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Old 09-01-2011, 05:28 PM   #1
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Little scared about the fate of my feet

I recently had my one year flat foot reconstruction surgery (8/25) and at the beginning of August hurt both feet/ankles at work. When I went to the workman’s comp doctor, he said I had bilateral tendonitis and bilateral ankle sprains. Said I needed to wear ASO’s on both ankles and 4 weeks of pt. They scheduled the follow-up appt. for 9/21. If anything, my ankles have gotten worse. At work yesterday was particularly hard. I was in constant pain and was limping worse then pre-surgery. The foot I had surgery on hurts like ______. The lateral side where the osteotomy was done hurts as does the posterior tibial tendon. I now have on-off again pain in both arches and the medial & lateral sides of my ankle. If this isn’t bad enough I have an aching pain up my leg. The physical therapist sent a letter to the doctor last week stating they need to run more diagnostic tests. I called the doctors office this morning hoping to get in earlier then 9/21 and they said they couldn’t fit me in. My manager got involved and now I have an appointment on 9/8. At this point I am extremely nervous about what is going on with my feet – especially the one I had surgery on. What if this has caused damage? Unfortunately, I really do not trust this doctor but have no other choice. Just really scared that something is really wrong with my foot. Could I really have done something major to my feet?

 
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Old 09-01-2011, 06:07 PM   #2
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Re: Little scared about the fate of my feet

I am so sorry to hear about the latest developments. Did they do an MRI to see if the Ptt was reinjured? If this is workman's comp, can't you do a modified work schedule? It certainly seems that working makes things worse? Isn't there a different doctor within the workman's comp program that you can see? A friend of mine did not agree with the treatment plan outlined by the workman's comp doctor and there was a way for her to get a second opinion. It is awful the way the workman's comp system treats people. There seems to be a two tiered health system with workman comp insurance being second rate at best. I hope that you get some answers and things improve quickly!!!!!

 
Old 09-01-2011, 06:25 PM   #3
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Re: Little scared about the fate of my feet

My manager is working with me and trying to help. It is because of her involvement that I am getting in next week. They will not allow me to see another doctor at this point even I do not trust this doctor. So far, they do not see the need for an MRI. I think I really need an MRI to check the tendon. Today I have not done anything but rest but when I get up my foot hurts. When I sleep, I am woken up with one or the other foot aching in the arch. The therapist wrote in his letter that an MRI is warrented. When I spoke with the PA today she was kindof nasty and implied that either I have not been wearing the braces, taking the anti-inflammatory or not doing pt. It's truly frustrating. After going through everything I have with having the surgery, I would hate to think that I may be right where I started. At times it feels like something is pulling in two directions in my foot. Not sure what to think or what to do at this point. I really want to see my surgeon but I can't because of workman's comp.

 
Old 09-01-2011, 07:04 PM   #4
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Re: Little scared about the fate of my feet

Could you see your surgeon even if you have to pay for the office visit just to get his opinion?

 
Old 09-02-2011, 03:54 AM   #5
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Re: Little scared about the fate of my feet

I checked into that and if I do that, my insurance will not pay anything because of it being w.c. I have to wait until the w.c. doctor signs off then I can see my surgeon.

 
Old 09-02-2011, 06:19 AM   #6
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Re: Little scared about the fate of my feet

Missyluke,

Was sorry to read your post. Surely an MRI is necessary for the doctor to see exactly what is going on. Am sending prayers & hugs your way.
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Old 09-26-2011, 11:47 PM   #7
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Re: Little scared about the fate of my feet

[QUOTE=Missyluke;4834822]I checked into that and if I do that, my insurance will not pay anything because of it being w.c. I have to wait until the w.c. doctor signs off then I can see my surgeon.[/QUOTE]

I'm truly sorry to hear about your new foot pain and the painful red tape! My personal experience with workers comp (in California) is that they have to allow the doctor of your choice. So long as That medical provider accepts workers comp. That said, there may be some consideration of the question of whether the injury is due to a preexisting condition. your situation may not be like mine was, or maybe your state law differs. But like you were told, i do know that regular insurance doesnt cover any treatment thats eligible to be paid by wcc. If there's a self help or pro bono legal help available, you may be able to get help to get answers. since there appear to be issues about whether you are compliant with that PA' s instruction, you may want to keep a journal of your compliance. Or maybe a photo record, everybody seems to have a cell phone camera, have them take pics at work. Also I know from my experience that wcc lawyers accept retention on a contingency basis so you aren't out of pocket and my experience was that I got more and better benefits than if I had not been represented by a lawyer. Medical care often requires aggressive looking out for oneself and now there's another layer of vigilance needed for handling the wcc system. It's a good sign that your manager is helping you, however the wcc system has dual goals-- to treat covered workers but also to do it with the least cost.
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Old 09-27-2011, 01:23 AM   #8
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Re: Little scared about the fate of my feet

My manager got involved and there has been a complete turn-around on how the doctor has been treating my problems with both feet. I had the MRI several weeks ago. On my foot that I had the prior surgery on, it showed some problems with my achielles tendon. I continue to have swelling and pain by the peroneal tendons. The MRI did not show any problem here and the doctor gave me a lidocaine shot in the tendon sheath to see if it would help. He will decide in Oct. whether to scope my ankle because he thinks there is a problem with the tendon due to the excessive swellng. He also thinks I will need flat foot reconstruction surgery on my good foot sooner then later due to the fall exacerbated the problem here. The MRI also shows an OCD in the talor dome of this foot. Fortunately, he is now being supportive and not dismissing my foot issues. I tried to talk to WC to see my surgeon (who does many wc cases) but they will only allow me to see an orthopedic surgeon.

 
Old 09-27-2011, 03:35 PM   #9
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Re: Little scared about the fate of my feet

You said that wc would only let you see an orthopedist. Was the surgeon a podiatrist?

 
Old 09-27-2011, 07:28 PM   #10
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Re: Little scared about the fate of my feet

I also have experience with doctors not paying you or your feet enough attention! Really, sometimes you have to take care of your own body even if the doctor dismisses your worries. Actually realizing this was shocking, and I guess it's common sense, but: doctors can be wrong. And sometimes they can show disdain for your opinions, specially if they go against their line of medical thought.

So yeah, if your doctor says A and you listen to your body and your body says B, it might not always mean that YOU are the one who's wrong. I know the frustration of trying to get a stubborn doctor to listen to you, but don't give up! Glad to know yours could change his attitude =)
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Old 09-28-2011, 01:22 AM   #11
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Re: Little scared about the fate of my feet

The surgeon who did my original surgery was a podiatrist but he is a certified foot and ankle specialist who does many of these surgeries. He is also published. I really trust him but I have come to respect the wc surgeon and he has done an about face and is working with me on fixing my feet issues. He feels that even though the MRI does not show an issue with my peroneal tendon there is a problem there.

 
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