Hello HW friends. I had one strange visit with my PCP this week for the welcome to Medicare visit. It was even strange that United (my primary insurance) is paying for the Welcome to Medicare....wierd. Anyway, she is my Dr and has been a "friend" for a long, long time. We are not "outside" friends, but have a wonderful patient/Dr relationship. In fact, she sends out the medical students who study under her when she sees me so we can have some personal conversation while we do our medical appointment.
She ordered almost every test under the sun and we discussed my pain management progress. She was stunned when I told her I was now taking all of my pain meds exactly as ordered, since I was only taking them when needed the last time we really discussed it (about a year ago). She asked me some questions and I explained that "when you take your meds for a true pain situation, you don't get a high or loopy feeling, but when you take them without a real need, you feel the effects of the meds". She thought a minute and then seemed to "go back to med school days" and said she fully understood what I was talking about. The reason for the discussion was that she could not "believe" that I had taken the meds I said I had already taken that morning because I was "acting" so straight and sober. I even got out my phone and gave her the exact timing of the meds that I took. (For those w/Iphone, there is a free app that does that for you....just look in the app store for the red one with RX on it). It helps a lot when you go in to the Dr and need the info.
Apparently there are now requirements that the Dr's must put in exact diagnosis codes immediately to make sure insurance pays. They also have to use the Epharm program to send in the prescriptions.
I only "dress" for my Dr apts anymore and rarely do anything that improves my appearance when i am home, but she says that I look like I am in great shape (except extra weight). She then said that she would always back up my SSD and Medical Retirement, however, because my test results, labs, and Labs/X-rays are so clearly causing serious pain and problems.
It was really strange and so gratifying to have a PCP that understands and doesn't judge me for my meds (and trying to look OK for the aptL . I can't do that with any other Dr (inclding PM) because they don't get the "you look too healthy to be disabled" thing.
None the less, she is retesting me for EVERYTHING possible because she feels somebody missed something and the primary reason for my pain is being overlooked. I just love this lady!
I just wanted to give an update on my apt and to say that one "good" Dr apt can really change the way you feel about physicians. I hope you guys are blessed to find someone who treats you the way this PCP treats me.
All my best!
TLIF L5-S1/failed, Pituatary disorder w/HGH deficiency, Fibro, Failed Bladder Surgery & Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (surgery related trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendionitis, Adult Onset Flat Feet, Vision Issues & much more.....