Dear Mike, Stacie and Karen.

Thank you all for pointing me in the right direction. I have printed the articles available on the RSDSA site, and am reviewing them today.

My pain specialist has stepped in to help me here. The problem is that I'm in Canada and there is a 3 year wait list for a surgeon under the medical system. I am going to a surgeon who practices at a private clinic (somewhat new here), it's the only way to jump the line. My pain specialist will be on vacation , then that surgeon goes on vacation. There is not much choice here and I'm definitely not going back to my original surgeon. Fortunately my doctor works at this clinic on his day off so he is able to speak with his colleagues on my behalf.

Mike I appreciate your assistance with with understanding the implications of the procedure. Unfortunately it is not a matter of being willing to have this done. One of the screws is actually working its way out of my foot so it must be done. The problem here is that none of the surgeons wanted to take me on as a patient. They have forced me to go to a pay clinic and the only surgeon who finally agreed to see me after my pain specialist begged him will only do it if I accept the risks of RSD spread. I get the feeling I'm being "screwed" again by the Canadian medical system. I will definitely take the article by Scott Rubin about the continuous regional anesthetic using clonidine with me.

I've thought about coming down to the states as my husband and I are in the process of relocating there (we just got our green cards:-)) The problem is that we are in total transition, haven't decided on a place to live yet and don't have any contacts yet with any doctors. We think we will ultimately move to Southern California, for warmth, sunshine and work opportunities.

Thank you again for your kind directions on this.

MsL