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ACTION AGENDA
Boerd of Trustees of the Employee s' Pension Fund
January 30, 1995
Call to order. 9:35 a.m.
'
2.
.. Approval of Minutes' 2. Approved as submitted.. '
?. of -1117/95
„
;' '' .. 3: • ,. Request for acceptance 3. Approved.
into membership:
3 :. a) Sean' Allaster
b) Linda Burch
c) Christopher Villano ;
dj'Nancy Patula
e) David Stoner
4. 'Job-Connected Disability Pension .. , 4. Granted.
_ to be granted:`
Lawrence H. Hahn, Jr.
5. Other Business:. . . 5. None.
6. Adjournment: 6. 9:57 a.m.
I ,
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TRUSTEES OF THE EMPLOYEES' PENSION FUND Item 0
Agenda Cover Memorandum Meeting Data: la o/ 9 5
I
Subject:
Membership in Employees' Pension Plan
?ari?r.u.rrr..n.rrnnrr/ rrr ?rmmm?nng?i?r- ?,,
Recommendation/Motion:
I
Employee(s) listed below be accepted into the Employees' Pension Plan as recommended by the
Pension Advisory Committee.
? and that the appropriate officials be authorized to execute same.
BACKGROUND:
Seniority Pension
Nzmr, and Job bm D- t./Div. DiilC effective -D.-ate
Sean Allaster, Police Recruit Police 7/13/92 12/27/94
Linda Burch, Police Service Tech. Police 1/23/95 1/23/95
Christopher V illana, Computer Oper. Information Mgmt. 1/9/95 119/95
Nancy Patula, Comp. Training Tech. Information Mgmt. 1/9/95 119195
David Stoner, Library Assistant I Library 1/4/95 114195
Reviewed by: Originating Dept:
Human Resources
Legal _ NA
Budget .- - --- A-
Purchasing _ • NA ' User Dept.:
Risk Mgmt.._ NA
Cis
ACM Advertised:
Other NA Date:
Paper:
Not required
Submitted by. Affected parties
? Nolified
? Not required
City Me
Costs:
Total
Current FY
Funding Source:
? Capt. Imp.
? Operating
? Other
Appropriation Code:
Commission Action:
? Approved
? Approved w/conditions
? Denied
? Continued to:
Attachments:
Letter(s)
? None
1
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CITY OF, CLEARWATER
'a EMPLOYEES' PENSION • PLAN
PENSION ADVISORY COMMITTEE
TO: Pension Trustees
FROM: Pension Advisory Committee
'SUBJECT. Recommendation for Acceptan e ' into Pension Plan
PATE:, January 4, 1995
As Trustees of the City of 'Clearwater Employees' Pension Fund, you .are hereby notified that' the
employee(s) listed below have been duly. examined by a local physician and each has been ;
designated as a "first class risk".
These employees ore eligible for pension membership as noted .in the Pension Eligibility Date
column below, and' It is the recommendation of the Pension Advisory Committ ee that they be ; ' .
accepted into membership.
Pension Elig.
?awc. lob.' Class, POPUDiv. 13irth Date Hire Date Date '
Scan Allaster, SS#593-40-2722
Police .Recruit, Police Dept. 11125170 7/13192 12/27/94*
*Employee hired from permanent part-time
to full-time. 'permanent . status.
Hire date, reflects date 'Hired as • part-time. '
Linda Burch, SS#267-43-5589
Police Service Technician, Police Dept. •3117158. .1/23/95 1/23195
Christx)pher Villano, SS#265.61-8594
Computer Operator, Info. Mngmt. Dept. 4/.1 1/69 1/9/95 119195
Nancy Patula, SS#333-46-2860
Computer Training Tech., Info. Mngmt. Dept, 1 1/6151 119/95 1 /9/95
David Stoner, SS#182-64-0680
Library Asst. I; Library 8/26/67 1/4/95 1/4/95-
W.., a,
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TRUSTEES OF THE EMPLOYEES' PENSION FUND
Agenda Cover Memorandum
Item #
Meeting Datc iC30/95
Subject:
Pension to be Granted
Recommendation/Motion:
Lawrence H. Huhn, Jr., Public Service Worker 1, Public Works Department, be granted a job-
connected disability pension under Section(s) 2.397 and/or 2.399 of (lie Employees' Pension Plan as
recommended by the Pension Advisory Committee.
? and that the appropriate officials be authorized to execute same.
BACKGROUND:
Lawrence H. Hahn, Jr., Public Service Worker 1, Public Works Department, w a s
employed by the City on January 4, 1988, and began participating in the Pension Plan on that date.
Oil November 24, 1992, he suffered an injury to his wrist while on duty which is the basis for h is
request , for this job-connected disability pension.
Mr. Hahn has submitted letters from Dr. Maria-Carmen B. Wilson, dated December 6, 1994;
Dr. R. W. Springstead, dated April 4, 1994; Dr. John M. Rayhack, dated February 7, 1994; and
Dr. Joseph M. Sena, dated January 27, 1993. The letter from Dr. Wilson states, "Mr. Hahn has
reached MMI and has a PPI of 60% of the right upper extremity and 40% of the entire body. This
prognosis is the result of an' injury Mr. Hahn suffered in November 24; 1992, and are permanent
in nature." The letter from Dr.. Springstead states, "This 44 year old male had a previous injury to
his right hand on his job on November 24, 1992...In my opinion, he cannot return to his previous
employment as a public service technician... He has very limited use of his right hand at this
time." The letter from Dr. Rayhack states, "Mr. Hahn has very limited finger, forearm, and wrist
ROM." Mr. Hahn's job-connected disability was approved by the Pension Advisory Committee at its
meeting of January 4, 1995. This pension will be effective on January 31,. 1995, at the beginning of
the day.
Based on an average salary of approximately $21,420 over the past five years and tiie formula for
computing job-connected disability pensions, this pension will approximate $13,264 annually.
Charts from Finance which take into consideration mortality rates and age reflect the "present
value cost of financing" this pension will be approximately $185,399. The estimated pension cost
{cash payout over the life of the pensioner and his spouse) is $449,169.
Reviewed by:
Legal NA
Budget NA
Purchasing NA
Risk Mgmt. NA
CIS _ NA
Other _ NA__
Submitted by:
Originating Dept:
Human Resources
User Dept.:
Advertised:
Date:
P per:
14 Not required
Affected parties
? Notified
® Not required
Costs: $I $x.399
Total
Current FY
Funding Source:
? Capt. imp,
? Operating
RT Other Pension------
Appropriation Code;
Commission Action:
? Approved
? Approved w/conditions
? Denied
? Continued to:
Attachments:
Letter(s)
? Norio
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C I T Y OF. .C L E A R W A T E R
POST OFFICE BOX 4748
CLEARWATER, FLORIDA 34618.•4748
Human pesourcas Department
813/462.8870
i ,
i '
7U Honorable Mayor and Members of the City Commission as Trustees of file
Employees' Pension Plan
FROM: Pension Advisory Committee
COPIES: Lawrence Hahn, Jr.; Debbie Bailey, Payroll Services Manager; Risk
'Management
SUBJECT: Pension for Lawrence Hahn, Jr.-' Job-Connected Disability Pension
DATE: January 4, 1995
The Pension Advisory Committee (PAC) received an. application for disability pension- from
Lawrence Hahn, Jr., on February 28, 1994.
Mr. ' Hahn has been determined by the Pension Advisory Committee to meet the
requirements of the Pension Flan for a job-connected disability pension. He was employed
by the City on January 4, 1988, and began participating in the Pension Plan on that date.
Further, lie has submitted medical documentation, copies of which are attached. relative to
his disability which has been reviewed and approved by the PAC.
By motion made and duly carried at its meeting of January 4, 1995, the Pension Advisory
Committee approvedlrecoinmended the granting of a job-connected disability pension to
Mr. Hahn in accordance with provisions of Section 2.397 of the City Code, This pension is to
be effective on a date to be determined,
The amount of Mr. Hahn's 'pension will he calculated by (lie Finance Department according
to the formula in the Pension Plan for job-connnected disability pension at such time as his
last five years of service and salary can be computed.
I hereby certify that the Pension Advisory Committee has approved the granting of a job-
connected disability pension for Lawrence Hahn, Jr., and the above dates are correct.
_ _ I_4_ a r_L __ _
Chi ' ?nan, %4-Pnsion Advisory Committee
"Equal Employment and At lirmat lve Action Employer"
r
PENSION REQUEST FOR,.
I, Lawrence if. Hahn, J=. do hereby apply for retirement
from the City of Clearwater General Employee,' Pension Plan.
My benefits dote is January a, 1)813 (Entry date into pension plan)
January 4, 1938
My date of hire is
November 7, 1949
My birthday is
My sob classification is Public Service Technician and I work
in the Public Works Department. Public Service Division.
M y resignation date is_ to be determined rending approva l of his pension
The type of pension for which I am applying is (check only one ):
Regular Pension based on years of service
x Job-connected Disability Pension
Nod-job-connected Disability Pension
My spouse's name is:
Dependent children under the age of I8 3nd residing in my, household are:
Casey Allen Hahn January 17, 1979
(Print Chilli's Full Name) (Child's Date of Birth)
Heidi Marie Hahn October 17, 1980
I hereby certify all of the above Co be true and correct:
1
(Signature)
February 33 1994
r
(Dana)
(Yptary . Public)
.tY
sonars rs.NU .Y?\7,a.lY N?:??.,: ?r.u.:4+.•?,ur?4a. .. ,
a
CITY OF CLEARWATER
GENERAL EMPLOYEES'. PENSION PLAN
OPTIONS - GEI ERAL EMPLOYEES
OPTION r1:
t On1v avnilable' to
employees hired
.prior to, L011t90)
Employees can receive a lump sum payment for
vacation and holiday pay. and -1/2 of accrued sick leave
at` the time of separation from the 'City. There will be no
8% deduction for pension from this lump sum payment
'nor will this amount ' count as earnings is the
calculation of the' pension. ' The last day of work will be
the termination date and pension benefits will begin.
the following clay.
Y:: piovee =1 extend :e:-:inat:oa ate o v .^e
for acatton.oiida' 'pay, and 1/2- of
l eilinatlon dat!• '+vlil be -tie iInzi day CI e imt.
?tnsion . benefits will begin the foilo'•ving day,
?? 1. K? N R? K N¦ N M? N N N }, f 11 a N fl i s
1. Lawrence H. Hahn, Jr. an c-noloycc of tree ?Cit%' ?i
Clearwater, hereby apply for pension benefits under the Genera[ Emoloyees'
Pcnsion Plan.
I aercbv certify :l::at i fully understand Lhe two options of:-,.--.d to ate. 1 c :case
to retire using Option 1 and .visa my beae:i:s :a '-Ic , aic:::_te
this option.
I understand that once this form is signed, my decision is irevoeable.
EMPLOYE: S STGNATLRE: __? i:,r1,•?. A,. I `? ?:,,., (, r ?' -
'
SOCIAL SECURITY r : 228-74-6175
wlTti .SSES; .-ADDRESS: _ 9175 86th 1venue nor -li
l: •1 ?j Seminole, Fig 346.17
' ??, ?. February 2$ 1994.
ATE:
?r ~t;lYt$IbN r.rcpoxtw
FLORIDA DEPARTMENT OF LABOR AND
DI'JISION Or'NORKERS' OC!r)PE`iSX 10,1
1.800.342.1741 (or) rontact your !oca! aHlca '.r asslstarca
NOTICE OF [INJURY
Report all deaths within 24 hours (904) 483.3044.
:-'!B01 MY== PJAY 1QlA1Tfr1A1
I FOR CARRIER'S CATEE STAMP
ra,_C"D V CARRIER SENT TO DIVISION
NAME (First, ,'Middle, Lest) I it z4cunty -.7umcer Date and Time of Accident
Lawranca H. ?[AH-N1 3r. i4 228-74-Gi75 ? 1 1-24-92 . Work Hours
H ME 11 FF SS (Include .Tip} c:nr''_O'YE S CE5CRIPTICN OF ACCICENT
9 l ?5 3 r-n A. a. .?I.
Sami.nola, Fl. 34647
: ft: -'a ia,:d? ng rin u-j a cc'-'e--s ltd hurt wrist.
TELEPHONE
81 3
545-3743 DESCRIBE fNJU CR•DI6c sSc AND ItICICATE PART OF 3ODY AF ECTED
m~
ttr.. Co" Amoulsticn ,t runt Index tingar at second joint
oisonin
(e
fractured ribs
f
etc
)
ed
GCGUPATION
Public. Sarvics Tech. 5509 p
g,
.g.
,
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a-, qht ?'J.: is-t: Strain
A F BIRTH SEX CID YCU RECUEST MEDICAL CARE? EVES CO NO
' 1 1 1 J7 1 49 L%M 2 r IW YES. DID EMPLOYER ?RCJtDE MEDICAL? •E-:YES p NO
?APLOY=R NNFORfCr ATICIN
FIRM'S NAME AND ADDRESS FSOSPAL I.D. ` WABER CATE AND TIME FIRST REPORTED
rCi:t:y of Clearwater 1346 59-6900299 11-24-92 Work Hours
P. O. Box 474$ W.C. COVERAGE BY POLIC•dMEMBER NUMBER
Clear•.rater,' Pl. 3451-5 1-1 INSLIHANCE CO. r-MSELF•INSURE0
jAME. ADDRESS. TELEP.14CME OF
RVICE CCMPANY
,PISURANCE CO
OR S WILL YCU CONTINUE TO PAY
TELEPHONE
M. Cal. 5134.. 462-'5535 .
E
SALARY? :0YES CHO
PLACE OF ACCIDENT {Street. City, Ca++nr/, a`tate) P:si t]iiita '.ox 31;1 LAST DAY PAID THROUGH
Greenwood Ants. ?arssof?, =L '.4230 1 1
Clearwater, T1. I - 300.747.304E GATE CF PAY :MHR ? WK
- NAME, ADDRESS AND TELEPHONE S
L ?'PER p DAY ? MO
OF PHYSICIAN OR HOSPITAL ?
b
f
DID THE EMPLOYEE KNCWINGLY REFUSEM USE A SAFETY
Doctor r a Walt in Clinic Num
hours
er o
Number 1 hours
APPLIANCE PROVIDED BY YOU. THE EMPLOYER? OYES 15210
Hur
S
19N
26312- U 40
f d
N
b
DATE EMPLOYED LAST DATE EMPLOYEE. WORKSD
y.
.
.
3
1
ays
er o
um
--12 / 15 I 92 462
'G1D`?=dat6z, .i. PAID FOR CATE CF INJURY
RETURNED TO WORK 70:YES ? NO AUTHORIZED BY E'.iPLOYER -DYES '? NO YES GL NO ?
IF YES. GIVE DATE l 21_ 1 9 43, LCCATION ADDRESS
WAS INJURY FATAL? C3 YES ' _%_;q10
IF YES, GIVE CATE OF DEATH 1 1 (LOCATION ? IF APPLICABLE)
AGREE WITH DESCRIPTION OF-ACCIDENT? - •• NATUPE OF BUSINESS
OYES Y ? NO IF NO ATTACS! EXPL UNATICN
Any person who, kncwingly and wnh intent to injure, defraud or deceive any emclrrVar or emPte/aa, nsumma cerrcami air &O-.nsured program, r:tas any !ta!nmr,nt of
dam containing any false or misleading tnlcrm=n is,vuty of a felony of the third degree. I have crm4eo the emp+ayee :heir copy ct tnis =,ii:
. 1 n 'er n :3 By grail
:10 a•,•- i?_bla at this 'i ^3 1 3/
.. 9' -"` • -?? 12/15/92
CArY
EMPf GYEE SIGNATURE t.f r miac'e o xrnr -`'aPLCt-2.4 ;;dNArUAE CATE
+,.v.artril :rt :rrr•..,?,?r.11IVI't
Carrier Audit 0 Lceation ? Service Co. 4 Carrier File .f
t• 1. Contravening Case-CWC•12, NOTICE OF DENIAL'ATTv.CHED
C 2. Lost Tirre Casa- Date Of F•:rst Payment C.:ma Kato - First coy at disatilihj ---!-
-Owe of First Ccnt_ci with Claimants In Person iW Telechona !Vail
-Notice Filled Cue to hILit:ale PWi ads Of C;:,aoility. Cates Cc+ered by First Payment
TT,a. .. T.R.O. Cate Form Rec'.a.. . Cat=Strcchc 770. _ Se3:h
G 3. %lacical Cray :vnicri tecams a Lzat Caso. 1Ccr.np!ete ail Information in item ? 1tcve)
REMARKS:
ADJUSTER NAME; ? CARRIER NAMI , +C011E55 3 T.L£PH.c., i:;
LATE '
ADJUSTER 3;GNATURE:
L: s Fcrm owC-101311 EMPLOYEE COP'
.ti ?•:1 ?F`•5,',1' '7• ,t.'. 't..• ??-i?. }, •, ,l-, , e. .:I. '. ,. .1 ,? is...
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4. .,'. }'. .[' :?-.rvntrl'f'Nr9 .F.s ?.?.,. _. .. :'.:?h., .y.• ,.. .. pr: ^•95: ?,: (. .... ll! ...
I"AMDA"GENERAL HEALTHCARE ,
A ffi$amd U49h the U5F CA-V of Mediane
:. December 6,' 1994 ;
Mr. Lawrence Hahn
9175 86th Avenue North
3 Seminole;.'FL• 34647
To,Whom.2t`May Concern:
' Mr. Hahn has reached MMI'- and has a ' PPI of 60.k 'of the right upper
ext±Emit' ,and:40k of the entire body,. This. prognosis- is the result
of an injury Mr.- Hahn suffered in- November 24, 1992 and are
permanent in nature.
Please contact rye - at' '•2514900 should you need any further
information.
,. Cordially,
Maria_r rmen B. Wilson, M. .
April 4, 1994
Mr. Lawrence Hahn'
9175 .86th Avenue N.
Seminole, ".FL' 34647 , .
To Whop It,-May Concern:
Mr. Lawrence Hahn was examined in my office on April 4, 1994.
This 44' year old 'male had a previous injury to his right hand on his job on
November. 24, ' 3992. He had surgery on his, right hand and wrist on March .17,
1993. He is still having considerable difficuity . with his right hand and 'wrist
and apparently he is being scheduled for a possible nerve block.
In my opinion, he cannot return to his previous employment as a, public service
technician. He cannot operate certain equipment such as: jack-hammer, vibrating
tools, sledgehammer or air compressors., He has very limited use of his right
hand at this' time.
Sincerely',
R.W. Spri gstead, M.D.
i ampa. tventuaiiy ne naa surgery on 3117193 repair of the
scapholunate capsule, carpal tunnel release and excision of
a ganglion, f=ollowing that he had physical therapy. However,
he really hasn't regained a lot of function in his right hand.
He complains of swelling, 'tingling, color, changes and loss of
control. He has not been able to return to-work. He is
scheduled to go see Dr. Wilson in Tampa for a - nerve block
for' suspected reflex, sympathetic dystrophy. Patient is right
handed.
PMH: Allergy to Penicilli an. Medications: rercocat, Voltarin, Eiavil,
Tegratol. Illnesses: none. Operations: bilateral hernia repair, left
hand surgery, as well as right hand surgery.
EXAM : d Well nourished male; 511011, 225 lbs. The right hand and wrist;
He has a scar on the carpal tunnel and a' transverse scar on the
dorsum of his wrist. He` has very limited movement of his wrist.
Good sensation today. Some swelling. Cannot make a very good
fist. Cannot extend very well. Complains of a lot of pain in
his hand and wrist. He has limited supination and pronation.
He has essentially 0 supination and about 30° pronation of the
fore arm.
IMPRESSION: STATUS POST REPAIRS SCAPHOLUNATE LIGAMENT, CARPAL
TUNNEL. RELEASE AND GANGLION RIGHT WRIST.
Probable reflex sympathetic dystrophy right upper extremity.
ANKYLOSIS RIGHT WRIST.
DISCUSSION: I'll agree this patient cannot return to his previous employment,
where he had to do a lot of heavy lifting, operating an air compressc
jack-hammer, operating tools and sledge-hammers on a permanent
basis.
R.W. SPRINGSTEAD, M.D.
.7he Wrist and Hand Canter
o f T a m p a PROGRESS NOTE
ViSif DOV McNF67,1994
patient: Lawrence H. Hahn
JOHN M. HAYRACK. MD. File No.- 2061
38Y LANOW08THY, 07fl-L
Wgrkman'a Comp: Yes Date of Injury: 11/24/92 Date Reported: 11 /24/92
Employment: Working -Light Duty. Occupation -Service Tech.. Job Deacription . Repair do maintain service lines.
PREVIOUS WORK STATUS: (prior to 2/7/94)
Return to work: bight Duty. on 8/25/93
DIAGNOSES: (prioir to 2/7/94)
01/06/93 727.41 (R) Occult dorsal ganglion.
01/46/93 718.63 (R) Possible scapho-lunate ligament tear.
01/06/53 354.0 (R) Carpal Tunnel Syndrome (Corn,pression, Median nerve)
SURGI3RMS;
03/17/93 DWG 75111-51 (R) Excision, ganglion, wrist
Cl'R 64721-5I (TU Carpal 'Fennel Release
SLC 25320 (R) Scapho-lunate capsulorrhophy
------------------------------------------------------ .------.------------a----------------
EY.ANQNATION: 2/7/94 -
1 have pain in the wrist and I also have tingling in between my fingers and the small and ring finger go to steep. I still
am having spasms every now and then. I can bend the wrist some, but it fools sore. I can touch some of my fingers with
my thumb." Mr. Hahn has not been working since September of 1993 and has been going to school full dme.
QUIECaM
(?? CT pillar pain.
WRIST TENDER UNSTABLE-CLICK
Radlal-Ulnar Shuck: ?-
Scaphold-Lunate- Dorsal Palpation: ?.
Luno-Trlquatral Dorsal Palpation, --
-Slroagth (kg) Salting: R -• , ST -- L R -2ND- L R .-MID- L R •- 47N - L A - STN - L
.,.I .............1................1............................I.........r.......r..r..................a.....,..1......,........
Gri
8 45 ........11,....,1...1..., .,...........I ...1/....I..
p
•Aetlve/(Paasive) (cm): R -'T'HUMB - I. 9 - INDEX - L R- MIOCLE -L R- RING- L R - SMALL • L
......1....11,1..,......I....1 ................. ........1..,....................... ...........................I......I.....1...1.................. 1.....,......... I.,.....I1....1.,.
1~Iexion Logo 2.0 9.0 4.0 4.0 3.4
-RO.M. Acilvel(Pasivo) (7 R -VF- L R -OF • L R - RD -- L R -- UD -- L
..............I..............,............../.............r.................I................Ir....1.................................................................
t 10 0
W
i
s
r
-
- - - -
.
?
?SlrorlQlh (l+g): R -KEY- L R -TIP - L r
?
-
111.... 1............ 1...... 1........... 1 ........ ....... 11..................I..,............................
Pinch i t
#Forea,rm A.Q.M. Aclivol(Patelva) (°): R ............. L
.....
........... ............ ......... ....... 1....1......,.....,,.............
4726 N. Habana Ave„ Suite 204, Tampa, Florida 33614 . (813) 879-7478 - 87 "WRIST" + Fast (813) 879-99
i
Prograss Note . Visit Data, 211194
Patlent; Lawrence N. Hahn Page 2
- •-r-rwrr-r ?rr..+.-- -....----.?.-r-...._.r--- -.rte'.------- ---- -.. ----.+.. ----.._--
Pronation 1 5S
Suplnatlon is
4Median Nerve Teats: R ...,....._.. L
• .....as••r.••rN.•Ir••1uUi....•luu..rl nrrr, •r •.r.r.rt ••.. r... ••1u•N•
Ciroct Modtan Compression 0
Prnr?atar Comproasion ? .
(R} X-Ray. , wrist
No intenrai change.
Mr. Hahn has very limited finger, forearm and wrist ROM. I'd recommend no surgery on the uinar nerve at the elbow.
1 would recommend that he avoid pressure on the ulnas nerve and a bent elbow. I recommend co' nsultation with a pain
management consultant to consider treatment for a pain dysfunction. I would not recommend further treatment for the
wrist as there is very little rnotion and pain at rest; ie not likely to be aided by a wrist fusion (which I've discussed
before).
mkYSZ S1'A"1'[?Sr
Return to work: Light Duty. on 2/7/94
Restrictions - Same restrictions
ZQLLC)W UP APPOi<N'I'lriliNr: PRN•
p ly Percocet #40 1-2 PO q 3.4 hours PRI+1
Provider
John M. Rayhuck, M.D.
/Designer
E??f vntnattan is Intended aniy ror zne 4- - {.? `3 LIE)
- > 9:94 o: r! h ,,.$ r ?, r
reciplant, you are notiiiad that di9cloyure, cnpyirtt7, diDtrl!]uu4„ ?:.•.
Rana at rho ipum eribabove l . It you ou rt?n4ie for rata n of the (asioinal .
tho cQntgnts of ttrls telec us her InformAtion is not
, please imrttt•cllately notify
docurnents. Thank you.
Akin,, fittile 204, T21tl1m, Floiat17 33614 079-7470 - 87 "INR1S " . a;c
January 27 r 1983 ?+_ nE•,.
H hn. Lawrence—
Lawrence is' noted to have-"a new finding in the right forearm ?? ?l.•_raf,?ti.?}
which is an area o-f• swelling over the mid to proximal forearm
volar radial aspect. It is difficult to determine on
physical exam whether or not this represents a true tumor.
X-rays. of the forearm reveal areas of increased radiodensi ty
in the distal radius. No lytic lesions are seen. No
-fracture or dislocation is noted. He is without abnormal
nodes about the epitrochlear area, neck: or ax-411a. He'
continues . to have some snuf•f' box tenderness. 'He is sent for
an MRI' scan of his right wrist and forearm for evaluation of
his continued complaints.
! 1
He is noting some numbness occurring in the right hand. It is possible. that carpa i tunnel release may be incfica ted' in
the' future. We will first L-Valuatr' hi.m ,with MRI scanning.
He cdn'tinues to have pares thesias in the right hand. After
MRI scanning is performed we will see him rack. He will
continue on light duty for now.
Joseph M. Sena, M.D.
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