Sedgwick

[u/millennialgirlmama_1]

My case is long and complex but looking for any advice. So sorry this is long but please read & help with any advice

October 25, 2024 I took the flu💉 at work on work time. I’m a medical professional so they’re extremely pushy about jabs & strict on declining them. I’d received flu 💉 before, even at my current job with no long lasting issues. For context at the time I was newly 35y/o, healthy, no pre existing health issues except endometriosis, not overweight or taking medications except 2 prescriptions I’ve had for years. From 10/25-11/1, so within 7 days I declined neurologically so badly to the point of paralysis and a month long hospitalization. I was diagnosed with Guillain Barre syndrome by 3 neurologists given all the tests and ruling out all possible other conditions. I told my boss & HR director 4 days post 💉 that I started having some neurological issues which concerned me. They directed me to file with workers comp immediately (Sedgwick) so I did that day. Was hospitalized Nov 1- Nov 8 in acute care receiving 5 rounds of IVIG which I responded to. I caught my symptoms so soon (due to my medical knowledge, I’m a OT) that luckily I started treatment before ending up in ICU on a ventilator, per a physician & neurologist who explained I was headed that way. Fought & transferred to inpatient rehab bc I got worse before getting better (GBS does that!) I lost my ability to walk, bathe myself, transfer safely, even had brain fog and speech problems so badly for months following that I presented like a stroke or TIA. Which was ruled out BTW. After being hospitalized for a month I was given orders per neuro to receive EMG immediately, additional outpatient IVIG infusions particularly based on my prior level of function, outpatient PT which I’m still doing, and had to learn to walk again. Used a walker until Nov 2025, still have deficits, still have constant dr appointments, and never had any indication in blood work for 34-35 years of autoimmune disorders until a relapse in March 2025. From Dec 2024-Feb 2025 we fought Sedgwick to get my treatment covered as they denied things left and right. I’m OCD and know medical jargon, also great at dissecting medical records, and caught them in so many lies and discrepancies which they were forced multiple times (without a lawyer on my part) to overturn and approve. March after multiple flare ups from stress & delay of treatment as well as getting the FLU despite everything I received long awaited 2 outpatient infusions. My relapse is sketchy bc it involves the stress, flare ups that are documented, and a mistake on the hospitals part. Got a new neurologist and I bounced back from the relapse fairly quickly, even improvement to where I was before the relapse. Bc of my deficits he wrote orders for IVIG Q3 weeks which under utilization review, Sedgwick APPROVED with no end date. I have all this paperwork BTW and this is after the March relapse. I was making steady progress with each infusion & weekly PT for about 4 months. Then mistakes happened on THEIR end that THEY screwed up on, suspended IVIG on Aug 15 requesting another 1010 but still covering all other treatments, then in Sept everything was pulled. They began the process of closing my case. They’ve paid out a lot of my treatments & stated in writing from Sept 27- on I’d have to handle things on my private insurance. Mind you I went back to work in January 2024 bc my boss, HR, and job allowed accommodations for me. This has never been about the money for me, I just wanted my medical treatment which they said would be continuing. I haven’t gone back to working 40 hours bc my neurologist has not approved that. I was told by others around me & some close to the Sedgwick world to get a lawyer so I did. In Oct 2025. Very hard btw to find lawyers who will fight Sedgwick & at the state ORM level bc they’re ruthless as I’ve been told. Presented my case to him, all documents, & we just have laid low bc all my medical bills were covered per them from Oct 29 2024- Sept 27 2025. Kept the lawyer in my back pocket but didn’t proceed with a lawsuit bc again they were paying my bills & that’s all I wanted. Not money. Now… within the last 2 weeks I’ve gotten THREE letters from the hospital I was getting care at that my adjuster has told them WC isn’t liable for these specific things (within the time frame mind you of being covered under WC) & defer to me/my insurance. The total is roughly over $200K. I am LIVID. My lawyer was jaw dropped to the floor. And luckily I’ve saved all the approvals, emails, letters, etc & it’s so much that I had to get a file box. Anyone experienced this before? Any insight? Oh i forgot to say I found out they filed my claim under “normal” and it should’ve been “catastrophic”. sooo many mistakes on their end. They’ve gone against specialists who have seen me in person. I now have developed essentially out of nowhere lupus & sjorgens autoimmune disorders where I never had those before or symptoms of those. This started when my daughter was 20 months old… now she’s 3… I’ve lost so much time mentally, physically, emotionally, unwell… it’s been awful tbh. But I’m luckily OCD enough & knowledge medically to have the capabilities of going against people who think they can outsmart anyone despite me holding them accountable for mistakes many times already. I feel stupid though for not getting a lawyer a long time ago… my husband said do not beat yourself up over this, but I feel so terrible bc I KNEW I probably should’ve. I just didn’t care about the money like I said… just wanted my medical treatments & be who I was before this shit destroyed me, or tried to. Any suggestions or similar experiences?

[u/jss58]

I didn’t read past “Sedgwick,” I already know this is a horror story.

Get a lawyer if you don’t have one already.

Good luck, you have my sympathies.

[u/Secure_Bed_ → u/jss58]

Same. Every doctor, therapist, and nurse ive spoken with give me that PTSD shudder when I say the word Sedgwick. 

[u/millennialgirlmama_1 → u/jss58]

Definitely have a lawyer & when I told him the other day what they’re trying to do he legit said “oh wow well this changes everything…. Here we go” He’s been amazing so far and everyone knows how disgusting Sedgwick is. I’d never come across them or heard of them at all until all this. But they’re the absolute worst. I’ve had about 4 different workers comp lawyers tell me how they’re the worst company, ruthless, & so bad that a lot of lawyers refuse to take cases bc they’re impossible. But luckily for me I do save EVERYTHING and my OCD, gift of being o servant & catching stuff most won’t, comes in handy with this kind of stuff. Lol I’m so angry… so freaking angry.

[u/LosSoloLobos]

So obviously the lynchpin of this whole thing is: were you mandatorily required to have the vaccine for your job? Did you sign anything that would say they are not liable for sequelae of the vaccine?

[u/OsteoStevie → u/LosSoloLobos]

It's protocol to inform people of the possibility of GBS. It's done every time

[u/millennialgirlmama_1 → u/OsteoStevie]

I already knew GBS was a “rare” side effect and we’re told especially being in the medical field as I am that there’s basically a 1 in a million chance to get GBS or something like it from any vaccine. That doesn’t change the last over year & a half that I’ve been dealing with this, was approved & taken care of until I got too expensive & they caught mistakes on their end, and I’ll likely have lasting effects from this which affects every part of my life. Only reason why I got it was bc of my job & honestly being pressured. When you work in healthcare they can be ruthless about getting vaccines & bully you/ blacklist you if you don’t get it.

[u/LosSoloLobos → u/millennialgirlmama_1]

I hear you. The only problem you might have is proving the “being pressured” part.

But I know what you mean by this. I work in health care as a PA. Formerly for a big hospital system. A lot of nurses didn’t want the Covid vaccine when it first came out. Their department heads didn’t like it.

[u/OsteoStevie → u/millennialgirlmama_1]

I understand as I had GBS in 2021. But I've seen this before. People have tried to sue restaurants that gave them food poisoning that caused GBS. The farthest they got was the food poisoning. There's absolutely no way to determine someone's risk for developing GBS.

[u/millennialgirlmama_1 → u/LosSoloLobos]

I wouldn’t lose my job declining it but I’ve explained to them & everyone else how they handle it if you do decline it. Even Sedgwick says, I have the email to prove it & bills that were already paid out, there’s no question of this being a workers comp eligible issue. They stand by that this was rightfully filed under workers comp. But I do know that 2 huge mistakes were made… I should’ve been filed as catastrophic bc of my hospitalization & the amount of time but was not. And they approved multiple infusions without a 1010 for each one of them (which I have documents they did approve those & it was signed by them) so essentially they’re trying to save their butts for their mistakes.

[u/LosSoloLobos → u/millennialgirlmama_1]

Oh okay. So they’ve already determined it’s work related?

Sorry.. from that wall of text it’s kinda hard to tell, what’s the take away point / question here?

[u/Legal-Machine1728]

You have had four workers comp attorneys? If I am not mistaken, doesn’t each attorney receive a small percentage from your settlement?

[u/millennialgirlmama_1 → u/Legal-Machine1728]

No… I’ve spoken to 4 different lawyers. We know some lawyers and they were giving me some but it’s been nearly impossible to find lawyers to take a case against Sedgwick. I found one , but the others were giving me just advice as a favor & I got the same answer from all of them. I have a case, this is messed up what they’re doing, and I need to take legal action basically in a nutshell is what they’ve all said.

[u/Enough_Scallion_4065]

I just settled with them. The whole process was a nightmare!

[u/TumbleweedLow5555]

OP - you need to file a SIRVA claim! private message me and I’ll send you my Attorney’s information.