Clearly, Mr. Triplet is not a credible historian. My personal observations of him testifying at trial do not lead me to conclude he attempted to intentionally mislead the fact finder. The physicians selected by the employer could find nothing wrong with Triplet. If this is unsuccessful, will returned due lack of physical findings to explain severity of pain. Jackson County Orthopedics Id. at 21.
Examination reveals reflexes as well as motor and sensory examination was normal.
He had full range of motion to all his joints. We also observed him when he was distracted, and he was able to ambulate and use his right shoulder in an improved fashion. On the basis of my history and physical examination, as well as review of his x-rays and bone scans, I am unable to make a diagnosis for the etiology of his pain. He might possibly benefit from being seen by a Neurologist or physiatrist. However, I suspect there is also considerable depressive overlay to his syndrome.