| Prologue | p. vii |
| Introduction | p. ix |
| The History of Occupational Medicine | p. 1 |
| History | p. 1 |
| Early America | p. 2 |
| The Industrial Revolution | p. 3 |
| The Company Doctor | p. 5 |
| Board Recognition | p. 8 |
| The Workers' Compensation Environment | p. 11 |
| Laws | p. 11 |
| Compensation | p. 12 |
| Choice of Physician | p. 12 |
| Independent Medical Examinations | p. 13 |
| Mental Health Claims | p. 14 |
| Role of Insurance Companies | p. 14 |
| Medical Treatment | p. 14 |
| Quality of Medical Care | p. 15 |
| Costs | p. 16 |
| History | p. 17 |
| Problem Areas | p. 18 |
| Statistical Data | p. 19 |
| Fraud | p. 20 |
| Occupational Medicine | p. 21 |
| The Injured Worker and the Healthcare Professional | p. 23 |
| Patients | p. 23 |
| Background | p. 26 |
| Other Parties | p. 27 |
| The Workers' Compensation System | p. 28 |
| Goals | p. 28 |
| Modified Duty | p. 30 |
| Medication | p. 31 |
| Rehabilitation | p. 31 |
| Progress | p. 32 |
| Family Members | p. 33 |
| Supervisor | p. 34 |
| Case Manager | p. 34 |
| Practice Guidelines | p. 34 |
| Delayed Recovery | p. 35 |
| Patient Relations | p. 35 |
| Basic Interview | p. 36 |
| Return to Work | p. 39 |
| System | p. 39 |
| Stress of Injury | p. 40 |
| Disability | p. 41 |
| Chronic Pain | p. 43 |
| Theory | p. 45 |
| The Injured Worker and other Stakeholders | p. 47 |
| Statistics | p. 50 |
| Managed Care | p. 50 |
| Insurance Investigators | p. 52 |
| Insurance | p. 53 |
| Return to Work | p. 54 |
| Variables Contributing to the Cost of Injuries | p. 56 |
| Background | p. 56 |
| Emotional Disorders | p. 58 |
| Simulation Disorders | p. 60 |
| Diagnostic Studies | p. 60 |
| Rehabilitation | p. 61 |
| Litigation | p. 62 |
| Lost Productivity | p. 63 |
| Tertiary Gain | p. 63 |
| Chronic Pain | p. 64 |
| Fitness for Duty | p. 64 |
| Employer's Representative | p. 66 |
| The Supervisor | p. 67 |
| Insurance | p. 67 |
| Permanent Disability | p. 68 |
| Disability Awards | p. 70 |
| Summary | p. 73 |
| Quality of Care Issues | |
| Background | p. 74 |
| Program Variations | p. 74 |
| Standards | p. 75 |
| Past Analysis | p. 76 |
| Surveys | p. 77 |
| Other Practice Parameters | p. 83 |
| Ill-Defined Injury and Illness | p. 86 |
| Introduction | p. 87 |
| Emotional Pain | p. 88 |
| Personality Disorder Traits | p. 89 |
| Chronic Disability Syndromes | p. 90 |
| Definitions | p. 91 |
| Problem | p. 91 |
| Causation | p. 93 |
| Management | p. 94 |
| Chronic Pain | p. 95 |
| The Second Injury | p. 97 |
| Disorders of Simulation | p. 99 |
| Malingering | p. 99 |
| Compensation Neurosis | p. 104 |
| Factitious Disorders | p. 105 |
| Management of the Difficult Patient | p. 107 |
| Background | p. 107 |
| Malingering | p. 108 |
| Further Clues to Malingering | p. 111 |
| Non-organic Signs | p. 113 |
| Other Useful Tests in the Physical Examination | p. 115 |
| Other Useful Signs That Point to Non-organic Pain | p. 115 |
| Profile | p. 117 |
| Factitious Disorder | p. 117 |
| Somatoform Disorders | p. 119 |
| Compensation Neurosis | p. 121 |
| Strategy | p. 122 |
| Summary | p. 124 |
| The Corporate Medical Director | p. 127 |
| Functions | p. 127 |
| Roles | p. 128 |
| Effectiveness | p. 128 |
| Management | p. 129 |
| Competing Interests | p. 130 |
| The Scope of Occupational Medicine | p. 131 |
| Essential Components | p. 132 |
| Preventive Medicine | p. 132 |
| Environmental Medicine | p. 133 |
| Disability Management | p. 134 |
| Potential Solutions | p. 139 |
| Past History | p. 139 |
| Recommendations | p. 140 |
| Certified Medical Providers | p. 141 |
| Transform the Disability Award System | p. 142 |
| Employee Counseling | p. 143 |
| Supervisor Training | p. 144 |
| Summar | p. 145 |
| Case Histories | p. 150 |
| The dog bitten patient that became paralyzed | p. 150 |
| The dishonest laborer with a changing history | p. 151 |
| The warehouse worker with a hernia | p. 152 |
| A back injury with no pre-placement physical | p. 153 |
| The hotel worker claiming job stress | p. 154 |
| The parolee on a work program | p. 154 |
| The brain damaged patient accused of fraud | p. 155 |
| Head trauma patient accused of fraud | p. 157 |
| The worker sued the insurance company for malicious prosecution | p. 157 |
| Appendixes | p. 161 |
| Comparison of Payments Between the States Of the U.S. for Workers' Compensation Medical Services | p. 161 |
| Barkemeyer-Callon-Jones Malingering Detection Scale | p. 163 |
| References | p. 167 |
| Index | p. 179 |
| About the Author | p. 181 |
| Table of Contents provided by Rittenhouse. All Rights Reserved. |
