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Only A Knock On The Head. Listener article .

#1 User is offline   David Butler 

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Posted 25 September 2012 - 07:59 AM

Excellent Article posted by Fairgo moved to this section for reference re Head Injury's.


 fairgo, on 24 September 2012 - 10:34 AM, said:

It's only a
knock on
the head...
Margo White

Although people
with mild traumatic
brain injuries
should recover
fully, there are
some who don't.
A controversial 60 Minutes
episode that aired this
month, fronted by
journalist Melanie Reid,
presented a compelling
argument that ACC
tended to employ medical
assessors with a particular bias.
That is, those who were more likely to
deliver assessments that allowed the
corporation to quit its entitlements.
Only one of these independent consultants,
neurologist Victor du Plessis,
fronted up on the show. According to
Reid, he was known as "the hatchet
man", for his tough stance on mild
traumatic brain injuries (TBIs).
"For the person who has had mild
head injury, to get ongoing problems
10,15 or 20 years after the injury is
not medically correct," said du Plessis.

"Is that according to you?" countered
Reid. "No, I have piles of literature
you can look at," said du Plessis,
going on to report that some experts
say recovery will take a few weeks
whereas others say it might take a
few months. "And then if you don't
recover, this is related to psychological,
psychosocial or non-traumatic
brain injury factors."
In the framework of the programme,
du Plessis was put on
the spot. Yet, the only evidence
Reid presented to prove there was
anything controversial about his
understanding of mild TBIs was that
"other neurologists disagree". But do
they, and about what exactly?
Whether a brain injury is defined
as mild (as opposed to moderate or
severe) will be a matter of definition
and subjective assessment,
but it will generally come
down to the number of
symptoms. Someone suffering
a mild TBI might lose consciousness
for a few seconds or up
to minute. They might feel dazed and
confused for a few weeks or months
afterward. They might get headaches,
feel lightheaded, have a bad taste in
their mouth or even lose their sense
of smell. The most common symptoms
are fatigue and difficulty with
concentration and memory.
"Well, you can find literature to
support things either way," says
neurologist Jon Simcock, asked about
du Plessis's statement on what the
literature says. "But yes, in most
people's experiences if you get a mild
knock on the head, you get better.
The question is, is there a subgroup
of people who get a similar knock on
the head, according to the measures
of severity, who don't?" He says there
"You have to establish
that what is wrong
with you is directly
due to the accident."
are those whose symptoms will continue,
but it's unclear whether they
were caused by the injury or by the
injury aggravating other factors. "But
is there a difference?"
Says Rosamund Hill, a neurologist
who runs a concussion clinic in
Auckland: "This is a really difficult
question, one I battle with all the
time. One of my theories is what I call
the 'house of cards' scenario." When
a life is busy, stressful, somewhat precarious,
a knock to the head can result
in everything crashing down. "The
injury has been mild, but the impact
of the injury has been quite major."
Putting it down to psychological
or psychosocial factors, as
did du Plessis, might be true
yet it doesn't quite capture what
can happen when a life is turned
upside down - the loss of self-esteem,
not being able to work, becoming
depressed, angry and resentful and so
on. If the person has a tendency to get
migraines or become depressed, that
may be aggravated by the injury, but
also by the fallout from the injury.
We might prefer it otherwise, but as
far as ACC is concerned, its responsibilities
begin and end with the TBI.
"People forget that ACC is an insurance
company," says Hill. "You have
to establish that what is wrong with
you is directly due to the accident.
I see people who say, 'Well, before
the accident I didn't have these
problems.' I can acknowledge that,
but from ACC's point of view, it isn't
responsible for the flow-on effects."
But she says it's also well-known
that there are some - about 5% of
the people she sees - who confound
all expectations. That is, those whose
lives were perfectly well ordered,
who didn't have any pre-existing
conditions such as migraine or mood
disorders and yet who never fully
recover. "So I will go into bat for them
in these instances. I don't think you
can say, in every single case, 'You
should be better.' Because in some
cases, for reasons we don't understand,
there are those who just aren't."



 MG, on 24 September 2012 - 01:47 PM, said:

I've read the article, together with an excellent letter to the editor from Mary Butler, an occupational therapist who wrote a book earlier this year that, among other matters, reported on the effects of ACC's bullying and manipulation of rehabilitation providers in order to obtain reports and evidence favourable to it (ie, allowing it to shaft people with disabilities by terminating cover and entitlements, on the pretext that "our independent assessors tell us there's nothing wrong with you"). What is needed, of course, is for other health professionals, especially neurologists, to grow some balls and stand up to Du Plessis and his ilk. In my view, their failure to do so amounts to unsatisfactory conduct, in addition to moral cowardice. What have these people got to lose by taking a stand for common decency and humanity?

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#2 User is offline   Pagan 

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Posted 01 August 2013 - 07:16 AM

I have had a report done by this doctor as I have been on ACC for a MTBI for over 20 years and i think the reason they have gotten this man to write a report is so they can get me off my ACC which soes not mount to that much 20% of a wage well over 20 years ago, I have read his report and it implys that there is and has never been anything wrong with me, I shoud have recovered years ago and all my symptoms including a chronic headpain does not exist, and that I am in effect lying and have been doing so for many years, this is so very upsetting and I am not sure where to turn next, as they had the report since 5th June and only gave it to me late July with the wxpectation that if i am not happy with it i have to go through the report and all other reports he used which were not supplied and give my opinion, hell I have a head injury I do not have the knowledge or resourses they have, I really feel that I have been screwed over by ACC and this so called specilist has anyone else had dealings with this man, please.
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#3 User is offline   Bravd 

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Posted 01 August 2013 - 08:22 AM

What upsets me is, I had a brain injury where I fell 14 or so feet onto a drive way, had most of the left hand side of my skull removed, right hand side bleeding and a large blood clot removed. And ACC is still trying to treat me as someone who had a light knock on the head. I am very luck to be alive, I could have died, but because I was even more lucky and had so little brain damage, from having a intack high IQ. They think I am lieing about fatique and headaches. 8 Months I been trying to get reassessed for LOPE's they send me to neurogist, Dr Fink, who says I have headaches and fatique because of my injury and cant work full time, but they think this might be becuase I am also depressed, so they send me to a psycologist who agrees, and says depression is because of the injury and I can not work full time. Not happy with this they now sending me to a rehabilation specalist who is also a neurogosit. They are fishing for someone to say I am ok but they havent had a bite yet.
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#4 User is offline   David Butler 

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Posted 01 August 2013 - 08:28 AM

Any Neuropsychologist involvement / reports before seeing the De Plessis ?
He needs others reports of bollocks such as you describe to make his OPINION as he's not qualified to do it as a one off report of his own on claimants..
All he can do is OPINION as to the Neuro reports which should have been quite extensive testings- albeit they stack the odds against you with VERY SHONKY TESTING PROCEDURES-and will not back up their findings when challenged to do so-and tell lies as well against claimants.

example -check out Phillipa Campbell
Kennedy etc etc and other cronies issues within the TBI section you have posted within here.


Seems you in the ACC-RIS exit at all costs and any reason they can come up with Team.
If you have more assessments you need to have support persons with you and also ''fully'' record them-openly or covertly>which is NOT against the law to do that.
You are one of many many acc claimants in the same position from what you have described.

Dave
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#5 User is offline   greg 

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Posted 01 August 2013 - 08:36 AM

If you have a covered injury under the 82 act you only need to show an association or
of any % disability to remain covered. After many Case Reviews they will enventually get
a report that suits them and try to exit under sect. 117.
Under the 82 act should ACC be using sect 103 and 105 not 117?.
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#6 User is offline   Compassion 

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Posted 01 August 2013 - 01:05 PM

 Bravd, on 01 August 2013 - 08:22 AM, said:

What upsets me is, I had a brain injury where I fell 14 or so feet onto a drive way, had most of the left hand side of my skull removed, right hand side bleeding and a large blood clot removed. And ACC is still trying to treat me as someone who had a light knock on the head. I am very luck to be alive, I could have died, but because I was even more lucky and had so little brain damage, from having a intack high IQ. They think I am lieing about fatique and headaches. 8 Months I been trying to get reassessed for LOPE's they send me to neurogist, Dr Fink, who says I have headaches and fatique because of my injury and cant work full time, but they think this might be becuase I am also depressed, so they send me to a psycologist who agrees, and says depression is because of the injury and I can not work full time. Not happy with this they now sending me to a rehabilation specalist who is also a neurogosit. They are fishing for someone to say I am ok but they havent had a bite yet.


Hey what I recommend to you is get a really really thorough neuropsych assessment done. I too showed high iq etc but wasn't until more thorough testing provided a brain map of where the difficulties lay and exactly why I was experiencing what I said all along I was.

try massey psycyology clinic, they did a test with me that took the whole day. this way your fatigue can be recorded too.
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#7 User is offline   Bravd 

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Posted 02 August 2013 - 05:45 PM

Well I just got the letter for my appointment to find the Name Dr Du Plessis the man I have been refered to. Again because I do not have a mild brian injury, but serious brain injury wonder how kind he will be to me.
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#8 User is offline   Alan Thomas 

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Posted 02 August 2013 - 05:54 PM

 Bravd, on 02 August 2013 - 05:45 PM, said:

Well I just got the letter for my appointment to find the Name Dr Du Plessis the man I have been refered to. Again because I do not have a mild brian injury, but serious brain injury wonder how kind he will be to me.


Focus your mind on quantifying the degree of injury by way of objective information. The ACC are notorious for asking their recesses to provide a report containing subject of information which is capable of argument. Any measurement of incapacity or disability can only be by way of objective measurement. This of course is far more costly for the ACC but it is the legislated criteria.

If you are getting geared up for hoping someone to be kind when they are writing a report that approach has the same moral principles as someone on the other side of the fence asking for the report to be unkind. Both approaches are seeking a subjective report based on unidentified poorly described variables to get what each side wants. This is the wrong approach.

The best way to obtain an objective report is to expose your thinking processes under the watchful eye of an FMRI which is interpreted by a neurologist. An additional neuropsychological battery of tests should also be carried out which is an intensive question-and-answer system that takes three or four hours and cost more than $1500. This is about as good as it gets. Reject any form of testing that does not actually measure anything objectively.
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#9 User is offline   Sparrow 

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Posted 02 August 2013 - 10:36 PM

Bravd, be very careful of Du Plesis.

I know of someone who fell 12' off the back of a truck onto his head, he was unconscious for 3 weeks and yet Du Plesis said he had never had an accident.



this man is stupid and dangerous.

one thing, he uses dirty pins from a tin he keeps in his pocket..

If he produces these to test your feelings, please tell him you don't want DIRTY UNSTERILE PINS near you
I know of someone who got an infection from his dirty pins and with their condition it was serious.

This guy is unprofessional even to the use of dirty pins. This is his usual practice and is well reported and it is not acceptable,. time to stand up to him.
Also take a support person and your file of reports and produce copies of them as ACC CM probably wont send the ones in your favour.

Good luck with this guy.

Did you see him on TV3 about 3 months ago?

/His aim he said, is to get everyone off ACC as he says they still don't have a brain injury or he discounts any injury at all.


A friend of mine saw him with his injuries obvious and as a result of his report they are now fighting ACC for justice.This person had a sky rocket blow up in their face with enormous consequences to the eyes and brain yet Du Plesis said they no longer have any effects.

fortunately they had a report from a Prof of Opthalmology and hecannit not over ride that but stll said they were fit for full time work,

Can you imagine gunpowder still in the brain and eyes?

good luck and make sure you cover the interview with an advocate or support person and covertly record.
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#10 User is offline   Bravd 

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Posted 03 August 2013 - 09:57 AM

I am going with a person from Brain Injury Association, Thank you all for the supportive responses. Will yet you know how it goes.
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#11 User is offline   unit1of2 

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Posted 03 August 2013 - 12:20 PM

 Bravd, on 03 August 2013 - 09:57 AM, said:

I am going with a person from Brain Injury Association, Thank you all for the supportive responses. Will yet you know how it goes.



DEFINITELY RECORD YOUR ASSESSMENT...... INFACT TAKE A SMALL VIDEO CAMERA AND ACTUALLY RECORD IT.! FOR YOUR OWN PEACE OF MIND GOING FORWARD.... That person is known to be 'untrustworthy'... and a known 'hatchet man'... He's also known to arrogantly write false information in his very,very lengthy reports....
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#12 User is offline   Compassion 

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Posted 03 August 2013 - 11:23 PM

 unit1of2, on 03 August 2013 - 12:20 PM, said:

DEFINITELY RECORD YOUR ASSESSMENT...... INFACT TAKE A SMALL VIDEO CAMERA AND ACTUALLY RECORD IT.! FOR YOUR OWN PEACE OF MIND GOING FORWARD.... That person is known to be 'untrustworthy'... and a known 'hatchet man'... He's also known to arrogantly write false information in his very,very lengthy reports....


Maybe say you will record etc and have support person and if he is still happy to assess you? HOpefully he will say 'no' to this or if he says yes, at least will cover you with his lies.

Do acc reviewers care about these lies? or is this just a so what kind of thing with them?
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#13 User is offline   unit1of2 

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Posted 04 August 2013 - 01:20 PM

 Compassion, on 03 August 2013 - 11:23 PM, said:

Maybe say you will record etc and have support person and if he is still happy to assess you? HOpefully he will say 'no' to this or if he says yes, at least will cover you with his lies.

Do acc reviewers care about these lies? or is this just a so what kind of thing with them?


Because at the end of the day .... Many folk have to have reviews. IF you don't have REALLY good concrete proof that ' HE said, but YOU said', He did, But NO he DIDN'T evidence your screwed. AT this stage of ACC Playing field... The Hatchet men will do and say what they like regardless of support person. The Hatchet men are also asked by ACC to record assessments so don't feel as if your doing anything wrong by covertly recording or filming, 'it's NOT AGAINST THE LAW'....

It's the only real best of the best evidence you will ever have.... These known Hatchets are there to knowingly knock you off because ACC have instructed, based on previous DODGEY reports AND INHOUSE SUMMARIES and THE LEGAL spin adopted to CUT YOU OFF....

I have my own copy of a letter asking a renown specialist to RECORD assessment for the ACC, I was not advised at all that this is being done of course. However one feels a hell of alot better having recorded ones very own assessment.



BEST ADVICE EVER... RECORD/VIDEO RECORD/AND A SUPPORT PERSON







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#14 User is offline   Bravd 

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Posted 28 August 2013 - 05:13 PM

Seeing Dr Du Plessis was interesting. He did say that he hasn't read any of my files, yet he knew about my report from Porteous which was werid. Also that what I need to do is "get my life back to where it was before the acciedent, Its been 5 and a half years" Like I never tried to go back to university or anything. I recorded it all, tho he did sent me for a MRI which did show a area of scar tissue the size of the tip of your thumb, so maybe he will play fair.
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#15 User is offline   Compassion 

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Posted 28 August 2013 - 09:14 PM

 Bravd, on 28 August 2013 - 05:13 PM, said:

Seeing Dr Du Plessis was interesting. He did say that he hasn't read any of my files, yet he knew about my report from Porteous which was werid. Also that what I need to do is "get my life back to where it was before the acciedent, Its been 5 and a half years" Like I never tried to go back to university or anything. I recorded it all, tho he did sent me for a MRI which did show a area of scar tissue the size of the tip of your thumb, so maybe he will play fair.


Nothing worse than getting a kick in the guts when you are trying as hard as you can and those dam symptoms don't just stop and are very real.

Did this dr allow recording?

Drs with this atitude should get a bang on the head and see how they do, they will realise how little they know.
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#16 User is offline   unit1of2 

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Posted 29 August 2013 - 06:04 PM

 Compassion, on 28 August 2013 - 09:14 PM, said:

Nothing worse than getting a kick in the guts when you are trying as hard as you can and those dam symptoms don't just stop and are very real.

Did this dr allow recording?

Drs with this atitude should get a bang on the head and see how they do, they will realise how little they know.



I doesn't matter one iota weither he allows recording or not. Fact is he doesn't advise you he's recording you for ACC. No-one has to say a word about recording, you just simply have a recorder with you in your pocket, or bag or where-ever switched 'ON' recording before you even enter his office.... Also take a support person.

Yes your right and it would have to take a bang on their head before they could ever understand anything about head trauma issues.......in Reality!
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#17 User is offline   Compassion 

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Posted 30 August 2013 - 11:43 AM

 unit1of2, on 29 August 2013 - 06:04 PM, said:

I doesn't matter one iota weither he allows recording or not. Fact is he doesn't advise you he's recording you for ACC. No-one has to say a word about recording, you just simply have a recorder with you in your pocket, or bag or where-ever switched 'ON' recording before you even enter his office.... Also take a support person.

Yes your right and it would have to take a bang on their head before they could ever understand anything about head trauma issues.......in Reality!


Yes and I see reading the neurology journals the studies they refer to are on rats. I would like to point out that my brain is a human brain and NOT a rats brain. I smell a rat here.

And I absolutely DO NOT condone animal testing etc.
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#18 User is offline   jaffa 

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Posted 30 August 2013 - 12:56 PM

http://www.stuff.co....ion-allegations
http://www.scoop.co....-60-minutes.htm
http://www.mediawork...08/Default.aspx
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#19 User is offline   Bravd 

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Posted 30 September 2013 - 07:38 AM

Well Du Plessis is saying im lazy and faking it. Toke him six weeks to make a report I call that lazy. Really upsets me that ACC is so scared to be stuck with a bill from people who are just taking them for a ride, that they pay millions to these Dr who take us for rides...

Tho he does just copy and paste my bad reports from other Doctors like him, but just ignores the ones that don't think I am faking it, those are the doctors that I found not the ones ACC found.
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#20 User is offline   nik 

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Posted 08 November 2013 - 06:25 PM

I also have had a report and assessment completed by Dr Du Plessis. I have formally complained to ACC about the standard of these reports. That was 4 years ago and I still have not had any resolution. I have been trying to obtain a full copy of my entire file since then and ACC have just blatantly ignored my requests. When they did send me some of my file they sent me another persons file printed on the back pages of my file. I went to the press... Once that happened I was threatened by ACC and asked why I went public... I told ACC that how they are operating is unacceptable... I need a weapon of a Lawyer to tackle my issues with ACC... Bad Faith, Breach of Privacy, Unlawful investigation and surveillance, Breach of Duty of care, Breach of the Code of Claimants rights... The list goes on and on. Does Anyone know of a great Lawyer in Christchurch??? What I have listed is just the tip of the ice-berg, I also suffer from Head Injuries and this is just frying my noggin a bit too much. I should mention I have 6 years worth of written correspondence regarding the matters above and I have written statements from Medical Professionals proving ACC has lied and conspired against me and indeed committed the above allegations. I am thinking Punitive Damages in the District Court for a start and maybe some dismissals and policy change. It is hard enough feeling different and having these Head Injury difficulties without ACC bullying and degrading and disrespecting oneself. Over it and would appreciate any suggestions and help please. :unsure:/>
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