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Claim summary
Haven voice trend · scheduled check-in calls
| Call date | Mood | Fatigue | Stress | Drift index |
|---|---|---|---|---|
| Jun 2 · week 4 | 58 | 44 | 39 | 31 |
| Jun 22 · week 7 | 49 | 58 | 48 | 44 |
| Jul 8 · week 9 | 41 | 67 | 57 | 58 |
| Jul 21 · week 11 | 34 | 78 | 66 | 71 |
Imaging on file
XR spine · May 6, 2026Medical timeline
Presented same day with acute low back pain after lifting a loaded pallet. Exam consistent with lumbar strain, no red flags. NSAIDs, work restrictions issued.
Lumbar radiographs negative for fracture or listhesis. Conservative management confirmed.
Physical therapy started at 2 visits per week. Baseline Oswestry 42, guarded movement pattern noted.
Objective gains: Oswestry 28, lifting tolerance improving. Therapist notes patient seems flat and reports poor sleep.
On track for light duty release at week 15. Sleep complaints documented, no change in plan.
Current work status
Haven signal
The medical file reads as a routine strain trending to plan. The voice trend reads the other way: mood falling and fatigue rising across four consecutive calls, the pattern that precedes RTW slippage. A nurse case manager touch this week costs one call. The same finding at month eight costs the claim.