Choosing the path of most (insurance) resistance

July 24, 2012

The results of my cognitive tests could definitely have been worse, but they weren’t normal, either.  I’m sure I’d be second-guessing my own judgment anyway, but that doesn’t help.

I have now had two visits with my new naturopath, and in that short time she’s already helped me quite a bit.  At the first visit she gave me an elimination diet to try.  This was a good, free way to figure out if I was having reactions to food.  I have had surprising improvement on this diet, so I know there are food issues.  (We’ve done other things too, but these days I’m focused on the food aspect.)

At the second appointment we discussed food testing.  The blood tests are expensive but they would be much faster and more definitive than continuing the elimination diet.  She encouraged me to continue the diet and hold off on testing if money would be an issue.  That made sense until I read through the many foods, additives, colorings, chemicals, molds, etc. that would be tested, and I immediately had my heart set on finding answers. Imagine, I could have answers!

That was a week and a half ago.  Since then I have called my health insurance company several times.  I have called all of my doctors and gone in to see one who I thought would order the test.  She did order it, but her practice wouldn’t request an “out of area authorization” from the insurance company.  Instead, they want me to try their standard test (which I don’t have faith in) and then maybe, if they feel like it, they might request the authorization.  If they request the authorization and the insurance company approves it, the cost to me for the test would be $15.  If not, the cost to me would be $1100. Big difference.

There are different ways I could pay for the test out of pocket and I’ve been considering them all.  I could win the lottery.  Sure.  Someone could click on the “Donate” button on this page and help out.  Maybe.  I could set up an indiegogo page.  Too public (but not entirely ruled out yet.)  I could ask the relative who’s paying for my lawyer.  I hate to ask for more.  He’d give it, but I hate to ask.

Now, if I had just gotten sick last year for the first time this would be easier.  I’d follow the doctor’s request and get the “standard” test done and hold off on the other.  But after all this time, my thinking is colored by years of improper testing and treatments, and lack of testing and treatments.  I simply can’t think objectively about this.

And to add insult to injury, so to speak, there’s a ticking clock hanging over my head: I will lose my health insurance in 6 weeks if I don’t sign up for COBRA.  I’m certain Medicaid won’t cover this test.  So in 6 weeks, my only option to get this test would be to pay out of pocket.

My emotions are high and my thinking is rattled.  I don’t want to make the same mistakes that I’ve made for so many years.  I don’t want to hold back on something that could give me answers.  For years I was told to ignore symptoms or to take an inferior test or to try a lesser treatment.  Thanks to that and so many other errors, I am sicker now than I ever had to be.  Following conventional medicine has gotten me to this point.

What if I’m at another turning point? What if I can avoid getting worse by doing this now?  Then again, what if I’m over-estimating the potential benefits of this test?  What if I’m throwing a lot of money away for no good reason.  Maybe I should ignore all the tests and just stick to the diet, even though that could take a year or two and might not catch everything.  Like I said, my emotions are high and my thinking is rattled.  And that means just one thing: get another opinion, one I trust, not from a doctor.

After getting advice from a lot of family and friends, I have decided to get the “standard” test done because it can’t hurt and it might help to appease the important players.  Insurance will cover it and the doctors will be happy.  Then I’ll try once more to get the test I really want covered by insurance.  And I can try for a less comprehensive version of the test, and hopefully only pay closer to $800 (did I just say ONLY?!?)  I’m anxious to do this test right away, but for $1100, it’s worth waiting a couple more weeks if that’s what it takes.

I trust the people I’ve spoken to, and I hope we’re all right.  I hope that waiting for this test is the right move.  I hope that when I do it, it’s useful and not a waste or a disappointment.  Most of all, I hope it leads to better health.

What do you think?


6 consecutive days of physical therapy!

June 3, 2012

I’ll admit there were times I just “didn’t feel like” doing my exercises.  And yes, there were days when I legitimately felt like shit.  And sure, there were days when I felt lousy and probably could have pushed myself to do PT, but moving really was tough.  Of course, there were also the days that I “meant” to do it, but somehow never got around to it.

And then there’s today.

When I started going to physical therapy a few months ago, I decided to make more of an effort this time around.  I printed out a calendar from the web, and I bought stickers.  Just like when I was a kid, I got a sticker every time I did something.  In this case the reward isn’t some toy, it’s my health.  It’s easy to forget that, of course, because the reward isn’t immediate, but the truth is, I’m starting to feel the PT working.

I’ve been pretty good about doing the exercises at home on the days I feel well.  Sure, I’ve skipped a day here or there, but doesn’t everyone?  But yesterday I looked at the calendar week by week, and noticed that I mostly do the exercises 2 or 3 times a week, sometimes 4, and that just isn’t good enough!  I also noticed that I was already doing really well, so that pushed me to keep going.

And then there was today.

Today is the kind of day when I would normally have skipped PT.  I left the house a bit earlier than usual.  I had a busy afternoon.  I was busy and productive at home.  I forgot about the exercises.  Then I was having dinner and I had to digest.  But I pushed through, and at 9pm, I did it!  I broke my own record and did PT exercises for the 6th day in a row!

Now the pressure’s on.

I’m writing this in a public place so that maybe I’ll feel even more motivation to keep going.  I’ll give myself days off when I legitimately don’t feel up to PT, but otherwise, I’m pushing through.  Wouldn’t it be amazing if I could do PT tomorrow and complete and entire week?!

So not only is my posture getting better and my muscles getting stronger, but I’m feeling damn proud of myself, too.  Woo hoo!


Bring on the LTD fight

May 30, 2012

I don’t get truly angry very often, but today was one of those days.  I’m not talking about getting a bit mad.  This isn’t about being pissed off or annoyed.  I’m talking about blood boiling, can’t stop shouting, punching things kind of angry.  But without the punching, since my joints can’t take it.  But if I could, I’d have punched some pillows, or maybe worse.

To be honest, I never expected it to be easy to get my long term disability (LTD) claim approved.  I assumed they would make it difficult.  I didn’t expect to encounter pure ineptitude, though.  It is infuriating!

I won’t go into the details.  They aren’t that interesting to an outsider and I’d just get mad if I typed them all out again.  Basically, the LTD insurance company uses a separate company to get my medical records.  I was told they use this company because they can follow up with the doctors’ offices more frequently than the LTD insurance agency can.  Too bad this isn’t true.  As it turns out, this company hasn’t been following up.  I spoke today to a doctor’s office who contacted this company on APRIL 30!, then was never called back.  When the company did receive records from another doctor, they misplaced them and only realized it when they turned up 3 weeks later!  Until the records appeared, these people were saying that they hadn’t received the records at all.  Like I said: inept.

In all, this company’s ineptitude has set my claim back at least 5 weeks.  That’s based on the setbacks that I know of.  My guess is that there are others that I haven’t discovered yet.  But I will.

I don’t plan on taking this lying down.  First, I contacted the LTD insurance company and made it clear that from now on, I will handle anything that horrible company would have done.  They are to have nothing at all to do with my claim from now on.

Second, as soon as my claim is approved (no point in ruffling feathers before that) I am going to call the CEO of that inept company, I am going to file complaints with the LTD insurance company, and I am going to report that company to every regulatory agency that I can think of.  How dare they make worse a time that is already so difficult for people?  And don’t get me started on the idea of such inept people handling so much confidential information!

It took a lot of heavy pacing, a lot of nasty words, a lot of venting to a friend, and a lot of effort, but I have finally managed to reduce my anger to mere… well, at least to a lower level of anger.  I am certainly not doing this for those idiots, though; I’m doing it for me.  I need to relax and take care of my body.  And then when the time comes, I will definitely hold them accountable.


All signs point to starting over

May 29, 2012

***Check out the Patients for a Moment blog carnival hosted by Chronic Babe***

Sometimes all signs point the same way.  This seems to be one of those times, so I better pay attention.

The symptoms started when I was 12.  I got the IBS diagnosis at 22 and the PCOS diagnosis at 25.  The “big one” was in between at 23: undifferentiated connective tissue disease.  This doesn’t mean a whole lot, but vague as it is, it’s more than I had before.  Hypothyroid came around age 26 and Hashimoto’s was around age 31.  There were others in there too, but they were smaller.  Then again, I thought most of these were pretty small, too.  After all, hypothyroid didn’t mean anything more than taking a pill every morning.  And according to my doctor, Hashimoto’s had the same treatment as hypothyroid.  PCOS also didn’t mean much until I was ready to have kids, which hasn’t happened yet.  And IBS is a nice name and all, but the only treatment is diet, and I was really left on my own to figure that out, aside from the somewhat-useful-in-a-very-limited-way pamphlet I got from the doctor.  No, the big one was definitely the connective tissue diagnosis.

I had symptoms for 11 years before I got any sort of autoimmune diagnosis, so I’d had plenty of time to come to terms with my symptoms and their permanence in my life.  I had a good handle on things.  So why did my world turn upside down again with that diagnosis?  Suddenly I was going through the 5 stages of grief all over again.  It was like I had to start over.

Last year my symptoms got much worse than they had been before and I finally had to leave my job.  That short absence has turned into a permanent one (at least from that job) and that pushed me to start researching my illnesses all over again.  I want to get back to work at some point.  I want to date.  I want to actually live my life!  So I found web sites and books and online groups.  I discovered some new things I hadn’t known about, and suddenly I was starting over with everything.

For the last month my mind has been whirling with the possibilities.  It has been overwhelming and frustrating, but it’s also provided some hope for the first time in many years.  I may be worse now than I was before, but it seems possible that I could improve, and feel better than I ever have in my adult life.  I’m scared to think that way, but it seems possible.

Every week WEGO Health hosts a tweetchat for health activists (Tuesdays 3pm EST, #HAChat – please join!)  Among other things, today we discussed the effects of having a diagnosis.  That really got me thinking about how I feel like I have a new diagnosis now.  In truth I have the same diagnoses as before, but I’ve just realized that Hashimoto’s and hypothyroid should be treated differently and that my PCOS and IBS could be treated differently too!  It’s as if I was just diagnosed.  I’m considering treatments that I’d never heard of until a few months ago.

As my wheels were still turning this afternoon, I found out about the Patients for a Moment blog carnival being hosted by ChronicBabe this week.  The topic?  “Starting fresh.”  Perfect, right?  Here’s what they want:

Is there something you’re doing that’s new, or different from how you’ve done it before? Are you starting something over that you previously didn’t succeed at doing? Are you giving a new doctor, medication, lifestyle behavior or workout regimen a shot? Fill us in on your experience!

Like I said, all the signs were pointing the same way.  So I gave in.  I took the time to really think about how strange it is to be going through all of this, especially so many years after what I had thought was my “definitive” diagnosis.  This just goes to prove that the learning never ends.  I am reading constantly, following blogs and tweetchats, trying my best to figure out which is the best approach to take.  I am talking to alternative practitioners to learn about their different approaches.  [I’ve been amazed at how willing they are to spend 1/2 hour on the phone telling me about what they do – the traditional doctors I contact don’t do this.]  I am on a gluten-free diet and looking into more dietary changes.  I am researching supplements and different medications.  I am adjusting my expectations.  I am asking for ideas from friends and family.  For the first time in many years, I can be proactive again.  In short, I am acting like a newly-diagnosed patient almost a decade after my first diagnosis and two decades after the onset of symptoms, and I love it.