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?
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…..
#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
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?
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!
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.
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.
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?
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)
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.
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.
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?]
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….”
ASK ABOUT WORKERS COMP GRAVY TRAINS NOW
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
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?
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HAVE A NICE DAY
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