…..so that is why defense firms go to any means necessary to falsely classify a Traumatic Brain Injury as merely a “personality disorder” or other bogus diagnosis!!!!
And WorkComp Information and Assistance officers et al support the play!!!
The FRAUD FINALLY MAKES SENSE!
“Why those Dirty Rats”
WCAB seems to favor doctor shopping by defense and supports the chicanery, at least in my case. Complaints filed, to no avail.
It seems an industry practice to try to make a “psych” claim out of a brain injury case and the defense seems not above extortion intimidation and collusion to make such false claims, even paying QME AME doctors to sign clearly fraudulent reports upon which to build.
Since doctors don’t actually write the reports but have “well-trained” nonmedical personnel sift through pages & pages & pages of disorganized and incomplete medical records to support the obfuscation of facts with poorly written fabrications, well, that leads to some plausible deniability for those doctors leased or owned by the industry, huh? Omission of medical records is a key component to that play.
In my case, might be useful to have someone like Bruce Leckart review the psych, neuropsych, and neurological reports, and then have the judge contact the FBI, For further investigations of the actions by the defense team.
Yes, I get it. They are “untouchable”….Injured workers are simply the cash cows of a heinous scam industry. I suspect technology will be a disruptive game changer that may intimately derail the #WorkComp Gravy Trains. Nuremberg type trials also required, imho.
If Work Comp is an “exclusive remedy” stripping injured workers of all civil and human rights, how on earth and under the Constitution can it be “adversarial” in blatant failures to provide medically necessary treatment causing impossibilities for return to work? Seems to be a bit of an oxymoron, doesn’t it
We May Need Citizens Tribunals to help injured workers in USA, CANADA, UK and Australia and elsewhere?
It’s awesome to see/hear/read about the issues outside of the USA. It is indeed a global war on workers!
U.S. Rated Alarmingly High in Global Survey of Worst Places for Workers’ Rights
It was self-procured and his office received threatening cease and desist treating demand, as have all self-procured providers, even though WorkComp has continuously and maliciously and callously refused to provide reasonable and appropriate medical care since date of injury, and has interfered with every attempt by Injured Worker to survive, and has made sure that return to work was an impossibility….
It is hoped that this case will be used to expose major corruption in some very dark places in America…..Take a look, it’s less than ten minutes….
While there is plausible deniability in many expert conclusions about why injured workers do not get medical care and do not get to return to work, the biggest deal is that without Injured Workers to use and dispose of like cash cows, Workers Comp Grand Fraud would not exist. The CEO of the carrier for the woman in the video earns more than $10.7 million a year….. maiming and killing disabled workers? Ought to be some law enforcement.
If you don’t have these problems in Australia, good for you. However, if you dig deeper, you may find that like the USA, like Canada, and like the UK and elsewhere, you have same crime gangs operating there. Carl Icahn, an American icon, is known to be a Shareholder Activist. His approach to abuse may be the only viable solution left.
In the USA even our law enforcement and fire fighters are denied immediate reasonable and appropriate medical care, then they are blamed as being malingerers.
While there is plenty of plausible deniability and efforts to ‘blame the victim’ in work comp matters, the bottom line is that when Injured Workers are denied medical care for years (as happens in the USA as a pattern of practice, in order to keep the WorkCompGravy Train rolling (those evaluations are very expensive, and appeals are also cash flow event) often injuries are made worse, and even result in death.
Romano Trust vs Sedgwick, a horrific case in California where an injured worker was denied medical care for years, then given poor medical care that resulted in complications, complications not treated, Injured Worker died, attorneys attempted to indict adjuster for murder, Courts kicked it out, carrier paid a little fine and THE WORK COMP GRAVY TRAIN ROLLS ON…..
U.S. Rated Alarmingly High in Global Survey of Worst Places for Workers’ Rights
One brain injured worker from the hospitality industry has tried valiantly to return to work for over three years, but the employer says without a doctors release there can be no return to work, and the doctors say without medical care there can be no return to work, with or without accommodations. Employer has repeatedly refused to engage in mandated interactive process since October 2012.
One California Injured worker has tried valiant ly and repeatedly to return to work, and even attended her employer’s PUBLIC JOB FAIR, only to be turned away.
Human resources said nobody could talk to her, and she could not return to work without a medical release, and no doctor would provide a medical release without medical treatment over the past 3 years, and the self-procured care was not enough for recovery from Traumatic Brain Injury.
The employer also refuses to have a claim audit, or lift a finger to investigate how tens of thousands of dollars have been spent that have not resulted in medically necessary treatment.
This particular injured worker has tried every means necessary to attempt return to work including spending more than $30,000 for medically necessary treatments… Recommended but denied by the insurance carrier, and clear corruption and fraud.
The injured worker even attended a public career fair hosted by her employer, and was told nobody could speak to her, nor could they help her get medical care, return to work, or even charitable funding to keep the lights on. It is a multinational company… With no heart, no soul, and no good faith treatment of injured workers.
In America, injured workers are the cash cows that keep the work comp system going. Our lawmakers have sent a clear message to the industry in a case called Romano Trust vs Sedgwick (see below) that it is okay to deny medical care for years, and if death results, there is merely a $100,000 fine to the offending insurance Corporation.
Without the cash cows, The injured workers, the Worker’s Compensation Gravy Train would come to a screeching halt. The corruption in America is the core of the war on workers. The business model is similar to the nuclear business model… Profits before lives.
Plausible deniability…..and the War on Workers rages on….
Currently, the Injured Worker is subjected to more defense chicanery and grasping at straws attempts by defense to obtain yet another evaluation, this time from an EAR NOSE AND THROAT DOCTOR for the Brain Injury.
An ORTHOPEDIC SURGEON had been the primary treating doctor for a while, who recently withdrew from the case after a series of threats made by defense on issues of requested specialty evals and treatment for a brain injury.
Bone doctors are not brain doctors, nor are ENT doctors. That’s not ‘ignorance’….that’s clear cut fraud with intent to deny medical care, combined with omission of medical records with further intent to harm as a pattern of practice.
Is the American dilemma becoming clearer?
Some attorneys say that very event (ROMANO TRUST) gave the Insurance Community a LICENSE TO KILL INJURED WORKERS IN AMERICA, and they seem to take their licence very seriously. It’s comforting to know that in Australia you don’t have the same levels of corruption that we have here in the USA, and that they have in the UK and Canada.
Here’s a blow by blow story about one American Injured Worker….denied immediate medical care and denied all levels of expert evaluations and medical care for over 3 years.
Injured worker self-procured the recommended treatments that the carrier REFUSED TO PROVIDE, and has spent more than $30,000 on care to survive WorkComp, while doctors and lawyers and other providers ride comfortably in the dining cars of the WorkCompGravy Train.
ASK ABOUT WORKERS COMP GRAVY TRAINS https://askaboutworkerscompgravytrains.com/
If you dig deeper in your own country, you may find the problems are the same. Nobody in America likes to talk about the corruption either, it’s politically ‘incorrect’….. but as Einstein reminded us, “Those who have the privilege to know have the DUTY to act.”
Thank you for having open conversations about WorkComp in Australia. We may need Citizens Tribunals to help injured workers in USA, CANADA, UK and Australia.
Here’s a headline: Workers comp fails injured workers, Labor Dept. says
By L.M. Sixel April 29, 2015 Updated: April 29, 2015 6:32pm
Employees and taxpayers foot most of the bill when workers get injured on the job, a new report from the U.S. Occupational Safety and Health Administration finds.
Those Who have the privilege to know have the duty to act… Tell your friends and neighbors about the work comp crimes… And tell them to tell their friends and neighbors… America has a new attorney general… Maybe she can make a difference!
Till then.. Remember remember… We are the media now
#888DAYS of denied medical care to an injured #WyndhamWorldwide ‘dream vacations salesperson’ and real estate broker….and #Fukushima Alerter…… Alohaaaaaaaaaaaaaaaaaaaaaaaaaaa!!!!!
HELP ME UNDERSTAND THIS, WOULD YOU???
wynLINDA@gmail.com #ADJ8181903 tic tac tic tac tic tac toe! ;D ‘dream vacations; employment nightmares’
Hey, if you have a brain or a job or used to have either, this could be YOUR story too. Le’ts BrainStorm or TwitterStorm or figure out something. This #WorkComp deal in #America is pretty awful…..worse than you may suspect!!! HOW DO WE GET A CONGRESSIONAL TASK FORCE TO INVESTIGATE?
There used to be a “Anonymous Legal” group? Is that still around? Ya think they might have any suggestions?? Linda is a close friend of Lucy’s! xoxooxoxox
Hmmmmmmmm, theoretically, that sounds legitimate and reasonable, doesn’t it?”As far as treatment is concerned, that is governed by Utilization ReviewandMTUS. The determinations are not arbitrary.”It sounds very educated and legal like. In everyday talk, it looks like they ‘get away with maiming and murder, end of subject, next victim, step forward.’Does Oprah know about thiskrap? How about Dr. Phil? How about that lady attorney who investigates gruesome crimes? Frontline? PBS? Any of the Alphabet Agency Outlets… oh, word finding…. yeah, CORPORATE MEDIA NETWORKS?People know about this krap and can loook the other way?
Hey, if you have a brain or a job or used to have either, this could be YOUR story too.
Is it therefore, then, merely a matter of plausible deniability when Defense firms, in their attempts to defend and defy against the legal requirements to provide medically necessary treatment to a CA (or any state, for that matter) Injured Worker, particularly when said Defense Firms have exhibited a pattern and practice of omitting medical records from esteemed experts, within their alleged MPN network?
The extreme negligence of the #WyndhamWorldwide management included not even bothering to advise the brain injured worker to see a doctor immediately, nor offer a ride to the doctor. No, an incomplete DWC-1 insurance form was provided with a statement to “see any doctor that takes workers compensation insurance.” That, was, for seeing a doctor after working the full shift.
The management knew the injured worker had a 20 mile drive down a steep mountain back road, then another 40 miles down a desert road. The final neurology reports from the insurance company owned doctor, provided in December 2013, and supplemented in April 2014 due to hundreds of pages of omitted medical records, as is the pattern and practice of the defense firm, included comments that the injured worker should not be in areas of unprotected heights (more than 2 years after the injury). Does that also suggest that the drive after the head injury could have caused imminent death to the injured worker or others on the snowy mountain road or desert roads? Sounds like it, huh? But for the Grace of God and LEGIONS OF ANGELS…. , huh?
When the UR evaluating team is primarily an out-of-state RN, unable to read hand-written script (vs. typed) and cannot discern issues of “medical necessity” unless those actual words are used in BOLD FONT AFTER EACH SENTENCE OF A DOCTOR RECOMMENDATION, is there an educational component adding to the arbitrary nature of denied medically necessary treatments in California??
Is it a #HIPPA violation when the UR company, the insurance company, and the defense firm continously provide medical reports to former legal counsel, compromising the injured worker’s #LegalMalPracticeComplaints?
Another (former) attorney sent the neuro-psychological evaluation done by “his” doctor to EVERYBODY ON HIS MAILING LIST, INCLUDING THE ACUPUNCTURIST, THE CHIROPRACTOR, THE EEG TECHNICIAN and just about anybody who had said hello to the injured worker. He said, “I’m required to do this by #WorkersComp Law” When the CA Information and Assistance was approached with this query, she told the brain injured worker, “No, the law does not require that he sent it everywhere. You better keep better control of your attorney.”
Oh, golly, the brain injured worker should have known better,huh? D’oh! Just like she should have argued with that attorney when he insisted she repeated neuro-psych tests with HIS doctor, more than 3 hours away, each way…… to be driven alone in a dazed and confused brain injured state of mind, to a town she was unfamiliar with.
The next attorney accused the Hi-IQ TBI survivor of being a ‘conspiracy theorist’ for suggesting that there was a pattern and practice of omission of hundreds of pages of medical records by the defense firm and insurance firm, with clear intent to deny medical care, evidenced since at least October 2012. He wrote, “There is no conspiracy to omit your medical records. You have serious psychological issues and I suggest you get help immediately.”
Politely, the injured worker responded with, ‘Well, if you knew the file, if your non-attorney case manager could read, you would realize that psychological support has also been denied. Are you suggesting that be ‘self-procured’ also and added it to the list of thousands of dollars already spent, unreimbursed, and HOPE it gets paid back? Isn’t true insanity a matter of doing the same thing over again, EXPECTING A DIFFERENT RESULT?!’ Then, that law firm was dismissed (and Defense tried to get the Court to Compel keeping that firm on, since they were true defense firm advocates!) but that Order to Compel was denied.
The fight was on and it took nearly 8 hours in #WCAB Court to cause the Judge to order the Defense to include the omitted nearly 300 pages of medical records, and request supplemental reports from two of the insurance company doctors. The defense did not just send the omitted records, just like on TV, she sent a big box of about 3 reams of papers and said, ‘there’s more in here, find them and see if it makes a difference in your conclusions’…..
The Defense counsel also suggested/insinuated that somehow she was the hero who had uncovered new medical evidence. LOL…. Anybody go to school with creeps like that? A female Eddie-Haskell type, huh?Have all the omitted medical records found and included, by Court Order, was to also ensure that the next insurance company evaluating doctor was provided with all medical records, and the chicanery of the omission of medical records.
Alas, apparently the wording of the Court Order was ….. not so good. The defense omitted about 300 pages of medical records to the next evaluating doctor (and those doctors are paid thousands of dollars to deny medical care, regularly and not arbitrarily, it seems to be a standard unwritten rules of unenforced Labor Codes.Self-procured second opinions from esteemed medical facilities, for example, in the case of traumatic brain injury, #TBI, Casa Colina Rehabilitation Centers or, even better yet, SCRIPPS and the judgement of one of their internationally acclaimed leading Neurologists in the field of Traumatic Brain Energy….. Esteemed in the Medical, Scientific and Military realms are ignored, and the injured worker clings to the hope that #ANONYMOUS PRECEDES #UNANIMOUS, WE SHALL OVERCOME,; WE ARE THE MEDIA NOW.##############
Oh, Goodness! They say I ramble sincetheconk on the head, ‘tangentally’ too…..WORK WITH ME.Help me understand this, would you? Thanks!I gotta go watch the video again, DEFENSE AGAINST THE PSYCHOPATH…… https://www.youtube.com/watch?v=MgGyvxqYSbE
WE ARE THE MEDIA NOW. BE ALARMED AND BE ALARMING.
Here’s the blog on some of the colorful details….If you have resources and a story to share about YOUR experience with this crowd, let’s roll. We can try to be brief and concise, but, golly, if we can’t, we can’t. Doesn’t mean we give up.
WE GOTTA KEEP MOVING FORWARD…..WE ARE THE MEDIA NOW.
PS Piano lesson this morning. Talk about inability to connect the dots. Last year I read that ‘playing the piano can be beneficial to TBI recovery’ so I bought a piano. It didn’t dawn on me that learning to play it might be a good next step, in home-TBI-therapy. D’oh! The birds and the bunnies and road runners seem to appreciate the sounds, but today is the first day of a real lesson. The instructor teaches people from 8 to 84…..so, I guess I qualify. First song might be CHOPSTIX, huh? On topic!!! xooxoxox
Chat later! Working on a new #Fukushima blog! #ShelterInPlace.
ASK ABOUT #FUKUSHIMA NOW http://askaboutfukushimanow.com/
ALL #NUCLEAR REACTORS LEAK ALL OF THE TIME http://allreactorsleakallthetime.com/WE ARE THE MEDIA NOW. WE DO NOT…FORGET.
EXPECT US. · Just now
Friends don’t let Friends stay ignorant. …nor fight work comp crimes alone. …
PERSONAL NOTE……PS.. I have a confession. On 1/9/12, I slipped on ice and conked my head really hard while working for #WyndhamWorldwide, at the #WorldMark by Wyndham Big Bear California resort. I did tell a few of you, and even asked you to keep an eye on my posts to see if I moved too far off-center…..No complaints, so that’s a good thing!
When one thing doesn’t work. …We do something else.
We are the media now.
Expose #WorkCompFraud#WorkComp #injuredworkers. ..ONE VOICE.
CLASS ACTION TIME???
TELL YOUR FRIENDS AND NEIGHBORS. …
There’s more in this blog: #WorkCompFraud? 888 Days….. #TBI Injured Worker Still on the ‘Rest and Wait’ Program…. #ADJ8181903http://t.co/aRzrMzUifC
*******************************************************On the date of the fall, the manager told me to work my full shift (selling dream vacations) and then the other manager told me to “see any doctor that accepts #workers compensation insurance”. I did as instructed, and also called the Employee Assistance Program, because I was so desperately ‘dazed and confused’. On 2/4/12 I lost consciousness at home and conked my head twice more, “second impact” is not a good thing. The brain does not appreciate it.I knew enough about brain injury not to go to sleep once I regained consciousness, so I wrote a letter to the Wyndham HR manager telling her if I die because of this, I hope my family sues the hell out of them for denying medical care. She wrote back and eventually told me legal department told her not to communicate with me. D’oh. Transparent cover-up strategy.Then, I posted some #Fukushima posts, since the local hospital is also known to …. provide less than humane medical care, so I didn’t know if those would be my last posts to you all, so I wanted to be sure you had as much information and as many links on #Fukushima that I could get to you before heading to the ER to find out more about the loss of consciousness that results in further injuries, apparently, including a right rotator cuff tear.While I took medical paperwork regarding the TBI/Concussion, they kept saying, “Do you feel safe at home?” because I had a black-eye, too. Slow to think, I thought, “well, I just lost consciousness and conked my head again, and was out about 20 minutes or so the second time, and I live on 5 acres, and this hospital scares me because I have heard terrible stories about it….but I didn’t want to risk the 40 mile drive to a real hospital…. and I thought about feeding the bunnies and road runners etc.” then I just said, “yes”.I asked one doctor, “OMG, what I do if I don’t get all my marbles back?” He said, “Well, you could assemble widgets perhaps.” I grimaced and said, “I LIVE IN RURAL AMERICA. THERE ARE NO WIDGET ASSEMBLY JOBS HERE.”Fortunately, for me, the part of my brain that can type was less impacted. I didn’t leave the house for nearly 2 years, so I had plenty of time to research and post and repost and repost and repost to you, creating and participating in various groups and pages, and learning to blog and Tweet and Pin etc. FB has been THERAPUTIC, AND MUCH LIKE ASSEMBLING WIDGETS.Other friends have said things like, “With your missing marbles, you still have plenty more than most.” Others have said, “You’re a lot more fun now! Less intense!” Others have said, “never tell anybody you have a brain injury, it comes with a stigma”…. D’oh!!! I can pretend with the best of them….for just so long, and then I get looks like, “OMG, did she just say that out loud??” What I have learned in FB TBI support groups, and one and one with friends, the symptoms of TBI are what they are, and most people muddle through compensatory actions….. so, we all have a brain, and with the advances in neuro-sciences, we get to discover new ways to use them.I have made some good virtual friends in this Journey, Fukushima and Traumatic Brain Injury. FRIENDS DON’T LET FRIENDS STAY IGNORANT. LET’S MAKE SOME MORE NOISE…..WORK COMP IS KILLING US….. ADD IT TO THE MIX OF OTHER DEPOPULATION EVENTS, WITH PLAUSIBLE DENIABILITY.
WE ARE THE MEDIA NOW. WE DO NOT…FORGET.The liars, psychopaths and criminals I have been exposed to are surpassed only by the pro-nukers in and around social media.In November 2012, the then attorney attempted to coerce me to accept a settlement offer, without benefit of seeing a brain doctor, for $100,000, less his fees. I said, “Dude, I am injured, not stupid. I need to know what’s wrong with my brain and what it will take to get it fixed. I can’t “settle” anything till I have the facts. [Look for a future blog on Attorneys and WorkComp…… you won’t believe some of the stories, and what their incompetence does to harm injured workers…..]What I have learned about #Workers Compensation will be outlined more fully in subsequent blogs. Check out some of the early ones, and if you have a story, add it in the comments or send me an email. WynLINDA@gmail.com.
WE DO NOT HAVE THE RIGHT TO REMAIN SILENT. WHAT THEY HAVE DONE TO ME, I KNOW THEY HAVE DONE TO SOME OF YOU, AND EVEN MORE. LET’S SEE WHAT WE CAN DO ABOUT GETTING A CLASS ACTION SUIT MOVING….MAYBE WE CAN CONSOLIDATE EFFORTS AGAINST THE INSURANCE CRIMINALS AND THE DOCTORS OWNED/LEASED BY THEM…… BY JOINING UP WITH INJURED VETERANS IN AMERICA. THEY, TOO, ARE BEING DISPOSED OF.
MADDER THAN HELL, HERE…… AND WAIT FOR THE RANTS ON THE CROOKED DOCTORS AND LAWYERS….. Y’ALL AIN’T SEEN NUTHING YET…..
WE ARE THE MEDIA NOW. LIVE LIFE IN ALL CAPS TODAY.~~~~~~~~~~~~’Linda, Lucy…’.”WHAT DIFFERENCE DOES IT MAKE” The neurologist and neuro-psychologists say that because my employer, Wyndham, and it’s agents, denied medical care for the past nearly 888 days, nothing much more can be done. “Embrace the New You” they say. If you will share this with your friends and neighbors, perhaps we can shine a little light on the devastation of American’s Criminal Work Comp System.I have spent more than $23,000 in self-procured medical care and miles to help save my life, and post to you between fight. They won’t reimburse it, either. “Those dirty rats!”