6/5/2020
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On July 27, 2007, Dr. Alegre issued another Progress Report[24] stating essentially as
follows:
Objective Findings:
Tenderness over the loose paralumbar muscles.
Truncal mobility restricted.
Small Cyst in the left kidney.
Assessment:
Beginning Disk Dessication, L5S1
Small Cyst, Left
Urology evaluated the small kidney cyst and opined that it will be observed
as it is small and no impairment of kidney function is noted.
Provocative Discography was done on 26 July 2007 and showed leakage of
contrast material at the midposterior aspect of the disk more towards the
left thru a mild posterior annular tear. It was opined by Interventional
Radiology that the pain complained of is not commensurate with the
Discography.
Plans:
As the pain is not commensurate with the discography, personality reasons
should be evaluated to rule out malingering is for your approval the form of
[sic] Minnesota Multiphasic Personality Test. Approximate cost is
Phpl0,000.00.[25]
On August 15, 2007, respondent took the Minnesota Multiphasic Personality Inventory 2 Test[26] (MMPI-2) at the St. Luke's Medical Center. The results of the test are
contained in Dr. Alegre's August 30,2007 Progress Report,[27] thus:
The MMPI-2 Test provides a number of validity indices that are designed to
provide an assessment of factors that could distort the results of testing.
Such factors could include failure to complete test items properly,
carelessness, reading difficulties, confusion, exaggeration, malingering or
defensiveness.
During the interview phase, he was highly defensive finishing the test in
more than 5 hours which is normally completed within P/2 hours. He
expressed doubts as to whether his injury or back pain will be cured
doubting about his capacity and fitness to return to work. He already
approached an attorney for disability claims and he is expecting a large sum
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