Rant and rave things that make you go hmmmmm

[Cookiecrum]

Ok I was sitting here thinking about how getting my impairment income benefits would be nice.
I know they have 14 days from when theyknowledged
I reached MMI and what my impairment rating is blah blah blah
Then I thought. Well they must have knowledgement of this information cause they stopped my TTD benefits almost a month ago.
Maybe the insurance company thinks that the medicine I am on is messing with my ability to think clear and I could never think of things like this.

[sparkey]

Of course they know you reached MMI and that is why they stopped your payments. That is how they work. Then if they think your rating is to high they will send you for a IME with a doctor they pay good money for that will agree with them and then they will find some way of taking away paying for your medication and that will also STOP right after the IME says you don't need it.

I was just told from my pain clinic that I need a spinal cord stimulator and it was only a matter of time before I knew they would send me to a doctor of their choosing to say I do not need one. My IME was with their doctor last week and now I am waiting on his report that will say I DO NOT NEED ONE. Not all cases are like mine but they seem to work the same way to get out of paying for things whenever you need something or when you start to keep costing them more money. It is very annoying the way the WC system works and I am getting pretty darn fed up with the way they treat us.

Please excuse me if I am coming off to harsh and maybe you will be one of the lucky ones that this does not happen to. I have been in the system for 2yrs now and I am just boiling over right now as I just received a mileage reimbursement check that was not what it was suppose to be. I contacted my adjuster by email to ask what the rate is and he said it is now 55 cents per mile and he is very sorry and owes me 16.00 and will send the check out today. Now if I did not contact him because it did not seem like the check he sent me last week was right, it would of just blew over without questioning it. Just goes to show you they will try anything to S&*$& you and hope to get away with it.

I also know in NH they have 30 days to pay your impairment rating amount if there is no question about the rating. I would call your adjuster and find out what is going on with it as mine I had to call and he told me around the 28th day that they were now sending me to one of their doctors because they felt my rating was to high. Call to make sure everything is going okay before you sit around waiting on something that may not be coming to soon and at least you will know how your rating stands or if they are sending you for another one with their doctor.

My origional rating was 32% from my doctor and of course theirs said 10% and they won. I think the only reason I did get 10% is because I had the proof of the EMG. We ended up having a hearing because of the differences in ratings and they found the WC doctor more credible. He was well known in the courts and was a sports doctor. His credentials said NOTHING about doing IME exams only that he was a sports injury doctor. Good luck.

[Cookiecrum]

Well I already emailed my attorney and asked him what was going on. I have yet to hear from him.
Also I went to have an FCE test. Is that different from an IME? The therapist agreed with the doctor and I got to "keep" my 14% impairment rating for physical. I also have a 1% impairment rating from the psychologist (which Florida only allows 1% for that)
I am coming up on 2 years.
Infact a year ago they tried to settle with me. Offered my Attorney 15000.00 and he said no. Because they didn't believe I needed another surgery. They wanted to make an appointment with my doctor for me and they were unsuccessful. So while in mediation I called my doctor and got an appointment and Surgery was scheduled for a week later. What the attorney offered them was generous. I am sure they have paid out in the past year over 65000.00 (that's what my attorney asked for.)
Now I am still having problems with my hand and I feel another surgery is going to be needed. I hope not but I think so.
You can go on and on that's why I put rant and rave...lol

[Manley2]

sparkey I'm kind of in the same boat as you with the SCS. Everything for me was paid under WC until my PM said I should try the SCS. They stopped paying for anything and saying this was not WC. They then sent me to an out of state doc for an IME which he stated he didn't think I needed a SCS. I now have one because I got it paid for my my private insurance. Which you would think that if anybody would deny paying for it that they would have, but I quess they read what the doctor was saying and why he wanted to try it and decide he was right. We are now fighting getting this back under WC. They lost the first hearing mainly because they did once say why they didn't think it wasn't WC or give any medical proof they had before thay denied me (they didn't send me for this IME until a couple of months after they stopped it under WC). We got a depo from the IME doc and he made himself look like an idot, reading from his notes and files he said I had stuff done that I never had. He stated I had RF twice in the same month for the same problem and how odd that was because no doctor would ever do that. Well his statement was right I had not had that done and my med files showed that. I guess he couldn't read his own files right or my employer sent him somebody else stuff

[sparkey]

Well I did not mind going for the IME because I do not want the SCS implanted in me and I knew that the doctor would find some reason as to why I did not need one. That is why I am not going to ask my own insurance to pay for one. I have RSD in my hand and it is only getting worse. I am trying Methadone again with this new doctor and it seems to relieve the pain alittle more than any other med has done. I stopped it awhile back due to the doctor thinking I was getting an allergic reaction to it. Now it is working fine.

I will try all meds, treatments before I have anything implanted in me. I do have a Tens unit that I use regularly that I love. I at least can remove it when I do not want it on anymore. The WC ic did try to stop paying for the pads but because I email the adjuster and can get along with him very well I explained to him how I like the TENS unit and want more pads and he got them sent to me right after the email.

I know alot of people that have the SCS and love it. I will hopefully get this pain under control without having to have that done yet. If I do need it, then I guess I will have to use my own insurance for it. I am just so sick and tired of the games that WC plays. I think we all have these days where we just have had enough. I think yesterday was a bad day for me and that is why I came off as being harsh if I did seem that way I am sorry.

[Manley2]

Everybody is differant and things work differant for us all. I know for me I would not be walking the past few weeks without my SCS. Yes it would be nice to have not needed it but in my case nothing else was working for me. We had tried several meds with no luck, and I would prefer to have the SCS helping with this over having to take more meds. It is not a fix to a problem but it sure helps me make it thru the day. WC does love to play games it's just to bad it's our health they are playing with. And we all have good and bad days or weeks sometimes so you don't have to say your sorry. We do understand.