Hi @summertime4, perhaps a home care agency in your area can help with your lymphedema. I know that some home care therapists are certified on lymphedema. The agency needs an order from your rheumatologist for home care therapy to admit you to their services, The therapist will work with your doctor for orders. They can also help you get fitted for the right sleeve to remove the fluid. You should give it a try and remember it is the patient’s choice with which agency to sign up for services not the doctor. The doctor can assist you but it’s your right to choose. Of course, it all depends on your medical insurance plan but take advantage if you have Medicare as a primary insurance it is at no cost to you for the service.