Ginnie, I am insured, that's not the issue at all. I've been hoping I could avoid having to go to the ER, but I'm experiencing spread due to a hold up of med approval (meds that have kept me stable for years.) I have a good RSD doc, but I can't travel the distance to him in my current state... I'll call him and ask what the ER can offer as well, but I was hoping for advise from others. Spread is in my jaw, starting across my teeth, and it appears my tongue. It hurts to eat and talk. My doc said he'd request a sympathetic block for my jaw at my last appointment, but things are escalating to a point I'm scared.