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Layoffs, Unemployment and Worker's Compensation For discussion of any topic related to one's employment and unemployment, worker's compensation, and job.

I have 13 years w/c experience and was senior claims examiner when I became disabled

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Unread 04-07-2012, 11:31 AM   #71
Jo*mar
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Quote:
Originally Posted by Hybernating View Post
Lefthanded...I'm curious, were you disabled because of a head injury? I have a problem and am beginning to see it being a fight. Yesterday, I had my mediation. The employer never even made it into our room, I told my attorney "NO" to a settlement that would have been in the $7500.00 range. Accident was in 2010, fell, hitting my head. When I attended my first WC Neurologist appointent, the case manager went into the room with me.(I know now, not to let them in the room). Well, both the case manager and my self got thrown out of the doctors office that day, while I stand there begging for help. Evidently the doctor and case manager had issues from past patients, so then I get another appointment with the other doctor in the same office. I went in alone with him and he asked me 3 times what I was taking for pain, I told him Ibreprofin. He told me 3 times that if I were trying to get pregnant and taking Ibreprofin, that's not good. Mind you...I am presently having serious problems. I thougght maybe he had the wrong patient? I believe he was coming on to me and trying to find out if I was having sex with anyone?? So...I told him I wouldn't be coming back to see him again.
Now WC gets me a third doctor. I have gone to this doctor with some serious symptoms and eighteen months later she still insists there is nothing wrong with me and the only reason I am doing this is because I have a WC case.l have not been symptom free for ONE day since I hiy my head.
THe first WC report states in his impression that I am suffering from post concussion. He is correct!! The second doctor says nothing!! The third doctor absolutly says there is nothing wrong with me? I think this is a fraugulent, scaming, malpractice. I just want help and know how to protect myself for I am surely suffering. I live in Florida. Any advise...very appreciative.
Don't expect to get much medical help from the wc doctors, they are there to check up on you and mostly will be on the wc ins & employers side.

Do you have your own treating dr?
Do you have a wc atty on your side?
If you don't have a wc atty yet- interview & have a free consult with some good ones, then do some searches on them after you get home to see if good things are written on line or not.
Then choose one and let them help you with finding a good doctor/team for your claim.
Check thru the sticky threads at the top of this forum too.
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ginnie (06-02-2012)
Unread 04-07-2012, 12:25 PM   #72
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Against my attorneys...I didn't settle. I feel thata my attorneys will drop me next week, then I don't have a clue what to do next?



Quote:
Originally Posted by lefthanded View Post
I am not at all familiar with Florida's worker's compensation system. And I am very sorry I did not get back to you before your mediation. All I can do now is ask how it went.
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Unread 04-07-2012, 01:51 PM   #73
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I certainly wouldn't settle a PCS/ TBI claim for such a small amount...

I got 35k for a chronic repetitive strain injury & didn't even have a good atty or
highly rated MDs.
Luckily I was recovering due to being off work and finding a good chiropractor as well a my own self care work.
So I wasn't in severe circumstances.

I'm sure with the slow economy every system like this is clamping down & getting backlogged.
So I suggest you read about changing atty before this old one dumps you. sounds like they are not up on head injuries and long term effects.

You need a dr that can state how this can be a long term thing and may affect you for years or more.

Do you have a doctor or 2 of your own to oversee your treatment now?
specialists?

Read on your state website in the work comp section, you may be able to get help from an ombudsman or find other help since wc is often state specific.

sticky threads-
http://neurotalk.psychcentral.com/thread124924.html
http://neurotalk.psychcentral.com/thread1117.html
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Unread 04-10-2012, 05:10 PM   #74
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I would appreiate someone to help, I wouldn't mind talking with your friend.


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Originally Posted by ginnie View Post
Where do you live in Fla.? I do have a rep. in my area who works with these kinds of cases. Sounds like even another doctor opinion may be needed. ginnie
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Unread 04-10-2012, 07:31 PM   #75
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I can give you the name of the attorney office I went to, and or my doctors down this way. Ledger and Flynn is 2027 Manatee Ave. 748-5599. They have some really good reps. that deal only with SSD etc. I have several good doctors, no actually great doctors. Neuro, PCP and a pain specialist. Do you want their numbers? I would be glad to provide them to you. Also at this attorneys office they have several Reps, that all they do is litigate for disability. I saw two there, and both follow through the whole time my case was in the system. I was not let down by this office. Let me know if you want the docs. names etc, and even a councelor. I wish you all the best, I will be on line again tomorrow. ginnie
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Unread 04-11-2012, 08:44 AM   #76
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Thank-you Ginnie. It usually takes me a while to figure out this forum (or at
least how it works), I am truely cognitively disabled. I do appreciate the help

and will give Ledger/Flynn a call to see if they will take my case.

Thank-you so much. How many months have you been healing? Any noticable
changes in your PTS symptoms?



Quote:
Originally Posted by ginnie View Post
I can give you the name of the attorney office I went to, and or my doctors down this way. Ledger and Flynn is 2027 Manatee Ave. 748-5599. They have some really good reps. that deal only with SSD etc. I have several good doctors, no actually great doctors. Neuro, PCP and a pain specialist. Do you want their numbers? I would be glad to provide them to you. Also at this attorneys office they have several Reps, that all they do is litigate for disability. I saw two there, and both follow through the whole time my case was in the system. I was not let down by this office. Let me know if you want the docs. names etc, and even a councelor. I wish you all the best, I will be on line again tomorrow. ginnie
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Unread 04-11-2012, 08:51 AM   #77
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You are doing fine in figuring out how to use the forum. It has been two years for me and I am still at it, learning how to navagate.

Mr. Benjamin is the name of the exact person who helped me with my case from Ledger and flinn. I had second spinal fusion C3-7 22 months ago and I am doing fine. I still take pain meds, but a really low dose.

Do you need reference to any doctors? Feel free to contact me any time. where are you living? keep in touch. ginnie
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Unread 05-27-2012, 02:26 AM   #78
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Lefthanded, I can see from your posts that you really believe in the System, Sadly I cannot afford to evtend my belief that far, I must deal with the System as I see it.

For me the Workers Compensation System while it may have a grand history and for all of it's cutting edge care for the worker when it was implemented has now become outdated, outmoded, and an outright insult to the forward thinkers who framed it.
Additionally despite the propaganda disseminated by the Insurance companies the average American worker is not looking for a "Free Ride" from a system that at best will pay them 20% less than they were making while working! Make it 20% more and I could see people trying to scam the system but less? when most workers are jumping at any chance for overtime? No Way.

Today the biggest problem with WC is the Insurance Industry and their Bean counters... IE: Since we carry the cost of Attorneys on staff we might as well use them to save a buck or two.
The Insurance Industry's major commitment is to neither the Employer or the Employee, no it's to their Shareholders, and keeping costs down whether it hurts the worker or the employer is the main concern of the Insurance Company.
Plus, most employers (who's main commitment is to their shareholders) care less about the employee and more about their Insurance costs and if not poking their nose into the WC process will keep those premiums down why SEE NO EVIL!

The basic design of the WC system despite updates over the years contains flaws that ignore basic economics and the basis of our Judicial System.
Basic Economics - WC Benefits paid as a % of workers Take home pay.. on the surface it's fair, the worker has fewer costs and the benefit is tax free. Economic reality check.. With the withholding and tax laws many workers claim 0 dependents or even a minus number so they owe no income tax or even have a refund due.. factors that are not accounted for by the WC Law.

A Felon has better protection than an injured worker.. Why? Because He's INNOCENT UNTIL PROVEN GUILTY... Just One IME from a Dr CHOSEN by the INSURANCE Co. and the worker can have all benefits cut off pending a hearing... PENDING?? My Pain is not PENDING.. my bills are not PENDING.. But Hey it's a great incentive to get the worker to "settle" for any amount... Especially if the alternative could mean something like ohh I don't know DEATH maybe??
I mean if a workers injury put him on life support having those machines cut off for non-payment well that's what I'd call an incentive to settle!
OK over the top but really is reality much different? Lost income no food, no pain meds, OWW! if I hadn't had a fallback coverage for all the meds my CRPS has me on I'd have had to settle just to avoid the effects of withdrawal!
Sorry long as this post has taken me and much left unsaid but even with breaks my hands are on fire... positive side.. my PT for the day is done.. Please take no offense this is how I see the system. BTW I'm left handed too
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Unread 06-01-2012, 08:46 AM   #79
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Quote:
Originally Posted by picobill View Post
Lefthanded, I can see from your posts that you really believe in the System, Sadly I cannot afford to evtend my belief that far, I must deal with the System as I see it.

For me the Workers Compensation System while it may have a grand history and for all of it's cutting edge care for the worker when it was implemented has now become outdated, outmoded, and an outright insult to the forward thinkers who framed it.
Additionally despite the propaganda disseminated by the Insurance companies the average American worker is not looking for a "Free Ride" from a system that at best will pay them 20% less than they were making while working! Make it 20% more and I could see people trying to scam the system but less? when most workers are jumping at any chance for overtime? No Way.

Today the biggest problem with WC is the Insurance Industry and their Bean counters... IE: Since we carry the cost of Attorneys on staff we might as well use them to save a buck or two.
The Insurance Industry's major commitment is to neither the Employer or the Employee, no it's to their Shareholders, and keeping costs down whether it hurts the worker or the employer is the main concern of the Insurance Company.
Plus, most employers (who's main commitment is to their shareholders) care less about the employee and more about their Insurance costs and if not poking their nose into the WC process will keep those premiums down why SEE NO EVIL!

The basic design of the WC system despite updates over the years contains flaws that ignore basic economics and the basis of our Judicial System.
Basic Economics - WC Benefits paid as a % of workers Take home pay.. on the surface it's fair, the worker has fewer costs and the benefit is tax free. Economic reality check.. With the withholding and tax laws many workers claim 0 dependents or even a minus number so they owe no income tax or even have a refund due.. factors that are not accounted for by the WC Law.

A Felon has better protection than an injured worker.. Why? Because He's INNOCENT UNTIL PROVEN GUILTY... Just One IME from a Dr CHOSEN by the INSURANCE Co. and the worker can have all benefits cut off pending a hearing... PENDING?? My Pain is not PENDING.. my bills are not PENDING.. But Hey it's a great incentive to get the worker to "settle" for any amount... Especially if the alternative could mean something like ohh I don't know DEATH maybe??
I mean if a workers injury put him on life support having those machines cut off for non-payment well that's what I'd call an incentive to settle!
OK over the top but really is reality much different? Lost income no food, no pain meds, OWW! if I hadn't had a fallback coverage for all the meds my CRPS has me on I'd have had to settle just to avoid the effects of withdrawal!
Sorry long as this post has taken me and much left unsaid but even with breaks my hands are on fire... positive side.. my PT for the day is done.. Please take no offense this is how I see the system. BTW I'm left handed too


Your post is so true and rings loud and clear for me right now. I pray that most workers do not get injured at work and have to deal with this broken broken system. Your so right our situations are NOT pending....its madness.
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Unread 06-01-2012, 12:00 PM   #80
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I read your post, waiting for a realtor. I got sick with NO insurance, as I had pre-existing condition. All two generations saved for, and tried to protect me with I was not allowed to keep to pay my taxes on my paid for home. Medicare/medicaid, granted NO benefits till all I had was gone. Now that these funds are gone, I cannot pay my property tax. I loose my home because I got sick. Section 8 here I come. I am sick over the whole insurance industry, no matter if it is WC or the other insurance for those who could not get insurance to begin with. The whole system is flawed, all insurance is flawed, and so many suffer because of this. I am sorry that these insurance issues exist at all, and that fairness doesn't even enter the picture. I am sorry for all of us who paid into a system, then get turned away for treatment to save our lives. If I had not used those funds to my medical benefit, I would not be here now. I would have died. Disability didn't really care about that part. I do not have answers, but I do have tears, and lots of them. I worked 30 years to be reduced to a begging, poor, person waiting for food stamps, and public housing. Is this the reward for a life time of doing my best, and others that do their best too? I pray alot, but it does not take away the facts of systems out whack with what really happens to people. I keep NT and the folks here in my prayers all the time, and will continue to do so. ginnie
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