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THE FUTURE IS HERETHE FUTURE IS HERE
20102010 Fall ConferenceFall Conference
Rock Financial Show PlaceRock Financial Show Place
Novi, MichiganNovi, Michigan
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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2010 MSIA FALL CONFERENCE
GOLD SPONSORS
Aetna Workers CompAetna Workers Comp
AccessAccess
Brown Rehab andBrown Rehab and
Review ManagementReview Management
Global OptionsGlobal Options
Great Lakes PTPNGreat Lakes PTPN
HostetlerHostetler--Fontaine &Fontaine &
AssociatesAssociates
ManageAbilityManageAbility
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Audit Committee
Business Meeting
Nomination of Officers Special Recognition
2010 MSIA FALL CONFERENCE2010 MSIA FALL CONFERENCE
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Michigan SelfMichigan Self--Insurers AssociationInsurers Association
AmwayLorraine Climer
AT&TTo Be Determined
City of Grand RapidsMari BethJelks
Consumers EnergyDoug Wright 1stVice Chair
DTE EnergyDoug Green
Ford Motor CompanyJonathan Parker Chairperson
Gerald M. Marcinkoski - Executive Secretary
General Motors LLC
Susan Azar
Ilitch Holdings, Inc.C. Michael Healy Treasurer
Kelly ServicesLesley Zielinski
Marathon Oil CompanyBarbara Parker 2ndVice Chair
MeijerSherri Miller
Smith Haughy Rice & RoeggeDanielle Susser
BOARD OF MANAGERSBOARD OF MANAGERS
AdvisoryGroupAdvisoryGroup
CompaticoLibby Child
Chrysler LLC
Neil Levins
Michigan Chamber of CommerceWendy Block
Parker-HannifinJacey Saylor
Sherriff-GoslinCompanyWilliam Ticknor
Spectrum HealthSteve Ohman
Trinity HealthTeresa Fisk
Wayne State UniversityPamela Galloway
Wayne Co. Airport AuthorityLeigh Stepaniak
Michigan Manufacturing Association
Jennifer Spike
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal UpdatesJerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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SPECIFIC LOSS BENEFITSSPECIFIC LOSS BENEFITS
StatuteStatute
MCL 418.361(2)MCL 418.361(2)
Case LawCase Law Lindsay vLindsay v GlennieGlennie Industries, Inc.Industries, Inc.
Cain I & Cain IICain I & Cain II
Trammel v Consumers EnergyTrammel v Consumers Energy
FactsFacts
DecisionDecision
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Jack D. Lennox, D.O.Jack D. Lennox, D.O.
Chairman, Dept. ofChairman, Dept. ofOrthopedic SurgeryOrthopedic Surgery
BotsfordBotsford HospitalHospital
Knee Trauma andKnee Trauma and
Degeneration Resulting inDegeneration Resulting in
Total KneeTotal Knee ArthroplastyArthroplasty
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Knee JointKnee Joint
AA diarthrodialdiarthrodial jointjoint
linedlined
withwith articulararticular cartilagecartilage
and lubricated withand lubricated with
synovial fluidsynovial fluid
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Knee JointKnee JointLigamentsLigaments ACL, PCL,ACL, PCL,
MCL, LCLMCL, LCLMeniscusMeniscus Medial &Medial &
LateralLateral
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OsteoarthritisOsteoarthritis
Loss ofLoss of articulararticular
cartilage to bare bonecartilage to bare bone
associated withassociated with
symptomaticsymptomaticinflammationinflammation
secondary to trauma,secondary to trauma,
birth,birth, malalignmentmalalignment
and/or wear overand/or wear overtime.time.
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OsteoarthritisOsteoarthritis
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OsteoarthritisOsteoarthritis
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OsteoarthritisOsteoarthritis TreatmentTreatment
OptionsOptionsRestRestExerciseExercise strength,strength,
maintenance ofmaintenance of
motion, aerobicmotion, aerobicconditioning, etc.conditioning, etc.
MedicationsMedications
NSAIDsNSAIDs, steroids,, steroids,
glucosamine/glucosamine/chondroichondroi
tintin sulfate, alternativesulfate, alternative
(cherry extract, MSM)(cherry extract, MSM)
InjectionsInjections
corticosteroids,corticosteroids,
viscosupplementationviscosupplementation
((hyaluronichyaluronic acidacid SupartzSupartz,, SynviscSynvisc,,
EuflexxaEuflexxa, etc.), etc.)
Electrical StimulationElectrical Stimulation
-- BionicareBionicare
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OsteoarthritisOsteoarthritis TreatmentTreatment
OptionsOptions
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OsteoarthritisOsteoarthritis TreatmentTreatment
OptionsOptionsSurgicalSurgical --
ArthroscopicArthroscopic
meniscoplastymeniscoplasty andand
debridementdebridement
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OsteoarthritisOsteoarthritis TreatmentTreatment
OptionsOptionsSurgicalSurgical
Joint resurfacingJoint resurfacing
OATSOATS
((OsteochondralOsteochondral
AutograftAutograft
Transfer System)Transfer System)
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OsteoarthritisOsteoarthritis TreatmentTreatment
OptionsOptionsSurgicalSurgical
Joint ResurfacingJoint Resurfacing --
ACIACI (( AutologousAutologous
ChondrocyteChondrocyteImplantation)Implantation)
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OsteoarthritisOsteoarthritis TreatmentTreatment
OptionsOptionsSurgicalSurgical
OsteotomyOsteotomy malalignmentmalalignment
VarusVarus bowbow--leggedlegged
ValgusValgus knockedknocked--kneedkneed
Femoral orFemoral or TibialTibial
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OsteoarthritisOsteoarthritis TreatmentTreatment
OptionsOptionsSurgicalSurgical -- Joint Replacement orJoint Replacement or ArthroplastyArthroplasty
UnicompartmentalUnicompartmental, Bi, Bi--modular, Totalmodular, Total
MetalMetal Titanium,Titanium, CrCOCrCO ( Porous or( Porous or
Cemented)Cemented)
PlasticPlastic Polyethylene, UHMWPolyethylene, UHMW
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OsteoarthritisOsteoarthritis TreatmentTreatment
OptionsOptions
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OsteoarthritisOsteoarthritis TreatmentTreatment
OptionsOptions
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PostPost Surgical TKASurgical TKA
22--3 days in hospital3 days in hospital
2 weeks2 weeks walker or crutcheswalker or crutches
2 weeks2 weeks canecane3 weeks3 weeks blood thinner, cant driveblood thinner, cant drive
33--4 weeks4 weeks -- first followfirst follow--up in officeup in office
88--12 weeks formal physical therapy12 weeks formal physical therapy home & outhome & out--pt.pt.
88--16 weeks RTW no restrictions16 weeks RTW no restrictions
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ResultsResults Total KneeTotal Knee
ArthroplastyArthroplasty9898--99 %99 % -- little or no pain @ 2 years postlittle or no pain @ 2 years post--opop
90%90% -- in and functioning @ 20 years postin and functioning @ 20 years post--opop
(revision(revision--10%)10%)
0.50.5--1.0 % infection rate1.0 % infection rate
22--4 % blood clot (DVT)4 % blood clot (DVT)
CMSCMS highest rated elective surgery in USAhighest rated elective surgery in USAWhy did I wait so long?Why did I wait so long? -- most commonmost common
comment postcomment post--opop
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Factors Affecting SuccessFactors Affecting Success --
TKATKABodyBody HabitusHabitusDeformityDeformity
PrePre--Op Loss of Motion/TightnessOp Loss of Motion/Tightness
Number of SurgeriesNumber of SurgeriesCoCo--MorbiditiesMorbidities Diabetes, Vascular, HeartDiabetes, Vascular, Heart
MotivationMotivation
PostPost--op Complications (DVT, Swelling,op Complications (DVT, Swelling,Infection, Medical Issues)Infection, Medical Issues)ScarringScarring
Workers CompensationWorkers Compensation
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The Case (T.T.)The Case (T.T.)
6/846/84 3333 y.oy.o. male working for Consumers Power,. male working for Consumers Power,
twisting injury L knee, arthroscopic surgery,twisting injury L knee, arthroscopic surgery,
symptoms cured. Probably removed cartilagesymptoms cured. Probably removed cartilage
(meniscus)(meniscus)7/967/96 subsequent incidental injurysubsequent incidental injury
12/12/0512/12/05 fell into 3 foot hole in ground covered upfell into 3 foot hole in ground covered up
by snow. Jammed and twisted L knee withby snow. Jammed and twisted L knee with
immediate pain and swellingimmediate pain and swelling1/4/061/4/06 initial treatmentinitial treatment-- physical therapy, off work,physical therapy, off work,
NSAIDsNSAIDs
1/25/061/25/06 symptoms unchanged, MRI orderedsymptoms unchanged, MRI ordered
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The Case (T.T.)The Case (T.T.)
2/9/062/9/06 MRI positive (meniscus tear), discussedMRI positive (meniscus tear), discussed
TKA and preTKA and pre--op workop work--upup
3/9/063/9/06 Surgery scheduled, .Surgery scheduled, . osteoarthriticosteoarthritic
changes from original incident in 1984 relatedchanges from original incident in 1984 relatedneed for TKA to December2005 injuryneed for TKA to December2005 injury
4/12/064/12/06 TKA performedTKA performed
4/17/064/17/06 Venous duplex ultrasound orderedVenous duplex ultrasound ordered
negativenegativealso concern for infectionalso concern for infection
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The Case (T.T.)The Case (T.T.)
6/15/066/15/06 Mild decreased ROM,Mild decreased ROM,
manipulation under anesthesia (MUA)manipulation under anesthesia (MUA)
scheduledscheduled
7/10/067/10/06 RTW without restrictionsRTW without restrictions
7/19/067/19/06 Last note availableLast note available doingdoing
well, ROM 5well, ROM 5--105105
9/069/06 Voluntary retirement form workVoluntary retirement form work
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ObjectObject -- TKATKA
To provide a stable, painTo provide a stable, pain--free, wellfree, well--
functioning jointfunctioning joint
with minimal bone resection and traumawith minimal bone resection and trauma
that lasts a lifetime.that lasts a lifetime.
In other words, essentially GOOD ASIn other words, essentially GOOD AS
NEW.NEW.
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Post ScriptPost Script
Laws that cover workers injuries and subsequentLaws that cover workers injuries and subsequent
treatment for those injuries (especially jointtreatment for those injuries (especially jointreplacement)replacement)
need to keep up with the times and factor in the vastneed to keep up with the times and factor in the vastmedicalmedical
and surgical advancements that have taken place in theand surgical advancements that have taken place in thelastlast
several decades.several decades.
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Thank YouThank You
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Agenda
8:00 8:45 AM Registration & Breakfast
8:45 9:15 AM Welcome / Overview / Business Meeting
9:15 10:00 AM Investigation in Todays Digital WorldTom Dana / DigitalSEAAl Lux / Global OptionsCraig Zamler / Kluczynski, Girtz, Zamler & McCubbrey, P.C.
10:00 10:30 AM Break / Visit Exhibitors
10:30 11:30 AM Workers Compensation Agency
11:30 12:00 PM Legal Updates
Jerry Marcinkoski / MSIA Executive Secretary / Lacey &Jones
12:00 1:00 PM Lunch
1:00 2:00 PM The U.S. Workforce Comes of Age
Dr. Chrisanne Gordon
2:00 2:30 PM Michigan Supreme Court CandidatesJustice Robert Young (Incumbent)Judge Mary Beth Kelly
2:30 3:15 pm Specific Loss Understanding Practical Legal & Medical IssuesRick Lovernick / Conklin BenhamDr.Jack Lennox / Tri-County Orthopedics
3:15 3:30 PM Door Prizes / CEUs / Adjournment
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Reminder:Reminder:
Conference Evaluation FormsConference Evaluation Forms
Recycle Name BadgesRecycle Name Badgesat Registration Tableat Registration Table