Push Through It

I thought I might have better luck if I went in to the pharmacy rather than calling them, but nope. πŸ˜’ Tomorrow’s technically a holiday, so I’m gonna wait until Tuesday before I go back in and make them go through any kind of fuss, in case they need to call the insurer or my doctor to get things moving.

Next stop was Walmart, since about a week ago I went ahead and ordered a second pair of glasses from them. I was originally just gonna grab my prescription and send it off to somewhere online so I could get a cheap pair of distance-only lenses and frames, but I was able to order a pair from Walmart for only $68 so I figured that was good enough. πŸ€“

After that I made it out to see Dad for a while. πŸ™‚ We were gonna watch some of the Daytona 500, but weather came and put it on a rain delay. I wouldn’t have been able to stay through the whole thing anyway though. πŸ˜• My neck was still pretty locked up through my whole trip out, but towards the end of my visit with Dad my shoulder started shaking and being uncooperative again, so I headed home to get it back in front of the space heater.

Oh great… speaking of meds. I just nowΒ got a text from the pharmacy that says “We are contacting your doctor for an alternative med for Rx Metaxalone. We will text when ready.” 😳 No idea what that’s all about, but if my doctor wanted me to be taking something different he would prescribe me something different. 😣 Oy… looks like I’ll be calling the pharmacy in the morning to find out what’s going on, and then my doctor’s office to let them know there’s some new sort of nonsense that they might be getting a call about.

I swear, man… πŸ˜’ it’s almost 7p on a Sunday before a holiday – and I’m still getting hassled. Meh… no sense in worrying tonight since I can’t do anything about it anyway. You see how this stuff goes though? 😟 I went in and tried to get that situation settled, I wasn’t able to, so I was trying to put it out of my thoughts… so the situation reached out and poked me, like “Hey, don’t forget about me. Here’s something confusing for you to ponder all night… and you might wanna get up stupid early to make even more phone calls tomorrow. Sleep tight.”

Well, Here We Go…

Not in a big hurry to get my day started today. Plenty of time to run in to the pharmacy, and plenty of time to make my calls to the insurance place. But it looks like, unless something happens between now and when I get to the pharmacy, I’m gonna have to pay over $400 for this one prescription. 😐 At least for now.

Last month WC approved the med the day after I paid for it, and the pharmacy refunded my money accordingly, but man is that an irritating way to do things. Especially since I never know for sure if they will eventually pay for it. It’s feeling more and more like I’m gonna be stuck with it this month though.

I’m trying to put myself in the mind set of accepting that I’m gonna have to take the L, and if so, I’ll have to figure out something with my WC doctor at my next appointment – ‘cuz there’s no way that I’m gonna pay that much each month. There’s no way that I can. 😣 But one time isn’t gonna kill me, so I’m allowing myself to be “grr” for a bit – but then I have to put it out of my mind. πŸ’†πŸ»β€β™‚οΈ What’s done is done, essentially.

Fun Fact: I actually have another prescription that’s due for a refill, which will also be ran through my WC insurance… so as I’m finishing up this first little fight, I might be starting a second one. πŸ€¦πŸ»β€β™‚οΈ At least that one is covered by my normal insurance, should WC refuse to pay for that one as well. So at least the outcome, whichever way it goes, won’t make me nearly as twitchy. Hopefully.

I’m gonna try to enjoy the drive into town, blowing a little stink off, and maybe picking up some fast food to bring back home. Still haven’t gotten a notice regarding the IC hearing being rescheduled, and I’ve heard absolutely nothing about the court case… so I’m really feeling like I’m in limbo here. 😟 The phone just rang (unrecognized number) and they left a voice mail, so I’ll cross my fingers and hope it was one of my attorneys letting me know what the heck’s going on. (C’mon… who actually answers their phone these days?)

Got a solid six hours of sleep, and woke up with my neck and other achy parts feeling pretty decent so far today, so at least that’s not something adding to my stress. But I’m gonna chill here for another half hour or so and then get on this. 😠 I wanna get it over with so I can get back home and straighten up a bit, do the laundry, put away the groceries, etc… as well as squeezing that insurance call in there at some point.

Wish me luck. πŸ˜πŸ€·πŸ»β€β™‚οΈ

Couple Days Off

I’ll definitely admit that I’m not the NASCAR fan that I used to be, but I still ended up watching much of most of the races this year… so I still get that “meh” feeling that fans get this weekend, now that the 2019 season is over and the races are done. πŸ˜• Luckily the Penn State vs OSU game is on, and it should be a pretty good one, so I’ve got that on the TV while I side-eye the stack of mail from this past week and try to talk myself into getting into it all. 😏

This is gonna be a low-key weekend for me though. Was busy through a lot of the past week, and already know that I’ll be busy next week getting tires put on, furnace looked at, garage opener likely installed (among other things) so I’m hoping to keep my ass planted at home and take it relatively easy today and tomorrow.

Of course I’ve still got random little shit around the house that I’ll probably work on if the motivation hits me, but my only planned project is getting the new mailbox mounted. I guess it’s gonna be sunny and decent tomorrow, so I’ll probably wait until then to take the old one off, measure out the holes on the post, and drill out the piece of wood that I’m gonna end up using as the mount.

I bought a cheap plastic universal adapter type thing, same brand as the mailbox, but for some reason not only does it not line up with the horizontal screw holes on the mailbox, but in the plethora of holes for mounting to a post – none of them appear to be in the locations needed. 🀨😐 That’s probably why Grandpa fastened the old mailbox to the post with a piece of wood underneath too… which, over many years out in the weather, has slowly rotted away. I’ve already found the perfect plank of wood, so I’m just hoping that it won’t be difficult to remove the old bolts from the post. πŸ˜¬πŸ™πŸ»

Worst case scenario, if they’re rusted solid or I don’t have the torque to loosen the nuts from the screws, I’m sure Rick would come over and get it sorted. (But I’ve got to at least try to do it myself first.) That’s the irritating thing about my left arm, man… 😟 something that should and would be a piece of cake if my shoulder wasn’t gimped – it’s now sitting out there as this intimidating prospect, knowing that I’ve only got Sunday to get it done before mail resumes on Monday. 😳 When simple things can’t be simple… it’s just frustrating.

Meh… it is what it is. Just glad that I’ll have decent weather to (hopefully) figure it out w/o killin’ myself. πŸ˜πŸ€·πŸ»β€β™‚οΈ

EDIT: Damn… this game is moving fast. Either that, or I’ve just been really slow as I was typing out this entry… ‘cuz I feel like I started it right after the game started, and it’s already down to two minutes left before half-time. Good… guess that means my plan of taking it easy is working, if time is passing that fast. πŸ™‚πŸˆ

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.)Β I mean, how many times have I bitched here myself about how nearly every damn monthΒ I have to make multipleΒ 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 theyΒ stillΒ 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.)