@@pauldoddy9714 You can ask, but I can really only answer questions about how California's workers' comp system works in general. I can't give advice, and I'm not familiar with the workers' comp system in other states. I say that because IME's are fairly uncommon in California.
@@pauldoddy9714 In California we have qualified medical examiners (QME) and agreed medical examiners (AME) and rarely independent medical examiners (IME). The rules that apply to each type of examiner vary depending on statute. It would depend on what the New Jersey statutes provide as to IME's there. I couldn't really say.
It really worked out for me to stay the course with my attorney with regards to multiple injury body parts . It was complex a bit but fluid most the time . Your videos are great keep up the work Jeremy . Question please . If I reopen a new claim ( before the 5 year statue of limit ) do I have to do a new deposition ?
I think most injured workers are generally better off with an attorney, rather than going it alone. It's just such a strange and confusing system. As to the deposition, it depends. The filing of a Petition to Reopen is good cause for the defense to be able to take the deposition of the injured worker a second time. But they are not required to do so. Each case is different, and it will depend on how the adjuster and defense attorney look at the file.
OMG you hit everything and named except mine is right foot ankle and left knee. I've been on TTD for almost 5 years. 1st surgery right foot; butcher job. About ten months later after all the doctors barking 2nd surgery limb salvaged right foot. Left knee hurt bad; now most cartagena or all gone; hole saw drill used and drilled straight through outside joint along knee cap into tibia to bone marrow for "stem" cells for right foot. Right foot cut in half under tibia and destroyed bone and joints from previous surgery removed and titanium hardware installed with heel now cut open and another "screw" drilled through heel through foot and back into the top arch. Left knee 1st year doctor recommended TKR, but ins. Doctor says I'm big boy 30lbs. Over weight limit for knee surgery; they just chopped up foot 2x already. Now ins. Doctor claiming arthritis Left knee; doctor and me ask them what happens to an untreated join and your surgeon drilling through it taking cartilage and leveling big hole on top of tibia in a weight bearing join? Arthritis duh.... I have constant pain at average level 8 barking hobble gar enough to reach the can, but spend majority moving around on an office chair. I have a bright line of pain searing going down side of foot under ankle, under foot and up the outside of foot under ankle; exactly where 2nd surgeon cut foot in half. I pestered that doctor why doesn't he get an xray to see? Didn't happen and was mmi last 12/23 nothing about release for work. I was sent to an FCE and IME two days in a row 03/24. DO NOT LIE AT ALL, BE TRUTHFUL. Main doctor wrote restrictions; permanent; desk work, and other restrictions. Meaning I can't run, jump and climb, etc.. Left knee RFA over year ago; healed up from nerve burn on the pain nerves three months; PRP lasted about three months; all they did was take some of the edge off pain. Now after being ghosted by ins. Co. ( they are very good at that) put in and got approved for xray previously mentioned, but nothing on his treatment plan? I finally found an attorney who took this circus as a case. First doctor wondering about medical malpractice due to going into surgery for tendon and ligaments reconstruction and came out with tendon cut, two bolts drilled through top of arc down through and out of heel, etc. Sorry for vent but your video was also exactly describing my circus.
Sorry to hear that. If you don't have an attorney, I'd recommend reaching out to a local attorney for a consultation as it sounds like your case is quite complicated.
Eesh. When I refer to an injury in workers' comp, that's commonly known as one accident or mishap or something going wrong (like one car accident, or one fall down the stairs). There may be multiple body parts injured (broken leg, neck sprain, headaches, broken collar bone), but it was just one injury that occurred.
What happens when the insurance company only accepts Certain body parts And you have reached mmi Already, in was given a rating for the accepted body parts from a qme of 39 percent but your still being treated for the part they didn't Accept with a attorney doctor what happens now
If you have an attorney representing you, I'd recommend talking to your attorney about strategy and expectations. If you do not, you may want to consider reaching out to a local attorney for a consultation. If body parts are still denied, and the case is nearing resolution, if a settlement cannot be reached for some sort of compromise then those denied body parts may need to be set for trial.
what if you have multiple injuries on 1 claim and its too much for 1 doctor at a time but all the same system? also is there a way to change the venue?
In the California system, there is generally a primary treating physician (who acts as the gate-keeper of sorts) who then refers out to various specialists. So it is not uncommon that there is a primary treating physician who is an occupational medicine specialist, who then refers out to an orthopedic surgeon, a neurologist, a podiatrist, and a chiropractor. As to venue, any party can file a Petition to Change Venue. There are special provisions for doing it within 30 days of filing an Application. After that, it is generally done for good cause and convenience of witnesses.
I had brain injury ( meningitis) 4850 and state rate have expired 2 years. Case still open AME found a second ( vision) and third ( hearing loss) injuries as a result of the brain injury. Do I get 4850 and state rate for the second and third injuries ? Or is that considered double dipping? Great informative videos! Thanks in advance.
@@nolifenobeisbol606 It would likely depend on whether the hearing and vision were due to the same injury, or due to a separate CT or specific injury. Labor Code 4850 pay is generally paid per injury, and not per body part. But as you saw an AME, that tells me you have an attorney, and he or she would be able to answer your question best as your attorney knows your case.
@myworkerscompguide my bilateral hearing loss and tinnitus were 100% attributed to industrial exposure, both noise and contracting meningitis at work per AME report. Thank you for your answer.
🔥🔥🔥🔥thanx for the video dude! We been needing this one!!!!
Happy to help inform.
Thanks! You give really good advice on WC.
Thanks. Just trying to help inform.
@@myworkerscompguide . Can I ask a question about the IME Dr I saw?
@@pauldoddy9714 You can ask, but I can really only answer questions about how California's workers' comp system works in general. I can't give advice, and I'm not familiar with the workers' comp system in other states. I say that because IME's are fairly uncommon in California.
@@myworkerscompguide Ok! In NJ we have IME's. What's the difference..
@@pauldoddy9714 In California we have qualified medical examiners (QME) and agreed medical examiners (AME) and rarely independent medical examiners (IME). The rules that apply to each type of examiner vary depending on statute. It would depend on what the New Jersey statutes provide as to IME's there. I couldn't really say.
It really worked out for me to stay the course with my attorney with regards to multiple injury body parts . It was complex a bit but fluid most the time . Your videos are great keep up the work Jeremy . Question please . If I reopen a new claim ( before the 5 year statue of limit ) do I have to do a new deposition ?
I think most injured workers are generally better off with an attorney, rather than going it alone. It's just such a strange and confusing system. As to the deposition, it depends. The filing of a Petition to Reopen is good cause for the defense to be able to take the deposition of the injured worker a second time. But they are not required to do so. Each case is different, and it will depend on how the adjuster and defense attorney look at the file.
Thank you Jeremy i appreciate you
@@BearPapa49 Happy to help educate how the system works.
OMG you hit everything and named except mine is right foot ankle and left knee. I've been on TTD for almost 5 years.
1st surgery right foot; butcher job. About ten months later after all the doctors barking 2nd surgery limb salvaged right foot.
Left knee hurt bad; now most cartagena or all gone; hole saw drill used and drilled straight through outside joint along knee cap into tibia to bone marrow for "stem" cells for right foot. Right foot cut in half under tibia and destroyed bone and joints from previous surgery removed and titanium hardware installed with heel now cut open and another "screw" drilled through heel through foot and back into the top arch.
Left knee 1st year doctor recommended TKR, but ins. Doctor says I'm big boy 30lbs. Over weight limit for knee surgery; they just chopped up foot 2x already. Now ins. Doctor claiming arthritis Left knee; doctor and me ask them what happens to an untreated join and your surgeon drilling through it taking cartilage and leveling big hole on top of tibia in a weight bearing join? Arthritis duh....
I have constant pain at average level 8 barking hobble gar enough to reach the can, but spend majority moving around on an office chair. I have a bright line of pain searing going down side of foot under ankle, under foot and up the outside of foot under ankle; exactly where 2nd surgeon cut foot in half. I pestered that doctor why doesn't he get an xray to see? Didn't happen and was mmi last 12/23 nothing about release for work.
I was sent to an FCE and IME two days in a row 03/24. DO NOT LIE AT ALL, BE TRUTHFUL.
Main doctor wrote restrictions; permanent; desk work, and other restrictions. Meaning I can't run, jump and climb, etc..
Left knee RFA over year ago; healed up from nerve burn on the pain nerves three months; PRP lasted about three months; all they did was take some of the edge off pain. Now after being ghosted by ins. Co. ( they are very good at that) put in and got approved for xray previously mentioned, but nothing on his treatment plan?
I finally found an attorney who took this circus as a case.
First doctor wondering about medical malpractice due to going into surgery for tendon and ligaments reconstruction and came out with tendon cut, two bolts drilled through top of arc down through and out of heel, etc.
Sorry for vent but your video was also exactly describing my circus.
Sorry to hear that. If you don't have an attorney, I'd recommend reaching out to a local attorney for a consultation as it sounds like your case is quite complicated.
I had 6 injuries at one time had 2 surgeries waiting on 2 more
Eesh. When I refer to an injury in workers' comp, that's commonly known as one accident or mishap or something going wrong (like one car accident, or one fall down the stairs). There may be multiple body parts injured (broken leg, neck sprain, headaches, broken collar bone), but it was just one injury that occurred.
What happens when the insurance company only accepts Certain body parts And you have reached mmi Already, in was given a rating for the accepted body parts from a qme of 39 percent but your still being treated for the part they didn't Accept with a attorney doctor what happens now
If you have an attorney representing you, I'd recommend talking to your attorney about strategy and expectations. If you do not, you may want to consider reaching out to a local attorney for a consultation. If body parts are still denied, and the case is nearing resolution, if a settlement cannot be reached for some sort of compromise then those denied body parts may need to be set for trial.
what if you have multiple injuries on 1 claim and its too much for 1 doctor at a time but all the same system?
also is there a way to change the venue?
In the California system, there is generally a primary treating physician (who acts as the gate-keeper of sorts) who then refers out to various specialists. So it is not uncommon that there is a primary treating physician who is an occupational medicine specialist, who then refers out to an orthopedic surgeon, a neurologist, a podiatrist, and a chiropractor. As to venue, any party can file a Petition to Change Venue. There are special provisions for doing it within 30 days of filing an Application. After that, it is generally done for good cause and convenience of witnesses.
I had brain injury ( meningitis) 4850 and state rate have expired 2 years. Case still open AME found a second ( vision) and third ( hearing loss) injuries as a result of the brain injury. Do I get 4850 and state rate for the second and third injuries ? Or is that considered double dipping? Great informative videos! Thanks in advance.
@@nolifenobeisbol606 It would likely depend on whether the hearing and vision were due to the same injury, or due to a separate CT or specific injury. Labor Code 4850 pay is generally paid per injury, and not per body part. But as you saw an AME, that tells me you have an attorney, and he or she would be able to answer your question best as your attorney knows your case.
@myworkerscompguide my bilateral hearing loss and tinnitus were 100% attributed to industrial exposure, both noise and contracting meningitis at work per AME report. Thank you for your answer.
@@nolifenobeisbol606 Best of luck to you.