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Anyone ever have an Independent Medical Exam?

I may need to as part of a legal issue, but I'm reading they may try to minimize the patient injury or medical issue, to minimize payment.

The thing I'm very nervous on is I get super high blood pressure at exams. Typically it's normal, but if they take it, it'll be very high from anxiety. I'm not sure if they'd use that against me at all ? I'd think not as I'm showing them a neck injury, but I don't know much about these exams.
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Levenrack · 46-50, M
Do you normally have hypertension? If that's the case, you get it, from being anxious and active right before your reading, I assume.

Are these large spikes that bring us close to hypertension levels or just above normal?

Edit- Never mind. You answered those in your post. My reading comprehension is getting bad. You should address this to your regular PCP and tell them you are having anxiety/BP spikes and your worries about these exams and how those can play out.
Cigarguy · 41-45, M
@Coralmist do you have a lawyer or someone helping you in this. If so I would have them with you before you do the medical exam. I would make sure it's on record that you have this issue before they do anything. If not have you doctor write something for you showing you have this.
Levenrack · 46-50, M
@Coralmist Ok yeah. I have no idea, for those types of situations. I suppose it would depend on it's there people doing it or if you can just get it done from your PCP and they send the results. Also have like @Cigarguy suggested, have all your bases covered and know your rights.
Coralmist · 41-45, F
@Cigarguy Ty, yes good idea, I could have a note made up from my doctor stating I have
white coat syndrome, for many years. Hopefully that will help separate the issue completely from my neck issue. Thanks 🪻
sarabee1995 · 26-30, F
Are they REQUESTING that you go through an independent exam or is this a REQUIREMENT of your insurance policy or of the law??

Understand that nothing about this benefits you in any way. You have a doctor who you trust and who is treating you. Unless the independent exam is a REQUIREMENT (and I doubt that it is), I would politely decline and refer all questions about my condition to my doctor.
SchoolBelle · 61-69, F
@sarabee1995 Very good advice.
Coralmist · 41-45, F
@sarabee1995 I don't think I can decline because it's based on them with payment of medical bills. I'm not completely sure you have to attend, but I'm pretty sure. And yes I believe it's to minimize my injury. And what sucks is they're picking at the end of my treatment to do it, where my neck is getting better. I still have pain but not as deep or frequent.
sarabee1995 · 26-30, F
@Coralmist Okay, so verify with someone who KNOWS whether this is required or not. Obviously, they are trying to minimize or end payments. Unless you know for a fact that you are required to do this, then don't.
It’s not something I know a lot about. They will make it hard for you yes. Things you can do is take your bp meds beforehand. Be careful what you say and focus on the neck injury only, don’t answer any questions about mental health.
Interesting.

Look up the proper way to take blood pressure and you will discover that most doctors, nurses and health care providers DON'T do it that way.

When our blood pressure is taken, we often do something that raises our blood pressure, We intentionally slow our breathing. That may have the opposite affect on our blood pressure.

I once cured my pre-diabetes by parking at the farthest corner of the clinic's parking lot. Walking that extra 100 yards to get to the clinic cured me :)
Levenrack · 46-50, M
@Heartlander
SchoolBelle · 61-69, F
You have what is called in the medical profession here WCH - White Coat Hypertension. It's a well known syndrome.

I would not volunteer to undergo an "independent" medical examination relating to any medical/legal issue. Ask who is paying the "independent" practitioner.

Your own doctor should have a full record of any condition you are being treated for and should, with your permission, be able to provide any information needed, including specialist consultant reports.
JoyfulSilence · 51-55, M
I went to see my gastroenterologist.

[This all started because I failed a Cologuard (stool sample) test two years ago and he found no cancer but other things. He thought I might have had some other diseases but ruled them out and said my colon looks fine now. He made his money!]

But back on track...

They take my pressure. It is always high. I said I know and take pills. But they still noted it and said to get treated. 🙄 Their right hands do not know what their left ears just heard. But maybe that was an automatic message generated due to the high pressure?

I am not sure how high blood pressure effects my colon. But maybe if I had ulcers? I have no clue.
akindheart · 70-79, F
i know all about them being an adjuster. i also had one when i was hit by a car. remember! they are not your friend. they will act nice but believe me, they are not on your side.

you will get a very thorough exam. the dr will send a report to the adjuster on the other side. they will do everything to discredit your findings.

act calmly. you have white coat syndrome...very common.
Thrust · 56-60, M
@Coralmist

That could enhance your case
Coralmist · 41-45, F
@akindheart It's my own insurance doing it, because there was a two month gap between my chiropractor treatment and more recent PT. But I had a doctor referral for PT, So I'm not seeing an issue because there was a little gap between treatment.
Coralmist · 41-45, F
@Thrust You mean if my BP is high it would enhance it? Not sure how...
Muthafukajones · 46-50, M
When you pay for an independent exam the doctor is you advocate and must take your side.
Muthafukajones · 46-50, M
@Coralmist You have to jump through the insurance hoops. The doctor while aligned with the insurance company cannot lie and is liable if he grossly misdiagnoses or mis represents your condition. With insurance it doesn’t matter despite what they try to say. They are not the final word. If you are dissatisfied they know that they can and will be sued.
akindheart · 70-79, F
@Coralmist nope. it goes to the insurance carrier. and if you cancel too many times, you are in default. those IME's cost where i live about 1500 or more. I would go. it is going to affect your settlement. dont' offer anything unless asked and i would have someone there to circumvent the BS that will happen.
akindheart · 70-79, F
@Muthafukajones respectfully not true. They will misrepresent the illness. i was struck by a car while walking. I have a limp and had the limp when i attended my IME. It was NEVER noted in his report. I told him everything i could not do. That was never noted either. this isn't a matter of misrepresentation. It is a matter of them wanting more business and if the insurance company doesn't get what they want, no more business to that doctor. welcome to my world

 
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