Hello Kathy, Thank you so much for taking time to reply!!!! I live in Indiana and there are few who do lymphedema here! i am fortunate enuff to have had 2 wonderful ladies helping me w/ therapy, my 1st one helped save my leg, but after 2 yrs what she did quit working, i stopped responding to compression, then in 2008 i was told that i had uterian cancer! After my hysterectomy and incisional hernia repair # 3 i kinda gave up, in 2011 i was put in touch w/ my new therepist she discovered that my lymphedema had progressed to my abs even after her doing massage therepy i was still slow to respond, thats when she recommened that i get the flexitouch pump for home use! it took 3 months of argueing w/ insurance but finally it got approved, i have only been using it since Jan. 3 2012 but already am noticing some improvement! At times i really struggle with the emotional side of things! i went from working , riding horses, running w/ friends to totally disabled!!! i am on warafrin for life so that cuts horses, andi have gained 135 lbs which is not helping! somedays my fluid build up is extreme enuff to make daily chores impossible! Do u deal w/ cellulitis also? its rather a common occurance for me. Again THANK YOU for taking time to chat! May God Bless And Keep You Safe! Jilly:) ps i highly recommend the flexitouch pump by tactile systems!