medical

Published on: February 17, 2020

Workers Comp: Court Addresses Panel Of Four Misuse

What is a panel of four? How can it impact your Alabama work comp case? Why am I discussing the issue now? Medical treatment is an important issue to injured Alabama workers. We answer questions for callers on this issue almost every day at our office. Since the Alabama Court of Civil Appeals recently discussed the issue, I thought it was a good time for me to do so as well.

When you suffer a serious work-related accident, a lot of worries come to mind. Will I receive good medical care? Will I heal and recover? Will I be able to continue working? Our work comp system was created to provide medical and disability benefits. If you suffer a work-related accident, you are entitled to medical treatment. Your employer (through its insurer) is obligated to provide treatment. It should be simple. But, too often it’s not. Too often, employers and their insurance companies delay, deny, or just ignore medical care. When they do, you suffer.

WHO PICKS THE FIRST DOCTOR?

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Published on: September 9, 2019

Work Comp Wants An “Independent Medical Examination.” What Should I Expect?

By Jeff Blackwell

The weeks and months following a serious work-related accident can be some of the most stressful in your life. One day you are fine. The next, you are hurt and unable to work. Medical treatment, long-term recovery, household bills, and job security, are the most important things in your mind.

Work comp should provide needed medical care without delay. That was the original intent. Yet, the system often fails. Insurance companies and their adjusters ignore doctor requests, fail to return your calls, and work to delay care. You suffer. I hear these complaints about adjusters on a daily basis. You are not alone in your frustration.

Many times, an adjuster or case nurse will suddenly call you out of the blue with an appointment for an “independent medical examination” by some new doctor. They may even tell you the visit is needed to understand treatment options. Don’t forget, the real goal of the insurance company is ALWAYS to save its money.

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Published on: July 1, 2019

How Work Comp Ignores Chronic Pain

By Jeff Blackwell

I read an interesting article last week in a work comp blog where the author asks the question: What’s Next for Pain — Pharma? The author then discusses available medications he believes could serve as alternatives to prescription opioids. Opioid abuse is a major issue nationwide.

The article’s author is an executive at a pharmacy benefit manager (PBM) in the work comp industry. I started the article with a little bias and hesitation. If you work for a PBM, your main concern centers on prescriptions — reimbursement and cost. After suing a different PBM several years ago, I developed a healthy degree of skepticism as to whether drug payers are really interested in patients. I don’t say that to judge the author or his company.

I will say this author begins with the right issue. He points out that as opioid prescriptions decline, providers and payers have not embraced other treatment modalities. That is an important issue for injured people suffering chronic pain. We must address and treat hurting people. The author then discusses several alternative medication therapies. I represent many injured workers facing chronic pain. So, the discussion of alternative treatments peaked my interest.

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Published on: May 13, 2019

Will Legal Marijuana Impact Workplace Injuries In Alabama?

By Jeff Blackwell

I’m not writing to debate the pros or cons of medical marijuana. I’ll leave that to others. It’s a debate playing out in many states. Last week, two Alabama Senators (both of whom are doctors) debated the topic in the Senate chamber. One Senator, an anesthesiologist, debated in support of medical marijuana. The other, an obstetrician, debated against it. The Alabama Legislature has been debating bills that would allow medical uses.

Again, I’m not writing to debate the proposed legislation. My blog deals with Alabama personal injury issues. How would legal marijuana impact Alabama workers’ compensation claims? I believe the issue intersects personal injury law in a number of ways. From car wrecks to work comp, it’s an issue that will impact claims. For today, let’s talk about possible impacts on work comp.

Impairment or intoxication from drugs and alcohol can be a defense to work-related injury claims in Alabama. While substances like alcohol may be legal (for adults), a delivery driver who injures himself in an accident caused by his own drunk driving is not going to receive full work comp benefits.

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Published on: March 4, 2019

When Injured Workers Choose Health Insurance Over Workers Compensation

By Jeff Blackwell

A new study by the Workers Compensation Research Institute (WCRI) asks whether employees injured at work are more likely to file under workers’ compensation instead of group health insurance when their group health plan has a higher deductible. That’s interesting but it misses the real issue. The real question is why an injured worker would ever consider seeking medical care outside the workers’ compensation system at all. Really? Workers’ compensation systems were enacted in Alabama (and other states) to provide basic benefits like medical treatment. If those systems worked as intended, this would be a non-issue. Yet, workers consider using private health insurance because the work comp system has largely failed its primary purpose.

I speak with injured workers on a daily basis. Almost all of them have one goal. They want to get better and resume their normal life with work and family.

The WCRI research article wrongly frames the issue as a decision based simply upon medical deductibles. Let’s really examine why an injured worker would consider private health insurance (instead of work comp) in the first place. Injured workers should face NO barriers obtaining necessary medical care under workers compensation. But, they do. Those barriers are substantial and unjust. Here are three big ones:

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Published on: February 25, 2019

Government Investigating Fraudulent Commercial Driving Medical Examiners

By Jeff Blackwell

Commercial truck driver health is a safety issue on our highways. In past articles, I’ve discussed the serious health problems truck drivers suffer. Truckers suffer much higher rates of problems like diabetes, sleep apnea and morbid obesity. These health conditions can slow driver reactions and concentration — putting everyone at risk for needless injury or death. The long hours of sedentary work away from home in many truck driving jobs contributes to these health issues and makes medical care difficult.

Medical certification requirements for commercial truckers are an important part of highway safety. But, the system only works if medical certifications are legitimate, honest and fair. Unfortunately, they are not. Too many unsafe commercial drivers are allowed on our highways.

The Federal regulations have allowed truly unqualified medical examiners to issue certifications. A chiropractor may be qualified to perform therapeutic treatments for a pulled lower back muscle but is he or she really qualified to certify a trucker with dangerous sleep apnea? The Federal regulations have also allowed unhealthy truckers on our roads. Let’s look again at sleep apnea. It can be a big safety issue. Yet, unsafe drivers are routinely certified without requiring medical treatment or monitoring for the condition. The rules fail to adequately address specific health issues like sleep apnea, diabetes, morbid obesity or drug dependence. I’ve written several articles about these issues in the past. For more information on sleep apnea and truck safety, you can read my article titled Sleep Apnea: Government Chooses Trucking Industry Over Safety.

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Published on: January 14, 2019

Hurt In A Car Accident? Be Careful What You Sign!

By Jeff Blackwell

It’s not an Alabama car accident case. Rather, it’s a recent New Jersey case. Yet, it provides a valuable lesson for car accident victims in Alabama and elsewhere. Be careful what you sign! The case started as a car accident that left an innocent driver with personal injuries and car damage. Fortunately, the negligent driver who caused the crash had liability coverage.

The morning after the accident, an insurance claims adjuster called the injured driver and asked to “inspect” her damaged car. That’s OK. After getting permission, the claims adjuster arrived with “paperwork” to “expedite the property damage claim.” The injured driver signed the paperwork. Rather than property damage paperwork, the document was a general release of all claims. By signing, the injured driver released all her claims for both personal injury and property damage.

If you read some of our past articles, you know we believe accident victims can often resolve property damage claims without the need for a lawyer. The same is true for minor injury claims. Unfortunately, we have an entire industry of settlement mill lawyers smiling from billboards and skimming attorney fees from minor cases that could have been resolved without them.

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Published on: December 3, 2018

Chronic Regional Pain Syndrome Is A Devastating Injury

By Jeff Blackwell

Through the years, I’ve represented a number of personal injury victims who suffered Chronic Regional Pain Syndrome (CRPS). This condition is also known as reflex sympathy dystrophy (RSD). You may have never even heard of it. Yet, CRPS is a devastating condition for patients. So, when I recently read the account of a person suffering from CRPS it sounded familiar. It sounded like the stories of pain my past clients have tearfully related. How does the patient’s story begin? How does the patient describe her pain?

It’s 4 a.m., and once again I’m unable to sleep.

. . .

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Published on: September 23, 2018

Workers Compensation Claims Managers: Profiting Through Denials And Delays

By Jeff Blackwell

The journal ProPublica previously published an investigative article on the companies who profit by handling workers’ compensation claims. These companies, the middlemen in claims, are largely unknown by the public. After all, they manufacture nothing. They produce nothing. They sell nothing of value to consumers.

The ProPublica article starts with a bizarre scene. Somehow the reporter gained entry into the private Las Vegas conference for these claims managers. This is what he saw:

A scantily clad acrobat dangles from the ceiling, performing flips and splits as machines puff smoke and neon lights bathe the dance floor in turquoise and magenta. Dancers in lingerie gyrate on poles to the booming techno. Actors dressed as aliens pose for selfies with partygoers. There’s an open bar and waiters weave through the crowd passing out chocolate truffles.

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Published on: September 17, 2018

Patient-Centered Medical Care Is Important For Injury Victims

By Jeff Blackwell

A large part of my work involves simply interviewing, and talking with, personal injury victims. One theme is clear in my interviews — People suffering a personal injury want to heal and return to their normal life. They want to recover. They are often worried they will not recover. Proper medical care is essential to recovery from serious injuries.

At our office, we spend a lot of time talking with hurting people. And, we spend a lot of time reading medical records. In many cases, communication issues between the doctor and patient delay or hinder medical treatment. In some cases, miscommunication issues get documented and become serious hurdles to medical treatment as well as any injury claims. We try to advise our clients throughout the process to help their treatment and recovery progress.

A recent research article in the Journal of General Internal Medicine deals with the issue of patient-physician communications. The article uses the phrase “patient-centered” medical care. That’s a good phrase. Medical care should be patient-centered. Yet, it is instead too often centered around the insurance company or the flow of the medical facility. According to the research in this article, physicians only elicit the patient’s problems and agenda in 36% of visits. The researchers actually concluded:

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