Arrrrgh!

My computer is still out of service. Maybe I'll just buy a new one. Thank goodness for the iPhone!

I just had an interesting talk w my SP. I had anpatoent the other day with a pretty obvious MCL tear, probably grade 2. Before he came to me he had been to the ED and had spoken to his supervisor and both told him he NEEDED an MRI and probably surgery. Through my training I know that regardless of what an MRI might show, the treatment for a torn MCL or a sprained MCL is the same. The almost never need surgery and almost always heal on their own. I explained this him as well as the need to reduce the effusion in his knee before an MRI should be obtained. I thought I had his buy in on the treatment plan. Well he called later that day to cancel his PT and follow up here for a second opinion elsewhere. I was informed By my SP that his employer wanted an MRI stat and that in most cases if the employer is willing to take the hit on their workers comp insurance they can have whatever studies they want, even if all medical guidelines indicate otherwise. So now I have been told by my SP to ignore my training and provide whatever studies this employer wants even if it isn't warranted. I feel like a burger king employee again - you can have it your way.