Wednesday, January 20, 2016

Maybe I will get surgery this year

It's been 5 months since I started the process of getting surgery to remove the PVNS that is currently growing in my right knee. 

I found a new doctor right away when my family doctor retired in August.  I explained to the new doctor that I need him to refer me to an out of network doctor but I won't even know who unless I can magically pull one out of the sky.  He Googled one and found a guy who might be able to do the job.  He popped up first under "PVNS surgeon".  Only getting the referral through the authorization process of my insurance was like watching a cat play with a toy mouse.  I found going to the doctors office and talking to people in person was a great start.  I got results faster that way.  I was given the specific name and number to call the insurance person to explain why it is important that I get my referral authorized sooner than later.  But getting that woman to call me back has been futile.  I found it to be more effective to keep going back to the doctors office and telling the referral coordinator that I was going nowhere.  She got on top of it and sent the approved referral to the right doctor in December of 2015. 

I didn't hear anything and tried calling the primary doctors office but their automated phone system makes me want  to pull my hair out.  So I went back down to the doctors office and explained to the referral coordinator that I still hadn't heard anything.  She said to call the surgeons office direct and make an appointment because the referral had been sent. 

I called 3 weeks into January.  Guess what?  Well, besides the phone number she gave me not working, the surgeons office said they never got the referral.  I went back down to the primary doctors office and told the referral coordinator that I'm still stuck in referral limbo land.  She said she would take care of it.  I called the very next day to make my appointment,  they still didn't have the referral!  The surgeons office said that I should just keep calling back daily.  I seem to think work can get done within 2 days. 

I just got off the phone with the surgeons office and the 3rd person I have talked to there said that it can actually take up to 48 hours for the referral to be uploaded so I need to call back again tomorrow.

... Continued.  I waited 2 more days and called again.  The surgeons office said they see that the referral was sent to the wrong fax and it wasn't in their office.  I called my primary doctors office and told the referral coordinator that the last 2 fax numbers she tried were incorrect and provided her with the correct one. 

I seriously feel like I have to do other peoples jobs.  I'm trying to maintain being polite about it.