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secondary injury secondary injury

#1 User is offline   stormyjo 

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Posted 03 June 2008 - 11:37 PM

Can any one help me, my injury happened in november 2004 and after they finally decided to give me surgery in 2006 I was left with Complex regional pain syndrome which has left my L) arm useless. I have been under taking a work trial since March 2008 and at the beginning of May advise my manager doctor cm and physo that i was getting pain in my elbow and pins and needles in my R) hand fingers. As my firm are under the partnership agreement my claim is managered by WELLNZ which is not great. The doctor has said that i needed to see an orthopedic surgeon as my nevres were entrapped and need to see a specialist as due to only using my R arm has resulted in overuse. My really problem is WELLNZ wont let me have any medical attention until they investagate my R arm and they have now decided that i will have an MRI which will take up to 6 weeks before i can have it. I dont know what to do next, do i just wait and maybe lose the use of both my arms.
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#2 User is offline   Sparrow 

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Posted 04 June 2008 - 12:03 AM

Stormyjo, your GP can refer you to a Specialist and you can claim the cost back from the Wellnz. PRobably they will say you need their approval.
But as your case is so urgent, it is worth just paying the cost yourself.
Complex regional pain syndrome is a term used by ACC and others to describe something that they usually say is NOT associated with an injury.
This is why it is so important to get a good diagnosis.
I have no idea where you are, but there is a good rhumatologist who has given others good advice and a good diagnosis.
He is Dr Wigley from PAlmerston Nth He is excellent and honest.
Your GP can call off the work trials also and say that it must all stop till you have had an MRI and a diagnosis on bth hands.
Dont take this lies and make then stop all activity till your arms are sorted.
Good luck and come back often.
there are support groups around, few and far between but we do try to help!
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#3 User is offline   Not Waddie 

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Posted 04 June 2008 - 12:05 AM

It is the registered medical practitioners and other registered treatment providers that determine and provide the treatment not the Insurer. the Insurer is the funding agent and only make decision about whether or not they will fund the treatment, ie if it is inhury-related, necessary and approapriate etc. These decision are "reviewable", so is the individual rehabilitation plan.

Your GP can refer you to a specialist, who can obtain an MRI if one is required.

Also, if you are still on the wok trial I suggest you get your GP to support it stop until investigations are complete and you are cleared to continue.

It helps to have a supportive GP.

ditto Sparrows post (we must have replied about the same time but I see there is a consensus)

If the right arm condition isn't covered under the claim then it will need to be considered as a result of the covered injury - suitably qualified medical opinion will carry the day.
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#4 User is offline   flowers 

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Posted 04 June 2008 - 08:51 AM

Problem is Waddie that although gp can send you for these specialists .....if you are on ACC or they are for acc purposes you do not Qualify for national health and must pay .....generally up front.
Over almost the whole length of my claim ACC refused to fund tests and xrays and when they finally did do some last year they refused to release them to my doctor unless I paid for them.
This is not legal but they do it with impunity.
ACC DOES NOT CARE AND THEY ARE BEYOND THE LAW.
THEY ARE NOT THERE TO HELP AS MOST CASE MONGRELLS OBSTRUCT ACCESS TO BENIFITS AS IT IS IN THIER INTERESTS TO DO AS A PART OF THEIR JOB SPECIFICATION AND TO EARN KPI BONUS POINTS WHICH ARE CONFIGURED TO HPW WELL THEY KEEP LID ON COSTS
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#5 User is offline   scared 

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Posted 04 June 2008 - 09:00 AM

Remember when you started the work-trial you were told that you can stop if too much pain. Talk to your GP and stop. WellNZ will push you to your limits and not care if you get injured so you MUST take control for yourself. Speak to your GP ASAP.
When it comes to WellNZ - been there, done that. Work trial failure for my hubby and it actually made him worse just trying to do what they forced him to do.
Good Luck!!!
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#6 User is offline   MINI 

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Posted 04 June 2008 - 09:35 AM

Hi there

Good orthopedic surgeon in Wellington is Dr Krause at Boulcott Clinic. He can give you injection with allows him to know if your symtoms are better and therefor nerve entrapment or not.

He is private, so ask ACC to pay half you pay other half, thats what I did, then he can also refer you for MRI asap. Shit that is a long time to wait for MRI. When you on ACC and ACC paying, I got mine within two weeks here.

I ended up having both my shoulders operated on, you can get lots of use and much less pain if they help you through the first year or so.

They didnt help me at all and let my employer push me out the door over an 18 mouth period and I ended up with Mental caused by physical as well as the shoulders not being able to take any weight.

So no job, only 80% of wage which was good when I was getting it 10 years ago. Not so good now. But must'nt moan, could be like some and on WINZ.

My advice pay for the othoropedic surgeon if you have to just to get the diagnosis, ACC may leave you alone for a while while you sit on the waiting list for another operation. No point in making you less able than you already are by having no arms eh??

I presume from your left arm that you have had surgery on your shoulder, but you dont say. It is not unusual for them both to go, as one is taking excess load while other is healing etc.

When did you have the first one. They take ages to heal up and you dont go doing any heavy work with them. Back off if it starts causing pain again and get Dr input re Range of Motion. Better still go for Impairement Allowance and they can measure your rom with the left arm and right one as well. Except right one will still be unstable, so cannot be included.

Hope these snippets are of help. am a little all over the place at the moment as preparing for review.

Good Luck
Mini
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#7 User is offline   Easyrider 

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Posted 04 June 2008 - 04:10 PM

Why pay half, if the treatment is reffered right, and put in the rehab plan, ACC will pay it all.
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#8 User is offline   doppelganger 

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Posted 04 June 2008 - 06:19 PM

the Over use injury is a seperate claim and put that claim into ACC not wellNZ. the reason that it is a new claim is that WelNZ had not applied legislation when looking at Vocational Rehabilitation.

It is clear that your left arm has damage from the surgery. Your GP should put in a New Claim for that. Some one has caused some nerve damage which is common in surgery. Your GP is the first sorce of q treatment provider not you insurer. The Insurer will pay for all treatment under legislation. If the don't then get your GP to review it as legislation is written and the insurer is not allowed to with hold payments for treatment.

My suggestion is follow sparrow waddie and others. Get your treatment and don't worry who paies for it. WellNZ or ACC will be paying they can fight it out between then selves.

Your Rehabilitation plan needs to be modified so that you receive your rightful entitlements. this must be in writing and if WellNZ will not modify the rehabilitation plan then you can review.
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#9

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Posted 04 June 2008 - 10:25 PM

Stormyjo - it is very important that your GP recommend you stop the work trial ASAP and DOCUMENT the reason being your Right arm symptoms are as a result of overuse doing work trial. A work trial is NOT meant to make your injury worse, yet alone cause R arm injury.
Good luck
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#10 User is offline   MINI 

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Posted 05 June 2008 - 09:34 AM

Easyrider

Pay half cause it was private hospital and in those days I was working fulltime and didnt have time to stuff around on waiting list. I was in too much pain.

If a person is in a lot of pain and can afford to pay 'everything', I think they are quite stupid not too, as the ACC end up giving it back anyway. The pain is sole destorying and sitting around waiting for ACC, doesn't help it get any better.

I had never heard of a RPI in those days and didnt until my job was gone, then they decided to give me one which said:

xxxx to be independend of any ACC assistance by xxxx (6 months). Never been off light duties, still having five & half hours homehelp, and job just gone done the gurgler and been told I was not entitled to weekly compensation.

If one takes control of there own life as I did two years after being told all this garbage, then started paying for my own specialist report etc and getting the Act, I started very slowly but surely getting my rights back again. Don't have the job bugger it!!! which I feel could have been easily saved with ACC intervention, but at least have a bit of control over my life.

Not without hassles, but slowly slowly.....................

Mini
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#11 User is offline   Gloria Mitchell 

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Posted 05 June 2008 - 09:52 AM

You need to find a good massage therapist to release all the tension in your shoulder muscles that are pulling the spine out of po hence the parathesia in your arm and fingers probably. A Kinesiologist would do similar if you can't find one.....but cost more. Good luck


Gloria
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#12 User is offline   Medwyn 

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Posted 05 June 2008 - 01:26 PM

View PostGloria Mitchell, on Jun 5 2008, 09:52 AM, said:

You need to find a good massage therapist to release all the tension in your shoulder muscles that are pulling the spine out of po hence the parathesia in your arm and fingers probably. A Kinesiologist would do similar if you can't find one.....but cost more. Good luck
Gloria

I'm interested in your comment on Kinesiologists having completed some studies on Brain Gym to level 3.

Do you have any references to Kinesiology and help with pain as I would love to read it.

Regards,

medwyn
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