Quote:
Originally Posted by Brokenwings
Hi Lisa--yep--ALL EIGHT symptoms, and they "MUST be CONCURRENT".
Never before has such STRINGENT criteria been applied--and this is especially aggregious if you have a WC claim in California. Thanks to SB899 and all the "cost cuts", diagnosis and treatment must adhere to AMA Guidelines and ACOEM Guidelines. IWs who have been dx'd with RSD by their Primary Treating Physician are inevitably sent to either an AME or QME, who will, of course, say that the IW does NOT have RSD....so the IWs treatment plans get YANKED by the IC...
NOWHERE in the scientific literature, EXCEPT the AMA, does a patient have to have all 8 concurrent symptoms; just symptoms "AT SOME TIME", because, as we have all found out, the symptoms can "wax and wane", etc., and this is especially true if we have been FORTUNATE enough to get some APPROPRIATE TREATMENT!
And--according to the AMA, a good response to a Stellate Block is "no longer the Gold Standard" in CONFIRMING the dx of RSD!!!!
Its ALL about MONEY--as we have found out, treatment for RSD is VERY COSTLY--the Insurance Co's DON'T WANT TO PAY--so the cost is "shifted" , eventually, to either PRIVATE medical coverage or MEDICARE (who, by the way, does NOT apply such strict criteria, and you don't need "pre-authorization" for TREATMENT)....
And, if you were unfortunate enough to get injured in California AFTER SB899, there is a NEW Permanent Disability Rating Schedule, and guess what? Since "pain is subjective", RSD is "not ratable"; the MOST you can get is a 3% "pain add-on"...
Pretty INTERESTING.....
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Hi Brokenwings It's Karen I havent read the yet what you are talking about because I have had the flu so bad and been on meds for that to and tonight I just started to feel a little better but I was reading what you were talking about and I live in California and cant get any help I have an HMO Insurance but they just changed that to they changed it to IPA HMO Insurance and it makes it almost inpossible to get help of any kind the state will only help you if you have 2000 a month where I live thats my house payment with great credit Im so scared with no help from family cant work and a house and I have to pay for insurance the house the van and taxes meds for me and my son with an heart condition that could one mominte he could be laughing with friends or me and the next his heart would stop and he would die plus he has ocd anxixty dosoder and tourettos every morning Im glad I wake up but I was suppost to go live with my boyfreind in Oregon but its on hold now everything is. I just dont know what to do......When and I mean WHEN I get dressed the purple reddish is up to my chest now.I see my pain secialist today Thurs. I'll let you know what happens and buckwheat to. Im already having problems breathing for the last few months but Feb was probably been then worst time more signs that its inside.............I'm really scarced I'm fighting but I dont fell like its getting me anywhere except my love for my son but Im afaird that when my sson goes to college in 3 yrs I will need to be in a home I will only be 42 yrs old. Im afraid I wont be able to take care of myself plus I will be totally alone. My son says he wont leave me I keep telling him yes he has to go and grow for him and me in 5th grade he read at a 12th grade level. I need to make sure he does I put a college fund with my settlement to make sure but now I lost almost all the rest due to my devorce and living bills and MEDICAL and now whae does somebody do when they live in Calif. and their is no help for pain treatment or RSD................Im doing to read and I saw on the web CNN about kitamine and I was going to try that..........
03-01-2007, 05:43 AM
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