the next step
Oct. 28th, 2005 09:08 amPeople may well be sick of my ongoing medical crap - I certainly am - so be aware that's what's behind the cut tag.
The bad news - $20 copay per visit, two visits per week, and the insurance company is saying four weeks, plus the therapist agrees that if it's a bone spur this won't do any good. However, he's familiar with the insurance company and agrees that they do this all the time, and there's not much point in fighting it.
The good news - he's not stupid, and volunteered the information that if this didn't appear to be providing any relief in a couple of weeks worth of appointments then he would send an official note to my doctor to give the insurance company saying so.
So, the upshot is that it may turn out to be a waste of time and money after all, but I was probably just as well not fighting tooth and nail with the insurance company on it, and it will be cut short if it does prove to be so. The PT guy is also very nice, though he seemed very tired and not much sense of humor. On the other hand, I overheard a bit of conversation suggesting he had already worked 12 hours by the time I got there! I think I'd be much less pleasant under those circumstances. It was a first appointment, so it was mostly evaluation, ultrasound and passive movement (he seems oddly impressed with just how screwed up it is - kept saying "This is a bad shoulder." "This is an unhappy shoulder." No kidding... I'm an unhappy shoulderuser.) So this the shape of my weeks for the next few. I also have exercises for at home again, and repeated admonishments to not strain it and use ice a lot. Pretty much what I already knew. *sigh*
The bad news - $20 copay per visit, two visits per week, and the insurance company is saying four weeks, plus the therapist agrees that if it's a bone spur this won't do any good. However, he's familiar with the insurance company and agrees that they do this all the time, and there's not much point in fighting it.
The good news - he's not stupid, and volunteered the information that if this didn't appear to be providing any relief in a couple of weeks worth of appointments then he would send an official note to my doctor to give the insurance company saying so.
So, the upshot is that it may turn out to be a waste of time and money after all, but I was probably just as well not fighting tooth and nail with the insurance company on it, and it will be cut short if it does prove to be so. The PT guy is also very nice, though he seemed very tired and not much sense of humor. On the other hand, I overheard a bit of conversation suggesting he had already worked 12 hours by the time I got there! I think I'd be much less pleasant under those circumstances. It was a first appointment, so it was mostly evaluation, ultrasound and passive movement (he seems oddly impressed with just how screwed up it is - kept saying "This is a bad shoulder." "This is an unhappy shoulder." No kidding... I'm an unhappy shoulderuser.) So this the shape of my weeks for the next few. I also have exercises for at home again, and repeated admonishments to not strain it and use ice a lot. Pretty much what I already knew. *sigh*
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Date: 2005-10-28 01:22 pm (UTC)no subject
Date: 2005-10-28 01:32 pm (UTC)no subject
Date: 2005-10-28 01:47 pm (UTC)no subject
Date: 2005-10-28 01:56 pm (UTC)no subject
Date: 2005-10-28 02:02 pm (UTC)no subject
Date: 2005-10-28 02:22 pm (UTC)Good luck getting through this.
no subject
Date: 2005-10-28 03:04 pm (UTC)no subject
Date: 2005-10-28 03:05 pm (UTC)no subject
Date: 2005-10-28 05:00 pm (UTC)http://www.livejournal.com/users/celticdragonfly/tag/coccyx tells the story from the bottom up.
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Date: 2005-10-28 05:30 pm (UTC)Wishing you all the best with this - and soon...
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Date: 2005-10-28 06:07 pm (UTC)Damn insurance companies...
I'm glad the PT guy is nice, at least.
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Date: 2005-10-28 07:58 pm (UTC)no subject
Date: 2005-10-28 08:00 pm (UTC)no subject
Date: 2005-10-28 08:47 pm (UTC)Stupid tannins....
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Date: 2005-10-28 09:41 pm (UTC)no subject
Date: 2005-10-29 02:20 am (UTC)no subject
Date: 2005-10-29 05:32 am (UTC)[refrains from obvious rant on U. S. health care system]
'he would send an official note to my doctor to give the insurance company saying so.'
Let us hope The Wheels of Insurance don't grind too slowly.
'kept saying "This is a bad shoulder." "This is an unhappy shoulder." ...'
That's sort of what the repair guy said when our fridge went on the fritz a while back. The roofer may
have been saying the same thing when he was stapling tarps onto our roof earlier this week. Oh, the
fridge repair guy also thanked us for the privilege of working on such a fine, old appliance. [gd&rmf]
"use ice a lot"
Do you have any of those cold packs you put in the freezer and use in coolers? They might be less
messy / cumbersome than actual ice in an ice pack.
Sigh. At least there's some good news about your shoulder. Seems not to be the season for good news.
Ann O.
no subject
Date: 2005-10-29 12:06 pm (UTC)no subject
Date: 2005-10-30 12:34 am (UTC)Ann
PS - Want any of the snow that's falling up here? :(
no subject
Date: 2005-10-31 11:08 pm (UTC)/spends a couple of days trying to get the chutzpah to claim "why of COURSE it was intentional! I'm brilliant like that."
/fails, due to innate honesty.
But after having something like this, and having heard and said SO many of this kind of pun, it's easy to do it subconsciously.