[Sandel]

My doctor has been trying to get them to have me assesed by an OT for forearm crutches, WCB turned me down yesterday.. they won't authorise it and they won't pay for them because I shouldn't need them acording to my pain clinic discharge OR assesment (done april 06). They also turned down RSD in my left leg even though the TP bone scan says I have RSD/CRPS in that leg (it spread from my right leg injury).

They gave me the regional crap again.. The word "Regional" in Complex Regional Pain Syndrome (CRPS) was put in the new taxinomy to express the fact that RSD/CRPS spreads regionaly.. NOT that it's restricted to one place.. why those who renamed it would they put such a potentialy confusing term in the name is beyond me.. It only helps WCB and other insurance agencys, WCB just keeps using it wrongly to disalow further claims.

They also turned down the new diagnosis of Generalized CRPS. I have previously been accepted for right foot crush injury and right foot CRPS only.

In their Evidence section of the letter the medical advisor said "it remains my opinion that any relationship between this workers systemic symptoms or the left lower extremety symptoms and the injury to the right foot is speculative, with a probibility of less than 50%. (thats new and mabie usable)

HAA so that same medical advisor states that RSD/CRPS does not spread back in Oct 05 and they used that too, but used no Drs names so as not to show they are the same doc contradicting himself.. both comments by him are used in the same evidence section. that way too it looks like more docs disputing my claim.

In a diffrent section of the same denial they used one of my good docs reports against my generalized spread, because she said she felt she didnt know enouph about truncial CRPS but explains mirror spread in detail suporting the left leg CRPS in the same decision letter (diffrent "Evidence" sections for each of the 3 issues).

They also quoted one Dr as saying "I do not think her RSD is spreading more proximaly".. seems short huh? well thats because that DR's statement actualy read "I do not think her RSD is spreading more proximaly rather that she has lupus and that is what is causing the symptoms she describes". Lupus has since been ruled out and they know it!
So they edit doctors reports and write what suits them, ending sentences where it suits their purpose.

I am just so frustrated right now, I cant believe my life has come to this 3 years ago I had 2 jobs and an active lifestyle but now I am in too much pain to enjoy much of life, and WCB is trying to put me on the streets. I get just over 100.oo a month from them even though alot of doctors have declared I cannot work due to my condition. They are exausting me.. trying to make me give up.. I can't give up because this is my life, its all I have left.. but I can sure see why people go postal or take their own lives because of them.

Thanks for listening I am so bummed out right now it seems I can't win and they are trying to ruin me further.. something has to be done but I am loosing strength and they know it.

Sandra

[Jomar]

Stay strong Sandra
is your atty up on all the different things you pointed out.
Believe me I know it stinks they way they do most injured workers. double and triple stinks@!!
It sounds like you have a good understanding of the details of what is needed for your case.
best of luck in your fight.

[carjon43452]

Sandra, although I don't know much technically about your injuries I know where you are coming from about workers' comp doc reports. I had one awhile back that botched mine so bad that once I got my doctor and lawyer on it the report was no longer going to be used and I have never had to see that doc again. The reason I say that is every 4-6 months my former employer demands I see the wc comp doc, just to mess with me. One of the things the dos wrote in her report was that I told her I was not a smoker....which sounds trivial but that was untrue...tole her I smoked for over 20 yrs....she also put in report that I denyed numbness of the legs...which was crap because it had been in every report before and after that my right thigh has been numb since day of injury, now why would I deny it to her and have it all over the place everywhere else. She also reported I had not had a MRI to diagnosis my conditions...again untrue because tat that time I had just had my third MRI days before. Workers Comp knew this because they had authorized all of the MRI's...see why they decided not to use the report after my lawyer brought to their attention these discrepancies.

Hang in there and get your lawyer on this mess....that is what he gets paid for.

[finz]

I believe there is a special place in hell reserved for those in the WC industry.

I'm sorry that all of this has to add to your pain issues.

I have similar issues with WC. I feel like should fight more aggressively to get 100% benefits back.......they decreased my benefits by 1/3 because they feel that I can work part time We could really use that money back....but we fear that if we petition to have the judge re-examine it (now that I finally found a good doctor who could make a dx), that they might try again to weasel out of paying me anything. Then we would really be screwed.

Hang in there ! You know that you are right and only trying to get what you deserve. Pray that the judge has the common sense to recognize their tactics.

[Sandel]

Hey thanks..
Thing is I am in Canada and I do not have a lawyer I am doing this myself and have been for almost 3 years now. Yah I know it's nuts
another problem is this condition has my mind pretty fuzzy and distracted with pain.. I know my case inside out but my shorterm memorys bad lol *sigh* now friday they tell me they have lumped 3 of my apeals into one apeal decision and they also suspended one.. and that suspension is actualy a good thing..

The suspended apeal is on my disability award and loss of earning (LOE) decision. WorksafeBC (WCB) has had to suspend over 300 apeals that are going through WCAT tribunals (final level of apeal), because WCAT has decided that portions of the item #40.00 (LOE) policy are so pattently unreasonable that they are not capible of being suported by the Act.

http://www.wcat.bc.ca/research/decis...2007-03809.pdf

This is huge.. What they are saying is patently unreasonable is what I was saying was unjust and unfair about their "so exceptional" tests, if this goes through I will again begin to believe in justice..
Now being one of the ones being effected by this decision I get to submit my opinion on this so very important decision..

Once I have exhausted my apeal opyions then I take'em to court, this LOE thing may just need the supreme court to make WCB change it, I will if I have to too.

Finz I agree but sometimes I think WCB runns hell and we are in it
Serious though we deserve what we need medicaly and what we have lost salary wise due to our workplace injury you are so right.

Carjon and Jo thanks.. little late for the lawyer now but I was told by 2 of them that my case was "by the books" and I should be able to handle it.. then things got more complicated because RSD/CRPS spreads and WCB dosnt like that or us with chronic pain.. I guess a courtin I will go next

So do you think lumping my apeals into one is good or bad.. my mind goes back an forth.. man I hope the WCAT tribunal isnt having a bad day when they do mine because I only get this one shot now.

Thanks for listenin, an I hope you are all having low pain days.
Sandra