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Topic: Insurence BUFFS ???? (Read 399 times) |
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cootie
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Insurence BUFFS ????
« on: Feb 1st, 2006, 2:43pm » |
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I know a few of ya work at insurence co's and pretty much know the ropes......got a question for ya for my mom. She has some sort of 'spells' and sounds kinda like hypoglycemic attacks but the doc is saying mild siezures. She seems to have them at the end of the month tho.....real wierd.....she'll have several and gets weak and shakes and has to sit down. They jus sound so much like the glycemic attacks which I get off and on but both of us check out fine sugar wise. OK so her doc sent her to a neuro. She was takein sumthin like Xanax for them which really wasn't doin her any good and leavein her kinda tired a while.......cuz normally she has the attacks that last a minute or less and feels fine. She may have several a day......so I dunno what to think. Known alot of freinds that took this route and the docs never did figure it out......most mentiond MS but never had proof with any tests. Some were on strong meds for MS and changed there lives drastically.......few years later they were told they NEVER had it in the first place. And with alot of them the spells seem'd to lighten up and kind of run a course.....wierd stuff. Mom's neuro wants cat scan and this and that and has already done MRI's and stuff. Her insurence says NO WAY to a cat and sum other stuff. Not sure myself if the further expensive testing will prove much.....they already told her there's no surgery or anything. Maybe jus blood thinners or if bad enuff there's siezure meds but they HAVE to have the tests to pursue it further and the neuro DROPPED her cuz ins said NO to them. I'm not sure of his intent on this.......some sort of kick back on the tests he demands or will they help with a better view of whatever there lookin for ? Seem's everything else is fine but mention of some form of restricted blood flow at the brain stem area. And ironically that was mentiond for others I have known with the wierd spells in variations......but no one ever found out the REAL problem still. And some they still suspect MS but nothin to prove it test wise. Mild siezures seem to come and go......then back off. My mom is concern'd cuz her regular doc said maybe she could have a stroke or sumthin if they don't run the tests....which scared her. She had alot of spells the end of this month and now seems fine. (the usual ?) She retired......not on any major meds other then high blood pressure. Her doc and neuro told HER to call and talk the ins co into letting them to the cat and tests......I think THEY would need to call not the patient !? Mom doesn't know the medical terms or names of stuff or condition or areas effected to get past a denial. If the docs WON'T call I dunno what there tryin to pull. Guess these tests will be expensive and one reason ins co's are denyin it cuz they don't see what more they can show esp in this condition to help with treatment. I am asking all this muble jumble for my mom......I told her I'd ask my insurence co geru's on the message board and get back to her. I still think the docs need to call the physicians hotline and not tell HER to persuade them to cover the tests so they can be done. They will not help her now cuz of it which has me FREAKED out !!! How cruel to just drop her like that. Esp when surgery was not even an option. Is this a money game ??? Thank you all.....and my mom says THANKS too. Insured insurence Pam
Sorry this is so LONG......had to explain what's goin on........ 
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BarbaraD
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Re: Insurence BUFFS ????
« Reply #1 on: Feb 1st, 2006, 2:52pm » |
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In the meantime -- put her on a HIGH protein diet. If it is hypoglemia that will help. No carbs for a while. Take vitamins (multi - plus). Has she had a gloucos tolerance test done (the 6 hour one)?
I'm SICK of insurance companies too.... I'm ready to get them out of medical practices and let the docs handle it.....
Hugs BD
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cootie
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Re: Insurence BUFFS ????
« Reply #2 on: Feb 1st, 2006, 4:24pm » |
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The docs haven't even sudgested hypogcyemia......small beans daignosis for them......there on the brain area route and goin with that......and mom says that is NOT what it is. She's been tested several times for sugar stuff......not sure bout the tolernace test and I did sudjest all that or it be sumthin related. But everyone is convinced it is more and goin with it. Wierd thing is mom's regular doc gave her tranquilizers for the 'spells' at first for while........she'd start to get that weak feeling and wierd sensation come over her and gets shakey and can't function for a few minutes then feels FINE. She was havein more spells and went back to the regular doc who orderd exrays and MRI done to her head/neck area....then he tells her she has several herniated disks possibly causein the spells. (huh ??) He tells her about the surgery where they go in thru the front of your neck and sent her to a surgeon neuro guy. Mom has never had issues with headaches or migraines or neck pain what so ever.....her doc still recommended the surgery to treat the spells. (yeah rite) Luckily mom is smart enuff then to just 'follow suit' but did go to the surgeron neuro guy who didn't even MENTION herniated disks ! He order'd more testing.......but mom's ins said NO. They paid the previous ones the regular doc order'd tho. The new neuro dude mention'd an aneurysm when she first went to see him (he goin over her reports) and she about fainted it scared her so bad cuz she'd never heard it mentiond.....but here it was by her regular doc only to get her ins to permit the pervious MRI ect and pay for it butnever mentiond to her he did that.....he didn't really see one or suspect one. So then this neuro guy looks over her MRI and exrays she'd already had and said he "thought" she may have a bit of a blood flow problem at the brain stem......some narrowing or maybe misshapen vessels. Guess that is the area that would cause her symtoms if this was the case with some sort of blood flow problem or if there was a tumor or whatever or injury which there is not. He is jus saying a possible blood flow problem there..... so she has to try to get the ins to agree to the tests he wants cuz he is now refuseing any treatments for her WHAT SO EVER until she gets it done. Even if she pays out of pocket the full amount......I jus don't see how that can be the patients job ? He would have better terms and explain it to the ins co better then my mom as to why they are neccisary. So I dunno.....it jus sounds like 'shinanigons' to me !!! I haven't heard where either doctor has really STATED they "see" A PROBLEM.....I think there guessing. I have anouther friend goin thru about the same THING.....only his ins pays for whatever the doc orders and he's been haveing tests and cat scans for a couple years now. Still no real diagnosis and there sayin 'blood flow problem' at the base of the brain stem maybe or MS but no proof showin up !! Hate to see mom get pulled into a medical nitemare and the spells go away and she end up stressed out and scared thinkin it is a brain problem and it be sumthin they never figure out. Or she pays for tests herself and end up broke. They pay there own ins and dad is retired and on big bucks meds for a kidney transplant he had a few years ago. I don't want there ins to drop them or premiums go way up cuz of all this either. Strange how siezures would come at the end of each month......I mentiond to her diet and glucose problems but she is dead set on the brain blood flow issue rite now and tests get done sumhow. Shouldn't se demand the neuro doc call ins to explain ?? Or doesn't he want to cuz he knows he CAN'T explain it cuz he really doesn't have a clue ? Mommy dearest Pam
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BarbaraD
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Re: Insurence BUFFS ????
« Reply #3 on: Feb 1st, 2006, 5:12pm » |
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Pam, I HAVE hypogloceyma (or however you spell it - low blood sugar). It mirrors a lot of things. Too much sweets can bring on a "spell" (sugar drops and you get dizzy, out of sorts, groggy - lots of things). Hell, I went into a coma one time - pigged out on donuts - didn't know what the hell was happening.. I still love donuts, but don't try to eat the whole box now.
When she has a spell - give her cheese. That's usually the quickest thing to get to. It gets protein back in the system quick. When you don't EAT, you can have a "spell" - thow cheese at her.
I went thru the 6 hour tests (sometimes the 4 hour test doesn't show up what the 6 hour test will) and the doc told me to stay away from sweets, eat a lot of protien and lay off the carbs. Of course he told me to quit smoking, quit caffein and some other stuff that I ignored, but that's a different story...
Seriously, if it is hypo -g... (or even if it isn't) the low carb, high protein diet won't hurt her a bit and she'll probably feel better anyhow. Try to talk her into it.....
Hugs BD
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cootie
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Re: Insurence BUFFS ????
« Reply #4 on: Feb 1st, 2006, 7:15pm » |
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Thanks !! I've thought it was hypoglycemia from the start but then her doc got on this 'siezure' bender and then it went from anxiety/panic attacks to herniated disks to brain aneurysm to blood flow restriction at the brain stem !! I've not seen her go thru the spells myself.....but she says she feels them come on suddenly and she gets very weak and shakey and has to sit down. Then she feels FINE. Mom isn't a big eater at all but I think she snacks alot at nite......she bakes alot of awesome stuff. So I have thought diet had sumthin ta do with it.....she's not skinny at what little I have seen her eat when out. She says her sugar is fine and I kept sendin her articles about sugar problems and symtoms of hypoglycemia blah blah blah email. But she is convinced it is a BRAIN problem. I can't get her to think elsewise......I know how hypoglycemia can be cuz I get spells with it and you do get weak and shakey as hell and have to chill out or pass out. And you can feel when one is comein on most the time......but she's goin to specialist now in other areas and there never goin to look at anything else.....I think they want to run tests till she is tired of it......I jus hope she doesn't go ahead and pay for the future tests herself and blow all that money and they still are undecided and want MORE testing. And go on like this for years like some others I know goin thru similar cases. Isn't it the doctors job to call the insurence co to request they cover stuff......if they are all sayin "she" has to do it herself isn't that a sign they just don't want to have to TRY to explain themselves cuz they CAN'T ?? Guessing game Pam
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BarbaraD
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Re: Insurence BUFFS ????
« Reply #5 on: Feb 1st, 2006, 7:45pm » |
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Guess I don't know what to tell ya.... All it took was a friggin' box of donuts to convince me. Maybe you can try taking her a box of donuts... I'm kidding kid. I really don't have an answer - wish I did.
Good luck. Parents can be such babies sometimes can't they? I just wish I had mine back to fuss at.
Hugs BD
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