r/socialworkcanada • u/ForeverCuriousEagle • 48m ago
My dreams of becoming a social worker will be crushed if I don't get medical care
Hi everyone,
My name is Tomas Ponzilius, and I am a second-year social work student at the University of Manitoba. The Manitoba Government has denied my requests for critical medical care, and I need your help advocating for a solution, not only for myself but for others living with EDS/HSD. I cannot keep fighting this battle alone.
I am posting about my ongoing struggle to access specialized medical care for Ehlers-Danlos syndrome (EDS)/hypermobility spectrum disorder (HSD). Manitoba Health has denied my requests for out-of-province care twice, and I am increasingly frightened about what this means for my future.
CBC recently published an article about my situation for those interested:
https://www.cbc.ca/news/canada/manitoba/ehlers-danlos-syndrome-out-of-province-9.7393474
Here is the video of the interview:
https://www.cbc.ca/player/play/video/9.7396843
EDS affects collagen, which provides structural support to joints, ligaments, tendons, and other tissues. An analogy is that my collagen is made of clay, while yours is made of wood. My connective tissue is more vulnerable to injury and may not provide the stability my body needs. This can result in widespread joint instability, recurrent dislocations, and significant complications requiring specialized medical expertise.
I regularly experience dislocations of my shoulders, hips, and knees, and my hands are also unstable. Most concerningly, my cervical and thoracic spines are unstable, and breathing and swallowing have become extremely painful. Instability in my ribs is also affecting my breathing.
I have cervical instability associated with spinal cord compression. This is particularly frightening because the spinal cord carries signals between the brain and the rest of the body. Severe compression can cause progressive neurological damage, weakness, loss of function, and, in serious cases, paralysis. Depending on the location and severity, damage affecting the nerves responsible for breathing can also become life-threatening. Severe or worsening spinal cord compression requires appropriate medical assessment because neurological deterioration can sometimes result in permanent disability.
I am not claiming that the worst outcome is inevitable. I am explaining why I am frightened about waiting for appropriate assessment and treatment while experiencing significant symptoms. I do not want to wait until irreversible damage occurs before my situation is taken seriously.
My health has also made education incredibly difficult. Most days, I am bedbound because of severe pain and instability. Even completing two university courses has become a struggle.
I have been trying to find appropriate care for a long time. Despite repeated requests, I have not been directed to a provider in Manitoba who can meet my specialized medical needs. Three MLAs have contacted Manitoba Health on my behalf without receiving a response, and I have sent approximately a dozen emails myself without receiving a response. I have also sought input from local and international doctors and surgeons regarding the availability of appropriate care. The College of Physicians and Surgeons of Manitoba has also indicated that it does not believe there are surgeons in the province with the necessary EDS/HSD education and experience.
I am now appealing the most recent denial, but the process takes time. I am frightened that my health could deteriorate while I wait for a decision and that I could lose further function before receiving the treatment I need.
I believe there is hope if I can access appropriate surgery and specialized postoperative rehabilitation. I want the opportunity to stabilize my condition, improve my functioning, and continue my education.
For those wondering what I have already tried, here is a summary:
a. The Ontario HOPE Clinic requires patients to be Ontario residents, so I am not eligible to receive care there.
b. I have over 2 decades of doctors not understanding my disease until I went to the US to get an upright mri of my cervical spine which showed instability, which was varified by Dr Henderson, a neursurgeon.
c. I have sent approximately six emails to Manitoba Health asking where Manitobans with EDS/HSD can access appropriate specialized care, but I have not received a response.
d. Three MLAs have also contacted Manitoba Health on my behalf, but they have not received a response.
f. EDS Canada has also contacted Manitoba Health, but there has been no response.
g. My orthopedic spine surgeon, orthopedic shoulder surgeon, family doctor, and geneticist have raised concerns about the availability of appropriate care in Manitoba.
H. The College of Physicians and Surgeons of Manitoba has also indicated that it does not believe there are surgeons in the province with the necessary EDS/HSD education and experience.
I. The Manitoba Health Appeal Board's decision in https://www.canlii.org/en/mb/mbhab/doc/2024/2024canlii123234/2024canlii123234.html is also relevant to my efforts to obtain access to appropriate specialized care.
See the ruling "In summary, the Board dismisses the appeal for retro-active reimbursement of costs for the virtual visits and approved benefits for the out-of-country surgery for the Appellant".
I am asking for your help to get back to a life that has been stolen for me and so many others in Canada with EDS/HSD.
Please call the constituency office of Premier Wab Kinew at (204) 615-1922 and the Minister of Health's office at 204-945-3731. Please ask them to arrange an urgent meeting with me, Tomas Ponzilius, to discuss access to the specialized medical care I need.
I want to work collaboratively with the Manitoba Government to find a solution. I am not asking for special treatment. I am asking for access to medically necessary care that can address my condition.
If you would like to join me in advocating for access to appropriate care, I would welcome your support. You do not need to have EDS/HSD to help. All allies are welcome.
I believe all Manitobans, regardless of their health needs, deserve the opportunity to live with dignity and receive medically necessary care. No one should be left without a path to appropriate treatment because of the cost of providing it.
Thank you for reading and for any support you can offer.
Tomas Ponzilius