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Old 05-02-2013, 03:46 PM #1
sandy56 sandy56 is offline
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Mad Getting frustrated with the system

My neuro said last week that I needed to be referred to the Mayo for worsening symptoms. Since that time my symptoms continue to progress. I have gone from purely ocular symptoms to speech and breathing issues. Also my vision is bad most of the day with more general body weakness. I am now only working 2 days a week due to fatigue. I have to sleep in recliner many nights due to heaviness in my chest. When I called the office to see what progress had been made I found out they had not started the process at all. The nurse told me they were getting it done as fast as possible (yea right). When I told her my concerns about my progressing symptoms she directed me to go to the local ER if needed. I asked them to call me when the referral finally goes out so I can follow up with Mayo and my insurance. I must say I have lost a lot of confidence in the staff. Anyone have any suggestions on how to move the process along? I have met with another local MGer and he expressed concern over my condition. (thanks bill) I feel I have to take him seriously since I have never seen anyone else with MG nd have no idea what symptoms to worry about.
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Old 05-02-2013, 04:16 PM #2
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You can get your GP to do the referral. But you will probably have to do a lot of phone calls and faxing of results on your own. That is what they told me for John Hopkins. John Hopkins said there is a review process by a board and a usual 3 month wait list. But they did say that if symptoms worsened, to keep them updated and they may be able to bump the appointment up with a cancellation. Good luck and let us know how you make out.

If I were you I would pursue it. I definitely think it is worth the effort to get the best experienced doctors who treat more aggressively.

kathie
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sandy56 (05-02-2013)
Old 05-02-2013, 04:20 PM #3
4-eyes 4-eyes is offline
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I am pretty aggressive where my health and the health of my family is concerned, and have no difficulty whatsoever in calling the referred institution and explaining situations. I find it very effective.

I'm glad you have an "in-person" contact. Definitely if the breathing really bothers you, or you can no longer manage saliva, get into an ER the fastest way possible.

Hope you get some action soon.
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Old 05-02-2013, 08:55 PM #4
sandy56 sandy56 is offline
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Thumbs Down insurance nightmare

Unfortunately I have Tricare Prime as my insurance as my husband is retired military. It is the most restricted plan and the cheapest. It made sense when I was healthy but now there are many more hoops to jump through. You are restricted to in network docs only unless a lengthy referral process is done. I spoke to a Tricare Rep and they advised me not to see anyone until they approved the referral. If I did so the claim would most probably be denied. The only other way to go is through the ER. The Er doc can call in whoever they want.
I am doing somewhat better since I started taking some Huperzine A yesterday. My breathing and weakness are better. I am going to start calling the office staff everyday until the referral gets sent. This is stressful and exhausting
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Old 05-04-2013, 02:38 AM #5
AnnieB3 AnnieB3 is offline
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Sandy, See my response in your other post. Dr. Weiss is covered by TriCare.

Annie
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