It is not uncommon for the employer, represented by the workers' compensation caseworker, or you as the employee, to become unhappy with the lack of medical progress while undergoing treatment for the work injury. In this case, you or the caseworker may request a second opinion by another orthopedic hand surgery specialist. A second opinion is a visit to a physician other than the one a patient is currently seeing to get a differing point-of-view. Having confidence in your surgeon and the treatment plan plays a crucial part in healing.
In workers compensation, the most frequent reasons for getting a second opinion are:
Current treatment is not working
Misdiagnosis of hand, wrist, and elbow conditions
Unsure if the non-surgical or surgical treatment is appropriate
Dissatisfaction with impairment rating or work restrictions
Poor physician-patient communication
It is beneficial but not necessary that you bring to your visit any medical records and studies (X-ray, MRI, CT, nerve studies) with reports on your current condition.
I will ask you about your symptoms and any prior diagnoses during your visit, examine and explain your condition, and discuss potential non-surgical and surgical treatment options. You should leave my office with a clear understanding of the opinion, whether or not it agrees with the recommendations of the first physician. If you have any questions or concerns at any time, I encourage you to bring them up during our discussion.
I will examine you; however, I will not perform X-rays or other studies. I do not provide treatment to patients seeking a second opinion to avoid any perceived conflict of interest while giving a second opinion.
If you would like to schedule a second opinion appointment, please call our workers' compensation liaison at (402) 390-4111. In addition, visit the New Patient section for downloadable forms and instructions, which you can bring to your visit.