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MMM….Insulin

MMM….Insulin.  That’s what I said to myself today around 10:00 a.m. when a co-worker came up to my desk and said, there’s a package downstairs for you.  I was starting to get extremely nervous because about 20 minutes before that, my pump beeped and said “Low Reservoir” and I was completely out of insulin.  I am supposed to get a phone call when my insulin is shipped, but I never received a phone call, so I was really worried because it was Friday and I knew it wouldn’t be delivered on the weekend.  I finally received that call about 3 hours after the insulin was delivered, what good was that?

Once that new shipment of insulin came I took out 1 vial to let it settle to room temperature because I knew I would need to re-fill it soon.  I think we all know that cold insulin does not feel good at all.  I can remember the first time I took cold insulin, it was through an insulin pen, it burned like crazy.  I felt like somebody took a lighter and just put it up to my skin.  Never did that ever again. Now, into the problem that I have with my insulin company.

I have never seen a company so…ridiculous…for a lack of words.  It is the mail order company that my insurance requires me to use for my mail order services.  Last Friday I filled out the order form and faxed it in and faxed in the prescription that my doctor had just written out for me.  Not good enough for them because the prescription has to come directly from the doctor.  So, I called the doctor’s office and they then faxed it over to them.  Nope, still not good enough.  I have to fill out the order form myself, with my insurance information, billing, shipping, all the good stuff.  Then I have to fax that form to my doctor, who then has to fill out the prescription on that piece of paper, so it can’t be a separate prescription, it has to be hand-written onto that sheet.  Then finally my doctor’s office can fax it over.  So this took up until Monday to finally complete.  Then once they receive it, it takes 24-48 hours to enter the order into the system (I don’t know how it can take that long).  Once the order is in the system it takes 3-5 business to process the order (once again, no idea how it takes that long), but oh don’t worry they ship it overnight for free.  Well you freakin should for taking a damn week to process it!

Well, as you see here, my insulin is in my possession, finally, and I am very happy to see it here.  Time to now put it into the fridge and let it stay there until I need it.  Luckily I won’t have to go through this in December when I re-order because the prescription will be on file.

Well, it’s 8:00 p.m. Friday night, I need to go.  Good news today, my LLC finally went through, official company name is “CSI Marketing Solutions, LLC”

Doctors, Deductibles, Diabetes, Contract Work – OH MY!

Doctors and deductibles.  Both have things in common, but also a lot of differences as well.  You don’t want to have a high deductible, just as much as you don’t want to have a high doctor.  Your happy when you meet your deductible, hopefully you are happy after you meet your doctor.  But then comes my discussion and dilemma, which I know a lot of you share with me.  Do you skip or hold off on visits because you have met your deductible and then in two months it sets back to zero and you have to start all over again?

I need to go to the dentist because it has been almost a year and a half since I last saw my old dentist back in PA.  I don’t want to go right now because I haven’t met my calendar year deductible.  So why not just wait until January 1, right?  My endo was fine with that decision except that I said the same thing last year as well, which is exactly why I haven’t seen a dentist for as long as I have.  So then I started to think, is it just a lame excuse to not go and see the doc?  I also need to go get my yearly eye exam.  I do believe, however, that I went for a check-up earlier this year because I needed a new prescription for my contacts and needed new glasses.

Now, some of you may be thinking, how in the world have you not met your deductible this late into the year?  I got a new insulin pump in January, I have infusion sets, reservoirs, transmitter and sensors for my continuous glucose monitor (CGM), but they were all billed from an out-of-network provider, so that ate up my out of network deductible, but didn’t touch my in-network.  All of my doctors are all in network with the type of insurance that I have.  And of course the money that I pay every 90 days for my insulin does not go towards my deductible, why would it?  So that leaves me with only one thing going towards it and that is my doctor’s visits.  So until I meet that deductible, there is no co-pay, it is strictly going towards the deductible.

I started seeing my new endo back in May or June, don’t exactly remember and I have had monthly, well every 4-6 week visits since then.  And since the insurance isn’t covering anything yet, I’m sure you know much it is costing me for these endo appointments.  So I am paying a monthly premium for my insurance, but still paying monthly doctor bills.  I guess it could be worse because I don’t pay anything at all for my pump supplies and testing strips, at least not yet.

Now, getting a little off of the deductible topic and into a more general insurance topic, private insurance.  For those of you who have been reading my blog for a while, you know who I work for, and that has been disclosed before the FTC crack down on it.  Any who, I receive insurance from them as a full time employee.  I have also created a company within the last 60 days as well.  This wasn’t really a planned thing so I will explain it briefly.  I had friends and relatives that knew I was really into geeky, cool, tech things like website design, blogging, and social media.  A few people needed help getting started on Facebook and Twitter etc.  So then I said well why not start getting paid for doing this stuff.  Then it started to evolve and had people asking me to do their PPC campaigns, (Google Adwords primarily) and also some organic SEO stuff.  Now I definitely have to charge for that type of stuff because it is not the easiest and quickest stuff to do.  Do I have to disclose when I am talking about my own company?  Well, just in case, I own Chris Stocker Inc, with 10% of all profits being donated to JDRF.  Now you know the story, here is the question.

Since I am diabetic, I feel restricted that I have to work for a corporation that will offer me insurance.  Is this new PPC / SEO business paying the bills?  No, not really, so I’m not looking for this to be a full-time gig or expand it into something large with several employees, then in which I would be able to get some group insurance.  This is just something that I am extremely passionate about and love to do, so I do it on the side and would love for my career path to follow this way.  The only problem with that is a lot of work in this industry is done on a contract basis, and there’s no insurance in contracted jobs.

So what am I to do?  Are there any of you out there now that do this type of thing or any contracted work?  Or own your own business?  Like I said before, at this time there are no plans to expand to the level needed for insurance.  I would really appreciate all of your help on this.

Results From Endo Appointment

Today’s post, although later is about the results from my endo appointment today.  I just came home from football practice a little bit ago, so that is why it is such a late post tonight.  But anywho, onto the appointment.  A diabetic’s mandatory meeting.

I was actually on time so that started out well.  I handed my pump and my meter to the receptionist so they could pull the numbers off of the two.  For some reason, my meter decided that it didn’t want to work anymore and wouldn’t give the readings so they were going to give me a new Freestyle Lite meter.  I told them to just keep it because I have plenty of meters at home, leave it for somebody that needs one.  [Plus didn’t know if I’d have to report that to the FTC also 🙂 ]

Next up was the blood pressure.  If you recall from my last endo appointment, my blood pressure was a little high, 140/80.  I was very stressed out that day and was running around like crazy before the appointment.  Today I wasn’t stressed at all, it was a perfectly fine day.  My blood pressure was 122/70, perfect.  So there was nothing to worry about with that.  For some reason they weighed me after the blood pressure.  The scale at their office is always about a 10 pound difference then any other scale I step on.  Their scale last time said 254 when mine at home said about 244.  Today, their scale said 246.  So even though I’m not that heavy, I am obviously losing some weight.

As I explained recently, I have had a month full of highs and was trying to figure out why that was happening.  I discussed it with the doc today and we both agreed on all the possible reasons that I mentioned.  Probably a site issue.  We eliminated those highs so we could see patterns in normal days.  Overall, the sugars were pretty damn good.  Just those few high days did it to me.  Like usual my sugars overnight are killing me, literally!  We increased my basal rate during the late night / early morning hours to 1.8 and kept the rest of them at 2.2 – 2.4 depending on the time of day.  We also increased my carb ratio to 1 unit of insulin for every 4 carbs at night time and kept it at 5 carbs the rest of the day.

I felt very good after leaving today’s visit.  Things are going good and somethings are getting even better.  My goal for next month’s A1C is to have it below 7.  I have busted my butt exercising and eating better to do this, but I can’t stop now I have to continue.  Well, next appointment isn’t until end of November, so I’ll update you again after that appointment.

Endo Appointment Tomorrow, Charlie Kimball Friday

I received a phone call today from my endo’s office to confirm my appointment for Friday and I was confused.  I said, there’s no way that I could have scheduled an appointment for that day because Friday is Charlie Kimball’s race down in Homestead – Miami that I am going to so I can’t have that appointment.  She said, well I don’t think that we have any other openings.  I said, you don’t understand, I can’t miss this race, I am going to meet Charlie and be at the race.  So she said she would look and see where she could fit me in and give me a call back.  5 minutes later I get a phone call and somebody had cancelled for tomorrow, so it looks like now I have an appointment for tomorrow.

First thing that I am going to explain to the doc when I get in there is come straight out and admit that it hasn’t been a good month for me.  In fact, a pretty effin’ bad month.  I had a lot of highs, some major lows and just been all over the map with my sugars.  However, I did manage to find more time for exercise and lost some weight.  I put a little on over the last week, but I had lost enough before that to still be down some weight since the last visit.  The last thing is to explain that I haven’t worn the sensor at all for multiple reasons.  For one, it started to fall out all the time.  Secondly, the ones that I had expired way back in May and never realized it because I just kept thinking, well I still have 2 full boxes.  I will probably still attempt to use them though.

I must also remember to get new prescriptions from her however because I am almost out of insulin.  That also reminds me that I better re-order very soon because there is always an issue, especially when I need a new prescription sent in.  The first time that I had to send in a new prescription, it took me almost 2 weeks to get my insulin delivered, not good customer service in my eyes.

Today’s post a little short because I just got back from the gym and I am tired and I am trying to cook dinner and do laundry and have a lot of work to catch up on tonight.  So you all have a great day and I will have a better post tomorrow.  Hopefully something positive from the endo appointment.