Persistent Intellectual Impairments |
Check | Score | Note |
| Memory problems | No | 0 | Excellent memory. Recall critical to work |
| Difficulty concentrating | No | 0 | No such difficulty |
| Attention Difficulties | No | 0 | No such difficulty |
| Easily Distracted | No | 0 | No such difficulty |
| Misplacing or difficulty tracking things | No | 0 | Able to act without memory aids |
| Difficulty making decisions | No | 0 | Rational decision making. Self directed investor |
| Difficulty solving problems | No | 0 | Work centred on constant problem solving |
| Difficulty understanding spoken instructions | No | 0 | Work was verbal. Excellent performance |
| Difficulty understanding written instructions | No | 0 | Many written policies. Followed 100% |
| Difficulty finding words | No | 0 | Not experienced |
| Difficulty communicating thoughts / feelings | Yes | 1 | Discussions with Dr D. See End Note. |
| Unintentionally repeating the same remarks | No | 0 | Not noted |
| Unintentionally repeating same activities | No | 0 | Not noted |
| Stuttering or stammering | No | 0 | Not observed |
| Difficulties doing simple math | No | 0 | Managed own investments |
| Impaired abstraction or literalness | No | 0 | Not Observed |
| Mental rigidity | No | 0 | Job required flexibility |
| Deficits in processing information | No | 0 | Work mandated handling large volumes of information |
| Deficits in sequencing information | ?? | Still not sure what this means | |
| Difficulty executing or doing things | No | 0 | Projects completed on time and budget |
| Difficulty starting or initiating things | No | 0 | Many household and work projects |
| Difficulty handling work requirements | No | 0 | Excellent work performance |
| Difficulty handling school requirements | No | 0 | Job required continual learning |
| Having to check and re-check what you do | No | 0 | Job required high accuracy, performance highly monitored |
| Disoriented by slight changes in daily routine | No | 0 | Accommodated all change including major shift changes at short notice |
| Unsure about things that you know well | No | 0 | Confident in my abilities and performance |
| Difficulty learning new things | No | 0 | Continual learning a key aspect of job |
| Doing things slowly to insure correctness | No | 0 | Job required immediate delivery of correct results |
| Decreased capacity for reality testing | ?? | 0 | Still not sure what this means |
| Impaired ability to appreciate details | No | 0 | Attention to detail critical to job |
| Impaired ability to benefit from experience | No | 0 | Continual learning from experience |
| Inappropriate responses to people & things | No | 0 | Was grounds for immediate termination |
| Difficulty taking care of your self | No | 0 | Not observed |
| Difficulty taking care of children | No | 0 | Assisted Colin |
| Section 1 Totals: | 1 | ||
| Psychological Consequences | Check | Score | Note |
| Impaired sense of self | No | 0 | |
| Fear of loss of control | Yes | 1 | Associated with 2007 panic attacks |
| Easily agitated or irritated | No | 0 | Had to control to perform job |
| Easily startled | No | 0 | Not noted. |
| Feelings of paranoia | No | 0 | Not observed |
| Spells of terror or panic | Yes | 3 | Sought therapy with Dr D. See End Note. |
| Feelings of depression | No | 0 | Not observed |
| Feelings of shame or guilt | No | 0 | Not observed |
| Persistent anxiety | Yes | 2 | Associated with 2007 panic attacks. |
| Anxiousness or feelings of fear and dread | No | 0 | Not observed |
| Feelings of discouragement | No | 0 | Nothing beyond routine. |
| Withdrawal or social isolation | Yes | 2 | Consequence of crazy work schedule and employer demands |
| Feeling others not appreciating your difficulties | No | 0 | Not observed |
| Feeling everything is an effort | No | 0 | Sense of job mastery |
| Feeling inept or worthless | No | 0 | Extremely positive performance feedback. |
| Laughing or crying without apparent cause | No | 0 | Not experienced |
| Worrisome thoughts won’t leave your mind | No | 0 | Not experienced |
| Making up explanations for things | No | 0 | Not experienced |
| Insensitive to others and social context | No | 0 | Would have resulted in poor job performance |
| Diminished insight | No | 0 | Coached other agents job performance. Required insight. |
| Section 2 Totals: | 8 | ||
| Persistent Mood Disorders | Check | Score | Note |
| Mood swings | No | 0 | Extremely stable and consistent. |
| Having urges to beat, injure or harm someone | No | 0 | Never |
| Shouting or throwing things | No | 0 | Never. Would not have been tolerated in work place. |
| Temper outbursts that you could not control | No | 0 | No temper and no outbursts. Would not have been tolerated in work place. |
| Section 3 Totals: | 0 | ||
| Persistent Physiological Impairments | Check | Score | Note |
| Heart pounding or racing | No | 0 | Never. Undertook regular excercise to compensate for sedentary occupation. |
| Rapid pulse | No | 0 | Very slow and stable pulse. |
| Headaches or head pains | No | 0 | Never |
| Increased blood pressure | No | 0 | Never |
| Increased sensitivity to touch | No | 0 | Not experienced |
| Ringing in ears | No | 0 | Never |
| Easily fatigued | No | 0 | Not experienced |
| Numbness or tingling in parts of your body | No | 0 | Not experienced |
| Weakness or loss of strength | No | 0 | Not noted. Did home renovations, shovelled snow with no problems. |
| Feeling tense or keyed up | No | 0 | High stress job but managed it well. |
| Restlessness, unable to sit still | No | 0 | Sitting mandatory for job performance |
| Lessened ability to perform physically | No | 0 | No noted problems |
| Decreased tolerance for alcohol and drugs | No | 0 | Do not use |
| Appetite disturbances | No | 0 | Strong, consistent appetite |
| Trouble falling asleep | No | 0 | Excellent sleep hygiene |
| Awakening during the night | No | 0 | Worked nights. Rarely woke during the day apart from noise disturbance. |
| Sleep that is restless or disturbed | No | 0 | Slept well, woke refreshed |
| Section 4 Totals: | 0 | ||
| Persistent Personality Alterations | Check | Score | Note |
| Passivity, or submissiveness | No | 0 | Not experienced |
| Aggressiveness | No | 0 | Would not be tolerated in the workplace. |
| Apathy, lack of interest or emotion | No | 0 | Grounds for dismissal. |
| Overly sensitive | No | 0 | Agents had to accommodate all kinds of customers. |
| Discouragement or demoralization | No | 0 | Not experienced |
| Increased emotional distress | No | 0 | Not in workplace |
| Chronic frustration | No | 0 | Experienced satisfaction at performing in a difficult environment. |
| Grandiosity or boastfulness | No | 0 | Not experienced |
| Excessively talkative | No | 0 | Not experienced |
| Compulsive writing | No | 0 | Not experienced |
| Egocentricity | No | 0 | Not experienced |
| Childishness | No | 0 | Not tolerated in the workplace |
| Silliness | No | 0 | Not tolerated in the workplace |
| Overly responsible | No | 0 | Adhered to my area of responsibility. |
| Irresponsibility | No | 0 | Not tolerated in the workplace. |
| Impulsively | No | 0 | Not tolerated in the workplace. |
| Self-indulgent | No | 0 | Not experienced |
| Indiscreet comments and acts | No | 0 | Not tolerated in the workplace. |
| Obscene comments or acts | No | 0 | Not tolerated in the workplace. |
| Increased sexual activity | No | 0 | Not experienced |
| Decreased sexual activity | No | 0 | Not experienced |
| Increased shame or guilt | No | 0 | Not experienced |
| Religiosity | No | 0 | Not experienced |
| Section 5 Totals: | 0 | ||
| Persistent Neurological Problems | Check | Score | Note |
| Sense of observing your self from afar | No | 0 | Not experienced |
| Altered consciousness | No | 0 | Not tolerated in the workplace. |
| Slowed reaction time | No | 0 | Reaction time measured in the workplace and was key retention metric. |
| Smelling odors that others do not smell | No | 0 | Not experienced |
| Hearing music that others do not hear | No | 0 | Not experienced |
| Making up explanations for things | No | 0 | Not tolerated in the workplace. |
| Sensitivity to temperature shifts | No | 0 | Not experienced |
| Seeing dark spots before your eyes | No | 0 | Not experienced |
| Blurred vision, especially when fatigued | No | 0 | Not experienced |
| Double vision especially when fatigued | No | 0 | Not experienced |
| Diminished night vision | No | 0 | Not experienced |
| Difficulty relaxing | No | 0 | Not experienced |
| Twitching | No | 0 | Not experienced |
| Sensitivity to sound or noise | No | 0 | Not experienced |
| Sensitivity to light | No | 0 | Not experienced |
| Section 6 Totals: | 0 |
End Notes
The issues identified were acute in nature, were primarily evident during therapy sessions, and did not extend over the complete period prior to the accident of March 06th 2011. They were absent during the 2009, 2010, January to March 2011 period.
In the fall of 2007 I experienced crippling anxiety attacks while at work. These were precipitated by a fear of loss of employment arising from a work place rumour. I did not know anything of anxiety attacks and did not identify them as such. I thought these events were signs of some pending mental illness and I sought therapy with Dr. D.
In the course of our therapy sessions, I experienced considerable difficulty addressing specific events from my past. Discussion of these events would trigger a high level of anxiety. At some time in 2010 my employer altered my shift schedule to place me on an overnight shift. This made it very difficult to continue seeing Dr. D. I was secretly glad of this change as I wished to avoid encountering all of the problems experienced in therapy sessions.
Subsequent to the accident, I find I experience no anxiety despite having failed to locate employment and living on dwindling retirement savings. I find this to be very strange given that my initial reason for consulting Dr. D was due to anxiety attacks provoked by a work place rumour of job loss. This job loss is no longer rumour but is now fact; I am unable to explain my lack of anxiety in response to my current situation. This lack of anxiety was one of three key triggers that caused me to seek medical attention.