W*******n
发帖数: 4140 | 1 【The following file was given by me to some physicians, including Dr.
Robert S. April on my Nov. 08, 2019 visit. A very similar file was given to
a treating physician, Dr. Mehrdad Golzad. An earlier version was provided to
NYS Workers' Compensation Board and the WC insurance adjuster Ms. Lisa
White in June 2019. Almost nobody cares. Medical readers can understand why
the deniers want to wipe Neck off the established list of established injury
sites, because the Neck was seriously injured during the Jan. 16, 2018
workplace fall and its trauma contributes to the tetraplegia.】
Patient’s Own Statements on the Falling and on the Recent Symptoms
Limin Wang (Injured Worker and Patient)
August 7, 2019
How and When the Falling Happened
I had been working for the direct employer B.Q. Wide Auto Body Parts Supply,
Inc. (109-35 178th Street, Jamaica, NY 11433) consecutively for two years
and five months. My job there was basically the entry-level hard-laborer
almost always hurrying in moving auto body parts, as far as routinely
bending for the ground-level deep pockets to reaching for the top-shelf
close to the ceiling, which I estimate to be ~ 20 ft, across the big (>200
ft x 250 ft) warehouse. That job put a very high demand to my whole
musculoskeletal system and my nervous system. Since Jan. 15, 2018, I was
switched to a different job at the
same warehouse, and such a switch is a routine management operation there
for entry level hard-laborers. Jan. 15, 2018, I found that the 8-ft
Louisville aluminum stepladder (i.e., it opens to form a standing in-depth A
shape) involved in the next day’s fall incident was already strangely
broken at least with its right metal bracelet disconnected from the front
rail. That broken stepladder put at there was supposed to be used
exclusively by me on my new task, and I used it several times since. On the
date of accident, Jan. 16,
2018, ~11:05 a.m., I had to use that broken 8-ft stepladder to stock a
fender to a height of 11 ft 8 in (which I measured at a later day) onto a
shelf and a pile of fenders already there. When my feet were at a top metal
step (absolutely not the very top plastic space, and I say “a top”, not “
the top”), the ladder started to tilt to its right. I then reached my left
hand to grab the shelf to the left. I am not sure of which level of the
shelf, but it should never
be an overhead level. My body was falling and my right hand was still
holding the fender which was about 10 lbs. My body was spinning for a 180-
degree rotation to avoid my face being ruined by the shelves and stocked
parts, including the automobile hoods stocked on the ground level. When my
left arm was stretched to its limit, the body falling was suddenly stopped,
and I felt my head and neck had a hyperflexion, toward the end of which I
had a split second of total loss of consciousness. When the consciousness
came back, I sensed my head and neck was still in the process of
hyperextension. During the falling, I made a loud distress scream and then
heard a loud metal-banging sound. My left hand lost grip and I then fell
further with my feet onto the ground and my back against the auto hoods on
the ground level. I lost the holding to the fender during falling, which
includes motions of vertical acceleration-deceleration compression, sideway
jerking, whiplash, and rotation, particularly to my head, neck, up and low
back. My glasses were picked up from the ground, with small cracks on both
lenses then. I felt very dazed in the immediate afterward. Minutes later, I
reported the falling to the warehouse manager Mr. Benny Fang. Mr. Fang was
simply eager to urge me to get rid of the broken stepladder. I didn’t
follow it to remove the evidence. Mr. Fang soon left early from work for the
day and later answered that he didn’t know how to deal with work injury or
the workers’ compensation path. To my understanding, Mr. Fang is a years-
long manager and the employer is a decades-old business. I left early on the
Date Of Injury (DOI, Jan. 16, 2018) to find out what is the right venue of
medical evaluation and treatment for my soon exacerbated symptoms. On Jan.
20, 2018, Saturday, I submitted the written report of this falling incident
to the store manager Simon Y. (I forget Simon’s full last name.) It was in
his surveillance room, and I expressed my needs for the workers’
compensation. Simon then and there agreed to go the workers’ compensation
proceeding.
My Symptoms of Recent Months
The traumatic sequelae have deteriorated and expanded. To my own current
understanding, the central nervous system (CNS, head and spine) controls the
whole body, and the trauma to the CNS leads to the direct/primary sequelae
on it and the indirect/secondary sequelae on other body sites and systems. A
living human being is a dynamic metabolic system. What’s unfortunate to me
is that my health has not recovered as expected, instead, has deteriorated.
To my very limited knowledge of medicine and my old scans data, the
deterioration could have been well specified and explained. I need the
follow-up proper diagnosis, recovery, and compensation, please.
My symptoms of the recent months are presented in three large categories: 1)
physiological, 2) cognitive, 3) emotional and behavioral.
1) Physiological Symptoms
1a) Head/Brain
The headache is constant, has long become all over the head, many times goes
with some sense of dumbness/numbness, and varies from at a moderate to
severe degree. There have been tens of times of severe headaches each of
which last a day or two, and during which I had little appetite, intense
nausea, and great difficulty in falling asleep. The headache manifests in a
variety of forms. The constant headache may be described as dull, tightening
, numb and dumb. The episodic headache which can vary from moments to days
presents sometimes as warm acute pain, sometimes as throbbing pain, and
sometimes as ring-rippling around the head, etc. Also, there is constant
faintness/dizziness varying from mild to severe degree. Up to a daily basis,
there are episodes of drowsiness which can happen irregularly any time of
the day. The sleeping pattern has become irregular too. Unpredictable
episodes of extra headache at local areas or all over the head happen almost
all the time. The local area can be around the frontal, parietal, temporal,
occipital lobes, cerebellum, brain stem, or craniovertebral junction area.
These extra headaches usually come to one or two local areas and it may not
be symmetrical. Also, pulses of extra faintness (syncope) can happen any
time, during walking, standing, or even lying down awake.
1b) Senses on the Head
The scalp sometimes feels painful, and more often some kind of numbness. The
whole face has become numb, particularly when the facial muscles actively
move around, and particularly around my mouth. The whole set of teeth have
long since had some mixed sensation of numbness, tingling and pain. The
teeth crunching motion makes such sensation more obvious. Additionally,
there are bouts of acute pain on the whole set of teeth and around the
temporomandibular joints.
The eyes always feel tired or some kind of pain, and sometimes have blurred
vision, or have the sense that the walking ground is gently rippling, or see
brown floating patches. Quite often, I find out that my eyes have
accommodation difficulty, e.g., they can not quickly adjust the focusing as
usual when the view is switched from the TV to the phone or vice versa. The
eyes have also become hypersensitive to the sudden change of light intensity
, e.g., when I come from indoor to sunlight bright outdoor or vice versa.
Such momentary hypersensitivity also brings extra momentary intense
dizziness. During the May 03, 2019, Friday cognitive evaluation at New York
City Medical & Neurological Offices, P.C. (91-31 Queens Blvd, Suite 611,
Elmhurst, NY 11373. Tel: (718) 454-2222), my eyes experienced minutes of
pain with tears and vision difficulty. The black background and the quick
flashing of intense white or bright colors on the computer screen exposed
part of the eyes problem. I mentioned it to Dr. Chiyoko Kobayashi Frank who
was giving me the neuropsychological evaluation. At other occasions, there
appear some moments of partial vision opaqueness in part of either one or
both eyes’ view field. Such partial vision opaqueness is found more often
at getting-up and afterwards for some time. One time at night, one side of
my head-back had pulses of acute ache, and one eye meanwhile resonated with
pulses of such opaqueness.
The acuity of my hearing and smelling (olfaction) has diminished. Quite
often, I need to ask for a volume raise, and I do not easily sense the
supposedly intense foul smell. Nonetheless, I become more sensitive to
sensed noise and smell (real or hallucinated). Sometimes, family members
answer me that they do not sense such. Also, momentary ear ringing (tinnitus
) has happened several times since DOI. My tongue tip has begun to
constantly feel somewhat numb and tingling (paresthesia), and occasionally
the whole tongue has paresthesia.
1c) Spine (Cervical, Thoracic, Lumbar, Sacral, Coccygeal)
The cervical spine later has more frequent episodes of up to moderate or
even severe level of neck pain and stiffness, beyond the constant mild to
moderate pain. Such episodes have developed to daily frequency and each
appears to start suddenly and lasts for as long as most of the awake time,
ranging from the posterior to the two laterals. The neck pain and stiffness
usually do not show up on all subareas all at one time. The moderate to
severe pain and stiffness on the left lateral aspect of neck happens a lot
oftener and each stays a lot longer, and stretches from the left frontal-
parietal-occipital head area down to the left shoulder-top, and horizontally
to the left posterior of the neck and the neck-torso junction. At quietness
, gently rotating my head left or right generates dull clicking/friction
noise audible to my ears. Some circumstances, such audible noise from neck
rotation is more obvious. Also, when I make empty swallow motion, I feel
something slightly swollen at the back of the upper throat. The left-side
shoulder top has presented the constant moderate to severe pain, while the
right-side counterpart has pain but of less severity and frequency.
The low back (lumbar spine and its broad bilateral area) has often shown
moderate to severe symmetric pain, which usually lasts from getting-up to
lying-down and may not always be alleviated by lying-down. Sometimes, the
pain on the broad lumbar back is so severe that it bothers me from falling
asleep or getting up on bed. The thoracic, sacral, and coccygeal spine
segments and adjacent areas occasionally have mild to moderate ache, which
can be sharp or dull, broad or spotty, on the spine or off, bilateral or
unilateral, long-lasting or temporary. The sacral and coccygeal area often
some kind of tingling sensation.
1d) Torso’s Front and Inside
The whole chest’s front wall has developed constant pain, which has become
severer and is probably described properly as burning-like. The breathing
has often gone with hyperventilation even at rest before and during the
manifest. While my daily routine activity has taken the slow, gentle, and
light mode, it easily exacerbates the hyperventilation. The respiration also
goes with mild to moderate pain, and the pain stays when I momentarily hold
my breath.
Since DOI, the heart has almost daily shown situations, sometimes so severe
that I am so frightened that I may die suddenly. I have to stress here that
I did NOT have heart health situation before the DOI of Jan. 16, 2018. The
heart situation varies from violent tearing or searing ache, sharp ache,
dull ache, palpitation, pulsation, tightness, arrhythmia, etc, and was
aggravated by the medications prescribed in this case, and stays after I
initiated and decided myself to stop continuing the medications. However,
the measured blood pressure and heart rate were often shown normal, but the
headache and faintness absolutely existed at those measurement moments, and
sometimes while the heart had the acute ache.
The appetite is generally not affected too much, but it does diminish
somewhat over the time, and especially obvious when the headache gets severe
. At such episodes, the nausea is strong, but without vomiting. There are
periods I have diarrhea-like situation. Other periods of weeks, I feel wet
at my penis opening which is actually not leaking. Since DOI, the penis
erection difficulty has started and become more as a “norm”. The nuts-bag
(scrotum) has the constant paresthesia of some numbness.
1e) Extremities (Upper and Lower Limbs)
Since DOI, the upper and lower extremities of the left-side have not really
got better. On the contrary, the health problem has extended to more sites
on the left side and expanded to the right side. All four limbs have shown
daily fluctuation from as-if normal health to severe symptoms, on sites of
upper arms, elbows, forearms, wrists, hands (all ten digits, the handbacks,
and thenars, hypothenars, and palms), butt, thighs, knees, lower legs,
ankles, and feet. The ache on the extremities usually does not all show up
at the same time, or with the mirror symmetry between the left and right
sides about the location, duration and severity. For example, the left hand
has constant ache and paresthesia since DOI and gets worse, but the right
hand has later developed and reached the mirror symptoms. The right wrist
and right ankle currently have severer, longer, and more frequent ache than
the left counterparts. The left upper arm, left elbow, left forearm, and
left knee show the opposite comparison to their right counterparts. The
soles, particularly the balls and around, have the constant paresthesia,
some mix of numbness and tingling, which occasionally goes to sharp pain and
seriously bothers the walking. The heals show sudden and momentary sharp
piercing ache occasionally.
1f) Whole Body Together
Ache is not the only obvious symptom of the affected musculoskeletal system.
Accompanying symptoms include joints stiffness, muscle tightness, muscle
fatigue, muscle trembling, loss of fine coordination, loss of steadiness,
and loss of balance. Sometimes, the whole body simply has the extreme
fatigue, while the leg muscles even feel trembling while standing, breathing
is heavy, fast, hot, and dry, heart tightens up or palpitates, and the mind
is in a kind of trance state. Sometimes, the sporadic drowsiness comes, and
I have to lie down like a half-dying person. Sometimes, the heart-attack-
like goes so violent or sharp that I am frightened of sudden death. Still
other times, severe headache goes together with whole body ache, loss of
appetite, sense of nausea, hyperventilation, and difficulty in falling
asleep. Some postures and activities such as momentarily bending low and
forward or squatting or continuously having light-duty physical (such as
grocery shopping) or moderate-duty mental activities (such as a session of
cognitive therapy or evaluation) directly exasperate the symptoms like
headache, faintness, drowsiness, and bodyache. The aches on the four limbs
have gradually expanded from the distal over to the proximal ends.
2) Cognitive Symptoms
The traumatic brain injury has caused quite significant degeneration of my
cognitive function. Before the DOI, I was excellent at book learning and
creative in scientific research. After the Jan. 16, 2018 injury, I have
gradually found that many things previously routine or easy have become so
disturbingly challenging to me. It now becomes often difficult for me to
understand complex new things, even to comprehend some complex sentences in
common words (such as some law sentences) or to remember a new procedure of
multiple steps. Quite often, my mind can not settle down, concentrate, and
proceed. In other words, the mental process either does not start or often
gets stalled. The attention lapses involuntarily happen. Sometimes, even my
mind keeps warning myself to pay attention, but the signals are only signals
not being processed into understood information. At home, a simple word
spoken by my teenage children may require them to repeat multiple times for
me to finally match a word in my mind and to turn it into some (mis)
understanding. The relatively usual events in my everyday life leave very
little, blurry, and light memory with me, if any. For example, when, where I
did what very recently, if recallable, may take me a long processing time
and many helping clues to recall. Some examples of memory loss here: 1) I
may be so confused of whether I already added ingredient like salt to the
food preparation a short moment ago; 2) I may forget the item for which I
shuffled my feet from the other room to here just seconds ago; 3) for a
previously routine and easy errand outside, I may remember suddenly that I
have forgotten to bring this or that, so sometimes I need to go back and
forth to get ready. Beyond the mental process difficulty and memory loss,
the capacity of planning and execution is found impaired too. So many things
appear to be too difficult for me to cope with now, such as this injury
case which I know are important and to which I don’t intend to add any
extra difficulty from my side, or such as keeping my own personal items
organized.
3) Emotional and Behavioral Symptoms
My health deterioration and this case’s complexities are the main causes of
my current emotional and behavioral disorders. These secondary symptoms
include restlessness, anxiety, depression, impulsiveness, fury, hysteria,
recklessness, mood swing, etc. Many important or enjoyable things I have
well-tended before the injury are pretty much off my reach now. To my
understanding of some evidence and experiences, my sustained injuries were
caused by a premeditated murder attempt veiled as a work accident on my life
. The workers’ compensation system claims to be a no-fault system and stops
short of finding out the underlying real cause, but I think many other
parties in this injury case have been somewhat and somehow delaying or
denying the justice and recovery owed to me by “finding” various “faults
” on me. Since the Jan. 16, 2018 injury, and the subsequent treatments, my
health has actually deteriorated, but so many parties want to say and do the
disservice. While I actively seek for recovery and truth, many other
parties’ purposes and behaviors are to put the blames on me, cover things
up, twist things up, wrap this case up, and let me die off before their
burial of the truth. | W*******n
发帖数: 4140 | 2 The main text is an old file, drafted in June 2019, revised in Aug 2019, and
posted here today.
to
to
why
injury
【在 W*******n 的大作中提到】
: 【The following file was given by me to some physicians, including Dr.
: Robert S. April on my Nov. 08, 2019 visit. A very similar file was given to
: a treating physician, Dr. Mehrdad Golzad. An earlier version was provided to
: NYS Workers' Compensation Board and the WC insurance adjuster Ms. Lisa
: White in June 2019. Almost nobody cares. Medical readers can understand why
: the deniers want to wipe Neck off the established list of established injury
: sites, because the Neck was seriously injured during the Jan. 16, 2018
: workplace fall and its trauma contributes to the tetraplegia.】
: Patient’s Own Statements on the Falling and on the Recent Symptoms
: Limin Wang (Injured Worker and Patient)
|
|
