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Bocalbos v. Kapiolani Medical Center for Women and Children

3/9/2000

On January 26, 1987, Bocalbos returned to full-time work as a teacher.


In March 1987 Walinski authorized Bocalbos for work at Kapiolani. Bocalbos briefly returned to Kapiolani, but left soon thereafter because she could not tolerate the neck pain she endured when bending over a microscope.


From August 6, 1986 through July 1987, Bocalbos saw several physicians concerning headaches and her difficulties in concentrating. After speaking with her vocational rehabilitation counselor, Julie Hernandez, Bocalbos sought treatment from Teresa Denney, O.D. an osteopathic physician. She referred Bocalbos to Mr. Jeb Dishman (Dishman), an acupuncturist.


Bocalbos underwent occupational therapy from May 26, 1987 to August 1987.


In a February 25, 1987 "interim report," Walinski indicated he "had no problem" with Bocalbos seeing a physiatrist.


On June 8, 1987, Bocalbos began seeing Erlinda Cachola, M.D. (Cachola) for treatment.


A June 12, 1987 report by John A. Griffith, Ph.D. indicated Bocalbos was "experiencing psychological consequences and loss of function so typical of patients with Chronic Intractable Benign Pain Syndrome."


In October 1987, Cachola referred Bocalbos to the care of Emerson Jou, M.D. (Jou), a physiatrist. Jou diagnosed Bocalbos as suffering from TMJD and told her to "reduce her work or to stay off work entirely."


In January 1988, Jou referred Bocalbos to Edmund Wong, D.D.S. (Wong) for a dental evaluation, and in the same month, Jou found Bocalbos ready to resume light work at Kapiolani, subject to restrictions. However, Kapiolani refused to allow Bocalbos to return until she was able to work without any restrictions.


In August 1988, Bocalbos took a one-year leave of absence from her position with the Department of Education.


On August 15, 1988, Bocalbos was examined by Wong. Wong diagnosed Bocalbos as suffering from TMJD. According to Wong, Bocalbos's "previous medical and dental histories" were "non- contributory," and "the accident of July 25, 1986 responsible for [Bocalbos's TMJD] and . . . headaches and other symptoms after the accident." (Emphasis added.) He recommended a two-phase treatment plan. Phase one, " reliminary reatment," involved "treating the inflamed tissue of the temporalis and stylomandibular ligament and locating the precise condyle[ ]-disc-fossa[ ] relationship and maintaining the position by re-lining the patient's prosthesis (using the upper partial as an orthotic appliance)." Phase two, "permanent treatment," entailed " rthodontics and new upper partial . . . to maintain the correct condyle-disc-fossa relationship." Shortly thereafter, Bocalbos apparently relocated to the mainland United States and began to attend osteopathy school for what she refers to as "self-treatment." The record indicates that she returned to Hawai`i periodically.


In January 1989, while in Hawai`i, Bocalbos was seen by Sue at Employer's request, for an independent medical examination (IME). In his January 12, 1989 report, Sue stated, "My recommendation is to continue the patient on bite splint therapy to relieve as many of the acute symptoms as possible. Orthodontic treatment may be employed to improve the relationship of the remaining teeth, after which a new dental prosthesis will be required to stabilize the occlusion[ ] and provide the optimum function." (Emphases added.)


Wong had referred Bocalbos to James Roucis, D.D.S. (Roucis) for further treatment if required. On March 3, 1989, while on the mainland, Bocalbos sought assistance from Roucis to fix her "retainer." According to the bill from Roucis, he made the repair.


Fr

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