Reply To: Recommending IVIG…What to do?
If you are asking me why they didn’t start IVig for me when I was originally in the hospital, it is because I could NOT get any of the medical staff to listen to me about the dizziness, numbness and weakness I was experiencing. I was discharged to a nursing home to recover from my skin graft. The doctor for the nursing home even called to insurance company saying that it was irresponsible for them to discharge me when I was clearly too weak to walk or take care of myself.
I paid for three additional weeks to try to get back to walking when I finally discharged to got home, which lasted about five hours. Even after breaking my ankle, a neurologist was called in, but again, the insurance company insisted that I be sent again to a nursing home with the neuro saying that I had something, but he wasn’t being allowed to pursue it.
After I was considered weight-bearing on the ankle, I asked for the nursing home to make an appointment with the neuro because I was being called uncooperative in participating with my physical therapy by not walking when asked. Since I was so dizzy and afraid of falling and hurting myself more, this was true.
I was informed that my insurance was cutting off Mersin home care and PT and still hadn’t seen a neuro, I called the neuro who had seen me in the hospital and was informed that they had told the SNF that he would not see me because he was no longer accepting my insurance. So I protested at my discharge meeting that not only were they refusing my request for a neuro appt, they hadn’t ordered the leg brace for my ankle that would allow me to walk. The leg brace arrived the week after my insurance and PT ran out, so I had the leg brace but no one to help me walk.
So now I was on private pay again and still no neuro appointment. So I decided that upon leaving care, I would need a primary care doctor, so I made an apptment with one for May31st, my target date for going home. Due to a rug resistant urinary tract infection, I didn’t make my target, but I did keep the appointment. He gave me a referral to a neuro. Th SNF “lost” the referral three times before finally making the appointment for the end of August 2016. I checked out of their facility at the end of July because of their continued non-care of the UTI and foot.
I had two more hospital stays for the UTI and ulcerated foot without any neuro consult being allowed at the beginning of August and was placed in my current SNF mid-August
When I got to the Neuro appt, I was told that the previous SNF had cancelled the appointment (vengeful bastards) but the dr. would see me..Then the messes started again: insurance not wanting to pay for blood tests, MRIs and delays in getting NCV/McS done. Finally in November, I received the CIDP diagnosis with a recommendation for IVig.
That started a new batttle. It was recommending that an infusion service come to my SNF to do the IVig, but my SNF refused to let them come. Since I can’t walk, the a,bulatory infusion centers refused to take me. The insurance agreed to five days in the hospital, but my neuro said my primary care doctor would have to admit me, and the SNF doc was not responding to my request. Then the IVig was denied by the insurance because the neuro screwed up by not giving them my weight for the proper dosage.
Finally March 29, I was admitted for five days of IVig. Nothing bad other than itching, but there is no further doses scheduled.. I was given Prednosone from April 19-23 with good results, but they wore off. I started a MedrolPak this morning, hoping to get strength back and reduced numbness.
New ankle braces have been ordered and I am hoping to be able to try walking again in the next few days before the Medrol wears off. I am hoping that once UC Irvine Neuromuscular Center confirms my diagnosis that Ican get IVig on a regular basis.
Sorry to go on for so long, but this has been a long battle and I want to make sure that those who are being offered treatment right away don’t delay. I ,at be facing a life of never walking again because of treatment delays. Don’t wait for it to get worse.
FYI, my insurance is Blue Shield of California PPO which seems to think that killing me off is cheaper than paying the bills.