Awesome Timing, Thanks

I went and saw the new “physician’s assistant” fella yesterday. He first confirmed that Dr Walter is still my doctor of record and that everything will still go through him… but hopefully after this initial “getting to know each other” appointment (for which I’m sure he’ll have to confer with Dr Walter at least this time) he’ll be able to handle most everything while leaving Dr Walter’s time free to help patients that can actually still be helped, patched up, or even repaired. That’s where his time should go.

Thankfully though, I really like this guy. Dr Walter and I have a decade of history from me going to that clinic for the same problem… so, obviously, even starting to get new guy on the same page as us would be impossible in one visit. But that didn’t stop him from intently listening to everything I said, as well as already offering his preliminary thoughts and ideas about my condition and treatment. I don’t want to get ahead of myself, but the positive vibes were a pleasant surprise. I mean, it was really a crap shoot (what type of doctor I could have ended up with) but I should have known that their office wouldn’t hire a jackass when not a single one of them already there acts that way.

Okay, so that was the good part of the visit. Nothing has changed yet, but I told him that I appreciated having “new eyes” looking at the situation, and letting him know that I am willing to try changing some things up if he, Dr Walter, and I think that it could help with the problems which have slowly been getting worse over the months and years. I then began the walk to the front of the office to make my next appointment and hit the road, when I was told that Laura, the workers’ comp “saint” of the practice, needed to see me before I left.

She told me that my case manager contacted them and told them that I was non-compliant with my scheduled appointments, and that I was also non-compliant with getting my medications filled each month. Now, Laura has been there since the beginning with me, so she (like me) knew that what the case worker was saying was complete bunk. Before I could even say anything, Laura told me that she had already faxed more than sixty pages worth of documentation to them, to let them know that they are either full of crap and are trying to jerk me around again, or that they are incompetent. (My words, not hers.) I mean, how many times have I bitched here myself about how nearly every damn month I have to make multiple calls, multiple visits to the pharmacy, and often still I’m not “allowed” my medications until days after they’ve forced me to run out?

Based on what they are claiming, they are now only willing to pay for one doctor visit every three months – while certain medications that I take require me to be seen every thirty days. (And it sure sounds like their eventual goal may be to straight up “kick me out” or void their obligation to me.) So, this is what I have to deal with now. And I really need some dumb shit like this, right now, when my plate is already overflowing with stuff that is pushing my health and emotions to their limits.

But that’s what I’ll be doing tomorrow, gathering up all of the current information about whoever is my acting case manager, figuring out which of my attorneys handles this type of issue, and probably trying to figure out how to get records from my pharmacy – and maybe a statement from the pharmacy techs who know how I regularly get the runaround – and get everything in some kind of order, to where I can start making calls on Friday.

I had a good day today, and I do want to blog about it at some point, but I’m still furious about this. Yes, it’s all easily, easily refutable… and there’s absolutely no way that I won’t win if this gets forced into another IC hearing or actual court case… but the fact that I have to do it at all, and that they still seem determined to deny me as much of my treatment as they can. I don’t understand how any human could or would take a job like that, where if they complete their task or reach their goal, a person’s life is ruined.

If I keep talking about it I’m not going to be able to sleep again tonight, but that’s the gist of how my Wednesday went. I’m glad Genesee is still in town, because today I had to just pretend that yesterday didn’t happen… just for this one day, so that my brain wouldn’t have a meltdown from immediately trying to fix all of this. I already spent the entirety of Tuesday night through dawn on Wednesday wide-awake, sitting in bed with my phone, looking up countless things regarding my case and treatment, and sending them to the printer so I could compile and highlight them later.

When there is a reliable, well-documented, years-long pattern of delaying or denying a patient’s medication or treatment, when multiple hearings and court cases have already made it clear that the patient is legally entitled to all of it… even if it’s done in a way that technically isn’t in violation of their obligation – you’d still think it might reach a point where a judge would see that it’s nothing less than harassment, and I have to believe that one of that patient’s litigating attorneys would smell blood in the water at that point, so to speak. I’m not a squeaky wheel. Why do they want to push it to that point?

(Okay, tomorrow’s entry will be a positive one. I just had to let this out, for better or worse.)

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Insufficient Quantities

Another half-work / half-shlubbing-around weekend day. 😐 Cassi had the day off, so I went and got her so I’d have some company (and a helper) and so she could have time away from home. So, like the last time she was here, she’s been working on her stuff a little more and I’ve been working on my stuff more… using that bit of motivation that you get just from having someone hanging out. 😊

A couple different phone calls to the pharmacy this morning and they’re still having problems with getting any of my workers comp related medications approved. 😒 Ten minutes on the phone, then on hold, and then told that they were gonna have to make some calls to get things straightened out.  Haven’t heard anything back from them for the past couple of hours, so I’ll be calling again after I finish this entry. I’m not even trying to get them before last month’s supply ran out. 🤦🏻‍♂️

Heh… and as I’m writing this I got another text notification from the pharmacy saying that one item is on order, another is ready – but with a $12 charge, and no info about the third. 😕 But this confirms the typical problems I have every month… because if there’s a charge on one of these, that meant it was run through my regular insurance instead of the one provided by workers comp. I guess twelve bucks won’t kill me though.

And even though it’s Saturday, I got an actual registered letter that I had to sign for, from that “home care” medical provider that I mentioned a few entries ago. It says that they’re letting me go as a patient (okay?) and that I need to find someone else… despite having never used their services and not knowing who this nurse is that supposedly tended to me a couple times. 😠 So I sent them another email, despite just talking to someone from there on the phone, telling them to knock it off with the bills and the mail. It’ll probably do as much good this time as it did last.

Meh… so that’s been the first half of the day. And yeah, I know that a lot of the entries in the blog lately have just been me bitching about the mundane and trivial, but believe it or not – some people do like keeping tabs on me and knowing how things are going, even people that aren’t relatives or close friends. It’s weird to have made what are essentially digital pen pals, from people who have found the blog and have then messaged me for one reason or another.

But I guess I better throw on some pants and head in town for the one script that I can pick up. 🙄 And like I told Cassi, the reason I go in there most of the time, and deal with this shit in person – it’s because people tend to work a little bit harder when you’re standing right there, telling them exactly how things are supposed to be, and nudging them in the right direction when needed.

Heh… this was quite a ramble for just some medical billing filling bullshit. 😏

“Customer Service”

Might as well continue my bitching into Tuesday. 😒 Had to get up really early for my appointment with Dr Walter… and everything was routine until he asked me if I would be willing to be seen by a new physicians’ assistant that they have added to the office. 😳😟 I think they actually added two other doctors as well… but like he and I were discussing, ever since the big changes that were made about six months ago they’ve been struggling to try and keep up with appointments, paperwork, insurance stuff, medicare stuff, workers comp stuff, etc.

So while I’m glad (for them) to see that they’ve added some auxiliary people that will help evenly distribute the workload, it’ll definitely take a while to get used to the new guy. 🙁 Dr Walter isn’t going anywhere, so if my condition changes he’ll be able to handle it, but that was his point… my condition has been relatively stable for a long time now, so my appointments are really just about prescription refills rather than treatment. 🤕 That’s why he felt like I was a good candidate to go to the new guy – freeing up Dr Walter (someone with a lot of seniority) to choose appointments with patients he still has a chance of repairing. 😏 And to be honest, it could be interesting to bounce ideas off of new guy – since on most days I still struggle to just reach “okay” … so fresh ears and eyes could help me in the long run.

After that, I didn’t really feel like going to the Social Security office to handle my insurance enrollment issues… so as soon as I got home I was on the phone again. 😐 I’m not sure why it took as long as it did, but just enrolling in the dental part of my Medicare Advantage plan took over a half hour. And for me, someone who gets super twitchy if I have to be on the phone for more than a few minutes, it may as well have been three or four hours. 😣

I ended up calling it a day around 3pm, even though there was still stuff that I could (should?) have made calls about. Couldn’t get through to the hospital again, despite definitely calling during business hours, and so far they haven’t returned my calls. 😠 That’s fine though… I’m fine just sitting here and waiting until another notice for those bills arrive, and another, and another. I mean, I’ll call again, but if they don’t seem interested in dealing with it, then I’m not gonna be terribly interested either. 🤷🏻‍♂️

Strangely, despite twitching out over the obscene amount of time that I spent on the phone today, I’m still feeling enough of a burst of energy that I’m gonna try to work on a few things around the house. I’ve got a couple of friends who have been hinting heavily that they’d like to come over, so I feel kind of obliged to make it look less like the house of a single guy and his white cat that’s in the process of being groomed. 😳🐱 But mostly I’m doing this stuff for myself, because the more organized and calm this place is, the more organized and calm it makes me. 😌

But after these crap days starting the week, I think tomorrow I’ll take at least half of the day off… maybe get my cameras organized and charged up, get the C64 Mini all updated, set-up, and hooked up. I dunno… Monday and Tuesday have me pretty grrr, so I really need to make tomorrow different.

Mundane Monday

Today has been very Monday. 😕 Ordered something online last night and woke up to a fraud alert on my phone, where the company – and it’s one of the main, big-name ones – had attempted to charge my card five times for the one order. 😧 So that was the first bit of “customer service” shit that I had to deal with. Just to be safe I had them cancel all of the charges, which allowed me to just create the order again from scratch. So far no alerts, so I guess that all got sorted.

Then I had to get online to sign up for new Medicare Advantage insurance, and of course I ran into glitches during the process. 😠 I swear, with the way that some sites seem cobbled together and barely hanging on to their functionality – it’s a wonder that big entities like this don’t collapse in on themselves in a flaming pile of data loss. 🔥🔥🖨🖥💾🔥🔥 I could have called to get this issue fixed, but you know how I am with phone calls… so “online chat” was the way I went. 📞😬☎ The lady was helpful, seemed to give only 50% (or so) canned responses, and despite not really fixing anything – she said everything that needed to be in their system was in their system, so there shouldn’t be any issues.

And the third thing, which I’m still in the process of dealing with, is getting these couple of rogue hospital bills figured out. One bill is for an appointment with my workers comp doctor, which are the same every thirty days and always billed to workers comp. 🧐 And then the other one, well, it’s a big enough amount that I need to investigate – to find out if that’s the amount due even after the financial aid has been applied, or if I just need to wait it out until it eventually goes away. 🏥👨🏻‍⚕️🤕💸 Still waiting on a call back from those folks.

So, I’ve been dealing with this crap pretty much from the moment I woke up. 😴😒 My brain hasn’t started getting twitchy about it (yet), mainly because everyone I’ve spoken to or chatted with – they’ve been helpful… and if not actually helpful, they’ve been nice and have given me confidence with their “Everything looks fine.” type shpeal. 🙂 And since I’m somewhat in the flow of all this bullshit, there’s a couple other things that I need to tend to as well – so I’ve probably got just as many calls to make after this blog entry as I did before. 🤷🏻‍♂️

Promising Start

Met my new doctor today… well, nurse practitioner, but it’s the same difference as far as visits like today, where I just needed tests to be ordered for something that I was already aware of. 👩🏻‍⚕️🤷🏻‍♂️ But I do think that I’ll stick with her. Their other practice has mostly male doctors and nurses working with clients, and then the one that I go to has all female doctors and nurses – and at my last appointment they told me I could switch if I wanted. But like I told her, whenever something might be gross or embarrassing, it’s gonna be gross or embarrassing regardless of who’s seeing me. 😳🧐

I didn’t expect much sympathy, since I hadn’t been to their office in a couple of years, but I was pleasantly surprised. Not only did we take care of the main couple of things that I went in for, but she continued asking questions and let me ramble quite a bit about all of the somewhat lesser concerns that I’d like to eventually address as well. 😃 I told her to stop me when she had heard enough, since I was honestly expecting to be rushed in-and-out in about 10 minutes… so yeah, while she probably had to make this face after I left, she definitely sold me on staying at their office.

So now I have to go have blood drawn, wait for the hospital’s imaging department to call and schedule a test, while waiting for another call from another referral… so, yeah, the ball is now officially rolling. 😬👍🏻 A different practice might try to milk as many office visits as possible before digging into stuff, so the cheap part of me (which is all of me) approves. 😏 Now the fun part will be figuring out which stuff is covered by my insurance and which stuff will make my wallet and me cry.

Expropriated Cycles

This proves that I should always make “after the fact” posts, because despite being all geared up with my medical and workers comp projects, I ended up having Cassi come down and stay over last night… which was actually just the mental break that I needed from all of that stuff. 🙂 I mean, I did keep working on it as she was here, but with her as a distraction it kept it all from consuming my brain and occupying 100% of my thought cycles as I worked. 😳

But while she was here (among other progress) I got names, numbers, and addresses for every local doctor that may be accepting new patients, every local urgent care that appears to offer services greater than the “I skinned my knee” or “My butthole really itches” type stuff, and every oral surgeon in the area so I can get more serious about getting my remaining wisdom teefs cut out. 😬 I also got new info from BWC and my BWC Rx provider, so that stuff is in much better shape as well. And the pharmacy was also updated, so my meds might possibly, hopefully, maybe get filled in a more timely fashion. 🤨👨🏻‍⚕️

Now that I think about it, I probably got more done with her here than if she wasn’t. 🤨 And without getting twitchy. 🤷🏻‍♂️ She worked on several things that she needed to do as well, taking advantage of the relative peace and quiet here compared to her house full of family. 😌 Of course she gave her brain a break as well (the main point of her staying) by making and painting some picture frames, and catching up on the last few episodes of NCIS that she still had to watch on Netflix. 👱🏻‍♀️📺 I think Maven was even happy for the unexpected visit, ‘cuz she made up to Cassi way more than usual this time. 😸

We talked quite a bit about what’s going on with my health at the moment, along with all kinds of random thoughts that come along with that topic… so it was nice to be able to talk some of that stuff out with her. 👦🏻👱🏻‍♀️ I’m not exactly sure what the plan will be for tomorrow and Friday. 😐 Now that I’ve got all this info compiled I imagine I’ll start calling someone… meh… I’ll figure it out when that time gets here. I’m gonna stay in chill mode for the rest of the evening if possible.

Research

I ended up getting almost 11 hours of uninterrupted sleep last night, likely thanks to my normal evening meds and a couple Tylenol PMs taken at just the right moment. Sadly, I still woke up tired, at least physically… but my motivation game was strong. I guess this was the right day for that combination though, since it’s the weekend and there really wasn’t much that I could do “out and about” to continue my meager progress from last week.

I’ve looked up a bunch of different doctors and “family practice” offices in Lancaster and nearby cities, so I’ll be able to make some calls and maybe even stop by some of these places on Monday. 🙂 I’ve also researched some urgent care places and narrowed it down to two that may be able to help with the tests that I need. 🤨 That’s my backup plan, should the “find a new doctor that doesn’t have a two month waiting list” thing fail. 😒 And then on top of that I’ve gotten names and info from our local hospital’s site, so I’m prepared to go there to talk to someone about my predicament if need be.

My main concern (after just getting the “serious stuff” started) is doing this in a way that won’t screw me over when it comes to my insurance and the bills. 😳 I assume it’s always like this, since it’s been this way with any insurance that I’ve ever had, but basically you have to jump through all of the required hoops. 🙄 Like, you can’t just go to a heart specialist and ask for an EKG without having been referred to that heart specialist by your “normal” doctor. 🤔 I mean, I guess you can… but your insurance won’t pay for it without the referral.

So yeah, off and on throughout the day was all of that, and then in the evening I remembered that I needed to make a couple phone calls. The first was just returning a call from one of my attorneys regarding their recent court actions on my behalf, and the second was to leave a message for the company that I’ve chosen to trim my hedges and spirea bushes, to let them know that I’m on board.

Tomorrow should be a lazy day. 😏 I can’t think of anything that I’ve forgotten, at least not right now, so hopefully I’ll be able to sleep in for a bit before I go to visit with Mom and Dad in the afternoon. If I don’t get too late of a start, I might even try to hit a couple of thrift stores before returning to Maven, the homestead, and a rapidly-approaching Monday morning.