent impairment. Frequently these injuries could have been effectively managed in a manner that returned the patient to work quickly and resulted in minimal limitations and/or restrictions. Dr. Mitch Mally, an international speaker from Davenport, Iowa will share with attendees viable alternative options that can achieve early return-to-work, without invasive or medicated treatments and minimal-to-no-impairment. Attendees world-wide appreciate Dr. Mally’s enthusiasm, high energy, and content-rich presentations demonstrating his wealth of knowledge in effectively and affordably managing extremity injuries. 
    
12:00 – 1:00 pm    Lunch (on your own)
Purchase lunch in the Exhibit Hall. Visit the “Comp Time” Diner... grab & go, or sit and network with clients and exhibitors!


Pain Medicine Breakout

Presented by the Florida Society of Interventional Pain Physicians

    
1:00 – 3:00 pm    
Crystal Ballroom C                     
Convention Level
(Entrance to G2)
    
Moderator:
Sanford M. Silverman, MD
Medical Director and CEO
Comprehensive Pain Medicine
Pompano Beach, FL    
        
CDC Guidelines: Ramifications, Safe or Sorry?

Speaker:
Sanford M. Silverman, MD
Medical Director and CEO
Comprehensive Pain Medicine
Pompano Beach, FL

The opioid epidemic in the US has cost thousands of lives. According to a CDC report, enough opioid pain relievers were sold in 2010 to “medicate every adult in the United States with the equivalent of a typical dose of 5 mg of hydrocodone every 4 hours for 1 month.”
In 2016 the CDC developed “guidelines” for use of opioids in chronic non-cancer pain. Unfortunately, some insurers and regulators have taken these guidelines literally and integrated them into policy and law. Our first presentation will review the guidelines, the evidence-based medicine that was used to develop them, and discuss the positive and negative impacts on patients and society.
        
Post Operative Pain: Acute Pain and Prevention of Chronicity

Speaker:
Miguel de la Garza, MD, DABA, DAPM
Comprehensive Pain Management Partners
New Port Richey, FL

Persistent pain after elective surgery is common in workers’ compensation cases. In fact, recent studies show that 50% of joint surgery patients indicated continued serious pain levels and 35% of patients still used pain medications six months after surgery. This presentation will focus on prevention, treatment, and resolution of persistent pain after carpal tunnel, knee, and shoulder surgery. Literature evidence will be examined, best practice guidelines will be reviewed, and treatment plans will be recommended for the injured worker to return to gainful employment in spite of pain after surgery.
        
Surgical Versus Conservative Treatment of a Workers’ Compensation Injury
    
Speaker:
Jesse Lipnick, MD
Southeastern Rehabilitation Medicine
Gainesville, FL

Your patient injured his low back at work, and the MRI shows a disc herniation in the low back. The surgeon recommended a lumbar fusion. What do you do? In this session, we will examine the data - does the literature support a lumbar fusion or is it better to treat the patient conservatively? If so, for how long? Does the operated patient go back to work or does he become permanently disabled? What are the statistics? Is it worth the cost? What about the complications? If you examine the operated and the non-operated patient 3 years after the injury, can you tell the difference between results? Should a nerve injury be present before proceeding to surgery? Does the nerve injury need to be progressive or documented by electro-diagnostic testing? We will examine all of these questions and more in this exciting session.
        
Case Presentation: Workers’ Compensation Pain Management Disasters: How to Fix Them
    
Speaker:
Harold Cordner, MD
Florida Pain Management Associates
Sebastian, FL 

We all have those terrible cases of post-operative and pain management disasters. It is well documented that the longer a patient is out of work, the less likely they will return to the workforce. As a workers’ compensation case worker or adjuster, how do you get the complicated injury patient the right care and back to work? This presentation will examine several case studies, alternative treatment options, and discuss best practices and ODG guidelines. There will be audience participation, and the panel of experts will solicit questions from the audience.
    
3:00 – 3:10 pm    
Break


Occupational Medicine

Presented by the Florida Association of Occupational and Environmental Medicine

    
3:10 – 5:10 pm    
Crystal Ballroom C                     
Convention Level
(Entrance to G2)
    
3:10 – 5:10 pm    
Workers’ Compensation Experts: Employer Legal/Medical Open Forum 

    
Moderator:
Richard F. Johnson, MD, MPH, FACOEM
Medical Director
U.S. HealthWorks
Largo, FL
    
Panel:
Cori Repp, MD
Florida Regional Medical Director
U.S. HealthWorks
Bradenton, FL
    
Laura Pace
Team Leader
Publix Super Markets, Inc.
Lakeland, FL
    
Richard S. Thompson, Attorney
Vice President of Claims – Legal
The Zenith Insurance Company
Sarasota, FL

Utilization review, EMAs, guidelines, conferences, and causation headaches! Can’t I just treat the patient? A discussion of why there are so many cooks in your kitchen and how to manage them. Attend this “difficult case” analysis program where you will have the opportunity to have your cases discussed with two occupational doctors, a workers’ compensation lawyer and a risk manager from a large employer. Email your case or questions to rfjohnson@rfjohnsonmd.com ahead of the meeting so that the team can review and discuss them at the session.