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Not sure what's next... help?
#1
I'm in Wisconsin.... I'm 36 years old, a little overweight, but in excellent health - except my back.

I work in a factory, and until I filed my WC claim, I had worked there for 9 months. About 4 months in, numbness in left leg and foot, pain in feet and low back. I let it go, figured it would pass. Pain got so bad that on 3/15/16, went to ER. I filed WC claim on 3/31/16 for cumulative trauma injury, was off work or on light duty pending MRI and visit with a specialist.

Had MRI, diagnosis is: Lumbar disc herniation (L4-L5) with radiculopathy; Spinal stenosis, lumbar region, without neurogenic claudication; and lumbosacral spondylosis without myelopathy. Saw specialist, asked to go back on full duty, he agreed.

After one day of full duty, I hurt bad. I had the next two days scheduled off, so I figured I'd rest up, go back full-strength on my next scheduled day. Worked a full shift on my next scheduled day, and hurt so bad I went to my local doc (my specialist is 40 miles away, and I don't have a car), and he put me back on light duty for two weeks.

I was recommended for PT by the specialist, but it hasn't started yet. I have missed 21 days of work in about 8 weeks, with no compensation. When I do work, it is at reduced hours for reduced pay.  I have an open claim, but no one has made a determination as to if and/or when Ill be compensated or for what. My employer's carrier is waiting on medical documentation, they tell me. I will have PT twice a week during work hours for about 4 weeks until I see the specialist again, and since I don't have a car and have to travel cross-town by bus to the appointments, I will probably miss a whole day's worth of work twice a week... plus, at times, there is 'no light duty available', so I'm not even guaranteed the full 3 days I'm available in the week.

I should state, for the record, that I have done everything in my power to work through the pain, and keep a positive attitude. My employers and Doctors know that I'm trying desperately to return to work ASAP - but I hurt very badly. At times, I am probably working through pain when I shouldn't be, but I'm trying to show my employer that I'm valuable to them, and that I am a team player.

Also, a 'workplace accident' that I didn't report lead to the pain I felt on my last shift before I got the new light duty restriction. I have not told anyone about this. An employee created an unsafe work condition by getting oil on the floor, and I slipped a little and when I went to right myself, I tweaked my back - and the pain became worse.

I've never dealt with WC before for any reason. Those that have been there - what do I or should I expect?
 
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#2
Information on benefits and the process is here
http://dwd.wisconsin.gov/wc/workers/
Timeoff for treatment is not covered; only for disability.
You can get mileage for treatment.
Wage loss is available for reduced hrs/pay rate
Get the doctors to approve your lost time so you can get paid.
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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#3
(05-02-2016, 12:36 AM)1171 Wrote: Information on benefits and the process is here
http://dwd.wisconsin.gov/wc/workers/
Timeoff for treatment is not covered; only for disability.
You can get mileage for treatment.
Wage loss is available for reduced hrs/pay rate
Get the doctors to approve your lost time so you can get paid.

How do I get the doctors to approve the lost time? I was out of work for two reasons only: Based specifically on a doctor's No Work Restriction, or because my employer refused to accommodate my light duty restriction. Every other day or shift, I reported to work despite the pain and such.

Also, the 21 days I quoted as lost time did not include time off for treatment; the 21 days was strictly due to doctor's ordered work restrictions.

If there is a process or a form or something I need to know about to get compensated, then I am unaware of it. Please advise!
 
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#4
there is no special form initially required but the doctor should communicate with the carrier that they are providing treatment and authorizing time off. the doctor's office also needs to alert the employer that you require modified or temporary work with the details.
you can get specifics directly from the department of workers compensation
http://dwd.wisconsin.gov/wc/about_us/direct.htm
once 3 weeks of temporary disability has been exceeded form wkc-16 should be filed with workers comp
http://dwd.wisconsin.gov/wc/medical/
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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