Re: Major VENT but good news too

[Guest guest]

In a message dated 7/22/2002 1:48:27 PM Pacific Daylight Time, sheila@... writes:

I just hope my insurance

company will still cover it. If he determines she needs the CranioCap I

don't see what it matters anyway whether I had a referral or not.

Sheila,

Do you have an HMO? If you do...then the insurance (as far as I know) will not cover it without a referral. They can deny you for not having that referral. I don't have an HMO...but i do know that could happen and i would hate to see you get denied.

Is there a way you can switch pediatrician's...as soon as possible...explain the situation to them..and have them give you a referral? I know it could take a little while..but it may be worth it.

I just can't believe the nerve of that nurse at your pediatrician's office..and i don't blame you for not going back. Maybe you can call tomorrow and try to speak to the pediatrician instead. Maybe she will give you the referral..but i would also tell her how that nurse talked to you.

I hope that things work out...let us know what happens....

Mom to

[Guest guest]

Sheila,

Holy cow!!!!!!!!!! I'm so pissed right now for you that I can feel my blood

pressure going up. Oh I'd love to get ahold of that nurse and add my two cents

and then I'd like to punch her right in the nose! HOW DARE SHE CALL YOU A

HYPOCHONDRIAC!!!!!!!!!!! I cannot believe her complete and total $itchy

attitude. She really has her nerve. I hope you can find a new ped right away

that has support that staff that is just that.....supportive!!!!

I'm glad that you were approved for the loan and can continue with insurance.

That really is good news. I'm also glad that the specialist will see you even

without the referral. Let us know how that goes!

Marci (Mom to )

Oklahoma

[Guest guest]

Hi Sheila

Wow that nurse was a right b*tch!!You are doing the right thing by

researching and you are absolutley right time is of the essence.

Sending lots of luck to you and keep us posted.

Best wishes

Kerry - Marcus (3) Dylan in second DOCband (17months)

Calgary,AB

>From: Sheila <sheila@...>

>Reply-Plagiocephaly

>plagiocephaly

>Subject: Major VENT but good news too

>Date: Mon, 22 Jul 2002 15:49:05 -0500

>

>Hi everyone,

>I just got off the phone with Amaya's pediatrician's office and I really

>need to vent because I am so p*ssed right now!!!

>Let me start at the beginning....I was up til 4am this morning doing

>research - trying to find out where to go locally for a consultation for

>a helmet, since we don't have a Cranial Tech. office in MN. I was very

>happy to discover that Gillette Children's Clinic here in St. has

>FDA approval for the " CranioCap " , which is a band rather than a helmet.

>This is the only FDA-approved craniofacial orthosis besides the STAR

>Band and DOC Band in the country. I read all about it, and the dr.

>( Wood) who helped develop it, and decided this is who I want to

>see. So today I called my insurance company and by some stroke of luck,

>this dr. and clinic ARE providers for our insurance. Woo hoo! They also

>told me the CranioCap would be covered 90%...Woo hoo again! They said I

>just have to get a referral from our primary care physician. So I called

>the physician's office, and the dr. isn't in today, so I spoke with the

>nurse. I explained the situation, and told her I do not want to wait

>another month like the dr. told me to, and I was STUNNED when she said

> " There is no possible way we can refer you to Gillette's. We ONLY refer

>to specialists within our own clinic system. " So I explained that

>Gillette's is the only place that offers the CranioCap and she (this is

>supposed to be a PROFESSIONAL nurse) said real snippy " Well that's just

>too bad for you then. We will NOT make a referral. Besides, if the dr.

>told you to wait til her 6 month check-up then she must not be

>concerned. " And then I lost it. Yikes! I told her my daughter was NOT

>going to suffer just because they wanted to keep the dollars in their

>own system. I also told her that the pediatrician's lack of concern is

>just making the problem worse, and I REFUSE to stand by and watch

>nothing be done, therefore I will be finding a new pediatrician at a new

>clinic. And the nurse told me " Go ahead, we don't have the time or

>resources to deal with hypochondriacs (sp?) here anyway. " OMG!!!!! I am

>still in shock that she would say such a thing!!! For one thing, the dr.

>WAS concerned enough to have 25 stinkin x-rays taken of Amaya's head at

>her last visit, and for another thing, this is the ONLY issue I have

>been persistent about, because I am the one who has to look at my poor

>baby's head and face every day, knowing that the clock is ticking. How

>does that make me a hypochondriac?! I am so angry right now. I am going

>to send off a letter to the clinic, my insurance company, the medical

>board, and anyone else I think of who can address the matter. I hope

>this nurse gets fired...but she probably won't, since I never did get

>her name (stupid me I know...I was just so angry I couldn't think

>straight). And I am NOT bringing Amaya there ever again.

>Anyway....(it is now 20 minutes after I wrote the first part of this

>vent), I called Dr. Wood's office directly and told them what happened

>and they allowed me to make an appointment with Dr. Wood himself for

>next Monday, without getting a referral. I just hope my insurance

>company will still cover it. If he determines she needs the CranioCap I

>don't see what it matters anyway whether I had a referral or not. So,

>wish us luck with this and in finding a new pediatrician!

>Oh...and for those who had read my first post when I was utterly

>clueless....we were approved for the loan so we can continue our

>insurance. So that is a HUGE relief. It must have been due to all your

>prayers! :-)

>Thanks so much for letting me vent if you read this far...I know you

>guys would understand my anger regarding this.

>

>--

>~Sheila (mommy to Amaya - 5 months old)

>

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[Guest guest]

Hi Sheila:

It's , Rhiannon's mom again. YOu know, you can call the

Attorney General's office and issue a complaint. So what if you

don't know the nurse's name- just give your Ped's office name and let

the state take care of it. This is patient abuse, and should not be

tolerated. The Ped can deal with the investigation, and you can be

rest assured they will try to find out who the nurse or receptionist

was that said those things to you so they can assure the state that

the proper diciplinary actions have been taken.

Mike Hatch's office is working on the insurance/medical issues.

Good luck, and go get them!

> Sheila,

>

> Holy cow!!!!!!!!!! I'm so pissed right now for you that I can feel

my blood pressure going up. Oh I'd love to get ahold of that nurse

and add my two cents and then I'd like to punch her right in the

nose! HOW DARE SHE CALL YOU A HYPOCHONDRIAC!!!!!!!!!!! I cannot

believe her complete and total $itchy attitude. She really has her

nerve. I hope you can find a new ped right away that has support that

staff that is just that.....supportive!!!!

>

> I'm glad that you were approved for the loan and can continue with

insurance. That really is good news. I'm also glad that the

specialist will see you even without the referral. Let us know how

that goes!

>

> Marci (Mom to )

> Oklahoma

[Guest guest]

That is an excellent idea!!!

]

> > Sheila,

> >

> > Holy cow!!!!!!!!!! I'm so pissed right now for you that I can

feel

> my blood pressure going up. Oh I'd love to get ahold of that nurse

> and add my two cents and then I'd like to punch her right in the

> nose! HOW DARE SHE CALL YOU A HYPOCHONDRIAC!!!!!!!!!!! I cannot

> believe her complete and total $itchy attitude. She really has her

> nerve. I hope you can find a new ped right away that has support

that

> staff that is just that.....supportive!!!!

> >

> > I'm glad that you were approved for the loan and can continue

with

> insurance. That really is good news. I'm also glad that the

> specialist will see you even without the referral. Let us know how

> that goes!

> >

> > Marci (Mom to )

> > Oklahoma

[Guest guest]

In a message dated 7/23/2002 12:06:56 AM Eastern Daylight Time, dweston6587@... writes:

The Ped can deal with the investigation, and you can be

rest assured they will try to find out who the nurse or receptionist

was that said those things to you so they can assure the state that

the proper diciplinary actions have been taken.

Sheila,

Oh that would be sooooo awesome and such sweet revenge on that b!tch! Do it for us! I can't stand her and I don't even know where she is!! Go for it!

' Mom