Guest guest Posted March 29, 2005 Report Share Posted March 29, 2005 Hi there! I have a 3 year old that was just dx with pauci also about 2 months ago, so we're very new to this as well. I'm guessing you must be somewhere in NC (since you said Chapel Hill.) I'm wondering if you saw the post the other day with a compiled list of pediatric rheumatology docs all over the states? wondering if you could find a good doctor through there? Good luck to you and your daughter and we'll keep in touch as we both learn!!! Welcome! Colorado mom to Lexi, 3 with pauci Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2005 Report Share Posted March 29, 2005 Hi , Welcome to the compassionate group (don't get scared off by the last couple days of ridiculous posting -- I've been on this over a year and have NEVER before read so much disrespect by an individual). I have learned so much about labs, meds, treatments, schooling, etc. and there are a lot of very knowledgeable people here on many aspects of JRA. There are many websites to help you with general stuff on the disease, meds, treatments like all the links Georgina has on her page, the Arthritis Foundation, uveitis.org, etc. Are you seeing a Pediatric rheumy? If not, that would be key. Are you keeping a daily journal of aches, pains, complaints, meds, etc.? Most of us here do. That way, a lot of the fuzziness goes away when you finally are with the rheumy and you're not trying to remember things and having them all run together. Whenever you think of a question, write it in your journal so you remember to ask the rheumy. If you're not satisfied with the rheumy you have, by all means look for another. You need to have the personal level in a relationship that suits you, which may be a very different need from someone else. A good book is one by a Dr. Lehman that several people here have and refer to. Maybe they can chime in with the name again. At the beginning, I read a book from the AF called Raising a Child with Arthritis. It touches on a wide variety of subjects in addition to JRA and gives good advice on how to deal with it as a family, doctors, schooling. Stacia and Hunter 8 systemic, iritis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2005 Report Share Posted March 29, 2005 Hi , I am sorry to hear of your bad experiences with your rheumatologist. Dealing with our sick kids is tough enough, we don't need uncompassionate health care professionals. Even if your rheumatologist is supposed to be the best in the world, if you are not happy, find another doctor! We are extremely happy with our rheumatologist and we still went for a second opinion. This is just too important to not be 110% sure you are doing the right thing. Good news for us he confirmed that our rheumatologist is doing the right thing. There are lots of great new drugs out there but some have scary potential side effects. Find a PEDIATRIC rheumatologist that knows JRA well and can help educate you to the available drugs along with the down sides to each. Make sure he/she is also willing to do what it takes to get our kids out of pain and working towards remission... that is the goal for everyone here! If the treatment you are getting isn't working, find someone who will do something that will work. There is also fairly new research (2004) stating that with young kids, if treated agressively in the early stages of the disease, there is a higher liklihood of getting to remission. I hope you find the right doctor and treatment soon. Don't take no for an answer, keep pushing until you get the results you want and are 100% satisfied, even if it means traveling to another doctor in another city. Brad (Kate 3 poly) > > > My 2 yr old daughter was diagnosed with JRA in January of this year. > It started out in her left knee, but is now in her right knee and > ankle. They have diagnosed her for the time being with > pauciauticular. She had steroid injections done on Feb 6 and thought > that would make a dramatic difference, it did for about 4 days and > since then it has gone into her ankle. she takes advil 4 times a > day, the most she can have in a 24 hr period. Her rheumatologist is > hard to get anything out of and had not scheduled any physical > therapy and when i kept reading about how important that was i > phoned him and had to speak with his nurse. she told me well that > can be set up with her pediatrician. she also said she was under the > impression that she was seeing the physical therapist when she goes > to Chapel Hill. I am very upset about all this happening to my once > happy, healthy little girl. I am confused about where to turn and > what to do. I am fixing to have them refer her to Duke for a second > opinion and to see if i can see someone who is more helpful in > educating me on this. i have tried to do research and have found > some helpful things, but i have lots of questions that should have > been answered already. Her present rheumatologist seems to have no > interest and acts like it is no big deal. well it is a very big deal > to me especially with her being so young and her sight can be > affected as well. I would appreciate any help and information any > one can provide for me. I am also trying to find a support group in > our area.I know have been long winded in writing this, but i need > all the help i can get! > Thanks to all who can help > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2005 Report Share Posted June 8, 2005 Hi Angel, welcome to the group. Im Kathy and I am on the same meds as you, though I have no problems, except loss stools, with the imuran, though my dose is only 150 a day..I am sure he will increase it though. I sure hope you get to feeling better soon. Let us know what your blood work says..=) ...· ´¨¨)) -:¦:- ¸.·´ .·´¨¨)) Take Care, ((¸¸.·´ .·´ Kathy -:¦:- -:¦:- ((¸¸.·´* May your troubles be less, your blessings more, and nothing but happiness comes through your door! §«¤»¥«¤»«¤»¥«¤»§«¤»¥«¤»«¤»¥«¤»§«¤»¥«¤»«¤»¥«¤»§«¤»¥«¤»«¤»¥«¤»§ Our loved ones never truly leave us...they live on in the kindness they showed, the love they gave, and the memories we have of them. ~~~~~~~~~~~~~~~~~~~~~~~~~ KeeslerAFBRelocationAssistance-subscribe http://kmsavelio.tripod.com/chinookwindssiberianhuskies SiberianHuskyDogBreeders-subscribe MilitaryWeatherWives-subscribe On Wed, 08 Jun 2005 04:26 , 'Connie' <angel34@...> sent: > > > > >Hi, I was newly diagnosed with AIH in March. I am currently on > >Prednison 15mg, and was on Imuran 250mg although it started making me > >very sick so I stoped it. My liver test were doing great, were back > >to normal and then they started going up again. I have blood taken > >again Thursday and hope they are better. I am not sure how much > >damage was done to my liver, the Doc said I would have to wait a year > >for another biopsy to see how much scarring there is. I do have some > >pain in my right side but it is not bad. I do have alot of fatigue, so > >am unable to work at this time. I also am a diebetic so am on > >insilin, ya all know what prednison does to blood sugars. I also have > >nausea through out the day. I have found some chat rooms for AIH but > >no one is ever in them. I am open to all replys and hope I can find > >someone to talk to. angel > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2005 Report Share Posted June 8, 2005 Hi Angel, I was dx with AIH in May of 2002, gosh it is hard to believe it has been 3 years already. I started out on 20 mg of Predisone then had blood work in a week to see where my levels were. They went from the high 1000's down to the mid 100's. Then I started on the Imuran 50 mg. I have since been increase to 150 mg. I have been on and off Predisone numerous times. It seems after I wean off the Predisone my levels increase within a few months. I am presently weaning off the Predisone again . My doctor doesn't want to increase my Imuran any higher as she says the chances of side effects will increase dramatically. I have learned from this group that the Imuran is some what based on your weight and in that case I think I could go on a much larger dose especially if it lowers my levels and keeps me off the predisone. As far as any side effects I have had only weight gain and the round chubby face, but then I already had both those problems anyhow. lol I was told I was at stage 4 of the liver disease with some fibrosis. My chief complaint when my levels are up is the muscle, tissue and joint pain. When they were in the 1000's I screamed when I lifted my foot a half inch and my husband would slide my shoes off...the pain was terrible. I know when my levels are going up because I will have joint and muscle pain as if I have arthritis. This is a great group. I am mainly a lurker. Mainly because I write such long emails. But, I am sooooo thankful they let me lurk and learn so much about this disease that I will have to live with for the next 60 years or so. Or until a cure is found. Take care of yourself, get as much rest and fresh air as you can I know it always make a better day for me. Jennie in MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2005 Report Share Posted June 8, 2005 Hi Angel did you try taking something besides Imuran? There are other meds and some people do better on them. I understand the fatigue we all go through it. As you heal your energy should get better . Please feel free to ask any questions you have someone will always answer you. There are alot of very knowledgable people here. Welcome Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2005 Report Share Posted June 8, 2005 Hi Angel, You are not alone, I was diagnosed 8 years ago and was on Imuran for a couple on months but it started to affect my blood so i had to come of it my bloods went up for a while after that but then the pred got my AIH under control, I had a few flare ups over the years but generally kept very well. My Liver damage was very advanced so in Dec last year I ended up having a liver Transplant and have never felt better. I hope you start to feel better soon feel free to contact me anytime I know EXACTLY what you are going through, Keep Positive i truly believe that helps > Hi, I was newly diagnosed with AIH in March. I am currently on > Prednison 15mg, and was on Imuran 250mg although it started making me > very sick so I stoped it. My liver test were doing great, were back > to normal and then they started going up again. I have blood taken > again Thursday and hope they are better. I am not sure how much > damage was done to my liver, the Doc said I would have to wait a year > for another biopsy to see how much scarring there is. I do have some > pain in my right side but it is not bad. I do have alot of fatigue, so > am unable to work at this time. I also am a diebetic so am on > insilin, ya all know what prednison does to blood sugars. I also have > nausea through out the day. I have found some chat rooms for AIH but > no one is ever in them. I am open to all replys and hope I can find > someone to talk to. angel Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2005 Report Share Posted June 29, 2005 Hi Kathy, No they haven't determined which autoimmune disease that I have. I have tested positive for ANA but not AMA. My enzymes are quite elevated. This has been a frightening experience. It's good to be able to talk to people that have been through it. I'm about to turn 40 in a few weeks. I have xanthomas-more specific to pbc, but not the positive AMA. I'm thinking I too may have both. Thanks for the support-Dianne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2005 Report Share Posted June 29, 2005 Hi Kathy, No they haven't determined which autoimmune disease that I have. I have tested positive for ANA but not AMA. My enzymes are quite elevated. This has been a frightening experience. It's good to be able to talk to people that have been through it. I'm about to turn 40 in a few weeks. I have xanthomas-more specific to pbc, but not the positive AMA. I'm thinking I too may have both. Thanks for the support-Dianne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2005 Report Share Posted June 29, 2005 Hi Diane, I'm Kathy. I am 40 years old and was diagnosed with Autoimmune Hepatitis and Primary Biliary Cirrhosis back in December. Have the Drs put you on any medication to bring your liver enzymes down to normal range? Welcome to the group. Its a very supportive and friendly group of people who know how you feel and have been through it all. ...· ´¨¨)) -:¦:- ¸.·´ .·´¨¨)) Take Care, ((¸¸.·´ .·´ Kathy -:¦:- -:¦:- ((¸¸.·´* May your troubles be less, your blessings more, and nothing but happiness comes through your door! §«¤»¥«¤»«¤»¥«¤»§«¤»¥«¤»«¤»¥«¤»§«¤»¥«¤»«¤»¥«¤»§«¤»¥«¤»«¤»¥«¤»§ Our loved ones never truly leave us...they live on in the kindness they showed, the love they gave, and the memories we have of them. ~~~~~~~~~~~~~~~~~~~~~~~~~ KeeslerAFBRelocationAssistance-subscribe http://kmsavelio.tripod.com/chinookwindssiberianhuskies SiberianHuskyDogBreeders-subscribe MilitaryWeatherWives-subscribe On Wed, 29 Jun 2005 17:22 , 'diannemass' <luzdianne@...> sent: > > > > >Hello, > >My name is Dianne and I'm from MA. I came across this group while > >hunting for information on liver issues. I've recently been diagnosed > >with liver disease, likely related to autoimmune issues. This has been > >quite an experience as I didn't know that anything was amiss. I went > >to the dr's for routine blood work and was informed that I have > >abnormal liver enzymes. I've since been through a series of tests and > >it appears that I have a type of autoimmune disease. Not sure which > >one at this point. I was thrilled to find your group, as it appears to > >be very supportive. I look forward to getting to know all of you and > >having the opportunity to listen and learn. Good wishes-Dianne > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2005 Report Share Posted June 29, 2005 Hi Dianne. Welcome. You'll find alot of support and very knowledgeable people with Liver Disease experience here. I'm new to the group - cirrhosis - almost lost my life back in September of 2004. Like you, I didn't know that anything was amiss. Woke up one morning vomiting maroon colored blood. I knew that wasn't right. Called my Doc. and rushed myself to emergency. Then one thing led to another. I couldn't believe what was happening to me. I had always been a healthy,active person. They say I'm a walking miracle. For the amount of blood I lost, most people don't survive. They say prayers and my strong heart is what got me through. I owe my strong heart to my 2 daughters, 17 and 12. The loves of my life. My Angels. ;-) Take care and know that you have found a wonderful group to be a part of. I'm here, Peace, Cherie > Hello, > My name is Dianne and I'm from MA. I came across this group while > hunting for information on liver issues. I've recently been diagnosed > with liver disease, likely related to autoimmune issues. This has been > quite an experience as I didn't know that anything was amiss. I went > to the dr's for routine blood work and was informed that I have > abnormal liver enzymes. I've since been through a series of tests and > it appears that I have a type of autoimmune disease. Not sure which > one at this point. I was thrilled to find your group, as it appears to > be very supportive. I look forward to getting to know all of you and > having the opportunity to listen and learn. Good wishes-Dianne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2005 Report Share Posted June 29, 2005 Hi Dianne! My name is Ellie. I am also new to this site. I am more of a reader than a participator. I was recently dx with AIH. It also was a complete surprise to me....and not a happy one. I haven't had a liver biopsy yet. The doctor tells me that will be in the near future. I was put on meds immediately; UrsoForte, Prednizone, and Azasan. I am now off of the Urso and the Pred. I'll get another checkup in two months. I'm hoping my liver count will be stabilized with just the Azasan. We'll see. Anyway, I wish you well. These people in this group are very knowledgeable and there is much to learn.diannemass <luzdianne@...> wrote: Hello,My name is Dianne and I'm from MA. I came across this group while hunting for information on liver issues. I've recently been diagnosed with liver disease, likely related to autoimmune issues. This has been quite an experience as I didn't know that anything was amiss. I went to the dr's for routine blood work and was informed that I have abnormal liver enzymes. I've since been through a series of tests and it appears that I have a type of autoimmune disease. Not sure which one at this point. I was thrilled to find your group, as it appears to be very supportive. I look forward to getting to know all of you and having the opportunity to listen and learn. Good wishes-Dianne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 --- Hi dianne, I'm new to the group too. I was just diagnosed in March. So this is all new to me too. I'm just learning about this disease. I also live in MA. The people here are just wonderful you don't feel like you are alone. You can learn so much here from everyone. Missy In , " diannemass " <luzdianne@a...> wrote: > Hello, > My name is Dianne and I'm from MA. I came across this group while > hunting for information on liver issues. I've recently been diagnosed > with liver disease, likely related to autoimmune issues. This has been > quite an experience as I didn't know that anything was amiss. I went > to the dr's for routine blood work and was informed that I have > abnormal liver enzymes. I've since been through a series of tests and > it appears that I have a type of autoimmune disease. Not sure which > one at this point. I was thrilled to find your group, as it appears to > be very supportive. I look forward to getting to know all of you and > having the opportunity to listen and learn. Good wishes-Dianne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 Dear Dianne and Missy, Welcome to this fabulously supportive group. I have been only lurking for the last few months, I have had too much going on in my life. Now I will more actively be around. Neither of you said very much about what kind of liver problems you are having, maybe the doctor's have not yet determined it. I just want you to know that there is life after diagnosis. I have been diagnosed with a liver disease called something fatty liver disease, usually aquired by people who drink a lot. I have never indulged in alcohol, not even for a once a month drink of wine. Maybe once a year! The doctors have told me my liver problem had to do with autoimmuno disease also. I was diagnosed first when I broke out with " Discoid " (?) Lupus on my skin,all over, and they did all kinds of tests including a liver biopsy and determined that not only do I have a very enlarged liver, but also have a good dose of liver cirrhosis. I was put on Ursodiol 4 caps a day , and am taking 4 caps of Milk Thistle with doctors' permission (approval?). This condition was diagnosed in 1999 after many years of diabetes (for 10 years), asthma ( that they did not know where it came from, or how to treat), arthritis (for 20 years) and increasing levels of allergies. All somehow associated with autoimmuno disorders. Since I started that regiment of the liver medication, plus " Actos " for diabetes after it became available, I have progressively felt somewhat better, very slowly. I have not had another bout of lupus, my tests are OK, my asthma is under control, my diabetes is fairly in control, and after my last gastrointestinal exam for bleeding ( and removal of bleeding polyps) my anemia is in control. I feel better than I have for a long time, although my 70 years is beginning to interfere with the good feelings. So be curious, ask questions, from the doctors and the members of this group, and have faith. You will both be able to learn to live with this condition. Clara from OR. --- Hi dianne, I'm new to the group too. I was just diagnosed in March. So this is all new to me too. I'm just learning about this disease. I also live in MA. The people here are just wonderful you don't feel like you are alone. You can learn so much here from everyone. Missy In , " diannemass " <luzdianne@a...> wrote: > Hello, > My name is Dianne and I'm from MA. I came across this group while > hunting for information on liver issues. I've recently been diagnosed > with liver disease, likely related to autoimmune issues. This has been > quite an experience as I didn't know that anything was amiss. I went > to the dr's for routine blood work and was informed that I have > abnormal liver enzymes. I've since been through a series of tests and > it appears that I have a type of autoimmune disease. Not sure which > one at this point. I was thrilled to find your group, as it appears to > be very supportive. I look forward to getting to know all of you and > having the opportunity to listen and learn. Good wishes-Dianne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2005 Report Share Posted June 30, 2005 Dear Dianne and Missy, Welcome to this fabulously supportive group. I have been only lurking for the last few months, I have had too much going on in my life. Now I will more actively be around. Neither of you said very much about what kind of liver problems you are having, maybe the doctor's have not yet determined it. I just want you to know that there is life after diagnosis. I have been diagnosed with a liver disease called something fatty liver disease, usually aquired by people who drink a lot. I have never indulged in alcohol, not even for a once a month drink of wine. Maybe once a year! The doctors have told me my liver problem had to do with autoimmuno disease also. I was diagnosed first when I broke out with " Discoid " (?) Lupus on my skin,all over, and they did all kinds of tests including a liver biopsy and determined that not only do I have a very enlarged liver, but also have a good dose of liver cirrhosis. I was put on Ursodiol 4 caps a day , and am taking 4 caps of Milk Thistle with doctors' permission (approval?). This condition was diagnosed in 1999 after many years of diabetes (for 10 years), asthma ( that they did not know where it came from, or how to treat), arthritis (for 20 years) and increasing levels of allergies. All somehow associated with autoimmuno disorders. Since I started that regiment of the liver medication, plus " Actos " for diabetes after it became available, I have progressively felt somewhat better, very slowly. I have not had another bout of lupus, my tests are OK, my asthma is under control, my diabetes is fairly in control, and after my last gastrointestinal exam for bleeding ( and removal of bleeding polyps) my anemia is in control. I feel better than I have for a long time, although my 70 years is beginning to interfere with the good feelings. So be curious, ask questions, from the doctors and the members of this group, and have faith. You will both be able to learn to live with this condition. Clara from OR. --- Hi dianne, I'm new to the group too. I was just diagnosed in March. So this is all new to me too. I'm just learning about this disease. I also live in MA. The people here are just wonderful you don't feel like you are alone. You can learn so much here from everyone. Missy In , " diannemass " <luzdianne@a...> wrote: > Hello, > My name is Dianne and I'm from MA. I came across this group while > hunting for information on liver issues. I've recently been diagnosed > with liver disease, likely related to autoimmune issues. This has been > quite an experience as I didn't know that anything was amiss. I went > to the dr's for routine blood work and was informed that I have > abnormal liver enzymes. I've since been through a series of tests and > it appears that I have a type of autoimmune disease. Not sure which > one at this point. I was thrilled to find your group, as it appears to > be very supportive. I look forward to getting to know all of you and > having the opportunity to listen and learn. Good wishes-Dianne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2005 Report Share Posted August 1, 2005 Hi Coral, you're an Aussie aren't you? What part of Aussieland are you in? I'm in NSW. When my partner was being considered for transplant I did a fair bit of research relevant to NSW hospitals etc. Glad to share if it would be of help. anne [ ] new member Hi my name is Coral l was diagnosed with liver desease 3.5 years ago and was told one month ago that l need to decide if l want to go on the transplant list.It was not an easy decision but l am going to do it. I am scared about the whole thing it would be great if someonewho has had a transplant could tell me what sort of things that mayhappen such as pain, recovery time, and how they are doing now.My husband has been great about everything and has said that he will support me 100% whatever l decide to do.I dont have children to worry about just my 2 cats and 2 dogs.I try to keep busy with arts and crafts but l guess like most of you fatigue tiredness and pain is a big problem.Some mornings l wake and wish the day was already over most people around me dont understand what l go through. Well thats enough complaining from me. I hope to get to know some of you by for now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2005 Report Share Posted August 1, 2005 Welcome Coral I must say I am not always replying to some of the messages that are posted but I try to welcome new comers. My name is Chondra. This is a very supportive group of people and there have been many times I just read because some of the post gets to my heart and all I can think about is my son whom I joined the group for. He is brave and I try to be when he is looking but beneath it all I am scared. The doctors say he is doing good and all but you know mom is still worried. I see sometimes although he denies it that he just lie around and don't do anything. He tells me sometimes that he hurts but he keeps going because he don't' want to stop. I admire that about him so much not giving up. The doctors caught his disease in the first stage which I count a blessing. Well I don't want to hold you up I will talk later. Chondra__________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2005 Report Share Posted August 29, 2005 Hi Janet, My brain is alittle fried because it's so late. But if you are refering to the case in New Jersey for a child CP last name " s " (hippa), my girlfreind did the billing. that's what she does, she is a medical billing specialist. She handles NJHBOT.COM and rose... send me an email and I will send you some helpful CMS links too. PS I am an RN too and I have a sechrist...what's yours? Sudylo RN CHT > Hi, > > I just joined your group after a friend told me about it. I own a provider > agency here in North Carolina that provides Medicaid waiver services to > children and adults with special needs. I just purchased an HBOT chamber > about 3 weeks ago for my 13 year-old son with vaccine-induced autism. I was > going to start accepting private pay clients to use the chamber but if I can > bill this to Medicaid, I could use this for any of my clients who are > interested. I have so many that just have no money for this extra expense > and I am very excited about possibly finding a way to bill directly to > Medicaid so I can offer this to them as well. Do you have any information > on who in my state would know about this? My friend forwarded an email > between Freels, Dick Perruzzi, and Jane Manuszak. I emailed her but > apparently both she and Dick no longer work for DMA. I have sent an email > to the head of DMA but if you have any info I would certainly appreciate it. > > Thanks!!! > > Janet Presson, R.N., M.Ed. > President > A Small Miracle, Inc. > 919-751-9089 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2005 Report Share Posted August 30, 2005 Unless the regulations have changed for your sate, the only way to bill any agency or private insurance is to be either an MD or a DO. Any of the other medical practitioners are not eligible. And as you know, one must already have a Medicaid provider number registered before they can bill. If you do have a MD or DO who will bill through their number, best of luck.....most states have been very difficult and resistant to payment of any HBOT services which were not owned by a hospital. You can try to bill the 99183 for physician supervision, but you would not be eligible to bill the c1300 technical fee. Jay A Rain, DMT, CHT Director South Coast Hyperbaric Medicine & Wound Care Center 3 Professional Park Drive Webster, Texas 77598 281.554.8848 " He Heals most Successfully those in which he has the most confidence " - Galen [ ] New Member Hi, I just joined your group after a friend told me about it. I own a provider agency here in North Carolina that provides Medicaid waiver services to children and adults with special needs. I just purchased an HBOT chamber about 3 weeks ago for my 13 year-old son with vaccine-induced autism. I was going to start accepting private pay clients to use the chamber but if I can bill this to Medicaid, I could use this for any of my clients who are interested. I have so many that just have no money for this extra expense and I am very excited about possibly finding a way to bill directly to Medicaid so I can offer this to them as well. Do you have any information on who in my state would know about this? My friend forwarded an email between Freels, Dick Perruzzi, and Jane Manuszak. I emailed her but apparently both she and Dick no longer work for DMA. I have sent an email to the head of DMA but if you have any info I would certainly appreciate it. Thanks!!! Janet Presson, R.N., M.Ed. President A Small Miracle, Inc. 919-751-9089 " I know the plans I have for you, " declares the Lord, " plans to prosper you and not to harm you, plans to give you a future and a hope. " [ 29:11] _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. _. Join the International Hyperbaric Medical Association http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf Is HBOT at your hospital? http://apps.nlm.nih.gov/medlineplus/directories/index.cfm EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html Unrestricted downloads of 50+ pdf files on HBOT efficacy medicaid/files/ , 2/files/ and http://www.drneubauerhbo.com/papers.htm Download your state EPSDT program http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word " ameliorate " . State Medicaid websites http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, http://www.netnet.net/mums/hbolistGA-NC.htm, http://www.netnet.net/mums/hbolistOH-WI.htm HBOT can save billions of dollars and millions of heartaches. Subscribe to by sending a blank email to mailto:medicaid-subscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2005 Report Share Posted August 30, 2005 Jay, Thanks for the info. I do actually have 2 Medicaid provider numbers for the other services we provide but I don¹t have an M.D. or D.O. on staff. I do know some physicians who would write prescriptions for HBOT but they don¹t work for my agency and wouldn¹t be present when the HBOT is provided. I guess I may just continue with my original plan with the private pays. Janet On 8/30/05 9:53 AM, " Jay A Rain, DMT, CHT " <jay@...> wrote: > Unless the regulations have changed for your sate, the only way to bill > any agency or private insurance is to be either an MD or a DO. Any of > the other medical practitioners are not eligible. And as you know, one > must already have a Medicaid provider number registered before they can > bill. If you do have a MD or DO who will bill through their number, > best of luck.....most states have been very difficult and resistant to > payment of any HBOT services which were not owned by a hospital. You > can try to bill the 99183 for physician supervision, but you would not > be eligible to bill the c1300 technical fee. > > > Jay A Rain, DMT, CHT > Director > South Coast Hyperbaric Medicine & Wound Care Center > 3 Professional Park Drive > Webster, Texas 77598 > 281.554.8848 > " He Heals most Successfully those in which he has the most confidence " - > Galen > > > [ ] New Member > > Hi, > > I just joined your group after a friend told me about it. I own a > provider > agency here in North Carolina that provides Medicaid waiver services to > children and adults with special needs. I just purchased an HBOT > chamber > about 3 weeks ago for my 13 year-old son with vaccine-induced autism. I > was > going to start accepting private pay clients to use the chamber but if I > can > bill this to Medicaid, I could use this for any of my clients who are > interested. I have so many that just have no money for this extra > expense > and I am very excited about possibly finding a way to bill directly to > Medicaid so I can offer this to them as well. Do you have any > information > on who in my state would know about this? My friend forwarded an email > between Freels, Dick Perruzzi, and Jane Manuszak. I emailed her > but > apparently both she and Dick no longer work for DMA. I have sent an > email > to the head of DMA but if you have any info I would certainly appreciate > it. > > Thanks!!! > > Janet Presson, R.N., M.Ed. > President > A Small Miracle, Inc. > 919-751-9089 > > > > > > > " I know the plans I have for you, " declares the Lord, " plans to prosper > you and not to harm you, plans to give you a future and a hope. " > [ 29:11] > _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. > _. > Join the International Hyperbaric Medical Association > http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf > > Is HBOT at your hospital? > http://apps.nlm.nih.gov/medlineplus/directories/index.cfm > > EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html > > Unrestricted downloads of 50+ pdf files on HBOT efficacy > medicaid/files/ , > 2/files/ and > http://www.drneubauerhbo.com/papers.htm > > Download your state EPSDT program > http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the > word " ameliorate " . State Medicaid websites > http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver > programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html > > Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, > http://www.netnet.net/mums/hbolistGA-NC.htm, > http://www.netnet.net/mums/hbolistOH-WI.htm > > HBOT can save billions of dollars and millions of heartaches. Subscribe > to by sending a blank email to > mailto:medicaid-subscribe > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 7, 2005 Report Share Posted October 7, 2005 Hi I was just diagnosed with PBC about 3 weeks ago. I have another autoimmune disease that I was dx with 7 years ago, so to get another one was a bit of a shocker for me.....I cried for a couple of days, then had some cheesecake! LOL. I don't know much about PBC yet but this group is pretty great. Zanna CA-37-PM and PBC >From: pvvelas <pvvelas@...> >Date: Fri Oct 07 01:14:12 CDT 2005 > >Subject: [ ] New Member >Hello everyone, >My name is , even though the name reads " Velasquez " . >I have recently been diagnosed with PBC and was so shocked and sad and >really scared.? Can someone who is very knowledgable abt. this pls. >email me and give me info on this.? I've been reading about this >mostly online info and would like to hear from anyone who would like >to communicate with me.? Also, if anyone is on Ursodiol medication, >pls. let me know how it's working for you.? Thank you!!!!! >? > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 7, 2005 Report Share Posted October 7, 2005 , I am on 1000mg of urso a day. I am being treated for AIH. My hep. doc. said that it will protect my liver. Not many AIHers are on urso but I have had no bad reactions to it. It is just so expensive. Kathy --- pvvelas <pvvelas@...> wrote: --------------------------------- Hello everyone, My name is , even though the name reads " Velasquez " . I have recently been diagnosed with PBC and was so shocked and sad and really scared. Can someone who is very knowledgable abt. this pls. email me and give me info on this. I've been reading about this mostly online info and would like to hear from anyone who would like to communicate with me. Also, if anyone is on Ursodiol medication, pls. let me know how it's working for you. Thank you!!!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 7, 2005 Report Share Posted October 7, 2005 Zanna, We are in the same boat. I'm new to PBC and am just starting to read abt. this. I was dx Sept. 6th and was really shocked. I'm so sorry that you got another one. But.....WE are not going to let this beat us or take us over. I was so worried and couldn't sleep for over a week and then I thought....o.k., enough is enough, if I don't stop all this, I will really get sick with all this worrying. I just had to really get a grip on myself. So....now I'm trying to stay positive and still count my blessings!!!! I'm glad you had your cheesecake, hey we do need some pleasures right???? I am thankful for this group.....Stay in Touch, Zanna <mrsxanadu@...> wrote: Hi I was just diagnosed with PBC about 3 weeks ago. I have another autoimmune disease that I was dx with 7 years ago, so to get another one was a bit of a shocker for me.....I cried for a couple of days, then had some cheesecake! LOL. I don't know much about PBC yet but this group is pretty great. ZannaCA-37-PM and PBC>From: pvvelas >Date: Fri Oct 07 01:14:12 CDT 2005> >Subject: [ ] New Member>Hello everyone,>My name is , even though the name reads " Velasquez". >I have recently been diagnosed with PBC and was so shocked and sad and >really scared.? Can someone who is very knowledgable abt. this pls. >email me and give me info on this.? I've been reading about this >mostly online info and would like to hear from anyone who would like >to communicate with me.? Also, if anyone is on Ursodiol medication, >pls. let me know how it's working for you.? Thank you!!!!!>? >>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 10, 2005 Report Share Posted October 10, 2005 , Yes a positive attitude is the key! I learned that a long time ago when I was dx with this other disease. At least this time, it didn't take me quite as long to get through my pity party! I am still alive and not willing to be sad every day. Life is good and each day on earth is a blessing! Zanna Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2005 Report Share Posted November 4, 2005 Tonia: Yes, patience is what you are going to need to deal with all these insensitive people, but in the mean time, do your detective work. Read what I wrote to Mason today and keep on reading and talking to people... Doctors don't have all the answers. You and your son will have some work to do together. Help is on the way! Tonia <tonia_b_90806@...> wrote: Hello everyone My name is Tonia and my 13 yo son was just diagnosed with Complex Partial Seizures. I am so frustrated. They first started in June and I knew something was very wrong. The first two doctors I took him too had no idea what was happening, the third doctor thought he had narcolepsy, since he falls asleep right after the " episode " . But she sent him to a Pediatric Neurologist. As soon as I describe my son's symptoms, the doctor knew exactly what was happening and showed me on a chart that listed the different types of seizures. My second source of frustration is from his school, because to his automatic actions during the seizures and his falling asleep, they do not want him in his regular classes until this is under control, so this means either home schooling (I am a single parent so this is very hard) or sending him to school and he has to sit in the detention room for the entire day so that he can have constant supervision. The school says it's a safety issue, which I understand since some of his class are upstairs (among other reasons). But I feel that he is being punished for no reason. No one wants to be cooped up in one room for 8 hours a day when they've done nothing wrong. He gets treated just like the students in there for OCS (on campus suspension). The final source of my frustration is my HMO, now I know we all have problems with our HMO so you all understand what I mean. At first they gave me an appointment 2 and a half months later and now they are trying to schedule STAT EEG's and MRI's weeks from now. I've had to call and call and I finally got my visit and the EEG. I'm still waiting for the MRI date. After the EEG they are going to put him on medication. I hope this helps. I'm here to find out as much information as possible for me and his sister (who has to stay with him when I'm not around because he will lay down and sleep ANYWHERE after the seizure, even on the sidewalk outside. Thanks for letting me vent. Tonia Quote Link to comment Share on other sites More sharing options...
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