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IME & Expert Witness Services

Author: Kevin Trangle & Associates

Risk of Cipro-Induced Achilles Tendinopathy and Rupture

Achilles tendinopathy is considered an overuse syndrome from excessive loading of the tendon during vigorous training activity. Possible mechanical causes include poor gastrocnemius-soleus flexibility, low-flexibility shoes, muscle fatigue resulting in tendon elongation, and micro-tearing. Achilles tendon rupture (ATR) is a condition that manifests as a complete or partial rupture of

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Occupational Asthma

To be diagnosed with occupational asthma, several criteria have to be met. First of all, the individual must have an exposure at the workplace to specific agents that cause the employee to have an asthmatic reaction. It should be an exposure that is unique to the workplace, specific at the

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Indoor Mold-Related Illness

The issue of mold-related health problems, and in particular Stachybotrys (“black mold”), is a controversial one. There are known health effects that can result from exposure to certain molds, a form of fungi, such as Aspergillus, which is known to occasionally cause respiratory symptoms. The generalized and often popularized “toxic

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Discussion on Metal Working Fluid Exposure Limits

Inhalation of Metal Working Fluid (MWF) mists that exceed OSHA levels can cause irritation of the lungs, throat and nose.  Irritation may affect upper respiratory areas including nose, throat, oral pharynx, lungs, and bronchi.  Symptoms reported after inhalation can include sore throat, red and watery eyes, itchy eyes, runny nose

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Discussion on Laryngeal Cancer

The larynx is the organ of voice production. It is the part of the respiratory tract between the pharynx and the trachea. It consists of a framework of cartilages and elastic membranes housing the vocal folds and the muscles, which control the position and tension of these elements. The epithelium

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Arylamines In The Development of Bladder Cancer

Review of Literature and Status of Arylamines In The Development of Bladder Cancer Bladder cancer accounts for the 11th most common cancer worldwide. (1) It was the first cancer to be identified as being associated with occupational exposure when in 1895 Dr. Ludwig Rehn reported on bladder cancer in German

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Discussion on Heroin and its Effects

Heroin (diacetylmorphine) is a semisynthetic narcotic that was first synthesized in 1874. It was originally marketed as a safer, non-addictive substitute to morphine. Soon after its introduction, heroin was realized to be clearly as addictive as morphine, prompting the US government to institute measures to control its use. By 1914,

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Components of a Life Care Plan

A Life Care Plan is a document that projects the future costs of medical goods and services, medications, or other necessary requirements for a catastrophically injured or ill patient. Life Care Plans are created after a team of specialists completes comprehensive assessments, data analysis, and research.

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Orthopedic Cases – Prolotherapy

Prolotherapy is a form of non-surgical ligament reconstruction, and is also claimed to be a permanent treatment for chronic pain. Prolotherapy involves injecting a solution to stimulate the growth of new cells to heal painful areas. Ligaments are the most common sites for injection, although muscles and tendons can also be treated. This procedure lacks efficient and convincing evidence, and is generally not covered by insurance companies.

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