MEMORY CRISIS? What’s the Excuse at #WorkComp for LOEF?

“At best, all I can say is that I think there’s a huge impending issue that we’re not ready to address.”

Well, all I can say is, “People Get Ready, there’s a train a comin….” ASK ABOUT WORKERS COMP GRAVY TRAINS NOW???

Great blog, David, as usual!

David DePaolo  The Memory Crisis  REMEMBER REMEMBER


Read entire article here:

David Depaolo on Memory  1 30 2015

Read entire article here:

Then read on to see what LUCY OCCUPY SAID….and found….


Here’s the deal on #WorkComp and “Memory” and “Dementia” and “Brain Injury” ETC. It’s sheer corruption! It’s too brutal to be simply stupidity. IE:

Diagnosis: 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 syndrome, 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 (first 2 years)


If there really is an unwritten rule, as attested to in the InjuredWorker communities, that Carriers immediately terminate all benefits and launch guerrilla type financial terrorism upon diagnosis of brain injury, that can easily lead to ‘legal opinions’ by defense counsel that because WorkComp systems appear too complex for an injured worker, Court Appointed Conservatorship may be in order (to complete the kill?)

Immediate medical care is required for traumatic brain injury, closed head injury, concussion. MTUS recommends interdisciplinary teamwork, as does ACOEM and NIH. Ask any 7th grade kid about the brain and neuro-science!

Not #WorkComp!

Their doctors get the big bucks to recommend things like over the counter analgesics, not more than 17 chiropractic sessions first year, not more than 6 physical therapy second year, then, with Court order, a little acupuncture, rest and wait and wait and wait.

Wanna talk about increased risk exposure for dementia and premature death and epilepsy and the deal football players are getting diagnosed with?


Throw in WorkComp doctors who are paid to change dates of injury to use earlier diagnostic reports to substantiate ‘pre-existing’ conditions (i.e. move date of injury to 2013, use 2012 records to substantiate head injury by multiple doctors)….. and…have doctors to say things like “if there was a concussion, of course medical treatment would be necessary, but there was no concussion, no brain injury, and it was probably epilepsy” would be funny if it was not so darned criminally insane, huh? Or at least ‘fraudulently felonious”.


When teams of doctors with QME/AME designations consort in such a manner at the promptings/leadings of defense counsel, there’s a breakdown, huh?

grumpy cat stupid

#InjuredWorkersUniting      #SilentNoMore

“….If you can’t work, then blog!”

In fact, maybe it’s time for Committees of InjuredWorker Bloggers  to organize panels to speak at the numerous WorkComp Conferences around the nation.  

Brain Injury AdvocatesJohn C Byler  YOU LOOK GREAT

Those folks sure know how to conference in style, don’t they!  Here’s a Speaker Proposal Deadline Looming…

WorkComp Conference  2015

See the entire conference article here:

Conference speaker proposals are due by February 5th, 2015.

The event will be held November 11-13 at Mandalay Bay in Las Vegas.

Speaker proposal forms are available at

Roberto Ceniceros, conference chairman 208 286-1425


Tell Roberto and Friends  that Lucy Occupy and Friends sent you!   Thanks!  ;D



TWITTER STORM BREWING?  save the date— february 10, 2015 – 2pm est  #workcompchat

Find out more by clicking here!

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Editor’s Message

Save The Date!

Today’s issue of WorkCompRecap features the exciting announcement of the first-ever workers’ comp industry Twitter chat!
A panel of industry writers, bloggers and subject matter experts (which somehow includes yours truly) will be joining subject matter experts from GENEX for a twitter-based discussion on Tuesday, February 10th at 2 p.m. ET. The conversation will cover a wide range of industry trends and topics, from managing complex claims, to regulatory issues, to big data, and beyond.Twitter users will be able to follow and participate in the conversation using the hashtag #workcompchat, and even if you don’t have a twitter account, you can still follow along by going to! Follow us on Twitter here: @Work_Comp_WireFind out more by clicking here!

You can read today’s Top Stories by visiting

-The WorkCompWire Team

InjuredWorkersUnited SILENT NO MORE



SunTzu images


Remember Remember:


Expect Us.  Join Us.  We do not…Forget..

Job Injury? Welcome to #WorkCompHell

Thank you for your invitation to connect on LinkedIn.  

What a surprise!

Linda Ayres  Wyndham LinkedIn   11 8 2014  NUMERO UNO

Please let me know if I have information that can help you make a positive impact on the lives of InjuredWorkers in America and elsewhere.  


I bring a perspective to the table that few are willing to consider.  

Linked In 12 26 2014
I believe my own case is not unlike that of Romano Trust vs. Sedgwick, except that I am still alive to fight the good fight. (In addition to TBI, shoulder surgery was recommended for me, but having read about Romano case, I declined, pending alternatives to surgery.  The defense counsel suggests I’m unable to grasp the complexities of Labor Code, but the following looks pretty simple and easy to understand:
“Similarly, in United States Cas. Co. v. Industrial Acc. Com. (Moynahan) (1954) 122 Cal.App.2d
427, 435 [19 Cal.Comp.Cases 8], the Court said:
“Section 4600 of the Labor Code places the responsibility for medical expenses upon the employer when he has knowledge of the injury. … [ffl|] The duty imposed upon an employer who has notice of an injury to an employee is not … the passive one of reimbursement but the active one of offering aid in advance and of making whatever investigation is necessary to determine the extent of his obligation and the needs of the employee [emphasis added].”5 “
Then CNA objected to the shoulder as an approved ‘body part’, and an Orthopedic QME has been in the works for nearly 365 days.  They terminated benefits nearly immediately when they received diagnosis of closed head trauma/traumatic brain injury.  They got away with it, too.  Tsk tsk tsk.  Maybe not in a Federal Court, one day.
linda-ayres-says-join-me-on-twitter and linked in lindaayres311
My ‘case’ is “not usual” according to many “Super Lawyers.”  How unfortunate for America’s working class that the majority of attorneys fail it’s #InjuredWorkers.
Injured Workers have some ideas for the legal peeps, too; we can help you ‘find the money’ that you have been unable to successfully negotiate for yourself.
That up-to-15% tin cup, divided up with incompetent predecessors, makes helping injured workers economically ridiculous, so I am told.  It  has to change, so you can successfully represent the previously poorly represented, without financial hardship to your firm, or giving away money to attorneys who failed to perform and protect the injured workers that trusted them and retained them.
Or, injured workers, in pro per, will establish vendor networks and break the monopoly the ABA seems to have on WorkComp legal issues.  Can’t we all just work together, and get along? Compatible goals would include immediate and appropriate medical care, and expedited return to work processes, and cut out all the dubious file churning.  These are lives at stake, not just “cases” and “files.”  BE HUMAN!
Capture LinkedIn Premium

I suspect that WyndhamWorldwide may be looking for new #WorkComp insurance carrier and defense firms in the foreseeable future.  

The CNA handling of my case has been very poor for nearly 3 years.  The legal counsel has been extremely sloppy, imho.  The timeshare industry on the whole is probably nearly as profitable as the insurance industries, so that could be a business opportunity in progress.  
wc doc can you see the problem
I would like to see every InjuredWorker provided with a copy of THE ART OF WAR by SunTzu to study during any work related recovery and rehabilitation.  It could minimize casualties.  
SunTzu images

It’s been brought to my attention that it is somewhat of an industry standard to terminate benefits upon diagnosis of a “brain injury” or any significant or potentially catastrophic injury.


My diagnosis was February 2012, repeatedly reiterated by more than 30 medical evaluations that did not result in treatments.
For some reason, people in WorkComp often confuse an evaluation and recommendation for treatment with actual treatment, even though the costs are often higher for reports. My benefits were terminated in April 2012, what a coincidence. Court orders, intervention by Adult Protective Services, local politicians, and local Crisis Center have free up funds, periodically.  It is what could be considered to be a ‘low grade financial terrorism’ and abuse.
Nearly $30,000 in personal funds has been spent to stay alive and get treatment. Defense apparently has no intentions to reimburse, not even reimbursement of miles to “primary treating doctors” [a PTP is State designated Orthopedic Surgeon to be seen every 45 days to request medical care with brain specialists that is consistently denied by doctor and lawyers without expertise in TBI.] Fortunately, the Salvation Army intervened so that I would have have heat and lights last year. Oh my.  
Social Security Disability has been denied twice, as the reviewers do not deem full cognitive abilities are required to sell ‘timeshare’….even if speech is dysfluent, short-term memory severely impaired, compounded by grave disorganization and attention deficits, easily lost to and from home and moreso to and from new places, to name a few cognitive challenges. 
SSDI because it’s inconvenient for an insurance carrier to act and provide coverage in accordance with policy terms? Does the State Controller know? How about the Taxpayers? Governor? Audit time? 
Cost shifting from a paid WorkComp Insurance Policy to the State seems…. rather odd, doesn’t it?  California seems to reward non-payment of benefits to injured workers by insurance carriers in thousands of dollars per incident.  Is there sufficient money in State coffers to put injured workers on social services lines? 
It has taken Court Orders and Judge time to get basic pain relief such as chiropractic and acupuncture, with total disregard to MTUS and ACOEM and common sense guidelines for immediate interdisciplinary treatment. Is that really the best use of Court time???  It took 15 months for physical therapy authorization of 6 sessions.  One “independent”  industry doctor stated that since the injured worker (me) didn’t get brain injury care in the first two years, and being “over 35″….. no treatment would be recommended?  He teaches neurology at UCLA. God help the next generations!


Is that an EEOC direct hit?  1. Gender 2. Age. 3. Disability.   :/

At one point, the carrier called from Chicago to ask, among other things, in light of non-treatment for nearly 3 years, “…when ARE you going to die?”   More recently, defense counsel suggested a ‘court appointed conservator’ since there is such non-acceptance to torture delivered via WorkComp systems and procedures.  #DomesticTortureReports-2015 seem necessary and a logical next step.
Since actual numbers of TBI victims reach well into the many millions, it is easier to see how such a risk management strategy of fast-and-potentially-lethal denials could develop as a cost-savings remedy for carriers.

What is your experience or policy regarding treatment for brain injuries? Is it more than CNA’s 3-year plan of a few chiropractic, a couple of acupuncture, and a couple of clinical psychology visits, and when pressed, 16 days in the third year to include speech therapy, occupational therapy, and non-specific physical therapy?


Does return to work ever factor in for closed head trauma, in your experience, or is that age and gender sensitive also?

Here are two more books that could prove mutually beneficial to the Brain-Injured Populations, and those who purport to serve them.John C Byler  YOU LOOK GREAT
Brain Injury Advocates

As a “Finalist” in the #WorkCompLaude 2014 category of InjuredWorker, I have been blessed to meet some of the good people in the WorkComp World, many aghast at my story, or my telling of it.  

Nominations for Comp Laude Categories
Let’s ensure that more nominees are included in all categories are included in the 4th Annual #CompLaude Awards Gala on December 5, 2015!  
Asking for assistance from may prove beneficial to all concerned in the Great Good.  

Let’s also see if we can talk David DePaolo of WorkCompCentral into making it a NATIONAL EVENT….EVEN AN INTERNATIONAL EVENT!  

Some of us envision State Committees of Correspondents convening and nominating to applaud the applaudable and to indict the indictable.
Remember Remember Fukushima Nuclear Meltdown Workers
Remember Remember Fukushima Nuclear Meltdown Workers

This story about #Nuclear Workers at #Fukushima seems to illustrate the practices of Corporate responses to Work Injuries and Deaths, globally:    

Fukushima workers and death

“No Evidence ‪#‎TEPCO‬ Was Supervising the Work”

Let’s connect in the new year.  
Linda Ayres
Messages: 760 368 7236
SunTzu He will winretweet
InjuredWorkersUnited SILENT NO MORE