I have to write a Letter of Medical Nec. for my insurance co regarding HBOT- Actually my doc has to write it but I am doing it for her. I have a feeling they are not going to cover it because the last time I tried they did not ask for a letter. Here is a copy- does anyone think I could make improvements to get this to happen

Debra Huberman, a patient of mine for many years, has been suffering from RSD since 1998. She has tried many treatments including nerve blocks, 5 day continuous ketamine infusion, Aredia infusion, lidocaine infusion and most recently direct Transcortical stimulation. Unfortunately, non of these treatments have provided any pain relief. Her RSD continues to spread and is now in all four extremities. Her symptoms include burning pain, skin sensitivity, swelling and severe muscle tightening. Of course, this is causing her to feel great despair.

I have read some promising articles on Hyperbaric Oxygen Treatment for people with RSD. I see no other options for Mrs. Huberman at this time and highly recommend a trial of 40 sessions of treatment.


Thanks for any suggestions!

Debbie