Minh
banner
minh.medsky.social
Minh
@minh.medsky.social
Sorry to hear that. Usually the doctor who write for those meds is the hematologist/oncologist. The organ specific docs don’t usually write those. You should ask your PCP for a hematologist referral.
January 23, 2025 at 7:51 AM
This is likely why the doctor (if this was the primary care) refused to write for it. You need prior authorization and the meds need to be written by the specialists. Even then, they are notoriously hard to get approved. Treatment is very insurance dependent.
January 19, 2025 at 3:47 AM
You gotta clarify what you mean by “not treating”. Amyloid disease is complex and often needs a team of specialists to take care of. Either your doctor can’t write meds they’re unfamiliar with or the insurance company has disallowed certain medication from coverage.
January 19, 2025 at 12:47 AM
Mark my words, they will call him out of retirement when the next pandemic hits. Even if they have to dig him up from the ground. /jking.
January 18, 2025 at 7:49 PM
I’m sorry but that script is horrible. It’s great in a place with numerous doctors and easy access to health care. But you try that in a place with poor access and you are just asking for a septic or dead patient. Often times primary care doctors have to treat based on risk factors out of necessity
January 17, 2025 at 6:08 AM
It depends on who pays them. I remember when the Covid vax came out, Fox News anchors all railed against it but they were some of the first to get vaccinated. They even had a mandatory policy at FOX to get vaccinated to work. Ironic isn’t it?
January 4, 2025 at 1:23 AM
Maybe because people here don’t like mandates. They will fight tooth and nail just to go against it even if it means they and their family and friends will get sick or die. So we have to sensationalize the news to encourage them to get vaccinated.
January 3, 2025 at 10:19 PM
The shingrix is an mRNA vaccine and the reason we use it to make Covid vaccine. Same issue applies. One shot is good, but your immune system has a chance of forgetting it over time. 2 shots is ideal. You may have to do the 2 shots again. You should be fine considering people do Covid boosters yearly
December 28, 2024 at 8:41 PM
I don’t think most of the docs in this organization realized it’s happening yet.

They already got caught not paying for in office procedure to urgent care docs for more than 2 years. That got settled out of court and the news.
December 28, 2024 at 8:24 PM
Likely same thing will happen where I am due to the same problems in the article.

The bigger concern here is if the organization is using shady clerical methods to scalp 3-4% of providers’ paychecks. I’ve been seeing it for the last 6 months and wonder if we will have to eventually unionize.
December 28, 2024 at 8:21 PM
Start your application for the Public service loan forgiveness program and keep track of pay stubs. Loan servicer is notorious for losing your info and want you to keep paying. If you complete your 10 year and they won’t discharge, remember you can file a complaint to FAFSA and they’ll do it.
December 28, 2024 at 7:05 PM
Congrats.
Consolidate your loans into federal ones. Enroll in income driven repayment of any sort. Start making low monthly payments. Your residency time will count towards the 10 year of repayment (if the hospital is not-for-profit).
December 28, 2024 at 7:03 PM
Not sure how you can equate horrible accident with makeup. When you are about to die, many things don’t matter as much anymore such as picking and choosing a hospital.
December 28, 2024 at 10:57 AM
Insurance pays less to private practice docs than to corporate healthcare. This inequality is driving docs out of private practice. Now you have 2 set of monopolies with Hospital and private equity on one side and insurance companies and private equity on the other. (yes, same group on both side).
December 28, 2024 at 10:43 AM
We need to adopt the same weapons insurances utilized to deny care. They used AI with certain algorithms and trigger words. Luckily they are mostly based on chatGPT. So use ChatGPT to generate an appeal letter for your PA denials. Often docs missed a keyword the AI wanted, so it denied them.
December 28, 2024 at 10:37 AM
Should this method fail, ask if the provide request a peer to peer. Then on the call, the PCP should ask the other person for their credentials, if it’s current, and if they are experienced in caring for children with your child’s condition. If one of those is a no, it’s not legal for them to deny.
December 28, 2024 at 10:33 AM
I hope things go well for you.

My recommendation is to fight AI with AI. Your child’s primary care doctor should get on chatgpt 4.0 and ask it to write an appeal letter to UHC with your child’s info and current condition. Likely what happened was that the provider missed a keyword UHC’s AI wants.
December 28, 2024 at 10:30 AM
Here is how to check: feel and press around the area along the leg that hurts. Is it tender in one spot only or does it travel in a line up your leg?
December 28, 2024 at 2:36 AM
Was the surgery recent? If it’s at least 6 months out then there is one method left you can try without surgery. The issue you described can occasionally happen with PT and even after surgery. It’s not a nerve issue per se but the fascia that carry those nerves can be warped.
December 28, 2024 at 2:34 AM
Better than that poor chicken!
December 28, 2024 at 1:47 AM
Sorry to hear you had such a rough time. Have you tried seeing a Physiatrist (PM&R) for an EMG test of the nerves there? You need to find out if the issue is where you feel the pain or is a pinched nerve higher up.
December 28, 2024 at 1:43 AM
By the way, this method also works for people who have bunion problems. Their issue is the opposite of flat feet. They tend to roll their feet inward and push their great toe outwards. This makes bunions become more pronounced over time especially women wearing high heels.
December 28, 2024 at 1:20 AM
If it’s the arms, hand surgery can do it. And regular orthopedic surgery can do the lower limbs.
December 28, 2024 at 12:19 AM
It depends on where the affect area is, who is experienced in doing it, and available docs in the area. Reconstructive surgery can fix from skin to bone whereas plastic surgery stop at the muscles. You can always call them up and ask or have your primary care doctor ask them.
December 28, 2024 at 12:18 AM
Totally agree with this. You have to treat based on risk factors and patient’s current condition.

The next problem is these folks can get a secondary bacterial sinusitis or pneumonia after they get flu or Covid.
December 27, 2024 at 10:38 PM