And then......PSYCHIATRIS QME.

[classk]

Hello everybody, I'm in Ca. Long story short, I have been P&S since August 2011, I sow and treated with a psych doctor, I was declare to have 36% WPI (just for the Psych) on april 2010, on feb 2012 my atty told me she had all the reports that she need it to settle my claim, after 4 years since date of injury I was like GREAT I can start a new begining after this ugly WC sistem, 3 months later I have to see a Pshych QME, I sow this QME on june 2012 and we just received her report wich states that she can not give me a PD rating because I am in need of more Pshych treatment, is this good or bad? why is this QME saying this? I am taking 9 pills for pain a day and now by this QME I need to take more but now for my depression, what about my liver? is this QME doing this to lower my existing rating? did this happened to anybody alse? since is a QME can I refuse the treatment? again any info is really apreciated, Thank You.

[1171]

it can be good. it could mean there is reasonable hope for improvement in your condition.
yes, you can refuse treatment; medical advice is just that.

some psychiatrists don't understand or work well with workers compensation--not too practical-- they think a few months of their treatment will accomplish what 4 yrs of someone else's hasn't.

make sure your doctors are aware of all your medications. they will alert you if the interaction has a potential to damage other organs.

too bad your atty got your hopes up and spoke before knowing; it's a disappointment.

[classk]

(07-20-2012 01:40 AM)1171 Wrote:  it can be good. it could mean there is reasonable hope for improvement in your condition.
yes, you can refuse treatment; medical advice is just that.

some psychiatrists don't understand or work well with workers compensation--not too practical-- they think a few months of their treatment will accomplish what 4 yrs of someone else's hasn't.

make sure your doctors are aware of all your medications. they will alert you if the interaction has a potential to damage other organs.

too bad your atty got your hopes up and spoke before knowing; it's a disappointment.

1171 Thank You for your answers, If I refuse treatment recomended by QME Do You think this will this affect my PD payments? and or QME is recomending more treatment so that after treatment lower my existing PD rating? Insurance Atty requested QME. Thank You again for all your answers.

[1171]

Payments are based on many factors-primarily your rating.
Anything that changes your impairment-worse or better-will have an effect. That's the whole purpose of a rating.
what it comes down to is that you are asking "will the treatment improve your condition/impairment and therefore lower your rating"?
that should be a question for the doctor. any answer I would give would be meaningless as I know nothing of your condition, the treatment proposed, or the doctor involved.

consider other factors before deciding on treatment:
Would you rather be better with a lower rating or worse off with a higher rating?
Is the $$$ difference worth it?

[classk]

(07-20-2012 02:50 PM)1171 Wrote:  Payments are based on many factors-primarily your rating.
Anything that changes your impairment-worse or better-will have an effect. That's the whole purpose of a rating.
what it comes down to is that you are asking "will the treatment improve your condition/impairment and therefore lower your rating"?
that should be a question for the doctor. any answer I would give would be meaningless as I know nothing of your condition, the treatment proposed, or the doctor involved.

consider other factors before deciding on treatment:
Would you rather be better with a lower rating or worse off with a higher rating?
Is the $$$ difference worth it?

1171 Thank You again for your answers, I think what I was asking is if it was comun for a QME to recomend more treatment and then lower PD rating regarless of outcome? (better or worse) as for an answer to your question: I honestly beleive that all the $$$ in the world is useless if one is in bad health, and at this point in my life(45 years old with children) where my disability is permanent and can not go back to work, any difference in $$$ is very important. I wish I had 0% PD rating but that is only a wish and this is not a fairy tail.Thanks again for your info.