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Feb 1, 2021 01:57PM
Sweet_Dee, you may already be aware of this, but the rules have recently changed regarding ESAs, at least regarding airline travel and the US Department of Transportation. See: https://www.transportation.gov/briefing-room/us-department-transportation-announces-final-rule-traveling-air-service-animals
If you are interested in obtaining an ESA letter for housing or other purpose that should still be doable, however it is not necessarily easy. This is what I know: sometimes providers are simply not allowed to write ESA letters per the guidelines of their own malpractice insurers, and this can also vary from state to state. It depends on the legal provisions of their medical malpractice and liability insurers. The fear from the insurance company's perspective is that if they write you a letter and your dog bites someone, they could be sued. Also, there is some question about how "evidence based" ESA's are in mental health treatment. It's kind of a gray area, and that always makes things harder.
However, there are people out there who are able and willing to write letters. I suggest just calling around and asking, starting with people who are in your network. I know a person (who does not have cancer), and she was unable to find an in-network provider who could/would write an ESA letter, so she paid out of pocket to see someone out of network. She is under this provider's regular care for mental health purposes, but also to obtain ESA letters. If that proves to be too difficult, you could then resort to some of the more reputable online ESA letter agencies.
Another possible avenue is to assess whether you actually need a true service animal. I have considered going this route myself. For now though, I am just a MBC patient with a pet dog.
Anyway, I hope that helps somewhat.
Diagnosed at 32. Local recurrences one year later, probably due to needle seeding at inital biopsy. Now dealing with MBC.
8/2016, IDC, Right, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2-
10/1/2016 Lumpectomy: Right; Lymph node removal: Sentinel
11/1/2016 Cytoxan (cyclophosphamide), Taxotere (docetaxel)
4/1/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
10/2017, IDC, Right, Grade 3, 2/12 nodes, ER+/PR+, HER2-
11/1/2017 Lymph node removal; Mastectomy: Right
4/1/2018 Lymph node removal; Mastectomy: Right
5/1/2018 External: Lymph nodes, Chest wall
7/1/2018 Xeloda (capecitabine)
7/30/2018 Zoladex (goserelin)
2/1/2019 Aromasin (exemestane)
9/30/2019 Faslodex (fulvestrant)
8/2020, IDC, Stage IV, metastasized to bone/other, Grade 3, ER+/PR+, HER2-
8/30/2020 Ibrance (palbociclib)
1/2021, IDC, Stage IV, metastasized to liver/lungs
1/15/2021 Carboplatin (Paraplatin), Gemzar (gemcitabine)