willjan,

It sounds like you need some serious legal advice form a top of the line brain injury attorney. www.tbilaw.com is a good place to start. A problem you have is your age. PCS problems get much more complex as we age. Add to that the PTSD environments you work in and you have a double whammy.

The WC system has never been for the employee. It has always been for the employers protection. Thus, it is a system that is stacked against the injured worker.

If the neurologist does not do a complete MMSE (Mini Mental Status Exam, google it), you will never get any worthwhile diagnosis. You amy need to challenge him if he says he is done but has not done a MMSE. A MMSE should be started at the very beginning of your exam as it requires a delay between various steps.

A PASAT (Paced Auditory Serial Addition Test) is also a very good test of mental function even though it is very old. The PASAT is usually done by a Neuro-Psych or sometimes a generic psychologist. It is designed specifically for post concussion diagnoses. Properly done, it uses a tape (maybe CD now) recorded test. If they try to do it by reading it to you for you to answer the problems, it will be inaccurate and not fit the parameters of the research it was based on.

WC examiners are often just hired hacks who could never make it in regular practice. They often have writers who compile the reports for them from boiler plate. There is big money made in industrial medicine writing reports for insurance companies. He who pays the piper, calls the tune.

I find it very interesting that the insurance company has no limits on how much it can spend on attorneys defending itself from injured workers but the injured workers have strict limits on legal representation and the legal fees they charge.

Just remember, we have the best government money can buy.

My best to you.