I solved it. For some reason I had to add this switch. -d switch doesn't work but adding this does.
--gpu-platform 1
setx GPU_USE_SYNC_OBJECTS 1
setx GPU_MAX_ALLOC_PERCENT 100
sgminer --pool-algorithm bitblock --no-submit-stale --gpu-platform 1 -o stratum+tcp://east1.us.stratum.dedicatedpool.com:6006 -u romes.15 -p x -g 2 -w 128 --gpu-engine 1020 --gpu-memclock 1450 --shaders 2048 --thread-concurrency 20481 -I 19 --worksize 256 --lookup-gap 0 --auto-fan --temp-target 77 --temp-overheat 83 --temp-cutoff 85
We're rockin' now.
EDIT; The issue is with the AMD drivers which need that switch to work for some reason.