Wednesday, August 11, 2010

And the shit hits the fan once again

This one is a Paul update. Monday afternoon Paul gets a call from our attorney. He got the IME Report (Independent Medical Evaluation). This doctor, who only saw Paul for a few minutes, decided Paul needs a more extensive decompression surgery (the microdiscectomy that Paul had back in January) and is able to go back to work. So of course work comp is siding with this doctor and Paul has been cut off from WC benefits (meaning his paycheck) as of Monday. He will only get paid if he goes to work, then benefits will resume once he has the decompression surgery. Lovely. Paul's has been in more pain than ever in these past 2 weeks.

So the attorney advises him to call his employer to confirm they have a light duty position available for him where he can stand up every 30-40 minutes. They do. He can come in and be the receptionist in Carol Stream. Mind you Carol Stream is over 25 miles away. In rush hour traffic it will take him at least an hour to get there. That in itself is against doctors orders. Then he's on pain medication (Norco 750mg, 2 every 4 hours). So if he drives on this medication, that's driving under the influence of a narcotic. Then he has to work. One of the warnings of Norco is not to do any activities that require him to be awake and alert. I do believe that driving and being a receptionist both require him to be awake and alert. He's not supposed to bend either, I do believe that when he passes out on the desk from the 2 Norco pills that violates doctors orders too, bending and sitting. I have explained all this to the attorney, I guess it doesn't matter to WC. Theoretically he can stop on his commute, take a taxi or not take the medications. As if that is reasonable.

So Paul saw his surgeon today. He recommends a double bone fusion for Paul and is very confident it will make Paul pain free and resolve the problem. Dr. K REFUSES to do the decompression surgery again, because to him it is pointless and it will actually make Paul's back unstable. Then Paul will just need the fusion anyway. Dr. K is sending a letter to WC explaining all this and gave Paul a Work Status Report stating he should not be working at all. So one would think WC would rather pay for 1 surgery rather than 2. But I think we know now they do not think logically. They just look at the immediate cost.

So then aside from what Dr. K thinks, the IME Report has so many inconsistancies. First of all, it states 2 MRI's done in 5/2001. Paul did not have any MRI's in 2001. He's never had any MRI's prior to this injury. Then he states that Paul denies any back pain. That's bullshit. Paul has contant back pain in addition to the nerve pain down his leg and sure as hell didn't"deny" it. Later in the report this doctor stated that Paul had mild back pain. Wait, is it no pain or mild pain? NEITHER! It's a lot of pain! Then the doctor states Paul rated his pain 6/10. Paul recalls telling this doctor he was an 8-9/10. Oh and after waiting over 3 hours in the waiting room to see this doctor he gave Paul about an 8 minute exam. Of course he was in severe pain, he had been sitting in a waiting room for 3+ hours. And this doctor must know what's right for Paul from his 8 minutes and Dr. K must know nothing after treating him every 3 weeks for the past year. So now we fight. Awesome.

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