#WorkCompsters say, ‘Let’s Rumble’….. Injured Worker says, ‘Well, ok Dude, if that’s what you want…’

“It’s easier to Sell something when you Show it?” – From Wyndham Hotels LinkedIn group…

From Wyndham’s WorkComp defense firm:

I am not carbon copying anybody other than Mr. Zachs.

I will object to any request for postponement or additional delays on your part.

Please remember to copy me on any document or correspondences you send to the court

wc workers-comp-fraud  if your company lies

I still don’t have the signed releases I requested from you. which is causing further delays

I will be requesting an order for you to sign them

Thank you

 

Afterthought response…… you didn’t send them electronically, as repeatedly requested as an ADA accommodation?  Yikes.  I wonder where they are? I got all sorts of other legal mumbo jumbo Thursday…. and I still have to submit another appeal to those CorVel WorkCompsters on yet another set of ‘non-recommendations’ based on omitted medical records and their fake reports from earlier fake reports…. Geeeeze, how do they do it?  I also have  more requests for medical miles from last year, and must get copies of the recent fall ambulance and ER room bills to Fred, and I’m supposed to be learning cognitive ‘compensatory strategies’ and I ASKED YOU NICELY TO LEAVE ME ALONE TILL AT LEAST JUNE, SINCE YOU HAVE PAID ANY TEMPORARY TOTAL DISABILITY BENEFITS SINCE MAY OF LAST YEAR…..and the local crisis center Social Worker isn’t coming back till the end of the week.  Where oh where can that new pile of your file churning stuff be?

Maybe in this pile?

Office pictures 1

No, that’s medical records for Social Security, due last December.  Maybe here?

Office pic 2

Naw, that’s time sensitive stuff that needs to get done….I just got those folders so I can see things; with the visual impairments, if I can’t see it, I forget about it.  At Coastline, they say I need visual cues, but that I prefer auditory input for best processing, however, the auditory evaluation indicated that with frontal lobe deficits, cognitive processing is impaired by what I hear, so I must have visual cues….that also makes phone conversations hard…  Maybe whatever you’re talking about is in this pile?

office pic 4

Nawww, the cabinets have mostly research stuff about omitted medical records, fraud complaints, legal compliants, legal self-help, doctor reports, and the white boards are not working as they should…. low tech, high tech….. what difference does it make when there’s a brain injury, huh?

19006204-occipital-lobe--female-brain-anatomy-lateral-viewBrain  viral mashable more

Maybe it’s in the car?  Why don’t you send it again, electronically, then at least I can know what I’m looking for in hard copy.  Thanks.

rock paper scissors

Hi Stewart. ..

Your copy.  Do you want to ask for a postponement till after June for Court petition for file churning hearing or shall I?

Let me and Fred and Shane know.

Thanks.

Linda Ayres, InProPer

NOT A SHOT WAS FIRED

Defense Against the Psychopath (Full length) – YouTube

Defense Against the Psychopath By Stefan Verstappen Defense Against the Psychopath is a documentary

mon politics is

Subject: LINDA AYRES VS. WYNDHAM WORLDWIDE LTD 121329 2012-11-13-0149-LTD-01 / WWID 415287 / CNA E3269102

 

Dear Steve,

 

Happy New Year to you, too.  I’m so grateful I can write and say nice things about Matrix/Reliance, and particularly you and Stephen Buchs.  Thank you, from me, and on behalf of other Wyndham employees.  At least one of the insurance providers honors fiduciary responsiblities.

 

This is a little long to bring some of the recipients also up to speed.  The bottom line for you is, can you put my disability payments on auto-payment.  I think you know the rest of the content.

 

 

I understand you are handling my claim again, so here is an updated progress report from Dr. Hilda Chalgujian, now the primary treating doctor, a neuro-psychologist, since the Orthopedic Surgeon now says he can’t do anything about getting brain treatment, as evidenced in 2 years of asking, so he has deferred to Dr. Hilda and apparently washed his hands of my case, as evidenced by cancelled December appointment.

 

I just received Dr. Hilda’s report, dated 2/6/15; it is attached.

 

Please make it a part of my medical records.  I am copying Steve Buchs, in case he is still handling medical records related things.  (Also copying CNA and defense counsel.)

 

I have also requested an extension of the leave of absence from Wyndham until December 1, 2015.  If I can get back to work before then, I’m doing all I can to make it happen, despite the terrorism of the defense firm. Remember, the first neuro-psychologist, Dr. Kang, in February 2012, referred by Dr. DeGoede, Clinical Psychologist, referred by CIGNA EAP program, who intially referred to Dr. Esmael Septi, Neurologist, who was on the alleged MPN list, but refused to see me when I appeared for appointment in February 2012, then his office perjured when it said I failed to appear.  Anyway, Dr. Kang said that with Speech Therapy with Cognitive Remediation, I would likely have been back to work in months…in 2012.   Then the attorney moved me to Dr. Marcel Ponton, also a clinical psychologist, in April 2012.  Dr. Kang thought it was just for a second opinion and that she was continuing to treat me.  She was surprised to learn last year when I contacted her that I still had not received Speech Therapy, or any of the medically necessary treatment Dr. Ponton had requested, such as vision therapy, neuro-evaluations, EEG neuro-feedback and more.  What a fiasco.

 

Here is an excellent article about TBI, and the first year.  It’s going viral.  My comments may already be buried since they were of the first ones.

Life With a Traumatic Brain Injury @HuffPostBlog http://huff.to/175d53a via @HealthyLiving

 

llife with a brain injury and work comp

 

Help it go viral? http://www.huffingtonpost.com/amy-zellmer/life-with-a-traumatic-brain-injury_b_6580812.html

Send it to your Human Resources and Risk Management Corporate Peeps!

linked in 5   2 15 15

Amy is just at the one year marker, and therefore has a shot at some recovery, and restorative treatments. If I didn’t have to fight workers comp, I might be better too.  Dr. Hilda’s comments in her report on what fighting does to me/for me are …. alarming.

 

Read the article here: http://www.huffingtonpost.com/amy-zellmer/life-with-a-traumatic-brain-injury_b_6580812.html

 

CNA’s failures to treat denied me any recovery there, so now all I can hope for is “compensatory strategies’ to deal with the devasting injuries.  Hmph.  All they had to do was give me some of the requested medical care, but they couldn’t do that.   They couldn’t follow the ACOEM/MTUS/NIH guidelines.  My loss.

 

Can you set up automatic deposit for my disability payments?  I am staying in a hotel (a Wyndham property, kindly at a discounted rate by Wyndham Human Resources) so that I can attend the Coastline Acquired Brain Injury Program 3-4 nites a week.  As you know, I have to pay for it, as I have had to pay for most all the medically necessary treatment I have received to date.   I can’t rent a place yet, since it looks like the insurance carrier’s defense firm is up to more no good.  I have been advised by others to not sign a lease, even a six months lease, to make it cognitively easier to be at the Coastline program.

 

I have a social security hearing scheduled  (I will have to miss program time one or two days to facilitate that) but assuming they finally approve my claim, I will then have the money to continue the Coastline program through December.  I am also seeking financial aid to make it possible, and also scholarship money.  It seems to be my only hope left.  I’m really struggling with organizing the medical records to submit, and the Crisis Center Social Worker may come and help me again Friday; I hope so.  She couldn’t make it last week.

 

The WorkComp defense carrier is continuing with legal chicanery and what I call ‘terrorism and bullying’, and are pulling me into Court on 4/8/15 (my birthday, also causing missing Coastline program time to see if a Judge will support their chicanery; I had asked them to postpone till at least June to let me be at Coastline without their terrorism, but no, they can’t do that.  I willl ask the Judge for a postponement, even if it requires a note from the District Attorney.

 

It seems to me that CNA could simply have someone competent review the reports of prior neuro-pscyhologists and see what remains to be done before requesting a Judge to compel.

 

I am fighting still their denials to provide medically necessary treatment.  Nobody will say CNA has done right by first/second year treatment of chiropractic and clinical psychology, and 6 physical therapy treatments, and in 2014, some speech, occupational and more pt for clearly diagnosed brain injuries.  ACOEM/MTUS/NIH have a far different criteria for treating brain injury than does CNA, hence, I have been off work more than 3 years. Monsters.

 

I believe CNA or their Defense Carrier is requesting records from you.   I am requesting also that this current narrative report from Dr. Chalgujian be included.

 

I am overwhelmed by all the legal stuff I received Thursday, with more chicanery from that CorVel company, under investigations in Texas for their abuse of injured workers.  I hope California will follow suit.  They simply follow the directions of the adjuster, as I have been told directly, even though I represent myself in pro per.  They do nothing without adjuster approval, according to one of their supervisors.  They have also violated my HIPPA and ADA rights.  Not your problem, but if they are requesting anything from you, you need to know who/what they are.

 

Many thanks.  Please let me know about the auto-deposit and any forms you need me to sign.

 

Thanks Steve.  I promise to do my best not to be a bother.  I have even called my favorite prayer line and asked them to help pray me out from under these monsters to get to settlement so I can get on with my life, what’s left of it.  When two or three are gathered together in prayer, mountains move!

 

LinkedIn is also helpful.  ;D  I’m learning lots about surviving #WorkComp.  CNA’s training department has viewed my profile repeatedly, several other insurance executives, including Sedgwick.  That makes me wonder if the industry realizes that CNA’s contract for Wyndham might be up for grabs after this case, and if more like it are exposed.  It’s quite awful what they have done.  There are even Judges and law enforcment peeps viewing my profile, regularly.  I try to keep the information fresh, although I do perseverate a bit, and appear to be tangential at times…. part of the TBI.

LI CWCSA CALIFORNIA WC SERVICES ASSOCIATION

Wishing you and yours a happy, healthy, warm new year.  Dodge those snowflakes; consider them armed and dangerous.  Ask a Physicist.

SMALL ACTIONS BIG CHANGE

Sincerely,

Linda Ayres, In Pro Per

760 368 5243

wpid-wp-1416110514793.jpeg

WynLinda@gmail.com

ReoLinda@aol.com

WorkCompLinda@gmail.com

PO BOX 835

YUCCA VALLEY CA 92286

 

 

www meme 4

 

WE ARE THE MEDIA NOW.  ASK MORE QUESTIONS.  LIVES DEPEND ON IT.

 

#WorkComp Crime Pays INSURANCE COMPANIES big time in California?!?

…. Crime Pays Insurance Companies big time in California

… #WorkComp arena…  awww, don’t worry about it.  No prosecutions likely.  It’s a pattern of practice….. steal from work injury disabled and the nouveaux poor and give it to the big insurance companies.  Yes, California, from the California coffers…. negotiating away civil rights of California workers.  Ought to be some law enforcement, huh?

#WorkComp Crime Pays INSURANCE COMPANIES BIG TIME in CA?! Would you believe CA EDD paid approximately $20K bonus to CNA for REFUSING TO PAY TTD to an Injured employee of #WyndhamWorldwide?? Medically necessary treatments for witnessed slip and fall Traumatic Brain Injury of 1/9/12 still being evaluated for necessity of treatment.  “Rest and wait and wait and wait and wait and wait.”

Polite psychopaths refer to the transaction as negotiations for reimbursements… D’oh.  If the action shifts the burdens to the State, well, that seems to be then considered a complaint with the State rather than a complaint with Department of Insurance for condoning shady actions?  So complicated, isn’t it?

Don’t be tricked by insurance company loopholes!

go save yourself from the zombies

Bottom line:  Failures to provide medically necessary treatment to injured worker (witnessed slip and fall backwards and consequent head trauma of January 9, 2012) and continuous malicious interruptions of self-procured medical treatment, combined with…. refusals to reimburse medical expense incurred due to refusal of Wyndham to provide medically necessary requested treatment, denied first year by Adjuster and Defense Counsel, denied second and third year in complicity with Corvel UR departments and repeated omission of medical records with intent to deny medical treatment….just ain’t right.

The denial of the “brain” being a body part in the head is illustrative of the chicanery employed by Grancell Gang.  #TBI  Traumatic Brain Injury

They have also certainly wasted a great deal of time at WCAB – Riverside, in the Courtroom of Honorable Judge Victor Jimenez.  Complaints of Fraud are not heard in that Courtroom, so a well fought for right to be heard by the Judge took over two years to get a date (ATTEMPTS TO SEE JUDGES OBFUSCATED BY INFORMATION AND ASSISTANCE OFFICER REPEATEDLY), only to be aborted by failures to provide continued ADA accommodations.  It was postponed in July 2014 in order for Injured Worker to properly report fraud with the proper agencies.  STILL LOOKING…..PLOTS THICKENING….AND SICKENING……

wc crime pays in CA

Meanwhile, WyndhamWorldwide Human Resources says it’s not their job to help an employee obtain medical care or even tell them what doctor to go to at the time of injury.  #Wyndham takes the “timeshare salute” to extremes when kicking an InjuredWorker to the Curb.  D’oh!

the game is rigged

Legit doctor reports ignored by Defense, as well as physician requests for treatment since date of injury. Carrier also refuses to pay medical expenses incurred by injured worker …. alleging that the BRAIN IS NOT AN ACCEPTED BODY PART OF THE HEAD REGION. D’OH.

California Republic one star yikes

Yeah. Insurance Carrier, CNA CEO Thomas Motamed, rakes in more than $10.7 million a year personal income, maiming and killing injured workers across American? #8 Insurer. D’oh.

work comp guidelines

Grancell Stander Reubens et al, defense firm, pleads and whines that they are not responsible to help insured get medically necessary treatments, nor are their clients obliged to honor any Labor Codes, nor participate in FEHA interactive process to facilitate return to work.

Grancell also insists that the brain is not a body part located in the head region. D’oh!

 

“No Worker Left Behind”

https://www.facebook.com/naidw

NAIDW TBI AWARENESS

 


  • Awards “The intent is to create a national conversation about the devastation and realities to injured & disabled workers and their families, and to bring this to the forefront of public awareness.” www.NAIDW.org

    Do you have any comments, questions, or suggestions? Would you like more information on becoming a member or contributing as a volunteer? Please Get in Touch!

    NAIDW
    P.O. Box 66
    Fox Lake, IL 60020

    888.788.NAIDW (6243) Toll Free
    847.629.5148 Local
    847.629.5149 Fax
    info@naidw.org

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

Defense Against The Psychopaths…

#WorkComp #InjuredWorker  Survival Guide

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

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

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

WC ADJ8181903 … WorkComp Riverside supports non-payment of TTD to Injured Workers in their Jurisdiction and also repeatedly disregards ADA accommodation requests, and has been known to confiscate smart phone of injured worker to ensure no recording of ‘informal hearings’….

wc workers-comp-fraud  if your company lies

Hmph.

#InjuredWorkersUniting #SilentNoMore

#WorkCompKills…… big time….nationally……it’s a racket.

Keyboards and Maxine

WE ARE THE MEDIA NOW…. Tell a friend and neighbor?

#MicCheck: Injured WORKERS OF THE WORLD UNITE? d’OH!

MY FELLOW AMERICANS…….> ASK ABOUT INJURED WORKERS NOW

wc workers-comp-fraud  if your company lies

 

“IF YOUR COMPANY LIES ABOUT …YOUR ACCIDENT OCCURRING AT WORK, YOUR COMPANY HAS COMMITTED FRAUD”

Does that mean if doctors lie about the accident occurring at work, they, too, have committed fraud?

How about the Insurance Adjusters and Defense Attorneys?

DOES ANYBODY KNOW HOW TO REACH THE DOJ ABOUT THESE ISSUES?

THE OFFICE OF THE DISTRICT ATTORNEY APPARENTLY CANNOT BE BOTHERED.

Liberty face palm

 

cc:  My Friends Around the Globe — ‘For What It’s Worth’ …..

CC THANK YOU Note:  List of Posts – ASK ABOUT WORKERS COMP GRAVY TRAINS 

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

workers of the world unite

DEAR 1%,

WE FELL ASLEEP FOR A WHILE.

REBOOTING.

#WORKCOMPCRIMES UNDER INVESTIGATION.

What do YOU know about #WorkCompCrimes by Americans against Americans??! Did you know….

WE ARE THE MEDIA NOW. EXPECT US.

 

https://askaboutworkerscompgravytrains.com/2014/06/28/dear-1-we-fell-asleep-for-a-while-rebooting-workcompcrimes-under-investigation/

 

WWW MMM 13

Have YOU read them ALL yet? Did you FOLLOW? Did you SHARE? Do you have a Workers Comp / TBI story to share?

Do you have a Guest Blogger… 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! WE ARE THE MEDIA NOW.

FRIENDS HELP FRIENDS HOLD CRIMINALS ACCOUNTABLE FOR THEIR ACTIONS….

https://askaboutworkerscompgravytrains.com/about/

www meme 4

WE ARE THE MEDIA NOW…. JOIN US—

‘WE FIGHT EVIL YOU DIDN’T EVEN KNOW EXISTS’  NOW YOU KNOW.

lisa and bart the whole damn system is wrong

Einstein: Those Who have the Privilege to Know have the DUTY to Act.

duty to act

FOLLOW THE MONEY. Video for Study and Sharing… DEFENSE AGAINST THE PSYCHOPATHS

“EVERY DAY IN EVERY WAY, I AM

GETTING BETTER AND BETTER!”

IMAGINE ALL THE PEOPLE

 

“EVERY DAY IN EVERY WAY, I AM

GETTING BETTER AND BETTER!”

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