Tuesday, March 7, 2017

Healthcare a dark comedy...

This was originally supposed to post back in early 2016, a happy accident occurred, it never posted, giving me a chance to update the situation.
Is there a doctor in the house?
(Imagine this as an adventure movie mixed with a dark comedy)
First let me say, back in 2000 I lost my sense of smell. I couldn't smell the good(flowers, bread baking)or the bad(insert your own joke). This was when I first encountered 'doctors not accepting patients'/'doctors not accepting new patients'(believe it or not there is a difference. 'doctors not accepting patients' means even if you are a patient of theirs they're not going to see you...'not accepting new patients' means if you are their patient they'll might see you). Eventually, I found a doctor but when I lost my health insurance in 2001, I lost my doctor. The person who answered the phone said “call us when you get insurance” and promptly hung up.(I will never, ever forget this because it struck me as callous... this is a recurring theme).
(This lasted for years because because I gave up looking for a doctor. I now have a sense of smell and I'd like to thank whoever decided to place my meds over the counter).
When I developed a cough around 2014-2015, I thought I had a really bad cold. But when I started gasping for air, coughing and couldn't walk more than 10 feet without getting winded, I knew I now needed a doctor.
This is my small sample of what happened during my search for a doctor-
Doctors that still have a website but are now 'out of business'(?) Or never update their websites with new info such as current phone numbers.
After getting an accurate phone number and going through the usual voicemail BS. “please press 1 for English”(Grrrr) I came up with a series of questions when I finally got a human(if I got one). Most should be Yes/No questions, at least in my mind, but I quickly found out that there were gray areas...
1– Are you accepting new patients?
This was more complicated than I expected, here is the short list of what happen(I only wish I had thought to recorded this...)
--We were accepting patients(not helpful...SMH)
--Foreign/non-English and Native English speakers who answer a phone like you've inconvenienced them or have 'marbles in their mouth'(why for the love all that is holy would you give them a job answering a phone, especially dealing with sick people...this one particularly irks me because I have applied for similar jobs but have not been hired. I guess my English is too clear and I have command of the language or other reasons, perhaps a future blog).
--The idiots(that is the nicest term) who place you on hold only to “forget you”/accidentally hang up. I started to refer to this as purgatory.(yes, you can call back but usually you visit purgatory again or they ignore the phone, I started to assume they have caller ID and are now avoiding the call)
--I had one receptionist ask did I know any other patients or have a family member already with them(see next question)
More than once I got a yes...
Which made my heart skip a beat...
Which leads to my next question...
2– Do you accept patients without insurance?
You would think I threw water on the Wicked Witch or showed Dracula the sun...
Mostly, I was told NO and once again I was asked 'did I have friends or family already with them'.(which left me scratching my head...why would this matter...does that mean they only accept friends and family members?)(no, I did not ask my air was limited and I really didn't think about this until I hung up).
What in the world did people do before health insurance?
Only asked these two twice:
How much is an office visit?
Do you accept credit cards?
Some medical professionals(this means doctors, nurses and everyone who works in the office) seem to have no concept of money and actually paying for a service. (I'm looking for a ballpark figure between $1 and $10,000 with nothing written in stone...) This concept so confused one receptionist(?) she had to ask...she placed me on hold, once again purgatory.
I miss the days of doctors accepting patients and a doctor's office asking what is the problem, not 'what insurance do you have'? What good is insurance if you can't see a doctor! The worst feeling in the world is to be sick and not be able to get a doctor.(I know, go to the ER but I don't have a couple of thousand burning a hole in my pocket...I had a friend who was charged just about $1000 an hour...so, that was NOT an option).
I believe I've said this before, but it bears repeating;
I am grateful that I am able to get better/easier healthcare for my cat. I was originally going to sing the praises of my veterinarian here but I decided it would be better to not associate them in any way with the current human healthcare crisis.
When I finally reached the end of my rope I found an “emergency clinic” one of those “urgent care” places, they said they could treat and continue treatment(Grrrr...hint).(they were OK and if I'm bleeding and I don’t want to go to an ER, I will use them). They were accepting patients and money(their fee was reasonable, they knew prices and accepted credit cards/checks/cash).
I was “diagnosed” as having bronchitis and possibly asthma. I left with a nebulizer and prescriptions, if you follow my twitter you heard about the lovely antibiotic(imagine swallowing molten glass to stop a piranha from eating your stomach). My other problems were they couldn't find my blood oxygen with the meter so they wanted me to go to the ER(SMH not a SOLUTION).(I later learned from Dr Google if your hands are real cold, which mine usually are, they won't be able to use an oximeter correctly. Gee, just what I said but OF COURSE, I have no formal training just COMMONSENSE and Dr Google) and they couldn't continue treatment but they could get me well for, about two weeks). So, I curled up in a ball calling doctors once again hearing “we are not accepting patients” for the next month.
Finally, I saw an ad in a local magazine for a doctor and she listed an email(which was odd) and phone(which usually rings endlessly and drops to voicemail...sigh) For some reason, I tried email. Literally, I sent a three question email:
Are you accepting new patients?
Do you accept patients without insurance?
Do you accept credit cards?
The answer was YES to all three?
My next step was the phone, so I left a message and I got an appointment. YAAA!(see below for an update)
I had developed Asthma. It was great to finally have a diagnosis and a doctor. I guess I'm not the only person who was looking for a doctor because there were other people filling out new patient forms. (which is the reason I'm writing this post, to give others hope and maybe a laugh at time when it is sorely needed...unless it causes coughing or other...shall we say...problems, wink/wink...in which case, don't laugh, silently chuckle...)
BUT(there always is a but) one of my meds costs... get ready for it...costs between $241 & $271 a month(don't ask me it goes up and down...there will be a future blog about medicine) and I had a billing screw up.(the receptionist undercharged me. When it was all entered into the computer, I owed $40. Whoever made up the bill didn't apply previous payments so I got a huge bill.) Too bad they don’t have a list of charges or some sort of hard copy. Oh, yeah that would require them to use paper!
The one thing that shocked me was how everything is all done through a computer, your temperature, blood pressure, oximeter(blood oxygen and pulse), weight, asthma test, the doctor even types into the computer while talking to you(or should I say at you) and even your prescription is no longer written it is sent via email. They wanted my Social Security Number, my Mom's maiden name and my email(so they could set up an account on their website...uh,no. I don’t care if my blood pressure, height, weight, and other test stuff is stolen but when you get into more sensitive stuff that isn't necessary for breathing, I'm a little leery.)

Tune in tomorrow for my 2017 update...(she says with a maniacal laugh)

March 3, 2017

Back in the Saddle again...(I'm always a little surprised at how time flies between posts)
Well, at least for as long as I have something to say.
As I've said on Twitter, I spent a lot of time swearing. Swearing at the people who fell for a bull-sham artist and those that gave us the bull-sham artist.(substitute sham for another four letter word that begins with sh—.)
I guess I've entered the acceptance part of grief, because I'm just sorta numb. I'm hoping for the best but expecting the worst.
Since my last post I've been writing. SURPRISE! I've overcome my writer's blocks both physical (ShadyLady and her little brother love to lay on my keyboard) and mental [yup, it's official I'm a headcase:)].
Yes, this seems to be my new job. Lower middle class was fun let's try poverty she says in a upbeat voice.
It seems that you all (what?) let's rephrase that y'all like to hear from “lil' ol' me” I've seen the stats(thanks), when I actually tweet you “like me, you really like me”...sorry been watching A LOT of TV and the Oscars were just on.
So, once again I am on my blog. Blah... Honestly, I rather do my former job mindlessly putting pieces of paper together listening to my music, no stress except for a very sore shoulder.(this job will NEVER come back no matter what anyone says...speaking of which...).
State of the Union type address on Tuesday night everyone is optimistic and saying jobs will return. Really? Speaking as a business person why would I pay someone more for a job that I can get done for less? why would I will be willing to pay someone at least $7.00 an hour(or whatever minimum wage is) plus having to deal with health insurance, taxes and whatever regulations that are running around to make an item that I can have made for less. Plus, in my area the old factories were tore down, let me repeat that TORE DOWN, meaning when a new company comes to town they now have to build a NEW factory which is subject to all the NEW REGULATIONS. What business in their right mind would to these things?
That's me your little gloomy cloud...
Now stop screaming...
Yes, I would give raises or increases in pay as any good boss who values their employees would.(remember, I have no employees, only the cats and they are well taken care of or as I like to say they have an INCREDIBLE benefits package...) I've had people tell me that if I can ever afford employees they would like to work for me. SO I AM NOT A MEAN BOSS. I actually believe in bringing in donuts, candy and other goodies(here come the health nuts...yes, I have brought in baby carrots which are not as popular) this was also when I had great control over my weight because I could SHARE that huge bag of cookies or cupcakes or candy instead of eating it myself...mmm, I think it's time to head to the kitchen.
In closing(now I sound like a lawyer...shakes head)...
Here's a bit of good news..I finally hit 5000 followers on the @mjkatz account and am quickly closing in on 2500 on @theMarieJoshow account. Thank you. I now have more followers that my former lame stream(kinda) media(they call themselves media but they are a small newspaper) employer on both accounts. Wow, and they said I couldn't write. HA!!
Once again...
THANK YOU!!!!
MJ
PS-BTW. Yes, my anal retentive folks there are a lot of periods, seemingly for no reason, it's mostly because the writing program I use gets cranky when I don't put a period after things. Or could it be a preview of tomorrow's post.