Latest has been that per WC it was suggested I change my Primary Treating Physician to the doctor I was sent for a consultation to in San Diego. He was very nice. If I lived there still I'd definately want him to be my PTP.
Trouble is I live in LA county again and don't have the ability to get around much.
Why was it suggested that I change PTPs? According to the Claims Adjustor, the SD doc would be able to write an "admissable letter" re the letter that the surgeon from the Spine Center sent to UR that wasn't really a request for authorization to do surgery.
The surgeon at the SpineCenter was sent this very formal "good faith dispute letter" telling him exactly what was needed to continue the process for requesting authorization for surgery. He didn't send it in yet and deadline time has arrived.
This puts me in a precarious position.
I saw my regular OSS/Primary Treating Physician as he has been my treating doctor for the last nearly 8 years. Told him of the consulting visits I had with the other surgeons, their recommendations.
My OSS said he agreed with the surgeon at the Spine Center and he still recommends a discogram to figure out if L3 is problematic.
Said my BMD is still ok now (t -2.2) but may not remain so for much longer (years) and then there is the possibility of subsidence so he asking for authorization for a discogram.
He said Charite implant would be better for me, I believe he was referencing my end plates and condition of surface of my discs ...
I asked about what about the constrained vs.semi constained characteristic about the implants tho he stated the Charite would be a better implant for me.
Ok, the surgeon at the Spine Center says Prodisc would be better but I've had unreturned phone calls, no answers to questions asked, and not working with WC paperwork in a timely fashion.. even tho I had called and spoken to the surgeon's PA.
At this point WC is probably going to just try to settle my benefits out in terms of least amount of levels/problems can be linked to original injury. This means seeing a QME/AME or whomever deals me the low blow..
I've tried to get the attorney/law firm that handled my case originally but I guess because the case is too old they aren't interested.
So far, this is where things stand.. I'm not sure I will even be able to continue to see the same PM in San Diego if I don't agree to switch PTP to the doc in SD. But this would be someone that hasn't worked with my case all the years that my OSS did and he is completely WC saavy.
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