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Medical Forum / Diseases and Disorders / Arthritis / July 2006Update
I went to the Rheumotologist on Thursday. She sent me for Blood testing again, ANA, Comp Chem panel, Sedimentation Rate, RF, and a few others. I have to have a PPD done on Monday. She also sent me for Xrays, 3 on each hand, wrist and feet, 2 on each elbow and knees. in the meantime she put me on Prednisone for 3 weeks and dolobid. My ins will not pay for the dolobid and I have called her to let her know this. I can't afford to pay for the Dolobid out of pocket either they want $90 for 60 pills and she wrote the prescribtion for 90 pills so I'm thinking that is well over $100 or more. I go back to see my primary on monday as well so hopefully he will prescribe me something different as well. She said I am still generally swollen on both sides and have something called Polyarticular arthritis at this point. I guess she isn't totally sure of what type it is. At least I do know at this point it is Autoimmune. Jennifer >I went to the Rheumotologist on Thursday. She sent me for Blood testing >again, ANA, Comp Chem panel, Sedimentation Rate, RF, and a few others. I [quoted text clipped - 13 lines] > > Jennifer Hi Jennifer,,,,, The above story is part of our times. I would ask my RD for a substitute prescription or if it is important if I take this. Come to think of it,,,, more than once I have asked my PCP and/or RD for samples. If the prednisone helps you , the chances are that you are correct in that you have some form of inflam.arth.... DMARDS are expensive and the chances also are that you are going to have to battle your insurance. Keep your RD informed about what takes place there are ways to get help with cost. Harv I went back to see the RD today and talked to the nurse. She is trying to get authorization for the dolobid through the insurance company. i should know on wednesday what is going on more. Jennifer >>I went to the Rheumotologist on Thursday. She sent me for Blood testing >>again, ANA, Comp Chem panel, Sedimentation Rate, RF, and a few others. I [quoted text clipped - 24 lines] > with cost. > Harv Jennifer, I hope all works out for you. Just wanted you to know I was thinking of you.  SignatureLove and hugs Jo (\__/) .~ ~. )) /O O ./ .' {O__, \ { / . . ) \ |-| '-' \ } )) Warning: squirrels. .( _( )_.' '---.~_ _ _& >I went to the Rheumotologist on Thursday. She sent me for Blood testing >again, ANA, Comp Chem panel, Sedimentation Rate, RF, and a few others. I [quoted text clipped - 13 lines] > > Jennifer hi jennifer, it sounds like you've found a good RD. polyarticular just means there are at least several joints involved, so you have definitely joined our club--lucky you. i hope your doc gets you on treatment that helps you quickly. diane So you know diane she is actually new at the practice that I am going to and she has just became an RD about a year ago and just finished her residency. So I hope that she is going to be great. I'm actually glad that I found someone who is very understanding of it all. She was very gentle when touching where my joints are and everything so I hope everything works out great. Jennifer > hi jennifer, > it sounds like you've found a good RD. polyarticular just means there [quoted text clipped - 3 lines] > > diane hi jennifer, it sounds like you've found a good RD. polyarticular just means there are at least several joints involved, so you have definitely joined our club--lucky you. i hope your doc gets you on treatment that helps you quickly. diane Jennifer, I'm a little surprised that Dolobid is that pricy. I think it's been around long enough that it should be generic. I guess it was '88 that I tried it, so that would be 18 years ago. Hmmmm, maybe it's in the last years of the patent so they're milking it while they can - either that or they must have a new formulation that renewed the patent. Anyway, you did the right thing letting your RD know. She may be able to sample you for now and talk your insurance company into paying, or she may be able to get you on something your insurance will cover. It sounds like your RD is doing all the right things to evvaluate what is going on and is doing a thorough job. That is the good news. A good RD is a valuable partner. Hopefully your insurance compnay will be more co-operative when you have a more definite diagnosis. Sometimes they kick up their heels at general tags like "Polyarticular arthritis". It's sad and a big hassle, but it is the reality. Hang in there though. Your RD is at work nailing down what is plaguing you. SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare Went and saw her today and well she gave me a prescription for relifen and guess what, the ins won't even cover that. My Vit D is very low and she gave me a prescription for that as well and guess what the ins won't cover that either. I don't know what I'm going to do but I'm at wits end. I'm about ready to give up and say hell with it and wither away. In august she wants to put me on Methotrexate I wonder if the ins will cover that. jennifer > Jennifer, > I'm a little surprised that Dolobid is that pricy. I think it's been [quoted text clipped - 22 lines] > but it is the reality. Hang in there though. Your RD is at work nailing > down what is plaguing you. Can you not buy Vitamin D OTC? I do, get it in 1,000 IU pills, can't remember exactly what I pay but it is not expensive. Joan >Went and saw her today and well she gave me a prescription for relifen and >guess what, the ins won't even cover that. My Vit D is very low and she [quoted text clipped - 31 lines] >> but it is the reality. Hang in there though. Your RD is at work nailing >> down what is plaguing you. --- Joan Yes you can, but she wants me on 50,000IU's 2x a week for 6 weeks. yes my vit D levels are that low. Jennifer > Can you not buy Vitamin D OTC? I do, get it in 1,000 IU pills, can't > remember [quoted text clipped - 46 lines] > --- > Joan >Yes you can, >but she wants me on 50,000IU's 2x a week for 6 weeks. yes my vit D levels >are that low. Wow, that's a lot. I was taking 2,000 I.U. during the winter but cut back to 1,000 during the summer. Research is showing much larger amounts can be taken. I've never had a level done. There's a lot of talk about low Vitamin D and MS which is the reason I take it, but I don't know if it helps if you already have MS. --- Joan I don't know either Joan. The medical community doesn't seem to agree. Kelly >>Yes you can, >>but she wants me on 50,000IU's 2x a week for 6 weeks. yes my vit D levels [quoted text clipped - 11 lines] > --- > Joan > Went and saw her today and well she gave me a prescription for relifen and > guess what, the ins won't even cover that. My Vit D is very low and she [quoted text clipped - 4 lines] > > jennifer it sounds like your insurance comapny needs a slap upside the head! find out what their appeals process is and kick it in - though having your RD's office argue with them about necessary meds is one starting point. mary Z could give you lots of tips on arguing with insurance companies, but she's off paddling right now. On the plus side, methotrexate (mtx) is cheap even if you have to pay for it. When I was taking 20 mg weekly in pill form it cost me about $30/month. I hear the injectable form is cheaper. SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare Jennifer: I was on 10,000 units Vit. D. three times per week and insurance refused it at first. The doctor signed a form and insurance reconsidered. Now I am on a heavier dose, 1 mcg per day and so far the doctor has given me samples. Try for a reconsideration from your insurance on this one. As I understand it, they won't cover vitamins that are for regular maintenance, but will cove them for specific medical needs. Ann Jennifer wrote: > My Vit D is very low and she gave me a prescription for >that as well and guess what the ins won't cover that either. My rheumy recommended OS-CAL calcium 500mg with Vitamin D 200 I.U. I purchase a bottle of 250 (about 4 months) for $14.29 at Costco. ... vitamin: What you should do when friends stop by for a visit. Joan wrote: > Chief, 200 IU of Vitamin D doesn't even meet daily dietary > requirements. They are thinking a minimum of 800 I.U. daily. My bottle of 1-A-Day and the bottle of calcium with D 200 I.U. both state the daily value of vitamin D is 400 I.U. The dosage for the calcium with D is "One With Breakfast/ One With Dinner." I take one 1-A-Day and 2 calcium with D, which gives me 800. ... Evolution: ... Dinosaur to bird ... Ape to man ... Intestinal parasite to lawyer |
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