“Don’t let ANYONE dull your SPARKLE!”
Blog drafted at 888 days…. still on the
rest and wait and wait and wait and wait program;
Nothing changes when nothing changes.
#Wyndham: Dream Vacations/Employment Nightmares.
Next time you go for a ‘free time share’ presentation,
remember remember the hidden costs to injured workers…..
THINK LOCALLY. ACT GLOBALLY.
Work Comp Corporate Fraud? How do we get DOJ to Investigate?
#WorkCompFraudWarnings (warnings but no enforcement? D’oh!!)
“Don’t let anyone dull your Sparkle!”
#888DAYS of denied medical care to an injured #WyndhamWorldwide ‘dream vacations salesperson’ and real estate broker….and #Fukushima Alerter…… Alohaaaaaaaaaaaaaaaaaaaaaaaaaaa!!!!!
HELP ME UNDERSTAND THIS, WOULD YOU???
wynLINDA@gmail.com #ADJ8181903 tic tac tic tac tic tac toe! ;D
‘dream vacations; employment nightmares’
Hey, if you have a brain or a job or used to have either, this could be YOUR story too. Le’ts BrainStorm or TwitterStorm or figure out something. This #WorkComp deal in #America is pretty awful…..worse than you may suspect!!! HOW DO WE GET A CONGRESSIONAL TASK FORCE TO INVESTIGATE?
Hey, if you have a brain or a job or used to have either, this could be YOUR story too.
Is it therefore, then, merely a matter of plausible deniability when Defense firms, in their attempts to defend and defy against the legal requirements to provide medically necessary treatment to a CA (or any state, for that matter) Injured Worker, particularly when said Defense Firms have exhibited a pattern and practice of omitting medical records from esteemed experts, within their alleged MPN network?
The extreme negligence of the #WyndhamWorldwide management included not even bothering to advise the brain injured worker to see a doctor immediately, nor offer a ride to the doctor. No, an incomplete DWC-1 insurance form was provided with a statement to “see any doctor that takes workers compensation insurance.” That, was, for seeing a doctor after working the full shift.
The management knew the injured worker had a 20 mile drive down a steep mountain back road, then another 40 miles down a desert road. The final neurology reports from the insurance company owned doctor, provided in December 2013, and supplemented in April 2014 due to hundreds of pages of omitted medical records, as is the pattern and practice of the defense firm, included comments that the injured worker should not be in areas of unprotected heights (more than 2 years after the injury). Does that also suggest that the drive after the head injury could have caused imminent death to the injured worker or others on the snowy mountain road or desert roads? Sounds like it, huh? But for the Grace of God and LEGIONS OF ANGELS…. , huh?
When the UR evaluating team is primarily an out-of-state RN, unable to read hand-written script (vs. typed) and cannot discern issues of “medical necessity” unless those actual words are used in BOLD FONT AFTER EACH SENTENCE OF A DOCTOR RECOMMENDATION, is there an educational component adding to the arbitrary nature of denied medically necessary treatments in California??
Is it a #HIPPA violation when the UR company, the insurance company, and the defense firm continously provide medical reports to former legal counsel, compromising the injured worker’s #LegalMalPracticeComplaints?
Another (former) attorney sent the neuro-psychological evaluation done by “his” doctor to EVERYBODY ON HIS MAILING LIST, INCLUDING THE ACUPUNCTURIST, THE CHIROPRACTOR, THE EEG TECHNICIAN and just about anybody who had said hello to the injured worker. He said, “I’m required to do this by #WorkersComp Law” When the CA Information and Assistance was approached with this query, she told the brain injured worker, “No, the law does not require that he sent it everywhere. You better keep better control of your attorney.”
Oh, golly, the brain injured worker should have known better,huh? D’oh! Just like she should have argued with that attorney when he insisted she repeated neuro-psych tests with HIS doctor, more than 3 hours away, each way…… to be driven alone in a dazed and confused brain injured state of mind, to a town she was unfamiliar with.
The next attorney accused the Hi-IQ TBI survivor of being a ‘conspiracy theorist’ for suggesting that there was a pattern and practice of omission of hundreds of pages of medical records by the defense firm and insurance firm, with clear intent to deny medical care, evidenced since at least October 2012. He wrote, “There is no conspiracy to omit your medical records. You have serious psychological issues and I suggest you get help immediately.”
Politely, the injured worker responded with, ‘Well, if you knew the file, if your non-attorney case manager could read, you would realize that psychological support has also been denied. Are you suggesting that be ‘self-procured’ also and added it to the list of thousands of dollars already spent, unreimbursed, and HOPE it gets paid back? Isn’t true insanity a matter of doing the same thing over again, EXPECTING A DIFFERENT RESULT?!’ Then, that law firm was dismissed (and Defense tried to get the Court to Compel keeping that firm on, since they were true defense firm advocates!) but that Order to Compel was denied.
The fight was on and it took nearly 8 hours in #WCAB Court to cause the Judge to order the Defense to include the omitted nearly 300 pages of medical records, and request supplemental reports from two of the insurance company doctors. The defense did not just send the omitted records, just like on TV, she sent a big box of about 3 reams of papers and said, ‘there’s more in here, find them and see if it makes a difference in your conclusions’…..
WE ARE THE MEDIA NOW. BE ALARMED AND BE ALARMING.
Here’s the blog on some of the colorful details….If you have resources and a story to share about YOUR experience with this crowd, let’s roll. We can try to be brief and concise, but, golly, if we can’t, we can’t. Doesn’t mean we give up.
WE GOTTA KEEP MOVING FORWARD…..WE ARE THE MEDIA NOW.
ASK ABOUT WORKERS COMP GRAVY TRAINS NOW
PS Piano lesson this morning. Talk about inability to connect the dots. Last year I read that ‘playing the piano can be beneficial to TBI recovery’ so I bought a piano. It didn’t dawn on me that learning to play it might be a good next step, in home-TBI-therapy. D’oh! The birds and the bunnies and road runners seem to appreciate the sounds, but today is the first day of a real lesson. The instructor teaches people from 8 to 84…..so, I guess I qualify. First song might be CHOPSTIX, huh? On topic!!! xooxoxox
EXPECT US. · Just now