changing doctors

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dilatante
Regular Member


Date Joined Jan 2009
Total Posts : 125
   Posted 2/10/2009 7:11 PM (GMT -6)   
I am having a different doctor do my reattachment surgery, than the one that did the original surgery. how do I tell the original one, that I want someone else to do the surgery? Also, I am wanting to have it done at a hospital that is out of network for my insurance. The new doctor, goes to both hospitals, but he doesn't like the one where I originally had my surgery as well as the one where he wants me to have my surgery. I'm willing to go to the hospital where he wants to do the surgery, but the whole insurance thing is the big problem now. I've already got a huge bill at the hospital where he wants me to have the surgery. I go to there wound care center, and it is out of network. The in network wound care center, well lets just say they are ok, if you have a "normal" ostomy, but if you have problems, you need to find somewhere else.
 
does anyone have any suggestions??

Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 2/10/2009 7:41 PM (GMT -6)   
Is it your insurance plan or the carrier that doesn't allow that hospital? do you have options to choose better insurance plans during open enrollment?

dilatante
Regular Member


Date Joined Jan 2009
Total Posts : 125
   Posted 2/10/2009 7:52 PM (GMT -6)   
I don't know if I can upgrade during open enrollment, and that doesn't come around again until December. :( I don't want to wait until then, to get the surgery done. I think it's the insurance plan. I need to investigate more.

mom9mom
Regular Member


Date Joined Sep 2008
Total Posts : 489
   Posted 2/11/2009 2:08 AM (GMT -6)   
I do not feel that you need to say anything to the surgeon who did your first surgery.No one wants a big bill but if the surgeon is a real good Dr. he will know what hospital is better.You could try talking to him about the insurance and ask him why he thinks you should have the surgery at the other hospital.then after you talk you can make a decision based on his answers.Your health is the most important factor here not anything else.Both of my sisters are nurses and we have 3 hospitals and 2 surgery centers within 30 miles.Both of my sisters have worked at one of the hospitals and neither of them will have surgery at that hospital.
Lost half of my small intestineJan.2008.Ilieostomy for 5 months then reverst in June 2008,Nerve damage to right leg,part of my right hip bone removed Jan. 2008,Cronic pain,hernia,infection in my back called discites,and depression.Gallbladder removed Nov,2008.Surgery to fuse L3 and L4 vertabra Dec. 31,2008.Mother to 9 kids 7 boys 2 girls and 1 stepson.4 grandsons,9 grandaughters.4 of my grandkids I inherited from my twin sister who passed away 6 1/2 years ago from a blood clot after surgery.God has given me my life back after I almost lost it.Even though its a painful and sometimes hard road to walk I take it one step at a time and give thanks to god for every step I take.


dilatante
Regular Member


Date Joined Jan 2009
Total Posts : 125
   Posted 2/11/2009 2:53 AM (GMT -6)   
I've worked at both hospitals, and frankly if we can work out the insurance issues, would jump at the chance to have it at the hospital where he wants me to have surgery. I will talk to him before I make the decision. From what i've seen of him, he's going to be willing to work out something with me. I only even know about this, because my wound care nurse told me. She is someone I trust implicitly. I don't think she told me this, to try to get me to change hospitals, I think she did it with my health in mind.

justjenjen
Veteran Member


Date Joined Nov 2003
Total Posts : 518
   Posted 2/11/2009 7:30 AM (GMT -6)   
I think being up front to the new doc. could be very beneficial. If he (and you) feel that strongly about the situation I'm sure he will try to work something out. Some docs will wave fees where they can. Even if this doesn't happen, you can always just put yourself on a payment plan. It sucks to have that over your head but your health is worth it.

dilatante
Regular Member


Date Joined Jan 2009
Total Posts : 125
   Posted 2/11/2009 10:53 AM (GMT -6)   
This is probably going to end up in court anyway. I will be talking to him, and we'll work out something. I think he is the type of guy who will work something out with me. I don't forsee him being the problem, I see the hospital being the problem. ::sigh:: Thanks for any and all suggestions!!

Chasblah
Veteran Member


Date Joined Feb 2007
Total Posts : 788
   Posted 2/11/2009 8:59 PM (GMT -6)   
I''m also not having my original dr. do a j-pouch. He still thinks he is, but I'm not telling him otherwise. Once bitten, twice shy! Not that I blame him for the complications, but I hated that hospital.

I'm just not telling him. He'll forget. He'll have plenty of other things to do.
Chassity
28 yrs. old. married with one beautiful daughter (born 11/20/07)
-diagnosed with severe pancolitis u/c 2002 had total colectomy 12/19/08; emergency surgery due to abscess-had to redo ileostomy and switch to left side 12/25/08; 1/29/09 found blood clot in superior mesenteric vein (prob. from inf. and surgery inflammation)
pred. taper, coumadin, carafate, prenatal vit., and pain meds
(ileostomy temporary....not so sure?)

"Things turn out the best for those who make the best of the way things turn out."

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