At some point in your treatment the doctors will say that you will not make further improvement, also known as reaching MMI- maximum medical improvement. At that point the doctor should determine your permanent impairment rating. If you disagree with the impairment rating, under Iowa Code § 85.39 you have the right to have an IME- independent medical examination. The IME will be conducted by a doctor that you choose who will provide his/her opinions concerning your permanent impairment rating and restrictions. There are several doctors that I can recommend depending on the nature of your injury.