About

Diary of a workcover victim

diary-of-a-wrorkcover-victim

Erin Brockovich and Lisa

Who are we?

First of all, we’re not going to misrepresent ourselves – that is aworkcovervictimsdiary- and tell you that we have special influence(s) with state legislators and even politicians. We don’t, and neither do some of the others, or we would already have meaningful, fairer workcover legislation signed into law to really help injured workers survive this ordeal known as workcover, work-over or workers compensation.

Our primary goal is to help, assist, educate, inform and empower injured workers  to better understand how to navigate through an ever complicated and convoluted workcover system and not become victims of overzealous workcover insurances and their investors (stakeholders). One way we accomplish this is through aworkcovervictimsdiary, a site that is more than just a ‘glorified’ blog, which provides very important information resources for Australian injured workers!

And we’re not after your money! Although it does cost us  to run this site, we never expect/demand any membership fees or monetary contributions. However we like to receive article/information contributions from injured workers and their supporters as every little bit helps to deliver the important message to the workcover insurance companies— that it’s not “Business As Usual” anymore!

And most of all, we’re not making or going to make promises to you that we know we can’t keep, just to get ‘your support’. That is just absolutely wrong!

We are more of an educational site. We HELP injured workers! We are advocates for the people injured and/or made ill at work. We go to bat for those falsely accused of workcover fraud by insurance carriers … by any means possible!

Another main goal of aworkcovervictimsdiary is to put an end to the rampant fraud and corruption perpetrated upon Australia’s injured workers by the insurance industry and their legislative friends. To help, support and assist those who are genuinely serious about bringing back some legitimacy to Australia’s Workers’ Compensation systems, a system that now is controlled by a corrupt and out-of-control insurance industry, that has our legislators pimping and pandering influence in exchange for their political contributions.

To stop the escalation of workcover insurer (and employer) fraud. This ‘White Collar’ fraud is a primary reason that our Workers’ Compensation systems are so dysfunctional, with insurance carriers hiding behind the fact that Australian law has not developed to the stage that there should be recognition of a new tort which imposes a duty of good faith on an insurer operating within a statutory workers compensation regime….to shield them from legal liability for their criminal acts, post injury!

Who are our our team members? Our team consists of  mainly (seriously) injured workers, including past injured workers (who have thankfully been able to leave the system), their families and carers and advocates. We also  have a few “professional” resources we can tap into such as pro-bono lawyers, and a few medical practitioners. Many of our folks are in the trenches and they know first-hand the obstacles and troubles that injured workers face. Others are those who want to see a real reform come to our Workers’ Compensation systems, and bring back some form of fairness and equity to this (supposedly) benefits delivery system that is so vital to every state. aworkcovervictimsdiary is also supported by Erin Brockovich.

We are in the 21st century, and injured workers need to use 21st century technology and tactics to get their voice heard by those who can help make the necessary changes.

We are NOT a political organisation. Political organisations are simply about money and power, plain & simple. They want your money and then they have the power, not you!  If you’re tired of playing “footsie” with politicians, then you’re the person we’re looking for. Injured workers need help and they need it now, not in 2 years!

You can read more about who we are and what we (aim) to do here>>

Help us help injured workers all over Australia, and bring some fairness and equity back to the WorkCover system.

A word from the founder of aworkcovervictimsdiary

Were you injured at work? So was I! I became a disposable inconvenience because I was injured at work!

Why is this site so important?

Someday you or a loved one may be face to face with the WorkCover system and their illegal activities, knowledge is your best defence.

This site will help you navigate through the murky waters of the workers compensation system, and whilst my experience with workcover occurred in Victoria (Australia), I sincerely believe that it crosses all states and even borders with respect to the insane challenges and nightmares that a workplace injury can create, within any workers compensation framework or scheme that I am aware of.

My message to injured workers (and their supporters)

My message is simple and that is that you have to do your own research into the workers compensation laws relevant in your state or country; you really need to keep well informed and remember at all times that people advising or assisting you are most often not working in you best interest.

From my own experience I found that “mistakes” and “oversights” occur all the time. Like you, when I was first injured at work I did not know my rights – they were certainly never given to me by my workcover insurer, and I was and am treated with utter contempt and disrespect by my workcover insurance company, and also by my (now former) employer.

Knowledge is your only power!

A Diary of a WorkCover Victim- kick-started by seriously injured “Workcovervictim” in August 2011.

This site was born out of my sheer frustration, anger and grief regarding the workcover system where all is not made clear, where the waters are very murky, and when the chips are down, the very people who are responsible for duty of care and support simply choose to ignore you, the injured worker.

Remember all stakeholders (i.e. independent medical doctor; insurance doctor; rehab service providers etc.) are accountable to and will perform in a way to please the hand that feeds them – yes, it is all about money.

I hope this site, our and many other injured workers’ stories will somehow help other injured workers navigating the murky waters of the workcover system, and , at the very least, be extremely diligent in finding out their legitimate rights, always questioning the “system” in order to keep some sort of control within the workcover system.

The workers compensation is – in my opinion- extremely adversarial and they use tactics to wear you down, to make you emotionally bleed out, to break you, all in order to weaken your position and to maximise their insane profits.

Because I had been seriously injured at work, I have – like you- become the “suspect” and the “enemy”. My own experience has thought me to fully distrust the insurance company or the case manager – their attitudes and behaviours has led me to realise that “humanity” is something that is not exercised nor understood by them.

Even though liability was accepted for my injury, I was and am still treated (like you) as guilty and with suspicion. So I knew (an you will learn) that it was and is up to me (you) to protect yourself and to treat everybody with suspicion and distrust in return. No one is there for my or your protection; except my/your lawyer! This is where the word Diary played a huge part when deciding the domain name for this Blog. The word DIARY is to it is to remind all injured workers to KEEP A DIARY! Why? To protect yourself !

In a workcover situation it is my experience and opinion that injured workers are treated as guilty by all parties – which is insane, given that in Australia even the worst criminals are afforded the right of being innocent until proven guilty.

I dedicate this site to all injured workers who have been abused by the adversarial workcover compensation system and/or the workplace. May they never give up, may they fight like warrior for their legitimate rights, and, most importantly, may they hold onto their dignity, self-respect, self-esteem and sanity; and may they WIN!

Lisa – Workcovervictim

aworkcovervictimsdiary and Lisa (aka Workcovervictim) are supported by Erin Brockovich

erin-brockovich-down-under

Click to read article

Disillusion yourself of any idea that the IME is independent

Read the article and memorise some valuable tips!

Rate an IME

A list of IMEs (Independent Medical Examiners) and you can rate them!

Come with us…

…on a walk through the Australian workcover back streets, where you get a chance to meet the system without losing your sanity. We guarantee, you won’t be bored – disgusted, humiliated, frightened, offended, outraged – anything but definitely not bored. Some of the stuff we write will make you laugh, some will make you cry but most of it will just make your skin crawl.
Our only hope is that the knowledge you gain from this site will help you survive the “system”.

Hi,

Since August 2011, our humble Diary of a Workcover Victim, based in Victoria, is one of the  most popular, free, supportive, educational, eye-opening and enlightening injured (and ill) workers’ rights and workcover benefits website/blog, authored by injured workers for injured workers in Australia.

We are proud to have empowered and helped zillions of injured workers (and their families) in their time of need and (c)overt abuse, providing them with easy, online support and access to much needed information about our adversarial workcover system.

If you are an injured, ill or disabled worker or a supportive family member, you know how difficult it is to find the help you need. The lack of resources and support can turn your life into a brutal nightmare. But you don’t have to fight this alone. We support and connect people who have experienced a workplace injury, trauma, illness, pain, and/or disability first hand.

We totally understand what you’re going through: the frustration, fear, and hopelessness. But here, you will unite with a community of fellow injured workers (and some advocates) who have joined together to fight back and to kick butt.

Our mission remains the same as it was when we began: reduce the difficulty of injured/ ill workers and their families searching for vital (and hidden) resources while increasing access to empathic support, workcover benefit information and the various – dirty- tactics used by the workcover insurers (and their allies) to deny, stall, and gaslight your claim.

Our site’s core function is the blog community support allowing injured workers to interact with other injured workers as well as other people who are also dedicated to our cause.

A workplace injury, illness, pain and/or disability doesn’t just affect our income; it also damages relationships within families and social circles, and simply drains the joy from our injured lives. The physical and emotional effects of this stress and isolation, combined with the -frequent- very brutal abuses of a very adversarial workcover system, very often lead to depression, anxiety and other mental illnesses. With no way to earn a living, and no real support for our cause, how are we expected to survive?

The world looks down on people who have been injured (made ill) at work, assuming that we are all lazy, malingerers or fraudsters, taking advantage of the workcover system. Workcover insurance companies, along with some politicians, and a biased media have shaped this stigma through decades of similar, unfounded claims and statements. As a result, injured/ill workers feel completely and utterly alone.

We do know what you’re going through and what you need to help you pull through, because we are seriously injured & disabled workers ourselves!

Get the help, support, understanding and the information you need to put some of the pieces of your life back together. Through the community of vital support and resources, you too can take a step toward change.

 

In Unity

A workcover victims diary is supported by Erin Brockovich

On 23 March 2012, Erin Brockovich, personally visited Lisa (aka Workcovervictim), the kick-starter of aworkcovervictimsdiary.com. Erin was moved with workcovervictim’s personal and most extraordinary work injury, and unimaginable ill-treatments received at the hands of the workcover insurance company, but she was also – and more importantly – most impressed with the work done by the humble aworkcovervictimsdiary.com!

Erin Brockovich’s message is clear and loud and that is that she is shocked that what I have experienced, (and still am experiencing) at the hands of my workcover insurance company. Erin and I (aworkcovervictimsdiary) strongly believe that there is a systemic pattern of misconduct and abuse, which seems to be the “norm” here and that this is unacceptable.

Erin Brockovich believes and told me that it is high time for all injured workers to YELL out loud and to share their stories.

She says there is no need to be afraid and to fear workcover insurance companies and case managers. You are the power! And together we can make the insurance companies very afraid of us!
Erin Brockovich has asked me to contact ANYONE who will listen and tell them my and your documented stories.

The fact is that many, if not all workcover insurance companies and their case managers treat us like criminals and in fact by doing so are negligent to the point of putting our very lives at risk. As is made very clear through our blog and its interaction with injured workers, the biggest issue is that YOU are not alone, which ultimately means that a pattern has been established by workcover insurance companies. In the interest of saving big money, insurance companies and their employees turn a blind eye to the treatment of injured people whose care is entrusted in them.

All the while many horrible case managers [and therefore workcover insurance companies] continue to do irreparable damage to you [the injured worker] with no regard for your safety, not to mention to the quality of your life.

To Erin Brockovich, the natural next step would be to file a class action lawsuit against what is a horrible, broken system.

Erin-Brockovich-signature

 

Medication entitlements under work cover

What medication is covered by workcover

WorkCover will pay the reasonable costs of medication prescribed by a doctor to treat your work injury or illness.

WorkCover will also reimburse over-the-counter medications (eg, paracetamol for pain relief) and other non-medication items (eg, bandages for wounds) that have been recommended by a medical expert to help you recover from your work injury or illness. (Note, a medical expert is a doctor, dentist, psychologist, optician, physiotherapist, chiropractor, podiatrist, occupational therapist, speech pathologist or osteopath.)

Did you know?

Many pharmacies will allow you to “bulk bill” your medications – that is you won’t have to pay for them upfront as the pharmacy will directly bill the workcover insurance!

Stop paying for your medications (it all adds up quickly) and stop waiting for the reimbursement of medications you purchased (it often takes yonks to be reimbursed!)

What pharmacy items does WorkCover  not  pay for?

WorkCover does not pay for pharmacy items that:

  • your doctor did not prescribe  (in the case of prescription medicines)
  • your doctor  or  other medical expert (such as your physiotherapist) did not recommend (in the case of nonprescription items). This sadly means that you also need an approval to buy some bandaids!
  • you  take f or injuries/illnesses not related to your work injury/illness
  • those prescribed as part of a clinical trial.
  • WorkCover will also not pay for pharmacy items where proof of purchase and other relevant details are not supplied – hence you’re far better off having your pharmacist bill workcover directly for all medications!

If your case manager (who is NOT a medically trained person) is unsure whether an item you are claiming can be reimbursed, they will ask you or your practitioner for further information if you are lucky. Usually you will just get some nasty little letter saying that medication A is not appropriate for your condition and will not be paid for.

True example:

I had been diagnosed with severe CRPS (Chronic Regional Pain Syndrome) of a limb (in addition to a severe injury to that limb). My pain specialist (read: an anesthetist who is specialised in the management and treatment of pain) prescribed an antidepressant as part of the medication for my CRPS. Well this (very uneducated) case manager sent me several letters stating that antidepressant X was not appropriate and had nothing to do with pain control. Yeah right… Here we go again… Many antidepressants are used effectively for the purpose of pain management/control. I.e some nerve injuries respond very well to antidepressants, as does CRPS and certain types of arthritis.

If the case manager finds the items are for your work injury they will reimburse the cost (which often takes long) however if they are not for your work injury they will not reimburse the cost. Please note, if you do not agree with the decision you are entitled to challenge it.

Am I entitled to reimbursement of nonPBS (private prescription) medications?

Yes. Your doctor should be prescribing PBS medications when clinically appropriate for treating your injury, but some medications are not in the PBS schedule or are eligible for the PBS subsidy for certain conditions only. In this case your doctor will write a private patient prescription and WorkCover will reimburse you the full cost of your medicine.

If however, a medication is available on the PBS and does meet the indications listed in the PBS schedule, and your doctor has written a private prescription without apparent reason, your case manager SHOULD ask you to get a PBS prescription from your doctor if further doses of this medication are required – and not simply REFUSE to pay for that prescription.

True example:

My medical practitioner had been prescribing Endone (Morphine) for several months on a private prescription. After about 6 months, I suddenly was told by my frustrated pharmacist that “they” (workcover) sent him a letter (of which I of course never got a copy,nor my prescriber) stating that the Endone would no longer be paid for as it had to be prescribed on PBS. How am I supposed to know this? In any case I was left high and dry for it was Friday afternoon when I ran out of my Endone and needed an urgent refill… I was not allowed to get the precription filled and was sent home for -what became a terrible- long weekend without any morphine tablets. Thank you very much again for making me suffer even more ):

Can I substitute my prescribed medication for another brand?

Yes you can!

How am I reimbursed for pharmacy items?

If you pay for pharmacy items yourself you must submit a completed Pharmacy items reimbursement form (a receipt that you get from your pharmacist) as soon as possible to your case manager and attach itemised receipts.

You are required to sign this form to verify the pharmacy item is related to your work injury or illness. Your case manager can give you copies of the reimbursement form or you can download it from www.workcover.com.

Case managers can make allowances for workers seeking reimbursement for pharmacy items at the beginning of a claim without having  a completed Pharmacy items reimbursement form.

You must attach each receipt to the reimbursement form.  The receipt must list:

  • date and place of purchase
  • item(s)  name
  • quantity,  strength
  • cost.

WorkCover will accept handwritten receipts from the pharmacy if the pharmacy cannot provide you with a cash register receipt.

If details are missing from the receipt or the reimbursement form, your case manager may ask you for additional information before reimbursing you if you are lucky – usually they will just NOT reimburse you.

Note:

You do not need to submit a Pharmacy items reimbursement form for hospital-related items (as from the Hospital pharmacy). Simply send the hospital pharmacy’s statement they provide you to your case manager.

Do I have to pay for the pharmacy items up front?

As mentioned earlier many pharmacies will happily create an account for workers and directly invoice the case manager, which means you do not have to pay for the cost of the items upfront. In this case, you do not need to submit a Pharmacy item reimbursement form but you may still receive so-called “enquiries” (to put it gently) from your case manager if they are unsure an item is related to your work injury.

You are far better of to set up an account at your pharmacy, so you don’t have to pay for medication. It all adds up very quickly and,if you’ve been incapacitated for a while,you will soon realise how poor you are and counting pennies is the only way to survive.

resraining-your-work-cover-case-manager

Can I put a “restraining order” on my work cover case manager?

Is your work cover Case Manager driving you nuts? Is he/she calling you multiple times a day? Do you feel harassed? Are you becoming scared of picking up the phone? Do you feel that she/he is aggravating your emotional/psychological state and/or recovery? Sounds familiar? Well, here is some good news for you:

Yes, you can stop your case manager from contacting you directly!

 

I personally was inappropriately harassed by a Case Manager for a number of weeks. I was receiving up to 10 phone calls per day and the nature of those calls were really making me sick.

One one occasion, shortly after having been (illegally) sacked by my employer based on “impairment”, I was extremely upset and depressed, to the point where I felt that I would be better of dead… Well, this Case Manager kept phoning me to tell me that “I should work” and that “she knew I could work” and that “she would be sending me to occupational rehabilitation/retraining” and “make sure I would return to work”.

Given that I had been sacked a few days before – and that my horrible employer terminated my long standing employment (we’re talking 6-7 years after the injury/accident) based on “impairment” (read: refusing to make some ergonomic changes to my work place before and after my latest surgery), I strongly felt that it was most outrageous that my case manager could behave like that. I mean he/she (work cover) was certainly also responsible for my sacking as they failed (for many years) to ensure that I would be accommodated in the work place with the medically requested and reasonable tools. Moreover, I had just been certified unfit for all work by my GP and treating psychiatrist.

So, I get sacked because my employer basically says that I can’t work (I am too disabled – mind you I was not too disabled up to 3 days before the last surgery and did the same job in a much worse physical state!), and I was doing office work for God’s sake! I plunged into a very severe depression and had been certified unfit for all work by my treating GP and Psychiatrist . So, here I was, devastated and receiving all these inappropriate calls from my case manager. I was starting to feel really sick when he/she called and at one point had a nervous breakdown on the phone.

Anyway, to cut a long story short, I consulted my lawyer and asked if it was possible to put some sort of restraining order on that case manager. Well, the answer is yes! I am not sure exactly on the legislation involved but it is about your civil rights.

Here is an extract of some correspondence with my lawyer at the time (and I am pleased to say that I have never received a phone call from my case manager since ;))

 

resraining-your-work-cover-case-manager

click to enlarge

So, don’t put up with any s**t from your ‘case manager’!

Do I have to attend an Independent Medical Examination with the doctor chosen by work cover?

A few months ago, I was asked by my case manager to attend yet again an independent medical examination (IME), with the same doctor I had seen 6 months before.

My experience with this “independent doctor” was so traumatic that I refused to be examined again by the same doctor. There was no way on earth I would ever go to this independent doctor ever again.

Being fearful of loosing my weekly earnings (read: being well aware that if you do not attend an IME your weekly payments may be suspended or ceased), I decided to consult my lawyer on this rather delicate matter.

Well, I am very pleased to let you know that we (my lawyer) were successful! I did not have to see that same, rotten (excuse my language) independent doctor but was given permission to attend the IME with another doctor (specialised in the same area). Oh boy, what a difference this made 😉

Keep this in mind if they send you to some previously seen horrible jerk of an ‘independent medical doctor)!

Got any tips and tricks? Please share them with your fellow workcover victims – and let’s try to make our lives a little bit better!

 

 

Request for MRI under workers compensation

What is a Magnetic Resonance Imaging (MRI)?

Magnetic Resonance Imaging (MRI) is a radiological investigation to create cross- sectional images of the body.  These detailed clear images are used by medical practitioners to diagnose and investigate a range of conditions.

An MRI service requires a referral and consists of imaging, reading and providing a written report by a radiologist.

 

Referral for an MRI from a surgeon, registered consultant physician or specialist

If your surgeon, consultant or specialists refers you for an MRI, you do not need prior approval from work cover (your case manager) for the MRI.

However, some Radiology facilities (i.e. Olympic Park Imaging) will require an approval letter from workcover for any MRI, even if it has been prescribed by your surgeon or specialist.

In this case, simply ask your work cover case manager to write you a letter addressed to the Radiology facility, stating that the MRI has been approved and will be paid for by work cover. Your case manager should be able to do this immediately. However, make sure you tell (or write/email) your case manager in “child language” what it is you are after (because they don’t understand plain English!)

Example (true story):

My surgeon referred me for an MRI. I sent the MRI request form (from my surgeon) through to my case manager and asked her for a letter of approval stating that the radiology department had requested one and will not undertake any MRIs without a letter from work cover, detailing that the MRI has been approved and will be paid for. After a few days I did not hear back from my case manager. My GP, whom I happened to visit a few days later, wrote a letter to my case manager, stating that my surgeon had requested an MRI and could she please ensure prompt approval as I was in great pain. This letter was faxed to my case manager, again with the request to provide me with a simple letter for the radiology department. Well, about 3 weeks (!!!) later I contacted my case manager and her Team Leader and told them that I was still waiting for that letter for the radiology department. They told me that the request for the MRI needed to be reviewed by their in-house doctor before making a decision whether or not they would approve the MRI  (- which was requested by my surgeon, and made urgent by my GP-). A few days later (we’re now waiting 25 days) my GP tells me he had been contacted by the work cover insurance ‘house doctor’ to discuss the need for the MRI!

28 Days after having sent the urgent referral from my treating surgeon to my case manager, I finally obtained that 2 line letter for the radiology clinic, stating that the MRI had been approved and would be paid for by work cover.

My case manager insisted she had 28 days time… in-spite of me writing to her that I would hold her personally liable for any additional damage I would sustain and that I would rely on our correspondence in a court of law.

NO- she did not!!! An MRI requested by a surgeon does NOT need prior approval ! Needless to say how frustrated we (me and my surgeon) were. Imagine, you are in f***** agony, have done some serious damage to a body part, your treating surgeon and your GP feel that you need an urgent MRI, and they make you wait (inappropriately) for nearly 1 month before writing a 2-line letter! WTF!

What is wrong with these people? Are they illiterate? Are they just trying to wear you down until you give up? Or are they plain stupid?

Extract of WorkSafe’s policy regarding MRI’s

Is prior approval required for an MRI service? An injured worker may be referred for an MRI service by a consultant physician or specialist recognised for this purpose by the Commonwealth Health Insurance Act (1973). In these cases prior approval from a WorkSafe Agent is not required. It is recommended that the referring consultant physician or specialist contact the WorkSafe Agent to confirm that their patient has an accepted claim and that the region to be scanned correlates with the region of the accepted injury.

Read WorkSafe’s Policy here

Request for an MRI by your treating GP

WorkSafe will consider a request for an MRI service by a treating medical practitioner other than a consultant physician or specialist, where access to consultant physicians or specialists is limited and provision of the service would be expedited by a referral from the treating medical practitioner.  In these cases prior approval by the WorkSafe Agent is required.  The treating medical practitioner should provide a written request that includes a working diagnosis, an outline of examination findings and a clinical rationale for the MRI service.  A medical practitioner at the WorkSafe Agent will review these requests on a case by case basis.

I would love to hear about your stories!

 

 

Funny and weird work injury claims

We surfed the web and found some rather bizarre and funny work cover injury claims. Have a laugh!

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″] I got my right hand first finger in the saw while helping Mike and staying out of his way. My finger bled and it affected my mind. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]Hot grease splashed on me and fried my thumb. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]My head injuries have created a permanent increase in libido which has led to two affairs and has ruined my marriage. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]I chipped my tooth on a cookie while visiting a customer. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]While on duty, I was hit in the face by a hand. My glasses were broke and something hit my eye. No one believes I was hit but it hurt!  [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]Carrying roll roofing, I caught my toe on a piece of tin that was froze in the ground. The tin flipped against me causing me to trip, letting the roofing fall into the bucket of tar. Tar splashed out, burning my arm, and causing me to jump back into the ladder which fell against me, knocking me into the building, breaking my tooth. Thus I burned, bumped, and broke me. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]The guy I work with went ape s4%t. He hauled off and punched me in the jaw and then tried to rip my throat out. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]The fumes were so bad I was taken by them and went to bed with the doctor. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]I dropped my head on my foot when someone pushed their guts across the table without calling out (from a slaughterhouse employee). [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]I slipped and fell and hurt everything in me. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]Falling off the truck, I dislocated my pelvis and other male organs. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]Sustained back injury due to car accident which is part of his job. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]I fell down in the Fotomat booth while dislocating my knee. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]I didn’t know water was where I fell. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]Gears smashed thumb while holding air cleaner, while putting nipple on with right hand, while balancing air cleaner with left hand, while holding end with left hand away from right hand. Gears were not covered. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]The doctor gave me a disease for my occupation and said I must change jobs. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]I overasserted myself and got a hernia. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]In order to avoid a person, Betty lost her balance and fell down. In one hand she had a ketchup botttle which broke on impact, cutting her hand. In the other hand she had her thumb. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]Acting on behalf of my employer, I hit another automobile. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]I inherited this occupational disease. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]I was removing a blouse for a customer and which time I injured my back. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]Customer thought she needed the brakes adjusted. She drove the car into the station, could not stop the car, came through the door and pinned claimant against the cash register. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]A gate hit my foot while my back was turned, closing the other side. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]That night I done something I shouldn’t-a done and now my back hurts. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]I hit my arm against the hopper, and got flea bites. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]I sprained my ankle the same way I sprained my ankle before. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]I looked into the hose to see why the water did not come out. It came. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]I was proving that I could carry an air compressor and I strained my back. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]In performing the job of which I am capable, I didn’t know the machine was on and was showing my new helper what not to do and did. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]This is for the cut on my hand, but I took the stitches out myself. However, I am filing on account of the watchdog biting me and on account of a hurt I got in a fall in the paint shop. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]The patient was going to fall for me. I could not let this happen. In so preventing this, I caused myself damage to my knee. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]I was assaulted and attacked by a vicious employee because he didn’t like me and I know it. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]I ran down the steps and when I got to the end, my feet wouldn’t stop. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style06″]Accident unnecessarily occurred on account of a misjudgment. [/sws_blockquote]

[sws_blockquote align=”left” alignment=”alignleft” cite=”” quotestyles=”style01″]I was working on my job and got a pain at the the end of the week. [/sws_blockquote]

 

How to obtain household help or home help under workcover

If you are no longer capable of doing house work (or your share of the house work),you are entitled to household/home help under workcover.

In order to obtain your household/home help you first need to visit your medical practitioner (i.e. your GP will do) and discuss those needs with him/her.

Your medical practitioner will have to write a letter to your work cover insurance (your case manager) and request household/home help.

Of course, and as usual, workcover (i.e. your workcover insurance company/your case manager) will make it very difficult for you to obtain the necessary help.

Tip

Get your Medical Practitioner to write in his/her letter the reason(s) why you need home help – that is: he/she needs to detail the “clinical justification“. It doesn’t matter if you have a gigantic medical file with workcover, hundreds of medical reports detailing your incapacity/impairment or plenty of supportive ‘evidence’. They will still need the “clinical justification” from your doctor before they will consider approving a home help assessment!

For example (true story): my GP agreed with my need for household help and wrote a brief letter to my case manager stating something along the lines (hey- here’s trying to stay anonymous!) “… the worker has a severely painful and severely unstable joint…needs house hold help as part of her/his medical treatment…”. This is NOT sufficient!

According  my case manager there was/is  “no clinical justification” that I need home help! Wow!  So, obviously the words ‘SEVERELY PAINFUL’ and ‘SEVERELY UNSTABLE JOINT’  do not fall under ‘clinical justification’! Maybe we (workcover victims) should send a pair of magnifying glasses and a dictionary to our case manager with each medical request 😉

So,basically, your medical practitioner (who is very busy and has to deal yet again with an enormous amount of unpaid paperwork!) needs to write in his request for home help letter the specific details why you need the home help. Think of it like a letter addressed to a 6 year old , for example: “… has a severely painful and severely unstable joint…needs home help.. BECAUSE when she/he tries to mop the floor her/his joint comes out of its socket (as in dislocates), following which he/she is in even more severe pain and following which more damage is incurred to the already damaged joint…”. Don’t laugh, this is  a TRUE story!

Only when there is “clinical justification”, your case manager will approve a home help assessment.

 

Your workcover insurance agent / case manager will then refer you to XXX  for a home help assessment and they do not need to provide  you with a choice of three service providers for these assessments!
(i.e. you do get 3 choice providers  for Occupational Rehabilitation). So it doesn’t matter who they send to your home to undertake the ‘assessment’, you have no say and must cooperate.  Bear in mind that workcover will always have the cheapest contracts with the worst possible companies/people…
Anyway, I recently had my home help “assessment” and I believe that in our next meeting, I will need to “try out various mops, vacuum cleaners, brooms and whatnot” – hey they want you to be “independent” after all (read NOT pay for a cleaner or gardener). It doesn’t matter to them if you can’t even write – you just have to try to mop your own floor, even if this means that you have to crawl on all four and lick the floor!
I will keep you posted on how the “trial” went 😉
Share your stories here!!!