Employee was knocked unconscious during the assault and was taken to Barnes Jewish Hospital. She was treated there for three fractures to her skull, three fractures to her right wrist (employee is right-handed), and a perforated right eardrum. She stayed the night at the hospital, and later returned for follow-up treatment and surgery on her wrist.
Employee testified that she has several lingering effects from her injuries. With regards to her right wrist, employee testified that she experiences pain in it when the weather changes. Employee also stated that she feels a pressure on her wrist when she lifts heavy things. Employee also stated that the injury caused her to lose full range of motion in her wrist. With regards to employee's head injuries, she testified that she has constant
Improvee: Jessica Brame
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ringing in her ear and experiences headaches more often than she ever did before the assault.
Dr. Musich, at the request of employee's attorney, performed an independent medical evaluation on employee. Dr. Musich noted that employee complained of frequent right-sided headaches and tinnitus status post trauma. Employee complained that the tinnitus is uncontrollable and totally incapacitating. Dr. Musich noted subjective hearing loss, right greater than left. Employee related that she had never suffered from headaches, a skull fracture, tinnitus, or hearing loss prior to October of 2005.
With regards to employee's right wrist, Dr. Musich noted that employee had some diminished range of motion in her wrist. On physical examination, employee's maximum right hand grip strength was 58 lbs. with radial wrist pain. Employee's maximum left hand grip strength was 76 lbs. without pain.
Dr. Musich opined that employee is 35% permanently partially disabled of the right upper extremity rated at the wrist (61.25 weeks), and 25% permanently partially disabled of the body as a whole due to the closed head fracture, right temporal bone fracture, chronic tinnitus, hearing loss, and headaches (100 weeks).
Employer sent employee to Dr. Wayne for an independent medical evaluation. Dr. Wayne noted that employee complained of headaches, constant ringing in her right ear, and has been more irritable ever since the injury. The headaches last 1-2 hours at a time and usually resolve with taking Excedrin. On physical examination, Dr. Wayne noted some degree of diminished hearing in employee's right ear.
Dr. Wayne does not believe that employee sustained any significant ongoing sequelae or any evidence of persistent post-concussion syndrome.
Dr. Wayne noted, with regards to employee's right wrist, that the orthopedic follow-up notes indicate she has been making a good recovery. Employee has had extensive hand therapy and Dr. Wayne believes she would benefit from continued home exercises and stretches to maximize her range of motion at the wrist and to also maximize her strength.
Dr. Wayne opined that employee is 5% permanently partially disabled of the right upper extremity rated at the wrist (8.75 weeks). Dr. Wayne further opined that he would defer to the opinion of an ENT specialist with regards to any permanency regarding her tympanic membrane perforation and possible ongoing issues with her hearing. Dr. Wayne does not believe employee sustained any permanency in regards to the concussion she sustained, nor did she sustain any permanency in regards to the right temporal bone fracture.
Employer also sent employee to Dr. Mikulec for the purpose of evaluating employee's complaints of hearing loss and tinnitus. Dr. Mikulec opined that employee had 0% hearing loss in both her right and left ears. Dr. Mikulec opined that due to employee's tinnitus in her right ear employee is 0.5% permanent partially disabled of the body as a whole rated at her right ear (2 weeks).