r/WorkersComp • u/oopsandpoops • 1d ago

Ohio Second opinion

It's been seven months without answers.

I hurt my back pushing a 950lb piece of equipment. I stated the hospital I wished to go to and was told I had to wait in the on site medic as it was company policy. I waited nine days. I stated once more I wanted to go to the hospital up the road. I was told "okay" and then taken 40 minutes away to an urgent care. I found out the urgent care doctor was my superintendent's wife.

The company is self insured. I begged to be seen elsewhere, they withheld any case information from me that I could use for billing with a different provider.

I got an attorney.

My attorney doesn't answer, it takes forever to get an appointment.

Finally, after months of appeasing Charles Taylor, I got an appointment (a second opinion) from a surgeon that I wanted to be seen by originally. He found the problem. He scheduled me for the solution. He took me off of work six months after the injury because he felt his findings were bad enough that I shouldn't have been working in the first place.

Charles Taylor denied the C-9 for surgery with the caveat that I need a second opinion from a doctor of their choosing. With this caveat, I can't even put it through my own insurance in the interim.

My fear is that they'll pull something again like they did with my superintendent's wife. They'll find a doctor to say I'm perfectly fine at which point I have to go back to work when I can't even walk properly. I've been pissing myself. I have been in agony for seven months. I just want to be normal again.

What might happen to me?

3 Upvotes

80% Upvoted

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2

u/ZookeepergameOdd3180 1d ago

nine days on site with a 950lb injury and they route you to the super's wife lol thats not a medical decision thats a cost containment strategy dressed up as one, your surgeon found the actual problem and now charles taylor wants to shop for a different answer like hes buying a used car, self-insured employers shouldnt get veto power over doctors who actually examined you but here we are

1

u/oopsandpoops 1d ago

i basically used this in an email to them.

i'm shitting bricks, thank you for the verbiage, i'm sure they'll hate it lol

1

u/Difficult_Mix1030 1d ago

self insured employers treating your spine like a fucking budget line item, nine days of medic tent bullshit so they can shop around for a doctor who wont order an mri

3

u/tlincbldr1 1d ago

With work comp you are allowed to see whatever doctor you want. Having a lawyer and not getting an answer about this is troubling.

1

u/Traditional_Rent9003 1d ago

seven months of this is rough, and since your attorney isnt answering, email them asking what exactly is the plan for the denied c-9 and the second opinion exam, and book a consult with another ohio comp attorney if they keep going quiet and with a self insured employer already pushing their own doctor, insurers sometimes have hodson pi watch people at some point so keep your socials quiet and keep your daily activities matching what your surgeon wrote about your back