from here- http://www.clevelandclinic.org/healt...asp?index=9833

[What are the symptoms of Munchausen syndrome?

People with this syndrome deliberately produce or exaggerate symptoms in several ways. They might lie about or fake symptoms, hurt themselves to bring on symptoms, or alter diagnostic tests (such as contaminating a urine sample). Possible warning signs of Munchausen syndrome include the following:

* Dramatic but inconsistent medical history
* Unclear symptoms that are not controllable and that become more severe or change once treatment has begun
* Predictable relapses following improvement in the condition
* Extensive knowledge of hospitals and/or medical terminology, as well the textbook descriptions of illnesses
* Presence of multiple surgical scars
* Appearance of new or additional symptoms following negative test results
* Presence of symptoms only when the patient is alone or not being observed
* Willingness or eagerness to have medical tests, operations, or other procedures
* History of seeking treatment at numerous hospitals, clinics, and doctors offices, possibly even in different cities
* Reluctance by the patient to allow health care professionals to meet with or talk to family, friends, or prior health care providers
* Problems with identity and self-esteem]

The IME is doing what he is paid for-- and it stinks - but the best proof against it is also with consistent symptoms, regular appt reports and charting by her own doctor- and a good atty that will prove the bias of the IME.


this link is for Oregon - but much of the IME info and other info with how best to deal with the system is good for many areas.
http://www.injuredworker.org/
http://www.injuredworker.org/ime.htm