pain's going away...how do i go about this now?

[LeglEgl]

From the sounds of it, you have two conflicting assessments as to whether or not the "injury" is work-related. This can sometimes cause the ER/IC to deny the claim (controvert). You might want to consider alternatives in handling the medical here. If you have group or private insurance, you might need to go that route if the ER/IC denies your claim even on the medical level.

I am a bit concerned though, that in your initial post you said that your Dr. and PT say this is work-related, then in your recent post, you said that your Dr. claims it will be next to impossible to prove that it's work related. Has he changed his assessment, or is he speaking as to just being able to prove cause ? It usually isn't good if a Dr. starts to second-guess his own assessment.

You didn't indicate whether or not the company is paying for medical. If they are, they may have accepted this WC claim as a medical only case. Given that, the medical treatments could literally grind to a halt if they have the MRI showing there is "nothing wrong" and their Dr. says it's not work-related.

Either way, I think you're in for a struggle.

[newenglandchick]

(08-27-2011 11:45 AM)LeglEgl Wrote:  From the sounds of it, you have two conflicting assessments as to whether or not the "injury" is work-related. This can sometimes cause the ER/IC to deny the claim (controvert). You might want to consider alternatives in handling the medical here. If you have group or private insurance, you might need to go that route if the ER/IC denies your claim even on the medical level.

I am a bit concerned though, that in your initial post you said that your Dr. and PT say this is work-related, then in your recent post, you said that your Dr. claims it will be next to impossible to prove that it's work related. Has he changed his assessment, or is he speaking as to just being able to prove cause ? It usually isn't good if a Dr. starts to second-guess his own assessment.

You didn't indicate whether or not the company is paying for medical. If they are, they may have accepted this WC claim as a medical only case. Given that, the medical treatments could literally grind to a halt if they have the MRI showing there is "nothing wrong" and their Dr. says it's not work-related.

Either way, I think you're in for a struggle.

my doctor says it is work related as well as physical therapy. since it is muscular she said we will have a hard time proving work caused it though. so i'm not sure what to do.
my company isn't paying for my medical. the only appt they paid for was with their doctor. i have free care w all my appts, therapy etc. the local hospital has a "sliding scale/free care" which i am approved for. so since my dr's appts, mri and physical therapy are attached to the hospital, i'm all set there w the free care. that is a good thing because those bills would just add to the stress.
i did talk to a trouble shooter w WC and he said he hasn't received a denial yet. if and when he does, that i can try to fight it and see a specialist. he told me not to get discouraged. i laughed and said that's easier said than done. he then told me not to worry about this and focus on my health.
i'm going to continue w what i am doing for treatment. i will try not to think about WC or think as much about it. i'm setting my focus on getting better and lessening my pain. i'm filling out my paperwork w WC that i just received. after i send that out, i am not going to think about WC until i hear something back. yes, i'm lying to myself saying i won't think about it but i have to at this point. it gives me hope of a peaceful/quiet mind

[LeglEgl]

At this point, if you don't have an attorney, I'd suggest you find one and at least get a free consultation. There may be something there that a good WC attorney can do for you. Most have handled tons of cases, and might have a trick up their sleeve.

In the meantime, take care of YOU.