posted by
malnpudl at 04:04pm on 06/11/2014
So I'm still recuperating from the septoplasty, right? Surgery on the inside of my nose, which remains swollen inside & out a couple of weeks after the fact (this is normal), not to mention gradually healing incisions inside the nostrils, yadda. Which means I still can't use my CPAP, so I'm still having a dreadful time sleeping. Apnea sucks. I love my CPAP and I miss it fiercely.
So I decide to shell out the $$$ for a full-face CPAP mask that will work with mouth-breathing. It will be worth it, especially since I can expect to get a cold every year or so and I'll get repeat use out of it. It's an expensive investment but it will pay off over time.
It takes days, but I finally get an appointment for this morning with Apria, my CPAP+supplies provider and spend a lovely 30 minutes with the respiratory therapist (who is awesome) going over the options and choosing one that feels great. Now all I need is for them (Apria) to print a "work order" and take my money and I can walk out the door with the new mask and, glory hallelujah, get some proper sleep tonight. Lying down! In a bed! Instead of sitting upright and wrecking my back and neck! Imagine the awesomeness!
THREE HOURS LATER: After people in three different departments of some central office somewhere have played shuffleboard with my "work order" I am finally told that as of one week ago, due to an agreement between Medicare (my health insurance provider) and Apria, Medicare patients are no longer allowed to pay out of pocket for anything. Ever.
Got that? I need this thing. It's a medical need. I have a prescription for the device and all associated supplies, of which this is one. But Medicare only pays for a new mask every six months and it's only been two months.
I NEED THIS THING. THEY WON'T PAY FOR IT. I AM WILLING TO PAY OUT OF POCKET. I HAVE THE CASH. I AM NOT ALLOWED TO BUY IT. THEY WON'T SELL IT TO ME. BECAUSE THEY SAID SO.
The lovely people in my local Apria office look deeply distressed on my behalf, and just as deeply confused. But there's nothing they can do except write down the name and size of the mask I need.
So I go to another medical supply place down the road that carries CPAP supplies. Yes, they could sell me this thing for cash, but I have to bring them a copy of my prescription first. Per California law, they cannot sell fuck-all that has anything to do with a CPAP without a prescription. It's a mask. A hunk of plastic with a silicon gasket. That's all. But no. So sorry. Yes, they know that will put this off at least another day, or possibly until early next week. Sorry, can't be helped.
Yes, a vendor in another state that doesn't have this law can sell me one and ship it to me here in California. But it has to come from another state.
I have now ordered what I need. It's coming from Texas, no prescription required. No power in the universe can get it to me before next Tuesday, apparently.
Isn't that just ducky.
No wonder the insurance-and-red-tape staff in my local Apria office looked harried and exhausted. They are surrounded by insanity.
I'm exhausted now, too. And trying not to cry because it's going to be five more days (and nights) before I can get a solid night's sleep in my own bed again.
The only thing getting me through this is that I blew $90 yesterday to spend an hour with my favorite massage therapist. She did manual lymph drainage on my face and neck, which will help bring the swelling down faster, and then went to town with her elbows on my back and shoulders, undoing the damage that sleeping sitting upright had done. It was a wild extravagance, but I was beyond caring about that. It was worth it. I'll pay for it somehow. Eventually.
God, this has been a siege. I'm so tired.
So I decide to shell out the $$$ for a full-face CPAP mask that will work with mouth-breathing. It will be worth it, especially since I can expect to get a cold every year or so and I'll get repeat use out of it. It's an expensive investment but it will pay off over time.
It takes days, but I finally get an appointment for this morning with Apria, my CPAP+supplies provider and spend a lovely 30 minutes with the respiratory therapist (who is awesome) going over the options and choosing one that feels great. Now all I need is for them (Apria) to print a "work order" and take my money and I can walk out the door with the new mask and, glory hallelujah, get some proper sleep tonight. Lying down! In a bed! Instead of sitting upright and wrecking my back and neck! Imagine the awesomeness!
THREE HOURS LATER: After people in three different departments of some central office somewhere have played shuffleboard with my "work order" I am finally told that as of one week ago, due to an agreement between Medicare (my health insurance provider) and Apria, Medicare patients are no longer allowed to pay out of pocket for anything. Ever.
Got that? I need this thing. It's a medical need. I have a prescription for the device and all associated supplies, of which this is one. But Medicare only pays for a new mask every six months and it's only been two months.
I NEED THIS THING. THEY WON'T PAY FOR IT. I AM WILLING TO PAY OUT OF POCKET. I HAVE THE CASH. I AM NOT ALLOWED TO BUY IT. THEY WON'T SELL IT TO ME. BECAUSE THEY SAID SO.
The lovely people in my local Apria office look deeply distressed on my behalf, and just as deeply confused. But there's nothing they can do except write down the name and size of the mask I need.
So I go to another medical supply place down the road that carries CPAP supplies. Yes, they could sell me this thing for cash, but I have to bring them a copy of my prescription first. Per California law, they cannot sell fuck-all that has anything to do with a CPAP without a prescription. It's a mask. A hunk of plastic with a silicon gasket. That's all. But no. So sorry. Yes, they know that will put this off at least another day, or possibly until early next week. Sorry, can't be helped.
Yes, a vendor in another state that doesn't have this law can sell me one and ship it to me here in California. But it has to come from another state.
I have now ordered what I need. It's coming from Texas, no prescription required. No power in the universe can get it to me before next Tuesday, apparently.
Isn't that just ducky.
No wonder the insurance-and-red-tape staff in my local Apria office looked harried and exhausted. They are surrounded by insanity.
I'm exhausted now, too. And trying not to cry because it's going to be five more days (and nights) before I can get a solid night's sleep in my own bed again.
The only thing getting me through this is that I blew $90 yesterday to spend an hour with my favorite massage therapist. She did manual lymph drainage on my face and neck, which will help bring the swelling down faster, and then went to town with her elbows on my back and shoulders, undoing the damage that sleeping sitting upright had done. It was a wild extravagance, but I was beyond caring about that. It was worth it. I'll pay for it somehow. Eventually.
God, this has been a siege. I'm so tired.
(no subject)
(no subject)
Thanks for the good wishes. :-)
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(no subject)
At least there's hope on the horizon. It should arrive on Tuesday. *g*
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I mean, how on earth could that hunk of plastic be dangerous enough in the wrong hands that you need a prescription to get it?
(no subject)
I'm just hanging on for Tuesday.
Thanks for the hugs. <3
(no subject)
A dog question to distract you: my housemate's dog pees on the floor (just a small puddle) when she greets me. She seems to like me a lot, wagging her tail and making little whimpering excited noises when she sees me in the morning or when I get home. It's like she gets so excited she has to pee a little bit? Or something. She doesn't do it with my other housemates, and I seem to be the one giving her the most cuddles/playtime (except for her owner, of course). She is two years old. Any insight on this? We would obviously like her not to pee on the floor. : )
(no subject)
As for the dog question: Sounds like excitement urination, which is not at all unusual. A variation is submissive urination and you'll often find both discussed in the same context, although there are distinctions between them in triggers and approach.
Fortunately, the Whole Dog Journal, my favorite resource for things dogly, has a great article online about it: Preventing Unwanted Urination.
In my personal experience, the most effective thing has been to largely ignore the dog for the first few minutes at meeting-after-absence times, which are most likely to trigger the behavior.
She'll be all excited to see you again, and you want to bring that excitement level down to something more moderate before giving her attention. So when you first see her in the morning, or when you first walk in the door arriving home, ignore her at first. Don't give her eye contact, don't pet her, don't talk to her. Give her a few minutes (could be anywhere from two to five or even as much as ten; watch her for cues) to calm herself down from the stimulus of seeing you. Only then do you greet her, but do it relatively calmly and quietly; make it a quiet-happy greeting rather than a vigorous, bouncy-happy one.
Training her to sit to be petted/greeted/etc could be helpful, too, if her owner would be interested in adding that to her repertoire. It gives the dog something specific to focus her attention on, and it gives her an exercise in self-control with a built-in reward which is always nice.
It can also be useful to get her accustomed to an end-of-attention cue (whether that attention is greeting, petting, playing, or whatever).
I usually use a simple, neutral physical cue (gentle one-finger tap to the bridge of the nose with one dog; similar thing one the top of the head with another; a gentle, very brief hand wrapped over the muzzle with a much more forcefully enthusiastic dog, etc) paired with a quiet "That's all" and then ignore any further attempts to get your attention. It's neither a praise/reward thing nor a correction, just a neutral signal. They generally pick it up quickly, and it actually reduces anxiety because you are giving them a definite boundary that they understand.
It's likely to take some weeks to fully resolve the urination issue, with steps forward and the odd step back, but stick with it and you'll get past it together. (Possibly it could take somewhat longer, but hopefully not in this case since it's not a lifelong pattern, nor universal with all people.)
Best of luck!
(no subject)
Hm, yeah, the end-of-attention cue sounds potentially useful--she does tend to keep begging attention when I want her to stop, and I guess I'm not always consistent in my response to that. I might suggest it to her owner.
...and here she comes again, licking my ear. Which I do find charming. : )
(no subject)
Hey, I showed your roomie's dog's picture to my friend Suzi because she's such a pretty, elegant dog, and I knew Suz would enjoy seeing her, too. She and I are both curious: What is her name? And does anyone know what breed(s) she is? Suz and I were speculating about a greyhound mix? Though her face looks like a pharaoh hound or Ibizan hound. Maybe some great Dane in there? (We do this all the time, by the way; playing guess-the-mix is fun, even if you never know whether or not you got it right.)
I hope the peeing problem is on the way to resolution. :-)
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It's not just broken, it's irrational. Which in a way is kind of worse.