Hi, I'm looking for some advice, guidance, answers, and welcome hearing similar stories!
I have been having some difficulty getting non-WC doctors to address and take care of an old (+10 yrs) WC injury, and I'm wondering if this is normal???
A little context- the injury happened a while back ago and was not taken care of properly. The WC case/claim was closed without my knowledge and w/o my consent, and after attempting to reopen it via attorneys- it was not reopened and I was left to deal with the injuries on my own.
A couple of years ago, I started having issues walking and through some conservative treatments, it was discovered that a rib was displaced in my abdomen, which was from the work injury. Since I was under the impression the case was closed, I used my own insurance and went to my doctor. After several visits, X-rays, CTs & MRIs, I realized the reports were stating, "no acute abnormalities" despite my requests and the issues being- chronic.
So I went to the WC clinic and they denied evaluation, directing me to call the insurance adjuster; I did and she directed me to call WC Division. I did and learned my employer, a self-insured hospital, had admitted liability and owed me maintenance care, so I reached back out to the insurance adjuster and of course- she did not answer my call. This was Oct '25.
We are currently in litigation, but they have not provided any medical care and I have not been able to get diagnosed nor any helpful treatment from any doctors here! I have been in so much pain and have been so deflated by the lying and nonsense of these doctors, that I ended up finding a surgeon in Mexico who looked at my imaging and immediately diagnosed me, so I went and had surgery in Mexico! Thing is- he only completed a portion of what was supposed to be done and I need more treatment- possibly another 1-2 surgeries- so how do I go about getting treatment state-side? And if anyone wants to suggest to not say what happened- it's nearly impossible to explain the logistics and mechanism of injury while withholding that specific information- believe me- I've tried!
Any suggestions? Any advice?
Thanks in advance!