Sunday, March 21, 2010

Why I Need Health Care Reform

This has nothing to do with the health reform bill that is going to be voted on in a few short hours. Instead, this has to do with the bureaucratic bastardos at my insurance company who are overruling my doctor's decision to put me on a subcutaneous pump with anti-nausea meds.  Their reasoning is that I'm trying to move (in my own words) from a handgun (Zofran) to a nuclear bomb (the pump). They want to see a longer demonstrated line of meds we've tried and that have failed.  The Zofran is keeping me from vomiting constantly, but does nothing to get rid of the constant nausea and dizziness.  Tried the Phenergan suppository (yuck) on Thursday night -- it made me feel sicker and I spent half the night in the bathroom. Let's cross that one off.

Now, I don't totally disagree with the insurance company's general reasoning.  It would be better to not go to the nuclear bomb if something smaller would work.  In my situation, however, I'm at such a dramatic lack of health, that we need to find the remedy that will be the most effective and work in the shortest amount of time.  Now is not the time for onesies-twosies.  I have missed two weeks of work, and have not left my bedroom, let alone my apartment in a week (that, to go to the doctor).

My doc, who I totally love, can't believe how difficult my insurance company is. She just keeps going over all the things we do have documented on my chart that speak towards getting the pump (weight loss, spilling ketones, threatening dehydration, can't keep any food down but toast, stopped all prenatal vitamins, stopped my happy pills (Zoloft) which leads to me crying while watching C-SPAN and a general lack of non-rational behavior, constant nausea, constant vertigo, etc.) Told my doc that they probably don't even care about the weight loss, because their thinking is probably well, she's so fat, that she's probably healthier now.  Just realized that I have now lost 15 lbs (unfortunately not documented medically) in 4 weeks. May bring this number up to the doc on Monday to add to the chart.

I've found that my apple juice/water has been helping to hydrate me.  I'm nowhere near hydrated, but am much better off than I was with the ginger ale.

My mom helped me to shower and wash my hair this past week.  G-D bless her.  Instead of standing up in the shower, I sat down, facing away from the faucet, and we used a handheld sprayer*, so I could tilt my head back rather than forward while washing my hair.  Feeling clean made me feel so much better.

*We bought and installed the handheld sprayer before JD's first foot surgery, since he wasn't able to get his foot wet for X weeks.  I forgot that we still had it because I don't use his shower normally.  For anyone having showering issues (for whatever reason) I highly recommend this, it was really cheap and we bought ours at Home Depot and installed it ourselves.  If we can do that, anyone can.


~Jess said...

Oh sweetie *hugs* insurance can be such bastards! I'm hoping something soon convinces them that you need this and not something serious either. I'm thinking about and praying for you.

Kelly said...

As if feeling badly isn't enough, to have to deal with the insurance company, too. I am so incredibly sorry that you're going through this. Take is easy, as best you can. (((HUGS)))

PJ said...

Oh my, I didn't realize it was that bad. Bless your heart!

I hate it when insurance companies play games like that. I guess they would rather pay for your trip to the hospital, which will likely be way more expensive than the meds. Preventive care, folks!

Feel better!

SassyCupcakes said...

So frustrating. I'm so sorry you're having such a hard time.

Anonymous said...

That totally sucks ass that you are so sick. I wish they could admit you and be done with it- surely a pump would be cheaper than that..

Jen B said...

I am sorry to hear you are suffering such severe morning sickness. I can't comment on health insurance becuase I am biased and I hate those idiots.

I know that you are upset about not being able to take zoloft right now. Do you have a plan for your medication after giving birth?

After struggling so much to get this far, I would hate to see you go through the same thing as Dooce. I wish you all the best and hope that you get to experience every moment of joy possible.

Lucy said...

So sorry you're not feeling well, and that insurance is being awful. I went through a similar issue, trying to get IVF coverage...they wouldn't authorize IVF because the previous 3 IUI cycles I hadn't had "exposure to sperm"...of course, those cycles were canceled due to overstimming and risk of HOMs...which is why I needed took three months to get the IVF approval...their neverending red tape and paperwork was ridiculous.

I hope it doesn't take you that long to get approval! I was struggling emotionally and bearing the effects of the canceled cycles, but I was not suffering anywhere as near as much as you are right now!

kimbosue said...

BLECH to all of the above! Hope you get approval soon.

Calliope said...

ugh. it sounds just awful!!!
SO hoping the red tape can be slashed soon and relief finds you.
Not being on happy pills with all of the extra fun hormones would have driven me over the edge!!!
((hugs)) (but not too tight)

Meghan said...

I'm so sorry. Sorry you're feeling so sick and even more sorry the insurance company is full of assholes. Don't they realize a pump must be cheaper than admitting you for dehydration? Stupid people

But I'm glad you like the drs. I hope they can work something out that brings you some relieve

Liddy said...

Insurance companies blow! I hate them.

Thinking of you. Many many hugs!

Photogrl said...

So NOT fair.

I hope you can get approval soon!