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workers comp case in California, very difficult
#1
I don't want to try to sue the company I work for as it is a very small company, I just want to be repaired the best as possible but WC and the Dr keep jacking me around, and the company work for is being difficult also, I am so dang confused.

My shoulders are messed up from heavy type work and repetitive type work, I am a heavy equipment mechanic they have me on light duty but there is still so much repetitiveness and the pain just won't go away, this has been going on for about 4 months now, after telling the doctor time and time again that the work I do is hurting me he just keeps telling me then dont do it.....well then what am I suposta do just keep telling my work no to every thing they tell me to do? my pain was so bad at one point that I took 2 weeks off work on my own with no pay, the two weeks helped a lot but but after being back to work now slowly the pains are coming back.

Any body have any tips?
 
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#2
Is the doc the one of your choosing? If it's an ins. Doc you should get a second opinion. It's your lively hood you have to look out for not the co.
 
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#3
I am wondering how I would go about that though, I think I need to go to a orthopedic specialist I think I need to pay for that out of pocket, s@## it's going to be expensive.
 
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#4
by getting an atty you will not get any more $$ then the laws allow.

if you need to change occupations. a vocational rehabilitation counselor can help.
after your permanent impairment is rated can get a voucher to help with the costs.
more here
http://www.dir.ca.gov/dwc/sjdb/SJDB_FAQ.html
........Each state has their own comp system; POST YOUR STATE to get accurate information.........
 
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#5
you can see any doctor within the medical provider network at any time.
ask your doctor for a referral.
ask your adjuster for a list of orthos in your area.
many carriers have their MPN list on line
detailed information on california comp rules is here
http://www.dir.ca.gov/InjuredWorkerGuide...ebook.html
you can also contact an I&A officer for specific information
http://www.dir.ca.gov/dwc/IandA.html
........Each state has their own comp system; POST YOUR STATE to get accurate information.........
 
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#6

I am sure you are seeing a doctor at an industrial clinic BIG MISTAKE. These doctors are insurance company hacks.

You should consider hiring an attorney who can pick another doctor from the insurance companies MPN.

You do not need to pay to see a specialist. You can get a referral to see one through work comp.

I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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#7


I am sure you are seeing a doctor at an industrial clinic BIG MISTAKE. These doctors are insurance company hacks.

You should consider hiring an attorney who can pick another doctor from the insurance companies MPN.

You do not need to pay to see a specialist. You can get a referral to see one through work comp.


[/quote]

Hi hey thanks for your reply, I am hiring an attorney that I filled out paper work with on Monday,
I did not want to do it but I am pretty much being forced, hey I am wondering when the attorney gets a second opinion doctor from the insurance companies MPN how does that differ from the work comp doctor, aren't the doctors on the insurance companies MPN list still on the ins company side or no? I am just kinda wondering because it is a list that the insurance company provides right?

Thanks
 
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#8
(09-12-2014, 07:04 PM)OUCH! Wrote: I am sure you are seeing a doctor at an industrial clinic BIG MISTAKE. These doctors are insurance company hacks.

You should consider hiring an attorney who can pick another doctor from the insurance companies MPN.

You do not need to pay to see a specialist. You can get a referral to see one through work comp.

Hi hey thanks for your reply, I am hiring an attorney that I filled out paper work with on Monday,
I did not want to do it but I am pretty much being forced, hey I am wondering when the attorney gets a second opinion doctor from the insurance companies MPN how does that differ from the work comp doctor, aren't the doctors on the insurance companies MPN list still on the ins company side or no? I am just kinda wondering because it is a list that the insurance company provides right?

Thanks
[/quote]

Not all of the doctors within the MPN's are hacks, no. Most of the time after an injury they send an injured worker to a insurance company oriented industrial clinic in their MPN.

The first thing I would ask your attorney is to view your MPN and help pick a doctor for you, and change doctors ASAP. You will not need a second opinion when he does that. He can pick any doctor such as orthopedic surgeon or pain management doctor. The doctor then can refer you out to a specialist and refer you out for an MRI. If you have your MPN info for this attorney it would be helpful.

If your new doctor believes you should not be working at this time due to your injury, they can take you off of work and can place you on TTD workers compensation payments. It is around 60% of your wages, but not taxed so it should be close to your wages after taxes. You should not have needed to use your vacation time to recover from your injury. Or your doctor may increase your job restrictions to help you at work and not get re injured. That is the better case scenario is to continue to work but not let it injure you more.

Good luck to you.
I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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#9
(09-12-2014, 07:04 PM)OUCH! Wrote: I am sure you are seeing a doctor at an industrial clinic BIG MISTAKE. These doctors are insurance company hacks.

You should consider hiring an attorney who can pick another doctor from the insurance companies MPN.

You do not need to pay to see a specialist. You can get a referral to see one through work comp.

Hi hey thanks for your reply, I am hiring an attorney that I filled out paper work with on Monday,
I did not want to do it but I am pretty much being forced, hey I am wondering when the attorney gets a second opinion doctor from the insurance companies MPN how does that differ from the work comp doctor, aren't the doctors on the insurance companies MPN list still on the ins company side or no? I am just kinda wondering because it is a list that the insurance company provides right?

Thanks
[/quote]

Please listen to the advice given to you because my brother loved his employer for almost three decades and they took little time to fire him. I've seen many good people get fired or treated nasty because they filed a Workers Compensation claim. Your job is to get yourself better in case you have to change jobs(worse case scenario) which I hope you don't. The Insurance Companies job is to provide you with the least care possible and keep costs as low as their legally allowed to. Last year was a Record Savings year for Comp Insurance Carriers in California, that savings is not derived from providing good health care to Injured Workers. Please listen to the advice given, their very kind!
 
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