CRPS, or Complex Regional Pain Syndrome (Type 1), is a change in the nervous system that's usually triggered by a very painful episode. The bad kinds affect the brain, nerves, muscles, skin, metabolism, circulation, and fight-or-flight response. Lucky me; that's what I've got. ... But life is still inherently good (or I don't know when to quit; either way) and, good or not, life still goes on.
Showing posts with label insur-dance. Show all posts
Showing posts with label insur-dance. Show all posts

Saturday, February 4, 2012

Reality check bounce

I got a settlement last year of $40,000. In 8 months, it's nearly gone. I ran through my numbers and realized that all that money went into taking care of myself (clothes, for the first time in years; chiropracty, not covered by insurance; acupuncture, which should be covered but is sometimes improperly denied; $300/month in supplements which aren't covered, but do let me function; $500/month for fresh whole food that keeps me from getting worse, more important now that I'm allergic to inexpensive foods like wheat, corn and rice; massage prepayments, for my masseur who was stuck abroad but is finally back & starting to work on me.) There were a couple of large one-offs, but they total the equivalent of the other 3-4 months of the year.
Although I'm certainly far better than I'd have been without it, I'm considerably sicker, weaker, sorer and more mentally impaired overall.
Meanwhile, insurance has -- most improperly -- denied any of the care that they are supposed to pay for and have covered in the past.
This disease is a bit like cancer in that, if treatment is delayed, you're liable to lose ground, and there's no realistic hope of regaining the ground you lose.
I've been pegging my hopes on federal disability (the dole, but a relatively generous dole) but even that will provide only one-third of what I need to live on. If I weren't tending this illness -- and could eat grains -- it would be enough; that gives scale to these expenses. It takes 40k to support me for a year and the best I'll get is 14.4k.
If I move ashore, which I'm trying to do (finishing up the boats and selling them being this winter/spring's project), then it will be considerably less, because rent ashore is so high. However, it's becoming impossible to function without hot running water, a bath and a laundry machine. Catch-22, or at least a choice of impossible situations.
If I could get a year's funding for the intensive health work I'd hoped to do this year, I'd stand a chance of regaining enough ground to work and earn. I don't see how to make that happen. I may be lacking in imagination.
Anyway, I'm beginning to wonder if it makes sense to keep working on figuring out how to mend. I've contemplated the babbling fool I'll become on the present trajectory without supplements and so forth: pride and dignity aside, there's no realistic way to bear it -- the waking with a muddle in my mind, the increasing helplessness and isolation as my friends get more and more frustrated with dealing with me, the waxing helplessness in the face of the most basic tasks like budgets and shopping, the inability to make decisions on the basis of imperfect understanding, the constant wounding of my amour propre as the patronizing tones and "there, there" remarks continue to mount. The startling shafts of clarity when I see just how stupid I've been, and knowing I'll soon fall into the fog again. It's simply unbearable.
Had I grown up unintelligent, I'd have the skills to manage life with fuzzy brains, but I really don't. It's desperately confusing and the constant humiliation doesn't help.
When I can just sit down and write, focusing on the one thing for a stretch of time, I do fine. (I hope that's obvious.) The hopping about from topic to topic, without having time to sink into one and pull up the mental flash cards, is becoming impossible. And that's what life requires.
My mind is thixotrophic: quick moves bounce right off; it takes time and gentle pressure for me to get in.
Though without the rigorously pure food and costly supplements, that focused writing-mind doesn't work either. It can't even start.
I read up on Woolf and Hemingway some years ago. I felt the usual poignant poetic feelings about their deaths, gilding over a sneaking suspicion that they'd copped out. But, as my own mental life becomes ever more fraught, I become ever more awed at the strength, grace and nerve each brought to their final stages. The words that sounded just a little bit like whining or wounded vainglory, were really a symptom of the inadequacy of language in the face of an assault on one's core that defies meaning itself, let alone language's ability to convey meaning.
I need more options. I need real care. I'm out of ideas.
I liked being happy & relieved last summer. I could do with more of that!

Tuesday, May 24, 2011

The ground beneath my feet

I said quietly to my lawyer about an hour ago, "I'm not used to being massively relieved or explosively happy. So I'm just going to sit here and think about it for a minute."

The settlement of my worker's comp case turned out in a way everyone looks very pleased with.

First, I got something to eat (oxygen first, blood sugar second, everything else third, during big emotional surges -- elementary mental hygiene!)

For the past half hour or so, I've been just strolling around, practicing feeling not worried about survival. Amazing how it all comes back.

This time, though, I'm well aware of embracing my inner Scot -- I'll tend my money carefully, because I understand its value and power as I never have before.

The crystalline nugget that emerged, as the shock and fog cleared away, was this:

I've always been rich. Now, I can afford to survive.

The happy thought that followed was: I can finally afford to have a pet. Maybe a ferret ... I could use more work on my reasoning skills anyway.

Saturday, August 28, 2010

Expected vs. Actual: planning for WC settlement

The lawyers have finally agreed that it's time to put this turkey of a Worker's Comp case to bed.

My lawyer said that, for one thing, I get a mathematically-determined
"apportionment" for being 30% disabled (yes, the Governator thinks I can do 70% of the work I was trained for -- writing and patient care -- with no freakin' hands!) The amount would buy a midrange car, but not insurance or gas.

In addition to that, I can either continue fighting with them for every scrap of care my doctors are willing to go to bat for, or hold them up for cash on the barrelhead in return for letting them off the hook in future.

My lawyer figured they might be persuaded to give me the equivalent of another midrange car. This adds up to roughly the cost of a moderately tricked-out Tesla Roadster.

That's not chump change, but put this in the tailpipe and smoke it ...
I suggested plotting out future expenses and seeing how close that amount (the Tesla) would come to meeting the need. So I did.

Turns out that, after writing the check for the Roadster, they'd still
have to move the decimal one place to the right. And that's for basic lifetime care -- nothing fancy, no further disasters or complications. Just regular doctor visits, generic meds, some minor surgery (although
with CRPS there's really no such thing), and acupuncture at about the same rate they've allowed so far. Over a million dollars.

Think they'll move that decimal point?