Spring Thaw

Wow... three months. I can't believe it's been that long.

Well, we're still here -- and it looks like we've made it through yet another Wisconsin winter. The sun is shining, it's 60 degrees, and (Hallelujah!) I can move my arm again -- still limited, but way, way better than when I last posted to the blog.

Look how high I can reach with that arm... Hurray!

This, despite one major setback in early January.

When my insurance company decided that because I wasn't making "significant progress" with each and every visit to physical therapy, these visits now fell under the category of "maintenance" -- and as such, would no longer be covered by our plan.

No. Way.

So this is what went down: I called my case manager, and within two minutes discovered she was clueless about adhesive capsulitis (aka "frozen shoulder"). I'd barely hung up the phone when I was back on with my orthopedic specialist and PT.

Both wrote letters educating her about the condition; explaining that progress is slow and physical therapy, crucial.

And then I waited.

Four weeks.

During which time I experienced much regression (i.e., more pain, less motion).

Until finally, I called my case manager yet again:

"Have you received the letters from my doctor and physical therapist?" I ask her.

"No, I don't believe we've received any letters... but let me take a look."

"Wait a minute-- these were sent over three weeks ago."

The sound of paper shuffling on the other end.

"Oh yes, here they are.... hmmm... we'll have to review these and get back to you."

"Get back to me!? It's been FOUR WEEKS! And this thing is getting worse-- again! I'm back to waking up every night in pain... "

And then I just lose it.

"... I can't reach my back pocket! I can barely dress myself... this is INSANE! I've had this thing since early fall, finally get the right diagnosis, finally start making progress... and now because of some arbitrary decision -- a decision my DOCTOR does NOT agree with -- I'm back to where I was in November." I pause, tears now streaming into the receiver.

Silence. No response.

So I continue.

"What is your FULL name? I want to know exactly who is responsible for this decision."

"I-I... well... um... I will walk your file down for review right now," the case manager says. "I'll write 'priority' on it."

And then she pauses for maybe a second before saying, "I'm so sorry."

The next morning I get a call from my PT.

"Sandra, your insurance company just faxed approval for another 12 visits. We're back in business!"

So there you have it.

Six weeks later, I'm still doing my exercises, still going to PT-- which continues to be ridiculously painful (but I get back a little range of motion with each visit, so it's unbelievably worth it), and according to my doc, I am now in the third and final stage of this thing-- the thawing phase.

Hurray, indeed.