Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)

 
 
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Old 12-06-2010, 08:09 PM #1
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MarriedtoRSD MarriedtoRSD is offline
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Join Date: Nov 2010
Location: Mid Michigan
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MarriedtoRSD MarriedtoRSD is offline
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Join Date: Nov 2010
Location: Mid Michigan
Posts: 28
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Default Grr argh, wth *pulls hair out* sigh...

So we've been dealing with work comp for going on 3 years now. Lovely, wonderful people they are, oh how they really care about injured workers, they do everything possible to help... oh wait, thats just a dream I had once. So we have been trying to get the SCS Trial done for 2 yrs. It was approved by them 2 years ago! However they dont seem to want to pay for it to be done. So for the last year we have been going back and forth with them so he can maybe see if the SCS would give him relief. The Lawyer we have, which omg right now im so ****** off at her but thats another story, she has been saying all this time that they just didnt want to pay the fee schedule and wanted us to go from Michigan to Ohio to get this done. 8 hours drive one way. "They will pay 'SOME' of your travel expenses." Hello!!! Neither one of us have been able to work since he was injured, how in the hell do you expect us to travel there? Not to mention an 8 hour drive in a car for him would be excruciating for him. So today, out of the blue, someone from the w/c bureau calls me. She's very polite, seems like she is being caring and she explains to me WHY they dont want to pay for him to have it done at his PM clinic. Its not that they dont want to pay for it. Its that they want him to have it done in an actual hospital instead of an ambulatory surgical clinic. WHY THE HELL DIDNT THEY TELL US THIS 2 YRS AGO ARGHHH! WHY didnt our lawyer tell us this?? Which Im going to be asking her first thing in the morning. Im really angry over this. Oh and the cherry on top of the cake? Get this. We got a letter today, from the bureau, saying that his case file is being reviewed, to see if his medications should be reimbursed or not. WTH!!!! They been paying for his meds for the last 3 yrs and NOW they want to review his case? Hes been approved for RSD for over 2 1/2 yrs and never had any issue with his meds and NOW they are reviewing him? My husband is panicked about it because without them paying for it, he wouldnt have them. His meds run about 3k a month, we dont even get a third of that in income and just like everywhere else in the country, its tight. We're barely getting by as it is. So yeah, hes upset, which doesnt help his pain level which has been almost a constant 8 since all of this happened. Ugh, I wish I could do something to help him. I cant even rant to him though because I dont want to upset him, I dont want him seeing me upset either. Well... Anyway, I guess this was my rant today. I hope everyone else is doing good and being pain free.
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