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I wear jobst sleeve off the shelf. I have also had custom made ones but the jobst works for me. I get some puffiness in the upper arm and so I do wear a sleeve. As for flying I do wear the jobst and a glove because lymphedema starts in the hand and goes up. Need to leave the glove and sleeve on for 3 or 4 hours after landing unless you are use to wearing a sleeve all the time except for sleeping. Everyone is different so you need to go with what your lymphedema specialist tells you. I have been to 3 different ones and I find they have all been consistent. Now, Medicare does not pay for sleeves in case you have medicare but it sounds like you don't if you are going back to work. I don't understand why they won't because it is very important to keep it under control. They will pay for bras and prostetics (? sp) go figure!! hugs, Sandy
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