medical

All posts tagged medical

The doctor will see you now…NOT!

Published February 10, 2017 by lynn k scott

No one in today’s world can question the reality that the face of your medical care has changed.  With new laws, requirements, insurance requirements and medical office billing, trying to see “your” doctor isn’t always your choice.

Whether you have a chronic medical condition or just need to be seen for newly developed symptoms, making an appointment isn’t as easy as it used to be.  In today’s world, the emergence of Nurse Practitioners (NP) and Physician’s Assistants (PA) are the new “in” thing.

“Hi, I’d like to make a doctor’s appointment”.

Seem’s like a simple enough request.  After all, most of us are pay enormous premiums and/or copays for the privilege of a doctor to spend 10 minutes with us.  That’s in addition to two or three patients being scheduled for the same time slot so the doctor doesn’t lose any money, should there be a cancellation.

“Sure, you there is an appointment with Jean Smith at 3:30.”

There you go…your appointment…WAIT!  Where was the word “doctor” to go with that name?  Ahh…did you catch that too?  That’s because in this case, you won’t be seeing a doctor; but a PA instead.

Awesome.  No, not really.  I already have issues with doctors “practicing” medicine.  If I’m going to drop $45 on an appointment that a General Practitioner wasn’t able to resolve, why in God’s name would I entrust an on-going, chronic issue, to someone who isn’t even a board-certified doctor?

I don’t have the flu and I don’t need a throat culture performed.  I need a real diagnosis, made by a doctor, that will resolve my issue; the first time around.  “Oh, sorry, there are no doctor appointments available then”.  Don’t you just love the system?

Truth be told, PAs and NAs are half the price of a real doctor.  They are in even in the specialist’s office…the specialist!  Someone who may, or may not, have done any clinical work, who is now entrusted to see, diagnose and treat you, independent of a doctor reviewing their work.

Does that leave you with the same lack of confidence it does for me?  So, what are the other options?  Urgent care…yea..seeing a doctor, at double the cost of your primary’s copay only to refer you to your primary doctor.  The emergency room.  You’re in pain.  You have severe symptoms; chronic symptoms…just go to the emergency room.  Sure all the testing will be done right then.  You’ll be lucky if you only walk out owing about $2,000 as your portion of this wonderful care provided by your insurance.

All this, because carriers and medical offices prefer using under-qualified medical personnel instead of having you treated by a physician of your choosing.  After all, it’s only your hard-earned dollar that is footing this medical nightmare, right?

Grateful for Intolerance

Published March 27, 2015 by lynn k scott

Grateful for intolerance?  Who would really be grateful for that?   I have yet to do is clarify that statement, which will put the ‘intolerance’ in perspective.

For a variety of reasons, I have yet to receive an official diagnosis, but I am someone who cannot consume gluten without paying some pretty severe penalties.  I hesitantly say official diagnosis because I am acutely aware of how my body reacts:  the pain, the not-so-nice bodily functions that result, the inability to stay awake, the inability to sit up or rest comfortably, the bloating (as in a full pants-size) and a myriad of other symptoms.  I know I need to seek out a medical professional to assist in managing my condition, whatever those who “practice” medicine choose to call it.

Around this time two years ago, marks when my symptoms peaked.  I spent several times in one week, getting up in the middle of the night, going downstairs as to not wake my husband, curled up in the fetal position on the throw rug in the livingroom, literally praying for death through my tears.  Not having health insurance meant I had to make a choice to suffer at home or risk thousands of dollars for an emergency room visit they may or may not be successful in removing the torment I suffered from.

Seems a bit far-fetched doesn’t it?  Yet, countless others know exactly what I am speaking of.  Whether it’s a “simple” gluten intolerance or actual Celiac’s Disease, it’s not a fad, it’s not made up, it’s not a weight-loss gimmick.  It’s real!

I never considered a simple protein could cause such discomfort and pain.  It wasn’t until a friend knew of my suffering suggested I try to go gluten-free for two weeks.  I was literally ready to try anything.  Luckily, this option was painless and didn’t require lots of money to try.

Two weeks went by and my symptoms weren’t gone, but the debilitating pain was.  I took to making an honest, gluten-free effort, in my eating habits.  While it meant reading more labels, it wasn’t a big deal to me.  I was a vegetarian for nine years.  I was a label-reading-holic.  It was second nature.

Two years later, I am still as gluten-free as possible.  I’ve lost and kept off 40 lbs.  I once read a weight loss article regarding sacks of potatoes and using them a reference for losing 10-lbs. If you’ve lost 10-lbs, you’ll have a decent, physical representation of what was on your body.  Try looking at four of those bad-boys.  I was secretly impressed with this “side effect”.

Is maintaining a gluten-free diet easy?  Yes and no.  It has helped me continue my quest in eating better.  It affords me the opportunity to make even more homemade dishes; not just for me but my family as well.  I eat less processed foods than ever before.  I can’t really say that’s a bad thing either.

Granted, my food bill has gone up, esp. where alternative flours are concerned or buying something pre-made that is gluten-free.  It can be frustrating when I want something “quick” to eat and I can’t just grab a cookie.  Please don’t suggest a piece of fruit or a salad.  Believe me, I get more than enough of those foods.

Over all, I am grateful for my intolerance or perhaps, disease.  I will work on getting that official diagnosis.  As you know, I have issues with the medical community and need to find the right doctor who actually understands my symptoms and treatments.  I don’t need “I don’t knows”. I need a doctor who can see the long-term goal of managing my food-related journey so I remain as symptom-free as possible.

You now have a glimpse inside the gluten-intolerance world.  I have spared you the really gross details with a glossed-over version.  I think it’s best for all concerned.  After all, some of you could be eating while reading this. Please remember, the majority of us with intolerance or Celiac’s aren’t being difficult in restaurants.  Just because we don’t go into anaphylactic shock upon ingestion of a bagel or piece of bread, doesn’t mean we won’t be sick after we get home (if we make it home before symptoms set in).  Please be tolerant in that regard.  I’m not as grateful for public intolerance for an issue they are typically clueless about.

Need an Ativan just to go to the Doctor

Published March 4, 2015 by lynn k scott

I make no bones about it…I DESPISE AND HATE the medical profession with a passion.  I am not tolerant of red tape.  I speak and expect to be heard.  If I am seeking medical attention, than it’s absolutely necessary you sit up, push up your glasses, be prepared to take accurate notes and offer a solution.  Me seeing a doctor is the equivalent of a making an emergency room visit. It can’t wait and before you suggest me visiting the emergency room, I need to feel as if death is imminent to think about the amount it will cost me at the 7-11 of the medical world.  As if charging $6,000+ for a saline solution IV is acceptable ANYWHERE! (Note:  I was actually charged that two years ago).

With all the “lovely” healthcare changes, my company, which is a good one, had to make some changes to be “in compliantce” with these new mandates.  If you haven’t already been able to tell by the tone of this post, “healthcare reform” is not a topic I think has been resolved or remotely addressed, esp. by the idiot who’s name it bears.  Sorry; I digress.

Back to the issue.  My company goes with this new insurance carrier who has their own plan.  Needless to say, we’re starting month three of with this carrier and contracts have yet to be signed for certain counties.  Services are virtually non-existent.  I use the list of providers that was given to us, only to find out, it’s actually insufficient, as the majority of the providers, not even in my county, aren’t available and needs to be “updated”.

I have to hand it to the carrier’s customer service skills. They were nice enough to tell me where I could find an Internal Medicine doctor:  Fresno.  From where I live, that’s a FOUR-HOUR DRIVE!  Needless to say, the customer service representative didn’t quite care for me raising my voice and asked what was wrong with her for even making that suggestion.

Since I’m on my medical-bashing roll, let’s talk about the new trend of Nurse Practitioners.  I am not a fan of dealing with ONE, not a clinic of, but ONE doctor who is practicing medicine.  You actually think, that there is some cosmic influence that would make me actively seek out a Nurse Practitioner who is playing doctor.  Somewhere, someone thought….”Hey I know!  We are going to have a huge influx of people seeking medical treatment.  I don’t want to give up my golf-game and actually work more than two days a week, so let’s give a nurse the power to write prescriptions.”

Seriously?  Doctors miss stuff all the time and they’ve gone to school to become “educated”.  I’m not a fan of taking medicines, unless there is no other alternative.  To expect people to see a script-writing nurse is absurd.  Sure a doctor is in the office if she needs assistance.  Great…I’ll speak to the doctor directly then.

I guess I miss the days when you saw the same doctor, they knew your name, they didn’t quickly skim your chart and cover all your issues in 3 minutes so they could move on to the next patient, because they purposely book more than one person for the same time slot.

I don’t do clinics.  I’m not a number.  I speak to real people and I won’t answer a series of questions just to book an appointment.  Oh it’s policy that I answer them because my doctor has deemed them necessary?  Oh did you really just ask me if I was pregnant?  Hmm, if my doctor deems that question necessary and he/she doesn’t know the answer already, there’s a problem.  I’ve had plans that worked that way.  I answer “no” to every single question.  Later when making the appointment, I’ll contradict myself and say I have “so and so issue”.  They nurse then says, “but you said no to that question”.  To which, I simply would say, “I told you I would.  I don’t do surveys to make an appointment”.

So now, here I wait, hoping my broker can fix the non-provider issue while the carrier removes its collective head from it’s collective ass and does what we’re paying a small fortune for them to do. After all it’s only been 4 months since we elected this plan and it’s been a full 60 days active.  I’m done playing nice.  And in case you’re wondering, where the medical profession is concerned, this is me being extremely nice; cuz you ain’t seen nothin’ yet!

XP NUGGETS

Your daily source of positivity, motivation and inspiration: Available for you in a charming consumable nugget!

Fact Based Truth

Truth based on facts

Coach Daddy

It's about fatherhood, futbol, and food.

The Recipe Hunter

Cook and Enjoy

The Purple Almond

Where food is medicine.

Wedbites

"The Most Important Part of the Most Important Day of Your Life"

Mommy Usage

Perfectly Imperfect. Always Working Toward Better.

But I Smile Anyway...

Musings and memories, words and wisdom... of a working family woman

A Thomas Point of View

My high horse journalistic point of view

Agatha Chocolats

Mystery Writer & Chocolate Enthusiast

Jo Robin Blog

2am Conversations ● College ● Unqualified Advice on Adulting ● Awkward Dates ● Catholicism

518-songofmypeople

A town everyone hates, yet no one leaves...