Quick question I usually get paid Fridays from workers comp the insurance and this Friday I was not paid due to the holiday I assume….so was wondering if anyone else hasn’t been paid?
so more info on what I posted Friday...
the ortho surgeon who I picked and thought I could trust, put in his clinical notes June 8th 2026 that was messed up… I found them tonight and this is basically what it said..
“said patient will not be returning to work anytime in the future, and I am recommending and referring Sedgwick to offer vocational rehabilitation.“ he went on the notes saying I cannot safely do my job, I am too basically jacked up to be working pipeline anymore and i need to find a new career within my future restrictions.. he signed it and the restrictions were no bending, stopping, crawling, no lifting over 20lbs, no standing for long periods, etc … he also referred me to pain management where I was seen..
This is the SECOND clinical notes that say he has refer me to vocational… since June 8th I have not seen NOR spoken to him..
June 16th is when he spoke on the phone with Sedgwicks lawyer. After the phone conversation. she faxed a letter stating my surgeon Dr Wobig, has said I’m at MMI and im free to go back to work with 0 restrictions… Wobig then checked AGREED to the form and signed it.. he also agreed to a statement that my pain is unexplained and that its mental health.….
Sedgwick has now updated my file to open for work and 0 restrictions.. HOW IN THE HECK does he flip from those notes to this in a WEEK without even seeing me? I spoke to my PT Friday and he’s disgusted with this. He said there is not a chance in Hell I can perform my job. I will be meeting with my lawyer and bringing these notes over to him..
I haven’t ate at all this weekend I’ve been so sick and upset. My son’s 8th birthday was today and all I could think about is what will my family and I do? I’ll have to find a low paying job that’s easy on my body yet won’t pay the bills so we will be maxing credit cards and draining savings… I’ll put my truck up for sale if we have to..
has anyone seen this?!
Can anyone please recommend me some good TEXAS workers comp lawyers?
I've tried to talk to a few but they all end up being personal injury lawyers not workers comp.
My husband passed away and my children and I are having a hard time, we're barely keeping afloat and workers comp denied any benefits.
Thank you.
Hi!
So ive been working at my job (full time. Related to medical field/sorta in it? I work at a plasma donation center) for about 9 months. Ive had carpal tunnel in the past but ive recently developed de quervains which is essentially carpal tunnel of the thumb. I use my thumb to squeeze donors fingers after a finger stick. I did almost 900 (probably over 900 if we look at resticks) finger sticks last month alone and probably 75% of them used my now injured thumb.
I went to my pcp when my thumb and fingers started losing strength, going numb, and hurting. I went on 6/15 and was diagnosed with de quervains. I was told to rest it but with my job, that isnt really possible, so its gotten worse. I messaged my pcp about it getting worse and she sent me a referral to ortho. On 7/2? 7/3? I realized that carpal tunnel is covered under workers comp, so thought surely de quervains was too.
The situation: I filed an online form on the 2nd or 3rd with the state office for WC. I havent told my boss I filed yet bc she hasnt been in office this weekend but I think she will be tomorrow (7/6) and will talk to her then. But im reading my textbook about insurance and it says for workers comp, depending on the state, I should've filed a written form to my boss first ans she should've filed. It also mentioned some states have a thing about declaring an injury within a specific time frame.
Im confused about a lot of this. Any advice is appreciated. What should my next steps be? Am I screwed because I went out of order? My job is becoming increasingly difficult to do and so are a lot of other tasks outside of work. The de quervains is getting worse and worse because I cant just not do my job. When I talked to my boss briefly about possibly needing injections for my thumb and that it would be 24-48 hour pure rest after and I would need time off, she told me I would have to schedule PTO to get it done and we cant schedule PTO for any time on the schedule already posted and she posts the schedule 3 weeks out, so if I do need injections, I have to delay treatment for a minimum of 3 weeks. What should I do?
I still have a decent amount of pain and am very limited. Lawyer is asking 100 k on top of retraining and everything to close out medical. I would like to hear other opinions of why or why not to close out medical. I'm nervous I will be paying co-pays every year and I don't trust our government to keep up any specific level on insurance coverage with how they just gutted Medicare. This has been a horror and a nightmare going from a successful career to a hermit I am in my early 30s and have a lot of life left yet.
On the other hand, I just want to be done with these people and move on with rebuilding my life to what I can.
Thanks for your input, I have big decisions to make.
I'm a house keeper. So a lot of bending down. My back is in so much pain now. I can't deal with it every night I have to sleep with a heating pad. And now my shoulder blades are KILLING ME it feels like I have a sun burn. This didn't happen from one instant. But for working there for 3 years. Is there anything I can do? Ps yes I bend the "right" way and stretch before and after work. I think thats why I was able to last this long but now I can't take it anymore.
In less than a month I will have been on workers comp for an entire year. They still have yet to figure out the correct amount to pay me. I have had no medical treatment for a torn rotator cuff (which was the only thing they were going to cover originally). I had an MRI, saw it was torn, nothing. I guess they figured that since they decided to approve my neck, the shoulder didn’t matter, although it took about two months to get neck approved, when all I had to do was show them I wrote “Neck” on the first piece of paper I filled out. I got the shoulder MRI in October. It wasn’t until two weeks into January I got the neck MRI. They continued me in physical therapy, which seemed to be causing more pain than anything, but they cut it off in February, because my doctor requested spinal shots. I had one shot, and went back and told the doctor it wasn’t relieving any pain. Then he gave me a different shot. I went back and said still not doing anything, and now I’m waiting on my case manager to approve a muscular shot. He said if that doesn’t work, surgery is the next option….. I would’ve figured they would’ve tried the shots more than once, maybe at a higher dose. Nope. So since last August, Washington workers comp had provided me with physical therapy before diagnosising my injury. Cut it off in February. Gave me two shots, the last on June 1st. Now I have these IME’s coming up which I’m sure there waiting for to approve anything, including my glasses. A special type of glasses for head injury’s. Oh yeah, they decided to approve concussion in May. They had really been fighting that because I had said I don’t remember if I hit my head, I fell through a pretty deep hole and new j popped my shoulder out of place when I got up. I didn’t know I had nerves damage in my neck or my hip was out of place or that I had a concussion. These were all things diagnosed by doctors. But on my L and I chart, it says things like “worker says he fell through a two foot hole on 8/7 and then says 4 foot hole on 8/23.” I never told anyone how deep the hole was, I showed them a photo and let them make a guess because I didn’t get out a tape measurer(I’ll post pictures). Since this has happened I’ve spent all the money in my savings on general living expenses, this week my car ran out of gas because I had to choose between gas and dog food. I’m not getting enough money to pay my bills, pay for food, and gas. I have been telling people since January that I feel like I’m losing it. I have nothing to look forward to. I stay at home all day everyday, and read the nonesence they write on my case. Oh and since I got an attorney I can’t talk to anyone from l and i. I’m just left hoping someone, who doesn’t seem to really care, will do it. There is no way I thought this would be this long. I figured 6 months max. It’s a year and I am still in the same amount of pain just white knuckling throughout while my case manager sits on her ass denying everything. I’m losing my mind, have my life, first time I’ve thought about “the easy way out”. I can’t afford to live, I’m mentally not stable to go back to work, but I have to be able to hold my head up first, and that does mot seem to be urgent for anyone at Washington LAndI. They denied physiatrics help. The process of l and I causing mental health issues is not a reason that they accept. I would have to be having PTSD about the hole I guess. This is the most f**ked up system in the world. It’s ruined my life. And they just lie and lie and lie. I’m so pissed and had no one to talk to so I’m just ranting see
So about 2 months ago I started a tire changing job for a wholesale club. My last shift I was lifting a lot of unusually heavy truck tires, and the next morning I woke up with a really bad sore neck. So much so that 5 days later now I had to call out of work. I’m also part time. Is it worth filing an injured on the job type of situation under these circumstance?
Thanks
My lawyer is gone until Tuesday. My first hearing. It's says I only have to come if my lawyer asks. Did anyone here go to their hearing? How did that turn out? Did anyone not go? How did that turn out? I hope i don't have to go because driving bothers my injuries. Thanks for any thoughts. Still not getting paid by wc but i am getting some ssdi payment.
I had an open work comp case from an AI robot hitting me (August 2022) caused a severe lupus flare and out for 1.5 years. While dealing with permanent damage (complete digestive system failure documented) I was transferred to a call center and got letter forcing me back. I was very unsure but found out it was a remote position so thought I could handle it and went back uncontested however, In Jan 24 when done with training for new position I informed HR and new manager of injury, work comp, needing extra time off. All that was said is provide documentation. I did so in spades. In end of 24 started getting disciplined for said attendance and kept explaining my permanent injuries light duty was suggested, federal disability and finally after getting warnings and a 7 day suspension all grieved (local union failure) Reasonable accommodation was sent OCt 25 again in Feb 2026 and asked for again in april, may, and June. No response and increasing stress producing more disease activity, reduced hours and increasing time off. Was hospitalized in March 25 with life threatening GI bleed and in June 2025 found out I have severe spinal arthritis, bilateral carpel tunnel, hip dysplasia requiring total hip replacement, upper and lower body nerve damage. The continued delay and workplace stress resulted in severe financial loss, increased disease activity, resulting in mortgage arears, unpaid bills and strain on my wellbeing household as a whole. One vicous circle. It all came to a head when I got another investigative interview notice May 8, 2026. I went into a total incapacitation flare. I filed an eeo May 10, 2026 counselor found management lied (documented with proof)and sent letter to file formally on the 29th. I sent in immediately. Meantime, I was served another 7 day suspension and asked manager due to flare currently in can I have an accommodation to work from home without required on site to reconnect. She said yes. NO! June 9, logged in and couldn't get on couldn't work and got new doctor note June 11. On the 12th after learning from union that management should have informed me any work related time missed should have been covered under work comp case previously active closed may 29, 2025 due to inactivity. Had I known, I wouldn't have went through any of this and I wouldn't be looking at possible foreclosed home, increasing health concerns etc. I have documentation till the cows come home which is provided to eeo, owcp, management, and now FHA, lender etc. I am beyond stressed out and the worst part is its not effecting just me. Its effecting my husband, my beloved 3 dogs whom I don't know what's gonna happen if I lose my home. My health. This is life altering and threatening. I am stunned and would be so appreciative of any help. Lawyers want retainer and I have to save everything Ive got to try and keep it all going. I am scared so scared Thoughts on also filing for federal disability so I don't lose that too at this point management went silent and wont respond to union or requests to get information why they wont reconnect my account so I can work
I have hit MMI in workers comp in Indiana. Job almost certainly won’t be able to accommodate me since I drive CDL HAZMAT
Does anyone know if we can get PPI money before a final settlement agreement? I would ask my lawyer but he’s out until the 7th to celebrate the holiday and I’m just curious on what to expect from here on out
I had an open work comp case from an AI robot hitting me (August 2022) caused a severe lupus flare and out for 1.5 years. While dealing with permanent damage (complete digestive system failure documented) I was transferred to a call center and got letter forcing me back. I was very unsure but found out it was a remote position so thought I could handle it and went back uncontested however, In Jan 24 when done with training for new position I informed HR and new manager of injury, work comp, needing extra time off. All that was said is provide documentation. I did so in spades. In end of 24 started getting disciplined for said attendance and kept explaining my permanent injuries light duty was suggested, federal disability and finally after getting warnings and a 7 day suspension all grieved (local union failure) Reasonable accommodation was sent OCt 25 again in Feb 2026 and asked for again in april, may, and June. No response and increasing stress producing more disease activity, reduced hours and increasing time off. Was hospitalized in March 25 with life threatening GI bleed and in June 2025 found out I have severe spinal arthritis, bilateral carpel tunnel, hip dysplasia requiring total hip replacement, upper and lower body nerve damage. The continued delay and workplace stress resulted in severe financial loss, increased disease activity, resulting in mortgage arears, unpaid bills and strain on my wellbeing household as a whole. One vicous circle. It all came to a head when I got another investigative interview notice May 8, 2026. I went into a total incapacitation flare. I filed an eeo May 10, 2026 counselor found management lied (documented with proof)and sent letter to file formally on the 29th. I sent in immediately. Meantime, I was served another 7 day suspension and asked manager due to flare currently in can I have an accommodation to work from home without required on site to reconnect. She said yes. NO! June 9, logged in and couldn't get on couldn't work and got new doctor note June 11. On the 12th after learning from union that management should have informed me any work related time missed should have been covered under work comp case previously active closed may 29, 2025 due to inactivity. Had I known, I wouldn't have went through any of this and I wouldn't be looking at possible foreclosed home, increasing health concerns etc. I have documentation till the cows come home which is provided to eeo, owcp, management, and now FHA, lender etc. I am beyond stressed out and the worst part is its not effecting just me. Its effecting my husband, my beloved 3 dogs whom I don't know what's gonna happen if I lose my home. My health. This is life altering and threatening. I am stunned and would be so appreciative of any help. Lawyers want retainer and I have to save everything Ive got to try and keep it all going. I am scared so scared Thoughts on also filing for federal disability so I don't lose that too at this point management went silent and wont respond to union or requests to get information why they wont reconnect my account so I can work
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Anyone have a fusion , what’s the recovery time ? Did you get back to normal activity after healed ? Are ya able to go back to playing ball , lifting weights, running , playing with kids , walking the dog , etc…
So I have a relatively complex case that involves two concussions in the span of two months from a year ago that have left me with persistent post concussion syndrome that impacts my daily life. They closed my case 4 and a half months ago claiming I reached MMI and I submitted an appeal. I have tried getting a lawyer but nobody will take my case and I feel like I am drowning trying to navigate everything. I just don't know what to do anymore. I didn't have these issues before and now I'm having multiple appointments a week trying to get better and missing a lot of work. Improvement has been there but it is slow. And objectively I should be better but I'm not and I'm in pain everyday. If anyone has any suggestions I would really appreciate it because I am at my wits end.
Got injured at work yesterday and had to go to the hospital and was there a while. In between the doctors operating on me an insurance lady had me fill out a workers comp form and sign a bunch of E-Signatures. I am now home and want to get things sorted out quick. I am fairly young at 19 so all of this is new to me so sorry for the confusion, am I waiting for my companies insurance to reach out to me? Or do I need to take the steps. Any help is appreciated.
Was declared mmi in May work comp closed my medical and was titled as permanent partial disabled and said we are working on your settlement that was two weeks ago and have not heard a word even after daily emails, I’m growing increasingly frustrated with them as well as my company because I’m still making state minimum wage straightening shelves, my question is can I resign and still get my settlement? Any insight would be helpful and thanks.
Hello all,
I have been lurking around this subreddit for a little while, and I’ve noticed a lot of posters mention that they’ve been dealing with an injury for 1+ years, and either they or their WC company ultimately requested a QME panel for evaluation for various reasons. I’ve also read that some people only see a QME once, but others have had multiple QME visits. A lot of people had QME requests after a denial, but others even without any denials.
** I also noticed that there weren’t many, if at all, people who have posted about requesting a QME early in their case (e.g., 1-6 months after reporting the injury). What are advantages to requesting a QME early on in your case even without any denials? **
Is it to establish a (hopefully) fair baseline with a third party opinion alongside a PTP opinion that maybe someone injured can work with down the line? Or other things?
How would WC respond to an early QME request by an injured worker? Curious about how all this works because WC is slow enough even without the purposeful delays as WC adjusters often have 100+ cases on their plate, and the healthcare system is the way it is.
(I’ve read about unrepresented vs. represented QME panels, so I am aware of the advantages of being unrepresented; this post is not about that.)
They've sat in for all but one appointment and have interfered with care every time. They don't want to file a lost time claim so they drive me. I want to drive myself. Do I have that right during the workday or am I required to let them drive me?
Edit: I won the battle, they've agreed not to drive me to my appointments or attend the appointments anymore... and they scheduled me for an IME so my C-9s are all being denied until then
I'm hoping to get some advice because I'm not sure if what I'm experiencing is normal.
I suffered a work-related back injury and spent months trying conservative treatment first. I completed physical therapy, tried medications, and underwent multiple injections, but none of it provided lasting relief. Because those treatments failed, I ultimately had lumbar spine surgery.
I had my QME on May 14, 2026. During the evaluation, the QME made comments that left me feeling optimistic about my case, but I've been waiting for the written report ever since.
My biggest concern right now is my attorney's communication. Over the past several weeks, I've called, emailed, and texted multiple times asking for updates. The only response I received was that they were "waiting on the doctor's workload." Since then, I haven't received any meaningful communication, and I still don't know whether they've even received my QME report.
I already changed attorneys once earlier in this claim, so I'm very reluctant to switch again. At the same time, after everything I've been through, failed conservative treatment, surgery, and now waiting on my QME. It feels like my case has stalled, and I'm left completely in the dark.
For those who have gone through the California workers' comp system:
I'm not looking to discuss or name specific attorneys publicly, in accordance with the subreddit rules. If anyone has personal experience, guidance, or is willing to share suggestions privately, please feel free to send me a DM.
Thank you.
Looking for recommendations on how to best proceed and advocate for myself. Apologies in advance, my post is intentionally a bit vague just in an abundance of caution since this is an ongoing issue.
I am having a ridiculously hard time getting in touch with the adjuster on my WC claim. Calls and voicemails go unanswered. Emails *eventually* get responses (usually 2-3 weeks later). Providers have even complained that the adjuster won't respond to them regarding approvals or getting paid.
Beyond the annoying and unprofessional lack of communication, my main concern is that I've been off work for a couple weeks now since my knee surgery and have to yet to receive any wage compensation. I haven't even received any information regarding wage compensation or if there's anything I need to do from my end to get the process going or expedite things. Made multiple calls to the adjuster today and got no response. And that's including after speaking to a different employee of the WC company who said they talked to my adjuster and that my adjuster said they'd call me back before EOD.... At this point the only thing I can reasonably conclude is that my adjuster is aware and is just willfully ignoring me.
I've previously asked my employer (who fully supports and approves of my claim) about if there's anything they can do from their side and they say that there isn't.
So any suggestions on next steps?
Google recommends contact the KY DWC? Is that likely to get me anywhere?
I can't really afford to hire a lawyer, and have anecdotally heard that even just mentioning getting a lawyer or having talked to one can potentially make things worse if the WC company decide to get malicious about it.