About Me

Name:
Sue

Location:
Southern New Jersey

I am a Mom to 2 amazing and fun daughters and wife to a great guy and a wonderful father!

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Kayla
Kayla, my oldest. She is 4 1/2 and is a sweet, loving and silly little girl. She took us 2 ½ years and 3 IVF’s to conceive. Kayla is allergic to dairy. We manage her allergy and work to balance her safety with giving her a normal childhood. Kayla loves to read books and play games - she amazes me every day.


Alysa
Alysa, my youngest. She is 3 years old and is a silly little spitfire. She’s our monkey and loves to climb on everything. She was a “natural” baby, but it was only b/c of my wonderful doctors that we were able to stop an impending miscarriage. Alysa suffers from Acid Reflux Disease and sleep apnea. She may be little, but she has a big personality. She adores her big sister and is so much fun to be around. She keeps me laughing every day.


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Mothers Day 2009

Monday, July 14, 2008
Oy
Did you ever get the feeling that you’re drowning in medical drama? I had one of those mornings. We stopped Alysa’s feeding therapy temporarily because she was getting very resistant to it and was no longer cooperative. Her weaning off Prevacid is going much slower than we hoped and I was introduced to OMT – Osteopathic Manipulation Therapy. The closest thing to it is chiropractic, but there are some big differences. OMT is performed by MD’s who are also DO’s. It goes beyond the spine and focuses on physical manipulation of the body to aid the body in healing itself. I was told about this by a Mom at Alysa’s gymnastics class. She does OMT but unfortunately does not take my insurance. Over a month ago, per the recommendation of our Pediatrician, I was able to get an appointment with the head of the School of Osteopathy at the University of Medicine and Dentistry of New Jersey. Not only does my insurance cover OMT, but he takes my insurance. Initially I could not get an appointment until August. But I was pleasantly surprised when I was called and told he is opening up some Tuesday afternoon appointments and wanted Alysa moved. Our appointment is tomorrow. Of course, it’s bad timing since I work on Tuesdays, but J will be taking her and we are all going tomorrow.

Fast forward to this morning and I get a call from the office that his OMT office (he also has a family practice office in a different town) does NOT take my insurance, just his family practice office. So I’m no stranger to insurance frustrations, but this is ridiculous. I was then told she could be seen at his other office. I called there and he is not taking new patients there, so I have to see another doctor. She does OMT, but I was told she is not as extensively trained as he is. SO not what I want. But I scheduled it and was told to call my insurance because there could be some confusion since it is a family practice office and Alysa has a Pediatrician that we are keeping. I called and was told the other doctor takes my insurance company, but not our specific plan. But…she told me that I can see the other doctor at ANY office as long as they use his personal provider number and not the one for the practice. Thankfully, the office manager at the OMT office is willing to do it this way and accommodate me AND I still got my tomorrow afternoon time.

It was such a frustrating morning of phone calls and anxiety as I was so scared we would have to either forgo this new therapy OR pay out of pocket. All the while, I had to work while on the phone – always a bonus. :) Nothing like an insurance nightmare to make your morning fly by.

All I could think about this morning is this is what happens when we are stripped of all control over our medical care. It is so frustrating to pay all we do for our medical insurance premiums only having to end up paying out of pocket for care anyway (which we did with feeding therapy) OR to not be able to get the care we need or even want. I can only hope for a true free market health care system in the future which will end this craziness.

Please cross your fingers for a successful doctor’s visit tomorrow and that this will help her overcome her reflux and feeding issues. If it works for her, Kayla is next. Her GI doctor is having us wean her off her Prevacid right now, but I don’t have high hopes. I’m going slower than she told me to, so I’m hoping for more success than we had last year at this time. *sigh*


posted at 3:48 PM  
  6 comments



6 Comments:
At 5:54 PM, Blogger ChupieandJ'smama said...

Fingers Crossed! Keep us updated.

 
At 10:53 PM, Anonymous Mind Body Shop said...

Nothing is more important than the person inside. Therapy exits for the person inside; it has no other purpose.

 
At 12:24 AM, Blogger Blessed said...

I'm hoping things go well for you!

 
At 7:27 AM, Blogger Donna said...

Wow, looking forward to hearing more about this. You are going to need some kind of therapy after dealing with the insurance company! Good luck today...

 
At 1:39 PM, Blogger Amy said...

I can empathize, totally.
I wonder what I'd have to worry about if my girl was healthy.

 
At 5:18 PM, Blogger Mike Zemack said...

OMT sounds promising, and interesting. I hope it works out so Alysa can get down to some normal eating patterns. She can then learn what she’s been missing! I’m glad to see that you were able to straighten out your insurance problems, at least for now. It’s really unjust that people have to go through these bureaucratic obstacle courses, in addition to dealing with their healthcare issues. The government imposed this messy system. It shouldn’t be rewarded with even more control, as so many people want. It should just get out of the way so that, as you said, a real free market can be re-established. More people should learn all of the facts about why we are in this situation.

I hope your appointment went well this morning (Tuesday).

Love, Dad

 

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