#Work Comp Stinks: DOR, Declaration of Readiness, D’oh!

They sure don’t give much space for #InjuredWorkers to complain on those forms, huh? Open to suggestions here, thanks!

 

Hey, whaddya think, draft 2 of Complaint?  Is it concise enough?

DOR draft 2   4 26 2015

They don’t care about Injured Workers at the Court …..  so it doesn’t much matter, huh?  I tried for 2.5 years to be heard by the Judge regarding a right to medical care, and it was always some legal chicanery that allowed the defense to cause more trouble rather than provide care…. the last time, prior to most recent event, all ADA accommodations were denied, and I told the Judge I would not return to the Court Room until I found an agency willing to address the fraud I have been subjected to, which has essentially ruined my life, for the profit of the few.

 

Hmph.  Well, might have found an agency of interest, so wish me luck, and if you have insights on how to make the complaint a little more concise, please let me know.  Email me directly at WorkCompLinda@gmail.com  …. and if you know the fellows over at ProPublica, tell them to reach out…. I got a story for their series about #WorkCompDemolition… big headline names, too…..

wpid-wp-1416110514793.jpeg

#WorkCompChat #WOW #WarOnWorkers #InjuredWorkersUniting #SilentNoMore

#Safety #benefits #indemnity #leadership #insurancetech #pharma #losscontrol #riskmanagement #RMIS #analytics #fraud #insurance #workerscomp #litigation #GrandWorkCompFraud #ExclusiveRemedy #GrandBargain #claims  #collusion #RICO #cybersecurity #indemnity #reinsurance #expense #PPO  #MPN #medical #Opiods #QME #AME  #UR  #Maximus #Corvel #Wyndham #Grancell #CNA #WCAB #ETC

#WorkCompStinks

you_stink_by_IronGarlic

#InjuredWorkersUniting #SilentNoMore

 

Now they want more neuro-psych tests, and an ear, nose and throat doctor, probably a podiatrist next.

Here’s a link about TBI Guides… ENT doctors are for people who ”snore…have sinus infections…” D’oh.   http://www.tbiguide.com/whoprofessionals.html

Unlikely they are trained in auditory processing issues, just like WorkComp neurologists are clueless about vision processing issues from brain injuries.. The Defense is objecting now to a comprehensive auditory processing evaluation, with extensive recommendations for treatment and compensatory devices provided to them in August of 2014.  Seeing any patterns of fraudulent denial here?  We’re in the waiting on Maximus process for more recent requests for treatment, as the CorVel crowd of doctors is apparently not appreciating the extra questioning and attention on their bizzare practices that defy common decency not to mention law.  I wonder if Mayor Besty in Fort Worth got CorVel replaced after that nasty alleged attack on the injured cop, right in the ICU Unit.  Nevada firefighters have similar complaints about WorkComp, and LAPD and Firefighters are often under fire as scapegoats for the industry propaganda machinery.  Hmph.  Awful.  Nobody is exempt from the WorkCompsters crime machines…. Who’s next?  You, or your neighbor?

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A good endocrinologist would probably be impossible to find via any work comp system… A recent neuro-surgeon also found it ‘odd’ that 3 doctors in 2013 reported ‘full recovery’ (or too old for treatment, or no fall happened, might be epilepsy [and use of 2012 records by pretending the date of injury was 2013 was…. well, most people would call it fraud, but the date was finally corrected, but none of the conclusions were corrected…. FEAR… FALSE EVIDENCE APPEARING REAL… ] from alleged head injury from witnessed slip and fall backwards on ice– brain trauma-– of well documented 2012 injury, and the good doctor opined that perhaps subsequent reports of 2014 and 2015 indicate a RELAPSE OF BRAIN INJURY? d’OH! Highly unusual but he did not utter the word…..FRAUD!

WC DOCTORS

Is the District Attorney looking yet? The primary treating doctor has been an Orthopedic Surgeon (neurologists ruled out by Defense, none on their list since 2012….just the ones that get the big bucks to sign reports written by their non-medical staff to deny medically necessary treatments… D’oh! CorVel has a couple that get dreadful YELP reviews… who ever heard of a neurologist that also does acupuncture? I’ve heard of acupunturists very well informed about neurology, but not vice versa.

wc workers-comp-fraud  if your company lies

The PTP Ortho Surgeon said orthopedically, last December, that that’s it, don’t come back, deferring to secondary doctor designated less than a year ago, a neuro-psych, who just quit, after nearly a year of requesting medically necessary treatment, reams of reports, and denials galore, and intimidation and chicanery by …UR.

 

doctor strike

No Neuro-Opthamologist has been seen, but neuro-optometrists have been self-procured (and unreimbursed) but have been life-changers for the injured worker.

Physiatrist was requested, but neither the defense chick nor I & A chick seemed to know what it was, so they required the Ortho Surgeon to be appointed, after a horrible interrogation and confinement in a messy messsy office, which was an extreme sensory overload for the brain injured worker. They don’t care, they have their small community of peeps who work together for years and years…. and they ‘all know one another’… D’oh…that was 2012, December. Sounds more like collusion that teamwork for the common good, huh?

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Social Worker? Nope, but the local Crisis Center helped dramatically there, particularly when all funds were cut off, leaving injured worker to rely on Salvation Army for help with food and utilities (mid-2014)

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Speech/Language Pathologist (Speech Therapist) yep, finally, too late, in 2014, Summer. The doctors requested 3-6 months of 3-4 x weekly. Carrier authorized 16 days, then 8 more, then cut it off, as experts indicated they would do, as it is the common industry practice.

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Vocational Rehab? Naw, they think they can get away with FEHA, ADA and Civil Rights violations…without consequences to them. Maybe they can. Defense guy asked what makes injured worker think she is entitled to any permanent disability estimated payments (no TD paid by carrier in 2012/2013, cost shifted to EDD; then final payment was approximately 5/2014, and a hefty profit to Chicago carrier.) Go figure…. CA State Contoller apparently has no say in where taxpayer money goes…. as another Judge determined that the approximately $18K shortage in reimbursement to State of CA didn’t belong to the Injured Worker, so carrier could keep the profits.  Adjuster said that had it remained a lien, it would have been injured worker money, but the State negotiated freely, but he feigned empathy in an appropriate pause.

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Oh, missed one onthe list… “Recreation Therapist”…. Nope, but self-procured ‘Fun with Blogging’ and Social Media Writing has been of some comfort…

Here’s a list of doctors who get involved with Brain Injury recovery:  http://www.tbiguide.com/whoprofessionals.html

NIH has information on brains, too:   http://www.ninds.nih.gov/disorders/tbi/tbi.htm

“Is there any treatment?…….For moderate to severe cases, the imaging test is a computed tomography (CT) scan. Moderately to severely injured patients receive rehabilitation that involves individually tailored treatment programs in the areas of physical therapy, occupational therapy, speech/language therapy, physiatry (physical medicine), psychology/psychiatry, and social support…..”

What is the prognosis?

“Approximately half of severely head-injured patients will need surgery to remove or repair hematomas (ruptured blood vessels) or contusions (bruised brain tissue). Disabilities resulting from a TBI depend upon the severity of the injury, the location of the injury, and the age and general health of the individual. Some common disabilities include problems with cognition (thinking, memory, and reasoning), sensory processing (sight, hearing, touch, taste, and smell), communication (expression and understanding), and behavior or mental health (depression, anxiety, personality changes, aggression, acting out, and social inappropriateness).”

[CNA first adjuster called it a contusion, but refused to authorize an MRI or medical care for weeks…then what was authorized was simply used as a weapon to deny medical care and benefits, upon confirmed diagnosis of traumatic brain injury; some Grand Bargain huh?]

SKILL SET AREA  APRIL 2015

I don’t think they bothered to read the blogs…. tsk, oh well…”this land is your land, this land is my land….From California….to the New York Island….”

questions and answers  complicated and simple

ASK ABOUT WORKERS COMP GRAVY TRAINS NOW
https://askaboutworkerscompgravytrains.com/list-of-posts/

Ahhhh, this post got too long. That’s called “perseveration’…. common in brain injuries…. along with sometimes swearing like there’s no tomorrow…..better make it a blog, too…. xooxoxox

ASK ABOUT WORKERS COMP GRAVY TRAINS
https://askaboutworkerscompgravytrains.com/

PS Yesterday I watched a lawyer video on “Depositions” D’oh…. it was all about strategies in the extremely adversarial environment.

Isn’t that clear evidence of the fact that there is no EXCLUSIVE REMEDY? Dang, no degree in rocket science to figure that out, huh?

Think Locally * Act Globally * Occupy Virtually
Why?

WE ARE THE MEDIA NOW

HAVE A NICE DAY

 

WE ARE THE    MEDIA NOW

INJURED WORKERS DEMAND DOCTORS AND LAWYERS TRIALS?!

Few studies discuss the true causes of the absolute failures of the Grand Bargain, known by  injured workers as the Grand Work Comp Fraud.

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As evidenced at Doctor’s Trials of Nuremberg, when doctors are criminals, there are grave social problems. When the criminal activities of doctors are supported and protected by criminal lawyers, the problems are compounded for all concerned. 

Work comp insurance systems are a mega billion dollar crime syndicate, fleecing, maiming,  torturing injured workers, causing permanent disabilities and premature deaths for injured workers  and reaping extreme profits for the sonderkommando involved.

No, we don’t need more studies. All involved know the truths of the atrocities. But, if more studies are desired, begin to study how cops and firefighters are tortured and abused by the WorkCompsters when injured on the job.

Think harder and include the plight of injured veterans, being denied medically necessary treatments and “incapcitation pay”  while self righteous  and arrogant psychopaths allege the horror stories are exceptions rather than the rules of the work comp killing games. 

When doctors and lawyers and judges and their ilk breach oaths of office…  take heart in knowing there are others who take their Oath seriously,

image

…and will responsibly honor Oath before orders.

Start the 21st Century Doctors and Lawyers Trials in America and Canada and UK.  Hold the multinational crime syndicate’s participants accountable for the extermination practices of Workers Compensation Grand Fraud. . . Prepare the gallows.

“WE ARE THE MEDIA NOW”

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ASK ABOUT WORKERS COMP GRAVY TRAINS NOW.

“Follow the money.  Always follow the money. “

Is #WorkComp Really a War on Workers — #WOW! Domestic Terrorism?

  vs Wyndham Worldwide et al  ADJ8181903

#WorkComp War On Workers?!  Who else knows?! questions and answers  complicated and simple

WE ARE THE MEDIA NOW

www.linkedin.com/in/lindaayres311 https://www.linkedin.com/today/posts/lindaayres311 https://twitter.com/workcomplinda https://www.facebook.com/AskAboutWorkersCompGravyTrains

twitter  defense against psychopaths
https://www.youtube.com/watch?v=Gd6P1Ue2aGg

https://askaboutworkerscompgravytrains.com/list-of-posts/

 SKILL SET AREA  APRIL 2015

Groups

cognitive dissonance

WE ARE THE    MEDIA NOW

WORKCOMP DEMOLITION VS CONDO CONSTRUCTION; Ayres vs. Wyndham, CNA, Grancell, WCAB et al

While CNA, the work comp carrier for Wyndham Worldwide, continues to harm, harass, fail to provide reasonable and appropriate medical care for a traumatic brain injury January 9, 2012, it

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…..appears to be a complete breach of fiduciary responsibilities and in what appears to be clear violations of California Labor Code exclusive remedy of workers compensation, a claim fraught with what appears to be egregious attorney and doctor and adjuster incompetence, malpractice ….and fraud, as defined by the Department of Industrial Relations…and California Civil and Labor Codes.

TREATMENTS PROVIDED BY CNA:

2012:  a few chiropractic sessions in the first year with clinical psychology sessions in Feb, Mar, Apr with 4 more in Jul-Aug

2013: a few physical therapy sessions in the second year,

2014: a few chiropractic and acupuncture sessions in the third year with finally a few speech therapy, occupational therapy and more physical therapy, and neuro-psychology support in April,

(after injured worker found a neuro-psych willing to treat an injured worker; none available on alleged ‘mpn list’ since date of injury after treating Orthopedic Surgeon’s office staff shrugged at one of the last bizarre UR denials and suggested, ‘you’ll have to find your own brain doctor, obviously they are not going to get you any medical care…ever.’)

2015: more denials and more evaluations to prevent anticipated return to work.

Tens of thousands of dollars have been spent by carrier on evaluations upon evaluations, with supplemental reports due to objections of omissions of more than 300 pages of medical evidence, with suspected intent to deny medical care, with failures to provide even the simplest requests since date of injury.

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CNA has submitted every request since February 2013 to UR, and Court intervention was required in 2013 to schedule authorized chiropractic and acupuncture sessions, which took many months.  CNA has currently asserted that replacement of Orthopedic Surgeon PTP, who has reported MMI for Orthopedic Injuries as of December 2014, requires Utilization Review for a neurologist to become the primary treating physician.

CNA seems to only have a small collection of evaluating neurologists, not treating doctors, and none current with brain injury practices of the 21st century; neither do they have physiatrists, neuro-psychologists, or anybody on their ‘lists’ that actually treat brain injuries, but they pay the evaluating doctors who provide reports prepared by non-medical personnel handsomely for their signatures on such reports, regardless of how flawed they are.  In fact, the greater the flaws, the greater the obfuscation, the longer the denials, the greater the billable hours.

LinkedIn rankings  4 9 2015  741 pm  pdt

SELF-PROCURED TREATMENTS OBTAINED BY INJURED WORKER, BASED ON MEDICAL EVIDENCE OF THE NUMEROUS MEDICAL EVALUATIONS

Most expert treatments have been  abruptly and prematurely terminated due to threats to ‘cease and desist’ treatment by defense to providers and unlawful termination of disability benefits in what appears to be a pattern of continuous harm and financial terrorism by defense, as a pattern of practice, apparently approved of by WCAB and DIR and offices of the District Attorney. DOJ and EEOC investigations pending on multiple matters.

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2012:  Chiropractic, Acupuncture, Functional Neurology

2013:  Chiropractic, Vision Therapy, Therapeutic Prism Vision Lenses

2014:  Acupuncture, Chiropractic, Vision Therapy, Therapeutic Prism vision Lenses, Coastline Acquired Brain Injury Program for Compensatory Strategies

2015:   Acupuncture, Chiropractic, Coastline Acquired Brain Injury Program for Compensatory Strategies (updated therapeutic vision lenses pending funds)

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Evaluations obtained by injured worker, recommended by multiple doctors but carrier failed to provide, while subsequent evaluating doctors have deemed all evaluations appropriate, albeit very late in happening

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2012:   Brain MRI, EEG, Functional Neurology, Clinical psychology, Urgent Care,  Xrays

2013:   Neuro-Optometry, Speech Therapy

2014:   Neuro-Optometry, Acupuncture, Chiropractic,  Neuro-psychology strengths assessments, MRI with TBI Protocol

2015:   Neuro-Optometry

NAIDW TBI AWARENESS

The BRAIN INJURED worker, seeking compensatory strategies for the brain injury… because restorative medical treatment was denied for more than three years… is now witness to legitimate business building condos week after week after week, while obtaining self-procured compensatory strategies in a one-to-year program at Coastline Acquired Brain Injury Program, the #1 program in the USA, and a part of the California Community College system, with experts in brain injury with more than 25 years experience each, helping people doctor’s did not reach, or that doctor’s gave up on for a variety of reasons.

The program is targeted to restore injured individuals to the communities in some capacity, either as volunteers or return to work, depending on nature and extent of injuries.  See the link, and put it in your contact list:  http://www.coastline.edu/students/students-with-disabilities/acquired-brain-injury/

  • “Compensatory vs. Restorative” (Northeastern University)“Compensatory strategies focus on adaptive behaviors. A person with a TBI may no longer be able to perform a task the way (s)he used to because of the injury. A compensatory strategy is coming up with a new way to perform a task. For example, a college student who suffered from a TBI may no longer be able to write down notes for his lecture as fast as he used to. A compensatory strategy could be for him to now record the lectures and transcribe them into note form after class.”
  • “Restorative Strategies are designed to repair processes and restructure or rebuild damaged neural networks. Examples are tasks and drills to help a person with a TBI restore his/her memory.”  

SEE MORE; LEARN MORE:  http://www.northeastern.edu/nutraumaticbraininjury/rehabilitation/professionals-help/

The Team Approach

The following are examples of interprofessionals who work together with TBI survivors and their families:

  • Advocacy Groups
  • Athletic Trainers
  • Audiologists
  • Coaches
  • Dietitians
  • Ear, Nose and Throat Doctors (ENT)
  • Educators
  • Employers
  • Insurance Adjusters
  • Internal Medicines
  • Lawyers
  • Neurologists
  • Neuropsychologists
  • Neurosurgeons
  • Nurses
  • Occupational Therapists
  • Ophthalmologists
  • Physical Therapists
  • Plastic Surgeons
  • Primary Care Physicians
  • Psychiatrists
  • Psychologists
  • Radiologists
  • Religious communities
  • Recreation Therapists
  • School Personnel
  • Speech-Language Pathologists
  • Social Workers
  • Vocational Rehabilitation Counselors
  • IMG_0177

Best outcomes of interdisciplinary treatment systems are when utilized immediately  and NOT the ‘3+ years or never’ post-injury as practiced by CNA and other major carriers; CNA provides and encourages only an Orthopedic Surgeon to allegedly manage an interdisciplinary team, then disrespects and disregards all recommendations and requests for specialty treatment and further evaluations because, as defense indicated repeatedly, ‘an orthopedic surgeon has no knowledge of brain injury’.  

At a  court hearing in December 2012 a physiastrist or a neuro-psychologist or a neurologist was requested for treating doctor; denied and more recently, since previous PTP, Ortho Surgeon has determined MMI Orthopedically in December 2014, and has deferred to secondary doctor, a neuro-psychologist, a primary doctor has been requested in the field of neurology.

Adjuster and defense advise that change of PTP requires UR.  Designation of neuro-psychologist as secondary treating doctor required Court hearing as well.  Churn churn churn.  (In 2013, an industry leased neurologist was designated as ‘secondary treating doctor’ but alas, his office mis-read the authorization and deemed it to be a one time consult, determined nothing more than over the counter analgesics was required to treat the brain injury and related complaints and reports of vision and other issues; dates of injury were mis-stated by the doctor, along with other gross inacuracies.

Then-counsel suggested injured worker take the concerns directly back to the doctor for corrections, and said doctor refused omitted records properly served, refused to answer questions his office required be put in writing, and actually threatened injured worker with a lawsuit for harassment for attempts to see this appointed ‘secondary treating physician’ and to correct gross misstatements in his reports and his supplemental reports, for which he billed handsomely.

Similar story with the appointed AME Forensic psychiatrist, although he assertions in his supplemental report were more outrageous than what might have been called simple mistakes in his initial report.  That scenario was repeated again by yet another evaluating/non-treating neurologists, complete with fabricated dates and deceptions.  Goodness, what a trio lead by then-defense counsel misleading correspondence with apparent intent to deny medical care, quite successfully for years.

Defense feels no obligation to pay estimated Permanent Disability, even on the orthopedic portions of the claim, nor do they anticipate the increased risk exposure due to their negligence and callous refusals to provide medically necessary treatments, as even recommended by their own leased doctors and evaluating firms.

ACOEM, MTUS, NIH and generally cognizant neurologists keeping pace with the neurosciences generally recommend such treatments as speech therapy with cognitive rehabilitation, occupational therapy, physical therapies as required, vision therapies, acupuncture, chiropractic and specialty examinations by brain injury experts.

Only a charlatan or worse would likely dare to recommend simply ‘over the counter analgesics’ for a well diagnosed closed head injury, called by more than 30 doctors by a variety of ICD-9 codes.   While the Orthopedic Surgeon crowds are often designated as the Primary Treating Doctor for a head injury, their ilk are sadly ill-informed about diagnosing head injuries, and the urgency of getting patients to experts.  

Until the Orthopedic crowd rises to their responsibilities in the life-threatening lapse in education of their peers, head injuries will continue to bring them small revenues as WorkComp ‘Primary Doctors’ and will ultimately bring them medical malpractices and charges for collusion to perpetrate fraud upon the disabled communities, for profit.  Ask a Football Player.  Ask a Retired Football Player.  Ask a Veteran. Ask your kids.

Only a complete fraud would review medical evidence of more than 30 doctors, disputing all and further concluding that ‘if there was any evidence of a concussion, of course treatment would be necessary, but there is no such evidence by the finder of facts and the patient probably just has epilepsy, with a severe pre-existing personality disorder evidenced by records and learned helplessness….’

[Physician was referring to medical records from early evaluators, and substantiated the false allegations by simply moving the date of injury forward one year in reports, then back, without adjusting the false conclusions.  Multiple industry leased/owned doctors seem to follow this pattern of practices in creating false AME/QME/Consult reports, upon which egregious harm continues, and renders UR and IMR practices complicit in the fraudulent mis-use of law.]

TO ENHANCE YOUR LEARNING ABOUT BRAINS?

https://dvbic.dcoe.mil/material/mtbi-pocket-guide-and-mobile-application

Semper fidelis is a Latin phrase that means “always faithful” or “always loyal”

tbi and ice

The GrandWorkCompFraud inhibits and prevents return to work for years by failures to provide medically necessary treatments.  In this case, in April of 2012, upon confirmation of brain injury of unknown severity, the adjuster, not a medical person, terminated disability benefits and any hope of medical care in that month.  A Court hearing in June of 2012 authorized a neuropsychologist to be the new designated primary doctor, although said doctor’s office was more than 3 hours from the injured worker’s home.

The Court required the insurance carrier to resume payments of temporary total disability payments, which CNA defied and WCAB supported, in order to cost shift to EDD.  The information and assistance officer, when help was sought from that office, asked the injured worker if she was stupid for not wanting  larger amount, and when the hearing minutes were shown, she explained that the minutes indicated they were to resume “…if necessary…” and since they did not resume, her medical/legal opinion was that “Dr. Ponton clearly must not have felt it was necessary.”

[Ultimately, in 2014 CNA had to reimburse the State of California for the EDD monies advanced in the first 104 weeks for TTD, and CNA received a discount on the monies of approximately $16,000 from the State of California, which, as admitted by the adjuster, had the negotiation with the State not gone so well, that money would have indeed been paid/owed to the injured worker.

A Judge in the Appeals process determined the money did not belong to the injured, so apparently, the State of California is in the business of providing hefty profits to out of State Insurance companies who break the law, fail to pay TTD, maim and torture injured workers, all outside of the eyes of corporate media, and with apparently approval of the office of the attorney general et al.  WCAB seems to operate like a secret police or military police action, reporting to no one but themselves and their benefactors. The injured worker has been without work comp disability benefits since approximately May 2014; aint’ that nuthin.]

The “TTD” [Temporarily Totally Disabled] condition was reiterated in every subsequent 45 day report in 2012 until the doctor (also with a QME designation) was also threatened by the defense, at which time, based on no medical evidence, nor treatment other than 4-delegated chat sessions with a psychologist of unknown credentials, at which time (October 2012) it was stated that return to work could be considered, with caveats, warnings, and accommodations, with allegations of continued authorized treatments, of which all his requested had been denied except the chat-sessions, discussed in more depth in earlier blogs.

Wyndham refused repeatedly to engage in interactive process and simply extended leave and continued to refuse to investigate why injured worker was continuously denied medically necessary treatments, thereby complicit in the compounding harm to the injured worker.  Wyndham continues to refuse to engage in interactive process, and refuses to intervene in more than 3 years of failures to provide medical care and disability benefits by that work comp carrier.

ARE THESE ACTIONS OF BUILDERS OR DESTROYERS?  Friends or Enemies of Humanity?

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  • This photo shows the progress of a condo development being observed and enjoyed by the injured worker, a real broker who lost all professional credentials, including CA real estate broker license, CA Notary license, Hawaii real estate sales license, and was threatened with loss of CA Driver’s license.
  • During her weekly pursuits at regaining her life while attending the Coastline acquired brain injury program, since October 2014, with no thanks to CNA, and with thanks to Wyndham for an employee discount at a local hotel, watching the construction of this and other signs of economic good stuff has been smile evoking.  Down the hill and to the north, Huntington Beach also has multi-unit ocean view properties under construction.
  • What an ‘Exclusive Remedy’…Employee insurance with CIGNA, without interference by CNA and Grancell, could have had the injured back at work, possibly, within months of the injury, similar to building a condo from a hole in the ground.
  • SEARCH RESULTS FOR: DIAGNOSIS

    https://askaboutworkerscompgravytrains.com/?s=diagnosis

MEDICAL CARE PROVIDED TO DATE BY CNA FOR HEAD INJURIES OF 1/9/12…..A WITNESSED SLIP AND FALL BACKWARDS ON ICE?

Through mid-2013 https://askaboutworkerscompgravytrains.com/2015/02/13/workcomp-evaluations-are-not-treatments/

  • WorkComp is certainly the #GrandWorkCompFraud perpetuated on the Unsuspecting Public!  What a shame!  Contractors can build multi-unit residential buildings faster than a WorkComp carrier like CNA can authorize medically necessary treatment for a witnessed slip and fall backwards on ice.
  • How can that be?

  • Why would a corporation like Wyndham Worldwide pay a corporation like CNA to maim and injure it’s labor force, without batting an eye, or lifting a finger to ask more questions.  Are Board Members really involved with conflicts of interest in the insurance industry? Does the Wyndham Risk Management division have unclean hands?
  • In any event, Wyndham Workers are violated obscenely by the fictitious promise of a Workers Compensation ‘Exclusive Remedy’….  It sure seems to be simply terrorism and death threats…. inexcusable in America….or anywhere else in a civilized world.  Perhaps Kim Motley, Esq. can come to the aid of the USA?  www.motleylegal.com/about.html
  • True defenders of Justness and Justice seem real hard to find in America….
  • imageIsn’t it amazing to be able to witness not only the good in America… But having the courage to expose the evil, the corrupt and the dangerous… Workers compensation is not an employee benefit.Sadly, the silence of the employer appears to be criminal complicity in the egregious wrongs done to this and other Wyndham employees. What say you America?Isn’t it time to hold the criminals accountable for the continuous patterns and practice of harm to injured workers across the nation?
Lucy Occupy and Friends Paper Li April 9 2015
http://paper.li/LucyOccupy/1375548394#!science
  • Ask more questions! If not you then who? If not now then when?

Lucy Occupy and Friends Paper Li April 2 2015

Interrupt the war on injured workers. Do it now. You could be next!

Follow one of more of these links, thanks, and tell your friends and neighbors about the GrandWorkCompFraud; your governments already know…

BRING THE CORRUPTION OF THE EXISTING EXCLUSIVE REMEDY/GRAND WORK COMP FRAUD TO LIGHT;

LET IT IMPLODE; BUILD SOMETHING ELSE.  THE INSIDIOUS SYSTEMIC FRAUD OF THE CURRENT SYSTEM IS NOT SALVAGEABLE.

BRING IN THE WRECKING BALLS!

TIDY UP SOME  DEATH ROW JAIL CELLS IN SOME OF THOSE PRIVATIZED PRISONS FOR THOSE FOUND GUILTY OF CRIMES AGAINST HUMANITY.

Why America is NOT the greatest country in the … – YouTube

May 14, 2013 – Uploaded by EducateInspireChangeTV

Why America is NOT the greatest country in the world

IF AMERICA CLEANS UP IT’S CORRUPT WORK COMP SYSTEM, PERHAPS WE CAN THEN BE OF ASSISTANCE TO CANADA, THE UK, JAPAN AND ELSEWHERE.

Remember remember, Thomas Motamed, CEO of CNA ‘made’ $10.7 million in ‘earnings’ in 2014…. and they can’t even pay simple TTD to an injured California worker in compliance with the law, and they terminate benefits on diagnosis of a brain injury, and even call to ask injured worker, “……so tell me, Linda, when ARE you going to die?….”  Defense counsel suggests a court appointed conservator as he trolls for someone/something to blame from medical records of more than a quarter century ago looking for pre-existing conditions, apparently to support grossly inaccurate reports of three of their industry leased own reporters.  Isn’t it funny how few QME/AME actual doctors write those reports?  One such doctor openly admitted that his non-medical staff was ‘well trained’ to write such reports that he freely signs, and is paid handsomely for initial reports and supplemental reports, regardless of acurracy of apparently fraudulent intent.  Hmph.

CITIZENS TRIBUNALS MAY REQUIRED….WITH A LITTLE HELP FROM OUR FRIENDS.  Check with your international law friends…

too big

WE ARE THE MEDIA NOW

Corvel, Maximus and War On Workers…. ADA SOS (Gov. Code, § 12940, subd. (a).)

WHO IS PROTECTED?”  OPEN LETTER TO CORVEL CORPORATION ET AL

Demolition of Workers' Comp
https://www.propublica.org/article/the-demolition-of-workers-compensation
Corvel McCrory Fraud Stats questioned by Experts
http://ncworkcompjournal.com/2015/03/30/mccrorys-fraud-statistics-questioned-by-experts/

From: Linda Ayres
To: elena_vega – CorVel
Cc: fred.sachs ; SReubens ; michael.dougherty ; LINDAAYRES ; wynlinda ; workcomplinda ; mary.falvey ; tina.jordan
Sent: Thu, Apr 2, 2015 7:08 pm
Subject: Linda Ayres vs. Wyndham Worldwide et al / CORVEL NON-RECOMMENDATIONS AND CLAIM EVALUATIONS FOR 2013

Dear Elena,

Thanks for the tip on DWC-IMR Maximus processes. I hope it helps! We’ll see! Another favor?

I am compiling information on all the non-recommendations and claims evaluations since date of injury, 1/9/12. Apparently I do not have the 2013 correspondence, from CorVel, as much of it was sent by your company to the former defense counsel, after you had been properly noticed to cease and desist. Some of it, if I ever received it, I may have simply misplaced. The pieces I have found do not show proof of service to me. You may recall my emails regarding violations of my HIPPA rights and continued anyway.

If you will kindly send me everything for 2013 I would appreciate it so I don’t have to sort it with the pieces I do have.

Will you please email me Friday morning the complete Non-Recommendations and Modifications and Claims evals for all of Dr. Darren Bergey’s requests for treatment in 2013. Everything from Ballard Brain Rehab, to chiropractic, to accupuncture, to neurology, psychology, neuro-psychology, neuro-optometry and more.

Prior to Dr. Bergey, 2/2013, all failures to provide medical care were handled directly by both the defense law firm and the adjuster, both non-physicians, cleverly avoiding a paper trail. The information and assistance office was of no help to me, and in fact, when I inquired how to deal with the grossly inaccurate and possilby fraudulent reports (per DIR definition of Fraud with intent to deny medical care) ( of Dr. Zardouz, Dr. O’Brien, and Dr. Kent, I was advised to simply write a note saying,”I object to these reports.” I did as instructed, but the fraud was never addressd, and these faulty reports are continuously used as weapons of continuous and egregious harm to me. That is being dealt with shortly, as there are interested Tasks Forces in the Offic of the DA, not the office number Dr. O’Brien dared me to report him to. It’s been over 3 years and I am continuously denied the right to be heard by a WC Judge on my right to medical care. I’m not the only injured worker self-represented. That must change, and it may take Congressional intervention. At least their looking now, huh?

By copy, if Fred Sachs, adjuster, has medical evidence of 2012 denials of requests by Dr. Daniel DeGoede,, Clinical Psychologist I was sent to by the Wyndham Worldwide Employee Assistance program who was the initial PTP and worked closely with Daniel Elliott to organize the first neuro-psychology exams and then briefly Dr. Uppal, appointed by the first law firm I retained, and then the requests by Dr. Marcel Ponton, Clinical and Neuropsychologist, appointed by the Court after a hearing in June 2012 exposing that the MPN was never properly served, and seemed not to exist at all.— PLEASE SEND ME THE 2012 DETERMINATIONS OF DENIALS OF MEDICAL CARE… Doctors didn’t deny, it was non-doctors, but there has to be a process to deal with such matters as well.

The adjuster and I worked very closely in February 2012, trying to find providers in the field of neurology and neuropsychology. Daniel cheated Dr. DeGoede out of several agreed upon and authorized sessions, and left me without any support whatsoever. Had care been authorized in 2012, I would not be writing this email today, and I would not have lost the last 3+ years of my life to such a vile system. Oh well, it is what it is, huh?

Investigative Journalists have taken a further interest in my dilemma, and with all the buzz about CorVel and ProPublica etc….. I want to be able to provide them with all the facts, so people can draw their own conclusions about my case, and the discrimination of injured workers with disabilities like mine, my age, and my gender. . I need the materials also because my civil rights are being further violated by the defense, and the Department of Justice has invited me to share more information, which I will gladly do.

By copy to the Defense firm, while you have repeatedly advised that you have no expertise in ADA and employment law, continued harm caused by your firm will be handled by the proper authorities in due course. Google FEHA, ADA, and Brain Injury.

Ok, pretty please send those 2013 CorVel non-recommendations that I am not copied on and don’t have to me electronically, and was not provided by the PTP, so I didn’t learn much about Maximus till recent corruption articles.

BTW, many of your superiors seem to have quite an appreciation for my LinkedIn profile. Please let them know there is no reason to stalk my wall, I accept all invitations to LinkUp…. friends and enemies alike. The Defense attorney and the Wyndham Risk Manager seem to have a relationship that goes ‘way back’ and I am now fearful that such a conflict of interest may be a factor in the continuous harm to me, and that department’s repeated failures to communicate with me and it’s failures to conduct a long over due claim audit. Michael would never even help me when I asked for help with reimbursements and TTD payments. Awful. That New Jersey politician is taking some serious heat for promoting the CorVel allegations of employee fraud being “40%”…. I suggested it might be an internal statistic, on the low side. Corporate fraud is of extreme interest in the news today. Let’s give them the facts on my case and let the public draw it’s own conclusions, shall we?

I hope most of you never have to experience the extreme horrors this WorkComp charade has put me through.

Linda Ayres, In Pro Per
reolinda@aol.com
wynlinda@gmail.com
CALIFORNIA

When YOU tell the simple horrors of YOUR work comp experience, do the experts try to dismis it as hyperbole?  Must be comforting to them, yes?
When YOU tell the simple horrors of YOUR work comp experience, do the experts try to dismiss it as hyperbole? Must be comforting to them, yes?

More on CorVel?

McCrory’s Fraud Statistics Questioned by Experts http://ncworkcompjournal.com/2015/03/30/mccrorys-fraud-statistics-questioned-by-experts/

What would Dr Yamacrook do? “Win?Win?” situations..  IME’s 

https://www.youtube.com/watch?v=QMRi1Cn4L5c

https://askaboutworkerscompgravytrains.com/?s=CORVEL
https://askaboutworkerscompgravytrains.com/?s=CORVEL

justness

IF YOU HAVE A JOB, STAY SAFE. IT’S BRUTAL IF YOU’RE HURT ON THE JOB!

Do you think this means that because CNA refuses to get me training and treatment so I can return to work (it’s been over 3 years now) that they are breaking this law? And making my employer, WyndhamWorldwide a party to such a law breach?

Looks like disabled people are allegedly already protected… hmmm….just found some things on FEHA while looking for other things…. I have no interest in going to law school to save my life, but surely they can see the value of the state run program, COASTLINE ACQUIRED BRAIN INJURY PROGRAM….they have been helping people with Brain Injuries return to the community and work for over 25 years. All CNA can approve is some chiropractic, acupuncture and evaluations for over 35 doctors…. for brain injuries? D’oh! ain’t that nothing!

“12940. It is an unlawful employment practice . . . [f]or an employer, because of the . . . , physical disability, mental disability, . . . of any person, to refuse to hire or employ the person or to refuse to select the person for a training program leading to employment, or to bar or to discharge the person from employment or from a training program leading to employment, or to discriminate against the person in compensation or in terms, conditions, or privileges of employment. “ (Gov. Code, § 12940, subd. (a).)

WHO IS PROTECTED?

THE ANSWER IS SIMPLE:
PEOPLE WITH MENTAL OR PHYSICAL DISABILITIES
PEOPLE WHO HAVE A RECORD OR HISTORY OF A DISABILITY
PEOPLE OR ARE REGARDED OR PERCEIVED AS HAVING A DISABILITY.
ALSO PROTECTED ARE PEOPLE WHO ARE ASSOCIATED WITH A PERSON WITH A DISABILITY

cognitive dissonance turbulence

Please visit www.ada.gov to view the new electronic form.

Effective March 15, 2015, e-mail complaints will no longer be accepted by the DOJ.

However, complaints will still be accepted by U. S. mail.

Contact the DOJ’s ADA Information Line at 1-800-514-0301 (v); 1-800-514-0383 (tty) to receive a paper complaint form by mail.

http://www.ada.gov/complaint/

doj-ada

ASK ABOUT WORKERS COMP GRAVY TRAINS NOW
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Lucy Occupy (2)

THINK LOCALLY * ACT GLOBALLY * OCCUPY VIRTUALLY

WE ARE THE MEDIA NOW