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Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS) |
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#1 | |||
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I sent my attorney an email yesterday. NO word. Dr. says we are going to do more lsb's for original foot, but says it is going to be difficult to get wc on board for 2nd foot.
so I guess it is a waiting game for the attorney. Oh! my IME went ok. The dr. agree'd to all my medications. (1/2 of which wc has not been paying for.)
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. GOD help me be faithful in the midst of my suffering. Alt1268 |
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#2 | |||
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Got copy of my IME report. Dr. agrees with rsd dx but letter from wc states my pm is not certified.
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. GOD help me be faithful in the midst of my suffering. Alt1268 |
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#3 | ||
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You really are behind the eight ball. Most states follow the AMA Guides on Disability and/or the ACOEM Guidelines. Neither are sympathetic towards RSD/CRPS and the rules are written in thier favor. Your best bet is to aggresively treat according to your WC attorney's network of docs then hope and pray for an opening created by the industrial carrier where they have violated code, in some manner.
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#4 | |||
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Senior Member
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Definitely work with your lawyer on this. WC has a way of trying to wiggle out of things...often with lies and half truths. I don't know the laws in your state but your lawyer can help you navigate this. A lot depends on whether or not you are allowed to choose your own doctor and what the rules are with that.
Also important is what the laws were when your injury occurred. For example, in IL when I was injured the law was that the injured worker got two choices of their own doctors. Now the law is one choice AND you have to choose from a list of doctors approved by work comp. In my case, even though the law has now changed, the previous law is what applies in my case (or would if I hadn't settled). Work comp tried to tell me on a number of occassions about the NEW law (so did MY lawyer but he was a jerk trying to bully me) but in my case the old laws still applied. So you really need to rely on your lawyer for this and I hope they are good and know their stuff. The laws vary so much from state to state and you really need an expert. But the good news is that the IME report agrees with what your doctor said. They have no good reason to deny treatment. Your lawyer should be able to petition the courts to have treatment ordered if that is the issue. Better to do it sooner rather than later. Often all it takes is the scheduling of that hearing for work comp to do what is right. |
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#5 | |||
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spoke with Atty. He says just because he is not certified in my state does not mean I can't see him. On the other hand, it may be a fact that my pm will have to accept my state payment and not the other state.
If I am forced to switch I will really be ******, because my wc law says I can choose who I see. But I am glad about the medication being resolved. I have 5 medications they aren't paying for. now they are paying for 2 more. Yeah!
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. GOD help me be faithful in the midst of my suffering. Alt1268 |
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