Ebook Free Whiplash and Other Useful Illnesses
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Whiplash and Other Useful Illnesses
Ebook Free Whiplash and Other Useful Illnesses
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About the Author
Andrew Malleson is the author of Need Your Doctor Be So Useless? and The Medical Runaround. He was a psychiatrist with the Toronto University Health Network and a consultant to the Toronto Rehabilitation Institute. He has frequently served as a medical ex
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Product details
Paperback: 544 pages
Publisher: McGill-Queen's University Press (June 14, 2005)
Language: English
ISBN-10: 0773529942
ISBN-13: 978-0773529946
Product Dimensions:
6 x 1.8 x 8.8 inches
Shipping Weight: 1.6 pounds
Average Customer Review:
3.3 out of 5 stars
9 customer reviews
Amazon Best Sellers Rank:
#2,034,694 in Books (See Top 100 in Books)
This book was recommended to me by a very eminent neurology attending. Excellent and well-researched critique on the management of whiplash, and secondary gain. At times the author did seem overly pessimistic of the motives of healthcare workers and patients, but as I read on I could see why he felt so emphatically - he relays stories of "seat sales" where people would deliberately crash cars into unsuspecting occupied vehicles, often leading to severe injuries in those passengers who were intentionally struck by the inciting vehicle. It was gut-wrenching to think that someone would put others at risk in that way, often leading to severe injuries in the innocently struck car. I do think that most people (patients and physicians alike) are not deliberately trying to capitalize on the insurance system and that he tended to highlight anecdotes that represented pretty egregious cases of fraud. I think from the standpoint of physicians, pain is inherently a subjective experience of the patient and we are obligated, at least until proven otherwise, to give benefit of the doubt and work up symptoms earnestly. I do agree there are a lot of psychosocial aspects of pain, and often traumatic memories about the inciting event seem to contribute, which are often challenging to treat and can be frustrating to both parties. I thought overall this was a well-researched book, and raised a lot of great points about healthcare economics and cost efficiency, but seemed very fixated on the insurance fraud aspect.
This book criticizes those who suffer whiplash injury. It ignores that whiplash can lead to disc injury in the neck, fibromyalgai, tempormandibular joint dsyfunction, and traumatic brain injury. It is scientifically flawed and fails to consider the science now know. It is written at the behest of the insurance industry so they can refuse to pay or underpay claims. Most people with whiplash do recover within six months or shorter. However the unlucky ones can go on to develop permanent injury like traumatic brain injury, fibromyalgia, or disc injury. Please note that whiplash can cause a fractured neck which can lead to any injury up to quadriplegia. This book does an incredible disservice to injured people.
I have only read the synopsis of the book and the customer reviews. I have 11 years experience as an Industrial Nurse Case Manager. I wholeheartedly assure the secondary gain issues listed are quite true from 3rd party liability cases, workers' compensation cases and medical malpractice. There are a lot of unethical physicians who will causally relate anything to everything, continue treatment when none is warranted, (one case of mine had physical therapy for 15 years and never improved) and keep persons out of work for no objective reason. This is blatant fraud. Other physicians may innocently do this because they lack knowledge of secondary gain and/or symptom magnification. I try to stay away from this type as well as the hired gun physicians who do reap the financial benefits from insurance companies and are not objective either. The plaintiff attorneys coach their clients to drive up medical costs for increased settlement. All claims are greatly increased when pre-existing psychological conditions/disorders (i.e. depression, anger issues, borderline personality disorder) are present. There is a very significant direct cost to the taxpayer (i.e. federal workers' compensation cases,such as postal workers, shipyard workers, any civil service, etc.)and indirect cost, by our increased purchase costs due to the burden of risng insurance premiums which the company or individual must pay. Thus this affects all of us in a very direct way both monetarily and psychologically (decreased co-worker morale when they see a co-worker getting away with this, increased false claims, again because others see how easy it is for false claims, and anxiety caused by job loss when the company closes because they can no longer afford their premiums). I also think other factors color this situation as the general population's work ethic has spiraled downward while their sense of entitlement has sharply increased. This is the real world, not embellished opinion.
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