What should I do?

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pmac
Regular Member


Date Joined May 2005
Total Posts : 221
   Posted 10/30/2007 10:04 AM (GMT -7)   
Here's the scoop...I've been bleeding daily since August, and felt really unwell for about a month...felt better off and on since then.  Now since Friday I'm having a lot of pain...lower right, left, and the other night it hurt all over so much that I couldn't take full breaths.  Yesterday i went out to run a few errands, and had to come home...I had this overwhelming internal heat come over me, and I seems to be like that if I do much of anything?  The worst part of this is that we are leaving for Vegas on thursday night...I'm a little nervous about going, don't get me wrong I REALLY want to go, but I know that the way I'm feeling right now I won't be able to handle all of the things I want to see and do sad that and I've never been before!  Also I'm from Canada, and don't really want to end up in the hospital there, not because I'm scared of the care, it's more of the bill I'd receive  tongue I have an appt to see a new GI on Nov 16th, and I did try calling there today, but you get a message board that says if it's urgent call your family doc or go  to emergency.  Should I go to emergency?  I've been wondering if I should since Sat....that's how new and different these symptoms are compared to ever before.  I can't really eat much it makes me hurt worse.  What could emergency do for me?  It's not like I'm dehydrated or throwing up (even though at times I feel like I could) Why do we feel that we have to justify and worry about how sick we are before we call Dr's or seek help! confused    Maybe it's me just being foolish?  I'm sure that I should get someone's opinion before I go?  HELP!!!
 
Thanks for listening!
Paula
 
 

Stef17
Veteran Member


Date Joined Feb 2003
Total Posts : 1811
   Posted 10/30/2007 10:27 AM (GMT -7)   
You are NOT being foolish and isn't it sad that we get used to living with so much pain that we actually have to question whether or not we are sick "enough" to get some help??? I would say to go to emergency. It can't hurt and it can only help. If you are having pain to the point of not being able to take a full breath and you are physically wiped out, then you should go. Let us know how it goes.

belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 10/30/2007 10:52 AM (GMT -7)   
Aren't you kind of setting yourself up, continuing your plans to go on a Vegas trip when you are not well? You are worried about the hospital bill, should you have an emergency in the states. First, do you have medical trravel insurance? If you don't, you should not travel in the condition you have described. If you do and you seek medical care before you leave then you may not be covered if you are sick while away. Really important that you check your policy

Many medical insurers say that if you have a medical condition (crohns) it has to have been stable for at least 90 days prior to departing on your trip or any expenses arising from that condition may not be covered.

I suspect this is one of those once-in-a-lifetime trips and I can certainly understand your desire to go. It is the most frustrating part of this disease -- it is so unpredictable -- but if you are really sick no amount of wishing it away is going to make it better and the stress of travelling is not likely to help.

If you decide to risk it, and I suspect I would be tempted to, Make sure that you are covered medically. I am really sorry for the dilemma you find yourself in, but I am worried that you may find yourself in a mess unless you make sure you are protected both from a medical and a financial perspective.

With best wishes
Belleenstein:

30+ years living with Crohn's.


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 10/30/2007 11:24 AM (GMT -7)   
Here is a TOTALLY unethical question- can a hospital bill in a foreign country follow you home? Can it effect your credit? I know Canada isn't that *foreign* to the US but it is still another country. Im curious if it would follow you or not as you are not an American Citizen. But those are pure curiousity questions and I agree with Belle- the only way Id travel is if you could commit to doing what you need to do (be that a soft or liquid diet while there, no liqour, lots of sleep) and that is hard to commit to in Vegas. I stayed in the Imperial Palace and was comforted to know the University of LV medical school hospital was in the hotel!! How convenient. Luckily I didn't need it.
25 Year old married female.  Diagnosed w/ CD 2 years ago, IBS for over 10 years before that, which was probably the CD.
 
I started getting a ton of junkmail after putting my myspace profile link on here.  Im taking it off but if you want to contact me just email me and Ill give you a link to my myspace.  Sorry!


pmac
Regular Member


Date Joined May 2005
Total Posts : 221
   Posted 10/30/2007 1:31 PM (GMT -7)   

Funny you guys should mention the travel insurance aspect of it...I just spoke to a good friend of mine who also happens to be a travel agent, she started asking q's about my insurance too.  I have since phoned my husband to get him to check into our coverage through his work...and if I needed anything while we are away I'd be covered.  Funny I don't trust that, the word pre-existing keeps popping into my mind!  I do believe if i did have a medical bill that it would for sure find me if i did try to avoid it tongue not a bad thought...I think my conscience is too strong for that one though.  In the meantime, I dug out this stuff my old GI gave me before our wedding in May, called Dicetal...it's supposed to be more for IBS, but he thought it might help me through my wedding if I had a tough time with pains etc...so I took one this AM and another one just a min. ago hoping that this will help me out until I get home.  Still overheating doing little bits of things around the house...maybe a low grade fever?  I'm trying really hard to ignore this!! tongue

 

Thanks for your thoughts!

Paula


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 10/30/2007 6:52 PM (GMT -7)   
There are two different kinds of insurance here you are talking about. One is your regular health insurance clauses for being away. My private insurance, through my husbands employer, will cover me out of the country. Some you have to put on your credit card and they reimburse you. If they cover your crohns at home they will cover it away. The other, is travel insurance. That is through your travel agency, airline, private company, whatever. They deal w/ issues specifically while you are on your trip only. Some refund your money if you cant make your trip. These are more likely to have pre-existing conditions.
25 Year old married female.  Diagnosed w/ CD 2 years ago, IBS for over 10 years before that, which was probably the CD.
 
I started getting a ton of junkmail after putting my myspace profile link on here.  Im taking it off but if you want to contact me just email me and Ill give you a link to my myspace.  Sorry!


belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 10/30/2007 7:50 PM (GMT -7)   
This is Canada we are talking about. Most provinces no longer ante up the bill for foreign medical costs, so yes, the private part of the insurance might be paid -- private room etc, but the regular hospital and medical charges (those things covered by your province's medically insured services) might not be covered and certainly will not be covered 100 per cent. They will probably only pay what they would pay for the same service in your province. Again every province is different, but don't rely on your provincial health plan to cover you. You need private insurance coverage (maybe through your employer) but again, check your clauses, because I suspect there is a pre-existing clause in there and if you are not considered to be medically stable prior to undertaking your trip, they may not pay.

Paula, I'm Canadian too and I was in a similar position three years ago. My daughter had just given birth on the west coast and we made plans to fly across country for Christmas. I too tried to ignore how sick I really was, although I did touch base with my doc and had my meds increased before flying out. It was one hell of a trip. I was nauseated the entire time and unable to eat. Although i tried to keep up with my family, I remember falling asleep through every sight-seeing trip. I used the excuse that I wanted to be next to the baby's car seat, but it was always a contest to see who fell asleep first.

Through sheer force of will I did not end up in hospital on the west coast, but I didn't fool anyone (except maybe me). Instead of being able to enjoy our new grandchild without reservation, half my family's attention was always (silently) on me. I thought I was hiding how bad I was feeling, but my kids and my husband have lived with this disease too long and they were worried sick.

I know how much it means to plan a vacation, but just be honest with yourself. Ignoring it won't make it go away, if in fact something bad is brewing it is better to face it now and deal with the consequences. The person you will be travelling with needs to be a partner in this too.
Belleenstein:

30+ years living with Crohn's.


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 10/30/2007 10:51 PM (GMT -7)   
I guess I just don't understand the policy reasons behind any insurance company, govt funded or private, not paying someone's emergency care, just because they traveled "out of area." I guess I can see the "dont travel while sick" excuse but say you are perfectly healthy, go on vacation, and break a leg. I just don't see how they should get out of paying just because it did not happen within their boundaries. Im not saying that you are wrong Belle because I know you are right... I just don't understand how they get away with it... or in the case of US insurance companies, how it even saves them money. One would think an injury in a country with cheaper health care would cost them less money then it going untreated until the person returns to the states. A classmate broke an arm on a ski trip in Canada and we took her just over the VT border so she could have her treatment covered by her insurance. I just don't get it. Somebody here works in insurance. Can you please explain it to me??????
25 Year old married female.  Diagnosed w/ CD 2 years ago, IBS for over 10 years before that, which was probably the CD.
 
I started getting a ton of junkmail after putting my myspace profile link on here.  Im taking it off but if you want to contact me just email me and Ill give you a link to my myspace.  Sorry!


rootsmith
Veteran Member


Date Joined Jan 2004
Total Posts : 598
   Posted 10/31/2007 8:25 AM (GMT -7)   

I can't answer your question directly, Fitzy, but I am assuming it depends on the individual policy and how it is written, so there would be no standard answer.  I guess they can get away with it is because that's the way it is until they are regulated otherwise. I have a local "MaineHealth" HMO.  If I go to a hospital not included in their network, my coverage is limited.  (in other words, I could go to one of the listed facilities, but choose to go one not listed in this area) However if I am "out of area" all I need to do is call my pcp first if able or if an emergency, go to an ER wherever I am and then I have a certain time period that I have to call.  I think in that case I would have the same coverage as I would have had at home if I had gone to a network facility.  Otherwise, that would be poor insurance coverage. I have never tested this but the last insurance I had through my husband's employer was a PPO. I was going to California and had just had a second round of treatment for a UTI.  I was concerned that I would run into problems out there   I found out that all I needed to do was call my PCP who would give me the ok to go. 

This doesn't answer your question directly but like I said, I think it depends on what insurance you have.  I have no idea about different countries other than what someone said - that you sometimes have to put it on your charge and you are reimbursed. I did call the PPO about this once and she said it should not be a problem "and please try to get the bill written in English" 

One time I did get a special deal with traveler's insurance and if I purchased it within a certain period of time it overlooked pre-existing conditions.  Fortunately I didn't have to use it.

 


10 years, many tests, 3 gi doctors, Pentasa 1000mg 3x day
diovan, simvastatin and now trying good ol' zoloft


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/31/2007 8:51 AM (GMT -7)   
Get a perscription for prednisone to take with you, if you feel you need it then take it the same way your doc normally perscribes it to you (generally 40 mg to start then tappering each week), so long as pred works for you then this should help tons in hopefully avoiding any trips to the ER...this is a suggestion that was given to me by my GI's in the past...I'd also wear and pack some "Depends".

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 10/31/2007 4:47 PM (GMT -7)   
Hi I feel you should not go anywhere if you are not well. I would wait until I felt I could travel comfortably without being sick. Just my honest opionion here. You did say that this has been going on for awhile . lol gail

pmac
Regular Member


Date Joined May 2005
Total Posts : 221
   Posted 10/31/2007 8:07 PM (GMT -7)   

Thanks everyone for your thoughts!  I did go to emerg this afternoon just to make sure someone checked me out before we leave.  All my bloodwork is good, they also did x-rays, and those were good too!  The oncall GI gave me a prescription for Cortifoam...yippee enemas sad   and told me to also take my supp's 2x a day, and still keep taking my salofalk tablets 8/day...basically wait until I see this new GI on the 16th, and that I'd probably need to be scoped.  So I'm glad that I went, we were in and out in 5 hrs, and now I know that nothing major is going on inside and that puts my mind at ease.  Now I just need to out in a good act for my husband and friends tongue I really want to wake up feeling better tomorrow...cross your fingers for me!  I want to really experience Vegas!

Thanks again,

Paula :-)


zoso73
Regular Member


Date Joined Jul 2005
Total Posts : 91
   Posted 10/31/2007 8:16 PM (GMT -7)   

I understand where you are coming from,

YUou do not want th ecrohns to dictate everything in your life, and face it, we all know that as vacation approches, we allget that anxiety (good anxiety) but it causes our crohns to act up.  So most of us feel this same trepidation before going away.

Take care I hope you go and have a great time (tell your crohns to f 'off for a few days -easier said than done)

 

 


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 10/31/2007 9:18 PM (GMT -7)   
The best part about vegas for a crohnie is that everything is open 24/7 with bathrooms EVERYWHERE and you can get food anytime of day or night as well... If you are cant sleep you can stroll the casino and people watch :)
25 Year old married female.  Diagnosed w/ CD 2 years ago, IBS for over 10 years before that, which was probably the CD.
 
I started getting a ton of junkmail after putting my myspace profile link on here.  Im taking it off but if you want to contact me just email me and Ill give you a link to my myspace.  Sorry!


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/31/2007 9:47 PM (GMT -7)   
ah, so you have some proctitis going on, no wonder it's been so crappy!!! The cortifoam should help, it's just a matter of it kicking in and that always varies for me anyways, but I swear by it!!! I'd get a RX for prednisone to play it safe it's a good tip from a GI regarding travel.

Have fun! :)
My bum is broken....there's a big crack down the middle of it!  LOL  :)

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