Published on The Doomstead Diner on March 10, 2017
Mat-Su Health Services Clinic
Discuss this article at the Medicine & Health Table inside the Diner
I am taking this week off from How I Survived Collapse for a Special Update on my Medical Issues, if anyone cares. lol.
This seemed like a good week to do this for a couple of reasons. First, the whole Health Care shit is back in the newz since the Repugnants in charge of Da Goobermint are trying to dismantle Obamacare. Second, March marks the 2nd Anniversary since I left work and retired on disability and I haven't done an update on this stuff on the Blog in quite a while, although I do regularly update to my Diary inside the Diner on a restricted board (non-members can't see it). That's where most of this article comes from, so regular Diners have read it already.
The back story to this set of posts is my Primary Care physician retired on New Year's Day, and at the same time my old Obamacare Med Insurance expired. In applying again to the HealthCare.gov website, it came back that now I am eligible for Medicaid. Which is good, since the old insurance company that I had for the last two years pullled out of Obamacare. Not so good because Medicaid is thoroughly fouled up, under-staffed and under-funded, and like every other Goobermint agency is about impossible to contact by phone or email. You can try snail mailing them, but often never get a reply.
That should catch the Blog Readers/Lurkers up enough to understand this week's Diary of the Collapse of my Health.
Now, the letter I got stated that I could call them anytime BEFORE the scheduled interview to get it done earlier. So, every day over the last 2 weeks I have called the phone number they list, and every day regardless of the time I call I get Voicemail. So each time dutifully I leave my name, case number and phone number and ask them to get back to me ASAP because I am a dying cripple in need of medical attention, in the most pitiful voice I can muster up, and I am a good impressionist! (check out my Winston Churchill impressions in my rants! )
Does anyone EVER pick up the phone? No. Does anyone EVER return a Voicemail? No. Are any emails listed anywhere to send inquiries to? No. Do you ever get back any answers in a Snail Mail? Sometimes, after a month or so.
OK, so now the Big Interview, which mainly amounted to me giving the usual verification of my SS#, Birthday and address. Then we get into WTF have I not received an ID card so I can go to the fucking doctor? According to the drone, I AM on Medicaid, and a card SHOULD have been sent to me by an automated system. But it wasn't. So I then tell him I want whoever was responsible for NOT sending my card and jeopardizing my life to be held accountable. He tells me nobody is responsible, it is an AUTOMATED system So then I tell him I want the IT guys who programmed the system to send me a personal apology for putting my life in danger by screwing up their fucking code! He says he doesn't know who to contact to do that. I tell him to make the request to his manager and send it up the line to the Chief of Medicaid in Alaska. LOL.
I am a real fun guy for Goobermint Apparatchiks when I finally do get these drones on the line.
Now, with a certain amount of luck, MAYBE I get my Medicaid Cards in the mail in the next week. If not, I will make an appointment at a Docs office anyhow, and when I get there tell them I am covered by Medicaid and THEY should contact the Medicaid office. If they refuse me treatment, I will note this and sue the living shit out of them at a later date, if I am still alive.
Also, in September after 2 years on SSDI, I am supposed to be eleigible for Medicaire, but then this changes the Medicaid arrangement and I need to fill out a new application for THAT! So I told the drone to send me this application along with the ID cards that were supposed to be sent to me by malfunctioning robots before.
Now, all this may make you think this was a Bad Newz Day for RE, but NOOOO, this was a GOOD NEWZ Day! At least I got a drone on the phone live to vent my spleen on and let him know how ineffectual and what a worthless piece of shit his agency is and how they are screwing over good hard working people who gave their entire lives to supporting the Industrial Economy and War Machine that supports it.
After I finish with my SS-WC case battle, I will be filing a Class Action Lawsuit for all Amerikans for $10T against the Federal Goobermint for Dereliction of Duty and Incompetence, and I will litigate it myself if I can't find a Scum Sucking Bottom Feeder Lawyer who will take the case!
New Doc appt 3PM tomorrow!
I decided since I was told on the phone in my "interview" that I AM covered by Medicaid, despite the fact I still have no ID card to show that I would make an appt this week, assuming I could find a Doc that will even take Medicaid patients. I will give them my SS # and they can send the bill to Medicaid. In this case, for a simple Doc visit, the bill shouldn't be more than$200-300 or so and if I end up with the bill in the end, not a biggie.
So I went to the list given to me by my now retired Primary Care Physician and started making phone calls to get an appt. The first two, no luck, they won't take any Medicaid patients. Third one though is a clinic and they didn't even ask the question about what my coverage was. Bad newz there was they said the first opening was not until April for an appt. But then I put on my most pitiful Disabled Guy voice and act I could muster up, and the receptionist bimbo got me an appt for tomorrow.
Current issues are not too bad, just the bowel issues and also a persistent ITCH on my back and shoulders, which I do not think is related to the neck injury, though it might be. Also would like to have the Toe that had the nail removed looked at to see how it is doing. Swelling in the lower legs is down and walking not painful right now, although any distance is a problem. Gotta go real slow when I walk around the grocery store buying preps. Can't use the Ewz yet because the bike path to 3 Bears is still iced over. I don't like scooters that the stores provide at all, so I walk it instead, albeit very slowly. It's good exercise and helps blood flow.
The main thing here with this visit is to get established with a new Primary Care Physician, so that if/when I DO get a real serious issue crop up, I have somebody who knows my medical history and can get me referred in to some Pro from Dover who handles that type of issue. I'm waiting for the Big C to show up in my Lungs of course, I figure that is the one that will eventually kill me, if the Zombies don't get me first.
I will report on the latest Doc Visit tomorrow after I get back to the Digs.
I got in to see a Nurse Practitioner at the Mat-Su Health Services Clinic, which is now going to be my Primary Care facility. It' s non-profit, one stop shop for Medical, Dental and Behavioral Health (Shrinks). They take Medicaid!
First thing was, they called me at 8AM to see if I could come in at 11:30 instead of the originally scheduled 3:30. I happened to be awake, so I said OK.
So I tooke a nap until 10:30, then got into a cleaner set of clothes and headed out the door. Bad newz here, slipped through the door was ANOTHER notice of an Inspection by the Management Gestapo! Fortunately the place is not such a mess as it was last time and I probably could get it spruced up on my own, but I'll still call in the Pro Maids for a new cleansing. Apparently these inspections will now be held QUARTERLY! That's ridiculous. I then stopped off at my mailbox, and by another Finger of God moment, my Medicaid information was in the Mailbox! Not on a card though, it was a letter which had my ID number on it, but it still worked both at the clinic and the pharmacy later.
The place is very clean and nicely appointed, and there were only a couple of people in the waiting room. After filling out the usual paperwork, after about 5 minutes I was seen by an intake clerk who got all my basic information into the computer. Then back out to the lobby to wait another15 minutes, and then the Nurse called me in. VERY low waiting time!
The Nurse did her usual job, taking down my recollections of my medical history and checking my vital signs. Then she left and I waited around another 10 minutes and the NP showed up. She was a nice enough woman overall, but I'd like to see a few different ones at the place if possible. She took more medical history, and then we got into my specific problems for this visit, which is the persistent ITCH on my back & shoulders, and also have a look at how the toe with the toenail I got removed on New Years Day is doing.
After looking into my eyes and ears with the light and stethoscoping me, looking at my back she said it doesn't look like bug bites, and she thinks it might be a yeast infection. She gave me a scrip for pills to take that may clear it up. Get this though, it's exactly TWO pills, and I'm supposed to take one this week and another next week if it hasn't cleared up. Tiny pills too, even smaller than a Tylenol capsule. That must be some freaking powerful shit!
She also said some OTC Benadryl might help relieve the itch, so I picked up some of that too in my stop at the pharmacy.
Then we moved down to my feet, and after getting the bandage off she said the toe seemed to be healing OK, but I do probably have athlete's foot fungus there. Fungi are having a field day feasting on RE! So I gotta start hitting them with more OTC stuff like Lotrimin. She also said she would try to get me an appointment with a Podiatrist, because sometimes if referred by an MD or NP, medicaid will cover it. When I called the Foot Doc, they told me they didn't accept Medicaid, so that's when I went to the ER instead to have my toe fixed up.
I actually was able to get a price out of them for first visit, $300. In this case, it was refreshingly priced pretty fairly. I got over 2 hours of direct attention from the NP and the RN. That's a fair price, unlike most of the offices where the doc goes running around from patient to patient, and if you see him for 15 minutes out of the hour you are doing good. At my Neurosurgeon Pro from Dover's office, after the first visit I never even got to see the Great Man himself, just his PA, and her for only 15 minutes maybe. Then the charge for these visits around double this one for $600 each.
I didn't have to pay any money though, the bill gets sent straight to Medicaid and the Taxpayer.
After that I headed over to Wally World since it was on the way home and did some prep shopping, then stopped at 3 Bears to pick up my prescription. The NP did not give me a paper scrip, they do it all electronically now, you pick your Pharmacy and it should be ready when you get there. Mine was not however.
They needed my new Insurance Info (Medicaid) in order to fill the scrip. I figured the info would be sent by the Clinic, so I left my letter from Medicaid in the car. I figured wrong. So I had to trudge back out to the car and go get it. Then after they got the info into their computer, they finally started working on my scrip, for TWO pills. This took about a half an hour because the
Pharmacist Bean Counter was backed up with other orders. I bided my time surfing the Diner and other sites for Collapse Newz, so not a lot different from home, except no BEER! lol.
Upon returning home pretty exhausted around 5PM (for me this is a very energetic and long day) I took my one anti-fungal super drug pill for the week, and a benadryl, and sprayed my feet with Lotrimin. 3 hours later, itch is still there, but not as bad and I haven't scratched it in the last hour. NP told me to try to resist scratching, which usually makes things worse (which I know), but of course with a bad enough itch you just CAN'T resist scratching it. Makes you wonder how Cows and other animals that get bitten by innumerable bugs tolerate the itches? Any animal that CAN scratch, does scratch. Cats, Dogs, Monkeys all scratch. Also, what do other animals do when they get a Fungal Infection? They can't go the Vet and get some super drug to cure it if they are wild animals. How do they survive not being consumed by fungi?
Anyhow, at least now I know I got Med COVERAGE so if some big emergency crops up I can go to the Doc and not work up too big a tab. Since the clinic now has a Dentista office upstairs I can use that too for the few teeth left in my mouth, and I believe Medicaid covers dentistry too (far as the Patient is concerned, the Dentist may not get paid though. lol). I don't think they will do a full set of implants on Medicaid, but they probably will pay for a new set of dentures that maybe fit better and are more comfortable.
I don't think I will visit their Mental Health clinic though, even if Medicaid will pay for it. I don't want to Depress any Shrinks explaining Doom to them and have them join the Nihilists and Misanthropes on NBL. I would feel bad about that.
Paranthetically, prior to this Coda, this article came in at PRECISELY 2525 Words. Must be a Symbol.