A psych eval is mandatory with the insurance company that I have. They (the PA and the rep from Boston Sci) said that this is very common and they want to know 1) that you are mentally capable of understanding how to work the "system" (charging the battery, using the remote etc) it is a very expensive procedure and they want to make sure its going to be properly cared for 2) the rep from Boston Scientific said that they are also looking to see if you are (in my own terms here) desperate "this has to work..I have no other choices" or extremely pessimistic "this is never gonna work, why even bother? 3) its a "serious" thing to have something implanted like that and your "mental status" needs to be evaluated to see that you can handle it emotionally (in order to recover properly)
This is what I was told...not so much my take on things
I see a pain management doctor and have seen him for years, they really made it sound like the psych eval is "no big deal" but that it's mandatory. I haven't given them any reason to think I need one in particular..lol Actually, the lady that schedules all this says that one insurances company lets you do a computerized hand held "quiz" instead of a psych visit.
I have to call them with my new insurance information and see what happens now. I am a little concerned about
the cost because I can not come out of pocket "too much" and am not trying to get my hopes up until I know what to expect.
If things go as "planned" I pass the psych eval and we schedule the trial stim (outpatient- takes place in his sterile surgical suite withing his office--where he does nerve blocks and RFL) the TRIAL will last about
4-5 days. IF IT WORKS they expect an average of 50% pain reduction. They told me not to expect to completely eliminate medication once the permanent one is implanted shortly after the trial ends (of course that is if it works)
The rep with Boston Scientific gave me his card with phone numbers, cell included as well as his email. He seem to be a very nice guy and genuinely wanting to help (he told me he is NOT on the sales end of things--of course they want to "help" lol) He works very closely with my PM doc and said that feels comfortable with him and completely stands behind his abilities. So, I dont feel like there would be "issues" if I needed changes in programming etc.
I do not know where the generator will be implanted since the leads go to my head (its 'easier' to place the battery for back patients since the leads don't have to be so long) I will need to find out where he plans/suggests to implant the battery, Will my head be shaved (in the back) for lead placement? What are the actual recovery times (from someone who's had it..not a rep telling me).
MY MAIN CONCERN is my daughter, she just turned 1 year old and I will not be able to lift her and my husband can not take off several weeks. I will have to have lots of help as he mentioned that "lead migration" is a huge issue until scar tissue builds around the lead. (Also said I would have to wear once of those neck brace/collars to try to keep from pulling the lead--sounds kinda tough) I figure I can do this for a few days to figure out if its a possible chance for some relief.
If I do have the trial and it works...I will want the permanent one done ASAP lol.
I will keep everyone posted.
Thank you both for you response!