- - (2006-06-03, 12:44 p.m.)


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so, the opportunity to discuss what my surgeon said about workef0rce s@fety's decision to not cover me anymore.

i will admit that i was surprised, and this is going to be abridged as i'm still typing with one hand.

he got so uspet he was jumping out of his chair. he had some interesting things to say about all of it, and was just shocked as i had so much time off work that they paid for without question before surgery to see if the braces would work, etc.

essentially the things that he had to say were not flattering, to state the obvious. he didn't tell me directly, but did indicate that if we do hire a lawyer he would be happy to speak to him/her and he's never had to go to court. although he would be willing to do so.

he apparently also sits on an advisory board for W. S. as well, and he was telling us "i know these people" and that you can't send a doctor to make a surgical decision that's NOT a surgeon. apparently these men that made the decision are not surgeons. (and incompetent?? reading between his words)

in brief:

"WSI's medical consultant, Dr. C, reviewed surgery request submitted for your left elbow surgery and he was of the opinion that your condition of bilateral ulnar nerve subluxation is not a work related condition. we wrote to your treating doctor, Dr. B and he agreed that this is not a work related condition."

no shit, sherlock. that's how i was built - where my ulnar nerves flip back and forth over the bone in my elbow. lots of people have this condition.

"Dr B also stated in his letter to WSI that you have had bilateral cubital tunnel and that, in your instance, this had been caused by your employment"

yes, this is true.

Upon recipet of this reply by Dr. B, WSI asked Dr. C. to review your claim again to see if he concurred that the cubital tunnel syndrome was related to your employment. he opined that there is no evidence that cubital tunnel is caused by ulnar nerve subluxation. he also pointed out that your EMG (remember my nerve test where they electrocuted me and made me cry?) was negative for cubital tunnel thereby ruling out this condition."

um, kind of but not really. people that have ulnar nerve subluxation often get cubital tunnel easier than those that don't have it, but because my nerves were flipping around back and forth in my arms (sounds fun, eh?) and i was resting them on my armrests of my chairs as my desk was to freaking high, this irritated the tunnel where my nerves generally sit, and also caused mega scarring on the sheath that surrounds my nerves on both sides. I guess i look at it like scratching. you do it enough, your skin falls off, becomes painful, then scars up.

Also, even though the nerve test was negative, this does not by any means rule out cubital tunnel according to Dr. B. he said that a lot of patients have negative test results that when they're opened up for surgery, there's a huge mess in there. as was in my case.

"Review of the 4/20 operative report notes that you had quite a bit of scar tissue from chronic irritation dislocating area. (again, stating the freaking obvious, are we???) The nerve was released. (WRONG! THE NERVE WAS MOVED!!!) The operative report also states that they did a left ulnar nerve transposition but they did not find any compression. if there was cubital tunnel present, there would have been nerve compression"

WRONG AGAIN! Often patients with cubital tunnel or carpal tunnel don't have compression of their nerves. This is exactly the instance of a general practicioner doctor trying to understand a surgical procedure that they have limited information about.

DO YOU NOW UNDERSTAND WHY I FEEL AS THOUGH I'M BEATING MY HEAD AGAINST A BRICK WALL REPEATEDLY HARDER AND HARDER WITH THESE IDIOTS???

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