COGNITIVE DISORDER NOS, SECONDARY TO TBI.
Wyndham Worldwide, do you have a management job for someone with this skill set after RTW is approved?? Is there a WIDGET ASSEMBLY DEPARTMENT??!
[ TBI – TRAUMATIC BRAIN INJURY. INTELLIGENCE LEVELS USED TO BE ….MENSA STANDARDS…. NOT NO MORE….. ]
APRIL 2012 –
Judgment and Insight: The patient’s judgment and insight seemed intact. Patient appeared to be aware of how the injury had affected cognitive functioning and discussed taking steps to remediate for areas of perceived deficit….
Test Behavior: The patient was also frequently tearful, becoming emotionally distraught when perceived unable to perform various tasks as well as perceived they would have been done prior to injury. Also becomes tearful when talking about various professionals who were perceived as not caring for medical needs appropriately.
COOPERATION: The patient was very cooperative. Completed all tests administered without complaint.
EFFORT: Patient appeared to put forth best effort on all tasks administered. Objective testing also gave no indication of purposeful exaggeration or distortion of symptoms….
Report to Employer:
Disability or Medical Limitations: (Physician must review employee’s job description and describe disability and/or restrictions from performing this job).
HAS PROBLEMS WITH ATTENTION AND CONCENTRATION WHICH WILL IMPACT ABILITY TO EFFECTIVELY PROCESS COMPLEX CLIENT INFORMATION AND OTHER DATA. Additionally, injured worker has a reactive depression to the conditions and neurobehaviorial symptoms. Medications Taken and Side Effects: N/A
Mitigating Measures or Assistance Devices Utilized and Degree of Effectiveness in Reducing Functional Limitation and Effect of Medical Condition on Major Life Activities, Description of Impact and Duration:
Injured worker needs ongoing psychotherpay and cognitive remediation. Ongoing Rx for neurobehaviorial symptoms as per Physiatrist. Patient has problems with money management at this time, however, is independent with all other ADL’s….. [Physiatrist recommended treatments and further evaluations were never authorized after initial consult. Initial consult did result in non-revocation of driver’s license after unfounded report by neurologist with a specialty in epilepsy and fibromyalgia (neither of which IW suffers from), not TBI, saga for another blog]
State Whether Employee Can Perform the Tasks in the Job Description in light of Medical Condition and identify any applicable restrictions and duration:
#Responsibility – will have difficulties with training and development and remembering information to convey to others…
Knowledge and Skills – patient will have problems tracking with company policies and procedures. Patient may also have problems with organization.
Identify Any Accommodations that Would Enable the Employee to Perform the Tasks that the Employee’s Medical Conditions Precludes from Performing
Modified duty – performing rote and repetitive tasks that do not require major decision making or constant interaction with the public.
Identify any injury, harm or aggravation that the Employee may experience by Performing the Job Duties Due to the Medical Conditions and State the Medical Reason for your conclusion:
The major issue will be increased depression and irritability resulting from frustration over inability to perform up to expectations or from making mistakes. I cannot speak to physical issues as they lie outside my area of expertise.
Identify if Medical Condition is Temporary or Permanent:
Patient is TTD [TEMPORARILY TOTALLY DISABLED] and expected to reach P & S [PERMANENT AND STATIONARY; as good as it gets] at a year post injury, plus or minus a month.
Report to Government Agency:
HAS PROBLEMS WITH ORGANIZATION AND WON’T BE ABLE TO FOLLOW PROCEDURES. ORIGINALLY HAD PATIENT SCHEDULED TO RTW ON____ I AM CURRENTLY RELEASING TO RTW W/RESTRICTIONS – BASIC CLERICAL TASKS. SEE ATTACHED REPORT.
[‘however, after reflection upon threatening letter from defense attorney and possible jeopardization to QME designation, without benefit of treatment, further evaluation or anything medical for TBI or anything else..’ the patient in now deemed ready to return to work to ensure flow of business referrals within the small community of workers comp providers !!!????????????!!!!!!!!!!!.]
[Corporate Employer is to be nicely patient when injured worker is slow and/or severely challenged to collate multiple pages, such as 2 sets of 4 documents. With time, the speed will improve, as if retraining for assembling widgets.] – Clinical Psychologist apparent opinion.
INJURED WORKERS IS “….very angry at not getting the treatment that is expected.”
[Doctor is clearly unfamiliar with ACOEM medical guidelines for treatment and evaluations….nor Labor Law]
Return to Work Issues:
Patient should be able to return to modified duty … with the following restrictions:
1. Injured worker should go to the office closer to home.
2. While injured worker is not able to return to work as a sales person, injured worker should be able to return to work to modified duty as a clerical person. a. injured worker could work as and administrative assistant [and correct little typos] or doing front desk work. b. injured worker should not go back to sales until _____.
[UNTIL legitimate medical care provided??!!! If injured workers was a male, would the accommodation request have reflected a different bias?!]
3. The patient should return to work for 6 hours a day for the first week, and 8 hours a day thereafter.
4. If these restrictions can not be kept, the patient should then be considered totally temporarily disabled until Permanent and Stationary status is reached.
1. The patient needs to see a Psychologist closer to home. The patient needs a set of 6 sessions with a CBT emphasis to address anxiety [anxiety over lost, untreated cognitive functions etc.]. It is simply impractical for the patient to travel approximately 2 hours [3 hours, each way!!!] to come see me in my office. I would recommend [Psy.D without expertise in brain injury, that does not accept workers comp patients.]
2. The patient continues to experience visual difficulties. I am asking formal authorization for the patient to see designated neuro-optometrist. [Originally requested in April 2012; denied.]
3. This patient is not interested in taking medications at this is time.
4. I will see the patient again in 6 weeks.
HISTORY of reports by this attorney-designated doctor, outside of MPN, authorized by hearing disputing MPN existence and failure to properly notice:
AUGUST 2012 – Disability Status: The patient is temporarily totally disabled. Recommendations and Plan: 1. Continue with authorized treatment sessions [chat therapy with staff doctor of unknown credentials to deal with stress and anxiety over lost, untreated cognitive functions etc. and to explore expensive gadgets to compensate for brain injury impairments] 2. Continued treatment as per other medical specialties. [no other medical specialties authorized despite multiple requests; injured worker has skewed sense of time since injury and just patiently waited and waited and waited for proper authorities to authorize requested treatment; injured worker was advised that that worker comp process is slow……until the Plaintiff’s attorney attempted to coerce acceptance of a premature settlement offer, without benefit of evaluations requested by ‘other medical specialties’ and said settlement demanded forfeiture of all future benefits…. which ensured that injured worker would be ‘SLEEEPING UNDER A BRIDGE’ in the foreseeable future unless a widget assembly job could be found.]
JULY 2012 – Disability Status: The patient is temporarily totally disabled. Recommendations and Plan: 1. Continue with authorized treatment sessions [chat therapy with staff doctor of unknown credentials to deal with stress and anxiety and explore gadgets to compensate for brain injury impairments] 2. Continued treatment as per other medical specialties. [What continued treatment was that, Doc?? Nothing in 7 months but chat with a disgrunteld designated associate of unknown credentials. Fraud? Or absent-mindedness??]
[no other medical specialties authorized despite multiple requests; injured worker has skewed sense of time since injury and just patiently waited and waited and waited for proper authorities to authorize requested treatment; injured worker was advised that that worker comp process is slow, so she fed the bunnies while waiting and waiting and waiting….until the Plaintiff’s attorney attempted to coerce acceptance of a ridiculous premature settlement offer, without benefit of evaluations requested by ‘other medical specialties’ and said settlement demanded forfeiture of all future benefits…. and ensured that injured worker would be ‘SLEEEPING UNDER A BRIDGE’ in the foreseeable future unless a widget assembly job could be found.]
WYNDHAM, DO YOU HAVE A MANAGEMENT JOB FOR SOMEONE WITH THIS SKILL SET AFTER RTW IS APPROVED?? IS THERE A WIDGET ASSEMBLY DEPARTMENT??!
“I’m Injured!! NOT STUPID!!!
FRIENDS HELP FRIENDS HOLD CRIMINALS ACCOUNTABLE FOR THEIR ACTIONS….
- Let’s Pow-Wow. If you have a story, or if you have a have a friend with a story, LET’S SHARE.
THIS BLOG INVITES GUEST BLOGGERS. SUBMIT YOUR STORY AND/OR RESOURCES TO LUCYOCCUPY@AOL.COM OR AS A COMMENT BELOW. ’EVERYBODY KNOWS’ HOW CORRUPT THE USA WORKERS COMP GRAVY TRAIN IS. IT’S TIME WE START TALKING ABOUT IT….ON THE INFORMATION SUPERHIGHWAY…AND SOCIAL MEDIA. IF YOU’RE A INDUSTRIAL INJURY SURVIVOR, WE NEED TO HEAR YOUR STORY.
INITIAL BLOG FOCUS IS TBI — TRAUMATIC BRAIN INJURY….SURVIVORS.
We Are The Media Now, So Be It.
Let’s see if the ACLU and/or the National Lawyer’s Guild will get on board to help protect the American workers from predatory criminal behaviors of those of the Workers Compensation Gravy Trains around the nation. THIS LAND IS OUR LAND….. and we still have some laws in place. The Workers Compensation system is NOT BROKEN….IT’S WORKING AS IT IS DESIGNED TO WORK….. LET’S HOLD THE CRIMINALS ACCOUNTABLE, ONE CASE AT A TIME, ONE ADJUSTER AT A TIME, ONE LAWYER AT A TIME, ONE DOCTOR AT A TIME, ONE INFORMATION OFFICER AT A TIME…….. WE ARE THE MEDIA NOW, and for that, WE ARE RESPONSIBLE.
THINK LOCALLY. ACT GLOBALLY. OCCUPY VIRTUALLY.~~~Lucy’s friend was told to stop bothering with useless letters of evidence and pleadings to doctors, judges and attorneys and get it that they don’t care, they are above the law, and can and do kill without consequences. Everybody has Workers Comp horror stories, and most everybody shrugs and says, ‘that’s just how it is”. The friend was further advised to collect some stories of others with Workers Comp nightmares, and be a vehicle to EMPOWER THE PEOPLE BEING INJURED AND KILLED BY THOSE PROFITING BY THE WORKERS’ COMP POT HOLES.~~~
LUCY OFFERED TO HELP COLLECT THOSE STORIES AND SHED MORE LIGHT ON THE ISSUES.The friend experienced a TRAUMATIC BRAIN INJURY, NOT UNLIKE RESULTS OF SCOTT OLSEN, AND NOT UNLIKE THE TBI INJURIES SOLDIERS ARE COMING BACK FROM ‘WAR’ WITH……TO HOMELESSNESS AND FAILED MEDICAL CARE WITHIN THE VA SYSTEM. C’mon People.
TAKE CARE OF ONE ANOTHER…..
HERE ARE SOME RESOURCES, SHARE YOUR RESOURCES; SUBMIT YOUR STORIES AS A GUEST BLOGGER!
WE ARE THE MEDIA NOW AND FOR THAT WE ARE RESPONSIBLE.
- ASK ABOUT WORKERS COMP GRAVY TRAINS: FB PAGE: https://www.facebook.com/AskAboutWorkersCompGravyTrains
- BRAIN INJURIES: FB PAGE: https://www.facebook.com/Brain.Injury.Advocate
- BRAIN INJURY ADVOCATES: An Activist’s Go-To Handbook…. the book: http://braininjuryadvocates.com/ by Susan Hultberg http://braininjuryadvocates.com/book-back-cover
- CALIFORNIA WORKERS’ COMP – How to Take Charge When You’re Injured on the Job – Christopher A. Ball – http://www.nolo.com/products/california-workers-comp-work.html
- Workers’ Compensation in California: A Guidebook for Injured Workers http://www.dir.ca.gov/InjuredWorkerGuidebook/InjuredWorkerGuidebook.html
WE ARE THE MEDIA NOW, AND FOR THAT, WE ARE RESPONSIBLE.
FRIENDS HELP FRIENDS HOLD CRIMINALS ACCOUNTABLE FOR THEIR ACTIONS….