work will terminate me due to the fact that neurosurgon says he cant explain all my symptoms. lawyer has filed with DIA(Department of industrial accidents) for a conciliation meeting. lawyer was blown away with the fact for the last year this was an accepted workman comp case. and know neurosurgon says surgery looks good and IME doctor says no, need CT this is failed fusion. so the two neurosurgons totally disagree and ins. co is terminating all benefits and i lost job so dont have health ins. right know. i was not released to work and the only note my current neurosurgon wrote is out of work to reavaluated by his colleage a psy doc. he feels all my sx. are psy related. i know this story is hard to believe but it is true. i have sent all my MRI'S to institutes to get free evaluations of MRI as well insight to what i can do for further treatment. nearest appointment i can get isnt until march next year.
i am so frustrated with my neuro. to turn this into a psy issue is ........ and refuse to order a CT , even if he does it to entertain me to prove psy issue. he wont do it. WHY, i dont know i have asked repeatedly and denied. it seems to me he is more concerned about protecting his reputation instead of listening to his pt. and the recommendations of IME doctor.
i am seeing a dr. know who will work with me and i am using my savings to pay him. he is also requesting a CT due to he felt something in my neck that was not normal in the surgical site area. so the dr. told me i need CT ASAP and he will make some calls. i am not sure if claims are still open or not while under appeal i am just paying dont know what else to do.
Quote:
Originally Posted by Jo55
Wow that is a rare occurrence.
i had one IME dr say something favorable for my case and the next time wc sent me to a different IME that of course denied any work causation..
I am surprised your atty is baffled though..
I think the fact that your dr isn't agreeing with or backing up the IME dr is kind of odd.
Can you get another Independent drs opinion?
[terminated by WC and all benefits will stop next week]
You're saying the claim is denied? You/atty can appeal that decision right now, I think with just filing the paper for that.
{I don't know what a DIA is}
Has your dr released you for full work duties?
Or is employer taking you back with modified duties?
Mine was a chronic Repetitive strain injury it was denied, atty appealed and while the appeal was active I could still see PT & Drs and the bills were put on hold til it was settled. A letter by atty was all that was needed for the bills to be on hold.
And the employer cannot terminate you or medical ins while appeal is going either.
At least that how I understand it.
I didn't think my atty was the best but he did know about this stuff.
Your atty hasn't mentioned appeals and such- I hope he wasn't planning for a easy win and now isn't prepared.
He hasn't mentioned finding another dr for your treatment?? I can't believe any dr wouldn't at least suggest trying some PT...
Even if for only pain reduction.
Most states you can change drs and even attys but you'll have to look up on your state website for details of how to do that.
If you are denied , you need to get the appeal papers sent with in a certain time frame. That is the first thing to do, unless atty has some other plan...
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