Really need some advice..

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knorland
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Re : Really need some advice..

Postby knorland » Mon Oct 04, 2010 01:08 pm

I'm not familiar with military protocols. But if it were me, I would screw the system and go for a consultation with a specialist, even if it was at my own expense. I'd do that now with my health care plan wouldn't allow it. You can't be denied a good doctor, just $ to cover it.

If the consultation shows a problem, I would think then they would HAVE to refer you to a specialist, then you could have coverage. And you are only out the couple hundred bucks to $1K for a consultation/tests.

Maybe it doesn't work that way, but it should!!!

Good luck. Either way, fight, fight, fight! Dig into military resources to help you through the system. Go up the chain of command, etc. You clearly are concerned and need to be reassured and proven wrong/right. Wrong, I hope you are wrong. :)

Kelli

klutsyone01
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Re : Really need some advice..

Postby klutsyone01 » Mon Oct 04, 2010 02:16 am

Also find out who is one step further in that commanders chain of command. This is unacceptable.

lexus9903
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Re : Really need some advice..

Postby lexus9903 » Sat Sep 25, 2010 12:54 am

Thanks! It was not my husband's commander. Hubby is Air Force and this is a Navy hospital so we are already not in the "in" crowd.
We were told that it was the hospital Commander, but I think it was the Commander of thr OB department. She called me and apparently thought rank scared me and told me I had no choice and no rights. Going through patient advocacy now, next step IG.

missgamecock
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Re : Really need some advice..

Postby missgamecock » Wed Sep 22, 2010 04:28 pm

How can the Commander DENY your referral? Was it the hospital Commander? Since when did hospital Commanders have the time to go through the ZILLIONS of referrals that come through? I was a military brat and my dh was military. I have never heard of such a thing? If you have a Hospital Commander that has the TIME to go through referrals like that, he is lacking in other areas (maybe running the hospital!). If it was your husband's Commander that squashed it, well what the he!! does he have to say about YOUR medical care. That is private information, even for the military! You need to get with Tricare and get a patient advocate. Tricare should be the one coordinating your care and getting you into a MFM. Commanders should not even be seeing that information (I know how busy they are as I used to chase them down for when a soldier failed a drug test for a physical exam and review of their meds!). There is only ONE time in all of my life as a military brat (my first experience with a "civilian" hospital was when I had Kirsten and it was in Belgium!) and army wife that I ever saw the hospital Commander as a dr. It was in the acute care clinic in the military hospital in Belgium. It was ONLY because they were severely shortstaffed. He was furious because I had previously been seen for strep 2 weeks earlier and the young captain that saw me said well you have strep nothing I can do. Take two tylenol. When I came back I had pus everywhere in my throat. Needless to say that young captain got a talking to.

I would definitely be fighting that. Call tricare asap and get in with a patient advocate and explain what is going on. If your dr gave you a referral, the Commander has no business denying it unless he is actually seeing you as a patient. Even then I would get a new dr! Don't back down till they give you what you want period! Find out who is stopping you from being released by the hospital and go over their head through the chain of Command.

Edited to add: Don't be afraid to take charge of your own care. Be polite but firm. Don't be afraid to make a lot of noise. Sqeaky wheel gets the grease. Go up through the chain if you have to.

jules2
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Re : Really need some advice..

Postby jules2 » Wed Sep 22, 2010 11:43 am

Don't accept being told b*lls*t or inadequate care - ask for a referral

jules2
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Re : Really need some advice..

Postby jules2 » Wed Sep 22, 2010 11:42 am

That's utterly ridiculous! The urine tests are pretty cheap - compared with things getting so bad that you need to be admitted to intensive care for example. Complete rubbish and whoever said that has no idea what they are talking about (I'm married to a health economist).

sezza
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Re : Really need some advice..

Postby sezza » Wed Sep 22, 2010 00:18 am

my thoughts are that you should never feel bad to jump up and down if you are ever worried about you, your baby or the service that you are getting.
it would be far better to jump up and down and for it to be ok rather than you not to and it not to be ok, or to worry about it until the next appt.. if you feel that you need to be seen more or by different drs then push for that. or get someone to help you push.... it can be pretty hard when it is full on emotionally and especially when it is the military ( sorry i have no idea about the military)
I cannot believe that they were going to refuse you a test that was not cost effective. That is appalling!!!!!!!
Good luck

lexus9903
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Re : Really need some advice..

Postby lexus9903 » Tue Sep 21, 2010 07:04 pm

Thanks so much! Everything is complicated because hubby is military, and even though I have a referral from my PCM telling them I need a hig risk specialty doc, they are refusing to release me from the hospital. We're in the process of fighting that now, but it is going to be something they will drag their feet on to try and keep me there.

You are right though, its tough, because having been through it, we're extra cautious, and *know* what our bodies do with this. That's something the docs just don't get!

My first pregnancy, they refused to do the urine test saying that I was wrong and just had high BP and said the test wasn't "cost effective". They finally did it and I was admitted and induced that day. I guess I am on edge even more since I know that they ignored my concerns last time, and this time seems to be a repeat.

Thanks for the response!

melissam
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Re : Really need some advice..

Postby melissam » Tue Sep 21, 2010 06:56 pm

Hmmmmm, that is hard. I think I would push your doctor a little bit more to get into an MFM. Do you have to have a referral from him in order to get into one? At 14 weeks there isn't much that can be done, but with my first, I was started on PB meds, however, they were not jumping at that point, just going up.

It is such a hard position to be in, because you have already had an experience that none of us wants to repeat, but at the same time, we sit an try to figure out if we are going over board. BLAH! So, I would go with your gut and push your doctor a little bit harder and perhaps schedule something with an MFM or start searching for a new doc that is going to take your feelings into account. Good luck and let us know what you decide.

lexus9903
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Joined: Thu May 12, 2005 11:13 pm

Really need some advice..

Postby lexus9903 » Tue Sep 21, 2010 06:17 pm

I am on my second pregnancy now, and am currently 14 weeks. My first pregnancy was 5 years ago, and I had preeclampsia. During this, I experienced, visual disturbances, high BP, and protein in urine (1500). I was induced almost 2 months early, and everything seemed to be ok after that (BP returned to normal etc).

Now with my current pregnancy, I am already having problems at 14 weeks. My primary care doc did preliminary blood/urine testing at 5 weeks when I found out I was pregnant, and everything was fine, no protein at all, and no elevated anyting. My OB doc did blood and urine testing at 11 weeks, and my uric acid was high and my protein count was at 110. I am already having BP issues (major fluxuations at the drop of a hat)headaches, and an occassional visual disturbance. However, my doc doesn't seem at all concerned about this, and refuses to release me to a specialist or high risk doc, and is scheduling my appointments 5 weeks apart.

I am very concerned about the fact that I started showing sings at 11 weeks. How concerned at this point should I be? Should I be at the hospital jumping up and down demanding more/better care or does this sound OK?

I would love some advice!

Thank you!


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