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Jerry's Determination

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Jerry,

I've just got to take a minute to hand it to you. Through the months that

you've kept us apprised of your situation you really demonstrate what

persistence and the strong drive to take care of yourself is all about.

Your story is also a study in the brick wall we sometime face in what the

HMO's and the insurance companies and the whole medical bureaucracy tries to

hand us. If you're this assertive now there's no telling what kind of

powerhouse you'll be once you get your T levels up to a normal level.

If you ever visit Chicago look me up; I want to shake the hand of a man with

this amount of determination.

In Jesus Irrational Love,

Tom

An update on me.

> Hi Guys,

>

> Since my last Testosterone test came out 271 (260-1000) some

> interesting things have happened.

>

> -My HMO, Kaiser sent me for an Endo second opinion, in which they

> still indicated no treatment was indicated.

>

> -I called the Oregon Health Sciences University and talked to a

> Pituitary Specialist. He painted a very different picture. Called

> a T level of 271 and LH 2, " Clearly Secondary " Said I needed

> extensive testing and possibly an MRI.

>

> -I filed a formal grievance with my HMO and also filed a complaint

> with the state. I requested that my HMO send me to OHSU for

> evaluation and treatment.

>

> -Kaiser responded by declining my request for refferal, but now want

> me to see yet another Endocrinologist. This will be my third. Of

> course I can and probably will continue with the process and appeal

> it until I get an outside review.

>

> So now I have to go back to Kaiser yet again, and probably listen to

> the same crap I've already heard them say. " 271 is normal, no

> treatment is indicated...blah blah blah " .

> I'm going to follow up with Kaiser, and allow them to formally deny

> treatment to me. Because when they do, I'm going to go to OHSU and

> pay for testing. If the testing confirms some type of pituitary

> insufficiency (secondary hypogonadism), I will go after them.

>

> Jerry

>

>

>

>

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Thanks for the compliment Tom, I appreciate it very much. Today I

have another appointment with the fine compassionate staff of the

Kaiser Permanente Endocrinology Department.

The doctor at OHSU coached me on what to tell them:

-I have a testosterone level of 271, which is probably low,

especially for my age.

-I have an LH of 2, which is certainly not elevated.

-I have lack of libido.

-I have fatigue and depression.

-I have other symptoms consistent with low Testosterone.

Yep, a testosterone level of 271 is within the normal

range...however I also coincidentally have all these other

issues. That's simply too many coincidental things happening at

once for it not to deserver further investigation.

I deserve an MRI and further investigation. Does Kaiser really want

to take the chance that I don't have a large pituitary tumor?

So that's it...after today, I'll be pretty much done with Kaiser,

other than to follow up with the grievance process and make their

administrator's life a living hell, until I can change insurance

plans at the beginning of the year.

I'm to the point now, where I really want this to just go away. I

want really badly to think about anything else, but the principle of

the thing really is pissing me off.

I'll keep you all posted.

Jerry

> Jerry,

>

> I've just got to take a minute to hand it to you. Through the

months that

> you've kept us apprised of your situation you really demonstrate

what

> persistence and the strong drive to take care of yourself is all

about.

> Your story is also a study in the brick wall we sometime face in

what the

> HMO's and the insurance companies and the whole medical

bureaucracy tries to

> hand us. If you're this assertive now there's no telling what

kind of

> powerhouse you'll be once you get your T levels up to a normal

level.

>

> If you ever visit Chicago look me up; I want to shake the hand of

a man with

> this amount of determination.

>

> In Jesus Irrational Love,

>

> Tom

>

> An update on me.

>

>

> > Hi Guys,

> >

> > Since my last Testosterone test came out 271 (260-1000) some

> > interesting things have happened.

> >

> > -My HMO, Kaiser sent me for an Endo second opinion, in which they

> > still indicated no treatment was indicated.

> >

> > -I called the Oregon Health Sciences University and talked to a

> > Pituitary Specialist. He painted a very different picture.

Called

> > a T level of 271 and LH 2, " Clearly Secondary " Said I needed

> > extensive testing and possibly an MRI.

> >

> > -I filed a formal grievance with my HMO and also filed a

complaint

> > with the state. I requested that my HMO send me to OHSU for

> > evaluation and treatment.

> >

> > -Kaiser responded by declining my request for refferal, but now

want

> > me to see yet another Endocrinologist. This will be my third.

Of

> > course I can and probably will continue with the process and

appeal

> > it until I get an outside review.

> >

> > So now I have to go back to Kaiser yet again, and probably

listen to

> > the same crap I've already heard them say. " 271 is normal, no

> > treatment is indicated...blah blah blah " .

> > I'm going to follow up with Kaiser, and allow them to formally

deny

> > treatment to me. Because when they do, I'm going to go to OHSU

and

> > pay for testing. If the testing confirms some type of pituitary

> > insufficiency (secondary hypogonadism), I will go after them.

> >

> > Jerry

> >

> >

> >

> >

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