tag:blogger.com,1999:blog-26666124.post8601241716410196518..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: Feelings and StuffUnknownnoreply@blogger.comBlogger10125tag:blogger.com,1999:blog-26666124.post-68790883278378666402007-05-21T10:52:00.000-04:002007-05-21T10:52:00.000-04:00Flea is also gone.I'm sad.LilyPS Has anyone her fr...Flea is also gone.<BR/>I'm sad.<BR/><BR/>Lily<BR/><BR/>PS Has anyone her from Foo?DrivingMissMollyhttps://www.blogger.com/profile/11476761316928942301noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-32740873290630890052007-05-20T23:35:00.000-04:002007-05-20T23:35:00.000-04:00Dinah,I'm late saying this, but thanks for the bit...Dinah,<BR/><BR/>I'm late saying this, but thanks for the bit at the end there. I started to feel bad when clink was saying how much she loved the commas and sentence structure on that first post - thinking that she was saying that so that you wouldn't feel badly about my criticism. But I'm glad to hear that you welcome the suggestions, and you're really into having the book on the web for interaction! That's really neat! I haven't commented on chapter 2 - had a busy weekend, but I read it, and I liked it a lot!!<BR/><BR/>Take care,<BR/>Carrie :)NeoNurseChichttps://www.blogger.com/profile/16120931307124798416noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-44273302910888462302007-05-20T21:43:00.000-04:002007-05-20T21:43:00.000-04:00Sara! I've been wondering where you were. Come g...Sara! I've been wondering where you were. Come give your opinion on Double Billing.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-60429053055486462892007-05-20T21:37:00.000-04:002007-05-20T21:37:00.000-04:00Dinah, this is on my list of things to "must do". ...Dinah, this is on my list of things to "must do". I've just been trapped in an obsessive cycle this week that has had me doing the same thing for 8-15 hours a day for this last week, until 4 in the morning sometimes.<BR/><BR/>Like you want to know all that. So I've been, well, not all there/here.<BR/><BR/>(Good thing I finally meet my new iatrist for a 1.5 hour initial assessment a week from Tues. So on the 29th.)<BR/><BR/>Anyway. Look for me there soon!<BR/><BR/>SaraSarebearhttps://www.blogger.com/profile/09208596053319110470noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-65103751273621344212007-05-19T20:14:00.000-04:002007-05-19T20:14:00.000-04:00Dinah, isn't it obvious? Photocopy yourself and ma...Dinah, isn't it obvious? Photocopy yourself and mail yourself to claims!Gerbilhttps://www.blogger.com/profile/05908487212760713496noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-15819712082395737832007-05-19T06:22:00.000-04:002007-05-19T06:22:00.000-04:00Then again, compared to some, we both have it easy...Then again, compared to <A HREF="http://the-wife-of-a-schizophrenic.blogspot.com/" REL="nofollow">some</A>, we both have it easy.<BR/>It's amazing how sometimes Love transcends the most enormous difficulties. I wish they made some sort of medal for such caregivers, I just wish there were more of them.Zoe Brainhttps://www.blogger.com/profile/13712045376060102538noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-64081940043143888172007-05-18T19:01:00.000-04:002007-05-18T19:01:00.000-04:00I feel you on the being tired, both as a mom and a...I feel you on the being tired, both as a mom and as a professional. Thank goodness for the weekend, yes?Catherinehttps://www.blogger.com/profile/18012100875719616898noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-69190246451978325142007-05-18T18:04:00.000-04:002007-05-18T18:04:00.000-04:00Zoe Brain:Oh my gosh! It took me roughly 4 minutes...Zoe Brain:<BR/>Oh my gosh! It took me roughly 4 minutes to locate and fax my license and it didn't entail the augmentation, creation, or removal of any body parts. My minor annoyance with some dumb insurance company doesn't compare to your years of soul-filled angst. But thanks for the dose of perspective.<BR/><BR/>Gerbil:<BR/>Yes, I did know that my TIN is my SSN, and it's on my statements that patients submit as Physician Tax ID number. I just didn't know exactly what they'd want me to 'Copy' and send in. The SS Card issued to me at birth just didn't seem the thing to copy and submit. It feels a little personal.Dinahhttps://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-28860250690992180022007-05-18T14:55:00.000-04:002007-05-18T14:55:00.000-04:00Dinah, you are not the first provider to be told--...Dinah, you are not the first provider to be told--by mail--that your mailing address is needed to process claims. In the couple of months that I've been working for managed care, I've taken a couple of calls about this very thing. (Which I promptly transfer to the claims department.)<BR/><BR/>There's probably a very good reason that this happens--but since I don't know it, I just find it really funny.<BR/><BR/>Oh, and your Tax ID, if you are in private practice, is probably just your SSN.<BR/><BR/>(One thing I've learned from working for Big Insurance is that when I'm finally good and licensed, I am not going to take any!)Gerbilhttps://www.blogger.com/profile/05908487212760713496noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-71287743431601247202007-05-18T06:53:00.000-04:002007-05-18T06:53:00.000-04:00You think you have problems jumping through hoops....You think <B>you</B> have problems jumping through hoops.....<BR/><BR/>Sorry to harp on in such a monomaniacal and obsessed way, but I doubt you have considered what those going through the recommended - and in some places legally mandated - path of Transition have to go through. It may make you feel better, and say "there for the grace of God go I" if I tell you.<BR/><BR/>First, you have to find some mental health care professional who knows something about it. The first time I saw my GP, she phoned around, and after 5 attempts, found a psychiatrist who'd never worked in the area, but was willing to have a go.<BR/><BR/>This did not inspire me with any great confidence. A bit like having a brain lesion of unknown origin, and my only option being an ENT specialist who wants to try neurosurgery. <BR/><BR/>In other states it's easier : there's legally mandated clinics, and you have no choice as to the therapist. They also have no choice - first a MMPT, then a 3 month period of observation. If no relationship of trust is formed, tough, they're the only game in town.<BR/><BR/>After finding someone, there comes a 3-month plus evaluation period. It's intended that that be to differentiate diagnoses - BPD has similar symptoms. I'm not psychiatrically trained, but I can easily imagine other disorders might cause the patient to show similar symptoms too.<BR/><BR/>After that, hormones may be authorised, but any good endocrinologist would only start with very low doses, gradually ramping up over 6 months, with constant blood testing.<BR/><BR/>This is also a great diagnostic tool - those who are merely crossdressers or transvestites tend to freak out when their capacity for male intercourse ceases, long before any permanent change, but I digress.<BR/><BR/>I have a friend who at the moment is doing all he can to convince a psychiatrist with no surgical experience that a particular surgeon in Serbia is adequate for his needs. Papers, publications, explanations of surgical procedures, statistics, photos of results, all have had no effect. No letter of surgical authorisation will be forthcoming unless one of two surgeons in the world is chosen - neither of whom uses a (pardon the pun) cutting edge technique.<BR/><BR/>Having Gatekeepers who can tell you which particular surgeon to see, how to dress, which films you are allowed to go to, what jobs you are allowed to take, if you are to be given permission to get further treatment is very vexing for many patients. Other therapists on the other hand allow rather more freedom, judging by results rather than micro-managing. It's the luck of the draw, really, and often there's no alternative.<BR/> <BR/>I also know of cases where people have been kept "in therapy" for 10 years before finally being told that the therapist doesn't feel comfortable giving anyone letters of permission, even though the patient qualifies, and it would get peer-reviewed anyway. This can be extremely frustrating for someone with no co-morbidities, who is only "jumping through hoops" to satisfy the Standards of Care.<BR/><BR/>I also know of cases in the UK where if a patient is caught smoking, they are removed from the therapeutic system and told that no further treatment will be given. This has led to a couple of cases where non-smoking patients have been removed from treatment for being in a smoke-filled environment immediately before an appointment. Appeals are useless. To people already prone to depression and suicidal ideation, such treatment can be and has been fatal.<BR/><BR/>I was lucky, being endocrinally odd, everyone was too busy trying to get my therapeutic regime to approximate something known and safe than to worry too much about specifying which surgeon, and which exact surgical procedure, I would be authorised for. For one thing, my body wasn't exactly standard.<BR/><BR/>So my sympathies in dealing with mindless bureaucracy. Especially since it's really to help a patient, rather than yourself.Zoe Brainhttps://www.blogger.com/profile/13712045376060102538noreply@blogger.com