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  1. #1
    Join Date
    Mar 2007
    Posts
    31

    Default Permanent And Stationary After Surgery

    Hello
    I have back and upper extremety issues for over five years now and have had surgeries on both areas which didnt solve anything. as amatter of fact I keep getting worse and cant seem to give in to more surgeries. I have been called p&s for over 3 yrs. now and like I said things keep getting worse,nunbness nerve jolts and being knocked to my knees with lower back pain more and more frequently. I dont understand how I could be considered P&S.
    can anyone give me a logical answer how that can be true?
    Thank You Nickl

  2. #2
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Permanent&stationary

    Being declared P&S/MMI (MMI is Maximum Medical Improvement) means you are not expected to get better, or worse with or without active intervention/treatment to your injury in the forseable future,...about 12 months or so...That's a 'rough' idea of "P&S"
    That DOES NOT mean you are not entitled to further medical care.

    BUT...since your P&S/MMI was 3 years ago, what treatment have you been receiving since that?
    Have you continued to see your PTP for your injury?

    What state are you in, that would help to go further...

  3. #3
    Join Date
    Oct 2006
    Posts
    9,108

    Default Re: Permanent&stationary

    P&S doesn't refer to symptomotogy which can wax and wane.
    those with serious injuries can have good and bad days. Those who have been declared Maximum Medical Improvement or P&S often have varying intensities of pain, discomfort, stiffness, lack of mobility, etc.
    In the end it is one doctors opinion about the underlying disability level; another doctor could see a deteriorating condition. It is a subjective determination.

  4. #4
    Join Date
    Mar 2007
    Posts
    31

    Default Re: Permanent&stationary

    Thank you for your input
    I am in californiaI have two primaries and see them atleast once a month and uasually more than that.i have had mri's occassionally (that is vague I know) of my neck and lower back.I have had 4 series of epidurals 3 in each and see the chiro often also and the epidurals and meds come via pain management.The last mri of my spine the qme sent me to a spine spec. and he offered some kind of compressed surgery which I just can't get agood feeling about.The point is: the spine is deteriorating.still I am p&s?

    I hav been given the o.k. to start epidurals on my cervical but cant til there is a space between steroids to the body.also I my primary on the upper extremedies during an appointment and opserving me beter than I was (I couldnt figure out why I was feeling the way I was I thought maybe I had been under anethesia to many times in a short period,but the doc said because of all of the on going pain depression set in. I cpou;dnt believe I could be that weak.Well weak isnt the right word.point is i am seeing a psyc once a month also. I am gonna cut this short and leave it at: I am getting medical care,but I dont call myself p&s and advance perm dis checks have stopped.
    Hope this answered your questions? I am spacing a little my concentration span is on its way out too.
    Thanks nickl

  5. #5
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Permanent&stationary

    If you can provide some more information, possibly there can be some help here for you...

    What is your DOI..?
    Have you had a PD/WPI rating...? (It would appear so, as you said you received PDA's)

    Were you evaluated by a AME or PQME..?

    IF you disagree with your doctors evaluations, or your PD rating, there are remedies you can pursue...
    Also, as you are in Calif, you should continue you questions on the Calif board...http://www.workerscompensationinsura...play.php?f=633

  6. #6
    Join Date
    Mar 2007
    Posts
    31

    Cool Re: Permanent And Stationary

    Thank you again for your responce.
    Dates of injury were 1999 and that one will be apportioned if i understand it right?
    current claims (2) happened in 2002 lower extremeties and upper extremedies which are cumlative over 15 yrs at work.

    I have seen qme's and one ame.
    currently for the last 3 yrs I have been seeing (twice) a qme and will be seeing again this year.
    I ont understand what the wpi rating is? The initials i cant compute.Ya i go into DA mode sometimes,sorry.
    tell me and i will answer

  7. #7
    Join Date
    Oct 2006
    Posts
    9,108

    Default Re: Permanent And Stationary

    WPI=Whole Person Impairment
    The first step in determining the amount of permanent disability benefits you are entitled to.
    Read the fact sheet on Permanent Disability from the state's work comp website
    http://www.dir.ca.gov/dwc/iwguides.html

  8. #8
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Permanent And Stationary

    nickl,
    You know what... take your posts to the California IW forum...it'll better to help you there...
    Your case appears to be a little convoluted and you need to provide more information...

  9. #9
    Join Date
    May 2014
    Posts
    8

    Default Re: Permanent And Stationary

    Hello I am classified as P&S too. Extreme lower back pain coupled with numbness in legs and feet (Degenerative Disc Disease). I was advised by my orthopedic surgeon NOT to have the surgery. Mainly because such procedures are hit and miss. Instead I am being sent to Pain Management. I suggest maybe you look into this. Perhaps a therapist may help you alleviate your pain situation. You shouldn't have any trouble seeing a pain management specialist, if you are a Workers Comp. case & have an attorney. I'm starting therapy next month as I am hurting big time. I opted out of surgery fearing I would end up in a situation similar to yours. My concern is I am to reliant on pain medications. I try to use them when only necessary (need I say more). I'm afraid of stopping because of the dependency repercussions I will encounter. Are you on any type of pain medication? Good Luck minimizing your back & leg pain...

  10. #10
    Join Date
    Nov 2010
    Posts
    43

    Default Re: Permanent And Stationary

    Profess14...you are responding to a thread that is 6 years old! Thus, I don't believe your questions to the OP will be answered!

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