I was originally scheduled for L4/5 fusion on 7/2. The insurance denied the surgery saying there was not enough documentation sent in. Okay.
I had an appointment with the NS yesterday to discuss what needs to be done to provide more documentation. Lord knows I have documentation for tests, PT and different medications going back to 2005!
NS scheduled me for a discogram on 7/20, for L3/4, L4/5 and L5/S1. I can understand having the test done, as I am one of those people that is in a lot of pain but other tests are coming back negative. What I don't understand is the NS saying the results of this test will show them which vertebrae need to be fused. What about the surgery that was scheduled before the insurance denied me? What if the insurance had approved it and they fused L4/5 as planned and it turned out to be the wrong ones? I don't know what to think of this. The only thing I can think of is he meant that the results will show that the vertebrae do need to be fused due to the disc being the source of the pain and maybe he just didn't phrase it correctly? I hope so! I am confused now.
I am more than a little tired of not being able to do much other than sit on the couch or lay down and "rest". I am so tired of "resting" I could scream!
He gave me a prescription for Lyrica, which I will get filled this evening. I told him percocet did nothing for the pain I am in, and I do not want to take any narcotic unless it is absolutely necessary and it also needs to help the pain!
I am hoping this test, while painful from what I hear, will provide the results that the insurance company is looking for. I can't imagine what I will do if it is denied again. I am very worried right now. I don't know what I will do if the final answer in this ordeal is that I have to live with this pain and nothing can be done. I am in so much more pain than I ever was before my first surgery last year. I could just cry (and I have, but am trying not to now) :''( . I try to stay positive, but it gets harder as days turn into weeks which is turning into months.
I am also running out of time that my job is protected under the FMLA act. I have until 7/27 (that will be the end of 12 weeks that I have been on short term disability), then I can lose my job, and so my insurance, after that. I can, of course, continue receiving my health insurance coverage under COBRA, and have already been approved for long term disability, but BC is extremely expensive when it comes out of pocket! Oh my...
I'm sorry to go on and on... I guess lately I find myself venting more and more. Please, don't mind me!
Thanks for listening (or reading, as the case may be
I hope everyone is doing good today! It is at least a gorgeous day today in NY! Maybe going out and cutting some flowers will improve my mood
It usually does.