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New Employee Injured at work today-California
#1
Hi everyone It’s been a long time.  I’m writing on behalf of my fiancé.  He works for a Medical Center in the construction Dept. This is a new job that he started June 1, 2020, he just passed his 90 days, and hasn’t heard anything about insurance or his 90 evaluation. 
Anyway,  He was carrying two large rolls of blue prints up some stairs, once he got up the stairs, he needed to use his pass card to get inside, so he put the blue prints down to unlock the door.  Once the door opened, he used his foot to hold the door, he picked up a blue print roll and felt a pop/snap with instant burning shooting pain. No one saw this happened except the security cameras.  He went inside, dropped off the blue prints in the office, and then reported the incident to his Boss.  His boss called the “On Site EMT” who came and saw him and determined  He needed to be seen by a doctor immediately as the emt felt “here’s definitely something wrong with your shoulder”.   His Boss called “Safety Mgr” to file a report and interview him.  My fiancé was sent to the Medical Center human resource Occupational Dept where he was seen and evaluated by a nurse practitioner, she said he was fine and to return to full duty that all he had was a muscle strain. So, we decided to see our own Dr, our dr told us he definitely tore his rotator cuff and possibly his. Bicep.  She took xrays of his Shoulder  and told him he needed to see his orthopedic surgeon who did his previous bicep repair earlier in December2019. So as you can see there’s a previous injury that was successfully repaired in December 2019 but now reinsured.  (It was not work comp injury) 
My question is Our Dr told him to take the rest of the week off but the Occupational Med Nurse said for him to return to work full duty, what should he do?  Also, since he just completed his 90 days, he knows that his job is now in jeopardy since he reported the injury. The Safety Mgr already told him that any time off is “Unpaid” so he would have to return to work.  What do we do?!
Babebahn..."Tongues don't have erasers"
Injured 1999 3 level anterior cervical fusion 2001
Settled Work Comp Case 2006 w/ Lifetime Medical Currently, C7-T1 is being watched will possibly need surgery front/back fusion from C3-T2, lower back needs another facet injection.
 
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#2
I forget — what state is the claim under?
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
(09-10-2020, 10:54 AM)1171 Wrote: I forget — what state is the claim under?

California! Update, he went to work, and gave his boss both status reports from the Occupational NP and from His Doctor.  His Boss told him he needed to leave work immediately because his doctor status report says he’s off for the rest of the week.  On Friday 9-11 he is seeing the surgeon who repaired his shoulder in December then later in the afternoon he has an appointment with Occupational Med and this time he is seeing the company Doctor. Is there anything he should or shouldn’t say to the Occ Med Dr?
Babebahn..."Tongues don't have erasers"
Injured 1999 3 level anterior cervical fusion 2001
Settled Work Comp Case 2006 w/ Lifetime Medical Currently, C7-T1 is being watched will possibly need surgery front/back fusion from C3-T2, lower back needs another facet injection.
 
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#4
If he doesn’t trust the doctor, he should choose another doc Within the MPN.
The employer only gets set up an MPN; it doesn’t get to choose which doctor treats.
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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#5
(09-11-2020, 11:06 AM)1171 Wrote: If he doesn’t trust the doctor, he should choose another doc Within the MPN.
The employer only gets set up an MPN; it doesn’t get to choose which doctor treats.

Hi 1171, update... he had an appointment today with his Orthopedic surgeon, he ordered a MRI for his neck and shoulder.  The neck because of the numbness and tingling in his fingers.  And for him to stay off work until Oct1st   Then this afternoon, he had an appointment with Occupational Dept/employee health. Confused the hell out of us. The Dr said Because he has a “Pre-existing condition that had surgery 10 months ago” the Dr said “It doesn’t look like W/C will cover much maybe 30% if your lucky.” Now here’s the confusion, the soccer Med Dr said, not to do the MRI or see his surgeon any longer, he is now under work come and has to wait for work comp to authorize treatment/procedures. She said it would take up to 3-6 weeks before he gets an authorization for an MRI, she also said that even though his surgeon said he needed an mri for his neck and shoulder, she said work comp is only dealing with your shoulder not arm or fingers or neck. She also said he is to return to full duty no restrictions.  So which Dr do we listen to, the dr who cares about his shoulder or the dr from occ med who says it’s probably just a strain.
Babebahn..."Tongues don't have erasers"
Injured 1999 3 level anterior cervical fusion 2001
Settled Work Comp Case 2006 w/ Lifetime Medical Currently, C7-T1 is being watched will possibly need surgery front/back fusion from C3-T2, lower back needs another facet injection.
 
Reply
#6
His Mpn choice.
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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#7
https://www.dir.ca.gov/InjuredWorkerGuid...ebook.html
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.
 
Reply
#8
1171, today my fiancé got a “text” with the name of his Claims Adjuster and phone number and claim number” No message attached. Are we suppose to call the adjuster or are they suppose to call to start the whole process? Also since we have decided to continue seeing our own doctor until we are told otherwise. It doesn’t seem like his Employer (Medical Center) is interested in providing the appropriate care for him so we are seeking medical treatment in the meantime
Babebahn..."Tongues don't have erasers"
Injured 1999 3 level anterior cervical fusion 2001
Settled Work Comp Case 2006 w/ Lifetime Medical Currently, C7-T1 is being watched will possibly need surgery front/back fusion from C3-T2, lower back needs another facet injection.
 
Reply
#9
There are required to provide the adjusting information to the employee so they can contact them for information.
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.
 
Reply
#10
We can’t get treatment for him because the “Medical Center” is trying to figure out who he works for. Does he work for the Medical Center or does he work for the Construction firm through the medical center. We have gotten 5 phone calls today to schedule the MRI, once he asks if it’s been authorized they say we will get back to you, they call back and ask the same question “What does your paycheck say” the medical center or construction firm or both... we tell them it says the medical center and they say we will get back to you. He called the adjuster at 9:00 this morning and he was told he was busy and would get back to us... typical work comp .... probably won’t get a call for a couple of days
Babebahn..."Tongues don't have erasers"
Injured 1999 3 level anterior cervical fusion 2001
Settled Work Comp Case 2006 w/ Lifetime Medical Currently, C7-T1 is being watched will possibly need surgery front/back fusion from C3-T2, lower back needs another facet injection.
 
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