www.hsba.org/Legal_Research/Hawaii/dlir/members/2002-12 -
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Published on: 12/9/2002
Last Visited: 10/24/2006
Claimant was then transferred to Wilcox Memorial Hospital emergency room that same day and was seen by Dr. Thomas Williamson, a family practitioner who had treated Claimant in the past.According to Dr. Williamson's report dated October 4, 2000, Claimant struck her forehead on a toilet paper dispenser, but did not lose consciousness from the trauma.Dr. Williamson noted that Claimant's complaints at the time of the examination included weakness, headache, dizziness, and some neck pain, which she stated was improving.Examination of her head revealed a small 1 centimeter scratch between her eyes where she struck the toilet paper dispenser.There was no redness or discharge, and the scratch was not open.Dr. Williamson noted during the examination that Claimant appeared to have slow mentation and slow initiation of movement.Dr. Williamson diagnosed post-concussion syndrome.He admitted Claimant for observation and referred her to Dr. Elizabeth Bjornskov, a neurologist, for a neurology consultation.While in the hospital, Claimant underwent an electrocardiogram or EKG, which was normal.5.Claimant saw Dr. Bjornskov on October 4, 2000, at Dr. Williamson's request.
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In Dr. Williamson's discharge summary, he stated for the first time that he believed that Claimant may have "passed out" after striking her head.Dr. Williamson gave no reason or basis for this statement, which contradicted his earlier report on October 4, 2000.Dr. Williamson further stated that Claimant was given physical therapy and started on the medication Zoloft during her hospitalization.Dr. Williamson reported that Claimant was feeling better and, except for a little weakness, she had improved overall.Given the normal CT scan, normal MRI scan, and normal EKG, Dr. Williamson felt that Claimant was well enough to go home.Dr. Williamson's discharge diagnosis was post- concussion syndrome.Second Hospitalization 8.On October 11, 2000, Claimant returned to Dr. Williamson for worsening symptoms of dizziness, weakness, and new symptoms of nausea, double vision, vomiting, and vertigo.At this visit, Dr. Williamson reported that it now seemed that Claimant was probably unconscious for a little while after the incident even though she initially denied losing consciousness from her fall.Dr. Williamson again gave no reason or basis for this statement, which contradicted his initial October 4, 2000 report.Upon examination, Dr. Williamson found that the scratch on Claimant's forehead was healing, that she was still mentally slow, and that she lacked muscle coordination, which he identified as ataxia.A neurological exam revealed a finding of left lateral nystagmus in the eye that was not present in previous examinations.Dr. Williamson re-admitted Claimant to the hospital for further diagnostic work-up. 9.Upon referral by Dr. Williamson, Dr. Bjornskov evaluated Claimant on October 11, 2000.