On 9/9/16 I met Mr. Russell at the Covenant Occupational Medicine clinic. He arrived alone. He is alert and oriented. Mr. Russell is cooperative and open to working with a nurse case manager.
Mr. Russell said he was working laying 12 inch blocks. He said he had one at his feet bending over and picking them up. He reported that he has to twist and that the ground was uneven. He said he felt a pain in his low back. He reported to his supervisor. He was taken to the Covenant …show more content…
Russell reported he smokes, he was educated on smoking and spine health. He denies drug use and only occasional alcohol use.
Mr. Russell graduated from high school in 1977.
1. Place of Employment: McMath Masonry Inc.
• Job Title: Bricklayer
• Start date: February 2007 Stop date: current
• Hours per week: 40 hours per week
• Job requirements and physical demands: Climbing, carry, bend, twist, reach, push, pull, walk on uneven surfaces, and walk on scaffolding.
CURRENT EMPLOYER CONTACT INFORMATION
I spoke with Shannon Jacoby on 9/8/16, and also provided an update after the appointment on 9/9/16.
WORKERS’ COMPENSATION HISTORY
Mr. Russell did not think he had any other prior work injuries.
Mr. Russell said he has a very supportive family and they have given him additional support.
Emergency Contact – Mr. Russell is a widower and denied an emergency contact.
Height: 5 foot 10 inches
Weight: 169 lbs
Dominant hand: right
CLIENT’S FUTURE PLANS
Mr. Russell said he would like to return to work.
CONSENT/EXPLANATION OF CASE