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Re: hmo's..arggghhhhh

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On Thu, 04 Feb 1999 21:31:11 -0000 tb4717@... writes:

>Nicki...Work the system-don't take that for an answer-I have been w/

>Kaiser for 20 years, and yes it takes alot of effort (esp when I had a

>severally handicapped son for 4 of those years that constantly had

>life and death issues for 24 hours a day-and more specialists than I'd

>ever want to see again in this life time.)

snip

thanks for the pep talk debbie...

the derm department is a mess..very few doctors and even less

appts.....at my first call today..i was told that there were no

appts..and i would be put on a list...i called back and felt i had at

least made a little victory....i got an appt..but you are right..if you

bit*h and moan at someone ....it does help....

i go to pleasanton ( they had no appts)..so i called walnut creek....i

wanted to see a specific doctor..and that is a problem too....

i really have been pretty happy with kaiser until the last 6 months....(

we have belonged 18 years)...but lately the phone waits are horrible and

i don't like having to manipulate and cajole someone to get an

appointment

nicki

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Nicki...Work the system-don't take that for an answer-I have been w/ Kaiser for

20 years, and yes it takes alot of effort (esp when I had a severally

handicapped son for 4 of those years that constantly had life and death issues

for 24 hours a day-and more specialists than I'd ever want to see again in this

life time.)

Call again-tell WHOEVER answers that you NEED to see someone now or they'll be

personally accountable for whatever harm you end up inflicting on yourself or

your face if you don't get help now. If he/she still won't get you in soon-

like I'd allow 48 hours maybe- then get her/his name (ALWAYS DO THIS (from the

start, AND INSIST ON A LAST NAME TOO!) and say you insist on either leaving a

message for a (your) doctor or be connected to his/her physician voice mail-if

none of the above work-immediately call Membership Services and voice a real

loud complaint and say you medically can not wait a month for a REGULAR appt.

Folks-this goes for all medical practices-not just Kaiser or HMO's-threats do

work-but keep it civil, but MEAN what you say, and follow the paper trail up the

ladder to get satisfaction. I knew dozens of parents w/ critically ill children

in all kinds of HMO's, groups, independents, and they all had problems, some

even lost their children to ignoramouses who wouldn't listen to them or put them

off. It isn't just HMO's. Medical care is what you make it. One thing I have

always been greatful for w/ Kaiser is there are specialists within the practice,

many of them (and they aren't all carbon copy dunces of the " System " I've seen

many of them loudly disagree with one another, or insist you see someone else if

they didn't approve of a colleague) -and you don't have to wait for 4-6 weeks

while a committee reviews your doctors referral as to wether you need a

specialist or not, like many other group insurnace plans do. And if they didn't

have a specialist w/in the Kaiser group close by-we always got to see

independent ones just because our (personal) doctor requested it. Medicine is

medicine and the beaurocrats are bad everywhere-you really need to work it and

not take no for an answer-you are paying their paychecks-not vice versa. It's

hard, believe me I know, to sometimes be assertive and make yourself pushy-I

persoally found, and still find, it hard. But when my son was alive, I had no

choice but to learn-and fast- for his sake 'bull dog debbie' i became. I don't

care if it's life or death-or a itchy, burning face-we pay real good to be taken

care of-there are cancellations daily and you can be seen if you make it clear

you WILL be seen. Go fight em girl..I'll give free pep talks at the least

resistance. Where in the Bay Area? are you-I personally go to ez because,

even though not the closest Kaiser to me, it is small and run more like a " sane "

clinic than many larger ones-the pace is slower there and most everyone treats

you there like a name rather than a number. GOOD LUCK...debbie g. (P.S.whine

and snivel to the voice on the phone-they'll probably be happy to turn you over

to a doc!)

wrote:

Original Article: /list/rosacea-support/?start=1103

> I just called my HMO..kaiser..today...

> and told the advice nurse i was having a terrible

> flare up with my rosacea...my face is a mess..

> and the first appt i could get..is march 5th....

>

> i will be glad when we leave the HMO..and get

> a different insurance this summer....it is very frustrating not to be

> able to be seen before a months time...

>

> nicki..not always a whine and snivel queen..really!

> ___________________________________________________________________

> You don't need to buy Internet access to use free Internet e-mail.

> Get completely free e-mail from Juno at http://www.juno.com/getjuno.html

> or call Juno at (800) 654-JUNO [654-5866]

>

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On Fri, 5 Feb 1999 10:27:58 -0800 (PST) Voigt

writes:

>

>After all, we always do our " whining " with panache, style, and a

>great

>sense of humor!!! We're a neat group,

>Regards,

>Carol

>

i agree carol...

this is a great way to compare info and products....i am sure

it will save us money and aggravation and i especially enjoy reading what

other dermatologists recommend...

i have so many questions and comments..but i will try not to

over-post.....i went to the webpage and saw TOO many messages with my

name on them.....i didn't realize how many things i had sent since

finding the list.....i've never been in a support group before...

and i am embarrassed by how i am looking so obnoxious...and wordy....

i promise to read and be quiet for a while..

i would welcome email ..if anyone has any questions

nicki@...

nicki

___________________________________________________________________

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Get completely free e-mail from Juno at http://www.juno.com/getjuno.html

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On Fri, 5 Feb 1999 16:46:50 EST Lucyre@... writes:

>Hi Nicki,

> If i were you I would call another derms office and get an

>appointment..or

>pay out of pocket(I did and it was only 45.00, it was well worth it

>for

>me)...

the one i went to 3 weeks ago was a private doctor..and it was $85.00..i

told her i was kaiser(HMO)..but i don't think she gave me a break on the

cost....

yea..in my next life..i am marrying a veterinarian-dermatologist combo...

nicki

___________________________________________________________________

You don't need to buy Internet access to use free Internet e-mail.

Get completely free e-mail from Juno at http://www.juno.com/getjuno.html

or call Juno at (800) 654-JUNO [654-5866]

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Hi Nicki,

If i were you I would call another derms office and get an appointment..or

pay out of pocket(I did and it was only 45.00, it was well worth it for

me)...I told my Derm I wasn't using my Ins and she said ok and only charged

me 1/2 what they charge the Ins companies...

Donna/Lucy

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Nicki,

I personally like your " whining and sniveling " --what other e-site has

folks who would really listen to us? Most of them don't have this

ongoing--and I swear, incurable--situation so they're " bored " because they

don't understand what we go through--many of us, throughout a lifetime!

First with " teenage acne " and then in our twenties, develop this stuff????

After all, we always do our " whining " with panache, style, and a great

sense of humor!!! We're a neat group,

Regards,

Carol

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Nicki,

I really enjoy hearing what works/what doesn't for everyone--we're all so

different. I feel frustrated sometimes, having spent as much money as I

have on all of these various " treatments " and seeing things get worser and

worser!! Ugh I think we all have this feeling at times. It's good to

" talk " to a group where the issue is taken with interest; as I've

encountered a lot of supposed doctors who feel that it's a " trivial "

concern because it isn't " life threatening " Ha! I can't count the number

of times I've toyed with the thought of suicide--at the very least, how I

could get away with one of those paper bags over my head! And...who

hasn't heard this " helpful remark " -- " gee, looks like your face caught

fire and the fire was

stomped out with a spiked track shoe " Yeah, cute, alright.......I'm

convinced that kids' cruelty just goes more subtle with years

Carol

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Nicki,

I really enjoy hearing what works/what doesn't for everyone--we're all so

different. I feel frustrated sometimes, having spent as much money as I

have on all of these various " treatments " and seeing things get worser and

worser!! Ugh I think we all have this feeling at times. It's good to

" talk " to a group where the issue is taken with interest; as I've

encountered a lot of supposed doctors who feel that it's a " trivial "

concern because it isn't " life threatening " Ha! I can't count the number

of times I've toyed with the thought of suicide--at the very least, how I

could get away with one of those paper bags over my head! And...who

hasn't heard this " helpful remark " -- " gee, looks like your face caught

fire and the fire was

stomped out with a spiked track shoe " Yeah, cute, alright.......I'm

convinced that kids' cruelty just goes more subtle with years

Carol

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