Mr. Anderson is on extremely high levels of narcotic pain medications. He has had several negative drug screens. He reports he is taking the medications as directed even with the negative screens. The adjuster has Helios involved and there are random drug screen done also. At each medical appointment I confirm what the current drug screens are and discuss with Dr. Rampersaud the need to decrease, begin a tapering of the medications or send him for a 2nd opinion. At the next appointment on 12/14/16 if the pain level has not decreased then Dr. Rampersaud wants to have a 2nd opinion done either at Henry Ford hospital of the U of M.

Mr. Anderson is very persistent that he needs further surgery; he claims his original injury was never repaired