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> From: "Charles T. Meyer, M.D." <[log in to unmask]> > To: [log in to unmask] > Subject: Re: QUESTIONS > While I am a psychiatrist with PD, not a neurologist and obviously not > having seen your mother-in-law I can state some general opinions. I am > also forwarding a copy of this letter to Bob Fink who is a neurosurgeon > and might be able to speak to some of these issues. Not a lot of time today, but my thoughts are: 1. Normal pressure hydrocephalus is a reasonable bet. It is treatable with a shunt. Lumbar puncture with an isotope study appears indicated. 2. I agree with Dr. Meyer's recommendations. Get the second neurologist to put the recommendations in writing. Appeal the decision of the HMO *immediately* (you may have a time limit) and do that *in writing* also. Get the "Gatekeeper" physician (probably the primary care doc) to do this. If he won't do it, *you* do it. 3. If this fails, then get the attorney to write a letter. It should go to the primary care doc as well as to the HMO. The primary care doc is at more (legal) risk here than is the HMO because the HMO is generally protected by a Federal Law called ERISA (complicated). Best, Bob *********************************** ROBERT A. FINK, M. D., F.A.C.S. Neurological Surgery 2500 Milvia Street Suite 222 Berkeley, CA 94704-2636 USA Phone: (510) 849-2555 FAX: (510) 849-2557 WWW: <http://www.dovecom.com/rafink/> mailto:[log in to unmask] "Ex Tristitia Virtus" ***********************************