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I don't find it common place when I get excited about diabetes, but yesterday, oh boy. I had my first appointment with a new P.A. and I think I gave him a hand cramp!
This visit marked my first day with a new bout of medical pros. I signed up with a new primary doctor, new endocrinologist, new P.A., and even new crabby dr.'s office receptionists that somehow came with the package. (They are another story though).
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Since I order new prescriptions usually once a month, I use an online mail order service. It makes it really easy to just type in some numbers and hit enter a few times to have my prescriptions mailed wherever I am at the time. This morning I went to refill my strips prescription (I'm on my last box so I'm a little behind). I know I've tested a lot more than normal lately and my prescription is on the low side (my fault for not updating it), but when I went to refill I double checked the dates to make sure I wasn't going to need to fax in a new prescription. I was fine, I could have ordered them two days ago if I wanted to.
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I don't have to take a ton of medicines to maintain my health, but there are a number of bottles from several pharmacies in my bathroom cabinet and by the kitchen sink. It's easy for me to know when I need to renew these meds because, well, when I look in the bottle and see only two pills left I know it's time to call the pharmacy!
But with insulin, there are no pills to count, no obvious visual reminder (unless you run out, of course!) that it's time to renew. It's only supposed to be good for about 28 days, but I never count the days. When I think it's about time to renew, I may look at the date on the prescription label to see when I last renewed it. If it's around the same time frame a month later, I know it's time to renew. However, it's usually more than 28 days; often it's more like 30 or 32 days. But what's a couple of days, right?
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I was busy. I thought it'd be here sooner. I just didn't take the time to think about it. The insurance company shouldn't be so slow. I have too many other things to handle. I'm still new to pumping so I haven't realized the increased needs. I couldn't really judge how much was left.
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With a tainted past of endless symptoms ranging from irregular periods to joint pain, I am constantly looking for new ways to manage my life. By manage my life I mean that I look for new techniques to relieve stress, I change my surroundings to optimize my happiness and I closely examine the medical choices I have to make. This all started about three years ago. Right after my senior year in high school, I started experiencing an array of symptoms. Slowly, they all compounded leaving me with an entire page of bullet points of things going wrong with me. Joint pain, muscle weakness, fatigue, irregular and painful periods, headaches, ear aches, mood swings and so on.
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We all know that diabetics have an increased risk of everything from heart disease to kidney disease to glaucoma. Because of this increased risk, it is very important for diabetics to have regular checkups in many fields. Personally, I am always scheduling appointments for one thing or another. My main appointments include the following:
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I've always been blessed with fairly amazing insurance. My dad worked for the city of Houston for several decades, so our family has always had the group policy with a large subscriber base and it's stayed the same since I was born.
After he retired, we kept the same insurance as part of his pension plan. Our co-pays rarely change for either doctors or prescriptions. They pay roughly eighty percent of most procedures and devices. And since I was blessed with a stable income family, I'm able to afford the $45 copays and twenty percent of the pump.
But in the last few years and with the new health issues, my health bills seem to be piling up. And with the economy the way it is, I'm starting to stress about how to pay for some of the necessary (and probably not so necessary) items.
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Waiting.
Waiting for his blood sugar to come down.
Waiting for his blood sugar to come up.
Waiting for the school to call with his numbers.
Waiting for him to come out of hiding so we can get this damn thing over with.
Waiting for the bruises to heal.
Waiting for science.
Waiting for his A1c result.
Waiting for good news.
Waiting for ketones to go away.
Waiting for his test strips to be delivered.
Waiting for technology to improve.
Waiting for restrictions to be lifted.
Waiting for people to understand.
Waiting for him to get older.
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It sounded like the ideal situation. One phone call and all my diabeetus testing supplies and medicine would be delivered straight to my door. No last minute trips the the pharmacy. No paying out of pocket to be reimbursed later. Everything would be taken care of with one quick phone call.
I fell for it in September. Like most relationships, it started out nicely. Three or four "quick" phone calls and they promptly delivered a three month supply of test strips and an equal number of lancets. And for a girl who only changes her lancets when we change the clocks (and only if I remember to that week), I now have a 600 year supply of lancets in my closet.
At the time, they were also supposed to send a three month supply of insulin. It still has not arrived. Five or six phone calls later, they tell me they are still waiting on my doctor to return their call.
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I am lucky. I have insurance. Sure I pay a lot out of pocket each month but the coverage is decent. Especially for my prescriptions. My co-payment is not too bad which I am thankful for since I have not only my
insulin and strips for my BG machine to buy but also 4 pills for other ailments. But each January I get shocked by the same surprise.
My $200 deductible. Now I am not fortunate enough to be able to drop 2 "C-notes" here and there. I live pretty much check to check and unless I get an extra $200 for "passing Go" then I am gonna have a problem. Luckily the pharmacy I use is awesome. They gave me one bottle of insulin and are letting me come back on my next payday to pick up and pay for the rest of my order. What life savers, literally.
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