Allan - So very sorry to hear Medicare is still rejecting your tx. Hope you have further appeals at your disposal. I also hope you are out of the hospital soon.
Please correct your web site -- Greg never applied to any other hospital (specifically UNC) regarding tx, other than Methodist. During our initial interview with the tx team, we inquired about the added complications of cepacia, and their position has remained the same. It is not something they would reject Greg for. They have had, if I am remembering correctly, one other cepacia patient, and that patient is faring well. They said they believe if cepacia is managed well pre-tx, it will be managed well post-tx. This was not some formal statement of their policy, just a doctor-patient (and patient's wife) conversation. Greg has basically no other negative issues (He has mild osteoporosis, which is being treated with medication), and I know his overall health is a big blessing and plus -- which we continue to thank God for. (Sorry if I confused you or anyone -- Greg's insurance is private, but managed by the state legislature -- a high risk pool -- so relocating to an out of state tx center is not an option we even considered to try to pursue for a number of reasons).
All my information on the prospects and complications of tx with cepacia come from what I have read and researched on the web, and it is depressing. All my information about those personally with cepacia being rejected or having poor outcomes come from my web friends (like you!) and the couple of CF boards I participate in, and news articles that have been forwarded to me.
Thanks for giving Greg a heads up on your site - we hope his story is an encouragement to all cf'ers and their loved ones.
Take care, Allen. I absolutely know how frustrating this whole situation is for you. Write me anytime. Greg's doing iv's right now, too, after being desensitized (and still developing a rash!)
Best wishes, jan
(Wife of Greg, 45 cf'er w/cepacia at top of tx list)
www.standinginthegap4greg.org