Healthcare USA #1

I think we have a health and wellness thread but cant find it so I will post here.

Kinda fits anyway, because I have shitty insurance that could end up costing me a bunch depending on what I do.

Woke up with pain in my middle-upper back region this morning. It seems to be on both sides of my spine. Were I to guess, I would say this is a kidney issue, however, I have no fever, no abdominal or testicular pain, no nausea, no painful or bloody urination, and no cloudy or smelly urination. Its mostly just radiating pain. Taking Advil has dulled the pain considerably but it is starting to come back about 5 hours later.

As mentioned above I am reluctant to go to the doctor, so when would you ultimately decide its time to take a trip? I’ve been staying hydrated today both with water and cranberry juice. Any other suggestions for self care, or would you bite the bullet and go to the doc if this persists into tomorrow?

If it’s affecting your range of motion and stretching exercises don’t loosen you up/dull the pain, I’d go to the doctor.

Also, why would middle/upper back pain mean kidney issues? Aren’t your kidneys lower back and on the sides?

It feels better when Im bent over but other than that Im moving around fine. Stairs, driving, etc. Its mostly just the dull continuous aching. I think the biggest thing I worry about is a kidney infection, but Id be surprised if that wasnt a bit more debilitating/presenting more symptoms.

No idea that middle/upper back pain equates to a kidney infection. Seems like the kind of result you get from WebMD symptom checker.

I mean if OTC pain meds dull the pain and you have full range of motion, then it might not be enough as of now. But if it gets worse, it’s doctor time.

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Some good news for me. I got prescribed a machine with a mask to wear while sleeping.

your overall Respiratory Disturbance Index was 76.0 events per hour and AHI was 76.0 events per hour (*AHI 4% or greater: 73.1). The lowest oxygen level noted was 68%. The polysomnographic findings are consistent with severe obstructive sleep apnea.

OMG. I’ve been using the machine about 3 weeks and it’s incredible, life changing. After 2 hours on the machine I feel better than 10 hours of sleep before. I’ve been living completely exhausted from the moment I wake up for many years and I didn’t even notice.

I’m noticing now. Unlimited energy. It feels great to be awake.

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That’s fucking awesome. You just put years on your life expectancy too. Love sleep apnea, something that can be easily fixed.

My CPAP is one of the best things Ive ever done for myself. I noticed an immediate lessening of tiredness symptoms during the day after I got it.

Grats! Savor all the extra energy you will have going forward.

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Yeah I have used a machine for a while now. Was totally life changing.

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I worked in a sleep laboratory for a while when I was younger. I have seen so many people having that same experience. I saw grown men break down in tears after they had their first good night‘s sleep in years. One told us he was this close to killing himself because he couldn’t take it anymore.

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I need to do that. I have minor sleep apnea.

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In USA#1, I’ve had sleep studies denied by various insurers a handful of times now (and zero approved). Probably see people crying for different reasons if you’d have worked at such a lab here.

I sleep like shit. I should probably do a sleep study. I think mine’s mostly anxiety though. I wake up in the night with my brain going 1000 mph and can’t get back to sleep.

I did a sleep study the one year I paid for insurance on the marketplace. Cost was absurd. Only got 80 minutes of sleep the entire night, but no apnea. I feel like shit every day and would kill for a life altering cpap

I used to wake up at like 3am and couldn’t fall asleep for 2 hours, especially if I had gotten exercise that day. That sucked. I’d go into work tired and cranky.

A psychiatrist put me on Doxepin and it’s been a life changer. Amazingly over 15 years I still have basically the same tolerance, and I can sleep w/o it if I have to. Every other sleeping pill either made me feel groggy in the morning or trippy (Ambien). Melatonin helped me go to sleep, but didn’t keep me asleep.

https://medlineplus.gov/druginfo/meds/a617017.html

Funny sleep apnea story that’s appropriate for Healthcare USA#1 thread…May have told it before.

So I snore. A lot. And loudly, apparently. So at the urging of the person who bears the brunt of that snoring, I finally go to an ENT. And I guess standard-issue first step is to order a sleep study. But first they give you the standard sleep apnea questionnaire. And well, frankly, I don’t register any/many of these symptoms. Outside of the occasional afternoon power nap, I feel good.

So I fill it out. ENT comes into the room, looks it over. And then says to me something along the lines of “Soooo, for the insurance company to cover the sleep test, you actually have to have a score above x, and it looks like you’re below x. I’ll give you a few more minutes to look it over - think carefully about all of these symptoms and if you’re experiencing any of them.”

USA#1!

And the end of the day, I got the sleep test and fell on the very mild end of it. Really didn’t want to deal with a CPAP for that (I exhibit pretty much no typical symptoms of sleep apnea), so I ended up just getting a dental appliance from my dentist, which has helped a lot with the snoring.

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When you put it that way, it seems like the insurance company system wasn’t actually wrong.

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If they don’t want to cover the cpap based on test results that’s one thing, but not covering the sleep test to begin with based on self reported symptoms is bullshit. If a doctor thinks a test is going to be helpful then that should be the deciding factor.

I’m torn because a lot of doctors have abused the shit out of that kind of privilege, but insurance companies are also so bad about it… a lot worse honestly

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Yea I get that. Some doctors are shitty and take advantage. But all insurance companies are shitty and take advantage. It’s a numbers game. I don’t want some bean counter at the insurance company making medical decisions for me, and unfortunately I’ve experienced that more times than I can count.

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I have severe sleep and fatigue issues. Every sleep specialist I’ve seen (four total) thought I should have a sleep study performed and it was rejected each time. Granted, most of that was before ACA and during periods where I either had no insurance or garbage graduate student coverage. Back then the insurance was just like “lol go fuck yourself.” After ACA, they at least put up a paperwork fight to deny it. #CHANGE