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The Call
As I figure the last session of the pain program through RIC (Rehab Institute of Chicago) has recently completed, I placed a call to see where I am on the wait list and when the next session starts.
Please cross your fingers, say a prayer, throw salt, send good thoughts...whatever you do for luck/miracles/etc. The answer will guide my next steps and the direction I will take for the future. Thank you |
i'm praying for you Always. hope you get a call saying you are next in line for the next session. hugs coming your way.
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Can do! All of the above are coming for good measure. I am going out with salt now...
Let us know what you hear. Sending hugs and healing love, :hug: |
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You are in my prayers. I hope you are first on the list! |
Ugh. While I am still hopeful (for a few more minutes), I happened to get a call from my insurance case manager today.
I am on a roll here I guess. What part of my function has decreased to the point of a) once/week shower b) ambulation/activity limited to bathroom & bed for the past 5 weeks do these doctors not understand??? I had to ask my case manager to look into wheelchairs. She suggested I maybe consider another doctor in Chicago. Hello, 2 hour train ride is no bueno for the pain/swelling...I only agreed to RIC because of the "possibilities" it holds...possibilities I might add that I have been waiting for since mid-September. I am seriously about to give up. I have a healthcare team that simply does not care that they have a patient whose condition is rapidly declining nearly entirely due to inadequate (read non-existent) pain management. Damn CDC/FDA. |
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You continue to be in my prayers. I just wish I knew why CRPS is such a difficult disease to get adequate care for. It really does get frustrating sometimes. I wish you well. |
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Thank you for keeping me in your thoughts. (Chicago White Sox Hero of the game 9/28/12 happens to be his Mamma's hero too :wink:) |
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Just got a call from my insurance case manager...RIC can't get me in until March or April
I'm done |
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:( -Spike- |
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Hopefully tonight I can go to sleep & not wake up...THAT is my very last hope now. |
I am so sorry to see you struggling so much :(, but I am still holding on to hope for you.
There may be options yet. Could you consider a boarder like a nursing student, early education or social work type to trade your daughter's room for assistance with meals and help around the house, etc? I would've been really grateful for an opportunity like that. Would being in Chicago bump you up on the list any? You have family there right? I am wondering if there is a more intensive program with an opening or one coming soon. I don't know that once a week will get you to your goals as much trouble as you are having. Can you fire any of your doctors? Easier said than done with insurance sometimes. I ditched the ones who weren't helpful and had no interest in moving me forward. Any thoughts on those resources I sent along a while back? I didn't start getting help till I went that route. Just a thought.... Hang in there Girl. I am still rooting for you and sending prayers. :hug: |
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Location means nothing regarding the program. I'm so angry that they would tell me "12 weeks because we just started one" in September and now it's another 12 weeks. And that they couldn't even take 5 minutes to call me themselves. My problem with finding a new doc is that I am so limited on medicaid. In addition to the fact that most PM clinics run 2 months out for appts. And then there's that pesky, I've tried all the "non-narcotics" that the insurance will cover, can we try a low dose narcotic? you know...just to see if it works like it did 15 months ago when I could function? I know narcotics are not the best solution for CRPS/neuropathy, but I'm not looking for 0 on the pain scale, I'm looking to be able to stay around a 4-5 no matter what I'm doing (within reason of course). I was on hella pain meds for my endometriosis for over 2 years. Never had a problem. Was on hella ativan for 2 years. Never had a problem. Why is it that I can put so much faith in my doctors but they can't put any in me??? I will call my CM tomorrow and ask about the NS at Northwestern. Madison won't be an option until Medicare kicks in. Oh, the GERD, yeah, that's from the copious amounts of ibuprofen...esophageal erosions. Got that taken care of with omeprazole.(my skin is like sandpaper but wth, I'm not puking all the time) I :heartthrob: you |
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New town....no one. (and don't have the degree as this beast has stolen that from me) |
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Still...thinking maybe the route of amputation would get some measure of life back for me. There is zero quality of life going from bed to potty palace and back again with reruns of NCIS or Married At First Sight playing in the background. :wink: |
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So, that leads me to a question. When you say Amputation, do you mean, amputate the nerve and leave the limb? Please educate me. :D |
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I know that I have the temperature/color changes, swelling, burning cold, shooting knife pain. As well as muscle spasms from my knee down. I've had my PCP term it RSD, my ortho call it "this RSD you speak of", neuro term it CRPS, PM tell me it's not CRPS because I can wear a sock and see peripheral neuropathy listed as a diagnosis at my latest pain clinic. So do I feel 100% confident it is CRPS, no. Do I feel confident that there is no neurosurgical option, no. I have lost faith in the medical field I previously dedicated my life to. I have had 8 specialists in the past year and I have only gained 3 more diagnoses and 5 more meds that I can't tolerate/did nothing and 1 medication I will permanently have to take. Cutting off a leg seems like a (pardon the pun) walk in the park. If removing the nerve would be an option, I would probably opt for that route but I don't believe there is a doctor out there any more that has an interest in patient care and therefore neither above/below knee amputation or nerve excision are going to happen. I fear I may need to move out of the country to find adequate care. I will however, attempt the few leads I have gotten first. Tomorrow I am heading to the basement to go through the boxes still left unpacked from Aug 2014 to sell/donate/re-pack. I will probably try to get my son to put the recumbent bike together when he comes this weekend so I can theraputize myself - regardless of whether or not I can get up off the floor afterwards. |
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Question: Have you ever tried Voltaren Gel? It is a topical gel and is very good at reducing pain for me. There is also a Ketamine gel mix that works wonders for many people too. Maybe those would work, since they are not ingested. |
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Are you hoping they customize therapy based on RSD?
ARE YOU HOPING that RIC customizes your therapy based specifically on RSD?
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Working with insurance to find another PM and most likely another PCP. I'm not looking for miracles or ultra specialization, I'm looking for someone to look at my functional decrease directly related to pain and attempt something more than "here's a new pill, try it for a few months" and when it doesn't work that's all they try. My function has gone from 60% 15 months ago to about 10-15% today. Willing to go through whatever motions the insurance/doctor requires but I will not accept my healthcare team throwing their hands in the air and walking away when there are still options to try. |
There you go! You keep that fighting spirit. :mf_swordfight:
I know it gets tedious looking for a doctor but if the ones you have aren't helping then move on. The degree of function loss should be setting off alarms not apathy. And pain should be treated not accepted if possible. Definitely demand more from your doctors. It may be worth looking at a rehab outpatient or inpatient program. The admissions people could let you know. It's their job to determine if patients are a good fit for their program. I am really surprised your wait has been so long on the other program you were on the list for. Ugh. I think checking into the NS at Northwestern is a good idea too. It's just information and the Peripheral Nerve specialists like mine have a different approach and even different diagnostics. Remember my mantra to 'start low, go slow'. If you start at two minutes on the bike and build to five that's just fine. I :heartthrob: you too. |
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As luck would (maybe) have it, one of the very local pain clinics I contacted a year ago, is now accepting my insurance and new patients. I spoke with staff there at length this afternoon. The problem (or solution) is that I need a referral from a PCP in their health system (my current PCP is not). Conversation with my case manager got me to re-examine the role of the PCP with chronic illness. I guess I never pieced it together for myself but reflecting back on my son, it makes absolute sense. I don't care that my PCP doesn't prescribe pain medication in the big picture but, in the small print she is only the referral queen. She has not handled any real issue for me at all. In fact, what she attempted failed miserably (round 3 of gaba...wouldn't listen when I was telling her it wasn't helping, back tracked on what she proposed at the office visits, etc). I'm angry. I'm angry that my lifelong dream is now not a possibility because of delays in my treatment. I'm angry that I am dependent on someone else for nearly everything now. I'm angry that my daughter has to use some of her trust fund to support me because my function has decreased to the point of not even being able to work as a receptionist. I'm angry that I have not been heard or listened to. I'm angry that I blindly doled out faith/trust only to have that not reciprocated and smashed. With that anger, I am trying to find strength. I'm trying to think outside the box. I'm holding on for dear life. Thank you for being here for me :heartthrob: |
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Anger can be a great motivator, just don't turn it on yourself. This is not your fault. You could not have 'known better". Try not to 'coulda, shoulda, woulda'. I really beat myself up over healthcare decisions that I felt contributed to my CRPS (mainly choosing the 'wrong' doctors and having complications)...as if that helped me get any better or I could do anything about it. :rolleyes: Keep moving forward and ditch negativity that holds you back or gets toxic. Eyes on the prize, girl! You are very welcome ;) |
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