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Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 10/11/2009 11:04 PM (GMT -6)   
No information found yet.... don't think I'll ever know....

Feeling paranoid by having this up so I am deleting my responses.
Lisa
Slight reversal of the normal cervical curvature. Ther eis a 2mm antherolisthesis of C3 with respect to C4, a 2mm retrolisthesis of C5 with respect to C6 and a 2mm retrolisthesis of C6 with respect to C7
Degenerative changes present at multiple levels as follows:
C2-C3 osteophytes medial to the right intervertebral foramen and involving the right uncovertebral joint with minimal to moderate foraminal narrowing.
C3-C4 herniation fo the disc medial to the right intervertebral foramen and encroaching uponthe medial aspect fo teh foramen measuring approx. 2.5mm in the AP diameter. There is marked compression of the right nerve root sleeve. There are osteophytes involving the right uncoverterbral joint with moderate to foraminal stenosis. There is minimal anterolisthesis of C3 with respect to C4
C4-C5 herniation of the disc in the midline measuring approx. 2.5mm in the AP diameter woth minimal flattening to the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint with moderate foraminal narrowing
C5-C6 posterocentral herniation of the disc measuring approx. 3mm in the AP diameter with flattening of the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint woth moderate foraminal narrowing. There is minimal retrolistesis of C5 with respect to C6
C6-C7 minimal retrolisthesis of C6 with respect to C7. There is minimal diffuse bulging fo the annulus measuring approx. 2mm in the AP diameter. There are osteophytes involving the uncovertebral joint bilaterally with minimal bilateral foraminal narrowing.

Been off all medications for almost one month... couldn't deal with the side effects.... now only using 5% Lidocaine patches

Post Edited (Draka) : 10/21/2009 8:46:47 AM (GMT-6)


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/12/2009 2:41 AM (GMT -6)   
Lisa,
It's the middle of the night and I'm kind of foggy, but my hunch is that it's the doctor who wanted the urine sample and passed it of on the insurance company to make it easier for him/her. I would call your insurance company and ask about it. I would think an insurance company wouldn't be allowed to do this unless it was done with all patients with the same condition/diagnosis. It would need to be somewhere in your policy that they had the right to do it, and there'd have to be some medical necessity criteria, or that it was considered part of the standard of care for that condition or diagnosis. Call them and see what they say.

I'll be curious what you find out.

It is common for pm doctors to require either regular or periodic urine tests from pain patients. It's ususally part of a pain contract.

PaLady

tysmyboo
Veteran Member


Date Joined Dec 2004
Total Posts : 921
   Posted 10/12/2009 3:10 AM (GMT -6)   
My PM doctor's office requires random urine tests to make sure that I am taking the prescribed medication in the proper dosage as well as NOT taking things that are not prescribed.

I was told that it was a "law" and that they could get in trouble if they do not have these records of urine testing?! (sorry I didnt do more homework on this but I was headed to bed when i read this)
Sara-Migraine/Headache Forum Moderator
Battling headpain for 17 years.
DX: occipital neuralgia-radiofrequency nerve ablation every 6mo
 
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Stella Marie
Veteran Member


Date Joined May 2005
Total Posts : 601
   Posted 10/12/2009 3:29 AM (GMT -6)   
That is the first time I hear of an insurance copy ordering lab tests straight out. I would questions whether the nurse gave you an accurate response. PM doctors regularly order urine tests to check for compliance, the use of other medications not prescribed by him, and the use of illegal substances. I would first clarify with the doctor, not the office staff, why this test was performed and who ordered it.

If is was at the request of the insurance company, I would want to know why this was ordered and who in the insurance company ordered this test. Something must have triggered this request. I would want to know whose name appears on the request and where the results are being sent and who will be doing the interpretation before I would submit any specimen. If someone from an insurance company is going to interpret these results. I would want to know their credentials and what impact a positive or negative result has on your policy. I would probably ask for a copy of their policy manual regarding testing. Results can be so subjective, whose to say that a false positive might occur - then what?. Would this mean your insurance could be cancelled or you would fail into some high risk group?

Stella Marie

Co-Forum Moderator for Chronic Pain

Rare neurodegenerative /movement disorder called “Multiple System Atrophy”.  Mobility issues,, neuropathic pain,  spasticity, central apnea, collagenous colitis, joint and body pain, swallowing and respitory  involvement,  Implants: intrathecal pump  & neurostimulator.  Extra features: O2 & wheelchair

 


edt
Veteran Member


Date Joined Dec 2008
Total Posts : 773
   Posted 10/12/2009 8:06 AM (GMT -6)   
I have been told by my PMD that Medicare 2009 requires Drug Urine testing every visit.  When they 1st started this in 2007 it was yearly.
Most insurance companies follow Medicare guidelines...why not call your Insurance company and find out for sure.
Unfortunately, illegal drug usage has caused yet another issue for we CP'ers.
XXOO
Patti

Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 10/12/2009 9:11 AM (GMT -6)   
.
Lisa
Slight reversal of the normal cervical curvature. Ther eis a 2mm antherolisthesis of C3 with respect to C4, a 2mm retrolisthesis of C5 with respect to C6 and a 2mm retrolisthesis of C6 with respect to C7
Degenerative changes present at multiple levels as follows:
C2-C3 osteophytes medial to the right intervertebral foramen and involving the right uncovertebral joint with minimal to moderate foraminal narrowing.
C3-C4 herniation fo the disc medial to the right intervertebral foramen and encroaching uponthe medial aspect fo teh foramen measuring approx. 2.5mm in the AP diameter. There is marked compression of the right nerve root sleeve. There are osteophytes involving the right uncoverterbral joint with moderate to foraminal stenosis. There is minimal anterolisthesis of C3 with respect to C4
C4-C5 herniation of the disc in the midline measuring approx. 2.5mm in the AP diameter woth minimal flattening to the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint with moderate foraminal narrowing
C5-C6 posterocentral herniation of the disc measuring approx. 3mm in the AP diameter with flattening of the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint woth moderate foraminal narrowing. There is minimal retrolistesis of C5 with respect to C6
C6-C7 minimal retrolisthesis of C6 with respect to C7. There is minimal diffuse bulging fo the annulus measuring approx. 2mm in the AP diameter. There are osteophytes involving the uncovertebral joint bilaterally with minimal bilateral foraminal narrowing.

Been off all medications for almost one month... couldn't deal with the side effects.... now only using 5% Lidocaine patches

Post Edited (Draka) : 10/21/2009 8:45:35 AM (GMT-6)


Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 10/12/2009 9:21 AM (GMT -6)   
Prescription drug abuse is such a hot topic right now it seems everyone from doctors to insurance companies are doing what ever they can to protect themselves and to not be labeled as enablers of this problem.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2147
   Posted 10/12/2009 9:22 AM (GMT -6)   
My PM has started testing (baseline + random testing). He said this is now something the DEA is looking at due to a number of idiot doctors (non-pain specialists) who overdosed their patients. The test checks for levels of all the medications that I am taking. I did read on-line that a lot of doctors don't understand that certain drugs, like fentanyl, can build up in the body and a couple hundred patients have died as a result, but honestly, I feel like anyone foolish enough to go to a non-specialist and to then agree to swallow upwards of 300 pills a month of any drug gets what's coming to them. In what world does it make sense to be taking pain pills ten times a day? How do people not know that doctor has lost his mind?

Anyways, my PM said that the DEA reviews are much, much shorter if he can show that he is ordering tests to measure the actual amount of medication in a patient's body on a given month. So now they do them on all patients, rather than just on the suspicious ones.

In addition to what PA says, it could be related to all patients on the same medication, or taking over a certain amount of a particular medication. My insurer is talking about doing this starting in 2010. Everyone taking more than a minimum amount of C2 drugs for 90 days or more would need to have regular drug testing . Supposedly, it will keep premiums lower & patients safer, but I get that the whole thing is enormously stressful -- even if you've done absolutely nothing wrong. I think PA has a good idea about checking your plan provisions, though.

take care,
Frances

Stella Marie
Veteran Member


Date Joined May 2005
Total Posts : 601
   Posted 10/12/2009 10:26 AM (GMT -6)   
I am on Medicare and have been for over 5 years. My current PM for the last three years has never ordered a urine test. There is no truth to the fact that Medicare demands a urine test. I have been tested twice in 7 years, both times were when I started with a new PM. I receive my PM care from a major institution, so I am sure they are up to date on Medicare requirements.

Stella Marie

Co-Forum Moderator for Chronic Pain

Rare neurodegenerative /movement disorder called “Multiple System Atrophy”.  Mobility issues,, neuropathic pain,  spasticity, central apnea, collagenous colitis, joint and body pain, swallowing and respitory  involvement,  Implants: intrathecal pump  & neurostimulator.  Extra features: O2 & wheelchair

 


LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 10/12/2009 10:35 AM (GMT -6)   
I have only had one drug test and that was my second PM appointment and I haven't been tested since. I've have now been with them for 9 months. I have NEVER heard of an insurance company asking for a urine sample.

If this is common WOW is all I can say!!!!

Laurie
Kidney Diseases and Disorders
              Moderator
 
39 yr young female with,
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD

Also CHF (Congestive Heart Failure) and Sleep Apnea

Hopefully NO MORE........


Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 10/12/2009 10:42 AM (GMT -6)   
.
Lisa
Slight reversal of the normal cervical curvature. Ther eis a 2mm antherolisthesis of C3 with respect to C4, a 2mm retrolisthesis of C5 with respect to C6 and a 2mm retrolisthesis of C6 with respect to C7
Degenerative changes present at multiple levels as follows:
C2-C3 osteophytes medial to the right intervertebral foramen and involving the right uncovertebral joint with minimal to moderate foraminal narrowing.
C3-C4 herniation fo the disc medial to the right intervertebral foramen and encroaching uponthe medial aspect fo teh foramen measuring approx. 2.5mm in the AP diameter. There is marked compression of the right nerve root sleeve. There are osteophytes involving the right uncoverterbral joint with moderate to foraminal stenosis. There is minimal anterolisthesis of C3 with respect to C4
C4-C5 herniation of the disc in the midline measuring approx. 2.5mm in the AP diameter woth minimal flattening to the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint with moderate foraminal narrowing
C5-C6 posterocentral herniation of the disc measuring approx. 3mm in the AP diameter with flattening of the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint woth moderate foraminal narrowing. There is minimal retrolistesis of C5 with respect to C6
C6-C7 minimal retrolisthesis of C6 with respect to C7. There is minimal diffuse bulging fo the annulus measuring approx. 2mm in the AP diameter. There are osteophytes involving the uncovertebral joint bilaterally with minimal bilateral foraminal narrowing.

Been off all medications for almost one month... couldn't deal with the side effects.... now only using 5% Lidocaine patches

Post Edited (Draka) : 10/21/2009 8:45:56 AM (GMT-6)


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 10/12/2009 10:54 AM (GMT -6)   
 
   Dear Miss Draka,
 
      Good morning!! *huggs* I hope you are still having your pain decrease! How are you doing today? I am good here.... okay, maybe just a touch of lazyness and procrastination :-)   hehe
 
     I have never heard of my insurance company needing tests done. I too, have BCBS and oh my goodness they so tight fisted it is worse than Uncle Sam during tax season! I swear they say "No" to everything! In fact, it isnt until my doctors, husband and HR pick a fight, (every gosh darn time!!) that they will even cover anything!
 
     But!! My doctors are very intrested in my urine for some reason. They are constantly looking at it. I get the impression it is for a "blood count" of some kind. I am no so sure really. In any case, if it is "legal" I would say that THEY need to pay for it. And not to forget to send your doctors a copy of results. Less testing the better. I dont know about you... but for me BCBS is stingy about the lab fees! Last thing you need right now is more medical bills and/or more tests.
 
*huggs*
   dani
TWO roads diverged in a yellow wood,  
And sorry I could not travel both  
And be one traveler, long I stood


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 11189
   Posted 10/12/2009 12:13 PM (GMT -6)   
Hi Draka have you called them and asked for an explanation. I would you, have the right to ask and be informed. I am w/Stella Marie, Medicare does not require testing, someone is being given wrong info on that. My PM dr does not do any testing or have her patients sign contracts either. I am on Medicare, have had 2 tests in 7 yrs and I was not on Medicare at the time.
Straydog/Susie
Moderator Chronic Pain
 
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.


edt
Veteran Member


Date Joined Dec 2008
Total Posts : 773
   Posted 10/12/2009 10:03 PM (GMT -6)   

Very interesting info....could be it is an AZ requirement for the Drug testing at my PMD's office.  I have no issues with it, its my understanding they are testing to make sure you are only taking prescribed meds.  It is fully covered by Medicare!

I have an appointment in 2 weeks, I am going to ask why drug tests are being done and who is requiring them.  I'll let you know their response!

XXOO


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 11189
   Posted 10/13/2009 11:53 PM (GMT -6)   
Edt, Medicare is the same across the states, I can assure you they are not the ones requiring these Ua"s. It is my bet your PM dr is the one requiring them and he is trying to do a CYA thing and not look like the bad guy here. Call Medicare, they will te you they do not have any law on this. As the others have stated, most pain mgt drs require this, its another tool used to weed out the abusers.
Straydog/Susie
Moderator Chronic Pain
 
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.


edt
Veteran Member


Date Joined Dec 2008
Total Posts : 773
   Posted 10/14/2009 8:20 AM (GMT -6)   

Hi Susie,

It doesn't bother me that they are doing the test, a few times I have gone to my PMD's office and some of the people truly look like druggies.  I've thought to myself geez I just don't fit this picture.  As long as Medicare covers the test and I don't have to pay out of pocket, I'll keep wee weeing lol.  No seriously, I think its a good thing for we CPers who stay on only Rx'd drugs.  It is getting out of hand with all the Internet availability.

I am still going to ask for clarification when I see him on the 28th.

XXOO
Patti


jeffro74
Regular Member


Date Joined Oct 2009
Total Posts : 29
   Posted 10/14/2009 10:43 AM (GMT -6)   
Worker's Compensation requires piss tests to make sure I am not taking anything illegal, and that I am taking my drugs as prescribed. I assume it is a reason to drop my coverage if something wrong popped up. It is an invasion of privacy, I it ticks me off. I don't have any worries I would pop positive, because I follow the rules. But it still irritates me.

Jeffro

Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 10/14/2009 11:40 AM (GMT -6)   
.
Lisa
Slight reversal of the normal cervical curvature. Ther eis a 2mm antherolisthesis of C3 with respect to C4, a 2mm retrolisthesis of C5 with respect to C6 and a 2mm retrolisthesis of C6 with respect to C7
Degenerative changes present at multiple levels as follows:
C2-C3 osteophytes medial to the right intervertebral foramen and involving the right uncovertebral joint with minimal to moderate foraminal narrowing.
C3-C4 herniation fo the disc medial to the right intervertebral foramen and encroaching uponthe medial aspect fo teh foramen measuring approx. 2.5mm in the AP diameter. There is marked compression of the right nerve root sleeve. There are osteophytes involving the right uncoverterbral joint with moderate to foraminal stenosis. There is minimal anterolisthesis of C3 with respect to C4
C4-C5 herniation of the disc in the midline measuring approx. 2.5mm in the AP diameter woth minimal flattening to the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint with moderate foraminal narrowing
C5-C6 posterocentral herniation of the disc measuring approx. 3mm in the AP diameter with flattening of the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint woth moderate foraminal narrowing. There is minimal retrolistesis of C5 with respect to C6
C6-C7 minimal retrolisthesis of C6 with respect to C7. There is minimal diffuse bulging fo the annulus measuring approx. 2mm in the AP diameter. There are osteophytes involving the uncovertebral joint bilaterally with minimal bilateral foraminal narrowing.

Been off all medications for almost one month... couldn't deal with the side effects.... now only using 5% Lidocaine patches

Post Edited (Draka) : 10/21/2009 8:46:20 AM (GMT-6)


Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 10/14/2009 12:06 PM (GMT -6)   
.
Lisa
Slight reversal of the normal cervical curvature. Ther eis a 2mm antherolisthesis of C3 with respect to C4, a 2mm retrolisthesis of C5 with respect to C6 and a 2mm retrolisthesis of C6 with respect to C7
Degenerative changes present at multiple levels as follows:
C2-C3 osteophytes medial to the right intervertebral foramen and involving the right uncovertebral joint with minimal to moderate foraminal narrowing.
C3-C4 herniation fo the disc medial to the right intervertebral foramen and encroaching uponthe medial aspect fo teh foramen measuring approx. 2.5mm in the AP diameter. There is marked compression of the right nerve root sleeve. There are osteophytes involving the right uncoverterbral joint with moderate to foraminal stenosis. There is minimal anterolisthesis of C3 with respect to C4
C4-C5 herniation of the disc in the midline measuring approx. 2.5mm in the AP diameter woth minimal flattening to the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint with moderate foraminal narrowing
C5-C6 posterocentral herniation of the disc measuring approx. 3mm in the AP diameter with flattening of the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint woth moderate foraminal narrowing. There is minimal retrolistesis of C5 with respect to C6
C6-C7 minimal retrolisthesis of C6 with respect to C7. There is minimal diffuse bulging fo the annulus measuring approx. 2mm in the AP diameter. There are osteophytes involving the uncovertebral joint bilaterally with minimal bilateral foraminal narrowing.

Been off all medications for almost one month... couldn't deal with the side effects.... now only using 5% Lidocaine patches

Post Edited (Draka) : 10/21/2009 8:47:13 AM (GMT-6)


Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 10/14/2009 12:50 PM (GMT -6)   
.
Lisa
Slight reversal of the normal cervical curvature. Ther eis a 2mm antherolisthesis of C3 with respect to C4, a 2mm retrolisthesis of C5 with respect to C6 and a 2mm retrolisthesis of C6 with respect to C7
Degenerative changes present at multiple levels as follows:
C2-C3 osteophytes medial to the right intervertebral foramen and involving the right uncovertebral joint with minimal to moderate foraminal narrowing.
C3-C4 herniation fo the disc medial to the right intervertebral foramen and encroaching uponthe medial aspect fo teh foramen measuring approx. 2.5mm in the AP diameter. There is marked compression of the right nerve root sleeve. There are osteophytes involving the right uncoverterbral joint with moderate to foraminal stenosis. There is minimal anterolisthesis of C3 with respect to C4
C4-C5 herniation of the disc in the midline measuring approx. 2.5mm in the AP diameter woth minimal flattening to the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint with moderate foraminal narrowing
C5-C6 posterocentral herniation of the disc measuring approx. 3mm in the AP diameter with flattening of the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint woth moderate foraminal narrowing. There is minimal retrolistesis of C5 with respect to C6
C6-C7 minimal retrolisthesis of C6 with respect to C7. There is minimal diffuse bulging fo the annulus measuring approx. 2mm in the AP diameter. There are osteophytes involving the uncovertebral joint bilaterally with minimal bilateral foraminal narrowing.

Been off all medications for almost one month... couldn't deal with the side effects.... now only using 5% Lidocaine patches

Post Edited (Draka) : 10/21/2009 8:47:21 AM (GMT-6)


bsjaguar
Veteran Member


Date Joined Jun 2009
Total Posts : 974
   Posted 10/14/2009 1:11 PM (GMT -6)   
Draka, not to change the subject but by looking at your conditions you have listed have you considered surgery for the herniated disc? You have to be in alot of pain, do you have numbness in your hands or tingling in your arms? I guess surgery isn't always the answer either. I only had my fusion surgeries because mine had gotten so bad I couldn't walk anymore before the lumbar and the cervical caused my arm to stop working and my hand to go numb. I still take Neurontin for muscle problems in the neck too. Just asking! Even with fusion surgery their are alot of us that continue to have problems years later.
---Jag---
 
DDD, osteoarthritis, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus left knee 2000 & 2002, buldging disc L-2/3


Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 10/14/2009 2:48 PM (GMT -6)   
Jag

Yes I saw a surgeon twice this year.... told me I had the neck of an 80 year old.... (no offense to 80 year olds.. LOL) and that he never expected to see that much damage.... he told me it was mostly genetic.

I'm 41.

The surgeon wanted to to a Anterior Cervical Distkectomy and Fusion on C3-C4... he told me it would only alleviate some of my pain... not all of it.

Had a second opinion and was told it would only create more pain above and below the area.... so I am putting off surgery as long as possible.

I get numbness in my elbow on the right side and just recently (early last week) developed numbness on my left side down to my pinky, ring finger and outer part of my hand.

For me pain is a lot mental.... I consider myself strong there.... off all meds except Lidocaine patches.... I've just been dealing with this for 10 years or so... that I don't know what life is like living without pain... it's my normal so to speak.

Sorry to hear you are still hurting after surgery.... I'm so afraid to make things worse.

Thanks for asking :)
Lisa
Slight reversal of the normal cervical curvature. Ther eis a 2mm antherolisthesis of C3 with respect to C4, a 2mm retrolisthesis of C5 with respect to C6 and a 2mm retrolisthesis of C6 with respect to C7
Degenerative changes present at multiple levels as follows:
C2-C3 osteophytes medial to the right intervertebral foramen and involving the right uncovertebral joint with minimal to moderate foraminal narrowing.
C3-C4 herniation fo the disc medial to the right intervertebral foramen and encroaching uponthe medial aspect fo teh foramen measuring approx. 2.5mm in the AP diameter. There is marked compression of the right nerve root sleeve. There are osteophytes involving the right uncoverterbral joint with moderate to foraminal stenosis. There is minimal anterolisthesis of C3 with respect to C4
C4-C5 herniation of the disc in the midline measuring approx. 2.5mm in the AP diameter woth minimal flattening to the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint with moderate foraminal narrowing
C5-C6 posterocentral herniation of the disc measuring approx. 3mm in the AP diameter with flattening of the ventral aspect of the cord. There are osteophytes involving the right uncovertebral joint woth moderate foraminal narrowing. There is minimal retrolistesis of C5 with respect to C6
C6-C7 minimal retrolisthesis of C6 with respect to C7. There is minimal diffuse bulging fo the annulus measuring approx. 2mm in the AP diameter. There are osteophytes involving the uncovertebral joint bilaterally with minimal bilateral foraminal narrowing.

Been off all medications for almost one month... couldn't deal with the side effects.... now only using 5% Lidocaine patches


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/14/2009 3:32 PM (GMT -6)   
Lisa,
I actually think your questioning the insurance company ordering tests is very valid and important. My tendency is to think it's just your doctor not wanting to tell you that it's really them that want the test (like Susie put it - CYA for the doctors, but without the hassle of expaining it to patients and dealing with patient reactions).

That being said, I don't trust the insurance companies one bit, especially right now. (I follow politics, too, and am listening to CNN as I type and just yesterday there have been some very interesting developments re: health insurance companies but I won't go into it here!). I think they may be getting scared, and could very well be looking to ways to cut people, but to do it legally they'd have to have a reason that wasn't discriminatory - and that would mean it couldn't be just you. It would have to be a policy that applied to all people in the same category (diagnosis, treatment regimen, medication, etc.). But they could use that to put you into a higher risk category and thus increase premiums. So I'm curious as to what you learn.

As one who's without insurance at the moment, I could never find a policy with all my pre-existing conditions if I wasn't eligible for a low income one, and the health insurance company is dragging its feet on my application for that (had to deal with them again today, after sending the SAME form to the THREE times and they're still questioning it!) so I'm sure they're looking for a reason to either deny me, or hope I just give up (just like they do with paying claims).

So I'm with you, girl!

PaLady

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/14/2009 5:18 PM (GMT -6)   
Lisa,
I don't know why I didn't think to explain this before (DUH!). I'm starting a separate post since my other one was long enough!

An insurance comany can require that all of their approved providers adhere to what are call Standards of Care for a given diagnosis. Remember, insurance companies do have Medical Directors and review committees consisting of doctors, in addition to their CEO and others who run the business aspects. Standards of Care are established by various medical communities, such as the American Medical Association, or a medical association specific to the diagnosis. So if the Standard of Care for someone with chronic pain is periodic urine screens, an insurance company can demand its providers adhere to those standards. Providers are approved through a long, arduous credentialing process (I've been through it - no fun), and providers can be an individual doctor or therapist or a facility such as a hospital or nursing home. As part of this, periodic reviews are done by the insurance company to determine if the provider is adhereing to those standards as they are relevant to the provider's practice. A provider agrees via contract to adhere to these standards, which again, are NOT determined by the insurance company, but by independent medical bodies, and the insurance company then expects providers to know and use them. Providers found in violation can be fined, warned, or discontinued as an approved provider. I'm not sure what the Standard of Care is for CP, but wouldn't be surprised if urine screens are part of it, and if your doctor's office wasn't routinely doing them, it could be the insurance company pushing them.

Hope I made sense!

And, BTW, not only would this be legal, it would be expected medical practice. One thing that gets doctors in legal trouble is not following the accepted Standard of Care for a given patient. Because that's the first thing looked at in a court.

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 11189
   Posted 10/14/2009 8:28 PM (GMT -6)   
PA my comment you ref to was about Medicare and what Edt posted,lol-oh this one is getting confusing. lol.
Straydog/Susie
Moderator Chronic Pain
 
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.

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