A New Spin on Mexican Take-Out: Delaware Superior Court Strikes 45-Day Utilization Review Appeal Period as Invalid

A big shout-out to Nancy Chrissinger Cobb and Mike Galbraith who kept their promise to provide me with a "breaking news" update when the Superior Court ruled on the pending challenge to the 45-day UR appeal period. The decision of Judge Streett released January 6, 2012 represents a consolidation...

Refried Beans – Delaware Supreme Court Agrees to Re-visit the Mexican Take-out Case on UR Appeal Deadline

In my post of 1/10/12 titled "A new Spin on Mexican take-out: Delaware Superior Court strikes 45 day UR appeal period as invalid", I alerted y'all to the ruling by Judge Streett on January 6, 2012, representing a consolidation of three cases: Salvador Avila-Hernandez v. Timber Products...

Refried Beans – Delaware Supreme Court Agrees to Re-visit the Mexican Take-out Case on UR Appeal Deadline

In my post of 1/10/12 titled "A new Spin on Mexican take-out: Delaware Superior Court strikes 45 day UR appeal period as invalid", I alerted y'all to the ruling by Judge Streett on January 6, 2012, representing a consolidation of three cases: Salvador Avila-Hernandez v. Timber Products...

Hurts So Good: Delaware UR Appeal Reverses In Favor Of Peripheral Nerve Stimulator

Let's face it-Mike Freebery in his cashmere robe is a tough act to follow. So is Wil Davis basking in the glow of his successful defense of a heart attack case (not quite sure what he wears to bed). But along comes James Donovan with a little update on the topic of UR appeals. And is it all that...

Hurts So Good: Delaware UR Appeal Reverses In Favor Of Peripheral Nerve Stimulator

Let's face it-Mike Freebery in his cashmere robe is a tough act to follow. So is Wil Davis basking in the glow of his successful defense of a heart attack case (not quite sure what he wears to bed). But along comes James Donovan with a little update on the topic of UR appeals. And is it all that...

“Please Sir, I Want Some More”: Latest IAB Appeal Case in Delaware & the Inadequacy of UR Decisions

First, some good news. The Roberts family has expanded by one. I hope to have a picture of our newest addition in the coming days. Another rescue cat-this one a kitten named "Cruiser" after the police vehicle which took him in style to the shelter. He is 3 months old and strongly resembles...

“Please Sir, I Want Some More”: Latest IAB Appeal Case in Delaware & the Inadequacy of UR Decisions

First, some good news. The Roberts family has expanded by one. I hope to have a picture of our newest addition in the coming days. Another rescue cat-this one a kitten named "Cruiser" after the police vehicle which took him in style to the shelter. He is 3 months old and strongly resembles...

Absence Makes the Heart Grow Fonder In This Delaware Utilization Review Appeal

So here is the sub-title: IAB Denies Employer's UR Appeal Despite Lack of Testimony from Claimant's Treating Doctor. Pretty catchy, huh? Props this week to claimant attorney Michael Galbraith who flagged for my interest the case du jour. Before I read this case, issued by the Board last week...

Absence Makes the Heart Grow Fonder In This Delaware Utilization Review Appeal

So here is the sub-title: IAB Denies Employer's UR Appeal Despite Lack of Testimony from Claimant's Treating Doctor. Pretty catchy, huh? Props this week to claimant attorney Michael Galbraith who flagged for my interest the case du jour. Before I read this case, issued by the Board last week...

The Bid Day Post….And a Moment of Wonderment as the Delaware IAB Rules That UR - Certified Treatment Is Unreasonable/ Unnecessary

Today is auspicious for two reasons. First it is "Bid Day" at Auburn University. Picture above is my Sweet Caroline (in the white eyelet dress) offering a "bid" to her little sister. And another great Gamma Phi Beta tradition continues....... Talking about traditions, one was...

The Bid Day Post….And a Moment of Wonderment as the Delaware IAB Rules That UR - Certified Treatment Is Unreasonable/ Unnecessary

Today is auspicious for two reasons. First it is "Bid Day" at Auburn University. Picture above is my Sweet Caroline (in the white eyelet dress) offering a "bid" to her little sister. And another great Gamma Phi Beta tradition continues....... Talking about traditions, one was...

Put the Knife Back in the Butcher Block, Please – Another Ditty About Surgery at the Delaware IAB

As Susan Hauske might say, defense lawyers we are on a roll. Susan was prompted to share the ruling du jour in light of my recent (9/6/12) post titled Walks on Water? , a discussion of a recent ruling in which surgery was denied, a rare occurrence here in the First State. So says Susan: "Cassandra...

Put the Knife Back in the Butcher Block, Please – Another Ditty About Surgery at the Delaware IAB

As Susan Hauske might say, defense lawyers we are on a roll. Susan was prompted to share the ruling du jour in light of my recent (9/6/12) post titled Walks on Water? , a discussion of a recent ruling in which surgery was denied, a rare occurrence here in the First State. So says Susan: "Cassandra...

Twice Blessed……and Two Spinal Cord Stimulator Cases From the First State

Above is a picture of Keri Morris' twins Madison Rose and Landon. They were recently in a wedding and don't they look cute enough to be the cake topper? Every time I look at this pic, it tickles me how the little guy has a cheese cracker in his hand.......someone ought to tap him for a Cheez...

Twice Blessed……and Two Spinal Cord Stimulator Cases From the First State

Above is a picture of Keri Morris' twins Madison Rose and Landon. They were recently in a wedding and don't they look cute enough to be the cake topper? Every time I look at this pic, it tickles me how the little guy has a cheese cracker in his hand.......someone ought to tap him for a Cheez...

Four Doctors and a Claimant—A Study In Lymphedema At the Delaware IAB

Thought I was done posting this week until I heard from Don Marston with a little tutorial on lymphedema. Now how could I turn that one down? So here you have it: "Here is a case that may have some appeal for your blog. Lymphedema is not a common issue, at least in my practice. ...

Four Doctors and a Claimant—A Study In Lymphedema At the Delaware IAB

Thought I was done posting this week until I heard from Don Marston with a little tutorial on lymphedema. Now how could I turn that one down? So here you have it: "Here is a case that may have some appeal for your blog. Lymphedema is not a common issue, at least in my practice. John...

Serial Killer: Delaware IAB Addresses the Issue of Treatment Post-UR Non-Cert…and How Long Does a UR Non-Cert “Stick”?

I discovered for the first time since the inception of The Detour & Frolic, that there are times I just don't feel blog-motivated...today being one of them. I want to share, I want to banter, but my shoulder hurts and I am cranky form having the spent a 3-day weekend doing something that is not...

Serial Killer: Delaware IAB Addresses the Issue of Treatment Post-UR Non-Cert…and How Long Does a UR Non-Cert “Stick”?

I discovered for the first time since the inception of The Detour & Frolic, that there are times I just don't feel blog-motivated...today being one of them. I want to share, I want to banter, but my shoulder hurts and I am cranky form having the spent a 3-day weekend doing something that is not...

The Thanksgiving Post: Better Late Than Never Does Not Apply To Delaware “Payment Without Prejudice”

I offer a big holiday shout out to Jeffrey Friedman of Silverman, McDonald and Friedman. While I have always considered Jeff's biggest accomplishment to be snagging Tiffany Quell for his bride, followed by snagging Mike Silverman for his partner, today's case is a reason to give thanks to Jeff...

The Thanksgiving Post: Better Late Than Never Does Not Apply To Delaware “Payment Without Prejudice”

I offer a big holiday shout out to Jeffrey Friedman of Silverman, McDonald and Friedman. While I have always considered Jeff's biggest accomplishment to be snagging Tiffany Quell for his bride, followed by snagging Mike Silverman for his partner, today's case is a reason to give thanks to Jeff...

Everybody Loves Raymond…….. and Delaware Superior Court Ruling Allows IAB to Bypass Utilization Review

Okay, this one is a big deal, folks, a procedural lollapalooza, with props to both Mike Galbraith and Dennis Menton who heralded the Superior Court appellate decision as it was released by the Court. Allow me to simply introduce Mike's comments and Dennis' summary, since they have the superior...

Everybody Loves Raymond…….. and Delaware Superior Court Ruling Allows IAB to Bypass Utilization Review

Okay, this one is a big deal, folks, a procedural lollapalooza, with props to both Mike Galbraith and Dennis Menton who heralded the Superior Court appellate decision as it was released by the Court. Allow me to simply introduce Mike's comments and Dennis' summary, since they have the superior...

Just Say No! DE IAB Decision Affirming UR Denial of a Spinal Cord Stimulator Based on Addiction

"One drug is too many and a thousand not enough." (Anonymous) Luciana Gorum sent me today's decision because she thought I needed a good laugh. And while there is nothing funny about addiction, this case does prompt a chuckle over the comedy of missteps surrounding the injured worker...

Just Say No! DE IAB Decision Affirming UR Denial of a Spinal Cord Stimulator Based on Addiction

"One drug is too many and a thousand not enough." (Anonymous) Luciana Gorum sent me today's decision because she thought I needed a good laugh. And while there is nothing funny about addiction, this case does prompt a chuckle over the comedy of missteps surrounding the injured worker...