The Independent Medical Exam

For those who have not had the joy of doing an independent medical exam,  I thought I would share this.  The following is from a long time friend of the Placebo Journal and Authentic Medicine Gazette:
I performed an Independent Medical Exam. Please note the word “independent”. The intermediary company sent over a thousand pages of records, namely the chart three times. I had to review all the pages because there were things included the second and third times not included the first time. I noted that I reviewed over a thousand pages, examined the patient, wrote the report and sent it to The Company.
Then the fun began. I use the word loosely.
The Company demanded that I remove that I reviewed a thousand pages because the chart was only 380 pages. I refused because they sent the chart three times and I had to review all the pages.
The Client that contracted The Company then started Their Demands. At first it was typos.
Then More Fun began. They wanted to change the composition of The Independent Medical Exam.
I told them that if they continued Their Demands, I would document that they wanted to change The Independent Medical Exam and submit it to the opposing lawyer, who would love it.
The Demands stopped. Now they have started Death by Clarification Letter.
They asked if need for amputation was directly related to the alleged injury. I said no, the need for amputation was not directly related to the alleged injury.
Next Death by Clarification Letter: Our client prefers not just a sentence, but paragraphs and wants to know if the need for amputation is partially related to the alleged injury.
I was tempted to write: Did I not use small enough words for Your Client? Because by the English language, if something is not directly related, it cannot be partially related.
You and I know that they meant indirectly related, but now I was pissed. My office manager would not let me use the above language. So I wrote that it was not partially related BUT I wrote on the FAX cover letter:
“Did I not use small enough words for your client? I am beyond irritation and I am now amused.”
Ah….the joys of medicine.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “The Independent Medical Exam

  1. Philip
    May 2, 2013 at 12:34 am

    Can you bill them for additional work?

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