The Shalkshank Redemption: AMA Guide 6th Edition Reigns Supreme in the First State

The Shalkshank Redemption: AMA Guide 6th Edition Reigns Supreme in the First State

This is a salute to my colleague Colin Shalk, hence the title of this post.  I don't know if Colin would ever hide a rock hammer in a Bible like our protagonist Andy Dufresne, but he is just as clever in the outcome of today's case du jour, with a little bit of chipping away at the supremacy of the AMA Guide, 5th Edition.  Remarkably, Shawshank was initially overlooked by critics [much like the 6th Edition] when it came out (1994) because 1994 was a banner year for Hollywood (headed by Forrest Gump). Shawshank, however, has since appeared with regularity on many cable stations so that it has now become one of the most quoted movies in American culture.  Almost as iconic as a Dr. Rodgers' permanency rating.

 Arms in the Air in Rain

But back to Colin.  And a result freeing this IAB panel from the bondage of the AMA Guides, 5th Edition, which has remained the more popular version of The Guides in terms of frequency and basis of IAB awards.  And in Colin's own words, here's what went down:

"Cassandra and Scott [Mondell], a few months ago, I spoke to both of you about the Board's predilection for awarding impairments for artificial disc replacements for the lumbar spine. I spoke to a few others along the way.  The case was eventually tried before the Board on October 18 with the Board being given the choice between Dr. Rodgers' use of the AMA Guide 5th Edition and 29% and Dr. Barrish's use of the AMA Guide 6th Edition and 7%.  It awarded the 7% for the reasons stated in the decision.....

Jeff Gentilotti gave Dr. Barrish a pretty difficult time at his deposition.  While I think that the man was ultimately right about his use of the 6th Edition Guide, he has a pretty rudimentary view of it.  As usual, Dr. Rodgers appeared at the Board and tried to cobble a number of unrelated matters into one overall opinion and it just didn't hold together.  [The Board] wasn't buying Dr. Rodgers' view of the similarities between a fusion and a disc replacement and his assumption that the patient having a disc replacement would ultimately lose motion and mimic a fusion.

The facts may well change from case to case but the case is probably going to live for the proposition that a disc replacement and the use of the AMA Guide 6th Edition are now intertwined."

The case in question is William Jackson v. Fletcher's Heating & Plumbing, IAB#1319732 (11/1/11), authored by Hearing Officer Lydia Anderson.  A famous line from the movie comes to mind: "Get busy living or get busy dying."  In this case, you just better "get busy" mastering the Guides-because I am not sure the issue of the 5th versus the 6th remains a "no-brainer".  Moreover, the Board was not swayed by the argument that Dr. Rodgers has a certification in interpretation of the AMA Guides whereas Dr. Barrish does not.

For my part, I am going to "get busy" working on my next post.....

Irreverently yours,
Cassandra Roberts

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Comments

Henry C. Davis
  • 11-09-2011

Your title is a little over the top. The factual dispute in this case makes generalizing anything from it problematic. The real problem the Board has failed to address in these cases is that there must be a reason to accept the 6th instead of the 5th where the 5th has long been held as the standard the Board has been using for determining the degree of permanency, since presumably it has over time found a way to adjust the findings in the 5th to accord with our statute. Remember those? They are what govern this. The issuance of another edition of the guides that simply has a different result than the previous edition cannot be reconciled with the statute unless there are specific issues that cause the new edition to be more applicable than the previous edition. We have all gotten so used to this fiction that the Board has accepted the 5th edition as in accord with the statute in some way so that it can base rulings choosing one doctor over another because of the credibility of one interpretation of the guides over the other that all consideration of what is in accord or not with the statute has been lost utterly. -----Henry.

Henry C. Davis
  • 11-09-2011

BTW, One of my favorite movies of all time. Actually made the SK story better, unlike almost all other interpretations of King's work, except for Stand By Me/The Body perhaps. ----Henry.