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Posted By : ndt171 - 4/28/2017 2:58 PM
I had my ACDF surgery in July 2016 and like most experiences I have read about, I felt pretty good immediately after surgery. This did not last long. Now about 10 months later, I feel as if am in no better position than I was before the surgery.

I am not upset with my surgeon, he has been very supportive and on the ball. He had me go for a post op MRI, that he tells me didn't show anything he didn't expect and I am scheduled for a Nerve Conduction Study. My experience started with a massive infection that took months to clear up. As the weeks went on and I was still experiencing excruciating pain and discomfort, muscle spasms throughout my spine and across my shoulders & down my arms, as well as numbness, tingling & burning sensations throughout these areas as well. Then the pain began to travel down my mid & lower spine with numbness, tingling & burning sensation down the back of my legs. I am having difficulty holding my head up, doing so causes pain and spasms that take my breath away.

I am constantly moving because I cannot sit, stand or lay down for more than an hour to an hour and a half before the pain and discomfort becomes unbearable. I am lucky to sleep for three hours, and that is only because the meds put me out. I have also noticed that the symptoms that brought me to the surgeon that were presenting on the right, are now presenting on the left.

I find myself able to do little to nothing for myself. I try to do things like laundry, cooking, light cleaning and grocery shopping and I find that mid way through I am in so much pain that I want to break down and cry. Then for the next 3 to 5 days after attempting these things, I am unable to do anything. There are days that I am barely able to groom myself.

Has anyone else experienced anything like this? If so, what did you do? Any advice is welcome.

I have made some paragraphs in your post to make it a little easier to read.
Thank you!

Post Edited By Moderator (straydog) : 4/28/2017 3:07:21 PM (GMT-6)

Posted By : straydog - 4/28/2017 3:19 PM
Hello ndt & welcome to the forum. After reading your story I am just floored at what you are now dealing with. This is not the type of outcome anyone wants after surgery.

1. I would like to ask what brought this massive infection on?
2. While you were feeling good, what activities were you doing?
3. Do you have a copy of the written report of your post op MRI? If not get a copy for yourself. Sure would like to see what it says. I do not understand the drs comments at all.
4. Why has the dr not had an MRI done on your back?
5. Did you have a neurosurgeon or orthopedic do your surgery?

We have had people come through here before with what was termed as a failed surgery, however, with all of the problems you are describing, I have not seen any of them with such symptoms like yours.

Obviously you have a lot going on & you need something done. An EMG is ok, however, I expect more out of an MRI. Sometimes an EMG will pick up a nerve problem but not always especially on a neck or a back problem. They just don't have the accuracy that an MRI does.

Would you be open to a consult with another specialist, along the lines of a board certified neurosurgeon? Some times a fresh set of eyes can see things a little more clearly.

Take care.
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Posted By : ndt171 - 4/28/2017 4:00 PM
1. The infection was in the incision, I have no idea what brought it on. I followed all of my doctor's directions to the letter. My doctor stated that he had never seen an infection as bad as mine. I actually had a hole in my throat. I have to do a wet/dry bandage that had to be changed twice a day. It was gross, but I got through it.
2. Honestly, I wasn't doing much, but I was taking short walks just like my surgeon suggested. The "feel good" period didn't last long enough for me to try anything adventurous.
3. It's funny that you ask about the MRI reports. I will be picking up my MRI's & reports and x-rays next week. My injury was work related and I have to see one of their doctors for an 'independent medical eval.' Which is a joke because this doctor is paid to tell my employer what they want to hear, and the doctor that I am scheduled to meet with ISN'T A SPINE DOCTOR!!! He does hip and knee replacements. However, once I have the reports in hand, I will post the result. I am interested to see what you think.
4. We just haven gotten that far yet. Because this is a work related injury, every test has to be approved and scheduled by the worker's comp ins co. It took 6 weeks to get the post op MRI approved and 10 weeks to get the Nerve Conduction Study approved.
5. I had both a neurosurgeon and an orthopedic do the actual surgery. All follow up has been with the ortho. I never met the neurosurgeon, he came into the operating room after I was under.

The injury I sustained resulted in two shoulder surgeries as well. My shoulder surgeon referred me to the EMG doc, who is the one who suspected that the residual issues from the shoulder surgeries were in fact coming from my neck. He ordered the first MRI & referred me to my spine surgeon. I am scheduled to see the same doc for the EMG on 5/10. He is actually a spine doc and I am interested to see what he has to say.
Even though I am not upset with my current surgeon, I am completely open to a second opinion particularly with one who is not being paid to say there isn't anything wrong with med & who is actually a spine specialist.
Thanks for your time Susie!

Posted By : straydog - 4/28/2017 5:23 PM
Nicole, I totally understand what it is like dealing with insurance under worker's compensation. What a nightmare. The infection most likely could have been picked up in the hospital. I am curious as t what type of infection you got its hold on you.

I do urge you to obtain a copy of as many of your medical records that you can. Do you deal directly with the insurance company or do you have an atty? Either one of these can give you copies of your medical records. If possible get a copy of all of your testing prior to surgery & the op records. Be sure to keep copies of everything for your own file.

I know its so difficult to get 2nd & 3rd opinions with decent drs that is not being paid to say what the insurance company wants them to say. What a mess. Every state has different WC laws & the injured worker is limited especially at seeing drs.

Please come back & post your MRI. I just hate seeing things happen like this to people. Your drs comment just does not ring right about the MRI.

Take care.
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Posted By : ndt171 - 5/4/2017 4:34 PM
I did pick up my scans and reports. I will give you the info from the reports on Tuesday, so I can also tell you how the appointment with the 'Independent Medical Eval" goes!!!
I am just wondering if you have heard of anyone who has reported feeling pain radiating down their spine to the lower back and to the legs after this surgery?

Posted By : straydog - 5/4/2017 5:51 PM
Nicole, yes we have heard of that happening. Keep us posted.
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Posted By : Alcie - 5/5/2017 7:49 AM
Been there from broken and fused C3-4, had the eval. It doesn't matter to the attorney for the opposition that the doc doesn't have any credentials in your problem. He's paid to find that you are faking and not in pain. No matter what, he's expected to report you are just fine. You still have to be respectful and nice to him and give honest answers and don't exaggerate.

Look up what the evaluation will be like and learn the trick tests he will try. (independent medical evaluation) One is pushing down on your head, which isn't supposed to cause pain and is to catch you screaming, aka faking pain. It is at least annoying and can cause some pain, but if you claim severe pain he will report you are faking. Expect that your range of motion will be tested in several ways, such as while you are removing clothing, and expect distraction while doing it. My evaluator told my lawyer that my doctors were quacks, so expect that too.

Take a friend with you. Expect to be observed when you get out of your car, enter the building, and after the evaluation while you are leaving. Just taking off your coat or taking off your clothes and getting into a gown will be watched. Have your friend write down when you arrive, and leave, what questions were asked, and tests he does. It will help keep him respectful of you, and your friend can act as a witness later. If the report the evaluator writes is very negative, you can ask a specialist who has been treating you to write a report contradicting it, although he will probably charge you for it.

Here's just one interesting site with advice:

Best wishes!

Posted By : ndt171 - 5/8/2017 2:55 PM
I had my IME today and it went well enough. The bottom line is, I don't really care what he has to say, he isn't my doctor and he is paid by the Insurance Co to say that there is nothing wrong with me. Also, his specialty is knee and hip replacement. Should he write a negative report, my attorney will got to the Commissioner of Worker's Comp and challenge his credentials. At that point the Commissioner has the option of sending me for a second opinion with a Spine Specialist, which I wholeheartedly welcome.

As promised here are the finding of my two MRIs:

Exam reveals straightening of the normal cervical lordosis. There is some signal loss of the discs on T2 sequences, indicative of some mild degenerative type changes.
At C2-3, the disc maintains normal height with no focal herniation, central or foraminal narrowing.
At C3-4, the disc maintains normal height with no focal herniation, central or foraminal narrowing.
At C5-6, a broad-based central disc bulge is present. This results in some effacement of the ventral subarachnoid compartment, without significant mass effect upon the cord. The neural foramen appear patent.
At C6-7, a central disc bulge is present at this level, with no focal herniation. The central and neural foramen appear patent.
The C7-T1 level is unremarkable
The visualized cervical cord is normal in signal, with no intramedullary lesion. The craniocervical junction is normal. The visualized paraspinal soft tissues are unremarkable. No additional lesions are otherwise demonstrated.
Cervical spine MRI reveals some degenerative changes with disc bulges, as described. No focal herniation, significant central or foraminal encroachment demonstrated.

12/16 (5 months post op)
Some signal loss of the discs noted on T2 sequences indicative of degenerative type signal change.
C2-3 No focal herniation. Central canal and neural foramen patent.
C3-4 No focal herniation. Central canal and neural foramen patent.
C4-5 There is some loss of disc height, new when compared to prior study of 06/16/14. No focal herniation is demonstrated. Central canal neural foramen patent.
C5-6 The patient is status post anterior cervical fusion bridging the C5/C6 level. In addition, there is some susceptibility artifact at the C5-6 disc indicative of a disc spacer placement. Axial images through this level demonstrates central canal and neural foramen patent.
C6-7 Punctate focus of increased signal along the posterior annulus indicative of an annular fissure which demonstrates some enhancement on postcontrast sequences. Central canal and neural foramen patent at this level with no focal herniation, central or foraminal stenosis.
C7-T1 No focal herniation. Central canal and neural foramen patent.
The cord is normal in caliber with no intra medullary lesion demonstrated.
Craniocervical junction unremarkable.
No significant marrow lesion noted.
Following gadolinium administration no enhancing lesions demonstrated. The visualized paraspinal soft tissues appear intact.
IMPRESSION: Cervical spine MRI reveals postsurgical changes in the patient is status post anterior discectomy with fusion at C5-6. No significant central or foraminal stenosis demonstrated at this time.

Posted By : straydog - 5/9/2017 4:00 PM
Nicole, after reading the MRI's you posted above the most recent one appears to look good, as far as not needing any further surgery. Of course, I am not a dr but things look good. I was just concerned with the dr not going into any detail with you. You know sometimes, the dr can do the surgery to fix the mechanical part but leave the patient with chronic pain afterwards. This happens & there is no real explanation as to why it happens. Are you on a muscle relaxer? If so, has it helped any at all?

I do hope the Commissioner will order a new IME, our comp laws here have that option. I am sure the insurance company is wanting a disability rating so they can put your claim on the back burner. The comp laws are just rotten, the injured worker pays the price as a result.

What does your atty think of how you have done since surgery? Are you seeing a pain mgt dr? If not perhaps you can get a recommendation to see one.

Please keep us posted.
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Posted By : ndt171 - 5/9/2017 4:23 PM
I am taking Soma, it helps but does not eliminate the muscle spasms. My state give our WC Commissioner the option of sending me to yet another doctor, which I would hope would be a spine specialist. I have not been referred to a pain management doctor....yet.
My attorney is not surprised at the length of my recovery and isn't concerned about the IME.
The EMG is tomorrow and the follow up with my surgeon is in June. I will let you know what happens.

Posted By : ndt171 - 6/11/2017 6:06 PM
Hello! I received a copy of the 'Independent Medical Eval' report. I expected the worst, as the report is paid for by my employer and the doc is paid to provide the outcome they tell him to.

The report did support my injury, however he omitted about 95% of the symptoms I provided. He also stated, and I quote, "She experiences no change in her bowel or bladder habits and denies changes with coughing, sneezing or straining of bowel movements" This conversation never happened. I am not only concerned that Dr. Green is a blatant liar, but I do have some issues in this regard. Are these symptoms something to be concerned about? Without getting too graphic, I can say sneezing and coughing cause excruciating pain and at times while attempting a bowel movement my spine will 'pop' and send shockwaves of pain up my spine. These are symptoms that I did not have prior to this surgery. Is this significant? Should I be worried about this?

His conclusion was that I have a limited work capacity and he recommends 4 hours per day to start, with no lifting or prolonged sitting or standing. Umm, I work in the realm of support staff... I sit down all day, every day. I don't know about you, but 4 hours of sitting is a prolonged amount of time to me.

He doesn't feel that I have reached MMI yet. He states that I should 'return' to physical therapy. I love this one because, physical therapy more often than not causes more pain with this type of injury. That's why my doctor has not sent me for PT. He also suggests cervical traction, I am not a doctor but I really don't think this I a brilliant idea.

He further states that if I experience some degree of improvement with cervical traction, then one could give consideration to reevaluation of the C6-C7 disc space, which could be the origin of , and consistent with, the bilateral ulnar nerve symptomatology as arising from the cervical spine. Do you think he is suggesting that I may require an additional surgery?

I know that I packed a ton of info in this post, but I would really appreciate your feedback.

Posted By : straydog - 6/11/2017 1:15 PM
If I remember correctly he was not a specialist that deals with spine issues. I do hope the atty you have will ask for another opinion with a spine surgeon. As far as I am concerned his report is nothing but garbage, so therefore, I would ignore any & all of this report. Traction, is he serious, lol. Any time an insurance company requests an IME, its not your employer involved, it is the insurance company calling the shots, its called saving them money. Your employer carries this insurance strictly to protect them from being sued if an employee is injured & nothing more. The insurance companies have a list of drs they use to send for an IME.

Take care.
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Posted By : ndt171 - 6/12/2017 8:39 AM
The IME doc is a knee and hip replacement specialist!!! I thought the traction idea sounded sketchy. We will request a second opinion with a doctor who actually knows something about the spine.
Have you ever heard of anyone having issues with coughing, sneezing and bathroom issues?

Posted By : straydog - 6/12/2017 12:37 PM
I remembered the dr was not someone that knew about spine issues. I do not recall us having anyone come through here having the issues that you are this far out from surgery.What does the surgeon say about this? I am sorry that your dr feels Pt would not be of benefit because many here have had great benefit with PT. Has your dr tried you on a short course of a steroid pack? I am wondering if you have some nerves that are just irritated from the surgery. This may be something to discuss with your surgeon for his thoughts.

Please keep us posted.
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Posted By : ndt171 - 6/12/2017 2:46 PM
I see my doc this Thursday. I have had bad reactions with steroids in the past, and am hesitant to go that route again. I am willing to attempt PT, but I am concerned with the traction. It just sounds barbaric to me.

Posted By : (Seashell) - 6/12/2017 4:14 PM
I would keep an open mind regarding physical therapy. A good therapist can make a decidedly beneficial impact on recovery.

To be honest, most likely you will experience some degree of pain with your recovery of function. You will be mobilizing and stretching tendons, ligaments, and joint interfaces that have been relatively immobile and guarded.

Not all pain is indicative of something wrong or amiss in the body. Recognize the differences between " good" pain (pain associated with beneficial tissue elongation and range of motion) and " bad" pain (pain associated with pathology). I think most of us with chronic pain are able to distinguish between the two.

As a PT, I never held to the saying "no pain no gain." Recovery does not demand that you endure detrimental pain or pain that is your body's correct warning that something is amiss. Recovery does demand, however, that one be tolerant of pain associated with regaining of functional movement, strength, and good postural alignment of the cervical spine and shoulder girdle/scalula- which will, by necessity, require mobilization of tissues that may have become weakened and shortened due to disuse.

Cervical traction is far from barbaric. It involves 5 - 10 pounds of long axis distraction. It is enough to release excessive co-contraction of the vertebral muscles that run the length of the spinal column, interlocking segmentally. The whole focus is on relaxing excessively tense muscles, muscles that are bracing as a protective response that is not advantageous.

You will want to put forth some positive engagement with a physical therapist or other to see the gains and recovery that you need and want to have a life with quality of meaning and worth. Working with a physical therapist should be a collaborative effort. A good PT is constantly evaluating and treating based on the feedback that you share with your therapist. At its best, it is a positive and enriching experience that often has benefits beyond the intended area of healing or recovery.

But it is best to get the process started. One thing about sensory nerves is that they have "memory." Sensory nerves can perceive and process pain even when the area of injury has fully healed. Desensitizing sensory nerves is an important aspect of a successful recovery.

Best wishes,
- Karen -
Pituitary failure, wide-spread endocrine dysfunction
Addison's disease
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)

Post Edited ((Seashell)) : 6/12/2017 4:23:34 PM (GMT-6)

Posted By : Alcie - 6/13/2017 10:33 AM
I started to have mild bowel and bladder issues 3 years post fusion of C3/4, and getting a little worse now a year later. My C4/5 has fused spontaneously, which was shown on an MRI after 2 years.

So, yes, you can have issues getting worse far out from surgery, and continuing to worsen. Arthritis is probably the cause.

My neurosurgeon said no PT for a long time, but I don't remember how long. Might have been a year. Eventually I was allowed a massage sort of work by the PT.

Muscle relaxants didn't do anything for me. After trying just about everything, I now take a low dose of Ativan (lorazepam) for muscle spasms, but only at night because it puts me to sleep.

The so-called nerve medicines Neurontin and Lyrica, are useless for this type of damage too.

Posted By : ndt171 - 6/24/2017 11:50 AM
I had my a PT eval on Thursday and I am feeling optimistic. I really like the woman I am working.

I agree Neurontin is not helping and I am no longer feel any benefit from the Soma and my doctor isn't willing to try anything else. Honestly, I feel as if he has become 'bored' by my continuing pain. I asked a ton of questions at my last appointment and all I got was "I don't know, I've done thousands of these surgeries and haven't seen this happen with anyone else." His only definitive response was to start PT and request a 'Functional Capacity Evaluation." Has anyone else had one of these? I have no idea what to expect or even what they are looking for. My doctor didn't even tell me that he was requesting this test, my attorney told me. Does this mean he doesn't think I can return to work? UGH, I just want my life back!!!

Posted By : (Seashell) - 6/24/2017 1:33 PM
I as physical therapist I used to administer Functional Capacity Evaulations (FCE). You have nothing to worry about. The FCE is not a demanding procedure nor anything that you need to be concerned or anxious about.

In its most simple form, a FCE is an assessment of how your body moves in completing movement strategies that we employ day to day in activities of daily living, self care, and work-related tasks as may be relevant to you. Ex. Picking up a box with 3 pounds and placing it on a shelf at waist height. The test will assess your flexibility and strength and how your body correographs its movements.

It can provide valuable information regarding how best to devise a rehabilitation program with the focus on regaining an ability to participate in life, hobbies, and work. The FCE focuses on practicalities Looking at flexibility, strength, and range of motion as precursors to functional movement strategies that we employ everyday to accomplish daily tasks.

I would look at a FCE as a positive step in piecing together how to reclaim your life.
- Karen -
Pituitary failure, wide-spread endocrine dysfunction
Addison's disease
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)

Posted By : straydog - 6/24/2017 2:11 PM
You have nothing to fear as Karen posted above, this is to your benefit. I have done them before, no big deal. Great to read you like your therapist.
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Posted By : ndt171 - 10/17/2017 3:50 PM
Hello! I have not posted in a while, mainly because I am so frustrated to still be in pain!
I survived my "Independant" FCE and was not shocked that he came to the conclusion he was paid to come to, this is that I can return to work 4 hours per day in a sedentary capacity. He must have completely misunderstood me when I told him that one of things that hurt the worst is sitting up for more approximately 2 hours and that staying upright for 4 hours is completely impossible. Hence, the conclusion he was paid to come up with.
I apologize profusely because I sound so angry, but I am just so darn frustrated.
I suffer through the 4 hours at work, but have to go out to my car for about a half hour to recline about two hours into my 4 hour day. Once my work day is over I am pretty much incapable of any activity. There is nothing about my personality that says poor me, but I just can't keep living like this. I have not had a pain free day since May 2014 when this injury occurred.
I also don't know how long my employer is going to tolerate my reduced schedule.

To make matters worse, my spine surgeon has pretty much given up on me and has referred me back to the doctor who treated me for the initial symptoms of this injury.That treatment entailed two shoulder surgeries. When the pain did not subside after those procedures, he referred me for am EMG and that doctor determined that the continued pain was coming from my neck and possibly the unla nerves in my elbows. So not only am I headed back to the shoulder surgeon, he has also referred me to a carpal tunnel surgeon.

My attorney forwarded me the memo from my last visit with the spine surgeon. I was shocked to read that he has diagnosed me with "failed spine surgery syndrome." My research into this 'syndrome' has led me to the determination that this 'syndrome' is a fail safe/cop out that surgeons who don't want to deal with you anymore use. I also read in this report that there is an annular tear in my spine at C6-7. Does anyone know what this means? Also, if my attorney had not forwarded me the memo, I never would have known these things.
Does anyone have any advise as to what I should do next?
Also, I live in CT, does anyone have an suggestions for a spine doctor either orthopedic or neurologist? A doctor that may be less interested in sending me back to work and more concerned with helping me.

Posted By : straydog - 10/17/2017 4:49 PM
Hello ndt, I am sorry to read that you are suffering so much. I had to go back to your original post to look at when your neck surgery was done, I couldn't remember. To be honest, the FCE helped you more than hurt your from a legal standpoint with your claim. It did not return you back to full duty with no restrictions.

The term failed spine surgery syndrome is a term used by surgeons after a patient has had either neck or back surgery & the end result was not the optimal outcome that was hoped for, usually the patient ends up with chronic pain such as yourself. A surgeon will only treat for so long, if no further surgery is an option they always release the patient back to the referring dr.

I looked at your MRI report you posted after the surgery, if you will look at the paragraph at the C6-C7 level, you will see they spoke of an annular fissure, this is the tear. Sometimes they can heal on their own. Surgery for a tear is often not warranted.

With this being work related I am sure that another opinion with a neurosurgeon would have to be approved by the insurance company. You mention your atty, what is he doing to help you? He should be working to have you seen for another opinion. He should know drs that are not tied to the insurance company for payment. One obstacle you have is getting a dr that will see you since it is work related. Short of seeing a dr on your own & having to pay out of pocket that can get very costly. I would be pushing the atty to help. Please let us hear from you.

Take care.
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Posted By : ndt171 - 10/17/2017 5:10 PM
Thanks for the quick response!

The thing about the FCE that irks me is that I told him that my biggest issue is remaining upright for more than two hours and he found that I am capable of working a half day. I am truly blessed that my immediate supervisor, director and managers like and respect me. They have let me set my own pace and if they come by my desk and my head is on it they are fine with it.
I just sent my attorney a lengthy email letting him know that I am not pleased with him. It's unusual because I have had him as my attorney for more than a decade and I really like him and have never had an issue with him before this. His response that I could go through my regular insurance for more treatment. My response to that was not positive. This issue is the responsibility of Worker's Compensation and they should not be left off the hook.

Posted By : straydog - 10/17/2017 5:53 PM
When I had the FCE, they asked about my symptoms & such, however, my eval was based on what I was physically capable of doing at the appt. I can't recall what all they had me do, but my eval was based on that.

Is this atty one of those that is what I call jack of all trades & master of none? By that I mean does he handle a little of this & a little of that in his practice? If he doesn't handle workers comp cases only, that is a huge issue. In many states if a person is injured at work & there is worker's compensation insurance coverage, private insurance refuses to pay for treatment. I am shocked he told you that.

Each state has a state commission/office that assists injured worker's. They are not connected with the insurance in any way. They usually have a website that gives a lot of information. You need to go through your paperwork as you have probably had some correspondence from them. I would look for information about what an injured employee's rights are on obtaining 2nd opinions & that sort of thing. Each state is different.

Keep me posted.
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Posted By : skeye - 10/17/2017 6:14 PM
Hi ndt,

Sorry to hear about all of your neck problems. I'm recovering from several back surgeries myself, so I can kind of relate, at least in that I know that spinal surgeries in general are no fun.. I might be able to help you with the name of a neurosurgeon. Where in CT are you?


Posted By : ndt171 - 10/18/2017 5:38 AM
Yes, my attorney handles worker's compensation only

I am in the Hartford arra.

Posted By : skeye - 10/18/2017 6:44 AM
Hmm, don't know anyone up there (though I'm sure there are some pretty good docs associated w/ Hartford Hospital). But if you feel like a drive, my NS is in Fairfield County & he is great, as are the other docs in his practice.

Posted By : straydog - 10/18/2017 10:03 AM
Nicole, given the circumstances with this being a work related injury, again I urge you to find out what your rights are under the worker's compensation laws in your state. The comp laws vary from state to state. I am still shocked that your atty told you to use your private insurance if you want another opinion. You can always call your private insurance & ask if they would pay for you to get care, but I would be surprised if they agreed to it. The reason is, there is insurance that has been paying for your care on the claim. Secondly, lets say what if you saw a private dr, would worker's comp insurance agree with any of his recommendations, probably not. You are in a restrictive environment to say the least.

Is your atty not willing to help you find another dr & get the insurance to approve it? Ask him if you are bound by worker's comp to not be entitled to another opinion? Can he request a hearing to get medical care approved?

I am sorry for so many questions.
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