It has been over a year in which the referral for a reevaluation was submitted through the Orthopedic Practice. Sedgwick has completely ignored the request. Initial surgery for carpal and cubital tunnel syndrome failed due to delay of two years fighting Sedgwick to approve the surgery. The current... Read more »
answered on Sep 22, 2022
8 years! your attorney needs to answer these questions for you. if you dont have an attorney, i see why your getting nowhere. we cant answer your question about Sedgwick's "requirement" to use the UR process without more info. work comp is very complex, as you well know. however an... Read more »
answered on Sep 16, 2022
Yes, if you are expected to be spending that time primarily for the employer's benefit. However, if you are an exempt employee, there is an exception.
My coworkers and I were placed in harm and contracted the Covid-19 disease causing significant illness.(Hospitalizations) This was as a result of documented and substantiated negligence on their part. How can one find an attorney to take on a case such as this one.
answered on Sep 14, 2022
This attorney doesn't exist because such a claim cannot exist. Work-related injury MUST go to the Workers Compensation Appeals Board. Work-related losses filed in Superior Court as a class-action or personal injury will be dismissed for lack of jurisdiction. Superior Court judges are not... Read more »
answered on Sep 14, 2022
Yes, since the insurer can keep denying the treatment and the QME wants the treatment done before releasing you, 3 QME visits is not unusual.
Pain would this injury be permanent and would I be given anything In court for this injury even if the cortisone shots released the pain temporarily?
answered on Sep 14, 2022
You get ZERO for 'pain' in workers comp. If a physician on the network writes tht you have WHOLE PERSON IMPAIRMENT because of actions this elbow can no longer perform, there would be an award of Permanent Partial Disability. Only the Treating Physician can decide if the condition is... Read more »
I suffered a severe reaction, from coughing & choking to blackouts & memory loss. We learned of the toxic chemical after the workers’ comp doctor ordered the employer to have an air sampling test completed. In the weeks leading up to the severe reaction, I was feeling awful; fatigued,... Read more »
answered on Sep 12, 2022
No. All workplace injuries and medical conditions are the exclusive jurisdiction of the workers compensation system. There are some very limited exceptions. You should speak to your workers compensation attorney about those.
Good luck to you.
Will I have to see the QME a third time and is this normal in a workman's comp case?
answered on Sep 14, 2022
Sadly, yes this is normal. The insurance companies legally deny all treatment, and then the QME writes that the insurance company should have granted the treatment and you still are not at maximum improvement. If you had an attorney, that attorney should have shown the QME Report to the... Read more »
He said i have a cyst on my elbow and spinel stenosis mentioned epidural injections and pain management and chiropractor does this mean I am not MMI or P&S
answered on Sep 10, 2022
Yes. QME doesn’t think you are MMI yet. You need to get the treatments QME has recommended and then be evaluated by him so he could provide an MMI report.
He said i have a cyst on my elbow and spinel stenosis mentioned epidural injections and pain management and chiropractor does this mean I am not MMI or P&S
answered on Sep 14, 2022
Correct! You are still temporarily partially or totally disabled, not yet at Maximum Medical Improvement. GET THE TREATMENT he suggests in his report or he's going to be ticked if you come back and you didn't elect a good Pain Mgt doc from the MPN and get the epidurals (or at least have... Read more »
answered on Sep 7, 2022
The QME has exceeded the scope of the evaluation as QMEs no longer control medical treatment. If your treating physician asked for an epidural, then the carrier needs to send the request through UR and IMR. I say this because an epidural is not a diagnostic, but treatment. Rest assured the carrier... Read more »
no symptoms as of yet but it only happened last week do I have a case or at least an owed some compensation for putting me at risk
answered on Aug 19, 2022
No, with these facts, you don't have a case. If you actually develop a debilitating illness, you can file a workers compensation claim. There is no award the Labor Code just for enduring a risk.
I was Set Up to have a Much Needed Cervical Surgery Suggested By MRIs and Other Exams to have a 3 Disc's Herniation Surgery and Severe Foramina Stenosis and Kyphosis Surgery by a Neck Go to Neurosurgeon. He wrote in Three Reports how Bad I Needed this Surgery. But go Ahead and Finish the... Read more »
answered on Aug 1, 2022
Is the doctor providing an opinion as to why he is changing his recommendation?
I suggest you get a second opinion from another doctor ASAP and obtain a neutral opinion AME or QME as well.
My Attorney told Me I Could Not Receive Three Disability at a Time. I Attend from 2013 to 2019 with My New PTP given to Me. I did Not Get Paid Nothing. Not Even Mileage. Only My SSDI and My Pension Owed to Me. I Attend Every Month. His Assessment Read. This Man is "PTD" SHALL NOT LIFT... Read more »
answered on Aug 1, 2022
You may be entitled to temporary disability and permanent disability payments. However you can not collect both state disability and worker’s compensation temporary disability at the same time. That would be double recovery. You are also entitled to Milage.
More information is necessary... Read more »
I was injured at work in January and had to have surgery on my middle finger non dominant hand due to cutting my tenant and nerve in half. I was out for almost 4 months and have been back for nearly 2 months modifies duty.
answered on Jul 24, 2022
Only your employer can answer this. There is noting in the California Labor Code guaranteeing Personal Time Off or the ways in which employers award this benefit. If your employer grants credit toward Personal Time Off for days receiving Temporary Total Disability Indemnity for an on-the-job... Read more »
Self Insure Employer?
answered on Jul 24, 2022
Depends on the loss and depends on the terms of the policy.
If I Become Paralyzed Today or Tomorrow. I would Not Know what to Do about this California Work Injury. I have called for Info and Nothing told to Me. I now Live Out of State. Spinal Cord Injury in Another State and the Doctors here Will Not Accept California Workers Comp. Or Even See Me. The... Read more »
answered on Jul 24, 2022
You could select a Physician from the MPN IN CALIFORNIA and visit California for a treatment visit, explaining to the physician you need a final, rateable report because you moved away without closing your treatment. You could attempt to see a Qualified Medical Evaluator -- the QME -- and request... Read more »
Never Sleep on a Regular Pillow Again. Unless 2 to 5 Minutes Both Arms Shoulders Biceps down Arms to Hands Palms Various Fingers Goes Severely Stinging and Numbing Immediately. I have to Remove High Pillow and Sleep on My Neck Soft Collar Each Night. Also Electrical Pain Shoots Down My Right Lower... Read more »
answered on Jul 24, 2022
Workers Comp insurer will only authorize precisely what an MPN Treating Physician writes in a Request For Authorization, an RFA. No physician I know in 33 years has ever written that a patient must be relocated to get treatment. It is incredibly UNLIKELY that any insurer would relocate any worker... Read more »
I Ask Should I have Got Paid for My On Going Severe Neck Injury? After Neurosurgeon Surgery Did Not Work and Caused Me New Problems. Findings Cervical Myelopathy and Other New Problems. They did Not Pay Me for All these Years. My Counselor Told Me because I Could Not had Received Social Security... Read more »
answered on Jul 14, 2022
It appears to me that your so called "counselor" gave you really bad advice. You may have been entitled to collect from every disability source for all your injuries and/ or disabilities simultaneously. You need to file all your claims immediately.
My advice is that you contact a... Read more »
I need help with this? Little Afraid of this because of Retaliation. But My Continue Good Health and ADL is at Stake. Should I File This? I am the Innocent Victim.
answered on Jul 14, 2022
I am sorry but your post does not make much sense. It sounds like you are in need of a good workers compensation attorney who can be allowed to learn all of the facts of your situation and protect you through the workers compensation process. That attorney can tell you more but generally you... Read more »
I Can Not Find a Out of State Doctor to Help Me in SC. My last Pain Mgt. Doctor from 2012 to 2019 tried to get Me to Use My Medicare Card. But I told Him. No.
answered on Jul 14, 2022
if you have a california work comp case and your out of state:
1. ask adjuster if the MPN extends to your state.
2. assuming it does not, ask adjuster if they will send an authorization letter to your doctor (assuming your doctor will treat you if they get an authoirzaton letter-... Read more »
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