Tennessee Worker's Compensation - Help For Injured Tennessee Workers

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  1. #1
    Join Date
    Aug 2007
    Posts
    374

    Default What To Do When Doctors Disagree On A Diagnosis

    When you see three different W/C doctors, and they all have a different diagnosis, and you know that the last two they sent you to, are wrong, do you just go along with them till they release you or do you get more forceful on them refering you to another doctor? What if they refuse to refer you to another doctor and they release you? My fear is of my foot healing wrong or getting worse while I go through these games. I did go see a fourth DR on my own from worrying about it, and he says there is more damage than the WC doctors are reporting. This is my foot, not the companies or the IC to play games with. It is swollen, red and a deep dull pain. It looks as if the inside bone above the arch is falling to the ground and protruding. It feels like a club foot. As of right now, they are paying the bills, but not making my foot any better. The first and the doctor I hired on my own say there is a bone broken, but each says in a different location!
    Is there any chance a WC doctor will find more wrong with a foot later? Or does the IC contract money mean more to him than letting people heal wrong with problems that stay with them the rest of their lives? Seems if you try to hire a lawyer to get proper care, they would quit paying the bills.
    So what do you do?
    Lue

  2. #2
    Join Date
    Oct 2006
    Posts
    9,109

    Default Re: What to do?

    You can try to settle your case and then control your own medical.

  3. #3
    Join Date
    Jun 2007
    Location
    Tennessee
    Posts
    200

    Default Re: What to do?

    If WC has gotten you to 3 different doctors, I'd say you're going to be hard pressed to convince them to send you to another. Frankly, I'm a bit surprised that you got a visit with the 3d one.

    As far as the post by .SH about taking control of your own medicals on this injury, that's going to be difficult to do in Tennessee. You can't agree to a settlement that closes your rights to future medical treatment, unless you settle as a compromise of a disputed claim, where the meds would be closed. However, assuming your injury is post July 1, 2004, then the maximum amount of cash you can get on that claim is just shy of $5000.00.

    You're just going to have to get in there and keep fighting for a doctor who'll treat you for the condition they've diagnosed.

    I'm sorry to hear about your troubles with the docs. Good luck, and best wishes for a quick recovery.

  4. #4
    Join Date
    Dec 2006
    Posts
    2,169

    Default Re: What to do?

    Lue, check out RSD/CRPS on www.rsds.org. Reflex Symathetic Dystrophy/Complex Regional Pain Syndrome is a very painful disorder that can occur after trauma and/or surgery.

    It can be difficult to diagnose, and many Doctors are not well-versed with this condition.

    IF, after checking out RSD you think that this is a possible diagnosis, discuss this ASAp with your Doc. Prompt diagnosis and treatment is critical.

    If you do not already have a WC atty, I suggest that you consult with several, ASAP. You WILL need an atty to help you with the medical disputes, particularly IF you unfortunately get diagnosed with RSD.

  5. #5
    Join Date
    Aug 2007
    Posts
    374

    Default Re: What to do?

    Hi JLJ! The only reason I did get three WC doctors is because they never gave me a choice of doctors. The first gen. prac. they sent me to, was their choice. Second one, Orthopedic Dr, at their choice. When he said all the problems I had were from a childhood injurie, I told him I have never had a problem since I have worked with the company for 21 years with any of my feet, and now I fall off of a loading dock backwards, with my left ankle and foot caught in a pallet, just hanging upsidedown, and *poof* the childhood injury raises it's ugly head. Imagine that! I actually thought my leg was severed and my head was busted open. I did have back problems for a week or so, but it seems to be going away.
    To be honest, I am lucky that I did not break my back or neck. I should be happy about that.
    Thank you for telling me what you think JLJ. It does help me see which way I should go.
    Lue

  6. #6
    Join Date
    Aug 2007
    Posts
    374

    Default Re: What to do?

    Charles, I am going to check out the site you wrote about. Just when I think I have read them all, there is always another one ya'll can show me. I do appreciate you drawing this to my attention. I will go to that site immediately. Thank you Charles!
    Lue

  7. #7
    Join Date
    Apr 2007
    Location
    Tennessee
    Posts
    134

    Default Re: What To Do When Doctors Disagree On A Diagnosis

    lue;hi the firdt doctor they sent me to was a nurse practishioner where there was no doctor and she tried to say that it was an old childhood injury but I have neverhad any injury in my neck as a child and Ihave been working for that company for 12 years with no problems with my neck.they are told to say things like that so they can drop the injury on you and not have to cover it at all tell them to prove it and go on. the human rescources manager picked my first dr. for me and I didn't just tack what she diagnosed me as which changed three times in the same breath before arguing her down and she sends me to a specialist to which I am asking for a second oppinion on now.In my oppinion she dosn't count.Stick to your guns and take care of your health because they could care less if you ever work again it's only money to them.
    Last edited by hl2164; 09-09-2007 at 10:04 AM. Reason: add comment

  8. #8
    Join Date
    Aug 2007
    Posts
    374

    Default Re: What To Do When Doctors Disagree On A Diagnosis

    hl2164, I would love to hear from someone who was affiliated with an IC with WC to tell us the training or lectures they give the doctorsl I see the same "childhood" inury part unless a visible bone is sticking out of the skin, and then the same kind of treatment that would be passed out to homeless people in a shelter being treated for headlice.

    Hard to believe your childhood injury happened to pop after working for a company for 12 years and you had never taken a day off for it until now.

    My next doctor's visit will be a happy one. The last visit I told him he treated me like a second class citizen since I am WC, and he turned red faced. So now I get to find out the results of a new MRI done on my back. Let me guess.. he'll say..."I see no reason for both your legs burning and why you can't lay down at night and sleep."
    Lue

  9. #9
    Join Date
    Jun 2007
    Location
    Tennessee
    Posts
    200

    Default Re: What To Do When Doctors Disagree On A Diagnosis

    That "childhood injury" business is complete rubbish. It simply doesn't matter under WC law. Employees "take their employees as they find them," and are responsible for any work related injury. What they would have to prove to push an injury back onto pre-existing condition is that there was absolutely NO indication of any anatomical change in the condition after the work injury. Unless there are clear x-rays/MRIs both before and after injury, there's no way in hell they can prove it.

    I know. I tried to do it all the time when I represented ICs in WC cases.

  10. #10
    Join Date
    Aug 2007
    Posts
    374

    Default Re: What To Do When Doctors Disagree On A Diagnosis

    JLJ, When you did work for the IC, do they come right out and tell you to to wear the patients down, hoping they would go away?

    Are the doctors told to just run them through like a ring man at a cattle sale. Is is customary to drag it out as long as they can also?
    I wonder what the doctors think about passing people through that need help but can get by without treating them.

    Is there a bonus for the doctor to send the pateint through without surgery? What is the pay he recieves just for seeing the patient alone for the first time. There has to be some kind of fee for seeing a WC patient for the first time.

    This is more like an emmigrant office. Get in one line, then you are sent to another one, then another one.....then repeat, repeat............
    Lue

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