Is financial difficulty considered non-compliance?

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Regular Member

Date Joined Jun 2008
Total Posts : 87
   Posted 6/22/2008 5:54 PM (GMT -6)   
I am wondering what to do with this. They want me to get injections (the steroid/epidural whatever) on the T7, 8,, and 9 area, but they want $1,000 up front for this because my deductible sucks. I don't have the money for that. Plus I have done TONS of research on them and the idea i have gotten is either they make you worse, don't work, or they do for a short time and then you have to getmore. Plus they never checked my cervical or lumbar spine, and I have pain there too, no answers as to why and then there is the RA. So I cancelled my appt and said i couldn't afford it. Is my PM going to see this as a bad thing? That I am non-compliant? If any of you have been in this situation, please tell me your experience....

My kids are bugging me to put these up....

eyes skull nono

***** Fibromyalgia 2007 ***** Degenerative Disk Disease with Herniation T7, T8, T9 May '08***** Rheumatoid Arthritis June '08 ******

Regular Member

Date Joined Apr 2007
Total Posts : 428
   Posted 6/22/2008 7:21 PM (GMT -6)   

Hi there SJH,

I was breezing through and saw you had a post without a response. I truely understand how you feel. That is an awful lot of money to be put up front without any guarantees and you mentioned they didn't check your cervical and lumbar spine, which maybe I am not familiar with your circumstances, but it just sounds odd. They may be fine, but I always feel uncomfortable when places of business want the money upfront.

I have had quite a few epidurals and nerve blocks and never got relief but I have heard of others who have and even someone that had it done and his pain was gone for good!! Imagine that!

I am sorry I can't offer you much on this, maybe others can. I know that they didn't help me but I have heard that others found relief for different periods of time and one person said it took the pain away. I know when you are in pain, you want to try anything to get relief. I truely wish you well and hope you do get relief somehow.

My best.  

Swallow your pride, you will not die, it's not poison.- Bob Dylan 

Veteran Member

Date Joined Dec 2007
Total Posts : 2113
   Posted 6/22/2008 7:31 PM (GMT -6)   
I have had doctors who would go out of their way to help me get that type of treatment free/reduced cost or would recommend a lower cost treatment and really go out of their way for me. I have had other doctors who would throw up their hands and say if you aren't doing this my way I can't help you. It all depends on the doctor-I argue with my current rhuemy quite frequently but she has this annoying habit of always being right.

Veteran Member

Date Joined Dec 2007
Total Posts : 1235
   Posted 6/22/2008 8:40 PM (GMT -6)   
I don't think that they can consider that non compliance. They can offer you a steroid dose pack in lieu of the injections. That's what they did with me before I had any injections.
I only did go through with two and all they did was make things worse. 
My understanding is that they tend to be more helpful when they are given within three months of onset of symptoms. After that, they tend not to be so helpful.
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
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Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
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Regular Member

Date Joined Jun 2008
Total Posts : 87
   Posted 6/23/2008 12:17 AM (GMT -6)   
Yeah and I have had these problems for at least 2 years... I don't know i am just scared of what they will think, but yeah once he gets my Rheumatologist's report about the RA dx, then maybe he won't be so eye-rolling about the money/injections issue... It's like dude you are a DOCTOR you maje good money, I am a lowly BILLER and I don't make squat, especially when you factor in 2 kids, a mortgage, MRI deductibles, $50 copays, and let's not forget GAS! What do they expect right??
***** Fibromyalgia 2007 ***** Degenerative Disk Disease with Herniation T7, T8, T9 May '08***** Rheumatoid Arthritis June '08 ******

Veteran Member

Date Joined Jun 2008
Total Posts : 6706
   Posted 6/23/2008 2:05 AM (GMT -6)   
The majority of Doctors know of somewhere to get that deductable lowered or another Doc willing to do it Pro-bono for the tax right off and then your only responsible for the use of the outpatient center or office that you use.

If he wants you to have them bad enough he will assist you in getting around the deductable.

In my experience I have found to be like everyone else,either it works or it doesnt or it does but not for long or not immediately and yes I know of a few who have gotten an increase in their pain.

Unfortunately I have seen more failures then success with injections and especially after any amount of given time since the symptoms began.

You might want to not go in there and say "hey Doc I am not having those injections you wanted since I heard they dont work!" It might be better to tell him you would be glad to have them if only you had anywhere to get that kind of money up front.

Like already said it depends on the Doc and maybe even the mood he is on that day as to whether he see's it as noncompliance by refusal to cooperate with his treatment plan or simply that you really cannot afford a treatment with those costs at this time.
Bilateral knee replacements,spondylosis of L-3,4,5 and S-1, osteoarthritis,premenopausal migraines.
Meds: Methadone,xanax,zanaflex,maxide,prempro,K+,indocin,lexapro,neurontin(coming off) lyrica(going onto)

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