Re:

June 8, 2004

I will almost bet it is Intracorp that did the medical review for this

carrier...did I guess right? I have a similar situation on a case that I

am currently working on. Dr. Habeeb at Intracorp was adament that the

patient go through a full psych eval, even though our multidisciplinary

team passed her for listing.

If the insurance has denied, the patient should contact his employer

group and appeal the denial.

Marcia J. Fisher

Sr. Transplant Financial Coordinator

Michigan Transplant Center

This message is confidential, intended for the named recipient(s). If

you receive this message in error, please notify the sender by email or

at , and delete this email. Thank you.

>>> Austria@... 6/8/2004 12:56:55 PM >>>

I have a sticky issue I was hoping you could help me with. We had a

patient

who applied to our kidney program . He had a previous kidney

transplant

which lasted for 5 years. There was a question that he may have lost

his

kidney graft due to non compliance. He is a young individual, a single

parent of 2 young children and currently on dialysis. The pre

transplant

evaluation was denied by his primary insurance because of the question

of

compliance. Our doctors requested his primary insurance to authorize a

very

limited evaluation to include a psychological evaluation. He passed

the

psychological evaluation but his primary insurance still denied

coverage for

transplant . He has Medicare, our doctors are insisting to list him

hoping

he will have Medicare primary by the time he gets a cadaver kidney

transplant. Can you give me some advice. Has anyone of you had

encountered

the same problem. Any help will be greatly appreciated.

Austria, MBA, RN

Methodist Hospital System

P

Fax

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June 8, 2004

also contact the insurance commissioners office.

Michele Westfield

Division of Solid Organ Transplant

Alfred I. duPont Hospital for Children

P.O. Box 269

1600 Rockland Road

Wilmington, DE. 19899

Phone-

Fax-

mwestfie@...

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> Re:

>

> I will almost bet it is Intracorp that did the medical review for this

> carrier...did I guess right? I have a similar situation on a case that I

> am currently working on. Dr. Habeeb at Intracorp was adament that the

> patient go through a full psych eval, even though our multidisciplinary

> team passed her for listing.

> If the insurance has denied, the patient should contact his employer

> group and appeal the denial.

>

> Marcia J. Fisher

> Sr. Transplant Financial Coordinator

> Michigan Transplant Center

>

> This message is confidential, intended for the named recipient(s). If

> you receive this message in error, please notify the sender by email or

> at , and delete this email. Thank you.

>

> >>> Austria@... 6/8/2004 12:56:55 PM >>>

>

> I have a sticky issue I was hoping you could help me with. We had a

> patient

> who applied to our kidney program . He had a previous kidney

> transplant

> which lasted for 5 years. There was a question that he may have lost

> his

> kidney graft due to non compliance. He is a young individual, a single

> parent of 2 young children and currently on dialysis. The pre

> transplant

> evaluation was denied by his primary insurance because of the question

> of

> compliance. Our doctors requested his primary insurance to authorize a

> very

> limited evaluation to include a psychological evaluation. He passed

> the

> psychological evaluation but his primary insurance still denied

> coverage for

> transplant . He has Medicare, our doctors are insisting to list him

> hoping

> he will have Medicare primary by the time he gets a cadaver kidney

> transplant. Can you give me some advice. Has anyone of you had

> encountered

> the same problem. Any help will be greatly appreciated.

>

> Austria, MBA, RN

> Methodist Hospital System

> P

> Fax

>

> > CONFIDENTIALITY NOTICE

> > This electronic transmission contains information from Methodist

> Hospitals

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June 8, 2004

We have a similar patient with CIGNA too. They denied his tx as secondary payer because of compliance!. Bev Larson>>> mafi@... 06/08/04 01:09PM >>>I will almost bet it is Intracorp that did the medical review for thiscarrier...did I guess right? I have a similar situation on a case that Iam currently working on. Dr. Habeeb at Intracorp was adament that thepatient go through a full psych eval, even though our multidisciplinaryteam passed her for listing. If the insurance has denied, the patient should contact his employergroup and appeal the denial. Marcia J. Fisher Sr. Transplant Financial CoordinatorMichigan Transplant Center This message is confidential, intended for the named recipient(s). Ifyou receive this message in error, please notify the sender by email orat , and delete this email. Thank you. >>> Austria@... 6/8/2004 12:56:55 PM >>>I have a sticky issue I was hoping you could help me with. We had apatientwho applied to our kidney program . He had a previous kidneytransplantwhich lasted for 5 years. There was a question that he may have losthiskidney graft due to non compliance. He is a young individual, a singleparent of 2 young children and currently on dialysis. The pretransplantevaluation was denied by his primary insurance because of the questionofcompliance. Our doctors requested his primary insurance to authorize averylimited evaluation to include a psychological evaluation. He passedthepsychological evaluation but his primary insurance still deniedcoverage fortransplant . He has Medicare, our doctors are insisting to list himhopinghe will have Medicare primary by the time he gets a cadaver kidneytransplant. Can you give me some advice. Has anyone of you hadencounteredthe same problem. Any help will be greatly appreciated. Austria, MBA, RNMethodist Hospital SystemP Fax > CONFIDENTIALITY NOTICE> This electronic transmission contains information from MethodistHospitals> of Dallas. This information is confidential and proprietary and is> intended only for the use of the individual(s) and entity(ies) namedabove> and is not to be disclosed to any third parties. If you are not the> intended recipient, be aware that any disclosure, copying,distribution or> use of the information is prohibited. If you have received this> transmission in error, please notify the Office of Managed Care> immediately by telephone at or by email (> mariaaustria@...). Methodist Health System, its subsidiaries and> affiliates, hereby claim all applicable privileges related to the> transmission of this communication.> > > ***********************************************************************This electronic transmission contains information from Methodist HealthSystem and should be considered confidential and privileged. The information contained in the above messages is intended only for the use of the individual(s) and entity(ies) named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of this information is prohibited. If you receivethis transmission in error, please notify the sender immediately by return e-mail. Methodist Health System, its subsidiaries and affiliates hereby claim all applicable privileges related to the transmission of this communication.

June 9, 2004

if and when Medicare becomes primary, will the insurance co. cover the

out-of-pocket expenses or

continue coverage after 3 years ?

At 12:56 PM 6/8/2004, you wrote:

>I have a sticky issue I was hoping you could help me with. We had a patient

>who applied to our kidney program . He had a previous kidney transplant

>which lasted for 5 years. There was a question that he may have lost his

>kidney graft due to non compliance. He is a young individual, a single

>parent of 2 young children and currently on dialysis. The pre transplant

>evaluation was denied by his primary insurance because of the question of

>compliance. Our doctors requested his primary insurance to authorize a very

>limited evaluation to include a psychological evaluation. He passed the

>psychological evaluation but his primary insurance still denied coverage for

>transplant . He has Medicare, our doctors are insisting to list him hoping

>he will have Medicare primary by the time he gets a cadaver kidney

>transplant. Can you give me some advice. Has anyone of you had encountered

>the same problem. Any help will be greatly appreciated.

>

> Austria, MBA, RN

>Methodist Hospital System

>P

>Fax

>

> > CONFIDENTIALITY NOTICE

> > This electronic transmission contains information from Methodist Hospitals

> > of Dallas. This information is confidential and proprietary and is

> > intended only for the use of the individual(s) and entity(ies) named above

> > and is not to be disclosed to any third parties. If you are not the

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> > immediately by telephone at or by email (

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> > affiliates, hereby claim all applicable privileges related to the

> > transmission of this communication.

> >

>

>***********************************************************************

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July 29, 2004

In Oregon the payment of immunos under Medicare HMO's (or Medicare +

Choice or Medicare Advantage) follows the coverage for DME since that is

how immunos are paid for. Whatever the DME benefit is will be the

immuno benefit. This is because immunos are billed as a DME product so

fall under their reimbursement guidelines. This only became an issue in

the last year as HMO's have reduced their DME benefits in some cases to

below 80%, which they are allowed to do.

Medicare supps are different. They have to pick up the 20% after

Medicare pays 80%. We have had to recommend pts switch to supps instead

of HMO's. But this can be tricky because of the various open enrollemnt

rules.

Of course I don't know how this translates beyond state borders.

Debbie Lamberger, MPA

Catastrophic Financial Case Manager

Oregon Health & Science University

Department of Care Management

3181 SW Sam Park Rd UHS8L

Portland, OR 97239

phone

fax

Lamberge@...

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E-mail back the information or keep the original. If you have read this

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>>> .M.Hogan@... 7/28/2004 11:20:29 AM >>>

My experience has been with our Medicare HMO plans is that the immunos

do not fall under the prescription limitation. They have to follow the

Medicare rules, and since Medicare covers the immunos, they will as

well. Actually my understanding is they go through Medicare, not the

HMO. I find this alleviates most of their expense, especially once they

get settled with only being on a couple of meds.

Pat Hogan

Lahey Clinic

Burlington, MA

I am starting to see this more and more, and would like to know who

your

centers handle these cases.

A patient has a managed care medicare, but the drug coverage is very

limited

eg. 50% co-pay and 2500.00 per year coverage.

You explain the cost of the meds, and know they really cannot afford

the cost

of the meds when they meet the max., and

they still insist they want to be listed, and most pharmaceutical

companies

will not help, since they have some type of drug

coverage and they earn too much to qualify for help and too little to

pay the

full cost of these meds. Having them sign

anything stating they realize the costs and accept responsibility still

will

not get them med coverage. Any suggestions?

Anita M. Tantaros

Financial Coordinator

Fax:

Please note that if you received this message in error,you are hereby

notified that any dissemination of this communication is strictly

prohibited. Please notify me immediately by reply e-mail and delete all

copies of the original message.

January 11, 2005

What we do with medications is, list what is needed post transplant

and what could potentially be needed (ie, toprol, lasix, fosamax,

plendil . . . ) We display on our copy the price that Eckerds or

Walmart Pharmacy has quoted us for a thirty day supply. We show what

medicare would pay for immunos and the difference. We give the pt the

med list without the price and tell them to go to their pharmacy and

using whatever their drug plan is, find out how much the medications

will cost them the first month after transplant.

>>> Felicia.Elizondo@... 1/10/2005 4:50:47 PM >>>

Does anybody have a financial layout that is given or presented to the

patients that states what thier financial responsibility would be? I am

looking for something for Medicare only patients that would not only

touch on the medical part but also on the medication side post

transplant. Something that would break down the charges or amounts that

they may be responsible for. I am looking for some ideas so that I can

put together something for my patients. If anybody would be interested

in sharing I would greatly appreciate it.

Thank you,

Felicia Elizondo, CMIS

Transplant Intake Coordinator

January 11, 2005

We do almost the same thing. They are given a list of meds they may

have to take (including immunos) which includes the price for 30 day

supply along w/their estimated copays (obtained from ins.co). We

started doing this approximately 6 months ago as patients do not realize

how much their copays are until they see it in black & white. You can

talk till you're blue in the face, but when they see it in print and add

up the $$ it really hits home!

Sherri Sbalbi

Financial Counselor

Transplant Services

Baystate Medical Center

Springfield, MA

fax

Re:

What we do with medications is, list what is needed post transplant

and what could potentially be needed (ie, toprol, lasix, fosamax,

plendil . . . ) We display on our copy the price that Eckerds or

Walmart Pharmacy has quoted us for a thirty day supply. We show what

medicare would pay for immunos and the difference. We give the pt the

med list without the price and tell them to go to their pharmacy and

using whatever their drug plan is, find out how much the medications

will cost them the first month after transplant.

>>> Felicia.Elizondo@... 1/10/2005 4:50:47 PM >>>

Does anybody have a financial layout that is given or presented to the

patients that states what thier financial responsibility would be? I am

looking for something for Medicare only patients that would not only

touch on the medical part but also on the medication side post

transplant. Something that would break down the charges or amounts that

they may be responsible for. I am looking for some ideas so that I can

put together something for my patients. If anybody would be interested

in sharing I would greatly appreciate it.

Thank you,

Felicia Elizondo, CMIS

Transplant Intake Coordinator

January 11, 2005

we've developed a short and long term financial planning packet and included a worksheet with room for the pt's current living expenses and a separate box for new expenses related to transplant which we ask them to fill in with our help.

on Financial Counselor Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 toll free fax lmorriso@...

-----Original Message-----From: ELIZONDO, FELICIA Sent: Monday, January 10, 2005 2:51 PMTo: TxFinancialCoordinators Subject: Does anybody have a financial layout that is given or presented to the patients that states what thier financial responsibility would be? I am looking for something for Medicare only patients that would not only touch on the medical part but also on the medication side post transplant. Something that would break down the charges or amounts that they may be responsible for. I am looking for some ideas so that I can put together something for my patients. If anybody would be interested in sharing I would greatly appreciate it. Thank you, Felicia Elizondo, CMIS Transplant Intake Coordinator

IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature.

February 21, 2005

Could someone please share the letter they have potential donors sign at the start of work up that acknowledges that if something is found during work up, the donor will be responsible for further charges?

Thanks. My fax is 612 347-4040.

Jan GavinTransplant Financial CoordinatorHennepin County Medical Center612 347-3563

DaVita Inc.

February 21, 2005

I would like a copy as well Fax#

Thanks

>>> JGavin@... 02/21/2005 4:15:56 PM >>>

Could someone please share the letter they have potential donors sign

at

the start of work up that acknowledges that if something is found

during

work up, the donor will be responsible for further charges?

Thanks. My fax is 612 347-4040.

Jan Gavin

Transplant Financial Coordinator

Hennepin County Medical Center

612 347-3563

DaVita Inc.

April 3, 2005

Dear Steve,

thank you for your wise words. I think I need to explain how I look

at this voice in my innner. I don´t know if this is God or not. My

first feeling was. Bur now I don´t really care. Someone is listening

to me and give me wonderful, wise answers, and maybe the most

amazing thing I feel so loved and never alone. So the turnaround

seem to occur automaticallly in me when my heart understands that I

am love.

Love,

> > >

> > > Dear ,

> > >

> > > Isn't it sweet, isn't it lovely that we have a companion and

> friend

> > on

> > > our paths? I am never alone and never lonely. So exciting!

> > >

> > > I'll quote Carol Skolnick today ...Once I wrote to her that I

Love

> > > seeing God....she wrote back to me....*Good, look in the

mirror!*

> > >

> > > Love and kisses,

> > > nne

April 3, 2005

Dear nne,

yes of cource I see that:) And I was wondering why he is so engaged

in this converstation I am having? I was thinking of s

Words " there are three kind of business, mine, yours and Gods " .

Well, get into my business and get hurt...

Love you sweet angel,

>

> Dear ,

>

> Do you see that ltwobk is only looking at a reflection of his own

mind?

>

> Love, nne

>

> > your guide does not really impress me at all. Your guides

> > defence is the same argument that I have read over and over. I

don't

> > need to prove I am a higher being, you have to have faith, look

at

> > how good you feel when I am around. So many have played these

empty

> > lines like Sai Baba, Muktananda, Osho etc. ... etc. They all

turned

> > out to be fakes, who carefully played on their followers

inability

> > to question what they were hearing internal or external.

> >

> > As I have said before communication with the greater

intelligence

> > (God) is normally via flashes of insight. Verbal communication

is

> > extremely rare and the higher power will give proof of their

> > knowledge, as with Helen and ACIM.

> >

> > If you wish further proof that you are listening to your ego,

then

> > post your guides communications here and I will pull them to

pieces

> > and show you that they hold no wisom or insight. Sorry to blow

your

> > fantasies to pieces, but are you interested in the truth, or

more

> > lies?

April 3, 2005

Dear ltwobk,

thank you for the offer but I have never asked you for any proof. I

have already posted several of my communications here and you are

welcome to " pull them to pieces " . Just be aware of that you will do

that for YOUR need to see YOUR truth. I already have the truth in my

heart, and as I said before you have not the power to take it away

from me.In fact, I don´t even understand why you would want to do

such a thing. I haven´t asked for it. This is all about you, ltwobk.

Don´t be sorry for me. Be sorry for you.

>

> your guide does not really impress me at all. Your guides

> defence is the same argument that I have read over and over. I

don't

> need to prove I am a higher being, you have to have faith, look at

> how good you feel when I am around. So many have played these

empty

> lines like Sai Baba, Muktananda, Osho etc. ... etc. They all

turned

> out to be fakes, who carefully played on their followers inability

> to question what they were hearing internal or external.

>

> As I have said before communication with the greater intelligence

> (God) is normally via flashes of insight. Verbal communication is

> extremely rare and the higher power will give proof of their

> knowledge, as with Helen and ACIM.

>

> If you wish further proof that you are listening to your ego, then

> post your guides communications here and I will pull them to

pieces

> and show you that they hold no wisom or insight. Sorry to blow

your

> fantasies to pieces, but are you interested in the truth, or more

> lies?

>

> " Life is not a journey to the grave with the intention of arriving

> safely in a pretty and well-preserved body, but rather to skid in

> broadside, thoroughly used up, totally worn out, and loudly

> proclaiming... " WOW! What a ride! " " Unknown

>

> " Sanity doesn't suffer, ever . . . ever! Sanity doesn't suffer,

> ever, ever! Isn't that lovely? " Byron

April 3, 2005

Dear ,

I am happy that you are feeling loved and never alone. How you get

that feeling makes no difference to me. What would this world be

like if everyone felt that way all the time? Well, in the final

result, just like everythig else, " just another story " , but a " very

happy one " !

Blessings, Steve D.

> > > >

> > > > Dear ,

> > > >

> > > > Isn't it sweet, isn't it lovely that we have a companion and

> > friend

> > > on

> > > > our paths? I am never alone and never lonely. So exciting!

> > > >

> > > > I'll quote Carol Skolnick today ...Once I wrote to her that I

> Love

> > > > seeing God....she wrote back to me....*Good, look in the

> mirror!*

> > > >

> > > > Love and kisses,

> > > > nne

May 16, 2005

checking once more to see if anyone has the definitive on this one? :

Sadly, our patient's allograft failed one day post pre-emptive kidney transplant surgery... Is she eligible for Medicare despite the graft failure? She will begin hemodialysis shortly. thanks for any guidance,

on Financial Counselor Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 toll free fax lmorriso@...

IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature.

May 16, 2005

Hi ,

The patient was transplanted and would be

eligible for Medicare as long as she has the quarters paid into the system.

Debbie

RE:

checking once

more to see if anyone has the definitive on this one? :

Sadly, our

patient's allograft failed one day post pre-emptive kidney transplant

surgery... Is she eligible for Medicare despite the graft

failure? She will begin hemodialysis shortly. thanks for any

guidance,

on

Financial

Counselor

Legacy

Transplant Services

1040

NW 22nd Ave Ste 480

Portland

OR 97210

toll free

fax

lmorriso@...

IMPORTANT NOTICE: This

communication, including any attachment, contains information that may be

confidential or privileged, and is intended solely for the entity or individual

to whom it is addressed. If you are not the intended recipient, you should contact

the sender and delete the message. Any unauthorized disclosure, copying, or

distribution of this message is strictly prohibited. Nothing in this email,

including any attachment, is intended to be a legally binding signature.

IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature.

May 16, 2005

thanks very much for the help! some well-needed good news for the patient.

on Financial Counselor Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 toll free fax lmorriso@...

"Ring out old shapes of foul disease Ring out the narrowing lust of gold; Ring out the thousand wars of old, Ring in the thousand years of peace." - Alfred, Lord Tennyson

-----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Mast, DeborahSent: Monday, May 16, 2005 1:57 PMTo: TxFinancialCoordinators Subject: RE:

Hi ,

The patient was transplanted and would be eligible for Medicare as long as she has the quarters paid into the system.

Debbie

-----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of on, :LPH TrnsplntSent: Monday, May 16, 2005 1:54 PMTo: TxFinancialCoordinators Subject: RE:

checking once more to see if anyone has the definitive on this one? :

Sadly, our patient's allograft failed one day post pre-emptive kidney transplant surgery... Is she eligible for Medicare despite the graft failure? She will begin hemodialysis shortly. thanks for any guidance,

on Financial Counselor Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 toll free fax lmorriso@...

IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature.

September 8, 2005

Hi Cammie -- I'm going by memory now, but I think there are

two tests that measure the same antibodies -- anti-thyroid

thyroglobulin and the TPO (thyroid peroxidase). So if either is

elevated, you have Hashimoto's, to my understanding.

Finding an doctor who treats by symptoms and not labs is always

a challenge but see the description I put in the main page of this

group's site for tips - http://health.groups.yahoo.com/group/Thyroiditis/

Also, Shomon's site has a section for patient referrals to

doctors. http://www.thyroid-info.com/topdrs/index.htm

I have a GP (not an endo) currently who has let me try a higher

dosage and disregard the TSH, but he does so hesitatingly (docs

are afraid of getting sued and treating by these labs has been the

accepted practice since 1975). I'm frankly tired of trying to figure

out what's going on on my own, so I'm looking for a new doc too,

someone progressive. What's the dosage your doc has you on and

how long have you been on it? It can take a while to kick in but if

you don't start seeing some improvement after a few weeks of

treatment, I would either decide if you want to arm yourself with

the information and convince your current doc for a boost, or

find someone new. Good luck!!!

> Hi , I've been reading your posts. Maybe you can answer some

> questions for me. You mentioned that an elevated TPO meant Hashi's. What

> is TPO? My Thyroglobublin is 64.7, does that mean anything? How does one

> find a endo that will not go by the TSH only? I have all the symptoms of

> hypo, but my TSH is 2.69. I am on thryroid meds right now, but only

> because the dr. is watching a nodual to see is it shrinks. I do feel

> better on the meds. Any advice you can give? Thanks, Cammie

September 16, 2005

Hi from another (Australia = Oz)

Just thought I'd comment.... after many years of telling doctors my

thyroid had a problem and them telling me it was in my mind even with

blood tests, I finally got a doctor who looked at previous tests and

said they had all been idiots to not see it was Hashimotos. Took me

over 8 years to get treatment.

But about the blood test..... I've actually been taking twice the dose

my doctor put me on because I know and feel its right for me. My blood

test showed it in normal levels. So occasionally you really do have to

listen to your body, not the doctors.

Cheers

(Oz)

> > Hi , I've been reading your posts. Maybe you can answer some

> > questions for me. You mentioned that an elevated TPO meant

Hashi's. What

> > is TPO? My Thyroglobublin is 64.7, does that mean anything? How

does one

> > find a endo that will not go by the TSH only? I have all the

symptoms of

> > hypo, but my TSH is 2.69. I am on thryroid meds right now, but only

> > because the dr. is watching a nodual to see is it shrinks. I do feel

> > better on the meds. Any advice you can give? Thanks, Cammie

September 16, 2005

Ozq:

So happy for you :)Ozq wrote:

Hi from another (Australia = Oz)Just thought I'd comment.... after many years of telling doctors mythyroid had a problem and them telling me it was in my mind even withblood tests, I finally got a doctor who looked at previous tests andsaid they had all been idiots to not see it was Hashimotos. Took meover 8 years to get treatment.But about the blood test..... I've actually been taking twice the dosemy doctor put me on because I know and feel its right for me. My bloodtest showed it in normal levels. So occasionally you really do have tolisten to your body, not the doctors.Cheers (Oz)> > Hi , I've been reading your posts. Maybe you can answer some> > questions for me. You mentioned that an elevated TPO meantHashi's. What> > is TPO? My Thyroglobublin is 64.7, does that mean anything? Howdoes one> > find a endo that will not go by the TSH only? I have all thesymptoms of> > hypo, but my TSH is 2.69. I am on thryroid meds right now, but only> > because the

dr. is watching a nodual to see is it shrinks. I do feel> > better on the meds. Any advice you can give? Thanks, Cammie

April 14, 2006

Hi I would be very interested in speaking to the TFC at . I am reviewing a potential combined Liver/Lung candidate. He may want to be seen at

Shellie Staib Transplant Credit Analyst Patient Business Services (PBS) UPMC Presbyterian/Shadyside 2 Hot Metal Street Quantum One Bldg Cube S351 Phone:(412)432-5541 Fax:(412)432-5590

"Confidential UPMC Health System information. Any unauthorized or improper disclosure, copying, distribution, or use of the contents of this e-mail or attached documents is prohibited. The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If you have received this communication in error, please notify the sender immediately by e-mail and delete the original message."

This e-mail may contain confidential information of the sending organization. Any unauthorized or improper disclosure, copying, distribution, or use of the contents of this e-mail and attached document(s) is prohibited. The information contained in this e-mail and attached document(s) is intended only for the personal and confidential use of the recipient(s) named above. If you have received this communication in error, please notify the sender immediately by e-mail and delete the original e-mail and attached document(s).

May 11, 2006

Hi Sonja,

Please email me separately at vaughan@....

Thanks,

Bill

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Kohlgraf, Sonja

Sent: Wednesday, May 10, 2006 5:00

PM

To: TxFinancialCoordinators

Subject:

Hello

everybody,

I

am looking for some feedback from a transplant center that does approximately

220 transplants (combining solid organ and bone marrow).

Where

do you guys obtain your tissue typing? Do you outsource it?

If

you do outsource,

is the entire tissue typing outsourced or is some done in house?

Which lab do you work with? Are you satisfied with their customer service?

If

you do

not outsource, is all of your tissue typing done inhouse? Is

your volume only based on your own tissue typing or do you market it to other

consumers?

Thanks

in advance for your input.

Sonja Kohlgraf

Financial Analyst

UIHC, Surg. Dept./Transplant

Div.

1535 JCP, 200 Hawkins Dr.

Iowa City IA 52242

Ph:

Fx:

E-mail:

sonja-kohlgraf@...

Notice:

This e-mail (including attachments) is covered by the Electronic Communications

Privacy Act, 18 U.S.C. 2510-2521, is confidential and may be legally

privileged. If you are not the intended recipient, you are hereby

notified that any retention, dissemination, distribution, or copying of this

communication is strictly prohibited. Please reply to the sender that you

have received the message in error, then delete it. Thank you

August 14, 2006

girl, I was hoping you were going and

couldn't email you privatly because lost your information. I am so sorry

to hear that...

Mrs. Nury ino

Financial Counselor,Transplant Program

Tampa General Hospital

6th Floor East Pavilion (Suite G604)

(813)844-4665 office

(813)844-8499 fax

npaulino@...

" Kreci "

Sent by: TxFinancialCoordinators

08/14/2006 09:16 AM

Please respond to

TxFinancialCoordinators

To

cc

Subject

RE:

Nury, I am very disappointed but

I won't be able to make it this year

Kreci

Transplant Financial Coordinator

Southwest Florida Regional Medical Center

2727 Winkler Ave

Fort Myers, FL 33910

This email may contain CONFIDENTIAL PATIENT

INFORMATION, which may also be legally PRIVILEGED, and which is intended

to be read and or used only by the individual entity named above. If

the reader of this e-mail is NOT the intended recipient, you are hereby

notified that you are in possession of confidential and privileged information.

Any disclosure, dissemination, distribution, copying or the taking

of any action in reliance of the contents of this information is strictly

prohibited.

If you have received this e-mail in error,

please immediately notify the sender by telephone, and return the original.

Redisclosure of this information is prohibited without the written

authorization of the patient to whom it pertains.

Any Financial Counselors from Florida going to the TFCA Workshop in CA

,besides me? Pat, are you going?

Mrs. Nury ino

Financial Counselor,Transplant Program

Tampa General Hospital

6th Floor East Pavilion (Suite G604)

(813)844-4665 office

(813)844-8499 fax

npaulino@...

November 7, 2006

You'll have to use the pt's Medicare Part D plan for it, just like all the other non-immunos he/she is taking.

J. Aguiar

Beth Israel Deaconess, Boston

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Delson, SheilaSent: Tuesday, November 07, 2006 10:20 AMTo: TxFinancialCoordinators Subject: RE:

Anyone else have luck with this?

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, Sent: Tuesday, November 07, 2006 9:47 AMTo: TxFinancialCoordinators Subject: RE:

No they won't...

Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax

-----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Delson, SheilaSent: Tuesday, November 07, 2006 9:34 AMTo: TxFinancialCoordinators Subject:

Does anyone know if medicare will pay for IFN for Hep C patients?=================================== Cleveland Clinic is ranked one of the top 3 hospitals inAmerica by U.S.News World Report. Visit us online athttp://www.clevelandclinic.org for a complete listing ofour services, staff and locations. Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,confidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. Thank you.

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Cleveland Clinic is ranked one of the top 3 hospitals in

America by U.S.News World Report. Visit us online at

http://www.clevelandclinic.org for a complete listing of

our services, staff and locations.

Confidentiality Note: This message is intended for use

only by the individual or entity to which it is addressed

and may contain information that is privileged,

confidential, and exempt from disclosure under applicable

law. If the reader of this message is not the intended

recipient or the employee or agent responsible for

delivering the message to the intended recipient, you are

hereby notified that any dissemination, distribution or

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you have received this communication in error, please

contact the sender immediately and destroy the material in

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===================================

February 25, 2007

Hi ,

I am having my thyroid removed in April. Hoping it doesn't mess things up too much with the fibro.

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