They can come after your estate presumably
JFC. Thanks for answering.
I really hope you get the care you need.
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Being poor has a few advantages.
Currently at the doctorās office.
Appointment time: 805
Current time: 847
No sign of doctor.
Thank God I donāt live in Canada where I would have to wait to see a doctor!
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Did the UK doctors get their deal? Or are they still threatening to strike?
Iāve often thought about how much time Iāve spent waiting at drs offices over the past 20 years, and how much I would have made if I got paid minimum wage for that time. It would be a nice windfall to get back pay on that time.
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This part doesnāt really bother me. Itās the waiting months to get the appointment part that Iām leery of. It can easily turn into years of waiting depending on how difficult your case is and how much they wanna solve it for you. My PCP and I dice rolled five sleep specialists before finding one who sort of figured out what I had and how to treat it. That was a 3-year time-wasting experiment. The one I waited the longest for (6 months) had no clinic wait time at all: she came in, read my chart, said āOh, circadian. Thereās nothing I can do for you, sorry. Maybe try Doctor [name] at [another hospital].ā It was a two-minute consult tops.
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Well, I did wait 2 months for the appointment.
Thankfully it was just my yearly physical and I had my lab work done beforehand so there werenāt any surprises for me.
seriously my wife waited in the exam room for her (now ex-)endocrinologist once for ~45 minutes, finally poked her head out to ask the nurse if they had forgotten about her and the doctor had taken her kids to lunch without telling her staff.
Thats childs play. Iāve waited in an exam room for 3 hours before.
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Just call someone and have a chat.
Whatās the big deal?
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During the process of me appealing the insuranceās decision to deny everything ordered by my disease expert (who is OuT oF nEtWoRK), it was recommended that I take on a patient advocate in my state who specifically dealt with these edge-case insurance issues. So I finally get on a call with this Karen, who is a nurse or former nurse or whatever. Like a true insurance shill, she kept saying āThere are many fine doctors in your area. I can help you find one if you like,ā and each time I would remind her that nearly all of the cases go to experts or tertiary centers that specialize specifically in this thing, and that there are zero of those in network. We went back and forth on this for a while. and then finally she broke character and said, "Youāre right, this is highly-specialized and I agree with you, but you canāt have the best of everything."
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Just once Iād like to say to the doctor āyou know what? Iām not ready for you yet. Why donāt you go back to your little office and Iāll be there in a minute. And take your pants off!ā
She must be related to the āwith how fast this year is going, 2 months really isnāt that longā lady.
I fell for the nurse case manager scam before. āPatient advocateā my ass. There number one job is to save the insurance company money. Tried to completely change my treatment plan and where I was treated, all for the worse.
Wait, the āpatient advocateā works for the insurance company? LOL.
Right, I quickly snuffed out her actual motive, but Iām still not entirely sure what āyou canāt have the best of everythingā is supposed to mean. Is that a popular concept with these guppy-brained insurance shills? I mean just the idea that there are clearly observable and objective quality levels in medicine is somewhat nebulous to begin with, but Iād love to hear someone spell out what the conceptualization of this even is. Because it sounds like theyāre equating medicine to, say, automobiles, where Iām only due a Toyota but was asking for a Lamborghini. Yet, I was just getting a standard workup for this thing by someone who knows what the fuck theyāre doing and has diagnosed hundreds of cases. One of my local doctors tried to do the workup, ordered the wrong tests (which were negative ldo), and ruled it out. Fucking whoops. Is that the āmediumā level of care that I deserve or what exactly?
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Yes. I wish I still had the emails so I could share them. The lady was dumb as rocks and would call me multiple times a week. Basically she tried to get me to switch my biologic infusion provider, and wanted me to go to some literal hole in the wall āinfusion siteā in the heart of one of the worst parts of Philly. I looked it up on Google maps and it genuinely looked like an abandoned drug house. All in the name of saving them money since I was getting it at the hospitals oncology suite which is more expensive. I kindly told her to fuck off and remove me from her case load.
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āUtilization Review Specialistā
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OK review for costplusdrugs.com (Cubanās Site).
So I have ridiculously good insurance. However, for whatever reason they didnāt have the birth control formulation my wife used for years before I got my current job. NBD, we tried some other things thinking it wouldnāt be a big deal. She hated the other things, we tried to just order cash, it was 330/mo, fuck that. Normal prescriptions for us cost 5 bucks per script, even if itās a 20k/mo drug.
So I pop on over to Cubanās site, and they have that drug available. Sweet. I sign my wife up.
I call the provider script line, wait on hold for 5 minutes, give them my info and a verbal order. Usually donāt write scripts for family members but fuck the 300/mo, perfectly legal for me to write for something like birth control. Script is available for order an hour later, total cost:
14.31 for a 3 month supply plus 15 expedited shipping charge (normal is 5)
Fucking brilliant.
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