So now we've seen what these past 3 months of effort brings to a Medicaid patient. Nothing.
It does not matter that a Neurosurgeon orders a test, that the patient then begins the process at a learned man's direction. Many, many phone calls. Excruciating pain. Doctor visits. More pain. Faxes. More phone calls. If it involves Louisiana Medicaid, it amounts to NOTHING AT ALL.
I am no closer to a diagnosis and treatment after 3 months of effort than I was 4 years ago, AND I must wait 3 more months, according to Medicaid, before I can see a doctor and we can start the dance all over again.
One must ask, Why Bother?
Fill in the blank, check the box. Move to the right...
Showing posts with label MS. Show all posts
Showing posts with label MS. Show all posts
Friday, October 23, 2009
Monday, October 19, 2009
The Doctor Versus The Bureaucracy
I do not believe that I am an ignorant man. In many things, yes, of course. One can't know all about all, so I am ignorant in many things. But I can read, and I can generally comprehend an issue that affects my life as profoundly as my own health.
It just seems to me that if the government determines that you are disabled, and connects you with a Primary Care Physician that you select from a list of participating doctors [Approved to accept Medicaid], and you start the trek to discover what is wrong with you, evaluate treatment options, and establish a pro-active medically designed treatment plan... well, shouldn't Medicaid then support those efforts? One would THINK so, eh? Mr. Levine, any thoughts you'd care to share?
So let us review this trek and see, if we can; Why, in the middle of the doctors and tests necessary to determine a diagnosis, treatment plan, and prognosis, Medicaid cancels tests ordered by one of their own approved Neurosurgeons. The train gets knocked right off the tracks. I'm bewildered to be honest.
This little exercise begs the question: 'Is this the way to run an operation'? Because what Medicaid is saying to me is that I and the doctors I have been seeing at the direction of a Board Certified, Medicaid Approved Internal Medicine Specialist, AKA [Also Known As] my PCP [Primary Care Physician]... well, Medicaid says that we don't know what we are talking about. Wow.
I have no choice but to conclude that this entire exercise is futile. I am not going to get better learning what is wrong and treating it, according to Mr. Levine and his brainless bureaucracy.
I have no doubt whatsoever that Mr. Alan Levine is a much qualified administrator of large government operations: Alan Levine's Professional Summary
So why have we spent so much trying to discover what needs to be discovered on my case, yet Medicaid has not approved a single request from either myself or from health care professionals for any treatment other than medication?
I NEED something to transport me to the three bus stops within walking distance. Unfortunately I can no longer walk to these stops without major difficulty, plus the recovery time of a couple of days after each trip. Something like this would be fine, and I have a prescription for one written by my PCP at the time, but, like everything else they have denied, I expect this to be denied as well, and I believe I would have to present a prescription written by my current PCP:
It just seems to me that if the government determines that you are disabled, and connects you with a Primary Care Physician that you select from a list of participating doctors [Approved to accept Medicaid], and you start the trek to discover what is wrong with you, evaluate treatment options, and establish a pro-active medically designed treatment plan... well, shouldn't Medicaid then support those efforts? One would THINK so, eh? Mr. Levine, any thoughts you'd care to share?
So let us review this trek and see, if we can; Why, in the middle of the doctors and tests necessary to determine a diagnosis, treatment plan, and prognosis, Medicaid cancels tests ordered by one of their own approved Neurosurgeons. The train gets knocked right off the tracks. I'm bewildered to be honest.
This little exercise begs the question: 'Is this the way to run an operation'? Because what Medicaid is saying to me is that I and the doctors I have been seeing at the direction of a Board Certified, Medicaid Approved Internal Medicine Specialist, AKA [Also Known As] my PCP [Primary Care Physician]... well, Medicaid says that we don't know what we are talking about. Wow.
I have no choice but to conclude that this entire exercise is futile. I am not going to get better learning what is wrong and treating it, according to Mr. Levine and his brainless bureaucracy.
I have no doubt whatsoever that Mr. Alan Levine is a much qualified administrator of large government operations: Alan Levine's Professional Summary
So why have we spent so much trying to discover what needs to be discovered on my case, yet Medicaid has not approved a single request from either myself or from health care professionals for any treatment other than medication?
I NEED something to transport me to the three bus stops within walking distance. Unfortunately I can no longer walk to these stops without major difficulty, plus the recovery time of a couple of days after each trip. Something like this would be fine, and I have a prescription for one written by my PCP at the time, but, like everything else they have denied, I expect this to be denied as well, and I believe I would have to present a prescription written by my current PCP:
The relief and benefits my life would experience would be life-changing. I would no longer be a shut-in, having transportation to reach the grocery store across the causeway, the three bus that can transport me anywhere. It would be a good move by medicaid. Mr. Levine?
Who's Who
Alan Levine
Secretary
Louisiana Department of Health & Hospitals
628 N. 4th Street
P.O. Box 629 (Zip 70821-0629)
Baton Rouge, LA 70802 Phone: (225)342-9500
Fax: (225)342-5568 dhhwebadmin@la.gov
628 N. 4th Street
P.O. Box 629 (Zip 70821-0629)
Baton Rouge, LA 70802 Phone: (225)342-9500
Fax: (225)342-5568 dhhwebadmin@la.gov
Long Term Care
1-877-456-1146
1-877-456-1146
Thursday, October 15, 2009
All I Want For Christmas
When I fell into the steps and broke my teeth in May 2007, I thought maybe all I'd want is some teeth. Unfortunately, Medicaid can't provide medical related transportation. At least all of my attempts in the past two years have been fruitless. Plus, it takes 2 years to be seen by a dentist.
So, how about we shoot for something reasonable this year - RELIEF.
Whaddaya say, Mr. Levine?
Are ya up to it, or should I just hurry up and die?
PS - are you any relation to Dick Cheney? You both seem to favor torture.
So, how about we shoot for something reasonable this year - RELIEF.
Whaddaya say, Mr. Levine?
Are ya up to it, or should I just hurry up and die?
PS - are you any relation to Dick Cheney? You both seem to favor torture.
Pain Management
NOT covered by Louisiana Medicaid. Anyone surprised by that? Can you spell T-O-R-T-U-R-E, Mr. Levine?
The ankle bone's connected to the what?
With genetics popping up all over the place in this medical exercise, this is the picture before me today:
Multiple Sclerosis is not fatal [but it sure is disabling], so I guess Mr. Levine wants me to hurry up and die. Can't let me cost Medicaid much money, ya know.
Wednesday, October 14, 2009
June 20, 2009
10 days after I fell out of bed [Which now has railings. Also known as Durable Medical Equipment. With NO thanks to Louisiana Medicaid, who DENIED my request]. That fall was the third time I had fallen out of bed since the stroke. The first requiring a hospital visit. Not that THAT did any good.
10 days out and the more active I am, the more I lose control of my bladder and my bowels. I have made messes for days and a person should not have to live like this, so friends took me to the Emergency room. They took a blood test, some radiology, told me I had gastroenteritis and sent me home with some anti diarrhea medicine.
The Neurosurgeon ordered up a Urodynamic [Urologist], and referred me to a Gastroenterologist. Finally, I thought, we shall get some answers. My mistake. Thought and Medicaid are like oil and water. At least here in Louisiana and under Secretary Levine's watch. Oh, and Medicaid does not seem inclined to give answers either.
Yesterday Medicaid canceled the urodynamics exam, which had been scheduled since 10 days after I fell out of bed. Medicaid told me that I have reached the limit for doctor visits. I've not yet determined if they mean ANY/ALL doctor visits, until when, or whether that includes other ordered and scheduled tests already on the books. Mr. Levine, care to answer, sir?
Fill in the blank, check the box. Move to the right...
10 days out and the more active I am, the more I lose control of my bladder and my bowels. I have made messes for days and a person should not have to live like this, so friends took me to the Emergency room. They took a blood test, some radiology, told me I had gastroenteritis and sent me home with some anti diarrhea medicine.
The Neurosurgeon ordered up a Urodynamic [Urologist], and referred me to a Gastroenterologist. Finally, I thought, we shall get some answers. My mistake. Thought and Medicaid are like oil and water. At least here in Louisiana and under Secretary Levine's watch. Oh, and Medicaid does not seem inclined to give answers either.
Yesterday Medicaid canceled the urodynamics exam, which had been scheduled since 10 days after I fell out of bed. Medicaid told me that I have reached the limit for doctor visits. I've not yet determined if they mean ANY/ALL doctor visits, until when, or whether that includes other ordered and scheduled tests already on the books. Mr. Levine, care to answer, sir?
Fill in the blank, check the box. Move to the right...
The Back Story
This sequence of events really starts with a series of heart attacks just before Christmas 2002. Over a 5 day period I suffered 7 heart attacks that I mistook [from past experience] as kidney stone attacks. The good people at University Hospital in New Orleans took their blood test and rushed me into two angioplasties over two days. Unfortunately there was a complication during the second procedure, and after a code blue in ICU which afforded me another near-death experience, I held on for the next week. After a month of recovery from the bleed-out, I was able to function well enough to return to part-time work. [Thank you, Leigh.] For the next 3 years I was actively involved in developing and managing a successful business operation. Life was good.
The morning of Monday, August 29, 2005 brought Katrina. The following days exposed the complete system failure of our own local, state, and federal governments. I returned to New Orleans 5 weeks later, and learned that I had lost my home.
Though I had plenty of the various medication I needed on hand for the duration, I was unable to obtain refills of my prescriptions in November anywhere in New Orleans, because not a single pharmacy had reopened. This, I realize now, was the beginning of the end of anything related to my own good health. On November 19th, I suffered a stroke while sleeping on the floor of my business.
The good people of The Spirit of Charity Hospital, operating out of tents in the now infamous Convention Center, brought in a mobile cat-scan and later transported me to Touro Infirmary. There, the medical staff of the destroyed Charity Hospital and the decimated LSU HealthCare Network, working in unfamiliar surroundings, guided me to improved functionality and gave me direction for follow-up care at a health clinic they were reopening some distance from my own location.
One was forced to do EVERYTHING differently than we have ever been taught or learned how to do on our own. The good folks at Touro evidently did not realize that patients could not get prescriptions filled ANYWHERE in the city. Due to the pharmacies being looted by the city's addicts during and following Katrina, we had no pharmacies. When eventually some did reopen, New Orleans' patients had to follow far more involved and strict procedures than ever before to simply get a prescription filled. Most of these rules have now been adopted nationwide, and I am certain many of you are now dealing with many of the same aggravations that we here in New Orleans have had to deal with since The Thing. If you are unfortunate enough to require pain management, that in itself is a whole new ballgame entirely.
The morning of Monday, August 29, 2005 brought Katrina. The following days exposed the complete system failure of our own local, state, and federal governments. I returned to New Orleans 5 weeks later, and learned that I had lost my home.
Though I had plenty of the various medication I needed on hand for the duration, I was unable to obtain refills of my prescriptions in November anywhere in New Orleans, because not a single pharmacy had reopened. This, I realize now, was the beginning of the end of anything related to my own good health. On November 19th, I suffered a stroke while sleeping on the floor of my business.
The good people of The Spirit of Charity Hospital, operating out of tents in the now infamous Convention Center, brought in a mobile cat-scan and later transported me to Touro Infirmary. There, the medical staff of the destroyed Charity Hospital and the decimated LSU HealthCare Network, working in unfamiliar surroundings, guided me to improved functionality and gave me direction for follow-up care at a health clinic they were reopening some distance from my own location.
One was forced to do EVERYTHING differently than we have ever been taught or learned how to do on our own. The good folks at Touro evidently did not realize that patients could not get prescriptions filled ANYWHERE in the city. Due to the pharmacies being looted by the city's addicts during and following Katrina, we had no pharmacies. When eventually some did reopen, New Orleans' patients had to follow far more involved and strict procedures than ever before to simply get a prescription filled. Most of these rules have now been adopted nationwide, and I am certain many of you are now dealing with many of the same aggravations that we here in New Orleans have had to deal with since The Thing. If you are unfortunate enough to require pain management, that in itself is a whole new ballgame entirely.
Subscribe to:
Posts (Atom)
