The News You Need for Feb. 25

The News You Need for Feb. 25

Dealing with disappointment, can you solve the case, and Rhode Island rules.

Disappointment: When Recovery Does Not Go as Planned?

Dr. Claire C. Muselman

Disappointment is inevitable in recovery, especially when expectations do not match reality. It often arises when progress is slower than anticipated, treatments do not yield expected results, or external circumstances create roadblocks to healing. Unlike sadness, which is a reaction to loss, disappointment is tied to unmet expectations, often leaving individuals feeling let down, frustrated, or even betrayed by their bodies. While disappointment can be discouraging, it is also an opportunity to reframe perspectives and adjust goals. Understanding this emotion—and learning to manage it effectively—can help prevent it from turning into discouragement or resignation.?

Defining Disappointment?

Disappointment is the emotional response to unmet expectations involving recovery timelines, medical treatments, or personal abilities. It is characterized by frustration, regret, and sometimes even self-blame. In the context of injury, disappointment can manifest when individuals expect to heal faster, return to work sooner or regain full function more quickly than reality allows. While it is natural to feel let down, prolonged disappointment can erode motivation and lead to avoidance behaviors. Recognizing disappointment as a normal yet manageable reaction is essential for maintaining momentum in the healing journey.?

Physiological Foundations of Disappointment?

Disappointment affects both the brain and body, triggering responses that can amplify emotional distress and impact recovery. The body’s reaction to unmet expectations is deeply ingrained, influencing physical and mental well-being in the following ways:?

Brain Chemistry. Disappointment activates the brain's reward system, specifically the dopamine pathways. When expectations are unmet, dopamine levels drop, leading to feelings of letdown and emotional distress.?

Stress Hormone Release. Unmet expectations can trigger an increase in cortisol, the body's stress hormone, contributing to fatigue, tension, and difficulty focusing.?

Emotional Fatigue. Repeated disappointments can drain emotional energy, making staying motivated and engaged in recovery efforts harder.?

Muscle Tension.?Disappointment can cause physical tightness, particularly in the shoulders, neck, and jaw, as the body reacts to emotional stress.?

Cognitive Bias. Once disappointment sets in, the brain may focus more on negative outcomes, making it harder to recognize progress or small victories.?

How Disappointment Happens?

Disappointment occurs when reality does not align with expectations, often leading to frustration and emotional exhaustion. Several factors contribute to its development:?

Unrealistic recovery timelines.?Many individuals expect to heal within a specific timeframe, and when progress is slower, disappointment sets in. Medical predictions do not always account for individual variations in healing.?

Setbacks and complications.?Unexpected complications, such as re-injury, infections, or new pain, can cause frustration and lead to feelings of failure. The sense of moving backward after making progress intensifies disappointment.?

External barriers. Insurance denials, lack of access to treatment, or unsupportive employers can create obstacles that make a recovery feel out of one's control. Disappointment often arises when systems rather than personal limitations block efforts.?

Comparisons to others.?Seeing others recover more quickly or regain function faster can amplify feelings of inadequacy and create self-doubt. This comparison-based disappointment can lead to resentment and discouragement.?

There is a mismatch between effort and results. When individuals put in significant effort—attending therapy, following medical advice, or pushing themselves—without seeing the expected results, they may feel their hard work was for nothing.?

Example in Action?

A former warehouse worker, Marcus, was told he would likely recover from his shoulder surgery in three months. When he still struggles with limited mobility at six months, he becomes increasingly disappointed, questioning whether he will ever regain full function. His frustration leads him to disengage from physical therapy, worsening his progress. When his therapist helps him set smaller, more attainable milestones, Marcus shifts his mindset, recognizing that progress is happening, not on the expected timeline.?

What to Do When Disappointment Happens to You?

While disappointment is natural, it does not have to derail recovery. Here are strategies to manage disappointment and stay on track:?

Reassess expectations.?Adjust goals to align with current realities rather than rigid timelines. Healing is not a linear process, and progress looks different for everyone.?

Focus on small wins.?Instead of dwelling on what has not happened, acknowledge small improvements, such as reduced pain, increased mobility, or better energy levels.?

Practice self-compassion.?Avoid self-blame or feeling like a failure. Recognize that recovery is complex and influenced by many factors beyond personal control.?

Use disappointment as a learning tool. Reflect on what adjustments can be made moving forward, such as modifying treatment plans, seeking additional support, or changing strategies.?

Talk about it.?Sharing feelings of disappointment with a therapist, friend, or support group can help reframe perspectives and provide encouragement to keep going.?

How to Support Someone Experiencing Disappointment?

If you are a caregiver, employer, or loved one, providing support during moments of disappointment can make a significant difference. Here is how you can help:?

Validate their feelings. Acknowledge their frustration instead of dismissing it. "I understand why this feels discouraging"?can provide comfort.?

Encourage a shift in perspective. Help them see the progress they may be overlooking, even small. Sometimes, an outside perspective highlights improvements that they do not recognize.?

Avoid toxic positivity.?Phrases like?"Just stay positive!"?can feel invalidating. Instead, offer encouragement with understanding:?"This is tough, but I see how hard you're working, and that effort still matters."?

Help identify alternative goals. If a major goal is out of reach, assist them in setting smaller, more achievable steps that still provide a sense of progress.?

Remind them of past resilience. Reflecting on previous challenges they have overcome can reinforce their ability to work through this setback.?

Looking Ahead to Rebuilding Confidence?

Disappointment is a normal part of the healing journey but must not be a roadblock. By adjusting expectations, recognizing small successes, and maintaining a flexible mindset, individuals can work through disappointment and continue progressing. Those offering support, patience, and encouragement help create an environment where individuals feel seen and valued, even when things do not go as planned.?

In the following article, we will explore?Regret. This emotion can emerge when individuals look back on their injury and wonder if things could have been prevented or handled differently. Understanding how to manage regret can prevent it from turning into guilt or self-blame, allowing individuals to focus on moving forward. By shining a light on the emotional side of workers’ compensation, we create a space where injured workers feel seen, heard, and supported. That is the system I am here to advocate for. Join me!?

The Mystery of the Case of Water that Climbed 7 Steps

Chris Parker

Can You Solve the Case?

A case involving a P.I. caught in the act and an employee with a back injury illustrates the importance of accurate surveillance reports when using video to establish workers’ compensation fraud.?In Part I of this article, learn what happened. See if you can spot the?four?major clues that steered this case. In Part II, find out how the court decided and see if you identified the clues and guessed the ending.

Part I

The Facts

In a case that?largely?turned on incidents involving water, the employee worked as a hydro tester for a company that repaired equipment for the petrochemical industry. The employee injured his lower back when he and several co-workers were attempting to lift a blind weighing over 200 pounds.

The employee had surgery for the injury in 2017. At a deposition in 2020, he said that after the surgery he only tried to lift a case of water once, that lifting the case caused him too much pain, and that he never did it again.

He also told his doctors that he had to use a cane for mobility. Further, he testified that he brings his cane everywhere every day and uses it when he walks long distances and is not taking his pain medication.?He said he generally does the shopping for his family because his wife, who has a medical condition, suffers from depression.

However, in November 2019, a private investigator had filmed the employee. The resulting video seemed to tell a different tale. Among other things, it showed him:

  • Parking in handicapped spots and walking into Walmart without a cane.?
  • Lifting two cases of water, one after the other, from a shopping cart and placing them into the rear of his vehicle.?

The investigator also filmed the employee driving home and opening the gate to his driveway, again without using a cane. When the investigator turned around to get into position, he saw the two cases of water were sitting on the front porch.

“[I]it was my logical deduction that there was no one else there helping him," the P.I. later explained. "The water had to be unloaded, and so it was my deduction that he had put the water there.”

Next, the investigator saw the employee walk up the steps but was unable to film him due to the camera delay. At that point, the employee spotted the P.I. and pointed at him.?The investigator was “made.” Hey, even Philip Marlow made mistakes.

The P.I. sent notes to the owner of the investigation firm and the owner prepared the surveillance reports.

The company claimed the employee committed workers' compensation fraud in violation of La. R.S. 23:1208 and sought an order requiring him to forfeit his benefits.

It pointed primarily to the surveillance reports. The reports stated, among other things, that the employee carried the two cases of water from his vehicle, took them up the seven stairs of his house, and placed them on his porch. The company noted that this conflicted with his testimony that he never lifted water.

To establish a fraud-forfeiture claim, three requirements must be satisfied:

  1. A false statement or false representation;?
  2. The misrepresentation is willingly made; and?
  3. The misrepresentation is made for the purpose of obtaining or defeating any benefit or payment.?


Did employer establish fraud?

A. Yes. The employee's testimony was contradicted by his activities.

B. No. The surveillance footage contradicted the surveillance report.


Try to crack the case and then check back tomorrow to see if you came to the correct conclusion.

In R.I. Temporarily? How does Workers’ Compensation Coverage Work?

Frank Ferreri

Do You Know the Rule?

Let's say you're an out-of-state employer in Rhode Island, what would you need to do under Rhode Island law for workers' compensation coverage? To find out, you should check what Simply Research has on the topic, but you can get an idea of what's required here.

Temporary Exposure or Out of State Coverage

Out of state employers working in Rhode Island for temporary periods of time are required to establish to the satisfaction of the director that they have workers’ compensation insurance coverage that provides coverage for claims filed in Rhode Island. Such coverage insurance carrier must respond to Rhode Island workers’ compensation claims and petitions filed in the Rhode Island Workers’ Compensation Court and must provide Rhode Island benefits for compensable claims filed in this state.

Glossary Check

"Temporary periods of time” shall mean a period not to exceed 180 days in the aggregate to be applied over a period of 12 months.

More than 180 Days?

Out of state employers working in Rhode Island for durations in excess of 180 days over a period of 12 months shall be required to obtain Rhode Island workers’ compensation insurance coverage with Rhode Island named in Part 3A of the policy. Employers working for shorter periods of time must have a workers’ compensation insurance policy that covers Rhode Island claims.

Hiring Rhode Island Workers

Out of state Employers working in Rhode Island who hire employees in Rhode Island shall be required to obtain Rhode Island workers’ compensation insurance coverage with Rhode Island named in Part 3A of the policy.

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