healthcare

Healing a pain in the backside

Came back from my Primary Doctor this afternoon (after trying to get an appointment for the past month or so), I arrived about 20 minutes early to get paperwork and whatnot out of the way. But all they did was have me sign in. After a half-hour of waiting, the nurse calls me back to get my vitals.

While she was checking my BP, I was telling her about my diet and getting out more…and when I stepped off the scale she looks at me and says: “you’ve gained 15 pounds.” She leads me around the corner to an exam room and tells me the doctor will see me “shortly.” Finally, another half-hour later, the door bursts open and another nurse comes in:

“You forgot your co-pay at the desk,” she said shoving a receipt or something in my face.

We can’t forget what’s really important here now, can we? I checked my bag…and, naturally, my checkbook isn’t in there (it was back on my desk). She informed me they didn’t take cash so I either forked over a credit card… or forfeited my entire afternoon. She returns 10-minutes later with my card and a receipt for me to sign, and 10-minutes after that, the doctor finally comes in the room.

He looks at the chart he picked up from the rack in the door and asks what brought me to his office today: “Alternating diarrhea and constipation,” “occasional severe pain in my stomach,” “queasy, bloated, semi-nauseous feeling that is sometimes relieved by eating and sometimes made worse by it.”

He stops me and informs me of what I already know: “That’s definitely Irritable Bowel Syndrome.”

“That’s odd, YOUR nurse prac on my last visit said it was ‘Kidney Stones’ with a ‘Urinary Tract Infection.’”

He looks at me sourly, gets up, takes his laptop with him and leaves the room. Ten minutes later, he returns with another sour look on his face but says nothing. After sitting down on his stool again, he asked in a professional tone if I had “any other issues” to discuss with him.

I asked him about my shoulder, he grabs it, lifts it up (though I only got it up halfway)\towards him (yep, halfway again) and back behind me (less than a quarter, but it definitely hurt the most). He asked if there were any “continuous, repetitive motions” I made on a “regular basis.” I told him, “yeah, but I use my RIGHT hand for that.” Hey, that’s the same look he gave me too.

He then shrugged and said it was “probably mild Tendinitis, nothing to worry about.” If this is “mild,” I’d HATE to know what “severe” feels like.

Speaking of severe, I mentioned the other pain and swelling my IBS was causing (that and a failed, um, “experiment” I won’t get into here) – that it was making it painful to sit down and next to impossible to sit still though I conceded that was “probably my Asperger’s or ADHD,” he shrugged both suggestions off – which I wasn’t sure if that meant he didn’t believe it or took it for granted.

Regardless, he said of my rectal issue, there is only ONE way to check it. I asked if he was SURE there wasn’t some “less invasive” method of doing this, and he looked at me like that was the dumbest question he’d heard all day. Let’s just say if I thought having strangers touch my shoulder was awkward… (yes, I know, gay man in his mid-30s should be totally used to that by now… but I’m not – I can’t stand people touching me).

Fortunately, he didn’t find anything too bad: some redness, irritation and “minor hemorrhoids” (yes, I definitely felt it when he found it) saying some over the counter medicines (which burn like Hell for 8-10 hours after application) and they’ll “be gone within a week.”

The doctor directs me back to the payment counter, and the nurse asks me about scheduling a “follow-up appointment.” I know, I should have, but I need a chance to recover first…

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Great news – the receptionist said the insurance company declined my doctor’s visit this afternoon. You know what it means when the doctor can’t help you: I’M CURED…or not. The truth was, I had zero interest in or need to see said doctor – especially on such a cold, miserable and rainy day.

In fact, I spent the entire morning on the phone with the insurance company making sure I wasn’t wasting my time going out to this appointment and then calling the primary physician to confirm it with their office to recall the insurance company… and at that point I was going through with this regardless.

Keep in mind, I can’t just hop in a car and drive there. Unfortunately, I had to anyway just so the driver can literally pass right by me without stopping and report me to the app as a no-show. I was literally exactly where I said I was standing, and with waiting for a new driver (who the app assigned 5-stars on my behalf) very nearly made me late for my appointment.

To be fair, it wasn’t his fault I was an hour late leaving the apartment for my errands. For instance, I couldn’t find the deposit slips for the bank, and the line inside was at probably 15-20 minutes so I had to use the ATM outside which worked reasonably well and got me on my way relatively quickly. I had a disgusting lunch, checked the times for the trolley to Sand Lake Road and opened my transportation app. I already gave you the non-story there so I’ll just say that I arrived with less than six minutes to spare before my appointment.

“New or returning patient,” the receptionist said barely looking up as I entered. I couldn’t tell if the receptionist was bored, uninterested or both. “Here, give me your insurance card and fill these forms out. You’re lucky we aren’t busy right now, otherwise I wouldn’t be able to help you” (an ironic bit of foreshadowing).

As I said above, I have no “need” to see this doctor and filling out the four page packet made that painfully clear to even the most uninterested reader (seriously, it’s like that nurse when I had my EKG in October said “if you aren’t having heart trouble, why the hell are you getting an EKG?” “I don’t know. I didn’t schedule it.”)

Finally, after 45 minutes, she calls “Mr. Twaaaygeer” up to the counter and tells him that he will not be seeing a doctor today. He, sorry I lack permission from the insurance company because I lack a Primary Care Physician – “You’re supposed ‘Primary’ has never heard of you, and your last visit there was with a Nurse Prac back in OCTOBER and the doctor who sent you down here doesn’t count – only a PRIMARY can make a referral. You need to make sure you get all your things in order BEFORE you make an appointment!”

“Thanks for the lecture. I wasn’t the one who made this appointment, the doctor I saw earlier this month did. I knew this was a huge waste of time. Congratulations, I’ve just proven RIGHT!”

“No, you haven’t. You have gained valuable information and now have explicit instructions on EXACTLY what you have to do to move forward with your care. See your primary, get a referral THEN come back, we’ll save the paperwork you just gave me to your file. Have a nice day, and we look forward to seeing you again, Mr. Twaaaygeer.”

Disappointed AND humiliated – burn! But, hey, at least, she cares what kind of day I’m having, even if its in the least sincere tone possible.

It’s just over a half-mile from the hospital to the Dunkin Donuts on Sand Lake Road where I usually stop on my way back from appointments like this as it’s roughly halfway between the hospital and the trolley stop I need to take back to the apartment. It’s a long walk (“35 minutes” according to Google Maps), and I spent the duration of it trying to convince myself I was in a better mood than I obviously was, and when I got to the plaza it was in, I stopped in front of a menu board on the sidewalk contemplating if I should take a sandwich home for dinner (as it was already after 4pm) when I hear:

“Hi, I’d like to talk to you about investing with Primerica!”

Great, as if I wasn’t already feeling bad enough, he effectively has me cornered. He’s standing less than a foot away from me and making direct eye contact with me so I can’t escape. He’s caught me looking at the menu board so I can’t say I “don’t have time” and, frankly I have ZEROS excuses to give him on why I can’t listen to his sales pitch. Literally none are coming to my head – I love when I do that. I need my brain to work, and it doesn’t.

Yep, once again, my “flight” response is triggered with no escape routes (why can’t it ever kick in when there IS one) so my brain just shuts down instead. It’s a perfect defense mechanism as it leaves me utter defenseless. When I finally get away, I’m too anxious to order coffee (what if he’s waiting outside the store?) which I guess is good as coffee\donuts are bad for me.

I continue on Sand Lake Road to the trolley stop on I-Drive. The rain has mostly stopped, but the sky is still dark and cloudy making it feel later it really was (the relatively cold wind wasn’t helping). Fortunately, said trolley arrived within three minutes of me arriving at the stop.

I decide maybe getting some food would make me feel better so I hopped off the trolley near a chain restaurant and proceeded to prove my theory wrong. I also used my return fare for the trolley so I had to take the balance out of my server’s tip (which I really didn’t want to do). At least, I have lunch for tomorrow.

I leave the restaurant to find the last vestiges of sunlight burning in my eyes. It was a hopeful sign (kind of like a blindingly bright rainbow), and I hope it foretells good days to come… as the rain is coming down again as I’m typing this.

Categories: adventures, Autism, florida, Health, healthcare, insurance, Orlando, sensory processing disorder, Williamsburg | Leave a comment

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