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Upgrading My Healthcare Experience – DBlogWeek Day 4

I think that I may spend more time on the phone with my insurance company throughout the year than I do speaking with my healthcare team.

Go back and re-read that.

This is coming from someone who gets a good 30-45 minute discussion with my educator at every single visit (I see an ARNP not endo).

That would be very high on my list of things to change. That the insurance companies actually read the notes from the previous callers because every single time I have to explain the situation and that’s when my frustration levels begin to rise.

Another issue I would like to see fixed is that when I actually pay for health insurance, that they provide some sort of prescription co-pay. Currently, I had to change to a temporary plan due to a marketplace hiccup, if you will. With this new plan, there is no prescription coverage, basically I pay whatever the pharmacy discount is. So for my 6 vials of Novolog (or Humalog or Apidra, doesn’t matter) it will cost me just under $1,000 and that includes the co-pay assistance from Novolog. Just last month on my previous plan, it was a $25 co-pay.

I’m sure this is one is going to be listed on everybody’s post today – Choice.

I think that one explains itself.

I cannot complain against my medical visits because I get a good 30-45 minutes and it’s an actual discussion back and forth with my educator. We figure out what went wrong, what worked, and make a plan for the next 90 days before we regroup again.

I know that is not always the case, so I would like to see that my doctor be able to get paid for the time that they put in. A lot of education is missed out because they don’t get reimbursed for it, and that doesn’t help anybody.

I would also like to not have to hear stories anymore from people that say, “what?? You’re doctor emails back and forth with you??!!??”

Yes, I will email her and say, hey I just uploaded 7 days of sensor data, can you take a look and she will respond with what she thinks.

Now, do I think that she should be able to bill for that? I don’t know. Here’s why..

I own a business and sometimes I have to do work in order to either gain a client or keep a client that is work, but not billable work, it’s relationship building work. And that is how I see these emails.

But, I would like to see the healthcare system have a way for doctors to get paid and reimbursed for Skype calls and it not have multiple hoops to jump through.

My primary issue is just a simple customer service one when it comes to insurance. Just simply have great customer service and a great customer relationship management system and don’t be another roadblock in my life for better health.

I’m Not Big on Words – DBlogWeek Day 3

There are certain words that I think can certainly hurt and those are related to race, direct insults like fat, ugly, etc.

When it comes to diabetes, I may be in the minority here, but in a lot of circumstances my thoughts are this….. It’s just a word, get over it.

Take a second to look at the name of my site, do you think I care about the word diabetic? You can call me a person with diabetes, diabetic, or whatever else you choose. Diabetes is not all that I am, but it is a way to describe part of me. Just like if I went into a sports bar on a Sunday afternoon, I would be identified as an Eagles fan, not Chris, but as an Eagles fan.

If you prefer to be called one or the other, that’s great, I also don’t have anything against that… why? Because I respect everyone’s decision to like or dislike certain words.

Checking vs testing blood sugar is another one that doesn’t bother me. I understand that testing makes it sound like a pass or fail, but honestly, that is way overthinking it. It’s just a phrase. Once again, my own personal opinion and I respect the opinion of others who may not like the word.

I’m not one to deep dive analyze every single word. I don’t think into this stuff like that. There is way too much other crap in my life to worry about and stress over, that the simple choice of a few words is not one of them.

Another one that I see a lot of chatter about is patient vs consumer vs customer. Another one that I don’t care too much about but I see it this way. I am a patient of my doctor and healthcare team. I am a customer to an insurance company. And I am also a consumer and customer to supply companies. I am NOT patient of Novo Nordisk, Medtronic, Bayer, Roche, Lilly, etc.
However, if you want to call me a patient of these supply companies, it’s not really going to bother me. Like I said, I have family health problems, business problems, a 14 month old, and plenty of other battles to fight, like access.

When I have to go from paying $25 for a one month supply of insulin to $985 for that same one month supply because my insurance changed…..I don’t give a F&^# what the insurance company calls me. Much bigger issue to deal with.

Once again, I want to re-iterate. I have no problem with people who do not like these words. I am not saying that my way of thinking is the right way, it’s just the way that I think and handle things, that’s all. Fighting to eliminate usage of some of these words is just not something that I am passionate about, therefore, I don’t spend my time worrying about it.

I am all for finding your passion in advocacy and advocating the hell out of it.

So, if this is one of your advocacy passions, then fight on and I will support you as an advocate.

Mental Health: The Other Side of Diabetes – DBlogWeek Day 2

I am so happy that this topic is part of Diabetes Blog Week. I don’t think that this is a topic that is discussed enough. Whether it’s because people who are going through mentally don’t want to talk about it on their sites or the fact that there is just not enough coverage, studies, etc. that go into mental health awareness.

I tend to have pretty tough skin (no lancet pun intended), so I have been able to learn how to let things go and not fret the small the stuff. This has been something that I have learned over the years of dealing with stressful situations in business, diabetes, and life in general.

Diabetes has more of an emotional and mental impact on my wife than it does on me. She worries constantly about my blood sugars, worrying about them going low in the middle of the night and not waking up, or traveling somewhere and not having Skittles or other forms of sugar on me (she carries that stuff when we are together).

When I have a high blood sugar or just having one of those diabetes days, I just try and count to 10, think about the positives in the situation and realize that what is getting me down is probably not as big of a deal in the long-term picture than it feels at that time. I then think about that and it relieves me of my stress or negative mental feelings that I may have at that time.

Being an entrepreneur and knowing that every single day, I am in charge of where the finances for my family are going to come from, weighs heavily on me and my mental capacity. But, like I said above, I have learned to deal with each situation and not spend too much time thinking about one single issue. There are much larger issues that others are dealing with, so I think to myself, “it could be worse”.

I am so glad that there are advancements in digital health and digital therapy, especially in the mental health area. Therapy with ThriveTalk is one of the companies that is helping to connect people in need of mental health support with highly skilled and vetted therapists.

It is not easy, I have not always been able to talk my way through these stress and negative thoughts, but it has taken time, a lot of time.

There are definitely times when I say, ‘damn, I hate this disease because it sucks so damn much.”

But then I stop and say, “well, it’s not going anywhere, so just deal with it”

It may not work for everyone, but it works for me. If it’s not something that I can directly be in control of, then I can’t waste time stressing about it because it is out of my control.

Policy Advocacy and Education Message – DBLOG Week

I have been writing on this site for nearly 8 years now and during that time I have had a lot of different awareness passions. It seems that the more I learn about certain issues, it either makes me more passionate or less passionate about that specific issue.

The whole concept of my site has always been to show people that a life with diabetes is just as normal as everyone else, except we have some extra stuff we have to take care of on a daily basis.

From day one, I have had a passion about the lack of education that exists for this disease. For as many people that live with diabetes, whether it’s type 1 or type 2, or LADA or one of the many forms of diabetes, there is such a lack of education. HCP’s don’t even know enough about diabetes (not all obviously). But, when I go to a clinic for a cold and mention I have type 1 diabetes and they are asking me questions about basic diabetes knowledge, that’s pretty scary.

In the years that this site has been around, I have had multiple guest posts from diabetes educators about the importance of education. And when I say education, I mean for HCP’s, general public, people who has diabetes, etc.

Then over time, I realized that a lot of the issues that we have within the diabetes world are actually policy related. That means that if we want to provide more education to people, the people providing the education need to be paid for their time, which means we need legislators to make decisions to ensure that people get paid back for their time and services.

This realization led me to become passionate about diabetes policy advocacy which is where I have focused majority of my time over the last 12-18 months.

The very first thing that I did was reach out to Bennet Dunlap and ask him what I can do to learn more about the policy side of things, because it is definitely complicated.

Luckily, Bennet and Christel have created the most amazing tools ever at the Diabetes Patient Advocacy Coalition. They have made things so much easier for people who are interested in policy advocacy to actually take actions and do things.

So, that’s why I am here now. That is what most of my posts are about.

In order for us to make changes to a lot of diabetes issues, it will take a much higher level policy change.

Guest Post from Rick and RADiabetes – RABlog Week

rablog-week-rec

 

First, thank you to Chris for allowing me to post about #RABlog week on his web site. Chris volunteered this space to let me explain #RABlog week which is September 21 to September 27, 2015. This will be our first ever #RABlog week, so I appreciate the opportunity to explain why it is being held and why my web site RADiabetes.com is the sponsor. But first let me answer the biggest question .

Why are you talking about Rheumatoid Arthritis (RA), I thought you had Diabetes?

I am a person with Type 1 and was diagnosed with diabetes when I was 16. That means I have been a PWD for 41 years. So it is natural that I most closely identify with the diabetes community. But in 2000 I was also diagnosed with Rheumatoid Arthritis and in 2010 Ankylosing Spondylitis (spinal arthritis). While the three diseases are not related they all result from an over active autoimmune system which destroys things like Beta cells, connective tissue and other necessary stuff. We like to say RA is the body turned on itself. But in truth all autoimmune diseases result from the body turning on itself, so that is nothing new to we type 1’s. Read More

DBlog Week-ing about Keeping it to Myself

I was never really the type of person to talk a lot about myself and my feelings (except maybe sports, I was pretty cocky when it came to that). Once I was diagnosed, I was still a little shy about my diabetes and telling people, but I got over that within a few months. The main reason was because I wanted to educate people about diabetes, so I was always willing to answer questions or talk about the disease. Obviously, once I started the blog almost 10 years ago, I’ve talked about a lot of stuff, but there are a few areas that I haven’t really shared much about.

The one topic related to diabetes that I don’t speak about much, almost zero amount of times, is – sex.

Why?

There are a couple reasons. First, my mother and I think my mother-in-law sometimes, read my blog. I just had my first child, so yes, I think everyone knows how that happened, but at the same time, this isn’t 50 Shades of Grey Diabetes.

There are a lot of specific topics in the sex realm that can be talked about, but I haven’t spent much time on it (even though I think that maybe these topics should be discussed more frequently):

  • How to deal with a low blood sugar when the mood is hitting
  • Erectile Dysfunction
  • Where the hell does my pump go?
  • Is it ok to disconnect during?
  • Many more topics…