If you've been keeping up with "The Bumpy Ride," then the title probably tells you; that we now have three out of three, sick kids. Now, I know that it must not be enjoyable to read about other people's sick children; but don't be so fast to skip this post; because what I'm going to share my surprise you.
When last you left me sick home; Nicky and Lyndzi were running fevers and both had been treated by doctors at Urgent Care. Well, yesterday afternoon Kelsie started coughing and complained of a sore throat. By the evening, her fever of 102.5 had set in; so I kept all three kids home from school today; and as soon as our Pediatrician's office opened at 8, I called to make appointments for both Kelsie AND Lyndzi. Nicky seemed to be improving; but I was still uncertain about Lyndzi as I had reasons to doubt the Urgent Care doc. I asked for an appointment with one of the two pediatricians that we typically see; and was lucky enough to get one at 1pm. In the meantime, we did breathing treatments, took Ibuprofen and all of the other meds that had been prescribed.
Since Kelsie had complained of a sore throat; they did a throat culture; which didn't go well. Kelsie was less than cooperative, which made the experience a lot more difficult and unpleasant. I can't say that I blame her though. I remember being told that it used to take two nurses to hold me down for a culture; so I guess the apple didn't fall far from the tree. Our pediatrician then came in, and I brought her up to date on all of the illness and diagnoses that we'd gotten from Urgent Care. Let's start with Lyndzi's first diagnosis - Bronchitis... Our doctor said that Bronchitis is something that smoker's get and that as soon as most Urgent Care docs see some one will respiratory illness; they call it Bronchitis. Next, Nicky's Sinusitis. She said that there's no way they could diagnose Sinusitis within such a short time of him getting sick. You would have to have green, goopy discharge for about ten days, in order for it to be Sinusitis; and as far as his Bronchitis; see previous explanation. Let's move on to ear infections. After examining Lyndzi, our doctor said that she had no idea how she could be diagnosed with an ear infection; when she couldn't even see her eardrum due to wax buildup. she told me to get Debrox; and I told her that I had asked the Urgent care doc about that; by name, for Nicky and was told that the build up was too bad for that and that he'd need to come back when he was feeling better to have it flushed out. Our doctor was appalled and assured me that we could treat their ears well, with the Debrox.
I told our doctor that I was doubting the Urgent care doctors because Nicky had been prescribed cough syrup with Codeine, and his cough wasn't nearly as bad as Lyndzi's had been (either time;) and yet she wasn't prescribed any. And our doctor told me that the cough syrup with Codeine was actually very dangerous for Asthmatics; GREAT! I explained that Lyndzi had been prescribed a lower dosage of the Asthma steroid, even though she weighs more than Nicky; and she told me that both she and Nicky should have been prescribed 60mg instead of the 10 and 20mg's that the doctors had prescribed. I told her about the Tamaflu and she asked me if the doctor had done a Flu swab. I said "No." And she told me that you cannot diagnose the Flu without a Flu swab; and that I had done the right thing NOT giving Lyndzi the Tamaflu, because there are a lot of bad side effects from it. She said that even if Lyndzi has the Flu; she wouldn't have prescribed it.
With all that being said; the doctor concluded the girl's examinations and told me that Kelsie's throat culture was negative and she thought they had the Flu; so they had to be swabbed. I asked where they do the swab and she said "in the nose." She left the room and my girls started to panic. I tried to keep them calm, but when the male nurse came in the room; all hell broke loose. The girls asked where he puts the swab and he told him that it had to go up the nose all the way through the nasal cavity. They asked if it was going to hurt; and he replied "Do you want me to be honest, or lie to you?" And before they could answer he said "It's uncomfortable. It's worse than a throat culture." And the girls both FREAKED OUT. They both started crying hysterically and they begged me to take them home. It broke my heart. I knew that they had to get the swabs done; but they were scared and there was nothing that I could do to make it better. Lyndzi went first, and she screamed and cried as the swab went up her nose. Kelsie watched and cried almost louder than Lyndzi. As soon as Lyndzi was done I embraced her and tried to comfort her, but the nurse was telling Kelsie to get on the table and she was refusing. Kelsie implored me not to take the test; and I started to cry. The nurse made a comment about needing to get someone else in the room since I wasn't going to be of any use; and with that, another nurse came in and they held Kelsie down and swabbed her nose as she kicked, cried, and let out a blood curdling scream. I held both girls; and apologized profusely; for what they had to go through. Shortly thereafter, our doctor came back in and said they were both positive.
Our doctor said that because they'd had the Flu shot, their symptoms were not nearly as bad; as if they hadn't taken it. She said that it shouldn't last as long; and that they needed to stay home from school until they were 100.2 or less for 24 hours. She also said that we should assume that Nicky too had the flu and we should treat him accordingly. OY!!!!
I called urgent Care to speak with the office manager, because I wanted to let her know that I'd been there 3 times in two weeks and I received a number of misdiagnoses, inappropriate prescriptions, incorrect dosing, and life threatening mistakes. I had to leave a message; but rest assured, this is a conversation that will be had.
All three kids are resting comfortably now; and the girls don't seem to be any worse the wear after this traumatic experience. I swear, if I could have done it for them; I would have. It's so difficult to watch your children be afraid and know that there is nothing that you can do. I'm hoping for a speedy recovery; and that Luis and I manage to escape the perils of the Flu.
"Hey Paige Ramos; what are you going to do if everyone gets well soon?" "I'm going to DISNEYLAND!"
Till next time...
Queen of EVERYTHING
Showing posts with label Doctors. Show all posts
Showing posts with label Doctors. Show all posts
Monday, February 7, 2011
Wednesday, October 13, 2010
(43-78) You Know You Have A Problem When...#9
You know you have a problem when you pay through the nose for your insurance; and then a doctor prescribes you a hundred dollar medication, that your insurance doesn't cover.
When I wrote "Just Another Day," I didn't mention that on our way to Chick-fil-A, my right eye became incredibly, itchy; and uncomfortable. I didn't omit this for any particular reason; I just didn't think that an irritating, itchy eye was worth mentioning at the time.
Well at 215am, Hershey had herself a little barkfest, so I got up to let her out, and noticed that I had some crust on the previously, itchy eye; and it wasn't just the kind the sandman leaves. Thankfully, it wasn't goopy (sorry if this is TMI,) but nonetheless, I was concerned. When I got up at 515, I inspected my eye, and although there was no discharge; it was still unusually, itchy and it didn't look the same as my other eye.
After I dropped the kids at school, I went to Urgent Care, fearing that I had Pink Eye. I don't frequent Urgent Care as my co-pay is $75; but if it was Pink eye; I knew that it needed to be dealt with right away. I arrived at urgent Care 10 minutes before they opened, but chose to sit in my car and update my date book. When I saw 2 women waiting outside the door; I immediately joined them, and the Urgent Care door opened punctually. The woman ahead of me paid $3.50, and the woman following me (who had no insurance;) paid $99. I was struck by the disparity, considering that I pay about $500 a month for insurance for my kids and I, and that's after my employer contribution.
I was amused when the nurse asked me how much I thought I weighed and what my height was; not that I wanted to step on the scale; in fact I'd dreaded it, but I couldn't figure out, why he was just taking my word instead of asking me to step on the scale that was located IN THE ROOM.
The doctor promptly came in to see me and he couldn't have been nicer. But after checking me out; he advised me that it wasn't Pink eye that I had; but allergies. Great! $75 to find out that I have allergies,which I've been taking meds for ALL OF MY LIFE. OK, sure; I was very relieved not to have Pink eye, trust me. But there was definitely an annoyance factor, in finding out that the insatiable itch was being caused by allergies.
The doctor prescribed some eye drops; and advised that there were some over the counter products that could work as well. I said "Maybe I should just get the over the counter drops;" to which he replied, "Well check with the pharmacist because the over the counter ones can be a bit pricey; like $10."
I went in to CVS and asked the pharmacy tech if she could tell me how much my prescription would be, before they filled it. She asked me to wait a few minutes, then called me over and told me that my insurance didn't cover the eye drops, so it would be $103.95. I was taken aback. I asked why they didn't cover it, and pointed out that the prescription stated that substitutions were allowed; but she said their was no generic. I was perplexed. She told me that the pharmacist would be back in a minute, and I could speak with him to see what he suggested. I greeted David (the pharmacist) as he walked past me. He's my favorite pharmacist, and quite familiar with me and my family. The tech explained the problem and he immediately came out and took me to the over the counter aisle, and gave me a $6 package of eye drops that he said should do the trick. I asked if I should buy the artificial tears that the doctor had recommended, and David told me to save my money and just try the allergy eye drops for now. On a positive note, I'll say; I LOVE David! And if you live in my area, then I highly recommend that you bring your prescriptions to the CVS at 83rd Avenue and Thunderbird. But on the other hand, I have to ask "what the heck is wrong with this picture?"
For the life of me, I don't understand how I pay SO much for insurance, and pay an exorbitant amount for my Urgent Care co-pay; only to find out that the allergy, eye drops the doctor prescribed; are not covered by the insurance that I pay so much for. In my perfect world, if the doctor that I'm paying so much to see, after what I've already paid to my insurance, thinks that I require a particular medication; then my insurance darn well better cover it; OR perhaps the doctor should have to make sure that a certain medication is covered on the patients plan; and provide an alternative if necessary. I think that they get paid enough to do that. To make sure that a patient is going to be able to get the medication that they prescribed at a somewhat reasonable price; but hey, that's just me.
Sometimes you just have to laugh. I think that's a part of how you FLOW; because seriously, when you consider that this whole itchy eye thing, should have been added to my day full o mishaps from yesterday; it just keeps getting more and more unbelievable. Couple that with this insurance incident and I've got quite the week going. Am I dismayed about the insurance infraction? You betcha! But unfortunately, there are some things that are beyond our control, and even though it stinks; there's absolutely nothing that I can do about it; so once again; I'm gonna FLOW.
Till next time...
Queen of EVERYTHING
When I wrote "Just Another Day," I didn't mention that on our way to Chick-fil-A, my right eye became incredibly, itchy; and uncomfortable. I didn't omit this for any particular reason; I just didn't think that an irritating, itchy eye was worth mentioning at the time.
Well at 215am, Hershey had herself a little barkfest, so I got up to let her out, and noticed that I had some crust on the previously, itchy eye; and it wasn't just the kind the sandman leaves. Thankfully, it wasn't goopy (sorry if this is TMI,) but nonetheless, I was concerned. When I got up at 515, I inspected my eye, and although there was no discharge; it was still unusually, itchy and it didn't look the same as my other eye.
After I dropped the kids at school, I went to Urgent Care, fearing that I had Pink Eye. I don't frequent Urgent Care as my co-pay is $75; but if it was Pink eye; I knew that it needed to be dealt with right away. I arrived at urgent Care 10 minutes before they opened, but chose to sit in my car and update my date book. When I saw 2 women waiting outside the door; I immediately joined them, and the Urgent Care door opened punctually. The woman ahead of me paid $3.50, and the woman following me (who had no insurance;) paid $99. I was struck by the disparity, considering that I pay about $500 a month for insurance for my kids and I, and that's after my employer contribution.
I was amused when the nurse asked me how much I thought I weighed and what my height was; not that I wanted to step on the scale; in fact I'd dreaded it, but I couldn't figure out, why he was just taking my word instead of asking me to step on the scale that was located IN THE ROOM.
The doctor promptly came in to see me and he couldn't have been nicer. But after checking me out; he advised me that it wasn't Pink eye that I had; but allergies. Great! $75 to find out that I have allergies,which I've been taking meds for ALL OF MY LIFE. OK, sure; I was very relieved not to have Pink eye, trust me. But there was definitely an annoyance factor, in finding out that the insatiable itch was being caused by allergies.
The doctor prescribed some eye drops; and advised that there were some over the counter products that could work as well. I said "Maybe I should just get the over the counter drops;" to which he replied, "Well check with the pharmacist because the over the counter ones can be a bit pricey; like $10."
I went in to CVS and asked the pharmacy tech if she could tell me how much my prescription would be, before they filled it. She asked me to wait a few minutes, then called me over and told me that my insurance didn't cover the eye drops, so it would be $103.95. I was taken aback. I asked why they didn't cover it, and pointed out that the prescription stated that substitutions were allowed; but she said their was no generic. I was perplexed. She told me that the pharmacist would be back in a minute, and I could speak with him to see what he suggested. I greeted David (the pharmacist) as he walked past me. He's my favorite pharmacist, and quite familiar with me and my family. The tech explained the problem and he immediately came out and took me to the over the counter aisle, and gave me a $6 package of eye drops that he said should do the trick. I asked if I should buy the artificial tears that the doctor had recommended, and David told me to save my money and just try the allergy eye drops for now. On a positive note, I'll say; I LOVE David! And if you live in my area, then I highly recommend that you bring your prescriptions to the CVS at 83rd Avenue and Thunderbird. But on the other hand, I have to ask "what the heck is wrong with this picture?"
For the life of me, I don't understand how I pay SO much for insurance, and pay an exorbitant amount for my Urgent Care co-pay; only to find out that the allergy, eye drops the doctor prescribed; are not covered by the insurance that I pay so much for. In my perfect world, if the doctor that I'm paying so much to see, after what I've already paid to my insurance, thinks that I require a particular medication; then my insurance darn well better cover it; OR perhaps the doctor should have to make sure that a certain medication is covered on the patients plan; and provide an alternative if necessary. I think that they get paid enough to do that. To make sure that a patient is going to be able to get the medication that they prescribed at a somewhat reasonable price; but hey, that's just me.
Sometimes you just have to laugh. I think that's a part of how you FLOW; because seriously, when you consider that this whole itchy eye thing, should have been added to my day full o mishaps from yesterday; it just keeps getting more and more unbelievable. Couple that with this insurance incident and I've got quite the week going. Am I dismayed about the insurance infraction? You betcha! But unfortunately, there are some things that are beyond our control, and even though it stinks; there's absolutely nothing that I can do about it; so once again; I'm gonna FLOW.
Till next time...
Queen of EVERYTHING
Labels:
Co-Pays,
Commentary,
Doctors,
Insurance,
Prescriptions,
Urgent care
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