Guest guest Posted March 18, 2009 Report Share Posted March 18, 2009 Hi - Thanks for the email. Yes, I had a hearing to get medi-cal because the last decision I had denied me medi-cal since SSI denied me. I guess there is some rule that if SSI/SSDI denies you, than the state can use that ruiling to say that you are not disabled (the only way you can get medi-cal as a person over 21 along with the income requirements), they can deny you medi-cal unless you got a new diagnosis or a diagnosis wasn't considered in the SSI decision. Since I never put my PTSD down in my SSI claim due to my own weirdness and fear of the judge or anyone really having the nerve to ask me anything about my PTSD and feeling that my psych records are just too personal and so on, I never put it down.... LOL. Yeh... well.... no comment.. but outside of that... I finally got past some of these fears and decided to use this as one of the diagnosis that is 'new/not considered by SSI " so now the Adults disability division for Medi-cal must reopen my case and re-evaluate my entire case Seperate from the decision of SSI based on me having PTSD as well as the FMS, JRA, asthma, so on etc. The problem is that the health and human services place here in San diego isn't being just right. Draging their feet and they are the ones that last sent me a cryptic letter that didn't make sense regarding my medi-cal. The other day, I finally got a notice of action that my case has been sent to be reviewed by the adult disability division for medi-cal but I keep thinking this was supposed to be done at least a month ago already so that seems a bit late? So now I need to go inquire with my lawyer about that. Whatever the case, it is in the process of.... dont know how long they have to review it.... but in the process of being considered. My big worry now and part of the reason I ended up in this 'blow up' with my primary care is the concern that my medical record does not have enough documentation showing my functional impairments and problems that have gotten worse because he fails to follow up with them properly, inquire abnout them and address them properly even within the constrains of CMS. I see him most consistently every month at least once a month and even when I bring stuff up, 90% ofd the timne, he just blows it off so I really wonder what my medical records reflect now? I noticed that the Medi-cal paperrs ONLY wanted drs records from this Last year.. not even past years where I have seen other specialist but you know, I included ALL of that information Anyways and hope they will get it but I feel weary and concerned. I have great documentation for my PTSD and depression stuff but again I have to see psych interns because of lack of insurance and I dont know if Medical is like SSI but with SSI, they completely 'dogged' my therapist by saying 'they are only interns.... PhD interns... one year from getting their PhD.. Supervised by a PhD psychologist " but just thre same, the judge just threw out their opinions and disregarded what they said based on their status as being 'in training " so I wonder if Medi-cal does the same thing.. then... well. blah. If they look at my records over the yearsd from when I was insured and had care from a certfied 'seasoned' psychologist, they will have the same consistensy but do they really care? I think not... so far, their treatment of me shows that they are already juyst trying to get out of appproving me and avoiding doing so as much as possible. Wow what a rant... guess im still upset and cant sleep because i feel at a loss. I met the head doctor of county o san diego public health a few weeks ago and told her a bit about my situation. I got her card and she gave me someone that deals with health and human services for the aged/disabled in my area. I think I will write her an email and see if this can help me even though I'm not sure how but maybe it can. sigh... just so tired... wish I had a printer that was working!!!!!! urghhhhhhhhhhhhhh Issadora On Wed, Mar 18, 2009 at 5:04 AM, and Schulz < snooksmama@...> wrote: > Issy, I am so very sorry to hear this. I am, however, very glad that you > spoke up. At least you tried to get through to him. Our health care system > really stinks. Have you any avenue to reapply to Medi-Cal, or have you > thought about contacting your state senators to do something? I know I sound > like a broken record, but it was truly amazing how our state senator got > things moving for Rob to get his Indiana Medicaid. > I'm so sorry you have to go through this. I wish there were something I > could do. > and Rob 19 JAS > > > I really DIslike my doctor > Undisclosed recipients: ; > > > Hello- > > > > I wish I had the energy to type what I'm feeling right now. > > > > I feel very VERY upset right now. > > > > I REALLY dislike my primary care doctor. It's nothing new really > > as he is > > still not taking proper care of me but it's just that I finally > > got to the > > point of confronting him about his lack of care for me. About > > Why he doesn't > > ask me about how much pain I am in and where or about my > > migraines or even > > check my blood count regularly despite my history of anemia. I > > asked him why > > he hasn't sent me to the neurosurgeon as he was supposed to > > before and that > > despite the issues with CMS and it being a clinic and not real > > insurancethat still after two years of being in this program, > > this is just not > > acceptable. That my quality of life IS suffering and my health > > is getting > > worse and I'm the one that is feeling it. > > > > What made it really bad was that all he did was get angry. He > > was MAD that I > > spoke up. And I started out being demure, respectful and so on > > but he still > > got mad and frustrated. He was not listening and he was just not > > reallygetting it. He couldn't really give me a good answer and > > in the end, he > > basicaly told me that if I didn't like it, I could find another > > doctor which > > he knows is nearly impossible given my present circumstances. > > > > It's interesting to me that HE admitted that CMS is NOT adequte > > to handle > > someone like me with multiple health conditions YET he would not > > write me a > > letter before to support my getting State Medi-Cal. He said that > > " He cannot > > write letters saying who should and shouldn't get Medi-cal " and > > " that it was > > up to the lawers to fight for me " and basicaly that was it. > > > > Anyways, I didn't end up crying amazingly. But I just felt very VERY > > Angry!!!! Just sooo full of angst!! > > > > ON top of all of that, after nearly two years, he suddenly > > wanted me to > > bring in my medications to CHeck them like he decided to treat > > me with > > Mistrust and I told him I will but that I didnt appreciate him > > suddenlytreating me like he didnt trust me and that I Knew > > better. I also told him > > how it was really offensive to me how since I came to this > > clinic that I > > have been treated like someone that is incompetent and just some > > drug seeker > > and that most of the time, when I bring up something happening > > with me, it > > is blown off until it is severe. > > > > Oh, my thoughts are just all jumbled because I have all of the > > conversationracing through my head/mind and feel so trapped. > > > > > I want to SCREAmmmmmmmmmmmmmmmmmmmmmm. > > > > I feel hurt and scared > > > > and most of all, I'm feeling just helpless and vulnerable > > because I'm on > > around 10 medications now under the care of a doctor who can't > > take care of > > me in a competent way and I'm trapped without insurance. > > > > Why? > > > > =( > > > > Gosh I just wish I had someone to talk with. > > > > IM hurting sooo badly right now and I KNOW it's like > > psychosomatic or > > something from all of the stress I had to deal with today. > > Things are aching > > so hard and this cough is hurting my chest a lot, esp in the > > right lower > > side of my chest. I'm just tired of coughing and btw, he ignroed > > THAT too. > > HE did listen to my lungs and I was wheexing but he made NO > > Comment as per > > usual. > > > > =/ > > > > Issadora > > > > -- > > " How exactly does one become a butterfly? You must want to fly > > so badly that > > you are willing to give up being a caterpillar. " > > - Trina us > > > > > > Quote Link to comment Share on other sites More sharing options...
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