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View Full Version : The Nightmare of Alice in Workman's Compland


EasterBunny
08-10-2007, 10:17 PM
Hello,
My monicker is EaterBunny. My writing this to folks with similar experiences and perhaps sympathetic ears is a rather cathartic experience. I've had a rough four months; four months I'm sure many of you can relate to.
I am a Special Education teacher at a high school in the Lone Star State of Texas. I have discovered just what a 'lonely little star" the WC system can make you feel to be.
Feb. 28th, one of my student's (a deaf, blind, MR teenager, who is approximately 5'11' and approximately 180 lbs.) accidentally fell on top of me. I was in the process of helping him up off of the gym floor, so that he could continue our six walking laps within the gym (on a drizzly, cold day). I had him almost completely up, when I was distracted by the overtly aggressive misbehaviors of one of my other students with one of my adult assistants. While offering advice to my assistant on how to appropriately deal with and redirect the young man's aggressive behaviors at that moment, the student I was helping up (who had begun a rocking motion to and fro from one foot to the other) decided to drop back down to the floor. I was not expecting it and because of the precarious rocking motion he was in, both of us lost our balance and fell awkwardly and hard onto the gymnasium floor together. He landed on top of me and my body was twisted at an odd angle. It did not make for a good combination. As a result, I wound up with a painful lower back injury.
The doctor's charts describe it as a separation of the lumbar vertebrae, causing a bulging of the disc, which has also added compression to my sciatic nerve. I am in persistent low to high grade pain (depending upon what I am attempting to do) which radiates from my lower back and into the entirity of my left hip, thigh and leg. I have a noticeable limp. In fact, my family members have taken to calling me Hop-a-Long-Cassidy. In my right leg, I have constant tingling and numbness running down the outside of my leg and overlaps the top part of my foot. I have four numb toes and the inside of my right tow, and a small protion of the upper pad of my right foot is now also numb. The numbness has steadily increased with the passage of time and my sleeping habits have been adversely effected.
Despite a few early glitches with the WC folks, I have been diligently working with everything prescribed to me by the doctors and PT specialists since I had to leave my position at the high school March 27th. The Accident occurred Feb. 28th, but after reporting to the school nurse and my principal regarding what had happened, I thought that I had not done anything more serious than strain my back, skin my knees and elbows, and given time I would be fine. So, I continued to work with the children. I was in constant pain and moved around with a significant limp from that day forward, but I swallowed a few ibuprphen and went about the business at hand. I was raised in the country, and as a result I have a high pain threshold, and strong work ethic.
During Music Time, March 27th, one of my female student's ran up behind me and playfully grabbed me by the neck. Due to my poor physical condition and the pain her playful action caused me, I lost my balance and we both landed on the floor together. I realized immediately afterwards, that the room was not a safe place for me to be in order to recover. I had developed close and loving relationships with all of my students (they are three to five year old children menatally and emotionally, running around in teenage bodies) and as a result would always be in jeopardy and could not give them and my assistants my best work and diligence while in constant pain. Due to those problematic realities, I have been off of work since March 27th.
Even though my sister kept telling me to get a lawyer, I didn't. I really have grown to have little regard for the legal system because in being around friends and acquaintances who are members of the legal field, I came to feel that the majority of them are vultures who prey on and grow wealthy from the problems of the weak while making themselves and the rich more powerful and wealthier to boot. They weren't the high minded idealists I had expected them to be. Most of them were cynical birds of prey.
So, I didn't consider getting one until the end of May, when without warning, I did not receive my benefits cheque. I instead, received a Notice of Diputed Issues Issues and Refusal to Pay Benefits form letter. Needless to say I was quite dismayed. Little did I know that my education regarding the Workman's Comp. system was just beginning.
After calling my Adjuster to find out why I had not received a cheque and what the meaning of the form really was, I discovered some unbelievable information. It appears that the fine legislators of the state of Texas passed a new law last year which states that any and all employees of school districts are not to be paid income benefits during the three summer months. Anyone who knows school teacher knows that more than half of their summers are given to Continued Education workshops to maintain their accreditation standards. Teacher also have their pay cheques spread throughout the twelve months of the year in order to avoid any financial difficulties during the summer months.
It does not seem to matter to them that I am now a single woman, living from pay cheque to pay cheque. That their arbitrary decision means that I, and anyone else in my predicument, cannot pay their bills for three months with no income.
I found myself in a catch twenty-two situation. I cannot seek another job, because my physical health will not allow it, and because if I did, I would lose all of my WC benefits. I injured my health and wellbeing while giving my students the best academic, occupationally and physically therapuetic, creative and loving environment possible. I am offended by the outrageous unjustness of a decision like this. Everyone, but school employees are paid WC benefits throughout the year for as long as they are allowed. Only school employees have been discriminated against.
As a result, I found an attorney on the internet who claimed to have a good record with WC cases. So, June rolled by and I paid my rent, car note and all of my bills off with my savings, while the lawyers were supposed to be working on finding a way for me to receive my benefits. I continued my treatments and therapies, but my physical health was not improving, and I still clomped around like Hop-a-Long Cassidy.
July came, and I knew that my savings would not stretch out over all of my bills, so I took out a high interest loan and took the bull by the horns with the lawyer I had been given by the firm I had contracted with. It appears that if you can come up with the employment information from a place you have worked at the previous summer, that you can use that record of employment pay, and receive it for the same months during the summer that you need it. The summer before the school term that I was injured, I had worked during the day as a tutor, and arts and crafts teacher at a western horsemanship camp, and a little mom and pop store/cafe in the evenings right across campus. I was paid in cash for the small amount of tutoring that I did and gave the money I had made teaching arts and crafts to the young people at the three week camp to a friend of mine who was having financial difficulties. As a result, the monies I made at the mom and pop store/cafe were the only employment record I could count on.
So, I made all of the necessary calls and got the owner's accountants to fax my lawyer the necessary documents, only to be told later that month that they would have to write another letter saying that they were planning on hiring me back for the next summer. The problem with that was that the owner of the store had liquidated and rented out his building to a store-chain. Since they no longer existed and the owner instead had decided to open up an insurance business, there was no one who could write that letter.
End of July is when the lawyers gave me that delightful news. I made partial payments on all of my bills and was forced to take out a high interest loan to make it through August, until my benefits are to be renewed August 21st. I was not evicted due to a compassionate landlord who is willing to work with me just this once. My vehicle is under threat of repossession, and I have bill collectors calling me daily. All of this stress and anxiety inducement entered my life over these past three months, and has not done much to aid my recovery.
Then, when I received another bill from the WC folks informing me of further charges from my lawyer, who was not supposed to be receiving any of my benefit monies if they did not help me get my income benefits over the summer; I balked. How dare they think its ethical to take money from me for a failed job. Money I desparately need to get out of the financial abyss the WC system had cast me into. So, I withdrew, this week, from their services, and went about finding out about the processes of a Benefit Review in order to dispute their right to take the 25% out of each of my weekly pay cheques. After finding out that, after meeting approval of all of the paperwork that I would have to fill out, that an Omsbudsman (who works for the WC system and insurance companies whose lobbyists and lawyers helped to pass the unjust law against the workers rights of school employees) would be assigned to help me, but that the hearing wouldn't take place for another twenty-one days. And that I could only dispute the last bill given to me because the fifteen day deadline dates for the previous bills had already passed. I sat down in dispair and cried. Then I called my sisters and they emailed me over twenty sites to contact about all of these injustices against working class individuals by uncaring and inhumane systems.
I have already been crippled by one of my students by shere accident. Then the WC and legal systems over the past three months have managed to damage me financially, mentally and emotionally as well. And we say that the US is a great, technological mecca of healing. A mecca where money is the god that runs the machinery, leaving some folks to be ground up like hamburger meat (since I'm from Texas, perhaps I should make that barbeque brisket). Where is the justice - the benefit - the compensation - in systems such as these ?

Sincerely,

EasterBunny

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Emmettk
08-10-2007, 11:26 PM
Easter Bunny, I don't know what you are going through with WC. My injury came over a period of years, I used to Rodeo all through High School, was a Paratrooper in the Army. My back has been a wreck for years, but it colmanated one day when I was working on my patio. I wound up with a spinal fusion in early 2003, and it just went down hill from there. I have several more discs that are hurnated in the lower back as well as in my neck, I have deginerative disc disease. I have been in constant pain since 2003, and I mean extreme pain. I have been through PT several times have had sevral injectins in my back, have had nerves in the facet joints burned through high frequency neadles in the facet joints. I Have been seeing a pain management dr. for several years now. I am on Deragesic (Fentenal) 75 mcg/h pain patch, morphine pills 6 times a day, muscle relaxers, ibuprophin, high blood pressure medicine, anti depressents etc. etc.
I have been unable to work since early 2004 and going round and round with the Social Security Disability people. I have been without an income since 2003, my wife is the sole money maker in the family. That is a major income drop. There are alot of people in the system that have been without income at all for years. The system needs to change very badly. After a couple denials from the SS people, I had a hearing in front of the ALJ (Adminastative Law Judge) last month, and am waiting for a decision. MY lowyer was pretty positive after the hearing. I just take for ever to go through the system.
I would suggest for one thing you get a good lawyer that deals with only SS disability and begin the process, you will be denied at least two times before you get approved. And you need all the medicle records from all your doctors. It takes in most cases 1 to 2 years to get approved.
I would suggest getting on of those lawers that you described, that wants to become rich and maybe he will fight reall hard for you.
I wish you all the luck with the WC system as well as the SS system.
By the way, I am just down the road from you. I am in Round Rock, TX.
Good Luck,
Emmett

td9997
08-10-2007, 11:31 PM
Hi EB,

Sorry about your plight sounds horrible do you have LTD? [Long Term Disabilty]?

Dont give up!


hold fast

(((((hugs)))))

bwitht
08-11-2007, 12:54 AM
EasterBunny, :wave:

I thought I had read where a state really set the screws to their teachers. I am so sorry you are going through all this! I wish I could give you advice. I too am on WC for a back injury. I had a 3 level fusion, laminectomy with instrumentation on 4/30/07. After 9 months of jumping through the approval hoops for every non-invasive treatment and referral, I ended with bowel & bladder control problems, paresthesia of the left leg and right buttock, no reflexes in eigher ankle or my left knee and I have little control of my left knee. I may never be able to return to my pre-injury law enforcement career. I cannot say that this is the fault of the WC company, as the neurologist that I went to see as my primary discounted my bowel & bladder problems (which should have been treated as a medical emergency) and didn't take my other neurologic symptoms seriously as I did not have much for pain. Boy did I once the surgery was over and the nerves were no longer impinged.

Feel free to join me in the back problems board. There are alot of very great supportive and informative people there. I will keep you in my prayers. :angel:

EasterBunny
08-11-2007, 11:52 AM
Hello bwitht,
Thanks for your kind words and thoughts.
I am very sorry to hear about your health not returning to you as you had hoped that it would. I know that you are also grieving the loss of your occupation.
Are there corrective surgeries for the bladder and bowel, and nerve damage which you have incurred ? Are you covered for any further procedures ?
I was planning on getting COBRA on my existing insurance policy with the school district, but when WC stopped my income benefits over the summer months, that ruined any chance of my doing that, because I was immediately thrown into survival mode. Presently, I'm not sinking or swimming, but doing a very fast dog paddle. I must admit that my breathing is becoming a bit labored and water slips up my nose every once in a while - ha ! I'm still looking for a life-ring - ha ! The sharks haven't got me yet, but they're circling. As long as I can see their fins, I'll be alright - ha !
Another problem keeping me from being able to climb out of the financial hole WC has placed me into, is that if I touch my Teacher's Retirement in order to save myself from the financial mess I'm in at present (brought about by my injury by my student at school and our legislators passing last year's law stating that school district employees are not to be paid over the summer months) there are very stiff penalties and fees to be paid.
Since you were in law enforcement, is there nothing more that they can do for you as an organization ? How are you managing your incontinance ? Do you have treatment, therapuetic, and emotional support ?
My prayers are with you as well.
I'm sending you a smiley face, because that's what I used to give all of children when I taught kindergarten !

EasterBunny

EasterBunny
08-11-2007, 12:10 PM
Hello td997,
Thanks for your good wishes.
The spinal epidural they gave me two weeks ago has not had much effect. My next doctor's visit is the 15th of this month, so we'll see where they go from there.
I have been very patient (I think - ha ) with this whole process. For every doctor's order there is a week's worth (sometimes less) of waiting for the WC folks to okay whatever the doctor's have prescribed. What a bureaucratic waiting game they have created. If I weren't in so much constant pain and wanting the quality of my life back so badly (before my student injured me I was an avid hiker, I walked five miles daily, kayaked, rode bikes with friends and family, did volunteer work with troubled and handicapped children and teenagers in equine and horseback riding programs, and sang and danced with the Interplay performers and Emerald Eyes in Austin, Texas) I was a very active individual. Now, all I can do is hobble around like a ninety-nine year old woman who can neither sit or stand for very long periods of time. Now, thanks to the WC system and our Texas legilators I'm so broke, I have to constantly turn down doing thins with my family and friends, because I don't have the health or the money to do it. My life, as well as my capacity ot earn a living have been radically altered. Whether it is long term (and it had better not be as far as I'm concerned) has yet to be seen.
How about you, td997 ? What has happened to your health to change your life ?
Hugs to you as well ! Everyone in my family is a hugger. Sometimes, I think that we introduced the Hugger Gene - ha !

EasterBunny

EasterBunny
08-11-2007, 12:45 PM
Hello Emmettk,
You're a brave man to have been a rodeo jockey and paratrooper.
While in high school, a friend of mine, on a drunken whim, got a group of us together to watch him ride a bull at a local rodeo in Brenham, Texas. He was a tall, lanky, good-looking guy with the fashionable, Willie Nelson, long hair cowboy persona. I'll never forget the white-faced look of shere terror on Buzz's face as that huge bull came jumping out of the starting gate - ha !
My brother-inlaw Patrick was a paratrooper as well. Although he came out of that period of life in better shape than yourself. One day out of pure mischief, he decided he wanted my sister and I to help him get his old army parachute bundled up. Then he had us drive his old pickup into the bottom field, while he went parachuting off of the back of that old Ford. I wish that you could have seen the expression on his face as he went bouncing over the cactus and rocks in that field with his shorts, white legs and cowboy boot on ! He was hilarious ! We still laugh about it to this day !
As for getting onto Social Security Disability, I have heard that is no laughing matter. I am hoping that I don't have to go that route. I want WC to do everything possible to fix my back, because I want my active lifestyle returned to me, as well as my ability to effectively work. However, I will pay attention to whatever is said regarding SS, because I think that it's important information for everyone to have.
As for lawyers, well since I withdrew from mine this week, because he failed to get my income benefits reinstated for me this summer, I discovered that I cannot get another 'lawbird' until the charges for his outrageous billing which he has placed against my future income benefits cheques (which will be renewed on their own, once again, August 21st) are paid in full. That will take 10 weeks. Now, tell me that the law makers of Texas have not created a systemic game which is set up purely and wholly for their benefit - ha ! Unfortunately, the joke is on us, the injured workers who go to them for help in the first place. I was amazed to learn that worker's rights could be so easily tossed out the window. The insurance companies are very powerful and have very powerful lobbyists and attorneys in their glutted pockets.
I expect to be healed. I expect to work once again. I expect to have my active life again. However, I must admit that struggling with this very dysfunctional system is daunting and exhausting.
I hope that you have a good week ahead, and thank you for your advice and words of encouragement.

EasterBunny

td9997
08-15-2007, 10:56 PM
Hi EB,

I have nerve dammage to my back and neck, Ankoloysing Spondolytis, Diabetes, Carpal Tunnel, Hyperthyroidism, tremor, pain, everyday.

Ive applied for SSD 3 times, was getting WC they were very pushy I worked for the school system also, I loved my job, untill my body started breaking down. I took my PERFin one sum I had to. I was in transportation I miss working this time of year ( when schools are starting up ~

Dont give up!! keep at em! You are worth it! save every scrap of paper work let them choke on it

my fams huggers too they help greatly

[[[[[[[[hugs]]]]]]]]]]]]]

:angel: :angel: :angel: :angel:

td

 
 
 




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