I spoke to William Vavrina on 05/16/17. He is calling me today about his 07/02/90 file WCB# 59017370. This case is established for the back with an average weekly wage of $456.40 and he was classified with a permanent total disability by Notice of Decision filed on 05/07/98. That same Decision finds the neurological condition and the neck are not casually related. There is no Section 15(8) and Special Funds was discharged. It was closed on classification at that time. The last award was paid up to 04/24/98 and payments have been continuing at $304.27 permanent total disability rate.
Will has called me as he received a Proposed Decision resolving a number of bills from Dr. Narayan as unrelated. The State Insurance Fund is objecting because they involve treatment to the upper back and neck. There is in the Board file a 02/06/17 letter from the doctor explaining the claimant’s symptoms are radiating from the low back up into the mid-back, neck and shoulder. The doctor explains he has muscle spasms originally in his lower back but they have moved up to the neck. It is a pattern of pain that begain in the mid-low back, migrated to the neck and shoulder. The doctor feels this is directly in association with his lumbar pain. If he had not had pain …show more content…
I called Will on 05/16/17 and went over everything. I explained to him based on the doctors reports I would file an objection to the Proposed Decision and we would argue this treatment was related whether or not we are going to amend the case. I do not think we need to do that since this seems to be referred pain. This would seem to be more of the nature of a consequential claim. I am not even sure we need to go that far as he is in his 70's and I think he just wants to get these bills paid, but we will see how that goes.
Will tells me the adjuster at SIF is really nasty to him, very sarcastic and has hung up on him when he has tried to discuss this matter with
Will has called me as he received a Proposed Decision resolving a number of bills from Dr. Narayan as unrelated. The State Insurance Fund is objecting because they involve treatment to the upper back and neck. There is in the Board file a 02/06/17 letter from the doctor explaining the claimant’s symptoms are radiating from the low back up into the mid-back, neck and shoulder. The doctor explains he has muscle spasms originally in his lower back but they have moved up to the neck. It is a pattern of pain that begain in the mid-low back, migrated to the neck and shoulder. The doctor feels this is directly in association with his lumbar pain. If he had not had pain …show more content…
I called Will on 05/16/17 and went over everything. I explained to him based on the doctors reports I would file an objection to the Proposed Decision and we would argue this treatment was related whether or not we are going to amend the case. I do not think we need to do that since this seems to be referred pain. This would seem to be more of the nature of a consequential claim. I am not even sure we need to go that far as he is in his 70's and I think he just wants to get these bills paid, but we will see how that goes.
Will tells me the adjuster at SIF is really nasty to him, very sarcastic and has hung up on him when he has tried to discuss this matter with