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IME & Expert Witness Services

Category: Occupational Medicine

Discussion on Etiology & Natural History of Rotator Cuff Tears:

Rotator cuff pathology can be caused by extrinsic or intrinsic causes. Extrinsic examples include a traumatic tear in tendons from a fall or accident. Overuse injuries from repetitive lifting, pushing, pulling, or throwing are also extrinsic in nature. Intrinsic factors include poor blood supply, normal attrition or degeneration with aging,

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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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Alternative Specimens – Drug Testing

Drug use in the workplace continues to be a problem in the United States, as large numbers of illegal drug users pose a danger to themselves and others. The most common technique for detecting drug use in the workplace is urine drug testing. Problems with this technique include the lack of long-term drug detection and the inability to correlate test results with impairment. Other specimens for drug testing include saliva, hair, and sweat.

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Organic Solvent-induced Neurotoxicity

Organic solvents are a chemical class of compounds that are used routinely in commercial industries. These compounds exist in liquid form at room temperature, and are useful because they can dissolve fats, oils, resins, rubbers, and plastics. Short-term, high level exposure to these compounds can result in reversible and irreversible health effects. Studies have demonstrated that some effects can persist for months to years after employees are removed from the area with solvent exposure.

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