The Grinch Who Stole Christmas...Big Insurers

I was sitting at my desk editing my memoir when I began looking through the mail. My Medicare Access (supplemental, Cigna) sent me a notice of discontinuation. I sat there for a moment in disbelief because the same exact thing happened a year ago with Coventry. After my initial frustration of having to search providers, I settled down and began my search.

I called Secure Horizon. After our initial intro's, in which the Rep was happy,we got to business. He started asking for enrollment information and that's when our exchange went haywire. I told him I was on dialysis with End Stage Renal Disease. He told me he could not insure me. He said no one in GA will insure Me. I said, What about Obama Care and not denying people with preexisting conditions? Not being able to be dropped? He told me to go to the website and it states it clearly. Insurance companies are enrolling people through the Medicare websites, yet are not disclosing criterias that make you ineligible.  So I called Medicare and as was told I did not meet the criteria due to my recent diagnosis of ESRD. I asked what was the deal with any Insurer being able to sell a policy in one state and then drop them at the end of the year because they don't make a profit? The bottom line, it's common practice. So, I don't qualify under the regulations for Supplenmental Healthcare policy.  How can anyone in a similar position have any peace of mind?  For now I must go to Origial Medicare and be responsible for the 20% co-insurance.

Clearly the big Insurers knew exactly what they were doing when they lined the pockets of the Politicians.  I am sitting in dialysis posting this blog enjoying this ride God is taking me on. His Grace and Mercy has brought me a mighty long way. He Loves Us Very Much!

On a happy note. While in pre-op waiting to have my catheter inserted into my belly this anesthesiologist (about late 60's or so) asked me if he could shake my hand. I asked, "is it because I beat the odds for men with SCD?". He responded, "Yes, I've yet to meet a 56 yr old male with SCD, besides I am suffering a battle with Cancer and know the battle you are fighting."

MY FAITH IN OUR LORD JESUS GREW STRONGER.

Keep Your Head Up

I checked into the hospital, Monday, November 28, 2010, for a proceedure which  would place a catheter into my abdomen allowing access to do home dialysis.  Its called a Peritoneal Catheter to assist in Periotoneal Dialysis.  This was just a routine procedure.  Well, there will  always be setbacks.  Yet, God has a wonderful plan tor you.  Just stay thankful and prayerful so you can eventually appreciate the outcome.

My hemoglobin had dropped from 8.5 to 5.2 gm/dl over a periods of a week. To say the least this is not a good sign.  The Dr's. want to continue my scheduled surgery and so the search was on to find me blood.  As I have stated before the Blood Bank has real difficulty matching my blood due to the amount of antibodies.  Typically, I have to wait for 5 days and the units arrive in two's. Although I was prepared for this wait, God had a new plan....just for you.  My 4 units arrived within the day. Praise be to  God Almighty.

  Hope all have a wonderful and safe "Holiday Season.  Keep me in Your Prayers.  So I am here in
 dialysis ready to receive my transfusion.  Thank you God and The American Red Cross.

I will be; Chatting, Tweeting, and Face book the outcome so stay tuned.  Keep it moving and keep your head up.

Many Questions ...Many Concerns Dialysis

One of my lagging issues after leaving the hospital is a decision to do Hemodialysis or Peritoneal at home.  It has to do with lifestyle.  You see being retired gives me some flexibility but I find that my desires conflict. Having said that,Prayer always works.


Hopefully I've placed the proper considerations in place and come up with an answer.

I decided on peritoneal because in the long run I will be able to dialyze daily or at night while I am asleep.    Hopefully, the consideration about cleanliness and infection won't be a problem since I am always conscious about infection.  I've worn a permacat for the last two months and had no infection.  I  do have a slight concern, all those fluids in my body at night and whether the Baxter pump will do the job.  Oh well, everything has its risk.

My other diatribe, if that's the right word, I am not a big fan of Davita, the clinic where I am currently being dialyzed.  I think they are inefficient and place the patient at risk due to being overburdened. That is why trying to give a return to investors based on numbers and people does not work. You see when companies outsource and cut corners ultimately the patient is at risk.  We must speak up each and every time we feel uncomfortable from the caregivers we are assigned to. We can't let the system drive us. We must drive the system as customers.

Catheter placement Dec.1. Wish me well!

What are your thoughts.?

Time To Get In The Game

Sometimes group Advocacy does not work. Individuals must have the courage to act! So let us put the pressure on. We need to support local Foundations, like Sickle Cell Foundation California. MY daughter Tara is a certified Counselor and my sister Mary Is the Pres & CEO.
I urge all of you to get involved.

Target: Members of United States Congress
Sponsored by: Sickle International Family S signature goal: 100,000
Signatures: 319n

In the United States, there are >80000 people affected with SCD. It affects 1 in 400nd 1 in 19000 Latinos and has a carrier rate of 1 in 12 and 1 in 100 for black and Latino populations, respectively.  In 1970, Scott  highlighted a substantial difference in the research effort for sickle cell anemia compared with other chronic childhood diseases, measured by the number of National Institutes of Health (NIH) grants. Scott  noted that there were 3 times as many grants for the more highly publicized conditions of cystic fibrosis and muscular dystrophy as there were for SCD
Sickle Cell Disease.
Sickle Cell Disease from the Patient Point of View  Follow-up to the meeting of October 19, 2009 with Mr.  Kareem Dale, Special Assistant to the President for Disability Policy.

Sickle Cell Disease: A Question of Equity and Quality Lauren A. Smith, MD, MPHa, Suzette O. Oyeku, MD, MPHb, Charles Homer, MD, MPHc, Barry Zuckerman, MDa



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