workmen's comp ?

[imalikalotapuss]

Has anyone here had any experiences with a workmen's comp/employer problem? I think i am about to, and i am totally clueless as to how it all works. It is kinda unbelievable how quickly an employer turns into an asshole when you file an accident report. If anyone has gone through this i would appreciate a little info. It is a legit accident report and i am not after any money or anything like that i just want to be treated fairly! :mad:

[cowgirltease]

Oh yeah! Been there done that. Get ready for the fight of your life darlin. All I wanted was to get my knee fixed and it took 3 damn long years. Funny how you can be the best employee and admired until you file a workmans comp claim. Then you're lazy, a fake, a pain in the ass they wish would go away. :rolleyes2
All I can tell you is document EVERYTHING! And if it hurts, DON'T DO IT. They will push you to no end. Only you know how badly hurt you are. If they send you to a DR. that doesn't get the problem fixed. Tell them. You have that right. Don't stop until they get it right. I went thru 3 knee surgerys and 3 Drs. before I finally got my knee fixed from an injury at work. I went to every quack they sent me to. After the 2nd one I threatened to sue and they let me go to my own and FINALLY found out what my problem was and fixed it.
Good Luck!

[wyndhy]

i never have been through that but i was gonna mention what cgt said...as soon as they hear the word "sue" they'll probably co-opperate and you should definately document everything.

good luck!

[osuche]

Well....might want to contact your STate Senator and see if s/he can pull any strings to get you helped out sooner. When I was an aide to a state senator, we helped coonstituents out all the time in these matters.

And yes, the road is long and complicated to getting wrell again. Good luck!

[imalikalotapuss]

Thank you guys for you input, i have been thinking about consulting with a lawyer and at least tell me if i am getting screwed here. Here is what happened, i have been dealing with chronic elbow pain since august of last year. Was diagnosed from my own dr/surgeon as tennis elbow. I have two injections of cortisone, and it only lasts until work requires me to do something that reaggrevates it. I filed an accident report with my employer, because of the reaggrevation of the injury. The workmen's comp DR, said in her opinion that it was a legit claim. She put me on restricted duty, which to me seemed fairly easy to comprehend. I was also given physical therapy. My Dr said that i needed to have an operation, and should consider changing jobs. It has been a daily battle with the moron i have to call a supervisor, it is" so what do you think you can do today ". I called the Dr she said, read the restrictions. Well, yesterday, the main boss..which i really haven't come up with the right name to call him yet, told me to make a list of jobs i could and couldn't do.?? Well, i called the Dr's office, they was like..what? Told me to have them fax a job list and the dr would cross off the things i shouldn't do. Seems simple enough right? Well i told the @#$^@@^@@ that and i was told i HAD to make him a list and that we needed to have a meeting!! So, we met, I was informed that i worked for him and not the Dr, so if i was told to make a list then that is what i am to do, now. I was so pissed, i made a list, and gave it to him, and made several copies of it, i gave one to the dr's office and haven't heard anything from that yet. Does this sound legal? To me it doesn"t I thought i had to follow dr's orders and she made the decisions. Feedback would greatly be appreciated. Thanks CGT, wyndhy, and osuche. :hair:

[maddy]

I've never been in this situation personally. I know my mom has doctor's restrictions related to her work. My understanding of her situation is my mom explained to the doctor the various duties of her job, then the doctor wrote a letter for my mom to present to her company explaining the things she could not do. They include things like a weight restriction on lifting and a limit on overtime hours. It is my understanding that the company is to make every effort to comply with the dr's order in finding you something within your restrictions to do.

[cowgirltease]

It's NOT YOUR JOB to make up job descriptions. They company HAS to give job descriptions and what that entails like lifting , how many pounds, how many hours a day , over your head lifting, pushing, pulling. They just don't wanna do the work.
Sounds like you have a repetitive motion trauma. It's a normal thing to happen when you stay at a certain job for a long time. It happens a lot where I work.

The Dr. can only tell them how much if any you can lift and for how long. He can't make up job descriptions either. That guy is a jerk you are talking to!

[imalikalotapuss]

CGT: That is what i thought too, why should i have to make up my own work schedule. On the Dr's restrictions every thing was spelled out, such as, now repetetive motions, no lifting, no pulling, seems fairly plain to me. When they seen the no repetetive motion, they asked me how i even fed myself. The more i think about it the madder i get. :mad: I have done this kind of work for 26 years now, all they keep asking me, are you sure this is the first time you have had this problem? I think i would know.. :rant: I just want to be able to live without this pain. thanks again for your input!

[cowgirltease]

Tell them you use your other damn hand! :rolleyes2
Tennis elbow is NOT a good thing.
Are they having to drain your elbow?

[imalikalotapuss]

Tell them you use your other damn hand! :rolleyes2
Tennis elbow is NOT a good thing.
Are they having to drain your elbow?

Yeah, one would think that would have been an obvious answer! I had to kinda laugh when i was diagnosed with tennis elbow, but it isnt really all that funny months later. So far they haven't mentioned draining it, but I am sure that surgery is almost certain. :confused:

[cowgirltease]

Awwwww :hug:

[imalikalotapuss]

well, i went to a surgeon yesterday, and it looks like i will have an operation in two weeks. I am pretty sure that i will lose my job. Ever since i filed the accident report things have really went down hill there. I found out that things are a little worse than i had thought tho. I found out i also have nerve damage that will have to be reapaired as well as the tennis elbow condition repairs. Kinda scarey, dr said that these surgeries have only a 65% success rate, which i guess is better that 50-50. I am not the type to sue people, however i th ink that i have a case here...i just hate all the b/s. Why can't i just get the arm fixed and go back..but i guess it doesnt work that way..If anyone has an opinion or comments, please give it to me!

[cowgirltease]

:hug: If they fired you, get a lawyer!

[LixyChick]

well, i went to a surgeon yesterday, and it looks like i will have an operation in two weeks. I am pretty sure that i will lose my job. Ever since i filed the accident report things have really went down hill there. I found out that things are a little worse than i had thought tho. I found out i also have nerve damage that will have to be reapaired as well as the tennis elbow condition repairs. Kinda scarey, dr said that these surgeries have only a 65% success rate, which i guess is better that 50-50. I am not the type to sue people, however i th ink that i have a case here...i just hate all the b/s. Why can't i just get the arm fixed and go back..but i guess it doesnt work that way..If anyone has an opinion or comments, please give it to me!
What I am about to say might add insult to injury...but I hope it helps in how you are handling things thus far imalikalotapuss!

The reason they keep asking you "Are you sure this is the first time this has happened to you?", is because they (the bosses, disability and Worker's Comp) want to determine if this is a pre-exisiting condition that you are now tryng to claim as work related but it could have happened from any activity that you do on a daily basis! Read on for a lesson that'll knock your socks off!

From what I gather from your initial post...the Dr's have decided that this is a worker's comp case and have been sending you to worker's comp doctor's for all your care...right?

Has Worker's Comp aknowledged your case and determined that it is indeed legit and will pay for lost wages and medical care yet? If not...BEWARE!!!! As they determine a case, they try with all the gusto they can muster to find a loophole so as NOT to pay a thing. Very rarely does a case get a quick and favorable (to the patient) decision! The caseworker in charge of your case will try any/every angle to disprove your claim...and the statistics of pay-out are almost never in your favor. They know every trick in the book to find ways to not pay and the success rate for getting compensated is extremely low. Even if you do sue successfully...it could take years to see any money and your personal costs for lawyers fees and lost wages, if not dismissal, will be a bigger burden than you can imagine! Google "Worker's Compensation" and read some of the links from actual people who have tried to fight the system and are still in the poor house because of it. It's quite a wake up call to read what is actually happening out there!

Keep PERFECT records of dates of doc visits and lost time and EVERYTHING pertaining to this...this cannot be stressed more!

Here's what I know of Worker's Comp and how they handle a case that wasn't initiated by an immediate injury...but instead was an injury that over time worsened (which is what I gather is your case).

My husband has a bad back...but never had medical attention to treat it when it began. At times it was severe...and at times it wasn't...so he just took each day as it came and worked through the pain and never complained. Till one day...while on an overtime job on a weekend (very rare situation for him)...he hurt his back so bad that he couldn't move without excruciating pain for a month! He came home that day (a Saturday) and called and told his boss what happened. His boss told him to rest and if it still hurt on the next Monday, he should see a doctor. By Monday it was unbearable! He reported to work to find his boss was vacationing. Hubby was "HMFIC" (head mother fucker in charge) now and yet he could not do a thing without screaming out in pain. He went straight to the emergency room and, as they questioned how this happened, the doc's determined it would be treated as a Worker's Comp case.

BAD BAD mistake! And if hubby could have known how this would unfold, he would have never, ever told the doc's he did this on an overtime job, or on the job PERIOD. He now knows that the only way he'd ever tell a doc that an injury happened on the job is if it was something that never existed till the moment it happened...such as cutting a finger off (most severe scenario). He'll NEVER complain about an ongoing, and then complicated by an extreme movement, injury again! The Worker's Comp people call this a "pre-exisiting" injury that could have happened from any activity...even if it was complicated by an on the job action. THEY WILL TOSS IT AROUND FOR MONTHS AND THEN AFTER YOUR BILLS HAVE PILED UP TO THE CEILING...THEY STAMP YOUR CASE WITH A GIANT "DISAPPROVED"!!!

They...not the doc's...the Worker's Comp peeps...determine if a condition is caused by an on the job related action and more times than not they will find a way not to approve the case. In the meantime you are going to Worker's Comp doc's who seem to charge more money than any other doc because they keep making you make appointments for this, that and the other thing...including consultation visits just to tell you what they "might" have you do at your next visit. I cannot, for the life of me, figure out why a doctor would make a specialty out of seeing worker's comp cases exclusively. How they get paid promptly is totally beyond me!

So anyway...here's what happened in Mr. Lixy's case...

He went to the hospital...they said it was a worker's comp case and they made him get an MRI. Then they told him of a worker's comp doctor who would be handling his case and that they would send his MRI results to him. He went to the recommended doc and they had no clue why he was there...but they took his case anyway. He filled out all the paper work (all the while in excruciating pain) and sat and waited for over an hour to be seen. The doc had to have more x-rays, even though we told him he would be getting the results of the MRI. He had more and then even more x-rays and was given a few different pain meds and was diagnosed with damage to his L-4, 5, and 7 disc's in his back and was told by this doc that it was an aggravated injury by a chore preformed on the job. This was over a period of two weeks. Sounded like our case was won...right? HA! We were fooled for over a month into believing that the medical bills and compensation money for lost wages would be handled in time and we just had to wait for the offical approval.

Got a notice...DISAPPROVED. The explaination? His injury was never initially reported and there was no ongoing treatment for his condition. His worker's comp doc sent a report to the worker's comp case worker that he had some deteriorating disc's caused by excessive lifting through the years and that one disc was injured further by something he did the day the pain worsened. Now remember...all this while Mr. Lixy was confined to our recliner in a pain I have never seen him in. He never complains much about minor aches and pain and has a very high tolerence for handling severe pain (went for 3 weeks with an imploded appendix which infected his colon and made that explode)...and so I know he was in dire straights and that it was most certainly a job related incident.

I called the worker's comp case worker with an anger I have never felt before. I blasted him for making us wait so long for an approval/disapproval! I told him he couldn't possibly be serious that they aren't going to approve the case. Here's what he told me...

"Mrs. Lixy...In all the years that I have been doing this job, I have never run into a case such as your husband's. He is one of the most honest people I have ever encountered. Most people who make claims through our office have lies piled upon lies as to how they injured themselves. Your husband told me, truthfully, that he wasn't sure what particular action caused his injury that day...just that he was fine when he went to work and hurt when he came home. Now, he could have injured his back as he got out of his truck upon arrival at your home, for all I know...I just don't know that he did something "specifically" that day while on the job to cause his pain and make it our responsibility. Had he told me he bent to pick up 75lbs of something and heard a pop and couldn't move, I might have approved the case. Most people tell me it was something specific and then make up more to make it seem worse. But your husband was so honest and I can only thank him for his honesty, but I still can't approve his case. On top of that, the doctor has determined that his injury was pre-existing and deteriorating. Had your husband had treatment for his initial injury and then it was ongoing, I might have approved his case".

Here's what I said...

"You mean to tell me that had my husband been bilking the system (insurance and worker's comp) for all the years he has had back pain...he would have been approved for this injury? My husband has never been dishonest or faked an injury in his life. If he says he hurt himself on the job...you can rest assured he didn't do it while flying a kite on the beach! So, what you are telling me is that it is better to lie and to try and steal money from insurance companies and worker's comp for years...than to make one claim in your entire lifetime (which, by the way, he wasn't making the claim, the doctors who saw him at the hospital made that determination for him, he just went to the hospital and answered the questions they asked) and expect to get compensated for a short term disability that would have been cleared up in no time had he went to his usual doc and not made to spend ungodly time and hours in consultation and dertermination visits before they actually decided all he needed was some therapy and a tiny bit of pain meds to help him recover???????" I never want to hear that we insurance holders are responsible for the high cost of insurance due to us "stealing" from the system! It's you and your industry that makes it impossible for honest people to make an honest claim! AND...I'll remember this conversation (and your name) for the next time a situation like this arises. Because...I am going to lie, cheat and steal just like every asshole out there who gets a misguided approval from your company and other companies like it!"

"Mrs. Lixy...I understand your frustration and I am truely sorry I had to determine the case based on the truth".

HE ACTUALLY HAD THE BALLS TO SAY THAT ^^^ TO ME!

It made me so mad I started to cry on the phone and I just told him if he could live with his decision and still sleep at night, knowing we are up to our asses in bills and it will take a months to recover from this set back, then his conscience is in shut-down mode and maybe he should get out of the office once in a while and take a look at real people instead of what he reads on paper! I asked him if his wrist ever bothered him from pencil pushing over the years...and if it did and then one day he did something that he wasn't sure of but he knew it was job related from that day, because he was fine when he came to work but as he left the office for the day and couldn't bend his wrist without excruciating pain...would he lie and say he picked up a file and it was too heavy and his wrist snapped...just to get his own compensation approval? I offered to have him come to our house to visit us and and get to know the real people behind the paper work. Then I retracted the offer and told him I wasn't on this earth to help ease his conscience, he'd have to find a way to do that for himself. But, should he ever run into a case that was similar to ours again...I asked him to consider it more carefully before stamping it disapproved, because it is HIS determination that starts the landslide that could put someone in the poor house! I told him I had to hang up then...because I had to call the bill collectors who are awaiting our call to let them know if we could pay something...anything...that month, towards our arrears because we were waiting for approval from Worker's Comp and had been waiting for over a month. I told him that he needn't worry about us though...because I am sure that, regardless of his pain and injury, my husband will be going back to work tomorrow because he will lie to the doc's that his pain is gone now and he can do his job in the usual manner, just so we can pay some bills. I thanked him for the lesson in humanity and I thanked him for teaching me that lies are so much better than the truth. I told him that our parents (hubbies and mine) must have been insane to tell us to never lie...that they should have never been allowed to be parents and should be jailed for their child rearing techniques! I told him it was a shame we didn't have parents more like his...AND THEN I HUNG UP!

He tried to call me back but I just picked up the phone (saw his name on caller ID) and hung it up several times! He finally gave up...but I bet he couldn't get our conversation out of his mind for days! I'm hoping that to this day he thinks of us from time to time when he is considering a case. I'm willing to bet he can't help but remember us every now and then.

Sorry this is so long and drawn out...but it's worth it's lesson in gold! The system is set up to never pay a claim.

Oh...and get this...my husband's company's disability insurance cost went up for his case being the third claim in less than a year. Not that hubby had 3 claims...and his company never had another claim before these 3 current claims...but because during this time one claim was made by a new guy on the job who made it a practice to get a job and then "get hurt" on the job and sue for compensation, which was, of course, denied. Another guy sliced his arm on machinery that worker's comp disapproved and said the maker of the machine was at fault. Then Mr. Lixy's case which was disapproved. All cases were denied...yet the insurance cost rose. This is probably why your company has suddenly become "assholes". They have a claim...their insurance cost rise!!

Don't pay worker's comp and you are up the creek if an employee gets hurt. Pay worker's comp and then have an employee file a claim and the employee and you are up the creek. The employee gets shit on from both ends and the employer has to find the fodder to shit on the employee (usually in the form of making the employee quit or by firing them for "another" reason not related to the case) and they get hit with a bigger insurance bill for having someone make the claim! It's a vicious circle and the employee ends up paying through the nose, whichever course of action he takes!

If you need more info you can PM me anytime imalikalotapuss!

Good luck and please keep us updated!

P.S. Within the past four months, Mr. Lixy has had a touch of "tennis elbow" in his right elbow which is most assuredly a direct result of his job. At times it's so severe that he drops things and/or can barely lift a simple cup of coffee to his mouth and has to switch hands to complete a/this simple task. Some days aren't so bad and some days are horrible. He outright refuses to see a doctor about it because of this last incident with disability and worker's comp. I know him welll enough to know that he'll not see a doc till he can no longer use his arm for anything. It's so sad and so hard to see him in this pain...but I can't make him go for help till he sees no other way to cope. The system has broken him to the point of suffering and I curse the system everytime I see him cringe or cry out in agony!

[maddy]

I couldn't help but giggle a little as I read Lixy's post ...mostly at the irony of the situation. I pity Mr and Mrs Lixy for their agony and challenge. But I must admit I work in the insurance industry. Yes we are mean and know we are a necessary evil, but it's amazing the number of people that are "sue-happy" or willing to do anything for a little bit of a handout from the evil insurance industry. I know the world would be a better place in more than one regard if we were honest and trustworthy ... unfortunately insurance is surrounded by untruths and dishonesty when it comes to claims. Until everyone plays on the same common ground of truth, it will remain as such.

[LixyChick]

I couldn't help but giggle a little as I read Lixy's post ...mostly at the irony of the situation. I pity Mr and Mrs Lixy for their agony and challenge. But I must admit I work in the insurance industry. Yes we are mean and know we are a necessary evil, but it's amazing the number of people that are "sue-happy" or willing to do anything for a little bit of a handout from the evil insurance industry. I know the world would be a better place in more than one regard if we were honest and trustworthy ... unfortunately insurance is surrounded by untruths and dishonesty when it comes to claims. Until everyone plays on the same common ground of truth, it will remain as such.
I wasn't taking a personal stab at everyone in the insurance industry...just at the fact that even when someone in said industry actually comes across a honest to goodness case of why [we] pay insurance in the first place and still denies the case...well...this world sure done gone crazy! I know insurance is a necessary evil...but I don't think everyone in the industry is evil. They are just doing their jobs as ordered...with a jaded outlook for every case!

I don't see the irony that you speak of Maddy. All I took away from this situation is that this particular insurance claims workers had no instinct of right and wrong, fair and unfair, good and bad. And for what reason? It was instilled in him to find a way to deny this claim, as he probably did with every other claim he had before him at the time, and make it hard for us to ever get an approval. We weren't going for the mother load here. We only wanted a percentage of his lost wages and the medical bills taken care of. We could have gotten by without the lost wages if the doctors hadn't made it a worker's comp case and our health insurance could have paid the med bills. After it was deemed a worker's comp case, hubby no choice but to let them take the ball and roll with it. I never mentioned a law suit. We never intended to sue for anything. We couldn't even afford to sue even if we wanted to...but we never wanted to. If the people who run the insurance industry have lost all instinct of good and bad intentions, there is no hope for a honest person to make a claim and we should leave the insurance dealings up to the crooks and the claims adjusters. Least this way they'd know who they were dealing with instead of just stamping "denied" on every case...including the honest ones! I don't find that ironic...I find that sad!

BTW...we are fine now and have recovered financially because we DIDN'T persue a lawsuit. Had we tried to sue for approval...we'd have owed more than what we were seeking.

In all the years that my husband's company has paid into worker's comp...they have NEVER paid a single penny to an approved claim, nor have they ever approved a claim. As stated earlier...his company had only 3 claims in all it's years in business. The insurance rate is sky high because of the type of business it is...yet the accident rate was nil till the first "false" claim (which wasn't the company's fault...they had no idea this kid they hired was sue happy), the machinery accident and then my husband's claim. Nothing is justifiable to me as to how this situation was handled.

Don't pity us Maddy (we are fine...and would have been better if the insurance company hadn't gotten involved)...but please don't laugh at the situation either. I can't find a thing to giggle about in any of the dealings! There is good and bad in every situation in life...and the trick is to be able to differentiate! When you've lost that ability...you've lost a big part of your humanity! That's nothing to laugh about!!!!!!

[maddy]

Sorry, I didn't mean to offend. I was less than clear in my original post.

[Lilith]

Sorry, I didn't mean to offend. I was less than clear in my original post.
Maddy no need to apologize...everyone posts from their particular viewpoint and one is not more correct or appropriate than another.

[imalikalotapuss]

Lixychick: first of all..((((hugs)))). I have never in my life heard such a story. I am glad that you guys have recovered finacially, but, like you say the system has failed and badly. I am expereincing some unbelievable treatment at work, Its like i went from being a good employee to a piece of shit in a day. I truly do not know what originally caused this condition, i just know that the job as further damaged my tennis elbow and now the nerve damage. I seeked treatment on my own, which now seems to be a "problem". I told my employer what was causing the pain, and they just more or less so, oh well, you are just getting older. I filed the report after doing work that caused me not to be able to move my arm and kept from being to sleep, or do anything without severe pain. The morning that i told them at work that i couldn't do what i had done on the previous day i was cussed at, had stuff thrown around in the office i was in, and belittled. I was pissed so much that if i could have i probably would have decked the supervisor. I had filed a report earlier in the month, and he never filed it. I filed the second report and he didnt turn that one either until i questioned his boss. There has been so many things that seems so wrong in this case, it is unbelievable. I really do not wish to sue, i have never been the type that thought that was the way to go. But, it makes me wonder as if in your husband's case if legal representation is a necessity. I talked to the case manager and he says he was never notified that i was seen by a workmen's comp surgeon or scheduled for surgery. Now i wonder how this is possible when the whole thing had to be approved by workmen's comp? All I know is, i am tired of all of this and want to be able to move my arm/hand with out pain. Thank you so much for your input, it really has me wondering what the heck i should do.


(((HUGS)))

[sad_sam]

Please excuse my spelling

You want to hear about workmans comp, well I am going to tell you of two cases.

First, My SO was a nurse in an hospital and was working on her floor when one of her patients after having a major operation on his own makes up his mind to get out of bed because he refuses to use a bed pan. My SO notices that the readings on his monitor are very screwy and goes to his room to check on him.

She catches him coming out of the restroom and goes to help him. He tells her that "he doesn't need any damn help and to get out of his way." She backs off but stays in case he has any problems, and of course he does. He manages to trip over his own feet and in the process grabs the front of her uniform pushing her over backwards. As she hits the floor he lands on top of her and in the process of all this she recieves a back injury.

It takes four other nurses to get thi guy off of her, he is not a small man, and she ends going to the emergency room on a gurney. They X-ray her back and say they can't see anything and then release her to go home. Even though she can't walk she goes back up to her floor and files an accident report and documents everything in her nurses notes.

The next day she is off and very sore and tender as you would expect. She sits down on our couch to relax but can't get comfortable. She goes to get up and she can't, the pain is so bad she has tears in her eyes. She has me take her to the Doctor and he refers her to the Hospitals Nuro Surgen.

After doing a MRI he tells her that she has a back injury and she needs surgery to relive the pressure on her spinal cord. When she reports all this to her supervisor she is prompt told that they don't know what she is talking about.
This is where I get our lawyer involved.

Lucky for us she made copies of the accident report and her nurses notes, but even so we need the originals and guess what they say they couldn't find them. This drags on for months. After consulting with us our lawyer suponeas all the Hospitals Records for the month that it happened. When I say all records I mean "all" of the Hospitals records for that month. We then go to pick up the records with a sheriff's deputy and the hospital tells us we can't have the records. But with assistance from 5 more sherriff's deputies they suddenly find her records and turn them over.

Well now they have been stalling it in court after denying her workmens comp claim for 8 years now and who knows how long that will continue. Oh and by the way the night they carried her down to the ER they had the gall to send us the bill for her treatment.

The Hospital Adminstrator has had the gall to ask us to drop the the case three or for times and I always give him the same answer, "When Hell Freezes Over."

The Other case involes me, I stepped in a hole at work and tore up my knee. The company I work for sent me to thee company doctor and then sent me to one of the best knee doctors in the country. They paid me workmens comp while I was off, paid all medical and rehab cost, and checked on us constantly to see if we needed anything until I got back to work. I have nothing but praise for them and they way they handled the whole thing. I signed a release a year and a half after I returned to work on the provision that if I ever had any further problems I could get Medical treatment.

Workmens Comp can be a Blessing or pure Hell depending on who you are dealing with! Good Luck !

[cowgirltease]

I admire your moxy Sad sam! Stick to your guns buddy. :)

[LixyChick]

Maddy? It wasn't necessary for Lilith to speak on my behalf at your response...but since I have been here so sporadically lately, I am grateful that she spoke up to hopefully put you at ease!

I am a hothead when it comes to someone wronging my husband...and I'll not let anyone off the hook without my letting them know they've wronged a truely wonderful man! When I read that it tickled you a bit to read of our circumstance...I just went into overdrive...bringing up all the old feelings that had encircled his case. I didn't mean to lash out at you...and for that, I am sorry (it had to be said Lil...and I knew it already!)!!!!

I was just trying to make a point that the human factor has changed so much that right and wrong are no longer a consideration...but the almighty dollar has a seat at the head of all things anymore!

I understand your reply hun...I was just taken aback at the "laughing" part! I can't make excuses for all the sue happy people of this world. I just know we aren't contributing to it and never intended to!

I hope you understand!

(((((((Maddy)))))))

[maddy]

I fully understand your point, and I can fully see where I set off a fire in your heart. I have a very jaded and cynical view of the world, & all I can do sometimes is laugh at the irony that a person just trying to do the right thing by being honest, gets the proverbial slap in the face and boot in the ass for not abusing the system like the majority & I agree fully with you, it's WRONG! I only have minimal experience with work comp, but the little I do know is very close to what you have said, where the system seems to have far more denials than approvals (of course I've worked for Gracious & Generous Insurance... we sometimes paid too easily IMHO) ... I'm of the view that this is the response of insurance industry due to being abused & not the intention from the onset. All things come with a price tag in our society, & the unfortunate price in this situation is the hardship placed on those that were doing the right thing.

Slightly off the point, work comp lights a fire in my heart at times too. I know a state trooper that was shot this year, due to the injury being on the job, he was considered a work comp case. I saw through the eyes of his wife the poor treatment he received at the hospital, dr visits, home nursing care, etc. To think his job is to protect and serve all of us, & that's the treatment he receives after taking a bullet? Not to mention that his pay on work comp was only 60% - I found it to be outrageous that this is what my state provides. In order to continue to maintain the family's lifestyle he was forced to use all his earned vacation & sick time so that he'd stay at 100% pay for as long as possible.

[imalikalotapuss]

It is looking more and more like that workmen's comp is not going to cover the surgery. I guess i was to honest in seeking some treatment on my own. Like i have said all along i am not sure what intially caused the whole problem I just know what has made it worse. Not really sure what i will do, but workmens' comp is supposed to let me know in tuesday what there decision is, surgery is scheduled for thursday. :bang:

[wyndhy]

good luck with the surgery and i hope that workmans comp helps you out

[Lilith]

It is looking more and more like that workmen's comp is not going to cover the surgery. I guess i was to honest in seeking some treatment on my own. Like i have said all along i am not sure what intially caused the whole problem I just know what has made it worse. Not really sure what i will do, but workmens' comp is supposed to let me know in tuesday what there decision is, surgery is scheduled for thursday. :bang:
I'll be sending warm thoughts of comfort and healing your way

[imalikalotapuss]

wyndhy, and Lilith; Thank you for you kind and warm thoughts, i hope that i can still come here to the boards. Gonna be kinda hard,with one hand but i am sure gonna try!

[cowgirltease]

Good luck darlin and DON'T try to overdue it after the surgery OK? ((((((((hugs))))))))

[wyndhy]

wyndhy, and Lilith; Thank you for you kind and warm thoughts, i hope that i can still come here to the boards. Gonna be kinda hard,with one hand but i am sure gonna try!
aww...c'mon...you've done it before, haven't ya :D
at least let us know that you're ok after thursday

[imalikalotapuss]

Good luck darlin and DON'T try to overdue it after the surgery OK? ((((((((hugs))))))))
Thanks..you are a dear..dont worry, i wont do anything that i dont think i shouldnt do...((((hugs))))

[imalikalotapuss]

aww...c'mon...you've done it before, haven't ya :D
at least let us know that you're ok after thursday

LMAO..i guess i asked for that one.. :p

[imalikalotapuss]

Well...i had surgery yesterday, was worse than first thought took about 5 hours. Workmens comp told my employer a few hours before the surgery, that they wasnt covering it!! Nice huh, i got an email from them telling they needed to know why i needed surgery. I called the dr who was operating on me, he said we would deal with them later. I got my private insurance to approve it a few hours before i left for surgery. Dr was pissed at w/m comp. Said we could definately fight and win. So today i am in a splint, typing with one hand..lol. Dr is a liitle worried because i cant feel all of my fingers yet or move all of them, yet. Thanks to my pixies pals, for your thoughts.

[cowgirltease]

Honey don't worry about the feeling in your hands yet. Your'e all swelled up for goodness sakes!
ICE, ICE, and lots more ICE. It really does help. :hug:
I'm just glad you got it done and over with. Wish I could say the same.

[imalikalotapuss]

thanks cgt: i cant ice it up its in a splint from shouldre to finger tips, i wasnt nervous about, til dr scared me. he had to mess with nerves as well as remove some muscle tissue. i think it will get better, they had to due a nerve block too, boy was weird. take care, and thanks for the hugs. cant type one handed for shit..lol

[Lilith]

((((((imalikalotapuss))))))))

Heal, worry about the rest when you are well again.

[cowgirltease]

cant type one handed for shit..lol
I know baby been there done that. :)
Drugs honey drugs. Thats what they are for.
I'd cum up there and nurse you back to health but I know you're already in good hands. :x:

[imalikalotapuss]

((((((imalikalotapuss))))))))

Heal, worry about the rest when you are well again.

Thanks Lilith, all that is important right now is to get better. Then i will be able figure all of this out.(((HUGS)))

[imalikalotapuss]

I'd cum up there and nurse you back to health but I know you're already in good hands. :x:[/QUOTE]
thanks sweetie for the offer, you are right i am very lucky to have some one specail help me through all this. (((HUGS)))

[imalikalotapuss]

I got some great news today, i had gotten an attorney wednesday to look at my case. Workmen's comp has accepted responsibility for every thing! amazing how quickly they made there minds up when a lawyer is talking to them instead of me. :)