Re: Medical

February 7, 2008

Hi ,

Litigation is along protracted process, as you are well aware. So,

actually, my thought is this:

Once ALTA is forced to pay for HBOT, the politicians will soon figure

out that they can get 50% of the costs covered by Medicaid and they

and ALTA together will push to correct the systems flaws. Pols

understand simple budgets. If they can get a line item of $40

million, or whatever covered by the Federal government, they will and

they will do all the hard work.

RE: hospital based HBOT... the Sacramento clinic is working hard to

get Mercy San 's HBOT center to treat acute brain injuries, esp

for kids. This is where was when we removed her from life

support to end her life... 90 feet from two Sechrist chambers...

There is an obvious emotional issue for me.

In our case we sited another statute which mandates ALL California

third party payers to reimburse for FDA approved Off-label use of

drugs which meet specific criteria - which HBOT clearly does by far.

this requires CRIMINAL PENALTIES for organizations who do not obey

the law. SEE BELOW

HBOT is FDA approved for several conditions which have Hypoxic

Ischemia as their fundamental underlying conditoin. Every parent in

California should strive to obtain an HBOT prescription for Hypoxic

Ischemia and use that law in their Appeals process.

Thanks,

Ed

Senate Bill No. 2046 CHAPTER 852

An act to amend Section 1367.21 of the Health and Safety Code, to

amend Section 10123.195 of the Insurance Code, and to amend Section

14105.26 of the Welfare and Institutions Code, relating to health care.

[ Approved By Governor September 28, 2000.

Filed with Secretary of State September 29, 2000. ]

Legislative Counsel's Digest

SB 2046, Speier. Health care: prescription drug coverage.

(1) Existing law provides for the regulation and licensing of health

care service plans by the Department of Managed Care. A willful

violation of the provisions governing health care service plans is a

crime. Existing law provides for the regulation of policies of

disability insurance by the Insurance Commissioner.

Existing law prohibits a health care service plan contract, and

specified disability insurance policies, from limiting or excluding

coverage for a drug on the basis that the drug is prescribed for a

use different than the use for which the drug has been approved for

marketing by the federal Food and Drug Administration (off-label use)

if specified conditions are met, including that the drug prescribed

is for the treatment of a life-threatening condition.

This bill would modify that specific condition by also including a

drug that is prescribed for a chronic and seriously debilitating

condition. This bill would define " chronic and seriously

debilitating. " The bill would require the drug be medically necessary

for the chronic and seriously debilitating condition.

The bill would require, for health care service plans, that if the

drug for a life-threatening or chronic and seriously debilitating

condition is not on the plan's formulary, that the procedures

relating to the use of nonformulary prescription drugs instead be

followed. The bill would specify that the requirement for coverage

for off-label drug use not be construed to prohibit the use of

specified mechanisms as a means of appropriately controlling the

utilization of the off-label use of prescription drugs for

life-threatening and chronic and seriously debilitating conditions.

The bill would permit a plan subscriber or insured to use the

Independent Medical Review System to review a denial of coverage by

either a health care service plan or a disability insurer of a

request for the off-label use of a prescription drug for treating a

life-threatening or chronic and seriously debilitating condition when

the basis for the denial is that the use of the drug is experimental

or investigational.

Because a violation of this bill's requirements with respect to

coverage under a health care service plan contract would be a crime,

this bill would impose a state-mandated local program by creating a new crime.

(2) Existing law provides for the Medi-Cal program, administered by

the State Department of Health Services, under which qualified

low-income persons are provided with health care services.

The Medi-Cal program provides for a special methodology of

reimbursement of disproportionate share hospitals for the provision

of inpatient hospital services, and provides for the supplemental

reimbursement of eligible disproportionate share providers for

funding capital projects.

Existing law further authorizes a distinct part of an acute care

hospital providing specified services and meeting certain

requirements to receive, in addition to the rate of payment that the

facility would otherwise receive for skilled nursing services,

supplemental reimbursement for capital projects under specified

conditions. One of those conditions is that for a new capital project

to be eligible for the supplemental reimbursement, the final plans

for the project must have been submitted to the appropriate review

agency before July 1, 2001.

This bill would extend the time for submission of the final plans to

the appropriate review agency until January 1, 2003.

(3) The California Constitution requires the state to reimburse

local agencies and school districts for certain costs mandated by the

state. Statutory provisions establish procedures for making that reimbursement.

This bill would provide that no reimbursement is required by this act

for a specified reason.

The people of the State of California do enact as follows:

SECTION 1. Section 1367.21 of the Health and Safety Code is amended to read:

1367.21. (a) No health care service plan contract which covers

prescription drug benefits shall be issued, amended, delivered, or

renewed in this state if the plan limits or excludes coverage for a

drug on the basis that the drug is prescribed for a use that is

different from the use for which that drug has been approved for

marketing by the federal Food and Drug Administration (FDA), provided

that all of the following conditions have been met:

(1) The drug is approved by the FDA.

(2) (A) The drug is prescribed by a participating licensed health

care professional for the treatment of a life-threatening condition; or

( The drug is prescribed by a participating licensed health care

professional for the treatment of a chronic and seriously

debilitating condition, the drug is medically necessary to treat that

condition, and the drug is on the plan formulary. If the drug is not

on the plan formulary, the participating subscriber's request shall

be considered pursuant to the process required by Section 1367.24.

(3) The drug has been recognized for treatment of that condition by

one of the following:

(A) The American Medical Association Drug Evaluations.

( The American Hospital Formulary Service Drug Information.

1, " Drug Information for the Health Care Professional. "

(D) Two articles from major peer reviewed medical journals that

present data supporting the proposed off-label use or uses as

generally safe and effective unless there is clear and convincing

contradictory evidence presented in a major peer reviewed medical journal.

( It shall be the responsibility of the participating prescriber

to submit to the plan documentation supporting compliance with the

requirements of subdivision (a), if requested by the plan.

medically necessary services associated with the administration of a

drug, subject to the conditions of the contract.

(d) For purposes of this section, " life-threatening " means either or

both of the following:

(1) Diseases or conditions where the likelihood of death is high

unless the course of the disease is interrupted.

(2) Diseases or conditions with potentially fatal outcomes, where

the end point of clinical intervention is survival.

(e) For purposes of this section, " chronic and seriously

debilitating " means diseases or conditions that require ongoing

treatment to maintain remission or prevent deterioration and cause

significant long-term morbidity.

(f) The provision of drugs and services when required by this

section shall not, in itself, give rise to liability on the part of the plan.

(g) Nothing in this section shall be construed to prohibit the use

of a formulary, copayment, technology assessment panel, or similar

mechanism as a means for appropriately controlling the utilization of

a drug that is prescribed for a use that is different from the use

for which that drug has been approved for marketing by the FDA.

(h) If a plan denies coverage pursuant to this section on the basis

that its use is experimental or investigational, that decision is

subject to review under Section 1370.4.

(i) Health care service plan contracts for the delivery of Medi-Cal

services under the Waxman-Duffy Prepaid Health Plan Act (Chapter 8

(commencing with Section 14200) of Part 3 of Division 9 of the

Welfare and Institutions Code) are exempt from the requirements of

this section.

SEC. 2. Section 10123.195 of the Insurance Code is amended to read:

10123.195. (a) No group or individual disability insurance policy

issued, delivered, or renewed in this state or certificate of group

disability insurance issued, delivered, or renewed in this state

pursuant to a master group policy issued, delivered, or renewed in

another state that, as a provision of hospital, medical, or surgical

services, directly or indirectly covers prescription drugs shall

limit or exclude coverage for a drug on the basis that the drug is

prescribed for a use that is different from the use for which that

drug has been approved for marketing by the federal Food and Drug

Administration (FDA), provided that all of the following conditions

have been met:

(1) The drug is approved by the FDA.

(2) (A) The drug is prescribed by a contracting licensed health care

professional for the treatment of a life-threatening condition; or

( The drug is prescribed by a contracting licensed health care

professional for the treatment of a chronic and seriously

debilitating condition, the drug is medically necessary to treat that

condition, and the drug is on the insurer's formulary, if any.

(3) The drug has been recognized for treatment of that condition by

one of the following:

(A) The American Medical Association Drug Evaluations.

( The American Hospital Formulary Service Drug Information.

1, " Drug Information for the Health Care Professional. "

(D) Two articles from major peer reviewed medical journals that

present data supporting the proposed off-label use or uses as

generally safe and effective unless there is clear and convincing

contradictory evidence presented in a major peer reviewed medical journal.

( It shall be the responsibility of the contracting prescriber to

submit to the insurer documentation supporting compliance with the

requirements of subdivision (a), if requested by the insurer.

medically necessary services associated with the administration of a

drug subject to the conditions of the contract.

(d) For purposes of this section, " life-threatening " means either or

both of the following:

(1) Diseases or conditions where the likelihood of death is high

unless the course of the disease is interrupted.

(2) Diseases or conditions with potentially fatal outcomes, where

the end point of clinical intervention is survival.

(e) For purposes of this section, " chronic and seriously

debilitating " means diseases or conditions that require ongoing

treatment to maintain remission or prevent deterioration and cause

significant long-term morbidity.

(f) The provision of drugs and services when required by this

section shall not, in itself, give rise to liability on the part of

the insurer.

(g) This section shall not apply to a policy of disability insurance

that covers hospital, medical, or surgical expenses which is issued

outside of California to an employer whose principal place of

business is located outside of California.

(h) Nothing in this section shall be construed to prohibit the use

of a formulary, copayment, technology assessment panel, or similar

mechanism as a means for appropriately controlling the utilization of

a drug that is prescribed for a use that is different from the use

for which that drug has been approved for marketing by the FDA.

(i) If an insurer denies coverage pursuant to this section on the

basis that its use is experimental or investigational, that decision

is subject to review under the Independent Medical Review System of

Article 3.5 (commencing with Section 10169).

(j) This section is not applicable to vision-only, dental-only,

Medicare or Champus supplement, disability income, long-term care,

accident-only, specified disease or hospital confinement indemnity insurance.

SEC. 3. Section 14105.26 of the Welfare and Institutions Code is

amended to read:

14105.26. (a) Each eligible facility, as described in paragraph 2

of subdivision (, may, in addition to the rate of payment that the

facility would otherwise receive for skilled nursing services,

receive supplemental Medi-Cal reimbursement to the extent provided in

this section.

( (1) Projects eligible for supplemental reimbursement shall

include any new capital projects for which final plans have been

submitted to the appropriate review agency after January 1, 2000, and

before January 1, 2003. For purposes of this section, " capital

project " means the construction, expansion, replacement, remodeling,

or renovation of an eligible facility, including buildings and fixed

equipment. A " capital project " does not include the provision of

furnishings or of equipment that is not fixed equipment.

(2) A facility shall be eligible only if the submitting entity had

all of the following additional characteristics during the 1998 calendar year:

(A) Provided services to Medi-Cal beneficiaries.

( Was a distinct part of an acute care hospital providing skilled

nursing care and supportive care to patients whose primary need is

for the availability of skilled nursing care on an extended basis.

For the purposes of this section, " acute care hospital " means the

facilities defined in subdivisions (a) or (, or both, of Section

1250 of the Health and Safety Code.

(D) Had an average skilled nursing Medi-Cal patient census of not

less than 80 percent of the total skilled nursing patient days.

(E) Was owned by a county or city and county.

reimbursement shall submit documentation to the department regarding

debt service on revenue bonds or other financing instruments used for

financing the capital project.

(2) The department shall confirm in writing project eligibility

under this section.

(d) (1) Capital projects receiving funding shall include only the

upgrading or construction of buildings and equipment to a level

required by currently accepted medical practice standards, including

projects designed to correct Joint Commission on Accreditation of

Hospitals and Health Systems, fire and life safety, seismic, or other

related regulatory standards.

(2) Capital projects receiving funding may expand service capacity

as needed to maintain current or reasonably foreseeable necessary bed

capacity to meet the needs of Medi-Cal beneficiaries after giving

consideration to bed capacity needed for other patients, including

unsponsored patients.

(3) Supplemental reimbursement shall only be made for capital

projects, or for that portion of capital projects that provide

skilled nursing services, and that are available and accessible to

patients eligible for services under this chapter.

(e) An eligible facility's supplemental reimbursement for a capital

project qualifying pursuant to this section shall be calculated and

paid as follows:

(1) For any fiscal year for which the facility is eligible to

receive supplemental reimbursement, the facility shall report to the

department the amount of debt service on the revenue bonds or other

financing instruments issued to finance the capital project.

(2) For each fiscal year in which an eligible facility requests

reimbursement, the department shall establish the ratio of skilled

nursing Medi-Cal days of care provided by the eligible facility to

total skilled nursing patient days of care provided by the eligible

facility. The ratio shall be established using data obtained from

audits performed by the department, and shall be applied to the

corresponding fiscal year of debt service on the revenue bonds or

other financing instruments issued to finance the capital project.

(3) The amount of debt service that will be submitted to the federal

Health Care Financing Administration for the purpose of claiming

reimbursement for each fiscal year shall equal the amount determined

annually in paragraph (1) multiplied by the percentage figure

determined in paragraph (2).

(4) The supplemental reimbursement to an eligible facility shall be

equal to the amount of federal financial participation received as a

result of the claims submitted pursuant to paragraph (2) of subdivision (j).

(5) In no instance shall the total amount of supplemental

reimbursement received under this section combined with that received

from all other sources dedicated exclusively to debt service exceed

100 percent of the debt service for the capital project over the life

of the loan, revenue bond, or other financing mechanism.

(6) A facility qualifying for and receiving supplemental

reimbursement pursuant to this section shall continue to receive

reimbursement until the qualifying loan, revenue bond, or other

financing mechanism is paid off, and as long as the facility meets

the requirements of paragraph (3) of subdivision (d).

(7) The supplemental Medi-Cal reimbursement provided by this section

shall be distributed under a payment methodology based on skilled

nursing services provided to Medi-Cal patients at the eligible

facility, either on a per diem basis, a per discharge basis, or any

other federally permissible basis. The department shall seek approval

from the federal Health Care Financing Administration for the payment

methodology to be utilized, and shall not make any payment pursuant

to this section prior to obtaining that approval.

(8) The supplemental reimbursement provided by this section shall

not commence prior to the date upon which the hospital submits to the

department a copy of the certificate of occupancy for the capital project.

(f) (1) It is the Legislature's intent in enacting this section to

provide a funding source for a portion of the construction costs of

eligible facilities without any expenditure from the state General Fund.

(2) The state share of the amount of the debt service submitted to

the federal Health Care Financing Administration for purposes of

supplemental reimbursement shall be paid with county-only funds and

certified to the state as provided in subdivision (g). Any amount of

the costs of the capital project that are not reimbursed by federal

funds shall be borne solely by the eligible facility.

(3) Prior to receiving any funding through this section, an eligible

facility shall demonstrate its ability to cover all of the

anticipated costs of construction, including those not reimbursed

through federal funding.

(g) The county or city and county, on behalf of any eligible

facility, shall do all of the following:

(1) Certify, in conformity with the requirements of Section 433.51

of Title 42 of the Code of Federal Regulations, that the claimed

expenditures for the capital project are eligible for federal

financial participation.

(2) Provide evidence supporting the certification as specified by

the department.

(3) Submit data, as specified by the department, to determine the

appropriate amounts to claim as expenditures qualifying for financial

participation.

(4) Keep, maintain, and have readily retrievable, such records as

specified by the department in order to fully disclose reimbursement

amounts to which the eligible facility is entitled, and any other

records required by the federal Health Care Financing Administration.

(h) The department may require that any county or city and county

seeking supplemental reimbursement under this section enter into an

interagency agreement with the department for the purpose of

implementing this section.

(i) All payments received by an eligible facility pursuant to this

section shall be placed in a special account, the funds of which

shall be used exclusively for the payment of expenses related to the

eligible capital project.

(j) (1) The department shall promptly seek any necessary federal

approvals for the implementation of this section. If necessary to

obtain federal approval, the department may, for federal purposes,

limit the program to those costs that are allowable expenditures

under Title XIX of the federal Social Security Act (Subchapter 19

(commencing with Section 1396) of Chapter 7 of Title 42 of the United

States Code). If federal approval is not obtained for implementation

of this section, this section shall become inoperative.

(2) The department shall submit claims for federal financial

participation for the expenditures for debt service that are

allowable expenditures under federal law.

(3) The department shall, on an annual basis, submit any necessary

materials to the federal government to provide assurances that claims

for federal financial participation will include only those

expenditures that are allowable under federal law.

(k) Supplemental reimbursement paid under this section shall not

duplicate any reimbursement received by an eligible facility pursuant

to this chapter for construction costs that would otherwise be

eligible for reimbursement under this section. In no event shall the

total Medi-Cal reimbursement pursuant to this chapter to a facility

eligible under this section be less than what would have been paid

had this section not existed.

(l) In the event there is a final judicial determination by any

court of appellate jurisdiction or a final determination by the

administrator of the federal Health Care Financing Administration

that the supplemental reimbursement provided in this section must be

made to any facility not described therein, this section shall become

immediately inoperative.

(m) Any and all funds expended pursuant to this section shall be

subject to review and audit by the department.

SEC. 4. No reimbursement is required by this act pursuant to Section

6 of Article XIIIB of the California Constitution because the only

costs that may be incurred by a local agency or school district will

be incurred because this act creates a new crime or infraction,

eliminates a crime or infraction, or changes the penalty for a crime

or infraction, within the meaning of Section 17556 of the Government

Code, or changes the definition of a crime within the meaning of

Section 6 of Article XIIIB of the California Constitution.

So, what is required now is for every parent to

At 01:26 PM 2/7/2008, you wrote:

> >MediCal specifically will not reimburse for BOT in freestanding

> >clinics, and you will not get a hospital based clinic to treat your

>son

>

>Ed,

>

>I don't think this circumstance will last forever because of the

>mandate in the EPSDT statute to provide whatever is " necessary to

>correct or ameliorate " " whether or not such services are covered

>under the State plan. " Some brave family needs to challenge MediCal.

>

>1. It is the MediCal plan that prevents a freestanding clinic from

>becoming a MediCal provider--not federal law. This can be disputed

>and overturned.

>

>2. As for hospitals, when a MediCal family takes your impending ALTA

>victory and uses it to challenge MediCal's refusal to cover HBOT for

>cp--they will win. At that point either freestanding clinics will

>become MediCal providers or the hospitals will treat cp kids.

>

>One or the other will happen.

>

>It would be preferable for the hospitals to cover it, which would

>result in the immediate resurrection, or uh, resuscitation of AB2763.

>

> Freels

>2948 Windfield Circle

>Tucker, GA 30084-6714

>770-491-6776 (phone)

>404-725-4520 (cell)

>815-366-7962 (fax)

>

>mailto:david@...

>

><fearlessparents/>f\

earlessparents/

>

>http://www. .com

>

><http://www.davidfreels.com>http://www.davidfreels.com

>

> Re: [ ] hbot protocol for cp

> >

> >Hi Isis,

> >

> >My daughter REbecca has had about 600 HBOT sessions so far and asked

> >to go again today, while she is home on school vacation

> >(full-inclusion). She still receives benefits and is improving

>from this.

> >

> >RE: Medi-Cal.... forget it. I sponsored AB2763 in 2002 to require

> >Medi-Cal to obey Federal Medicaid's paragraph 5 EPSDT laws, and it

> >was buried by Gray in bureaucracy and won't emerge for years.

> >

> >MediCal specifically will not reimburse for BOT in freestanding

> >clinics, and you will not get a hospital based clinic to treat your

>son.

> >

> >However, my ALTA case is due out shortly, and we feel very confident

> >that we will win (Dr's Marois, Stoller, Heuser and Usler testified)

> >in the first case in California history with accurate legal and

> >medical testimony was given.

> >

> >When/if we win, you need to go to your Regional Center with our

> >materials and request HBOT. They should process it within 120 days

> >maximum, if not immediately.

> >

> >take care,

> >Ed

> >

> >At 09:35 AM 2/7/2008, you wrote:

> >

> >>hi, my son has cp and did 40 sessions in a row, then two more

>sessions

> >>of 20 dives each. my question is two-fold: 1)is it beneficial to do

> >>more, even if we cant go for 20 dives in a row and have sometimes

>up to

> >>4-5 days between dives? and 2)is anyone having any luckc getting

> >>funding from MEDICAL? --obviously we are in california

> >>thanks

> >>Isis Brenner-Ward

> >>

> >

> >Ed Nemeth

> >President, CEO

> >Spectrum Events

> >444 North Third Street, Suite 304

> >Sacramento, CA 95814

> >

> >916-856-7044 x 339

> >916-856-7040 (fax)

> >

September 23, 2009

Kimmie, we all understand what you are going through, and many of us have faced the same issues. I am too sick to answer your questions; however, as soon as I feel a bit better, I will try to help you.

Stay close dear one...love always...Lea

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Medical

I am asking for help at this time..I received NOS Notification of status disease claim review. I'm trying to do this medical myself for 13 years and up till now has been excepted (rupture) now all medical has to be in DC terms. So I started going my doctors..rheumatologist seems to think I need an lawyer to get the terms right My neurologist tested me for polyneuropathy and I do have it (which surprised me) and also I have seizures this I knew and have been taking tripital 300mg for this, nerontin 800mgs 4x daily..lyrica-cv 50mgs methacabam 750mgs 4xdaily citalopram 20mgs atenolol 25mg fosinopril 10mg hydrochlorot 25mgs alprazolamo.25mg simvastatin 40mg nitrolingual pump spray. My implants were removed but my my capsules doctor said he didn't remove them. These were Dow Corning silicone implants and were put in Feb 1984 i was 26 (fibrocyisis breast??) they removed to tissue's and nipples, put the implants in and sewed thenipple back. Then in 1997 is started getting sooo sick I was going to the doctors and it seemed like i was treated like a basket case then in my left breast had a 6mm and other lumps there to feel, After sonogram and mammogram nothing was showing even though you could feel it and see it under the skin..it took me finding a doctor that ordered a mri breast coil which was definitely positive for rupture. The surgery finally took place in Jan 1999. How many people had to get lawyers for this????? Was anyone able to do this on there own???? I can't even find an lawyer at his point around Peoria Illinois they do not want to take a case that's class action and seem to think i will have to find one in Chicago. I can't do this i'm on a no driving because of seiztures, and my husband can nost and will not take any more ti me. off work he is so fed up with all of this as we were forced to take out bankruputcy in 2004 and me to go onss dissability 2005. I want to at this time just to get all medical and test and do it myself but i only have two tries and 10 months to get this excepted into some kind pay for this crap!!!! This stress is getting to me and my health is getting worse. Sorry for rambling on please help me if you can.Thank You for reading this even though it might not make sense.Kimmie Noble

September 23, 2009

Thanks Lea i appreciate it. Kimmie

From: Lea <leamary@...> Sent: Wednesday, September 23, 2009 11:05:02 AMSubject: Re: Medical

Kimmie, we all understand what you are going through, and many of us have faced the same issues. I am too sick to answer your questions; however, as soon as I feel a bit better, I will try to help you.

Stay close dear one...love always...Lea

~~~~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~

Medical

I am asking for help at this time..I received NOS Notification of status disease claim review. I'm trying to do this medical myself for 13 years and up till now has been excepted (rupture) now all medical has to be in DC terms. So I started going my doctors..rheumatolo gist seems to think I need an lawyer to get the terms right My neurologist tested me for polyneuropathy and I do have it (which surprised me) and also I have seizures this I knew and have been taking tripital 300mg for this, nerontin 800mgs 4x daily..lyrica- cv 50mgs methacabam 750mgs 4xdaily citalopram 20mgs atenolol 25mg fosinopril 10mg hydrochlorot 25mgs alprazolamo. 25mg simvastatin 40mg nitrolingual pump spray.. My implants were removed but my my capsules doctor said he didn't remove them. These were Dow Corning silicone implants and were put in Feb 1984 i was 26 (fibrocyisis breast??) they

removed to tissue's and nipples, put the implants in and sewed thenipple back. Then in 1997 is started getting sooo sick I was going to the doctors and it seemed like i was treated like a basket case then in my left breast had a 6mm and other lumps there to feel, After sonogram and mammogram nothing was showing even though you could feel it and see it under the skin..it took me finding a doctor that ordered a mri breast coil which was definitely positive for rupture. The surgery finally took place in Jan 1999. How many people had to get lawyers for this????? Was anyone able to do this on there own???? I can't even find an lawyer at his point around Peoria Illinois they do not want to take a case that's class action and seem to think i will have to find one in Chicago. I can't do this i'm on a no driving because of seiztures, and my husband can nost and will not take any more ti me. off

work he is so fed up with all of this as we were forced to take out bankruputcy in 2004 and me to go onss dissability 2005. I want to at this time just to get all medical and test and do it myself but i only have two tries and 10 months to get this excepted into some kind pay for this crap!!!! This stress is getting to me and my health is getting worse. Sorry for rambling on please help me if you can.Thank You for reading this even though it might not make sense.Kimmie Noble

October 3, 2009

My Dear Kimmie:

I am sorry that I missed your note again; however, I have not forgotten you. My is sick, and we both see our doctor tomorrow. We have many friends who are lawyers, and I need to ask them some questions. It sounds like you need some legal advice, and that will not be easy. We will try to help you, and I have been gagged, but my might have some answers for you.

Honey, it sounds like you are having many health problems, and we hope that you get well soon. Please drop me another note when you have a moment...stay close...love you....Lea

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Medical

I am asking for help at this time..I received NOS Notification of status disease claim review. I'm trying to do this medical myself for 13 years and up till now has been excepted (rupture) now all medical has to be in DC terms. So I started going my doctors..rheumatolo gist seems to think I need an lawyer to get the terms right My neurologist tested me for polyneuropathy and I do have it (which surprised me) and also I have seizures this I knew and have been taking tripital 300mg for this, nerontin 800mgs 4x daily..lyrica- cv 50mgs methacabam 750mgs 4xdaily citalopram 20mgs atenolol 25mg fosinopril 10mg hydrochlorot 25mgs alprazolamo. 25mg simvastatin 40mg nitrolingual pump spray.. My implants were removed but my my capsules doctor said he didn't remove them. These were Dow Corning silicone implants and were put in Feb 1984 i was 26 (fibrocyisis breast??) they removed to tissue's and nipples, put the implants in and sewed thenipple back. Then in 1997 is started getting sooo sick I was going to the doctors and it seemed like i was treated like a basket case then in my left breast had a 6mm and other lumps there to feel, After sonogram and mammogram nothing was showing even though you could feel it and see it under the skin..it took me finding a doctor that ordered a mri breast coil which was definitely positive for rupture. The surgery finally took place in Jan 1999. How many people had to get lawyers for this????? Was anyone able to do this on there own???? I can't even find an lawyer at his point around Peoria Illinois they do not want to take a case that's class action and seem to think i will have to find one in Chicago. I can't do this i'm on a no driving because of seiztures, and my husband can nost and will not take any more ti me. off work he is so fed up with all of this as we were forced to take out bankruputcy in 2004 and me to go onss dissability 2005. I want to at this time just to get all medical and test and do it myself but i only have two tries and 10 months to get this excepted into some kind pay for this crap!!!! This stress is getting to me and my health is getting worse. Sorry for rambling on please help me if you can.Thank You for reading this even though it might not make sense.Kimmie Noble

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