Clinical Practice
Patient care / consultation. Clinical diagnosis and treatment of suspected or established occupational or environmental disease (see Expertise & Interests) in individuals and similarly exposed groups (families, co-workers, etc.). Referrals are accepted from:
- Self-referral
- Physician or other medical provider
- Employer
- Insurer (including workers’ compensation)
- Third-party administrator
Independent Medical Evaluation / Records Review / Expert Evaluation / Second Opinion / Medical Disability Evaluation. These specialized services are available for selected cases, upon referral from:
- Self (for second opinion)
- Physician or other medical providers
- Employers
- Insurers (including workers’ compensation)
- Third-party administrators
- Independent medical evaluation contractors
- Government agencies
- Appeals or Hearings Officers (workers’ compensation)
- Attorneys (plaintiff and defense) and arbitrators
Services available in conjunction with the above clinical services:
Site visit. To assess hazards and exposure conditions.
- Workplace
- Residential
- Other exposure source (polluted site, public facility, vehicle, etc.)
Medical surveillance. For regulatory and internal company compliance programs administered by employers in hazardous industries.
- Surveillance examinations (Lead, Arsenic, Lithium, Mercury, Cadmium, Asbestos, HazMat, Silica, etc.)
- Biological monitoring (metals, solvents, kidney and blood function tests); on-site specimen collection
- Respirator medical clearance examinations, respirator fit tests
- Audiograms (hearing test), pulmonary function testing, chest radiographs
Diagnostic testing
- Spirometry (pulmonary function)
- Audiograms (hearing tests)
- Peak flow monitoring (for workup of occupational asthma)
- Laboratory / toxicology (metals, solvents, pesticides, carbon monoxide)
- Work and building re-entry and exposure challenge