Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 , Thanks for replying. We haven't ruled out the medical course, just are looking at her options. I am very worried about the joint damage, that's why I was wondering if anyone had tried using homeopathy or other alternative treatments or if it was pretty much a given that we needed at least some of the medical course. Since you started young also, are you seeing many side effects from the treatment drugs? I checked into the rheumatologist this morning, who wants 500 up front for consultation. We will check into the state programs (TN) and see what we come up with there. She doesn't meet the local unsured clinic guidelines for help as she is a full-time student and they require patients to be employed at least 20 hours/week. Back to my research. . . Thanks, Beth </HTML> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 , She's been to an ARNP for lab work since symtpoms were pointing in that direction who is wonderful and willing to work with us any way possible. Her RF, CRP, and sed rate are all elevated and next step medically would be a consultation with the rheumatologist. The ARNP is willing to work with her in monitoring, etc., so the rheumatology visits could theoretically be minimized, which would help tremendously I would think with the financial aspects. Just checked out the Medicare site for TN and she doesn't qualify there as she's 21 and not pregnant. So, so far there are two voices for medical is the way to go as opposed to natural/alternative. Thanks for replying. Beth </HTML> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 , Struck out everywhere financial help-wise, TN has cut way back on their help offered unless you're under 19 or pregnant, BUT we do have the University of TN Medical Group with a Rheumatology Department within an hour of here and they seem like they will be much more reasonable expense-wise than our local Arthritis Group, so I guess we'll start there. I would think quality of care at a teaching practice would be comparable and be up on the latest practices (?). About how often would we likely be seeing the rheumatologist if our local family-type clinic is willing to work with them with monitoring, etc.? Thanks, Beth </HTML> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 Beth, I would not take a homeopathic way of dealing w/ RA. RA destroys your joints and w/o proper medication...joint damage will be inevitable. I am sure there are diets you can follow to help with inflamation, but medications can help prevent further joint damage especially in hands. RA needs to be followed up with a rheumatologist because labs are extremely important in helping control the disease. I have worked in heatlhcare for the past 10 years until the disease finally got the best of me and I had to quit working. (I am 30 and I was diagnosed when I was 23). Since your daughter has been working hard to be a surgical tech, clinic will only get harder because she will have to hold instruments and with RA...it will make it extremely hard. Is the reason you are looking at homopathic is because you don't have healthcare insurance? I don't have medical insurance either. States are required to have some sort of indigient care program for people who don't have healthcare insurance. Check with your local general hospital and they should be able to tell you how to sign up. Cost is based on income. I am unable to work and I pay $7 co-pays and $5 for prescriptions. (I pay nothing for brand name medications since many times medication for those who need a brand name medicaiton; it is donated by pharmacudical companies). She can normally get qualified for the program the same day as she goes in. She will then have access to specialists, primary care doctors and medications to help her if she does have RA. If she doesn't then they can help her find relief so she can do her job as a surgical tech. I can only stress to you that this is something she doesn't want to ignore. I good friend of mine was diagnosed as a diabetic and wanted to go with more of a homopathic way of treating her disease. She didn't go to doctors for follow-up care since she thought she could control her diabetitis through herbs and diet. She ended up slipping into a diabetic coma and passed away a few years ago. If you want, just tell me the state that you live in and I will help you find your states indigent care program and where to go. > > My 21-year-old daughter has not been diagnosed with RA yet, but all > signs and symptoms and lab work are pointing in that direction. She's > really struggling right now trying to get through an intensive surgical > tech program getting ready to start clinicals in a couple of weeks > while dealing with constant hand and foot pain and swelling and > shoulder pain, etc., waking her at night every hour or so. Of course, > we have no insurance (divorced several years ago) and not much money > with her in school. Are there folks who have foregone the > rheumatologist and gone with homeopathy or other ways (food > sensitivities, etc.) to deal with this and had some success? It sounds > like diagnosing is sort of a hit and miss progression - how important > is it to get the diagnosis/prognosis if we're looking towards > alternative treatments? I've transcribed Rheumatology for the last > several years and really would like to avoid the medical route if > possible - is this realistically possible? Any help or direction is > welcome - have been doing LOTS of research online and would love to > hear suggestions from real people on how to best help her. > > Thanks, > Beth > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 Hi Beth, I don't personally believe that there is a natural cure and all the documentation that I have read points to intervention at the earliest with DMARDs of some kind to be the best way to go. If she is in school, isn't there some kind of health center that she can go to (I only say this because my son is in his senior year right now and he visits the health center occasionally). Good luck. mary [ ] need supporter support My 21-year-old daughter has not been diagnosed with RA yet, but all signs and symptoms and lab work are pointing in that direction. She's really struggling right now trying to get through an intensive surgical tech program getting ready to start clinicals in a couple of weeks while dealing with constant hand and foot pain and swelling and shoulder pain, etc., waking her at night every hour or so. Of course, we have no insurance (divorced several years ago) and not much money with her in school. Are there folks who have foregone the rheumatologist and gone with homeopathy or other ways (food sensitivities, etc.) to deal with this and had some success? It sounds like diagnosing is sort of a hit and miss progression - how important is it to get the diagnosis/prognosis if we're looking towards alternative treatments? I've transcribed Rheumatology for the last several years and really would like to avoid the medical route if possible - is this realistically possible? Any help or direction is welcome - have been doing LOTS of research online and would love to hear suggestions from real people on how to best help her. Thanks, Beth Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 Okay then good, we at least have a starting plan now with the teaching hospital group. Hopefully she won't need any extensive testing until after she gets out of school and goes to work/gets insurance. 100s at a time I reckon we'll find some way to swing. Thanks for the info and I'll try to stay in lurk mode and pick your brains quietly for more hints on helping her function ;o) Thanks again, Beth </HTML> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 I'm sorry to hear about your daughter. See if your closest large medical center has a clinic. Otherwise get to a Rheumatologist at least for the initial diagnosis and treatment. Early diagnosis and treatment is imperitive for best outcomes. The good news is prednisone and methotrexate are both old drugs and very cheap. Good luck Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 Beth, The only side effects that I have had was when I was on high doses of predisone was weight gain (which I have never been able to loose) and insomnia. I have taken methotrexate, remicaide, arava, sulfasalazine, plaquinel, diclofenac w/o any long term side effects. I did a quick search for Tennesee, but I didn't find anything. I would call your local general hospital (wherever most of your state's medicaid patients go) and ask if they provide an indigent care program or where she can go for care. Normally w/ an indigient care program she can only see doctors who are at the hospital. She would get her labs/xrays done there and see that hospital's specialists. If she has too, LIE, so she can get covered. If she does have RA...she can't buy healthcare insurance due to having a " pre-existing " condition. If she gets healthcare insurance through an employer, the " pre-existing " condition rule tends not to apply, but there might be a grace peroid before they will cover her. Since she is a student, most college's (even small ones) tend to have a heatlhcare clinic for it's students. Maybe they can get her in somewhere so she doesn't have to met guidelines of being employed. Paying out of pocket for ongoing specicalist care is expensive. Let me know if there is anything else I can do. > > , > > Thanks for replying. We haven't ruled out the medical course, just are > looking at her options. I am very worried about the joint damage, that's why I was > wondering if anyone had tried using homeopathy or other alternative > treatments or if it was pretty much a given that we needed at least some of the medical > course. Since you started young also, are you seeing many side effects from > the treatment drugs? > > I checked into the rheumatologist this morning, who wants 500 up front for > consultation. We will check into the state programs (TN) and see what we come > up with there. She doesn't meet the local unsured clinic guidelines for help > as she is a full-time student and they require patients to be employed at least > 20 hours/week. Back to my research. . . > > Thanks, > Beth </HTML> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 I am a patient at the University of Michigan-which is about three hours for me to get to and back. Teaching hospitals are very knowledgeable and up to date with their treatments. My first visit was a few hundred dollars and each time I go, it's about $100.00. I had to have extensive lab work for liver testing a couple of years ago and the bill was near $12,000. I have RA and Fibromyalgia. I have to see the rheumatologist every 12 weeks unless I have an emergency and need to be seen sooner. --- third19@... wrote: > , > > Struck out everywhere financial help-wise, TN has > cut way back on their help > offered unless you're under 19 or pregnant, BUT we > do have the University of > TN Medical Group with a Rheumatology Department > within an hour of here and they > seem like they will be much more reasonable > expense-wise than our local > Arthritis Group, so I guess we'll start there. I > would think quality of care at a > teaching practice would be comparable and be up on > the latest practices (?). > About how often would we likely be seeing the > rheumatologist if our local > family-type clinic is willing to work with them with > monitoring, etc.? > > Thanks, > Beth </HTML> > > > [Non-text portions of this message have been > removed] > > ________________________________________________________________________________\ ____ Be a better friend, newshound, and know-it-all with Mobile. Try it now. http://mobile./;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 Beth, There was a bill to go into effect in May for HUGE cuts in Medicaid and Indigent programs throughout the country. Legislature is hoping to put it off until next year when a new predsident is elected who could veto it since it was initated under the Bush administration. Teaching hospitals are great to go to, they offer the latest treatment options and get more funding for new treatments. (The indigent program that I have is for the local general hosptial in Denver and it is a teaching hospital). Your daughter would be in good hands with the Vol's. As far as how often you see a rheumatologist depends on your treatment. Sometimes it's every month or every few months. Please keep us posted on what happens. I found it difficult when I was first diagnosed because I was so young. You feel like you can't keep up w/ friends and it's easy to get depressed. Having a good support system like you and this web board helps. > > , > > Struck out everywhere financial help-wise, TN has cut way back on their help > offered unless you're under 19 or pregnant, BUT we do have the University of > TN Medical Group with a Rheumatology Department within an hour of here and they > seem like they will be much more reasonable expense-wise than our local > Arthritis Group, so I guess we'll start there. I would think quality of care at a > teaching practice would be comparable and be up on the latest practices (?). > About how often would we likely be seeing the rheumatologist if our local > family-type clinic is willing to work with them with monitoring, etc.? > > Thanks, > Beth </HTML> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 In my state, even though I am single and my only source of income is my SSDI, I cannot get Medicaid. I have a spend down where they want me to spend HALF of my monthly income on any medical care before they will pay for anything. Therefore, I am stuck with all copays that Medicare does not pay for, so either way, I still spend a lot out of pocket. --- <man_u8@...> wrote: > Beth, > > There was a bill to go into effect in May for HUGE > cuts in Medicaid > and Indigent programs throughout the country. > Legislature is hoping > to put it off until next year when a new predsident > is elected who > could veto it since it was initated under the Bush > administration. > Teaching hospitals are great to go to, they offer > the latest > treatment options and get more funding for new > treatments. (The > indigent program that I have is for the local > general hosptial in > Denver and it is a teaching hospital). Your > daughter would be in > good hands with the Vol's. > As far as how often you see a rheumatologist depends > on your > treatment. Sometimes it's every month or every few > months. Please > keep us posted on what happens. I found it difficult > when I was first > diagnosed because I was so young. You feel like you > can't keep up w/ > friends and it's easy to get depressed. Having a > good support system > like you and this web board helps. > > > > > > > > > , > > > > Struck out everywhere financial help-wise, TN has > cut way back on > their help > > offered unless you're under 19 or pregnant, BUT we > do have the > University of > > TN Medical Group with a Rheumatology Department > within an hour of > here and they > > seem like they will be much more reasonable > expense-wise than our > local > > Arthritis Group, so I guess we'll start there. I > would think > quality of care at a > > teaching practice would be comparable and be up on > the latest > practices (?). > > About how often would we likely be seeing the > rheumatologist if our > local > > family-type clinic is willing to work with them > with monitoring, > etc.? > > > > Thanks, > > Beth </HTML> > > > > > > [Non-text portions of this message have been > removed] > > > > > ________________________________________________________________________________\ ____ Be a better friend, newshound, and know-it-all with Mobile. Try it now. http://mobile./;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 Hi, In answer to your questions regarding follow-up she will probably need some bloodwork about every 6 weeks or so, depending on what medications they start her on. May start with a trial of prednisone and then a DMARD. The Hopkins web site has some excellent and treatment info. I wish you and your daughter the best . - In , third19@... wrote: > > Okay then good, we at least have a starting plan now with the teaching > hospital group. Hopefully she won't need any extensive testing until after she gets > out of school and goes to work/gets insurance. 100s at a time I reckon we'll > find some way to swing. Thanks for the info and I'll try to stay in lurk > mode and pick your brains quietly for more hints on helping her function ;o) > > Thanks again, > Beth </HTML> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2008 Report Share Posted March 20, 2008 After a few years with my present Rheumy and paying only about $17 per visit if anything at all, I got a bill for $87 for the last visit because Medicare paid him only $7.81 for their part! That's the start of a real problem we'll all face as things get worse. I don't think a new president will make much difference, too much is run by legislators and PAC's and lobbyists. Local help is almost non-existent, too. My wife and I are living on SSD only and have our 11 year-old granddaughter with us. We don't even qualify for food stamps, but did get one month of medicaid for the girl. Even though we live below the poverty level, it's not low enough since we can still buy food. For 3 weeks of taking her to school and back, our gas bill for the car was $175! Again, no reason to need any help. One year when we applied, we got $10 worth of food stamps and didn't even use that. I pity anyone who really needs help. Too often the answer is NO! Dennis in eastexas Re: [ ] Re: need supporter support > In my state, even though I am single and my only > source of income is my SSDI, I cannot get Medicaid. I > have a spend down where they want me to spend HALF of > my monthly income on any medical care before they > will pay for anything. Therefore, I am stuck with all > copays that Medicare does not pay for, so either way, > I still spend a lot out of pocket. > --- <man_u8@...> wrote: > >> Beth, >> >> There was a bill to go into effect in May for HUGE >> cuts in Medicaid >> and Indigent programs throughout the country. >> Legislature is hoping >> to put it off until next year when a new predsident >> is elected who >> could veto it since it was initated under the Bush >> administration. >> Teaching hospitals are great to go to, they offer >> the latest >> treatment options and get more funding for new >> treatments. (The >> indigent program that I have is for the local >> general hosptial in >> Denver and it is a teaching hospital). Your >> daughter would be in >> good hands with the Vol's. >> As far as how often you see a rheumatologist depends >> on your >> treatment. Sometimes it's every month or every few >> months. Please >> keep us posted on what happens. I found it difficult >> when I was first >> diagnosed because I was so young. You feel like you >> can't keep up w/ >> friends and it's easy to get depressed. Having a >> good support system >> like you and this web board helps. >> >> >> >> >> >> > >> > , >> > >> > Struck out everywhere financial help-wise, TN has >> cut way back on >> their help >> > offered unless you're under 19 or pregnant, BUT we >> do have the >> University of >> > TN Medical Group with a Rheumatology Department >> within an hour of >> here and they >> > seem like they will be much more reasonable >> expense-wise than our >> local >> > Arthritis Group, so I guess we'll start there. I >> would think >> quality of care at a >> > teaching practice would be comparable and be up on >> the latest >> practices (?). >> > About how often would we likely be seeing the >> rheumatologist if our >> local >> > family-type clinic is willing to work with them >> with monitoring, >> etc.? >> > >> > Thanks, >> > Beth </HTML> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 While I have read that there is research indicating that food " allergies " can cause RA in some people (2 - 30 %) it is not the cause of RA in most people. I have tried eliminating certain foods (wheat) without effect. Some say it can take up to a year. In the mean time, without medical intervention, much damage can be done to your joints, you may be exhausted, and it could get so bad that you can't work or do daily household chores. The initial expense may be very hard but I think in the long run that getting the care you need will be well worth it. I hope you can find some resources to help or a doctor that will work with you. ez --------------------------------- Never miss a thing. Make your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 I have a spenddown that is more than my SSDI because of my husbands income. Fortuneately, I have a counseling agency that will bill the whole amount for Medicaid, yet I'm only responsible for the sliding scale fee of ($0) due to other govt programs. Can you try this? > > > > > > , > > > > > > Struck out everywhere financial help-wise, TN has > > cut way back on > > their help > > > offered unless you're under 19 or pregnant, BUT we > > do have the > > University of > > > TN Medical Group with a Rheumatology Department > > within an hour of > > here and they > > > seem like they will be much more reasonable > > expense-wise than our > > local > > > Arthritis Group, so I guess we'll start there. I > > would think > > quality of care at a > > > teaching practice would be comparable and be up on > > the latest > > practices (?). > > > About how often would we likely be seeing the > > rheumatologist if our > > local > > > family-type clinic is willing to work with them > > with monitoring, > > etc.? > > > > > > Thanks, > > > Beth </HTML> > > > > > > > > > [Non-text portions of this message have been > > removed] > > > > > > > > > > > > > ______________________________________________________________________ ______________ > Be a better friend, newshound, and > know-it-all with Mobile. Try it now. http://mobile./;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Dennis, Can you get Tanf for the grand living with you? If she lives with you, you should be able to apply and receive not only TANF but also Medicaid for her. She would be considered a family of one and your income wouldn't be factored into hers. It might not be much, but every little bit helps. Phyllis Re: [ ] Re: need supporter support > In my state, even though I am single and my only > source of income is my SSDI, I cannot get Medicaid. I > have a spend down where they want me to spend HALF of > my monthly income on any medical care before they > will pay for anything. Therefore, I am stuck with all > copays that Medicare does not pay for, so either way, > I still spend a lot out of pocket. > --- <man_u8@...> wrote: > >> Beth, >> >> There was a bill to go into effect in May for HUGE >> cuts in Medicaid >> and Indigent programs throughout the country. >> Legislature is hoping >> to put it off until next year when a new predsident >> is elected who >> could veto it since it was initated under the Bush >> administration. >> Teaching hospitals are great to go to, they offer >> the latest >> treatment options and get more funding for new >> treatments. (The >> indigent program that I have is for the local >> general hosptial in >> Denver and it is a teaching hospital). Your >> daughter would be in >> good hands with the Vol's. >> As far as how often you see a rheumatologist depends >> on your >> treatment. Sometimes it's every month or every few >> months. Please >> keep us posted on what happens. I found it difficult >> when I was first >> diagnosed because I was so young. You feel like you >> can't keep up w/ >> friends and it's easy to get depressed. Having a >> good support system >> like you and this web board helps. >> >> >> >> >> >> > >> > , >> > >> > Struck out everywhere financial help-wise, TN has >> cut way back on >> their help >> > offered unless you're under 19 or pregnant, BUT we >> do have the >> University of >> > TN Medical Group with a Rheumatology Department >> within an hour of >> here and they >> > seem like they will be much more reasonable >> expense-wise than our >> local >> > Arthritis Group, so I guess we'll start there. I >> would think >> quality of care at a >> > teaching practice would be comparable and be up on >> the latest >> practices (?). >> > About how often would we likely be seeing the >> rheumatologist if our >> local >> > family-type clinic is willing to work with them >> with monitoring, >> etc.? >> > >> > Thanks, >> > Beth </HTML> ------------------------------------------------------------------------------ No virus found in this incoming message. Checked by AVG. Version: 7.5.519 / Virus Database: 269.21.8/1337 - Release Date: 3/20/2008 8:10 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2008 Report Share Posted March 22, 2008 Hello Beth, It is so wonderful that you are doing research for your daughter! This is Steph in VA. I'm 30 and was diagnosed with juvenile RA with adult persistence in 1999 when I was 22. I understand your inquiry into the homeopathic realm for treatment. I believe that there is a place for alternative treatment -- as complimentary. The Arthritis Foundation has some wonderful info about nutrition that I have found helpful. Some people are also helped by acupuncture or massage in conjunction with traditional treatment. You are right to worry about joint damage. RA is a destructive disease that attacks your joints before moving onto to organs like your eyes, heart & lungs. The biologic meds (injections & infusions) have the best chance of slowing down the progression of the disease. However, in order to get help with RA meds you usually have to be under the treatment of a rheumy. I take ibuprofen, folic acid, methotrexate, flexerill & Remicade. This cocktail works well for me -- I have been on it for just about 7 years now. Take care, Steph in Va My 21-year-old daughter has not been diagnosed with RA yet, but all signs and symptoms and lab work are pointing in that direction. She's really struggling right now trying to get through an intensive surgical tech program getting ready to start clinicals in a couple of weeks while dealing with constant hand and foot pain and swelling and shoulder pain, etc., waking her at night every hour or so. Of course, we have no insurance (divorced several years ago) and not much money with her in school. Are there folks who have foregone the rheumatologist and gone with homeopathy or other ways (food sensitivities, etc.) to deal with this and had some success? It sounds like diagnosing is sort of a hit and miss progression - how important is it to get the diagnosis/prognosis if we're looking towards alternative treatments? I've transcribed Rheumatology for the last several years and really would like to avoid the medical route if possible - is this realistically possible? Any help or direction is welcome - have been doing LOTS of research online and would love to hear suggestions from real people on how to best help her. Thanks, Beth ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The 2008 Charlottesville Arthritis Walk is Sat. May 3 at UVA's Stadium The Walk raises both awareness of the prevalence of arthritis and money for research & programs for people with arthritis! The Cville walk includes a simultaneous Dog Walk as well. " Never underestimate the power of a small, dedicated group of people to change the world -- indeed, it's the only thing that ever has. " (Margaret Mead) AmeriCorps Alums -- Still Getting Things Done --------------------------------- Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
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