I Ain’t As Good As I Once Was…

This has been on my mind, so I’mma ramble. πŸ™‚ If we’re able to come to a settlement agreement regarding the medical portion of my claim, I wonder if I’ll be able to eventually undo all of the damage that’s been done. πŸ€”πŸ˜Ÿ Not the physical stuff, of course, since that’ll slowly continue to get worse over the years… but the way the whole process has mentally changed me, especially over the past several years. 😞

It’s just that I’m guaranteed that one week out of every month will be filled with anxiety and stress, simply because I have to get my medications filled. 😐 The meds are required to be covered by my claim, and many years ago I could pick them up without issue – even being able to get them a few days early at times. πŸ€·πŸ»β€β™‚οΈ

Then the problems started. πŸ˜’ Short delays turned into long delays, and long delays became even longer. Eventually the delays were so long that I’d have to pay out-of-pocket just so I didn’t go without, and then wait and hope that I’d get paid back. πŸ˜• If my doctor prescribes a new medication, it can be denied pending an IC hearing. Even when a prescription doesn’t change they can still sometimes deny coverage pending an IC hearing to prove that it’s still necessary. (Which, after a decade, it obviously will be.)

Three weeks of “tolerable” pain at best, followed by a week of worrying, fussing, and fighting just to get the meds that they’re legally required to provide. 😠 Repeat, repeat, repeat, repeat… πŸ™„πŸ˜ž Combine that stress with fluctuating pain and lack of ability, and eventually it consumed so much of my thoughts and time that I started backing away from everything else.

(Don’t mind my rambling… like I said, this blog sometimes acts as my therapy…)

When I can’t guess how I’ll physically feel, and I can’t even count on having (or being able to get) my meds to help… things became too unpredictable to continue like I had been. πŸ™ A couple of years ago I had a long phase where I couldn’t do anything if it meant someone “counting on me” for something. Family started getting shut out, friends definitely got shut out, all because I never knew how I’d feel when I woke up that day nor if I’d be facing (or getting pulled into) another hearing or lengthy process with the pharmacy.

That hasn’t changed. 😐 The concern and worry, that is. πŸ˜’ Along with my family and friends’ understanding, I’ve been able to make some adjustments that has kept me from totally isolating myself these days… but lemme tell ya, sometimes it feels easier to just remove myself from people’s lives than to disappoint them over and over again when things are bad. πŸ₯ΊπŸ˜ž And that leads me back to my original question… how long does it take for a person to escape that mindset, if that 1/4 of each month no longer has that anxiety and stress from the fight? 😐

The stress now, for better or worse, is making sure the settlement (whether an annuity or lump sum) is truly enough to cover the things that it will need to cover. If not, I’ll just be trading the stress of fighting for meds each month for the stress of not being able to take the same meds, because I won’t have the funds to pay for them. πŸ˜’ Medicare is technically supposed to step in at that point, but they’ll require all kinds of proof that I spent the settlement money only on applicable things, and the more expensive meds still might not be covered. πŸ˜– So as you can see, there truly is “always something.”

Kinda makes all the “You’re so lucky that you don’t have to work anymore!” folks reconsider, eh? 😏

Bad At Feeling Bad

Saw my workers comp doctor on Thursday, discussed the additional pain in my neck and shoulder from relying on my cane (for my unrelated knee pain) this past month, but mostly discussed the upcoming WC mandated “review” – and he’s just as frustrated by what they’re trying to do as I am. πŸ˜’ Then I finally went back in to my prescribing shrink after taking a couple months’ break to get used to my new WC doc meds… and ended up spending an entire hour with him.

Granted, when you talk to a counselor you usually get an hour, but typically the pill shrink just wants to get you in and out of there, prescribing what he feels is appropriate based on the counselors notes and maybe a few followup questions. He talked to me about so many different possible meds, I have to admit that I don’t even know which ones he ended up calling in for me. I guarantee you that I’m going to be doing a lot of googling before I start taking anything… especially considering the other meds I’m already taking, and that in about a month I’ll have to stop taking my thyroid meds to prep for the next radiation pill treatment.

Meh… I’m not gonna get into all that. But I’m gonna try what he thinks I should, as long as I don’t find anything concerning that he maybe didn’t consider. πŸ€·πŸ»β€β™‚οΈ But for the past hour or so, I’ve been waking up and psyching myself up for the trip into the pharmacy. Three different doctors, multiple prescriptions, many new, some to be covered by WC, but still might not be, and then others meant to go through my regular insurance. 😣 For some reason they can’t mark it in their system, which meds go through which insurance, nor can I count on some of them being approved anyway, so this’ll be a fucking process today. 😠

I know. 😐 This is just what people have to do. The medical / workers comp / insurance programs in the US are shit, nobodyΒ does it without jumping through hoops, dealing with delays and irritation… but I’m still gonna bitch about it. 😏 And sure, whether it’s WC or traditional insurance… once, maybe twice, do what you have to do to verify that “Yeah he’s broken. Yeah he needs those meds.”Β (I get it… fraud prevention) but then just cover the shit plz. πŸ€• Go through that sort of bullshit long enough and you can totally understand why people, as they get older and feel more broken, just can’t or don’t want to have constant adversarial engagements with the whole system – and just stop bothering with some of it. 😒 Especially when the doctor’s hands are tied and they can’t even prescribe you the meds that could actually make you feel better – whether due to WC guidelines, insurance not covering it, or it simply being too cost prohibitive. 😠 Man it fucking pisses me off…

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I’m just bad at feeling bad when a)Β I’m denied treatments that could make me feel better, and b) people are still fighting to take the things away from me that merely keep my pain tolerable. πŸ˜–

Oh, and my insurance company… they keep leaving messages, saying that they want to schedule an in-home visit from a doctor that can evaluate me and give me his or her opinions as well. πŸ™„ Yeah, um, no. You’re insurance. Just be insurance. Get my health info from my records like a normal company… and don’t expect me to invite you into my house with another handful of hidden hoops behind your back. 🀨 Okay, I guess I’ve dragged my feet long enough, and should get in town and see what kind of luck I have with all this shit.