PAlady, 8 inches of snow to folks who dont own snow shovels and havent for years and stores that only carry 5 per store in mid November is about the equal of 23 with people who have plows on their trucks right?
I am going to share another bit of laughter for you and show how our brains have not yet caught up with our CP. On Saturday after the last snow feel I borrowed my neighbors shovel(they moved here from New York) and went to work on my front walkway. Now this is a law in my city that has to be dated back centuries since like I said we dont have "snow storms per say anymore, that you must shovel your walk no more then 12 hours after the last snow falls and I wanted to be a good citizen.
I am out there about 20 minutes making very little progress anyway since my knee's are killing me from the cold temps in the teens when all of the sudden I proceeded to slide and kept sliding down my drive and I probably look like something out of a comic book now,flailing arms,horror clearly etched on my facr and still holding onto the shovel all to no avail and end up on my behind in the middle of the street!
Now remember teh last time we had significant snowfall I was NOT a CPP so my mind had played tricks on me and convinced my body I could still shovel snow! Luckily I did not get hurt ended up a littl esore and looking like a fool lying out there waiting for the neighbor to help me up and into the house! I havent had the nerve to stick my head out the door since and probably will wait until mid summer to do so!
Now back to the topic at hand, your right about the computerization of everything and how they use software that allows no room for remarks or explainations as most of these simply have q and a lines or boxes and if anyoen has filled out a CDR for SS then you know of what I speak. That is exactly how things we have reported end up being omitted from our records.
The last time I requested my record from the Ortho it was also on disk and had to be printed out by me before I could forward it to SS as I had no idea whether they accepted records on disk,also the med center went to records on disk late last year and that is everything,x-ray reports,Cts,Mri's the entire kit and kaboddle!
You hit the nail on the head when you spoke of all the extra stuff that Docs are required to spit out these days and just because we are more computerized doesnt make it any less of a hassle. My Doc prefers that he doesnt have to file any private insurance claims and he does however accepts mostly medicaid medicare and will file the supplemental programs for those. He no longer takes new patients and he has virtually stop doing hospital rounds as he doesnt have time the time he has he spends on office patients. It may take days or weeks sometimes to get pre-auths taken care of and any paperwork that needs to be filled out for W/C or SS may be a while as well. It has gotten better with the addition of a PA as well as a NP but there for awhile he could still be foundint he office in the middle of the night trying to take care of paperwork.
He is not young and as I have said previously he has had some very touch and go problems with his heart in the last years but he marches on and I worry each day he pushes himself beyond his limits healthwise. The schools are spitting out a few good Docs and PAs as he certainly found one in the new and young PA he has hired as sheis about the most caring and compassionate young lady I have met in a while.
He went months and months after the last one left and even went thru a few before he found her. A couple he hired was giving him a hard time over the policy of his office of treating pain patients and they did not feel comfortable with the amount of those he saw and they parted ways. This one has no qualms whatsoever with his number of CPP's and she is an avid listner and seems geniunely concerned. I really likeher and hope she takes whatever she learns from him onto the next level when she leaves.
Too bad she is only a PA and didnt go onto to be a Doc! She will only have so much influence on other Docs she works for.
At this point let me say that the restrictions set forth by insurance companies as well as medicaid in some states is a restriction that breeds nontreatment for alot of olks.
Here in this state medicaid does not pay for more then 90 days worth of narcotics in a given year(partof the drug wars( numbers of medicaid recipients that divert drugs) and that is only with a pre-auth. It also does not pay for PM with the exception of a consult without pre-auth and then if they authorize visits it doesnt pay for the monthly labs required for most contracts for PM. R.E. Tox screening and if you are a medicaid patient in PM you must be able to pay out of pocket for this to the tune of about $80 a month, the reason most CPPs in this stae are treated by PCP's if they get treated at all.
I lived out west for awhile while a CPP and had medicaid in that state and it paid for my oxy that I was on at that time as well as PM so we are ages behind here.
All or most of this again can trace back to part of this states war on drugs and the number of poor folks they say divert or abuse pain meds and they try to offset the tax payers from footing the bill? In the meantime legit people dont get adequate care from teh state programs. They also do NOT pay for any med used to treat anxiety and again these are meds we use everyday to help relieve tension of back muscles and lower pain levels so we might get a little sleep,no benzo's paid by medicaid no matter what the reason your on it!
One RPH told me it was a federal regulation that insurances could not pay for these and I am meaning to look that up but I think I already know that was false.
I guess Gramps is right all along that before we can hope to obtain the proper care and treatment we have to change the way the laws work against us.