Guest guest Posted April 20, 2008 Report Share Posted April 20, 2008 So now ACOEM is claiming THEY are the victims of industry? GIVE ME A BREAK! _http://www.redorbit.com/news/health/1349381/doctors_feel_push_to_downplay_inj uries_group_tells_osha_of/index.html?source=r_health_ (http://www.redorbit.com/news/health/1349381/doctors_feel_push_to_downplay_injur\ ies_group_tells_osha_o f/index.html?source=r_health) Doctors Feel Push to Downplay Injuries: Group Tells OSHA of Pressure By Companies Posted on: Saturday, 19 April 2008, 12:00 CDT By Ames , The Charlotte Observer, N.C. Apr. 19--NEW YORK -- A leading group of occupational doctors is taking the unusual step of speaking out publicly against pressure from companies to downplay workplace injuries. To outline their concerns, the physicians have sent a letter to federal workplace safety regulators and held a conference session in New York City on Monday. They're also planning to testify before Congress. If successful, their campaign could affect the treatment of injured workers and might help change how the government assesses workplace safety. " Our members feel they are being methodically pressured ... to under-treat and mistreat, " said Dr. McLellan, president of the American College of Occupational and Environmental Medicine. " ...This is a grave ethical concern for our members. It's a grave medical concern. " His group represents 5,000 doctors; some treat workers referred to them by employers, while others work directly for companies. Employers are supposed to record all injuries requiring time off work or medical treatment beyond first aid. It's an honor system, and the injury logs are used by regulators and others to gauge plant safety. Low injury rates allow companies to avoid scrutiny from workplace safety regulators and may help managers earn four-figure bonuses. In a hotel meeting room in New York, doctors said this helps explain why some employers urge them not to treat injuries in a way that would make them reportable. A cut, for instance, must be recorded if the worker gets stitches, one doctor told the room of more than 60 colleagues. But if the doctor simply covers the cut with a bandage, it doesn't have to be reported. Workplace injury and illness rates -- a key factor in determining whether regulators inspect a company -- have been declining nationwide in recent years. But some experts suspect that's partly because employers aren't reporting all on-the-job injuries. McLellan, an associate professor at Dartmouth Medical School in New Hampshire, says he thinks employers are " vastly underreporting " the extent of workplace injuries. " Players in the system may willfully produce records that don't reflect reality, " he said in an interview. He said he grew more concerned about corporate pressures on doctors in September, during a conference in the Carolinas. Since then, he said, he has heard from dozens of doctors. That led him to contact the U.S. Occupational Safety and Health Administration, and he expects to discuss his concerns with top agency officials next month. His group will likely propose that OSHA more vigorously investigate the accuracy of company injury logs. It may also ask regulators to rely on a broader array of workplace safety measures -- and to rewrite rules so that companies have fewer incentives to underreport. McLellan also wants occupational doctors to testify before congressional committees examining workplace safety. Ethical physicians sometimes lose business to those who bend to the wishes of employers, some doctors and workers' compensation lawyers say. In the Carolinas and some other states, injured workers generally must visit doctors approved by their employers if they want workers' compensation to pay for the treatment. Companies incur higher costs for compensating workers for medical care and lost wages when they're injured on the job. Employers tend to send workers to doctors who can help them keep costs low and productivity high, according to attorneys who represent injured workers. Doctors become popular with companies if they rarely order time off work for injured employees, or if they seldom recommend costly treatments or conclude injuries are work-related, those lawyers say. " If you get past the infirmary and sent to a doctor, you're getting sent to a doctor that lives on the plant, " said lawyer Davila, who until recently worked in Columbia, S.C. Atlanta lawyer Bruce Carraway has represented more than 400 injured poultry workers and says that in more than half of those cases, independent physicians gave different assessments than the company doctors. Dr. phus Bloem, an orthopedic surgeon from Rocky Mount, said he used to get referrals from Perdue Farms. But in the 1990s, the company became unhappy that he usually recommended surgery for workers with carpal tunnel syndrome. " Their top doctor once visited me and complained that I was too expensive, which I took as pressure to review my approach, " Bloem said. Not long afterward, the referrals stopped. Dr. Merrill, Perdue's chief medical officer, said the company had discovered that many workers who got less invasive treatment -- such as splinting, exercise and ibuprofen -- fared better than those who got surgery. " We had a better way to treat folks, " he said. But Bloem wondered whether health concerns were the only factor. " In the end, " he said, " the money wins. " In their quest to keep injuries off logs, company officials without medical training sometimes provide inappropriate treatment, doctors at the New York conference said. Dr. Peggy Geimer, corporate medical director for a chemical company in Connecticut, spoke of the " tremendous amount of pressure " on company staff to provide treatment beyond their level of expertise. She recalled how one supervisor dealt with an injured worker who spilled an acidic chemical on his arm: He applied potash, which is sometimes used to clean up chemical spills -- unaware that it would only make the burn worse. McLellan said he doesn't recall his group ever before taking such a strong stance on the issue. As one doctor at Monday's conference put it: " We need to treat the patient. Not the log. " -- Staff Writers Garloch and Franco Ordonez contributed. -- Ames : 704-358-5060 Many injuries unreported in poultry industry In a recent investigation of working conditions in the poultry industry, the Observer found that many on-the-job injuries aren't being reported. One N.C. poultry company, House of Raeford Farms, has repeatedly failed to record injuries on government safety logs. The newspaper also found that some company first-aid attendants have prevented poultry workers from receiving care that would cost the company money. House of Raeford says it follows the law, provides good care and strives to protect workers. A record-keeping expert for the U.S. Occupational Safety and Health Administration told the Observer that his agency is allowing employers nationwide to vastly underreport the number of workplace injuries. The true rate for some industries, including poultry processors, is likely two to three times higher than government numbers suggest, Bob Whittier said. ----- April 6, 2006 Mrs. Sharon Noonan Kramer 2031 Arborwood Place Escondido, California 92029 760-822-8026 _Snk1955@..._ (mailto:Snk1955@...) American College of Occupational and Environmental Medicine 25 Northwest Point Blvd. Suite 700 Elk Grove Village, Illinois, 60007-1030 Mr. Barry Eisenberg, MA Executive Director Ms. nne Dreger, Communications Director Board of Directors, Cheryl S. Barbanel, MD, MBA, MPH, FACOEM Tee L. Guidotti, MD, MPH, FACOEM K. McLellan, MD, MPH, FACOEM L. Mueller, MD, MPH, FACOEM J. Key, MD, MPH, FACOEM A. Avery, MD, FACOEM U. Halberg, MD, MPH, MS, FACOEM P. Hartenbaum, MD, MPH, FACOEM Mark J. Upfal, MD, MPH, FACOEM T. Warner Hudson III, MD, FACOEM R. Orford, MD, MS, MPH, FACOEM Mark A. , MD, PHD, FACOEM Gregg M. Stave, MD, JD, MPH, FACOEM B. Faulkner, MD, MHA, FACOEM Pamela A. Hymel, MD, MPH, FACOEM F. Wintermeyer, MD, MPH, FACOEM Yarbrough, MD, MPH, FACOEM Dear Mr. Eisenberg, Ms. Dreger and Members of the ACOEM Board, I am requesting permission for an associate and me to come speak before your Board Members at the upcoming May 6th Board Meeting in Southern California. The subject we would like to discuss is the ACOEM’s retraction as a Position Statement representative of 7000 physicians, the Adverse Human Health Effects Associated with Molds in the Indoor Environment, Accepted October 27, 2002. The document has been improperly used to stifle medical understanding and as a legal weapon against the ill, who find themselves caught in the web of the “Toxic Mold Issueâ€. The paper is not based on legitimate scientific evidence. Nor are its findings significant and conclusive enough to be provided the elevated stature of a Position Statement of an influential medical association. As an example, the ACOEM Mold Statement is frequently cited in litigation as an authoritative reference indicating serious human illness from mold and mycotoxin exposure within an indoor environment is not plausible. Yet, not a single one of the 83 references listed for this document come to this conclusion. The amount of devastation and misery caused to thousands of innocent families by this improperly written, improperly peer reviewed and improperly Board endorsed paper is immeasurable. I am attaching a document, via email to Mr. Eisenberg and Ms. Dreger that is indicative of much research by numerous individuals, physicians and researchers regarding the ACOEM Position Statement. I am certain Mr. Eisenberg and Ms. Dreger have the capability to forward this letter and the attached emails to the Members of the Board. The attached document is entitled “ACOEM Exposed - A Case Study in Sham Peer Review and Conflicts of Interest in Modern Medicine†aka – “The Rats That are Saving the Insurance Industry Billionsâ€. I extend my apologies for the severity of the very pointed and direct document. But the damage done to thousands by the ACOEM’s reckless endorsement of this paper has also been very severe and direct. We have no interest in looking at the past. We have much interest at looking at the future. This document needs to be retracted as a Position Statement of the ACOEM for the betterment of the citizens of the US. I may be reached at the above referenced contact information. We look forward to presenting information to the Board Members in the hopes that we may all work together to assure people, who have been made ill from mold/mycotoxin exposure, are able to obtain proper medical treatment. Sincerely, Mrs. Sharon Noonan Kramer Attachment via email: ACOEM Exposed, Parts 3 thru 9 Conflict of Interest Statement Subj: RE: Request to Present before the Board of the ACOEM, May 6th Email 1 of 2 Date: 4/11/2006 10:52:19 AM Pacific Standard Time From: _beisenberg@..._ (mailto:beisenberg@...) _SNK1955@..._ (mailto:SNK1955@...) CC: _mdreger@..._ (mailto:mdreger@...) , _barbanel@..._ (mailto:barbanel@...) , _eohtlg@..._ (mailto:eohtlg@...) , _jborak@..._ (mailto:jborak@...) Page 1 of 3 Monday, April 17, 2006 America Online: SNK 1955 Dear Ms. Kramer, We have received all of your materials. As I relayed to you over the phone, I regret that the agenda for our May meeting (which is less than a full day) has been set for some time and that we cannot accommodate your request. Best regards, Barry S. Eisenberg ACOEM Executive Director Request to Present before the Board of the ACOEM, May 6th Email 1 of 2 Dear Mr. Eisenberg and Ms. Dreger, Attached is a letter and noted references regarding the ACOEM Mold Statement. I am requesting permission to come and speak before your Board. I believe the attachments may be too large to send in a single email. I will email the remainder in a second email. Please let me know the Board Members' response to this request as soon as possible so we may get our presenting material in concise order. Sincerely, Sharon Noonan Kramer I will also cut and paste the letter here: Subj: Re: Request to Present before the Board of the ACOEM, May 6th Email 1 of 2 Date: 4/11/2006 11:26:11 AM Pacific Standard Time From: SNK 1955 _beisenberg@..._ (mailto:beisenberg@...) CC: _mdreger@..._ (mailto:mdreger@...) , _barbanel@..._ (mailto:barbanel@...) , _eohtlg@..._ (mailto:eohtlg@...) , _jborak@..._ (mailto:jborak@...) , AESPIELS, _richard@..._ (mailto:richard@...) , KahnLawOffice, _gkvpc@..._ (mailto:gkvpc@...) , _hmm@..._ (mailto:hmm@...) , _scottw@..._ (mailto:scottw@...) , _jmiller@..._ (mailto:jmiller@...) , _Coopit2me@..._ (mailto:Coopit2me@...) , _witzer@..._ (mailto:witzer@...) Page 1 of 1 Saturday, April 22, 2006 America Online: SNK 1955 Dear Mr. Eisenberg, Thank you for your prompt reply. I am disappointed in your answer. I believe I could make " my case " for the necessity of an expediant retraction of your mold position statement in less than 15 minutes time. With the understanding of this short time period required, I am asking again. May I come present before your Board of Directors? Have you forwarded to the board members my request and accompanying documents? If so, I am surprised at your reply. I would be inclined to believe the members of the Board of Directors of the American College of Occupational and Environmental Medicine would understand how many lives continue to be damaged while this inaccurate position statement is allowed to stand by your nationally influential medical association. Will you please reconsider your response? Sincerely, Mrs. Sharon Noonan Kramer Subj: RE: Request to Present before the Board of the ACOEM, May 6th Email 1 of 2 Date: 4/17/2006 12:20:11 PM Pacific Standard Time From: _beisenberg@..._ (mailto:beisenberg@...) _SNK1955@..._ (mailto:SNK1955@...) CC: _mdreger@..._ (mailto:mdreger@...) , _barbanel@..._ (mailto:barbanel@...) Page 1 of 1 Saturday, April 22, 2006 America Online: SNK 1955 Per my previous note, we are not able to comply with your request at this upcoming meeting. I have forwarded all of the materials you’ve provided to the committee that will be reviewing the statement in question, as part of our regular review process. Subj: Re: Request to Present before the Board of the ACOEM, May 6th Email 1 of 2 Date: 4/17/2006 4:23:55 PM Pacific Standard Time From: SNK 1955 _beisenberg@..._ (mailto:beisenberg@...) CC: _mdreger@..._ (mailto:mdreger@...) , _barbanel@..._ (mailto:barbanel@...) Page 1 of 1 Saturday, April 22, 2006 America Online: SNK 1955 In a message dated 4/17/2006 12:20:11 PM Pacific Standard Time, _beisenberg@..._ (mailto:beisenberg@...) writes: " Per my previous note, we are not able to comply with your request at this upcoming meeting. I have forwarded all of the materials you’ve provided to the committee that will be reviewing the statement in question, as part of our regular review process. " Thank you for your reply, Mr. Eisenberg. Did you also share the information with the board members to whom I had addressed the email letter with all the attachments? Are you aware how many people are currently having their workers' comp claims and other insurance claims denied while that document is allowed to stand as a position of the ACOEM? Would you be interested to know? Does the ACOEM board realize the devastation that this document, which is not based on science, is causing to the lives of many? Sharon Kramer (http://www.redorbit.com/news/archive/#category4) **************Need a new ride? Check out the largest site for U.S. used car listings at AOL Autos. (http://autos.aol.com/used?NCID=aolcmp00300000002851) Quote Link to comment Share on other sites More sharing options...
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