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Learned something interesting about high blood pressure and FCE
#1
Question 
Hi, it's Lefty from Colorado and good news. I finally found where to go to have a computerized FCE done...(the first one wasn't computerized)! There was something in what this new intake person said to me about my first FCE. She asked if I had high blood pressure, and if it was under control? I said yes, I have high BP, and that my primary doc just changed the medication.

She asked if I knew what my BP reading were on the first FCE? I told her the first one was high...170/90, and it only got worst. Now this is where the strangeness comes into play. According to the intake person, when they take your blood pressure and it is found to be high, they will NOT do the test until it is at least 145/75 or 145/90, and if you have high blood pressure it must be first cleared by your doctor before you to do this test. Because of the safety risk factors, and encase you have an event.
This is standard practice.

Will, as far as the safety issues and my high blood pressure number did not prevent the first tech from going ahead with the test, even after I told her I had a really bad headache. My BP numbers continued to climb during the test but she didn't stop the test. At the end of my test she said, "it's a good thing were are done because your BP is 190/113.

My question is this. Before I pay for the second FCE, should I talk to the W/C Pain doc about this test, and see if he would give me a referral for a second one. I had so many "Invalids on that test...even when it came to my BP...go figure?
Injury date 11/2008; left upper extremity; CRPS; bilateral cubital tunnel syndrome; carpal tunnel syndrome.
 
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#2
lefty Wrote:Hi, it's Lefty from Colorado and good news. I finally found where to go to have a computerized FCE done...(the first one wasn't computerized)! There was something in what this new intake person said to me about my first FCE. She asked if I had high blood pressure, and if it was under control? I said yes, I have high BP, and that my primary doc just changed the medication.

She asked if I knew what my BP reading were on the first FCE? I told her the first one was high...170/90, and it only got worst. Now this is where the strangeness comes into play. According to the intake person, when they take your blood pressure and it is found to be high, they will NOT do the test until it is at least 145/75 or 145/90, and if you have high blood pressure it must be first cleared by your doctor before you to do this test. Because of the safety risk factors, and encase you have an event.
This is standard practice.

Will, as far as the safety issues and my high blood pressure number did not prevent the first tech from going ahead with the test, even after I told her I had a really bad headache. My BP numbers continued to climb during the test but she didn't stop the test. At the end of my test she said, "it's a good thing were are done because your BP is 190/113.

My question is this. Before I pay for the second FCE, should I talk to the W/C Pain doc about this test, and see if he would give me a referral for a second one. I had so many "Invalids on that test...even when it came to my BP...go figure?

Did your FCE result say your were malingering? I realize some have had issues with there FCE results but most who take a FCE to go back into the workforce have no issues.

Invalids meaning?

Also, your heart rate is looked at during a FCE and your "character" is also judged. They are looking for fakers no doubt.....
 
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#3
If I remember correctly, I had to get a medical release also. Had to have the doctor or surgeon write a script for the FCE. And to make things correct, the blood pressure monitoring works different from what you said here. It is said if you BP goes up, over a certain percentage from the time you start the task, they must stop at such point, have you sit or lay down, till it goes back down to about where you started out from, and start the task again, or another task. That is how it works. A Computerized FCE, will catch all this much eailer then a human, and stop you real quick. I find it way more better for results also.
Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
 
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#4
FreeBird the non computerized FCE stated;

((( Had a non computerized Functional Capacity Evaluation done. Findings were outrageoussay the least. Said "Poor Effort.")))

http://www.workerscompensation.com/forum...?tid=10658
Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
 
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#5
Well one outcome of high blood pressure on an FCe would be you have a cranial bleed and die. When it gets amended to our claim your heirs will collect a windfall.

....always looking for the silver lining
 
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#6
Thanks Bad Boy, I find that very interesting. The tester never stop the test because of my BP. It was, "Oh you will get a break and a little while." My BP never came back down even after taking more medication when I went home. Also told her I had ringing in my ear, but this made no never mind to her, it was business as usual.


Bad Boy Bad Boy Wrote:If I remember correctly, I had to get a medical release also. Had to have the doctor or surgeon write a script for the FCE. And to make things correct, the blood pressure monitoring works different from what you said here. It is said if you BP goes up, over a certain percentage from the time you start the task, they must stop at such point, have you sit or lay down, till it goes back down to about where you started out from, and start the task again, or another task. That is how it works. A Computerized FCE, will catch all this much eailer then a human, and stop you real quick. I find it way more better for results also.
Injury date 11/2008; left upper extremity; CRPS; bilateral cubital tunnel syndrome; carpal tunnel syndrome.
 
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#7
Just so I understand you currently. Are you saying that your non-computerized test read "Poor Effect?"
Lefty


Bad Boy Bad Boy Wrote:FreeBird the non computerized FCE stated;

((( Had a non computerized Functional Capacity Evaluation done. Findings were outrageoussay the least. Said "Poor Effort.")))

http://www.workerscompensation.com/forum...?tid=10658
Injury date 11/2008; left upper extremity; CRPS; bilateral cubital tunnel syndrome; carpal tunnel syndrome.
 
Reply
#8
freebird Wrote:
lefty Wrote:Hi, it's Lefty from Colorado and good news. I finally found where to go to have a computerized FCE done...(the first one wasn't computerized)! There was something in what this new intake person said to me about my first FCE. She asked if I had high blood pressure, and if it was under control? I said yes, I have high BP, and that my primary doc just changed the medication.

She asked if I knew what my BP reading were on the first FCE? I told her the first one was high...170/90, and it only got worst. Now this is where the strangeness comes into play. According to the intake person, when they take your blood pressure and it is found to be high, they will NOT do the test until it is at least 145/75 or 145/90, and if you have high blood pressure it must be first cleared by your doctor before you to do this test. Because of the safety risk factors, and encase you have an event.
This is standard practice.

Will, as far as the safety issues and my high blood pressure number did not prevent the first tech from going ahead with the test, even after I told her I had a really bad headache. My BP numbers continued to climb during the test but she didn't stop the test. At the end of my test she said, "it's a good thing were are done because your BP is 190/113.

My question is this. Before I pay for the second FCE, should I talk to the W/C Pain doc about this test, and see if he would give me a referral for a second one. I had so many "Invalids on that test...even when it came to my BP...go figure?

Did your FCE result say your were malingering? I realize some have had issues with there FCE results but most who take a FCE to go back into the workforce have no issues.

Invalids meaning?

Also, your heart rate is looked at during a FCE and your "character" is also judged. They are looking for fakers no doubt.....

Hi, and thank you for responding, God bless.

I don't remember if the word "Malingering was used on not. Second, at my age 51, and having had high hopes of entering my job's school of Radiology, to further my education in Ultra Sound. Being scored as only able to do a sit down job is not in the cards. Either way, I will continue my education. My heart rate fluctuated somewhere around 80's, 90's, and high 100rds,. My Cardiologist had fashioned me with a cardiac event monitor to wear, not for that test but because I had a short stay in the hospital for T wave depression, evaluation. Now, I am just asking... but is it possible a person's BP and HR, can be considered invalid...even when they clearly have heart problems, and sever chronic hypertension? All this was made known to her prior to the start of the test. But that's water under the bridge, I really need a second test. Don't you agree?
Injury date 11/2008; left upper extremity; CRPS; bilateral cubital tunnel syndrome; carpal tunnel syndrome.
 
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#9
Your Attorney should contest the FCE that was done by a Human. Showing lack of interest to your health and well being. No it wasn't business as usual. I was lack of interest to you. Didn't they have the monitor straped across your chest?
Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
 
Reply
#10
Bad Boy Bad Boy Wrote:Your Attorney should contest the FCE that was done by a Human. Showing lack of interest to your health and well being. No it wasn't business as usual. I was lack of interest to you. Didn't they have the monitor straped across your chest?

As a matter of fact Bad Boy, she did!
Injury date 11/2008; left upper extremity; CRPS; bilateral cubital tunnel syndrome; carpal tunnel syndrome.
 
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