Can a Judge Compel a 2012 Injured Worker to Participate in Felony WorkComp Fraud Scam?

“… I will support and defend the Constitution of the United States and the Constitution of the State of California against all enemies, foreign and domestic…”

“Domestic enemies”….that seems to include the #WorkCompsters and their #WarOnWorkers, wouldn’t you think?

flag distress signal

 

Dear “Supplemental People” —-

US Constitutional 5th and 14th Amendments immediately come to mind, and the secret police type reports Grancell encourages to protect fraudulent medical reports of their payees seems to violate Article 14 of the California Constitution, for starters.

DO YOU HAVE ANY LEGAL CITATIONS TO SUGGEST TO INCLUDE IN MY RESPONSE TO THE JUDGE’S ORDER TO COMPEL ATTENDANCE AT AN ENT DOCTOR EVALUATION …

[Ear, nose and throat; general vicinity of the brain, but still not a brain doctor, but closer than an orthopedic surgeon, huh?]

…. AND YET ANOTHER NEURO-PSYCH EVALUATION, without causing the Defense to provide complete and accurate records, and allowing the Defense to write false cover letters to the doctors, and without allowing due process to injured worker to appear and plead for medical care and cessation of bullying, file churning and fraud, and with denials of requested ADA accommodations for appearance?

I found this on Facebook...seems true.  Is there Civil Code to go with it?
I found this on Facebook…seems true. Is there Civil OR Federal Code to go with it?

As defense is attempting to falsely claim this accident did not occur at work, is Wyndham Worldwide committing fraud, or is it just the Defense Firm personnel and the doctors they have involved in their chicanery via omission of medical records and misleading cover letters?  Now, if they say I did fall backwards on ice and hit my head real hard, as the DWC-1 statement on date of injury so indicates, and is signed by the Admin Manager, and they know I haven’t worked or been right since, then Wyndham appears to be only guilty of collusion to keep the dirty secrets, and human rights failures to come to the aid of an injured worker, and failures to hold their vendors accountable for bullying and egregious harm to an Injured Wyndham Worker.

Duration since Jan 9 2012
How can failures to provide medical care this long in WorkComp “Exclusive Remedy” BE LEGAL?  How many doctors have evaluated and made recommendations for denied medical care over this course? 35? 40? What’s next?   ASK ABOUT WORKERS COMP GRAVY TRAINS NOW

Back in 2013, I asked a Judge to authorize me to pay an hourly consult to a WorkComp lawyer, as indicated in the Christopher A. Ball book for Injured Workers, recommended on the WCAB site.  It is called California Workers’ Comp HOW TO TAKE CHARGE WHEN YOU’RE INJURED ON THE JOB.  The Judge declined; said it was against the law.

why mediate

I have dismissed 4 law firms that seemed very confused about the difference between a broken finger and a brain injury, so not a good fit for attempting to get medical care. I have accomplished more than all 4 of them on my own., and I have accomplished quite little.  So, that leaves me without legal counsel, with a brain injury, fighting organized crime, armed with the will to survive and the ability to type and blog.  Ain’t that nothing, America!

 

Ayres_Linda_Crush_1228aaMEDIATION FASTEST ROUTE

My response, this weekend, with a “DOR” will probably be called:

PETITION TO COMPEL RIGHT ACTION AND COMPLIANCE WITH LABOR CODE AND US CONSTITUTIONAL LAW in the case of Linda Ayres Vs. Wyndham Worldwide, et al

tbi and ice

As you know, on January 9, 2012, in efforts to help my co-workers get inside the office, during a snow storm, in which we were locked out, I told my manager I thought the window at my table might be unlocked, and we walked over to check the window.  It was locked.  My manager made it back to the side walk safely;  I slipped on ice and fell backwards, and hit my head very very hard.  I laid on the ground for I don’t know how long, my keys went flying and when my manager asked, “Are you ok?” I said, “No, I’m not.  I hit my head reallly reallly reallly hard.” Somebody took my briefcase inside the office but I had to go outside later to find my keys, that I do remember, because they were not in my handbag.

brain concussion tbi

After a little while, he helped me up.  I’m in sales.  We are ‘trained’ to leave our troubles at the door.  I dusted all the snow off of me, and went inside to attend the Sales Huddle.  My colleagues had a good laugh.  I forget who said it, but someone said, “Ewwwwwww, Linda has Fukushima Rads all over her now!”  (I had shared with them how radioactive snow is, as the snowflakes latch on to the radioactive isotopes like scavengers, and encouraged dodging the snow flakes, by any means necessary.)  I got “in trouble” for sharing this picture in the break room in 2011… I was told it was not very positive; it illustrates the impact of radiation poisoning.

Whats next Mom
Hello World! Ask About Fukushima Now http://askaboutfukushimanow.com/

 

Later, the Administrative Manager asked if I was going to see a doctor, and I said yes, and I asked, “Do I have to see any special doctor?”  He said, “Just see any doctor that accepts workers comp insurance” and he gave me an incomplete “DWC-1” form — he signed it, but it had no insurance company information on it, and no doctor could accept it, and the office did not return the doctor’s calls.

Remember, Wyndham staff did not offer to call 911 or even bother to take me or offer a ride to Urgent Care or an Emergency Room. Previously, I dropped everything and took a co-worker to Urgent Care as she was complaining of chest pains to everybody.  HR had no plan in place for dealing with such issues, either.  Perhaps staff is “too young or too stupid” to make life affirming decisions.

My guests, at the first wave tour, knew I was clearly dazed and confused, and they got their “gift” without any hard-sell….just gratitude that they were understanding about my confusion, as I told them I had slipped on ice and hit my head real hard that morning.

I went to the doctor after work, God only knows how I drove down that icy mountain road.  For some reason, I don’t know why, an hour trip took over two hours.  When I saw the chiropractor (I thought I just needed a little adjustment for my neck and back) but the doctor said I had a concussion.  I didn’t know what that meant.  He suggested I would feel like I’d been hit by a truck in a few days, but in a few weeks I’d probably be fine  He was right about feeling like I’d been hit by a truck.  I vaguely remember having to use both hands to lift my head up from bed, and I slept a lot –

WWW MMM 13

I went to the Urgent care a few days later, since someone told me people can die from head injuries; they could not take the DWC-1 form, but they kindly accepted the CIGNA employee health insurance (which CIGNA had to fax to them, since I couldn’t find the card).  I got lost going to that doctor’s office, then lost again going home waiting for CIGNA to fax them the card, and disoriented on return.  Defense likes to say that doctor said I wasn’t dizzy, disoriented or confused.  D’oh!  The office is less than 5 miles from home, in rural Yucca Valley.

I had already called the EAP – Employee Assistance Program — because I was so confused, couldn’t think, and was having trouble talking, and my words were slurring.  I haven’t had a drink or drug in over 28 years.  People said I sounded drunk.  Not a good sign.  EAP connected me with a clinical psychologist who referred me to a local neurologist (who refused to see me since it was work comp, at a scheduled appointment; his office perjured and said I failed to appear for appointment; I begged for help or at least a referral when they turned me away.

Webinar Ninja  Draft one  SURVIVING WORK COMP

Turns out, they were actually on what I later learned to be an MPN list…)  The rest of the blogs (https://askaboutworkerscompgravytrains.com/list-of-posts/ has the rest of the details; perhaps a law school may find it of interest; real lawyers don’t give a hoot, nor, apparently, do WorkComp Judges, complicit in the terrors I have experienced as a member of America’s Working Class, injured being a team player, kicked to the curb by the PROFITS BEFORE LIVES CROWD.

As many of you know, I am currently enrolled in the Coastline Community College State run ACQUIRED BRAIN INJURY PROGRAM.  It is a one to two year program, and it helping me tremendously, in learning compensatory skills, and in ‘resocialization’ — being in a community with other brain injury survivors is remarkable, and yes, we compare notes on the chicanery of the legal and insurance psychopaths—the stories are all quite similar.  We do need Nuremberg type trials, and this time, include the lawyers and their ilk.

I am learning a new software to compensate for cognitive impairments…. including loss of working memory…. I haven’t quite figured out how to get the images out of the software into the blog, so I have resorted to copy and paste.  I think you can see the big picture of what I am currently dealing with.  Future blogs may have better presentation, as I am currently studying how this software can make up for my loss of working memory.  It really helps me to see the ‘big picture’ again.

HOW IS THIS LEGAL? DENIALS ALL APPEAR BASED ON FELONY FRAUD AND QME/AME FALSE REPORTS AND WORSE
HOW IS THIS LEGAL? DENIALS ALL APPEAR BASED ON FELONY FRAUD AND QME/AME FALSE REPORTS AND WORSE

We are also learning about learning styles, and how our brain injuries impact our need to focus on strategies to be more “concrete sequential” in our new approach to life.  This software, with several other apps and devices, serves as cognitive aids.

My progress seems measurable, substantiated by the increase in blog views since June 2013…

Capture STATS  AS OF 7 24 2015  911 AM PDT

Bottom line, it’s just more dreadful fraud and legal chicanery.  I could just spit at the vileness of it all.  Anyway, If you have any suggestions on how to best approach the Judge.  I don’t really believe I can be compelled to participate in felony fraud in an ongoing workers compensation scam by  the defense firm and insurance carrier representing my employer, Wyndham Worldwide.

As many of you know, the medical care I have received, I have had to pay for myself, now exceeding over $43,000.  CNA refused to pay TTD benefits in 2012, shifted the cost burden to the State, then finally paid the State back in 2014, at a dramatic discount.  They said it’s legal because EDD “negotiated” a $49k payback to $31,000 payback.  I don’t think the State Controller knows, but lawyers and EDD tell me it “happens all the time.”  As a consequence, instead of “104 weeks of TTD” payable by Work Comp Carrier, followed by ” up to 52 weeks of State Disability” I got cheated out not only medical care that would have possibly facilitated return to work, but I had no income for months and months and months (translation; had to rely on Salvation Army for help!) but I got cheated out of the EDD “up to 52 weeks” and those funds went back to CNA for bottom line profits.

 

Capture ORDER TO COMPEL 1

.  .Capture ORDER TO COMPEL 2

It’s a brain storming tool, and helps compensate for impaired loss of working memory.

It’s a little embarrassing that I cannot figure out how to ‘export’ or ‘transfer’ this info as the software is designed to, but it does serve as an example of my creative work-arounds and compensatory strategies.   The outline text is below.

 

Remember, in my pre-brain-injury life, I was a Database Queen, I served years ago as an Executive Assistant to some serious Captains of Global Industries, and it took smarts and serious speed and cognitive functions to keep them organized, and my work included intense logistics, keeping them on meeting schedules, to private planes, yachts and limos, political events and more.  

So, when I read some of the fraudulent statements of some well paid insurance industry doctors, you might imagine how I could just spit at the audacity of these little thugs.  One government agent, as I told some of the tales of the corrupution and horrors I have been exposed to, asked, “How can they sleep at night?”  I said, “Psychopaths have no sleep problems.”

 

ORDER TO COMPEL  LIST

As many of you also know, I lost professional credentials due to the untreated brain injury.  I lost my Hawaii Real Estate Sales License, California Real Estate Broker’s license, and California Notary Commission.  While I have not hope to be able to restore my Hawaii license, I was able this year to reinstate my California Real Estate Broker’s license, and just yesterday, I took my Oath for my California Notary Commission.   Yes, I take my Oaths seriously, always have, always will:

“I, Linda Ayres, do solemnly affirm that I will support and defend the Constitution of the United States and the Constitution of the State of California against all enemies, foreign and domestic; that I will bear true faith and allegiance to the Constitution of the United States and the Constitution of the State of California; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties upon which I am about to enter.

OATH BEFORE ORDERS

 

Remember remember also….  All Nuclear Reactors Leak All of the Time

“Have a wonderful radioactive weekend and don’t forget to Dodge the Rads, it’s dangerous out there!”

WE ARE THE MEDIA NOW (2)

Fifth Amendment or Fifth Attorney – WHAT DIFFERENCE DOES IT MAKE IN WORKCOMP?

Dear Tina:

Thank you again for the hotel discount vouchers. I am heading out to Newport Beach shortly, but I had promised Stewart Reubens of Grancell that I would respond to his recent emails by today. That was compounded and exacerbated by the unbelievable denial of medical care out of Maximus, the California ‘end of the road’ agency. The doctor received ex-parte records and he was either off-his-meds, had too many martinis, or might be subject to drug testing or else? I found other reports by the same doctor on the internet.

Maximus personnel was very nice when I told them we have a problem with the report as the fraud is egregious. They told me on Friday to send a request to them for reconsideration before sending it to the the WCAB appeals people. This is it. It is my experience that when dealing with WorkComp legal/medical fraud, facts mean nothing to the perpetrators, and legal chicanery prevails. Taking matters to the Virtual Streets seems to be the one and only hope for injured workers. My list of fraud allegations and perpetrators is long indeed, provided, in part, already to the FBI – Palm Springs Office.

Well, that’s another quandry, as it is somewhat out of synch. Before I hit the road, I will try to respond in this letter to both Stewart Reubens and the Maximus help people, and copy “supplemental people” as Stewart calls them, and I will put it on the internet as well.

Webinar Ninja  Draft one  SURVIVING WORK COMP
DEFENSE AGAINST THE PSYCHOPATH// STUDY THIS: https://www.youtube.com/watch?v=Gd6P1Ue2aGg

As I looked through it all, I remember that in 2013, CorVel had authorized modified care to include a couple acupuncture and chiropractic treatments, but Grancell again refused to set up those appointments and the Judge had to tell Ms. Mall to just do it….that took about 9 months. Ms. Mall, the first Grancell attorney, has a knack for telling whoppers, and she is the first to incorrectly tell doctors that I had a head injury in 1993 and another in 2008. No doctor until January 9, 2012, Dr. DeGoede whom the CIGNA Employee Assistance Program sent me to is the first I had ever been diagnosed with a brain injury. In the reports to doctors that Grancell is now attempting to have me evaluated by, Stewart is telling them of his opinion (non-medical, based on no medical evidence) that I have had previously diagnosed brain injuries and treatments. They both, Kim and Stewart, lie when they say I withhold info of a car collison of 1993 and 2008. Both I recovered from, and neither had ever suggested a head injury. Kim and Stewart seem to like to practice medicine at my expense.  They also like to put the 2012 EEG report of head injury to falsely show it as a 2010 report of head injury, although the doctor apologized for the mis-dated report, but any thinking person could read the report and see it was in fact done in 2012.  The doctor was not even in California in 2010, when Grancell attempts to mislead doctors.

The Maximus report I received last week falsely states numerous things, including what appears to be a set up for a fraud investigation at my expense. Somehow that doctor says the right shoulder was the primary industrial injury and that the injured worker [me] did not report a head/ brain injury until weeks later following an incident at home.  They disregarded the medical records I provided, and just seemed to follow exparte communications,

Well, that’s further insult to further injuries. Take a look at the DWC-1 form that I was given on January 9, 2012, without any insurance information on it and see what it says about hitting my head real hard.

These actions are quite similar to the deceptions caused by Ms. Mall when she omitted approximately 300 pages of medical records to QME/AME doctors in 2013, and encouraged them to falsely opine prior head injuries, moving the date of reported injury not weeks, but into the future of 2013, and they used medical records of 2012 as ‘evidence of pre-existing head injury’.  When brought to THEIR attention, those corrected the date of injury on their report, but not their false allegations, nor did I get any of the recommended since January 2012 medical treatments.   UFB, for sure, but it has kept me from medical care over 3.5 years, and has kept the legal/medical files churning, to the point somehow Grancell got the Judge to authorize even more evaluations.

The Exclusive Remedy and Labor Code of California does not say insurance carriers are to provide evaluation after evaluation….it is allegedly about providing medical care as an exclusive remedy to civil rights and law suits.  It apparently requires DOJ/FBI/DA intervention to help companies like Grancell with proper interpretations of the law, and perhaps RICO support.

Now, I have provided the Maximus report to my State Senator and have asked for intervention to involve the District Attorney – Corporate Fraud Unit and the FBI for similar task force. I am hoping that Michael Grabell of ProPublica is tracking what I send, or perhaps Ana Garcia of Los Angeles is another investigative reporter that may become involved.

So, for the record, I have asked Fred Sachs, CNA Adjuster and Stewart Reubens, Defense counsel of Grancell Stander to cancell all the appointments that were in violation of my right to be heard by the Judge at WCAB with ADA accommodations (first they said they would not accommodate for ADA, then they changed the date of the hearing, then they cancelled the hearing, then I started receiving notices of appointments with non-specialists in the field of brain injury, auditory processing, vision processing and chiropractic and acupuncture have been denied again.

My total out of pocket expenses to date because CNA refuses to provide medical care now exceed $43,350.44 since date of injury, 1/9/12. While all the medical reports indicate that I received medically necessary treatments, they don’t seem to account for the fact that I paid for most all of it myself. CNA, for a brain injury, paid for a few clinical psychologist sessions in 2012 along with some chiropractic; in 2013, they paid for 6 physical therapy and a few more chiropractic, in 2014 they paid for some acupuncture and 24 sessions of speech therapy, physical therapy and occupational therapy, cut short from the 3-6 months of care that was requested.

The current CorVel modified recommendations included neuro-optometry eval, neurology consult as requested last April 2014 to review the EEG with corollary medical evidence. Let’s get those issues handled, sort out the inaccuracies of the Maximus report, let’s get the FBI and DA-Corporate Fraud units involved with the CNA Fraud Unit representative and let’s organize a claim audit once and for all.

The allegations by Maximus that I sustained a shoulder injury at work and a head injury at home…. well, that seems to be a last straw, doesn’t it? The Maximus report also alleges there is no evidence for continuation of any of the ACOEM/MTUS guideline recommended treatments for traumatic brain injury. I think that doctor also suggested I failed to return to work at some point.

Holy Moly…. Tina, tell them how hard I have been trying to get back to work and that your hands appear to be tied by the defense counsel and carrier? Remember, in November 2012, my attorney of the time, in collusion with Ms. Mall of Grancell, attempted to coerce me to accept a $100,000 settlement, forfeiting all future medical, disability and it required that I quit my job (oh yes, it also mentioned the shoulder injury along with the closed head injury, but Ms. Mall’s team apparently threatened my primary treating doctor’s office more than once with dismissal from the alleged MPN if the early records regarding the right shoulder were not changed to ‘non-industrial’ ….they tried to call me MMI orthopedically last summer and did so this December, deferring to Neuro/psych doctors for head/braininjury after cancelling my appointment for their final report.

I have had no Primary Treating Doctor since December 2014, and Dr. Hilda withdrew from the case in April 2015, and Stewart says it’s not his job to help me get medical care, and that I can choose my own doctors. If that was so, why did I get stuck with an Orthopedic Surgeon since April 2013 with no knowledge of brain injury, and every referral was dismissed, and finally Ms. Mall said his referrals didn’t count because he is bone doctor not a brain doctor. D’oh — not verbatim, but words to that effect.

Because I retained incompetent legal help for 30 days in 2012, then 9 months in 2012 (that guy tried to get me to accept $100K, less attorney fees, with the above restrictions and said, “Nobody will believe you have a brain injury” and I said that’s because he didn’t get me to any brain doctors as everybody recommended, and I assured him I am INJURED NOT STUPID. The next attorney was retained in January 2013 because of the pattern and practice of Ms. Mall (and now Mr. Reubens) to omit medical records with intent to deny medical care—- and fortunately for other injured workers, that attorney who mis-represented me for merely 90 days, is allegedly retiring and just returned my file. He, like the other 3, refuse to release their liens, and as their staff says,. “Oh don’t worry, the 15% doesn’t come out of your part”…. They seem to fail to grasp that no competent attorney will clean up their … failure to represent and failures to do their jobs…. and be willing to split a fee. These applicant attorneys seem to be bottom feeders, yet Ms. Mall and Mr. Reubens like to suggest that there’s something wrong with me for having dismissed 4 incompetent representatives.

I have to head out to Coastline Acquired Brain Injury Program and I have found a local psychologist who will meet with me and help me, I hope, sort out the rest of my life since it also does not not promising that I will be able to complete the Coastline ABI program, and will have to find a way to return to work at the conclusion of the Summer Session.

I have asked Fred Sachs, CNA Adjuster, again for a treating doctor of neurology and neuro-psychology in the Palm Desert/Palm Springs area. Dr. Seymour Young, neurologist who ordered the EEG last year doesn’t take WorkComp, but he may be willing to be on my team via Medicare. The vision and auditory processing issues are not going to be resolved because Kim and Stewart get people to lie about the case; Wyndham didn’t hire me in multiple locations nor send me to Big Bear to help out in that mess because I was not a valuable employee…. I used to help managers even in Hawaii with management reports, including employee retention and motivation and training.

I suggest you ask Michael Dougherty to immediate get going with a Claim Audit and I will follow up next week with the Senator’s office, the DA-Corporate Fraud Unit, the FBI, Maximus and Grancell. I will also prepare a DOR to get back in front of the WCAB Court, to be heard on these issues of fraud and failures to provide medical care and other violations.

I just can’t do anymore than this today, and it upsets me just having to think about the criminal fraud I have been subjected to by this swath of apparent white collar criminals.

Are these matters of the FIFTH AMENDMENT or can they resolved with a FIFTH ATTORNEY.

do no harm but take no shit eitherCNA Brain Injury Treatment Kit

TIME WILL TELL, HUH?

Let’s plan to meet in accordance with interactive process guidelines, some Thursday or Friday in Palm Springs and I will ask the new doctor in Palm Springs if you can be included in a session where we talk about return to work accommodations planning. One time, in January 2012, Daniel Elliott, then adjuster, spent a full session on the phone with Dr. DeGoede, who explained back then the seriousness of my brain injury and the need for immediate medical care. CNA did not have a neurologist or neuro-psychologist to send me to then either, and Daniel relied on Dr. Goede’s contacts to get me to some specialists, then all hell broke lose when the extent of my injuries was evident. I have a long drive ahead, so, we’ll deal with more of these details later in the week.

Help me now?

Thank you.

Sincerely,

LINDA AYRES, IN PRO PER
#WorkComp and Brain Injury Survivor
760 368 7236
PO Box 835
Yucca Valley CA 92286

PS Linked In is getting a little spooky….. In recent weeks, people with profiles alleging to be high ranking military officials are sending private messages that are less than professional. I would like to write a happy ending to this horror work comp drama and close up my LinkedIn open-ness, and get on with my life.

LINKED IN RANKINGS  6 21 2015  552 PM

web version to be found at:
ASK ABOUT WORKERS COMP GRAVY TRAINS

###################

From: “Jordan, Tina R”
Date: Tue, 2 Jun 2015 18:24:43 -0400
To: Linda Ayres; Linda Ayres
Subject: Wyndham Employee Discount Vouchers

Hi Linda,

Please find attached the signed discount vouchers for Wyndham hotels provided to you so you can secure accommodations at your expense. Let me know if you need more in the future and I would be happy to assist.
Sincerely,

Tina Jordan
Regional HR Director – Southern California

Wyndham Vacation Ownership
7610 Hazard Center Drive Ste. 301
San Diego, CA 92108
Cell: 702-569-4294
Email: Tina.jordan@wyn.com

Wyndham Human Rights and Ethics

Capture WYN COUNT ON ME PROGRAM

#WorkComp Tweets 1 to 12 …. July 2013… See More Now!

ALL YOU NEED TO KNOW IS WITHIN YOU. HONOR IT.

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WE ARE THE MEDIA NOW.

SO BE IT.

#InjuredWorkersUnited SILENT NO MORE

I AM

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#WorkComp: The “compensation bargain” has been BREACHED. Where is the DA and ABA???

Blog drafted 7/27/2013:

Injured worker DWC-1 Statement of Injury:

6. Describe injury and body part affected.  Describa la lesion y parte del cuerpo afectada.  fell/slipped on ice – landed on back and hit back of left side of head very hard.

[Haven’t been ‘right since.  0.0 ]

brain concussion tbi

Workers’ compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee’s right to sue his or her employer for the tort of negligence. The tradeoff between assured, limited coverage and lack of recourse outside the worker compensation system is known as “the compensation bargain”.

The “compensation bargain” has been BREACHED.    Where is the DA and ABA???

ABA Mission

To serve equally our members, our profession and the public by defending liberty and delivering justice as the national representative of the legal profession.

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

TREATMENTS AUTHORIZED for TBI SINCE INJURY OF JANUARY 9, 2012:

January 9, 2012- April 2, 2012 – CHIROPRACTIC – 14 TREATMENTS, interrupted, non-consistent care.   6 additional treatments authorized in June 2013, however, a provider has not been found willing to accept workers comp insured injured worker.

January 14, 2012 – August 21, 2012  PSYCHOLOGICAL SUPPORT – 13 treatments  (20 minutes from injured worker’s home) to sort thru horrors and abuse of maze of denied medical care, incompetent legal counsel, lack of support and on-going mental abuse and denials of medical care by insurance company adjuster; 4 treatments (2 hours from inured workers’ home)  in the summer of 2012 with a doctor of unknown credentials, aimed at ‘masking impairments of brain injuries’ and considering self-procurement of various technology gadgets to help complete a charade to cover up significant brain injuries.

April 19, 2013 – May 8, 2013 – PHYSICAL THERAPY, CERVICAL ONLY – 8 treatments, further treatment recommended, not-authorized.

Is that possibly in compliance with ACOEM GUIDELINES for treatment??   WCAB Information Officer was unable/unwilling to share the alleged office copy of the ACOEM book with at least THIS injured worker.   We are the media now….we do not…FORGET.

end evil  step out of line

AMERICAN CASUALTY COMPANY dba CNA Claims Plus – Chicago, Illinois   –   Grancell, Stander, Reubens, Thomas & Kinsey, A Professional Corporation, Attorneys At Law, David J. Lynch and Associates, Mike V. Durich Law Officers, Castillo & Associates (Attorneys at Fraud? Attorneys at Negligence? Purveyors of Maimings and Death???….)   ….. CORVEL CORPORATION…. CROWE PARADIS….. et al.

What about the Super Lawyers who were asked for help, but due to the fact that 1, then 2, then 3 ineffective, inconsiderate, incompetent-with-regard-to-injured-workers-with-brain-injuries had been hired then were found to be grossly incompetent and apparently willing only to work for a quick-buck, not get medical care for an injured worker??  No social culpability?  Superstitions with regard to the “2-attorney rule”….. DAMNING INJURED WORKERS TO THE MERCILESS PSYCHOPATHIC and CRIMINAL DENIALS OF LEGITIMATE, REASONABLE AND APPROPRIATE MEDICAL CARE AND WITHOUT LEGAL REPRESENTATION?

DOES THE COMMISSION ON MENTAL AND PHYSICAL DISABILITY LAW condone such practices? https://www.facebook.com/ABA.CDR  http://www.americanbar.org/groups/disabilityrights.html  https://www.facebook.com/ABA.IRR

mlk passively accepting evil is cooperating with it

WHEN DOES THIS ENTIRE CROWD, INCLUDING THE COMPLICIT DOCTORS WHO ‘EARN’ up to $4,000+ per ‘KILLER CONTRACT’ BOGUS REPORTS TO MAIM AND KILL FELLOW AMERICANS —————-WHEN DO THEY FACE THE NATION FOR THEIR CRIMES AGAINST AMERICANS AND CRIMES AGAINST HUMANITY IN THEIR QUEST FOR THE ALMIGHTY DOLLAR.

Next time you read an article, watch a video of tv show alleging to be investigating “Workers Comp Fraud”….. if the doctors, lawyers, insurance companies and third party evaluators are not included in said investigations……  SHUN THEM.  Know them by their deeds.

GRAVE ENEMIES OF AMERICAN WORKERS??!!

nazi-found-in-usa-a-michael-karkoc-386x217

DRAW YOUR OWN CONCLUSIONS.

Linda Ayres 2 seconds ago facebook should have an

MEDICAL DIAGNOSIS FROM A VARIETY OF PHYSICIANS

Thru July 2013; ALL WELL-PAID FOR REPORTS REQUESTING FURTHER MEDICAL EVALUATIONS AND TREATMENT; ALL DENIED

(but doctors get their bucks, while the injured worker suffers greater harm!)

DIAGNOSES:  854 Closed head injury, 784 Headaches, 310.2 Post concussive syndrome, 850.1 Concussion with brief loss of consciousness, 850.9 Head Concussion, 309.81 PTSD, 310.2 Post concussive syndrome, 780.93 Closed Head Injury with amnesia, 921.00 Contusion (left orbit), 750.90 Concussion, 959.01 Head Trauma, 959.01 Cognitive Changes following head trauma, 850.0 Concussion, 959.00 Head Trauma (Contusion x 2) with Impaired Memory, Speech, Balance and Vision, 850-854, 959.01 Somatic/cognitive dysfunction and emotional dysfunction, 310, 310.8, 438 Mild cognitive dysfunction, memory processing,, 850 Mild TBI positive lapse of consciousness, 310.20 Post Concussive Sydrome, 309.28 Mood Disorder secondary to Post Concussive Syndrome, 959.01 Head injury,  Lobe Disorders: frontal, parietal, cerebellar dysfunction, motor dysfunction, segmental dysfunctions, Closed Head Injury with Ongoing Sequelae, Psychological sequelae, possibly secondary to industrial injury, 959.01 Closed head injury with cognitive dysfunction and speech dysfunction, 784.00 post traumatic headaches, brain based vision impairments, brain-based vestibular and balance disorders + secondary to head trauma, NECK, BACK, Shoulder PAIN and related ICD-9 codes

brain left and right summary

PHYSICIAN REQUESTED EVALUATIONS AND TREATMENT RECOMMENDATIONS; DENIED.

  • Section 4610(e) provides “NO PERSON OTHER THAN A LICENSED PHYSICIAN WHO IS COMPETENT TO EVALUATE THE SPECIFIC CLINICAL ISSUES INVOLVED IN THE MEDICAL TREATMENT SERVICES, AND WHERE THESE SERVICES ARE WITHIN THE SCOPE OF THE PHYSICIAN’S PRACTICE, REQUESTED BY THE PHYSICIAN MAY MODIFY, DELAY, OR DENY REQUESTS FOR AUTHORIZATION FOR MEDICAL TREATMENT FOR REASONS OF MEDICAL NECESSITY TO CURE OR RELIEVE.”

ADA VIOLATIONS TO BOOT??  Cell phone confiscated along with recorder, properly requested?

AT A WORKER’S COMP HEARING WITH THE INFORMATION OFFICER, in December 2012 and again in June 2013, injured worker requested a PHYSIATRIST to be authorized as the Primary Treating Physician, again denied.  Orthopedic surgeons have been the primary reporting doctors on the brain injuries.   ADA accommodations to record the hearing and to use a laptop to type responses to difficult questions prior to answering was requested by directions provided by the WCAB ADA Coordinator, THEN DENIED BY THE INFORMATION OFFICER.  Said officer also CONFISCATED THE RECORDER BROUGHT BY THE INJURED WORKER, AND CONFISCATED THE INJURED WORKERS CELL PHONE DURING THE HEARING.

The defense attorney has been requested to provide communications electronically as it easier for the injured worker to read from a computer monitor than to focus on pages, due to the vision impairments and cognitive disabilities.  The request is further made because the injured worker lives in Rural America and the mail box is approximately 5 miles away, and is visited only once or twice a week, or when notified of important mail having been sent.  Not only does the defense attorney refuse to comply with this ADA request, she further maliciously waits till the last minute to send time sensitive documents, her staff has on at least 2 occasions perjured on proof of service, and extreme hardship and stress is caused as injured worker attempts to meet unreasonable delays caused by the malicious denials, and failures to advise electronically of delays.  Simply evil…..unlawful….. and unconscionable.

http://www.ada.gov/

WC ADA

In a smooth team-work-type action, Defense Counsel spoke up at the confiscation of the cell phone and asked politely, “Do you want my cell phone too?”   Brain Injured worker was verbally assaulted for repeating questions and statements, and for providing useless ‘spreadsheets’ of information, which are the only way the injured worker has any hope of keeping the confusing information somewhat retrievable.   Brain Injured worker was also deceived again that THE ONLY HOPE OF GETTING ANY MEDICAL CARE IS TO HAVE A QME [QUALIFIED MEDICAL EXAM] WITH A NEUROLOGIST, the same deception used in December 2012, that resulted in yet another Orthopedic Surgeon as the primary treating physician.

THE LAW DOES NOT REQUIRE AN INJURED WORKER TO GROVEL AND PLEAD AND BEG FOR MEDICAL CARE FOR AN INDUSTRIAL INJURY. THE LAW IS CLEAR THAT AN EMPLOYER HAS AN IMMEDIATE AND PRO-ACTIVE RESPONSIBILITY TO PROVIDE IMMEDIATE, REASONABLE AND APPROPRIATE MEDICAL CARE TO AN INJURED WORKER.   Those who defy those laws, and do so by fraud and for profit, must be considered enemies of the American Workers, and must be brought to Justice for their individual and collective crimes against INJURED AND DISABLED AMERICAN WORKERS.

MAKE A DIFFERENCE??  If not now, then when??  If not you, then who??How many more must be maimed, injured and killed by a corrupt group of medical and insurance killers??

CAN YOU SAY WHY AMERICA IS THE GREATEST COUNTRY IN THE WORLD??

The most honest three and a half minutes of television, EVER…

AMERICA IS NO LONGER THE GREATEST COUNTRY IN THE WORLD.  TIME TO FIX THAT??

flag and eagle

The current Orthopedic Surgeon has repeatedly requested brain injury evaluations and treatments, DENIED BECAUSE HE IS AN ORTHOPEDIC DOCTOR, NOT A BRAIN DOCTOR, AND AN INSURANCE-COMPANY NEUROLOGIST (the only one authorized after several non-insurance company neurologists had been denied by CNA Insurance Adjuster) claims the only medical treatment necessary is ‘over the counter analgesics’ and said doctor marvels that injured worker could complete a detailed new patient intake form (CONFIRMING HIS ABSOLUTE IGNORANCE OF BRAIN INJURY, which is not a part of his medical practice, yet his report is used as a weapon for continued denied medical care).

SOMETHING’S HAPPENING HERE, AND WHAT IT IS IS EXACTLY CLEAR.   Will justice prevail?

Medical Disability Advisor states:  ”A PHYSIATRIST CAN BEST ASSESS THE DEGREE OF MENTAL AND FUNCTIONAL DISABILITY FOLLOWING BRAIN INJURY…… participation in the rehabilitation program can include physical, occupation, speech and recreational therapists, social workers and vocational counselors.  

tbi and ice

A coordinated treatment approach from a team of healthcare professional is necessary for treatment to succeed…. In rehabilitation of a head injury, the therapist must sequence activities from easy to more difficult.”

  • Blog search for “Treatment” https://askaboutworkerscompgravytrains.com/?s=TREATMENT
  • Applicant’s Medical Index: https://askaboutworkerscompgravytrains.com/2013/07/04/workers-comp-doctors-lawyers-and-gravy-train-riders-4000-per-bogus-medical-report-doh/
  • 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….

    Doctor requested Treatments & Specialty Exams — DENIED DENIED DENIED

    Specialty Requesting DR’S specialty Date Ever Authorized?
    CHIROPRACTOR Injured Worker       1/9/2012
    MRI – Brain MD – Family Medicine 1/13/2012
    Neurologist [with TBI expertise] Clinical Psychologist 1/13/2012
    Neurologist [with TBI expertise] MD – Family Practice 1/13/2012
    Psychologist / Neuro, Clinical, Psych Clinical Psychologist 1/13/2012
    CHIROPRACTOR Orthopedic Surgeon 1/21/2012
    MRI – Brain Orthopedic Surgeon 1/21/2012
    MRI – Cervical Orthopedic Surgeon 1/21/2012
    Neurologist  – referral Orthopedic Surgeon 1/21/2012
    Home Ultra Sounds Machine (???) Orthopedic Surgeon 1/21/2012
    MRI-head and thoracic MD – Emergency Room 2/17/2012
    Psychologist / Neuro, Clinical, Psych Neuropsychologist 2/25/2012
    Speech Therapy w/cognitive remediation Neuro-psychologist 2/25/2012
    LUMOSITY BRAIN GAMES Neuropsychologist 2/25/2012
    EEG Neurologist 3/6/2012
    MRI – Brain Neurologist 3/6/2012
    Psychologist / Neuro, Clinical, Psych Neurologist 3/6/2012
    MRI- Brain Clinical Psychologist 3/14/2012
    Psychologist / Neuro, Clinical, Psych Clinical Psychologist 3/14/2012
    Neurologist – [with TBI expertise] Clinical Psychologist 3/15/2012
    EEG Neurofeedback Certified Practioner of EEG Neurofeedback 4/3/2012
    Psychologist / Neuro, Clinical, Psych Certtified Practitioner of EEG Neurofeedback 4/3/2012
    PHYSIOTHERAPY/PT Orthopedic Surgeon 4/20/2012
    EEG Orthopedic Surgeon 4/20/2012
    MRI- Cervical Orthopedic Surgeon 4/20/2012
    MRI – Thoracic Orthopedic Surgeon 4/20/2012
    Neuro-Vision Optometry Orthopedic Surgeon 4/20/2012
    Speech Therapy w/cognitive remediation Orthopedic Surgeon 4/20/2012
    EEG Neurofeedback Clinical Psychologist, Neuropsychologist 4/23/2012
    Neuro-Vision Optometry Psychologists 4/23/2012
    Neurologist – referral to Nudleman Clinical Psychologist, Neuropsychologist 4/23/2012
    Neuro-Vision Optometry Physiatrist 4/30/2012
    EEG Neurofeedback* Clinical Psychologist, Neuropsychologist 7/17/2012
    Psychologist / Neuro, Clinical, Psych Clinical Psycholoigst, Neuropsychologist 7/17/2012
    EEG Neurofeedback* Clinical Psychologist, Neuropsychologist 8/21/2012
    Psychologist / Neuro, Clinical, Psych Clinical Psycholoigst, Neuropsychologist 8/21/2012
    Neuro-Vision Optometry Clinical Psychologist, Neuropsychologist 10/1/2012
    Psychologist / Neuro, Clinical, Psych Clinical Psychologist, Neuropsychologist 10/1/2012
    Neurology – Functional BRAIN TREATMENT CENTER 12/7/2012
    Physiatrist – re-referal Injured Worker #########
    PHYSIOTHERAPY/PT Orthopedic Surgeon 1/9/2013
    Neurologist [with TBI expertise] Orthopedic Surgeon 1/9/2013
    Psychologist / Neuro, Clinical, Psych Orthopedic Surgeon 1/9/2013
    CHIROPRACTOR Orthopedic Surgeon 2/15/2013
    MRI – Cervical Orthopedic Surgeon 2/15/2013
    Neurologist – referral Orthopedic Surgeon 2/15/2013
    Psychologist / Neuro, Clinical, Psych – Orthopedic Surgeon 2/15/2013
    Speech Therapy w/cognitive remediation Orthopedic Surgeon 2/15/2013
    PHYSIOTHERAPY/PT Orthopedic Surgeon 3/20/2013
    MRI – Cervical Orthopedic Surgeon 3/20/2013 4/19/2013
    Neurologist – [with TBI expertise] appeal of denial Orthopedic Surgeon 3/20/2013
    Psychologist / Neuro, Clinical, Psych – appeal re   denial Orthopedic Surgeon 3/20/2013
    Speech Therapy w/cognitive remediation Orthopedic Surgeon 4/8/2013
    Over-the-Counter Analgesics neurologist 4/8/2013
    PHYSIOTHERAPY/PT MPT 4/17/2013
    Speech Therapy w/cognitive remediation Orthopedic Surgeon 4/24/2013
    Speech Therapy w/cognitive remediation MA, CCC-LSLP 5/1/2013
    Neuro-Vision/ Occupational Therapy Neuro-Optomentrist 5/24/2013
    Neuro-Vision PRESCRIPTION CHANGE Neuro-Optomentrist 5/24/2013
    Psycho/Neuro, Clinical, Psych Forensic Psychiatrist 5/28/2013
    CHIROPRACTOR Orthopedic Surgeon 5/29/2013
    MRI – right shoulder Orthopedic Surgeon 5/29/2013 7/3/2013
    Physiatrist –  referal Orthopedic Surgeon 5/29/2013
    Neuro-Vision/ Occupational Therapy MS/OTR – L 6/5/2013
    Psychologist / Neuro, Clinical, Psych Clinical Psychologist, Neuropsychologist 4/23/12/
    LUMOSITY BRAIN GAMES Neuro OD verbally
    Chiropractic 14 sessions thru 4/2/12, 6 more pendiing
    Physical therapy 8 sessions 4/19-5/8/13
    Psychologist /Neuro, Clinical, Psych 17 irregular sessions 1/14-8/21/2012

    REQUESTED MEDICAL TREATMENTS

    — DENIED DENIED DENIED

    Defense Attorney:   “None of the doctors requested a brain doctor to evaluate you.”
    Dr. Zardouz: ‘Take an over-the-counter analgesic for your headache, and don’t bother me again.  That’ll be approximately $4,000 from the insurance company, thank you, we appreciate your business.’
    Pre-CONK on the Head photo:
    Linda Ayres 2011
    ….. Post TBI photo at ER
    Looking a little ‘dazed and f—ing confused’
    [NOT INCLUDED]
    Challenged to speak, thoughts happening
    outside of body, major confusion, but did a quick
    email to Wyndham HR Regional Manager regarding
    the consequences of the denied medical care and
    did some final posts to FB ‘just in case’ they were
    the last posts……prior to heading to ER.  That doctor
    couldn’t bother to do an EEG…. regardless of attempts
    to convey a major concussion of a few weeks prior.
    He couldn’t get a clear x-ray of smashed ribs either.
    He did propose removal of lungs.  0.0
    (yikes, INJURED, NOT STUPID!!!)

    WE NEVER GIVE UP. WE NEVER GIVE IN.

    WHEN ONE THING DOESN’T WORK, WE DO SOMETHING ELSE.

    MAKE TODAY COUNT.  WE ARE THE MEDIA NOW.

    FRIENDS DON’T LET FRIENDS STAY IGNORANT.

    SELF PROCURED MEDICAL FIRST AID OBTAINED BY INJURED WORKER, INCLUDING BRAIN MRI, EEG, CHIROPRACTIC, VISION THERAPY EVALUATION AND TREATMENTS; SPEECH THERAPY EVALUATION and 2 treatments (from a provider not specializing in high-IQ executive function cognitive remediation…. treatments included 10 pages of copied quizzes to fill out and practice with…. injured worker cognitively unable to perform; seeking more specialized speech therapy/cognitive remediation); MOST VALUABLE SELF-PROCURED TREATMENT WAS 12 SESSIONS (approximately 50 hands-on/face-to-face doctor hours at JAUDY TREATMENT CENTER for scientifically based treatments and evaluations of FUNCTIONAL NEUROLOGY.

    wc attacking people with disabilities

    Beneficial self-procured medical care with functional neurology whole body integrated treatments were maliciously and abruptly and illegally terminated by Defense Counsel without cause and in violation of law that enables injured worker to self-procure medical care when denied by insurance company.  Injured worker had waited 10 months for medical care and was within right to finally self-procure medical care; Injured Worker’s attorney #2 attempted to make a fast buck on a premature settlement offer of $100,000 in November 2012, WITHOUT BENEFIT OF BRAIN INJURY EVALUATION OR ANY BRAIN INJURY TREATMENT.   Sounds suspicious??  Scared the heck out of brain-injured worker!!!

    Attorney #2 did get his fee for attending the aborted ‘deposition’ and injured worker is still awaiting reimbursement for those medical miles too…. nearly 10,000 medical miles driven in square circles UNREIMBURSED TO DATE.

    Defense Counsel continues to fabricate malicious and fictitious and misleading requests to doctors to continue the charade and frauds with intent to deny basic, reasonable, appropriate medical care to an injured worker.

    directional signs lost and confused

    The ability to correct for failing to provide “immediate” medical care is long since passed.  The culpability of the individuals and of the firms involved in the fraudulent denials of medical care for this injured worker must surely demand the attention of the District Attorney and Attorney General for the State of California.  The DA’s offices have been funded with several million dollars to fight Workers Comp FRAUD for FY 2014.   Where are they???!!!

    Hmph.  That’s America??  LET’S HOPE THE JUDGE AND JURY DO THE RIGHT THING.

    An unreasonable failure to timely pay reimbursement for mileage to and from medical appointments is a basis for an award of a 10% penalty against the entire medical treatment portion (species) of benefits, past present and future.  Payments after 30 days of request for reimbursement may be unreasonable, and it is up to the court to decide what constitutes a reasonable or unreasonable time to reimburse an applicant for covered expenses.   Avalon Bay Foods v. WCAB (Moore) 63 CCC 902 (California Supreme Court) says that when an insurance company is 60 days or more late in paying medically related transportation expenses (mileage reimbursement), there is a Labor Code S5814 penalty owed on all medical treatment benefits (of which mileage is a part).

    Master Sgt. Woods
    Master Sgt. Woods

    Injured Worker Claims untreated #TBI is like being in a WALKING COMA;  Thanks  Franz, Mary and Steve and the #WyndhamWorldwide Teams and your white-collar maiming and killing teams.  Just another DePopOp of Predatory Capitalism??  0.0    

    Who-will-bury-the-dead-when-we-are-all-gone-image002

    Speak up. If not you, then who?? If not now, then when. It’s late, very late.
    https://www.facebook.com/AskAboutWorkersCompGravyTrains

  • https://www.facebook.com/ABA.CDR
  • https://www.facebook.com/ABA.IRR
  • www.americanbar.org/groups/litigation
  • https://www.facebook.com/abasectionoflitigation
  • https://www.facebook.com/ABAforLawStudents
  • https://www.facebook.com/TheLosAngelesLawyers
  • https://www.facebook.com/pages/American-Bar-Associations-Solo-Small-Firm-and-General-Practice-Division/271621032072
  • https://www.facebook.com/pages/Workers-compensation/105660509466801#
  • if not now then when
  • LIST OF POSTS…..MORE TO COME…. ASK AND TELL ABOUT WORKERS COMP GRAVY TRAINS
    https://askaboutworkerscompgravytrains.com/list-of-posts-ask-about-workers-comp-gravy-trains/
  • InjuredWorker’s Resources…. ADD TO IT
  • https://askaboutworkerscompgravytrains.com/about/

lucy in the sky with diamonds

Injured #WyndhamWorldwide ‘High IQ’ Worker – LIVING WITH TBI … without care…while providers PROFIT

 

cognitive dissonance

THE ONLY THING CHANGED IS MORE EVALUATIONS, AND MORE AND MORE DESPERATE DIAGNOSES…… AND THE CASE FILE WAS TAKEN OUT OF A DRONE’S  HANDS AND SENT TO A PARTNER/SHAREHOLDER OF A HOT SHOT DEFENSE FIRM/ENEMIES OF INJURED WORKERS IN CALIFORNIA AND OF HUMANITY ITSELF.

WHO HAS STATISTICS ON HOW MANY INJURED WORKERS END UP ON SOCIAL WELFARE, AND FOOD STAMPS SOON AFTER WORK INJURIES?

DOES THE NATIONAL ASSOCIATION OF REALTORS HAVE ANY DATA ON HOW MANY INJURED WORKERS LOSE THEIR HOMES, HOW SOON AFTER INJURIES?

WHO HAS STATISTICS ON HOW SOON INJURED WORKERS END UP DEAD AFTER WORKER INJURIES?

WHO HAS STATISTICS ON HOW MANY PROVIDERS MAKE PROFITS OFF INJURED WORKERS DURING CLAIM PERIODS?

WHO HAS STATISTICS ON HOW MANY INJURED AMERICANS ARE KILLED BY WORKERS COMP ANNUALLY?  WHICH IS THE BEST STATE TO SURVIVE A WORK INJURY? WHICH STATE IS MOSTLY LIKELY TO CAUSE DEATH FASTEST?

InjuredWorkersUnited SILENT NO MORE

Writtten 7/10/2013…………. Posted 7/19/2014…..READ ON, AND ASK MORE QUESTIONS.

FRIENDS DON’T LET FRIENDS STAY IGNORANT.

ASK MORE QUESTIONS

DIAGNOSES:  854 Closed head injury, 784 Headaches, 310.2 Post concussive syndrome, 850.1 Concussion with brief loss of consciousness, 850.9 Head Concussion, 309.81 PTSD, 310.2 Post concussive syndrome, 780.93 Closed Head Injury with amnesia, 921.00 Contusion (left orbit), 750.90 Concussion, 959.01 Head Trauma, 959.01 Cognitive Changes following head trauma, 850.0 Concussion, 959.00 Head Trauma (Contusion x 2) with Impaired Memory, Speech, Balance and Vision, 850-854, 959.01 Somatic/cognitive dysfunction and emotional dysfunction, 310, 310.8, 438 Mild cognitive dysfunction, memory processing,, 850 Mild TBI positive lapse of consciousness, 310.20 Post Concussive Sydrome, 309.28 Mood Disorder secondary to Post Concussive Syndrome, 959.01 Head injury,  Lobe Disorders: frontal, parietal, cerebellar dysfunction, motor dysfunction, segmental dysfunctions, Closed Head Injury with Ongoing Sequelae, Psychological sequelae, possibly secondary to industrial injury, 959.01 Closed head injury with cognitive dysfunction and speech dysfunction, 784.00 post traumatic headaches, brain based vision impairements, brain-based vestibular and balance disorders + secondary to head trauma, NECK, BACK, Shoulder PAIN, torn rotater cuff…. and related ICD-9 codes

i can vs iq

TREATMENT AUTHORIZED:    January 9, 2012- July 2013

CHIROPRACTIC   14 + 6 more if they can find a doctor willing to deal with their games and deceptions

PHYSICAL THERAPY  8 – cervical only

CLINICAL PSYCHOLOGY – 17……first several sessions used to communicate 3-way calls with adjuster regarding severity of injuries and organizing immediate evaluation and treatment teams; then doctors were switched to a clinical psychologist peddling to-be-self-procured electronic gadgets, $500 day planners to brain-injured people,  pirated CD’s to injured worker, home neuro-feedback machines and tips such as ‘never tell anybody you have a brain injury….it comes with a stigma’….. ‘when you return to work, if you give 145% effort, people who don’t know you won’t know you have a brain injury’….  “How will you know when you’re ready to return to work?  Simple.  You’ll be back at work.”   [whoa…… tres’ scientific, huh?]

 

world is a dangerous place

 

Requested but denied brain injury evaluations, treatment and support….. since January 2012….WHILE THE PROVIDERS PROFIT, MAIM, INJURE AND KILL…… SLOWLY…..

Desperately seeking MEDICAL HELP WITH A BRAIN INJURY DOCTOR!!!   Self-procured acupuncturist had more brain-injury knowledge than most of the doctors the injured worker was sent to.

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.

https://askaboutworkerscompgravytrains.com/about/

wc CLAIM DENIED

Labor Code 4610 seems to be clear that “only a physician competent to evaluate the specific clinical issues that were within the scope o the physician’s practice can modify, delay or deny treatment plans.  The insurance company actions to deny specific clinical evaluations are then used as ‘evidence’ of lack of evidence to support demand for medical care.   Talk about a shell-game and Worker Comp Fraud!  Furthermore, the defense counsel has a pattern of omitting medical records to further skew the ‘medical evidence’ and to further deny reasonable and appropriate medical care. 

 

say it out loud and the universe willl

Corporate WorkComp Crimes, WyndhamWorldwide and the Civil Rights Act

CIVIL RIGHTS ACT USA

WE ARE THE MEDIA  NOW.

“BEHIND THE #CivilRightsAct
HOW IT WAS MADE AND WHAT IT MEANS TODAY”
http://apps.npr.org/behind-the-civil-rights-act/#/annotations

CIVIL RIGHTS ACT…. CLASS ACTION REQUIRED REGARDING WORK COMP? WILL THE DEPARTMENT OF LABOR and THE DEPARTMENT OF JUSTICE HELP INJURED WORKERS IN AMERICA to celebrate the  50th anniversary of the Civil Rights Act??

.
“…The struggle leading up to the act’s passage was about more than simply ending discrimination. It was about ending economic injustice and fighting for fair and equal access to good jobs and decent wages…..”

“…[T]here at the Labor Department, [they]’re recommitting [them]selves to helping more people access economic opportunity, and continuing our nation’s journey toward true equal justice for all. More thoughts:    http://social.dol.gov/blog/?p=13219 “
.

Ask about CORPORATE #WorkCompFraud and the Maimings and Killings of #InjuredWorkers in America today by Americans!    https://www.facebook.com/AskAboutWorkersCompGravyTrains

‘WE SHALL OVERCOME!”
http://www.youtube.com/watch?v=RkNsEH1GD7Q

We shall overcome, incite proper trials, and fill the gallows!  Work Comp:  Americans maiming and killing injured Americans for profit. Stop it now!

WE SHALL OVERCOME.

WC TAGS  7 3 2014

ASK ABOUT WORKERS COMP GRAVY TRAINS!

ASK ABOUT CORPORATE WORK COMP FRAUD AND ABUSE

ASK ABOUT INJURED WORKERS NOW

draft 1  – June 16 2014; sent to Grancell Stander Reubens, et al,  CNA Insurance/American Casualty and Corvel Corp-Utilization Review Department, as well as Dr. Darren Bergey, Orthopedic Surgeon PTP  and Dr. Hilda Chalgujian, Neuropsychologist.

draft 2 – June 29, 2014  … in blog:

IS WYNDHAM WORLDWIDE COMMITTING WORKERS’ COMPENSATION FRAUD IN CALIFORNIA?? ASK AN INJURED WORKER TODAY!

draft 3 – July 3, 2014  … herewith:

LINDA AYRES VS. WYNDHAM WORLDWIDE   ADJ8181903

Wyndham Human Rights and Ethics

HUMAN RIGHTS & ETHICS VIOLATIONS

http://www.wyndhamworldwide.com/corporate-responsibility/humanrights

http://www.wyndhamworldwide.com/sites/default/files/investordocs/WYN_human_rights_policy.pdf

 WYNDHAM VIOLATION OF IT'S OWN STATED CORE VALUES

NEGLIGENCE, BAD FAITH AND REFUSAL OF EMPLOYER TO PROVIDE IMMEDIATE REASONABLE AND APPROPRIATE MEDICAL CARE, SINCE DATE OF INJURY, JANUARY 9, 2012, WITH FURTHE BAD FAITH ACTIONS CAUSING IRREPARABLE HARM TO INJURED WORKER.

[a friend, A RETIRE NURSE, helped organize these facts, without the emotional ‘charge’ around them.]

NO HEAD INJURY IS TOO SEVERE TO DESPAIR OF,
NOR TOO TRIVIAL TO IGNORE
-HIPPOCRATES 400 BCE

 

See the tragic tale of one Wyndham Worldwide #InjuredWorker…waiting for medically necessary treatment for an industrial head trauma …… nearly 1,000 days ago.  Corporate Responsibility?  Corporate Negligence and Fraud?

.

DRAW YOUR OWN CONCLUSIONS, and trust the Department of Justice and the Department of Labor will do like-wise.

.

See more details here: https://askaboutworkerscompgravytrains.com/list-of-posts-ask-about-workers-comp-gravy-trains/

 

JUST THE FACTS, M’AM

Date of Injury:  January 9, 2012, approximately 8 a.m.

Injured Worker: Linda Ayres, TimeShare Sales Executive –

Vacation Ownership Sales, Real Estate Broker

Claim #: CNA e3269102     WC #:  ADJ8181903

 

A witnessed slip and fall with loss of consciousness at work.  Able to stand with assistance.  Complained of feeling “dazed and confused”.  Also, c/o headache and pain in back of head, neck, back and right ankle.  Was neither advised nor offered a ride to seek medical treatment by sales manager who had witnessed the fall and assisted with getting up off the snow covered ground.

ONE UNFORTUNATE EVENT LED TO ANOTHER UNFORTUNATE EVENT, WHICH LED TO A SERIES OF UNFORTUNATE EVENTS WITH WRONG DATES, DOCTORS, OMITTED RECORDS AND MISINFORMATION AND INCONSISTENCIES WITH MISREPRESENTATIONS.  THE HARM CAUSED TO THE INJURED WORKER BY THESE UNFORTUNATE EVENTS IS IRREPARABLE.

She continued with “usual work” (sales meeting followed by sales presentation) with above symptoms, including severe confusion, until approximately 10 am, when administrative manager approached with work comp form stating “you can see any doctor that takes work comp insurance”even though the form had no insurance information on it.  Again, she was not offered a ride to the Emergency Room nor was she advised to seek immediate medical treatment.  She continued with above S/S, including confusion and dizziness.  She left work at approximately 2 pm, (approximately 6 hours post fall) with her manager’s knowledge of an approximate 1 hour drive home – 20 miles down steep snowy mountain road, 40 miles of flat desert road.

 

She continued with headache, confusion, dizziness, head, neck back and right ankle pain.  She drove directly to the chiropractor who had been seeing her periodically (every 1-2 months) for maintenance.  Upon arrival, the office staff commented on her state of confusion and general “dazed” appearance.  She informed the chiropractor about the slip and fall at work, her LOC and immediate and persistent pain, headache, confusion and dizziness.

 

The doctor’s office attempted to contact her employer for needed information regarding a work comp claim.  Messages were left but employer did not return calls.  (See email from Dr. Whitlock to Daniel Elliott dated Tuesday, 2-28-12, CNA Adjuster, and return email authorizing more chiropractic visits #14)

 

1-11-12 injured worker presented self to Avalon Urgent Care due to increase in confusion  and pain and headaches.  (See 1st Report of Occupational Injury).

 

Injured worker was not contacted by employer for follow up.  Not given a list of MPN authorized providers.

Was given an incomplete Work Comp form filled out by employer.  Personal health insurance (CIGNA) billed for Work Comp by Avalon Urgent care due to lack of infomration on Work Comp DWC-1 form.  Attempted authorization by Urgent Care.  No response from emkployer or Work Comp Insurance.  Injured worker had to pay out of pocket for co-pay and medical tests including Xrays (request for MRI).  This office was not a member of alleged MPN at the teime, but apparently later became a member.

 

On 1-11-12 injured worker contacted EAP provided by employer due to continued confusion and concern thereof.  Continued lack of support by employer.  She continued to update employer  No authorization for medical treatment.

On 1-13-12, Injured worker was seen by Dr. Daniel DeGoede, Clinical Psychologist,  referred by employer EAP (Employee Assistance Program).  See handwritten referral dated 1/13/12 from Dr. DeGoede  to Dr. Esmael Sebti, Neurologist for scheduled appointment on 2/7/12.  Was refused evaluation and referral when appearing for appointment by Dr. Sepbti due to non acceptance of work comp patients.  It was later discovered that this doctor’s two offices were a part of the alleged MPN network.

 

On 1-21-12 Retained attorney due to lack of medical treatment and appropriate authorizatin for treatment of head injury and was scheduled for an appointment on the next day by the law office with an Orthopedic Surgeon. Dismissed law firm with cause shortly thereafter, at the recommendation of a retired Judge, and worked directly, in-pro-per,  with Adjuster to coordinate a team of providers, with Dr. DeGoede, Clinical Psychologist as lead doctor and designated PTP.

 

On 2-4-12, sustained further injuries after two falls at home from LOC due to head injury on 1-9-12 with undetermined periods of loss of consciousness, suspected to be less than 30 minutes each, but unknown.  (See attached Hi-Desert Hospital ER report of Dr. Lambros, NO EEG DONE.

On 2-6-12  MRI Brain (one month post initial injury, 2 days post subsequent 2-4-12 injuries).  MRI not authorized by WorkComp Carrier even though it was recommended by 1st treating doctor in Urgent Care prior to subsequent fall on 2-4-12.   The MRI WAS authorized by employee health care provider, CIGNA, with a large co-pay due at time of MRI.

On 2-22-12, Authorized referral (non-MPN) to Dr. Eileen Kang, Neuropsychologist, by Dr. Daniel DeGoede, Clinical Psychologist (EAP referral, and ultimately authorized (non-MPN) at PTP.  Dr. Kang performed a battery of neuro-psychological tests and recommendations for further treatment were ignored by insurance carrier.

On 3-6-12, was referred by office of Dr. Kang  to Dr. Stephen Waldman, Neurologist  (2 hour drive from home; non-MPN provider, no TBI expertise; field of expertise epilepsy and fybromyalgia)  after several failed attempts to find a neurologist on the alleged MPN list.   Without medical evidence, Dr. Waldman recommended ‘precautionary epilepsy medications with mood elevator’ and attempted to have driver’s license revoked for decline of offer of unfounded medications.  A second neurologist was requested, but denied by carrier.

 

In March 2012, was referred to another  attorney, who was retained until November 2012 .

On 4-23-12, was then referred, again by another attorney, to a clinical psychologist, Dr. Marcel Ponton, in Pasadena (3 hours from home) who’s colleague, Dr. Gunn, re-administered a similar battery of neuro-psychological tests and recommendations for further treatment and evaluations were ignored by insurance carrier and in fact, TTD benefits were terminated on 4/30/12 in bad-faith action by carrier.

Dr. Marcel Ponton then referred injured worker to a second Orthopedic Surgeon, Dr. Kahlid Ahmed for a second consultation, and to a physiatrist, Dr. David Patterson, Medical Director at Casa Colina Rehabilitation Centers, for DMV eval to disprove Dr. Waldman request to revoke driver’s license.    Recommendations for further treatment and evaluations were ignored by insurance carrier.

 

Diagnosis through March 2014

850.1 Concussion w/brief loss consciousness, 338.11 acute pain due to trauma, 847. 0 Cervical Sprain/Strain, 839.08 Disloc mult. cerv vert clos, 728.85 spasm muscle, 839.21 Disloc thoracic vert close, 739.3 Nonallopathic lesions lumbar nec,  854 Closed head injury, 784 Headaches, 310.2 Post concussive syndrome, 850.1 Concussion with brief loss of consciousness, 850.9 Head Concussion, 309.81 PTSD, 310.2 Post concussive syndrome, 780.93 Closed Head Injury with amnesia, 921.00 Contusion (left orbit), 750.90 Concussion, 959.01 Head Trauma, 959.01 Cognitive Changes following head trauma, 850.0 Concussion, 959.00 Head Trauma (Contusion x 2) with Impaired Memory, Speech, Balance and Vision, 850-854, 959.01 Somatic/cognitive dysfunction and emotional dysfunction, 310, 310.8, 438 Mild cognitive dysfunction, memory processing,, 850 Mild TBI positive lapse of consciousness, 310.20 Post Concussive Sydrome, 309.28 Mood Disorder secondary to Post Concussive Syndrome, 959.01 Head injury,  Lobe Disorders: frontal, parietal, cerebellar dysfunction, motor dysfunction, segmental dysfunctions, Closed Head Injury with Ongoing Sequelae, Psychological sequelae, possibly secondary to industrial injury, 959.01 Closed head injury with cognitive dysfunction and speech dysfunction, 784.00 post traumatic headaches, brain based vision impairments, brain-based vestibular and balance disorders + secondary to head trauma, NECK, BACK, Shoulder PAIN and related ICD-9 codes, 850.9 Head Concussion, 854.0 Closed head injury, 784.0 Headaches, 294.9 Cognitive DisorderNOS, 310.20 Post Concussion syndrome, 850.9 Head Concussion, 378.42 Exophoria, 378.43 Vertical Heterophoria, 368.33 Fusion with Defective Stereopsis, 368.13 Visual Discomfort. Neck Pain 723.1, Mid-back pain 724.1, [Note: “A Vision rehabilitation program is medically necessary to improve Linda’s deficient visual skills, as noted…(March 22, 2014, Dr. Lynn Lowell, Neuro-Optometrist, Ketchum Eye University 2014, as also indicated by Dr. Eric Ikeda, Casa Colina, Neuro-Optometrist]  Closed Head Injury 854.0, 784.0 Headaches, 294.9 Cognitive Disorder NOS, 310.20 Post concussive syndrome, 850.9 Head Concussion.

MLK disciplined dedicated non conformists

.

 

DR. HILDA CHALGUJIAN, FORENSIC NEUROPSYCHOLOGIST: MAY 2014 –

‘…recommend this patient be monitored neurologically in light of the above-noted cognitive issues; patient will benefit from a neurologist with experience int he treatment of traumatic brain injury; … recommend patient continue with individual therapy to help develop better insight into her functioning and increase her coping skills, and minimize external stressor;… supportive individual psychotherapy will help her develop strategies to help her…;  recommend she receive speech therapy to directly address her current difficulties with communication, including verbal fluency, as well as attentional issues…; recommend she is evaluated and monitored by a neuro-ophthalmologist to assess her ongoing and longstanding complaints of impaired vision, and explore vision therapy…; she may also benefit from occupational therapy to address ongoing visual concerns; this treatment should also address how to best compensate for situations that would be most relevant for her return to work in the future; …defer to her treating physician for her physical therapies; she should be re-evaluated in six months following her treatment regimen to assess her permanent and stationary status….’

 

ALL IN ALL, TO DATE, INJURED WORKER HAS SEEN:

 

34 specialists, and has had 2 MRI of the head, one of the Cervical Neck, and one of the Right Shoulder.  Several of the doctors were referred by attorneys, her legal representation or by treating doctors.

 

She has been seen by neurologists, psychologists, psychiatrist, neuro-optometrists, neuropsychologists, physiatrist, 4 orthopedic surgeons, multiple therapies, including speech, physical for neck, acupuncture, vision and cognitive rehabilitation evaluation (please refer to attached list)

 

Retained and dismissed 4 attorneys due to incompatible goals; Injured worker has been represented approximately 14 months out of the 2 years 5 months since date of injury.   Each attorney did increasingly greater harm compounded by further failures to facilitate medical treatment than prior representatives.

 

The most care/evaluations were authorized when injured worker was in-pro-per after dismissing law firm #1. (Treatment with Dr. DeGoede, Dr. Kang and Dr. Whitlock Jan-Apr, 2012)

 

Due to brain injuries, and consequent communication and cognitive deficits, injured worker has been unsuccessful in retaining competent legal representation, knowledgeable about proper handling of a brain injury claim and necessary treatments and treating team, in accord with ACOEM guidelines. ADA requests for accommodations at WCAB – Riverside have been repeatedly violated.

 

1) <30 days (1/21/12);      Castillo & Associates

2) >9 months (Mar 2012 – Nov 2012)   Mike Durich, Esq. 

3) < 3 months  (Jan 2013 – Apr 2013)  David Lynch & Associates

4) < 1 month  (mid-Dec 2013 to mid-Jan 2014)  Clayton Perry, Esq.

 

Treatments of chiropractic, acupuncture, neuro-optometry, neurology, functional neurology, speech therapy evaluation, on-line brain-training, EEG, and Brain MRI’s were medically necessary, as requested by multiple doctors, and in light of the medical necessity, and continuous bad-faith actions of employer and it’s insurance company and defense counsel, have been self-procured and more than approximately $23,500 in outstanding medical costs remain unreimbursed since 2012.

 

To date, authorized treatments have only included:

2012 – 14 chiropractic, 17 psychotherapy

2013 –  6 physical therapy

2014 –  6 chiropractic, 12 acupuncture (right shoulder only for first 6, second set of acupunture requested as “959.01, 784.01 Multiple Head Injury, Multiple Neck Injury, Multiple Upper Extremities, Upper Back Area” and was modified by non-doctor to “959.01, 784.0 Multiple Neck Injury, Upper Back Area”  

[All urgent medically necessary treatments have not been authorized, many denied by non-physicians, and in 2013, Corvel became involved in further denials, primarily not-authorized by their Orthopedic Surgeons denying further evaluations and treatment by specialists in Traumatic Brain Injury.  Distortions by QME/AME doctors, compounded by Defense pattern and practice of omission of medical records have further contributed to the lack of medically necessary treatments. The 38 page April 2014 evaluation by Forensic Neuropsychologist has been objected to by Defense, apparently in order to further delay treatment and cause further harm.]

 NAIDW TBI AWARENESS

 

THEREFORE:  

#1  Wyndham Worldwide and it’s agents neglected to provide medical treatment and proper evaluations since date of injury.  Managers at Wyndham Worldwide resort – WorldMark by Wyndham at Big Bear – were negligent and apparently untrained in proper handling of an industrial injury, particularly one including a head injury.  The failure to have transported the injured worker to the closest Emergency Room or advise injured worker to seek immediate medical treatment to avoid further injury is extreme negligence.

#2 Not given proper Workers Comp info on MPN Providers and List of Providers and 1st report insurance information was lacking, causing need for use of  employee CIGNA insurance through February 2012.

#3 Allowed to “drive self home” six hours after Wyndham managers saw her fall and lose consciousness.  Allowed her to continue working even though she complained immediately of confusion, pain in her head, back and neck and right ankle.

#4  No immediate treatment authorized for head injury / MRI / EEG.

#5  Continuous negligence from lack of authorized treatments sent on a path of self-procured medical treatments (requested by multiple providers, ignored by carrier).  Out of pocket expenses for doctors, appointments, treatments and equipment needed for prognosis and ongoing care of brain injury and rehabilitation, and orthopedic injuries.

brain concussion tbi

SEEKING IMMEDIATE RESOLUTIONS

A) Monetary reimbursements of all medical mileage, treatments, and equipment dating back to January 2012, with maximum penalties.

B) Lump Sump Settlement for life-time medical treatments including certified Brain Injury Rehabilitation including but not limited to cognitive rehabilitation for high level Loss of Executive Function of Hi-IQ TBI survivor, vision therapy, vestibular therapy, speech therapy, vocational rehabilitation and retraining, with compensation for extreme loss of future earning capacity…

SPEAK THE TRUTH

EXHIBITS:

(to be listed)

(Unreimbursed medical expenses and miles since 2012 exceed $23,500, submitted repeatedly and complaints filed with WorkComp Audit Unit for further investigations and penalties.)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

LIST OF DOCTORS INVOLVED SINCE 1/9/2012…

Dr. Khalid Ahmed MD, Orthopedic Surgeon
Dr. Darren Bergey MD, Orthopedic Surgeon
Dr. Hilda Chalgujian Phd, Neuropsychologist
. Crystal Crites MPT, Clinical Director
Dr. Daniel DeGoede Phd, Clinical Psychologist   $
. Jennifer Diemart MA, CCC-LSLP    $
Dr. Ernesto Gallegos DC   $
Dr. Christopher Hancock MD, Neuroradiologist
Dr. Tiffany Hoang OD   $
Dr. Eric Ikeda Neuro-Optometrist   $
Dr. Gilbert Jaudy DC, FACFN, FABVR, CCST   $
Dr. Eileen Kang Phd, Neuropsychologist
Dr. Ronald Kent ** MD, Phd, Neurologist
Dr. John Lambros MD, ER
Dr. Michael Lobatz MD, Diplomate, American Board of Psychiatry & Neurology   $
Dr. Lynn Lowell OD, FAAO, FCOVD  $
Dr. David McCollum DC
Dr. Joseph Nguyen OD   $
Dr. Brandon Nielsen OD   $
Dr. James O’Brien ** MD, Forensic Psychiatrist
. Debra Ouellette MS, OTR/L  $
Dr. David Patterson MD, Physiatrist, Medical Director of Rehabilitation  $
Dr. Marcel Ponton Phd, QME, Clinical Director
Dr. Jacob Rabinovich MD, Orthopedic Surgeon
. Don Risser Licensed Acupuncturist   $
Dr. Jay Sanvictores MD, Family Practice   $
Dr. Esmaeil Sebti MD, Neurologist
Dr. Julie Simmons MA, PSY.D
Dr. Gurvinder Sunny Uppal MD, Orthopedic Surgeon
Dr. Stephen Waldman MD, Phd, Neurologist
. Diane Wallace Licensed Acupuncturist   $
Dr. Lynda Wells PhD, EEG Neurofeedback Practitioner   $
Dr. Jaime Whitlock DC   $
Dr. Bijan Zardouz ** MD, Neurologist

 $  “Paid for by Injured Worker or/and co-pay with CIGNA Health Insurance, referred by EAP Provider

WC blog 7 1 2014

**  All but three doctors (Kent, O’Brien & Zardouz) recommended further medically necessary treatments and evaluations for #TBI/Closed Head Injuries and orthopedic injuries; only a few chiropractic, a few clinical psychologists, and 6 physical therapy sessions were authorized the first two years.  The fight continues for medically necessary brain injury rehabilitation as well as for orthopedic injuries; clearly documented; Wyndham’s agents have continuously refused to and failed to authorize.  

wc workers-comp-fraud  if your company lies

 

If the ‘injuries are so minimal’…. does it make sense that this injured worker would be off work for nearly 1,000 days… ‘for a headache and poor anger management skills when subject to intimidation, terrorism, and systematic bad faith and negligence?” 

Capture WYN COUNT ON ME PROGRAM

How can the defense continue to refuse to authorize medically necessary treatments, and how can the defense further allege that these injuries, exacerbated by refusal to deny medical treatments since date of injuries, were somehow ‘pre-existing’…..???  Mr. Reubens, any further questions??

einstein concussion

 

MAKE SENSE??

 

“A WITNESSED SLIP AND FALL WITH LOSS OF CONSCIOUSNESS AT WORK….”

#WorkComp NEGLIGENCE BAD FAITH AND REFUSAL OF WYNDHAM WORLDWIDE TO PROVIDE NECESSARY MEDICAL TREATMENTS TO INJURED WORKER SINCE 1/9/2012

Forensic Psychiatrist:  “Treatment should only be provided industrially if the Finder-of-Fact finds some evidence of an industrially-related concussion injury.”  April 2013

wc workers-comp-fraud  if your company lies

OFF WORK NEARLY 1,000 DAYS…EVALUATION AFTER EVALUATION, RECOMMENDATIONS FOR TREATMENT REPEATEDLY BY MULTIPLE EVALUATING DOCTORS…IGNORED OR DENIED…NOT AUTHORIZED.

Wyndham Worldwide #WorkComp BAD FAITH DENIALS;  JUST THE FACTS!  USA SOS!!!

STILL ON THE ‘REST AND WAIT PROGRAM’, WITH REQUESTS BY DEFENSE FOR YET ANOTHER ORTHOPEDIC EVALUATION, WITH A REQUEST FOR AN ORDER TO COMPEL….

in order for defense to ‘defend’ against the demand for medically necessary treatments, denied since date of injuries.  #USA SOS!!!

Liberty face palm

Wyndham Worldwide:  http://www.wyndhamworldwide.com/  

http://www.wyndhamworldwide.com/about-wyndham-worldwide/mission-culture

 

 

#WorkComp? #AMERICANS MAIMING AND KILLING INJURED AMERICANS for PROFIT

#AMERICANS MAIMING AND KILLING INJURED AMERICANS,

#Sonderkommando Style!  WTF AMERICA!!! 

Liberty face palm

Here, watch this:

Why America is NOT the greatest country in the world…

WWW MMM 13

Then read this:

#WorkComp  #Talk about an Insurance Racket!!! #WyndhamWorldwide…. not only have their representatives refused to provide reasonable and appropriate medical care for nearly 1,000 days to a California injured worker:

They caused the injured worker compounded injuries by failure to treat, and further caused IW to have to apply for ‘welfare’  and other assistance via the Salvation Army and United Way (as a recommended remedy by State & Utility representatives) to keep utilities on and roof over head (while #CNA enjoys a nice tax-payer provided free loan, as a pattern and practice , from the #StateOfCalifornia for nearly $50,000 (times how many other injured workers??!!)

 Is that another example of FREELOADING CORPORATE WELFARE SANCTIONED BY THE STATE?

WE ARE THE MEDIA NOW. CARRY ON AND ON AND ON.
WE ARE THE MEDIA NOW. CARRY ON AND ON AND ON.

NOW THEY WANT TO have a useless TALK ABOUT A TOKEN/nuisance SETTLEMENT….

….FOR THE ‘MINOR brain INJURIES’ after providing, since 1/9/12, a few chiropractic sessions, 6 physical therapy sessions, approximately 14 clinical psychology appointments in 2012 that included conversations with the adjuster regarding severity of injuries, and one doctor suggested self-procured ‘day planner’ for $500 for brain injured people, while offering a pirated CD to help injured worker ‘breathe 7 breaths a minute’, along with techniques to ‘mask BRAIN INJURIES’ with admonition from their doctors to “never tell anybody you have brain injury, it comes with a stigma’.

workers of the world unite

#NAIDW, National Association of Injured and Disabled Workers, has been a great source of hope, with their slogan, “NO INJURED WORKER LEFT BEHIND”….  Seek them out on the web!

Then, #Wyndham defense firm SUGGESTS FURTHER SHIFT OF MEDICAL ‘TREATMENT’ with BAMBOOZLING DISREGARD….TO THE OBAMA CARE/AFFORDABLE CARE ACT PROGRAM, WHICH WE ALL KNOW DOES NOT EXIST EITHER.

Lucy and Doctors

TALK ABOUT A RACKET, HUH?  Racketeering??!

The theory of the Wyndham Defense Firm seems to be solidly perched in complicity in  fraudulently created medical reports by 3 of their doctors.  Out of 35, their 3 paid-‘doctors’, without expertise in brain injury, minimize the extent of the injuries, brain and orthopedic, and suggest ‘over the counter analgesics’ a MTUS recommended guidelines for diagnosed injuries, with clear intent to deny medically necessary treatment and to expedite death.

Does WorkComp insist on sending brain injured workers to ‘podiatrists’ for evaluations??    Ought to be some law enforcement, huh?

brain concussion tbi

 

It sounds like more than 30 doctors will have to be investigated for #WorkCompFraud if the 3 insurance company owned doctor’s reports are not pure FRAUD… IF THERE WAS NO INJURY TO THIS WORKER, OR IF IT WAS MINIMAL, WHY HAS SHE NOT BEEN RETURNED TO WORK, WITH OR WITHOUT ACCOMMODATIONS, FOR NEARLY 1,000 DAYS???!!!!

Or…..for a more efficient legal investigation, perhaps a review of the 3 insurance doctors and the defense counsel and insurance adjuster  is in order by the Office of the District Attorney, as they have been most instrumental in the failure to provide medically necessary treatment.  Oh, let’s be sure to consider CORVEL, Crowe Paradis and MAXIMUS collusion as well.   WORK COMP IS A BILLION DOLLAR INDUSTRY…..LOTS OF OPPORTUNITIES TAKEN FOR ACTS OF FRAUD, WITH PLAUSIBLE DENIABILITY, HUH?

See the David DePaolo story on WorkComp Grand Jury Indictments….somebody is doing their job, at least it’s a start:

“A couple of stories in this morning’s WorkCompCentral News provide substantial evidence (you knew I had to work that in!) of that concept.”

“A grand jury indictment was unsealed yesterday alleging a huge financial kickback scheme involving compound drugs, doctors and pharmacists, some of whom are “regular” names in California workers’ compensation and within the Greater Los Angeles area (recall that recent studies reflect dramatically higher costs in that geographic zone compared to the rest of the state).”

See full article here: http://daviddepaolo.blogspot.com/2014/06/trusting-mistrust.html
~~~~~~~~~~~
See also David’s piece on The Mission and The Business:http://daviddepaolo.blogspot.com/2014/06/the-mission-and-business.html

‘Puzzling, Baffling, Mysterious, Befuddlng’….. with your tax paid dollars……  THINK THINK THINK.

www meme 16

Should the corporate slogan for #WyndhamWorldwide aka #WorkMarkbyWyndham be something along lines of:

“WyndhamWorldwide.  NO INJURED WORKER PROVIDED WITH MEDICAL CARE.   PERJURY AND FRAUD PREVAIL;  Policy & Procedure:  DENY MEDICAL CARE BY ANY MEANS NECESSARY. HERE HERE TO THE CORPORATE BOTTOM LINES”  ???? !!!!

#OccupyWyndham  #OccupyWorkComp  #OccupyWorldMark

Occupy media coverage

#WorkComp? Americans Maiming and Killing Injured Americans for Profit

https://askaboutworkerscompgravytrains.com/2014/06/24/workcomp-americans-maiming-and-killing-injured-americans-for-profit-2/

ASK ABOUT WORKERS COMP GRAVY TRAINS
https://askaboutworkerscompgravytrains.com/
LIST OF POSTS: ASK ABOUT WORKERS COMP GRAVY TRAINS https://askaboutworkerscompgravytrains.com/list-of-posts-ask-about-workers-comp-gravy-trains/

INJURED WORKER RESOURCES; ADD TO IT!
https://askaboutworkerscompgravytrains.com/about/

Lucy Occupy  WHAT IF

Sadly, the strategies seem to be fully supported by the California Department of Industrial Relations and WorkComp peeps.   Bummer.  #ADJ8181903   google it.   Stand by for more.

workers united can never be defeated

SEE MORE, THINK MORE, SHARE MORE.

IF NOT YOU, THEN WHO? IF NOT NOW, THEN WHEN?

the silence of our friends WC WorkCompFraud and Money

 

We are the Media Now.

EXPECT US.