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An update on my vigil of pain

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Silverbullet

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#1
I'm finally set up to get the inerstim stimulator removed, Pre testing on the tenth and removal on the 18th of October. Ill be in on the 18th to get the removal you think I could schedule an mri while I'm there right oh know have to set up a different time so they get all they can from Medicare ins. But at least they said I can get it done near me , don't need to go to Jeff for the mri. Royal pita in my opinion if your already going to be in the hospital and held overnite wouldn't one test the next day be smarter . Or are the office workers making up lies to get me off the phone. Just not right ...........
 

Reeltor

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#2
I can't make a comment regarding what your Medicare Insurance will pay vs. what you will need to pay. I believe that you will be charged 20% of the cost as a copay. I don't have Medicare but when I needed to get a CAT scan, if I went to the hospital radiology dept. to have it done the cost would have been over $4,000, a stand alone company that is 1-block from the hospital the total charge was $480. Even with the insurance I would have paid more in co-pay to the hospital than what the total charge was from the free standing practice. Both facilities are on the insurance companies "in-network" list. You MIGHT be able to get the hospital to accept the payment from Medicare as payment in full; but you need to look into that prior to going into the hospital and get it in writing. Good luck and get well
 

aliva

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#3
This might be slightly off topic, and I don't want to offend anyone, but why doesn't the U.S. adopt a universal health care system like so many other countries. France, Canada, Britain, Sweden etc. I will admit there are some drawbacks, such as wait times, to these systems but everyone is covered through their taxes, no need to pay out of pocket for anything.You won't have to look for an insurance provider as the government is the provider. I just seems you people from the south are really getting hosed for monthly insurance coverage, if you can get it. And right now your congress is having a really tough time replacing Obomacare. Maybe a look at a different system might be in order.
I 'd be interested in your thoughts
 

David S

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#6
You probably don't realize it but in the US this is considered a highly political remark.
Charles you are very correct. As a Canadian I have my son living in the US with his wife, and I am horrified when I hear about the costs they have to endure for what we consider routine procedures with no cost to us.

Of course my comment "no cost to us" is not true, we pay dearly through our tax structure.

So yes, unless folks here can have a discussion, not a debate, or an argument....it is probably best to just let it drop.

David
 

woodchucker

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#9
I can comment. I received the same BS from my own doctors office. I wanted to do two things and they told me that I had to come back because of billing reasons, they couldn't be done on the same visit. It's a way of working the system. Either the drs are at fault or the insurance has driven them to it.. That I'm not sure about.
 

mikey

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#10
I can comment. I received the same BS from my own doctors office. I wanted to do two things and they told me that I had to come back because of billing reasons, they couldn't be done on the same visit. It's a way of working the system. Either the drs are at fault or the insurance has driven them to it.. That I'm not sure about.
I can assure you that most doctors just want to practice Medicine. We do not receive training in business or medical insurance or Medicare in Med School; we learn what we need to practice Medicine. The regulatory environment in which you practice has strict rules and heavy penalties for not adhering to them, especially with Medicare and Medicaid but also with many private health plans. The doctors are forced to follow protocol, not because they are trying to make more money off of you but because this is how the system is set up. HMO's tend to be better about this (and I believe that is the model that will eventually be the national standard here) but even there, we must follow the rules and document care in a way that justifies the procedures we do. Why? Because if we don't then the business fails and everyone loses - patients and health care providers alike.
 

woodchucker

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#11
I can assure you that most doctors just want to practice Medicine. We do not receive training in business or medical insurance or Medicare in Med School; we learn what we need to practice Medicine. The regulatory environment in which you practice has strict rules and heavy penalties for not adhering to them, especially with Medicare and Medicaid but also with many private health plans. The doctors are forced to follow protocol, not because they are trying to make more money off of you but because this is how the system is set up. HMO's tend to be better about this (and I believe that is the model that will eventually be the national standard here) but even there, we must follow the rules and document care in a way that justifies the procedures we do. Why? Because if we don't then the business fails and everyone loses - patients and health care providers alike.
The problem I have is taking off for 2 visits when one will do it.
 

rwm

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#12
Believe it or not, doctors have the same problems when they go to see another doctor. It's insurance....
Definitely price shop for an MRI.
R
 
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Charles Spencer

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#14
I got lucky when I found my doctor. He's about my age and emigrated here from Greece back in the 1970s. He was a blue-collar guy who worked making iron fences during the summer. In Europe higher education is highly subsidized and costs practically nothing. His practice is a partnership that he owns with another doctor. Therefore he doesn't have the assembly line approach that other doctors are forced to follow. We have real conversations and he goes out of his way to explain things clearly and thoroughly. I sure hope he keeps practicing for a while. If he does retire I will look for another doctor with common sense who also owns his practice.

So SB I'd guess my suggestion would be to research and see if there is somebody near you whose circumstances are similar and can reduce some of the BS for you.
 
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brino

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#15
@Silverbullet ,
I have no comment on medical systems or billing practices.

I just wanted to send all my best wishes with your upcoming procedures.
I hope you come out of it all with less pain and then can get back to doing more in your shop.
-brino
 

Silverbullet

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#16
I can't make a comment regarding what your Medicare Insurance will pay vs. what you will need to pay. I believe that you will be charged 20% of the cost as a copay. I don't have Medicare but when I needed to get a CAT scan, if I went to the hospital radiology dept. to have it done the cost would have been over $4,000, a stand alone company that is 1-block from the hospital the total charge was $480. Even with the insurance I would have paid more in co-pay to the hospital than what the total charge was from the free standing practice. Both facilities are on the insurance companies "in-network" list. You MIGHT be able to get the hospital to accept the payment from Medicare as payment in full; but you need to look into that prior to going into the hospital and get it in writing. Good luck and get well
Oh I'm familiar with the twenty percent payment . I'm still paying from 2009 on the copayments from my times that year. But what you don't know I've been disabled since 1979 , our only income is my SS disability . And my wife made $8,000 last year part time cause she's got worn out knees and back pain too. So now tell me can you live and pay your bills with that income. In a good summer season I can make a couple thousand selling used equipment. Lawnmowers and small engines. So tell me how good I have it how great it is to be livin on SS.
I'm not complaining just saying, I tell the drs I'm unable to pay the deductibles , many except the payment and don't send the bills. Others I just throw away. Can't get blood from stone . There's no bank account or hidden funds , our cking account is sum total of life.
 

mikey

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#17
Silverbullet, sorry to hear about your situation. If you're a vet then the VA is the first place I would go. If not, and if you are not a Medicaid member then you should speak to a social worker so they can assist you in enrolling. Some social workers, at least the ones that aren't burnt out, can be really helpful in helping you deal with business offices, too.

I pray Trump doesn't have his way with Medicaid and Medicare.
 

Superburban

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#19
Yes, definitely look into your states medicaid. Many think its the same thing as medicare. There is a big difference, in most cases, it is only a $1 copay. Good luck finding Doctors that will accept it, but if you are an existing patient, they will have a harder time saying they do not want to see you again.

I agree with Mikey, If you are a Veteran, go directly to the VA, and do not pass go. They get a bad rap, some deserved, most not.

I also have an interstim, and often think it was a mistake.
 

Silverbullet

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#20
I was not talking anything political , I was complaining about the waste of time and money trying to get a simple procedure and an mri done on one visit to a hospital. It's no fun trying to get to anyplace when every bump in the road cause screaming pain. It's not like I can hop in a car drive over and sit and wait. The entire time I'm upright it gets worse I don't care one DERN bit about there billing and the ways the system uses the lawyers , politicians, and drug companies. There has to be leeway and flexibility . You can bet your butt if I was John q senator those tests would be done the same day . The removal is a local in the lower back about two inches or less . Not like ill be knocked out. Every time I need to go to a Dr or test my daughter looses a days pay. The pains to horrific for me to transfer to drive and back in the chair six times .
 

Silverbullet

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#22
Small update. All pretesting went well . Spent the last three days in agony from just riding my wheelchair in the , to the hospital and home . I stayed outside to just be out till 4 pm , from 9 -4 then getting help in agony laid off the chair into the bed where I had to lie the entire night not moving , trying use the urinal was pure hell. Today I'm barely able to but I at least I got moved up in the bed without crying. So next week ,Wednesday ill be put thru hell again at least three or more trips im guessing. God I hope nobody has to go through this , please take care of your body this is pure hell.
 

Billh50

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#23
Silverbullet,
I wish you the best. I know how it goes when you hurt. It seems it takes forever for anything to happen for the good. I have been going through hell with this tumor. But I think this last type of chemo might actually do something. Just hope the heart failure doesn't get worse.
 

Silverbullet

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#24
So by now you know what some of us have been trying to get you a mill. I was wishing they would get you the rotex mill it had both and the head was even made to nod like Bridgeport . It was Kool. 01515_9UbEBWXgtAQ_1200x900.jpg Ck it out here. Looked it up and they're built not made.
 

Billh50

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#25
That looks about the right size for what room I have. Will check it out.
 

Silverbullet

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#26
Guess I didn't fill in my operation went well and they did the mri ,,,unbelievable,,,, as soon as I came from surgery. Wow wow , no wonder claustrophobic people have trouble. It is a tight tube and it took 2 1/2 hours for the test. But I made it thru and then to the room it's now after 9:30 pm . I get a hamncheese on bun packed in 1945 and a can of coke yea about 6 ounces. And a fruit cup peaches. Feast after 24 hrs of no food. Pain meds every 4 and 6 hours. Perks valium, fentanyl patch. Still hurt , in the morning Dr Harrop says he checked the mri and can't help the upper back from 1979 three operations, But he,'ll figure out the bulging discs and let me know. I forsee at least one more spinal operation and maybe two. I pray he can just fix the cause of pain I'm enduring and been in for years. So we have a good outcome so far thank you father in heaven. And I thank this site for helping me survive living in bed . THANKS REALLY
 
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Silverbullet

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#27
My home Dr took the bandages off and then came back a few days later or Friday and took stitches from the two spots. Fifteen in total , one set was pretty sore and still is a bit. She is a whole lot better then most , she's really puts the patient first. The surgeon didn't even have any instructions to get them out. Had some video chat thing we couldn't get to work . So no idea if or what he's going to do for three bulging discs , the real reason for seeing him. But there's another appointment set for December , after all he's not in pain I am.
 

woodchucker

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#28
A couple of things. My BIL was a Jersey City fireman, he is permanently disabled. His back also. He lives with a morphine drip machine implanted in him. After many surgeries this was the last option.
I assume your doing fish oil. Have you gone inverted on a inversion machine? it used to give him some temporary relief. Me I would want a rack to stretch me out, to provide some relief.
Hope you get some relief soon. I have lost feeling in my dominant hand for the last 2 months, And at times the numb becomes a burning sensation. I remember when I was paralyzed that burn at night. I'll be in surgery shortly after they do some more testing and find where the nerve is entrapped.
 

Silverbullet

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#29
A couple of things. My BIL was a Jersey City fireman, he is permanently disabled. His back also. He lives with a morphine drip machine implanted in him. After many surgeries this was the last option.
I assume your doing fish oil. Have you gone inverted on a inversion machine? it used to give him some temporary relief. Me I would want a rack to stretch me out, to provide some relief.
Hope you get some relief soon. I have lost feeling in my dominant hand for the last 2 months, And at times the numb becomes a burning sensation. I remember when I was paralyzed that burn at night. I'll be in surgery shortly after they do some more testing and find where the nerve is entrapped.
You totally know what I'm living with. I'm not able to be stretched my previous surgeries they removed to much bone one stretch and pop I'm dead. Dr Harrop said he wouldn't touch the top of my spine . Waiting to see about the lower backs three bulging discs. I'm at least able if I don't move much stay ok with fentanyl patch and about sixty mg of oxycodone a day. Bad parts it binds your innards and YA crap concrete. Ill pray for you and your bil, mine died young heart problems helped with agent Orange two tours in nam as a seabee. YUPP clearing the poisoned trees . I sure miss him too.
 

cvairwerks

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#30
Waiting to see about the lower backs three bulging discs. I'm at least able if I don't move much stay ok with fentanyl patch and about sixty mg of oxycodone a day. Bad parts it binds your innards and YA crap concrete.
If you have to continue the pain stuff for very long, talk to the Dr. about switching over to methadone instead of the oxycodone and fentanyl. Works as well or better, lower dosages and doesn't plug you up like the other stuff. The wife has been on it for most of the last 17 years and every time they try and switch her to oxycodone/Vicodin et al., she ends up having massive problems with getting the pain under control again. About 5 years ago, her pain specialist gave up on trying to move her around on various medications and has left her on the methadone permanently. A plus factor financially, is that it's very cheap.
 
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