Examination / Treatment. As part of the analysis, examination, and treatment (“Care”), you are consenting to the following procedures, including but not limited to: Xxxxx Xxxxx, Postural Analysis, Range of Motion Testing, Basic Neurological Testing, Orthopedic Testing, Palpation, Radiographic Studies (including without limit studies performed at the end of your course of Care if deemed necessary or appropriate), Spinal Manipulative Therapy, Massage Therapy, Ultrasound, Hot/Cold Therapy, EMS, Laser Therapy, Spinal Decompression, and others not specifically listed. The risks inherent in Chiropractic Adjustments. As with any healthcare procedure, there are certain complications which may arise during Chiropractic Manipulation and Therapy. These complications include but are not limited to: fractures, disc injuries, dislocations, muscle strain, cervical myelopathy, costovertebral strains and separations, and xxxxx. Some types of manipulation of the neck have been associated with injuries to the arteries in the neck leading to or contributing to serious complications including without limit stroke. Some patients will feel some stiffness and soreness following the first few days of treatment. Our Doctors will make every reasonable effort during the examination to screen for contraindications to care; however, if you have a condition that would otherwise not come to the Doctors attention it is your responsibility to inform the Doctors. The probability of those risks occurring. Fractures are rare occurrences and generally result from some underlying weakness of the bone which we check for during the taking of your history and during examination and X-ray. Stroke and/or arterial dissection caused by Chiropractic Manipulation of the neck has been the subject of ongoing medical research and debate. The most current research on the topic is inconclusive as to a specific incident of this complication occurring. If there is a causal relationship at all it is extremely rare and remote. Unfortunately, there is no recognized screening procedure to identify patients with neck pain who are at risk of arterial stroke. The availability and nature of other treatment options. Other treatment options for your condition may include: • Self-administered, over-the-counter analgesics and rest • Medical care and prescription drugs such as anti-inflammatory, muscle relaxants and pain-killers • Hospitalization
Examination / Treatment. An Employee so absent from duty shall be entitled to examination and treatment by a physician of their own choice, and may be examined from time to time by a City physician, at City expense, upon direction of the Chief. The employee's physician shall be afforded full opportunity to consult with the City's physician as to the employee's fitness to resume fire fighter duty. If the employee's physician and the City physician disagree as to such "fitness", they shall thereupon jointly designate a physician agreeable to both who, at the City's expense, shall examine the employee and render a written medical opinion as to the employee's fitness, copies of which shall be transmitted by the employee to both the City physician and the employee's own physician. In the event of their inability to agree upon a third physician, a physician shall be jointly selected by them from a list or panel of physicians established or suggested by the Commissioner of Public Health of the Commonwealth of Massachusetts in cooperation with the parties hereto, upon which event such physician, at the City's expense, shall so examine the employee and render his/her opinion as aforesaid. Pending receipt of such opinion, the City shall not require the employee to return to duty and shall continue to fully compensate him/her on paid injured leave for lost time due to any such absence. It is understood that "sickness" as used herein means sickness incurred in the line of duty resulting in paid injured leave. If the third physician determines that the employee is not fit to return to duty, the employee shall be continued on paid injured leave. If the third physician determines that the employee is fit to return to full duty or fit to return to limited duty, the employee shall no longer be continued on paid injured leave. The opinion of the third physician shall be final and binding on the parties. His/her determination shall not be subject to the grievance/arbitration provisions of this Agreement. No injured leave benefits shall be granted for any period after an employee has retired, or been pensioned in accordance with law or for any period after a physician, jointly designated as above set forth, determines that his/her incapacity (as set forth in section 1) no longer exists for full duty.
Examination / Treatment. Such employee shall be entitled to examination and treatment by a physician of his own choice, and may be examined by a City physician upon direction of the City Manager. If absent on sick leave, such employee may be examined by a City physician pursuant to the provisions of Article 20, Section 2 of this Agreement. The employee's physician shall be afforded full opportunity to consult with the City's physician as to the employee's fitness to resume police duty. If the employee's physician and the City physician disagree as to such "fitness" either to return to full, or after three (3) months' absence on sick or injured leave, limited duty, the following procedure shall be employed:
Examination / Treatment. An employee claiming paid injured leave benefits hereunder shall be entitled to examination and treatment by a medical provider of his/her own choice and may be examined by a physician selected, and paid for, by the City. An employee's medical provider shall be afforded full opportunity to consult with the City physician prior to any determination by such City physician as to such employee's fitness to resume either full duty or, after more than sixty (60) consecutive days on paid injured leave, limited duty. If an employee's medical provider and the City physician disagree as to such fitness, they shall thereupon jointly designate a physician agreeable to both, who, at City expense, shall examine such employee and render an advisory medical opinion as to his/her fitness to return to duty. Copies of such advisory medical opinion shall be transmitted by the examining physician to the City, the City's physician, the employee and the employee's medical provider. If an employee's medical provider and the City physician are unable to agree upon a third physician, a physician shall be jointly selected by them from a list or panel of physicians established or suggested by the Massachusetts Commissioner of Public Health, in cooperation with the parties hereto, upon which event such physician, at City expense, shall examine such employee and render an advisory medical opinion as aforesaid. Pending receipt of such advisory medical opinion and action of the City physician thereupon, the City shall not require such employee to return to duty and shall continue to compensate him/her on paid injured leave for lost time due to any such absence. If the third physician determines that an employee is not fit to return to full duty, such employee shall be continued on paid injured leave. If, after an employee has been on paid injured leave for more than sixty
