@rwinney Yes, she submitted the prescription for IVIG a couple days ago so I’m sure it will go back and forth quite a few times with insurance, but I’m not giving up, we will get it approved!! It’s a longshot but we have to try something more aggressive like this since he’s only 15 years old. 🤞🏼🤞🏼
@albiet there have been many with no success. Most recently we have tried oxcarbazepine, Nortriptyline, Gabapentin, Lyrica...there are many more like creams, and even a DRG stimulator, all making no difference in his pain level.
@arcticmark Thanks so much for your reply! I’m glad you have found some success with IVIG. I know that IVIG is generally only for those with an identifiable autoimmune disease, so since my son doesn’t have any indication of autoimmune I’ve been told IVIG is a longshot. But I want him to try it since it’s really the only treatment that has shown to reverse SFN in some cases. His doctor is prescribing a 3 month trial so now we are just waiting for insurance. I’m expecting an uphill battle with insurance, but our doctor is terrific and knows she will have to persuade them to let us try this treatment. I’m hoping that my son’s age (15 yrs old) will help with our case. Honestly, he’d be over the moon if he could get ANY kind of relief and live a more normal teenage life! Thanks again for responding!!
Most insurance policies cover about 15 diseases for IVIG or "if it is medically necessary." They often deny based on you not having one of the 15 named diseases. If you have a good doctor they should be able to cite studies like Dr. Oaklander's and things about your symptoms that make them think that IVIG is medically needed for you. Good luck!
@rwinney Yes, she submitted the prescription for IVIG a couple days ago so I’m sure it will go back and forth quite a few times with insurance, but I’m not giving up, we will get it approved!! It’s a longshot but we have to try something more aggressive like this since he’s only 15 years old. 🤞🏼🤞🏼
There are attorneys that are now specializing in taking on insurers on behalf of patients to get IVIG. Not sure where you are based but https://www.rosenfeld.com/attorney-profiles/Mala-M-Rafik.html are good attorneys in Boston who do this. I have never used them, but they have a good reputation, so this isn't an ad but you can probably call and ask if they know attys near you who do this.
There are attorneys that are now specializing in taking on insurers on behalf of patients to get IVIG. Not sure where you are based but https://www.rosenfeld.com/attorney-profiles/Mala-M-Rafik.html are good attorneys in Boston who do this. I have never used them, but they have a good reputation, so this isn't an ad but you can probably call and ask if they know attys near you who do this.
@arcticmark I know it’s going to be a battle with insurance, but I’m ready! And thank you for the info on the lawyers, I had no idea there were folks who specialized in this so I will definitely keep their info! I really appreciate it!!
@albiet there have been many with no success. Most recently we have tried oxcarbazepine, Nortriptyline, Gabapentin, Lyrica...there are many more like creams, and even a DRG stimulator, all making no difference in his pain level.
@arcticmark I know it’s going to be a battle with insurance, but I’m ready! And thank you for the info on the lawyers, I had no idea there were folks who specialized in this so I will definitely keep their info! I really appreciate it!!
We sure did, thank you so much for asking! We aren’t a ski and hiking kind of family anymore, so instead we bowled, went to iFly and tried axe throwing for the first time!
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@katec so it was oaklander that asked for ivig?
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@katec thats good. What other meds have they tried for your son?
@albiet there have been many with no success. Most recently we have tried oxcarbazepine, Nortriptyline, Gabapentin, Lyrica...there are many more like creams, and even a DRG stimulator, all making no difference in his pain level.
Most insurance policies cover about 15 diseases for IVIG or "if it is medically necessary." They often deny based on you not having one of the 15 named diseases. If you have a good doctor they should be able to cite studies like Dr. Oaklander's and things about your symptoms that make them think that IVIG is medically needed for you. Good luck!
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1 ReactionThere are attorneys that are now specializing in taking on insurers on behalf of patients to get IVIG. Not sure where you are based but https://www.rosenfeld.com/attorney-profiles/Mala-M-Rafik.html are good attorneys in Boston who do this. I have never used them, but they have a good reputation, so this isn't an ad but you can probably call and ask if they know attys near you who do this.
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3 Reactions@arcticmark I know it’s going to be a battle with insurance, but I’m ready! And thank you for the info on the lawyers, I had no idea there were folks who specialized in this so I will definitely keep their info! I really appreciate it!!
@katec I am sorry to hear the meds didn’t work. How long did they keep him on the each medicine before they changed it ?
@katec
I hope you and your family, especially your son, were able to enjoy the Christmas season.
Jim
We sure did, thank you so much for asking! We aren’t a ski and hiking kind of family anymore, so instead we bowled, went to iFly and tried axe throwing for the first time!
Did you have a nice holiday season?
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