Holcombe Medical Consulting

02/16/2026

What makes a medical opinion defensible?

In occupational medicine, many of the opinions we provide affect employment, disability determinations, workers’ compensation claims, and regulatory compliance.

In those settings, it’s not enough to “feel right” about a decision.

A defensible opinion must be:
• Grounded in published standards
• Consistent with regulatory requirements
• Transparently reasoned
• Clearly documented

For example, when evaluating a commercial driver after a heart attack, the decision isn’t based on sympathy or personal comfort. It’s based on FMCSA cardiovascular standards and risk assessment.

Objectivity isn’t cold detachment — it’s disciplined methodology.

I shared more thoughts on the distinctions between morality, ethics, virtues, and values in occupational and medical-legal work. If you’re in safety-sensitive industries, legal practice, or occupational health, I’d welcome thoughtful discussion.

https://holcombemedicalconsulting.com/resources/professional-ethics-independent-medical-evaluation

02/13/2026

Workplace drug positivity is rising — and most employers don’t realize this:

A confirmed positive lab result is not the same as a verified positive.

That’s where the Medical Review Officer (MRO) comes in.

The MRO is a physician responsible for reviewing results, verifying legitimate prescriptions, ensuring DOT compliance, and protecting both employer liability and employee rights.

In fact, research shows that a significant percentage of positive drug tests are medically explained after proper physician review.

Drug testing programs are only as strong as the oversight behind them.

If your organization relies on workplace drug testing — especially under DOT regulations — it’s worth asking:

Is your MRO process truly defensible?

Link in the comments.

02/13/2026

VA Nexus Letters Explained: How an Independent Medical Opinion Can Strengthen Your Disability Claim

A strong VA disability claim requires more than a diagnosis — it requires a clear medical nexus. Learn when an independent medical opinion can strengthen your claim and why the right language matters.

https://holcombemedicalconsulting.com/resources/va-nexus-letters-explained

02/11/2026

Musculoskeletal Disorders in Truck Drivers: A Hidden Driver of Turnover and Cost

Nearly 62% of truck drivers report musculoskeletal pain — and it’s affecting far more than just the lower back. These preventable injuries impact retention, reliability, and claim costs, making early ergonomic and medical intervention a smart workforce strategy.

https://holcombemedicalconsulting.com/resources/musculoskeletal-disorders-truck-drivers

10/16/2025

Thanks to Abel George, we now have our scheduling link up and running. Schedule your FAA medical with the link below!

Welcome to my scheduling page. Please follow the instructions to add an event to my calendar.

10/14/2025

A history of breast cancer doesn't need to slow down your FAA medical certificate if you meet the requirements. Link in the comments.

09/27/2025

Chronic sinusitis can represent a significant risk to aviation safety. If you have this diagnosis, are you prepared for your FAA medical certification exam? Link in the comments.

09/06/2025

If you have a history of colon cancer, do you know what it takes to get your medical issued at the exam? Link in the comments.

08/30/2025

Stopped by Anson Air yesterday to drop off business cards. HV Health and Safety has you covered for your FAA medical, all classes. Just contact Deanna Douglas McKee to get scheduled today!

08/30/2025

If you're safe to fly, we keep you in the air. Medical staff residency trained in Aerospace Medicine and remain active pilots. (305) 504-2934