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Old 09-06-2011, 07:11 AM   #1
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The Doctor-Go-Round game... Ya'll are gonna love this

OK.. here is todays b!tch of the week for me....It's a doozy & I will preface with: Thanks for listening & your thoughts.

My ortho had released me back to my GP in March after yet another round of 8 facet block injections (that never work on me & this time I had a bad reaction to that put me in the hospital). Upon releasing me, Ortho said surgery would not be recommended at this stage, but that at sometime it would be necessary. He told me that he could do surgery, but he couldn't guarantee any improvement and even feared it could make me worse- 'at this stage'. That was all back in March.

My atty asked me to make appt with my ortho to have him fill out the RFC. He had gotten all my records & the updates but no RFC was returned.
So last Wednesday when I called to make the appt, the woman said I needed to 'talk' with his PA, they transferred me. Well, I guess the PA does the FMLA/WC type work... and said I needed to come in for this kind of paperwork. So I went in on Friday. I paid my Co pay & waited for them (they I believe hold the world record for waiting time at least 90 min, usually MUCH longer) I also, as they require, brought all my MRIs etc, they had me do end of last year. So the PA comes in and says "OH, we don't do SSDI, they have another doctor that handles that. I said really?, coz when I spoke with my atty (paralegal) she said they have worked with your office on numerous occasions-They were delighted to hear I had been going to you. But the PA insisted they don't know my atty, nor do they do SSD paperwork (RFC).. that they refer this out to another doctor, since there is not any way they are able to determine how long I can sit, stand, walk etc.

I must have given them some type of 'you've got to be f'n kidding me' look, coz he did start stumbling & studdering around. He brings in my Doc & in harmony the same song is sung. Only they added, back in March when you were here, we told you to go to "Dr. blah-blah". I said, NO, you referred me back to my GP to treat as we had been, until surgery is required. That you had rechecked my meds & that if my GP needed to consult, to have him call. I also requested a copy of my files to be sent to my GP.

So now they are referring me to this doctor who is a physiatrists. Here I will copy/paste what is on his website:

A physiatrist is a doctor who treats medical conditions that cause pain or limit function. Also called physical medicine and rehabilitation (PM&R) physicians, physiatrists provide a full spectrum of care – from diagnosis to treatment and rehabilitation – to restore maximum health and quality of life.
Coordinating Care
Physiatrists listen to their patients and work with them to develop a customized course of treatment. This may include one or several non-surgical treatments:

Medications
Therapeutic Exercise
Injections
Assistive Devices (brace, artificial limb, etc.)
Heat, Cold and Traction Therapies
Massage
Electrotherapies

physiatrists, physical medical evaluations, physical therapy, non surgical treatments, physical therapists, pain relief, pain management If surgery is necessary, physiatrists work with patients and their surgeons beforehand, and coordinate their care afterward. Physiatrists help patients achieve a successful recovery by working with other physicians, such as neurologists and orthopaedic surgeons, and health professionals, like physical and occupational therapists, speech pathologists, and psychologists.


The stranger part of this is my Ortho, who is 'top notch' & looked at very highly in the medical community, has his own physical therapy ofc just down the hall from his office-but we both had already determined a year ago that PT won't really help me.

I said, Gosh doc, you/your staff should have told me this before you took my co-pay... then both he and the PA got up from their stools & started this 'quick exam' of 20 seconds, yes, I said 20 seconds, if it took that long-just to substantiate the billing of my insurance & the co-pay, I'm sure.

So, do you get the same bottom line as I do, he's trying to get this doctor some patients? I mean, the ortho can substantiate surgery, but won't even write his diagnosis on paper.. (which I asked him to do, leaving out the sitting/standing etc part out) AND, I even brought him a copy of what my GP wrote, (GP granted me permission to do that) he wouldn't look at it. YET, he agree's that SSDI should be granted-but he just doesn't do the paperwork.

I haven't talked to my atty or my GP yet. I think my GP is going to be more than pissy about this. He's the one who referred me to him, so I didn't just go to some quack. Hopefully my atty will say screw this new doc.. we really don't need him. Coz I can see where this is going -- padding this doctors pockets.

And everyone-especially me- wonders why insurance companies complain.. In this sort of case I would have to side with them.

Last edited by Jacki345; 09-06-2011 at 08:43 AM.

 
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Old 09-06-2011, 09:12 AM   #2
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

jacki345, why can't the GP fill out the RFC forms? I heard if the NP fills it out it doesn't count. I'm sorry you had to go thru that is sooo furuscrating.

 
Old 09-06-2011, 10:13 AM   #3
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

Quote:
Originally Posted by jgrangran View Post
jacki345, why can't the GP fill out the RFC forms? I heard if the NP fills it out it doesn't count. I'm sorry you had to go thru that is sooo furuscrating.
Oh my GP did fill them out. And my GP said it was ok to take a copy to the ortho (which I did) so ortho could see what GP wrote (part of which was determined on the reports the ortho sent to my GP). My atty said he wished all the doctors he dealt with filled out the RFCs like my GP did.

I guess he just wanted one from the ortho doc too. I wish everyone would just cooperate. How hard can that be, honestly

(the NP can fill them out, but they can't sign them. )

Last edited by Jacki345; 09-06-2011 at 10:14 AM.

 
Old 09-06-2011, 11:08 AM   #4
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

Oh ok. I'm glad that your DR. filled it out it seems like you have a great chance of winning

Last edited by jgrangran; 09-06-2011 at 11:09 AM.

 
Old 09-06-2011, 01:44 PM   #5
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

I know someone just recently posted about Dr.s not fill out the RFC forms. I don't see what the big deal is . You already paid the Co pay and two of the doctors hardly did nothing at all. How frustrating! Can your medical records go to your lawyer? My brother is a psysiatrist. He is really good. He has his own practice and does very, very well. It is very hard to go to these medical appointments only to find out that the DR's will not cooperate. I would be very upset!

 
Old 09-06-2011, 02:00 PM   #6
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

Wow Jacki..what a freakin nightmare. Why in the world would he refer you to a psychiatrist to fill out a physical health RFC unless there is some mental component to your disability. It seems to me that the ortho guy is really the one who should be filling this form out. A specialist like this is going to have more credibility in SS's eyes than your GP. Having uncooperative doctors is probably the most frustrating thing to LTD/SSDI claimants. They will treat you medically but often want nothing to do with any kind of disability paperwork. Many see this as extra work that they don't have time to do, yet this stuff is critical to their patients who are disabled.

 
Old 09-06-2011, 02:26 PM   #7
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

wow sounds like we go to the same dr's...the NP i've seen at the primary's office since Jan filled out all the SSA paperwork and RFC forms I gave her...I took them to her "boss" the actual MD in the office and he won't sign them; says he has no opinion on SSDI matters and won't sign them no matter what the NP filled out.

I'm out $50; one for the appt when the NP filled out the paperwork then the followup with the MD.

I didn't know a pdoc did all that? How are they licensed to do so much? I know all about padding dr's pockets; I'm still questioning the deal my attny may have with the dr they suggested I go see that has filled out paperwork for them before.

At this point after almost 2 years, I'm just ready for it to be all over and pay whoever to fill out the stuff to get my attny off my back. I'm so frustrated at my dr's I've been to that I want to find new drs.

if the dr will fill out the paperwork and it won't cost much I'd go for it...I know it's frustrating padding more of their pockets.

 
Old 09-06-2011, 02:31 PM   #8
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

Quote:
Originally Posted by mscat40 View Post
I know someone just recently posted about Dr.s not fill out the RFC forms. I don't see what the big deal is . You already paid the Co pay and two of the doctors hardly did nothing at all. How frustrating! Can your medical records go to your lawyer? My brother is a psysiatrist. He is really good. He has his own practice and does very, very well. It is very hard to go to these medical appointments only to find out that the DR's will not cooperate. I would be very upset!
I totally agree Mscat. I had a psychiatrist tell me point blank I believe you are disabled and can no longer work but I don't get involved in any kind of disability paperwork. This is very frustrating to disabled patients but you must find another doctor who will be supportive of the disability stuff and also treat your medical condition.

 
Old 09-06-2011, 02:39 PM   #9
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

Quote:
Originally Posted by sickandtired99 View Post
wow sounds like we go to the same dr's...the NP i've seen at the primary's office since Jan filled out all the SSA paperwork and RFC forms I gave her...I took them to her "boss" the actual MD in the office and he won't sign them; says he has no opinion on SSDI matters and won't sign them no matter what the NP filled out.

I'm out $50; one for the appt when the NP filled out the paperwork then the followup with the MD.

I didn't know a pdoc did all that? How are they licensed to do so much? I know all about padding dr's pockets; I'm still questioning the deal my attny may have with the dr they suggested I go see that has filled out paperwork for them before.

At this point after almost 2 years, I'm just ready for it to be all over and pay whoever to fill out the stuff to get my attny off my back. I'm so frustrated at my dr's I've been to that I want to find new drs.

if the dr will fill out the paperwork and it won't cost much I'd go for it...I know it's frustrating padding more of their pockets.
This is really frustrating sickandtired99. I have also run into doctors like this. I mean big deal, all he has to do is sign after reading over what the NP wrote. It is not like these guys are going to be subpoenaed to court. This is a huge source of frustration for many ppl.

 
Old 09-06-2011, 02:39 PM   #10
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

Even if the DR fills it out whatever DR. does you have to have records backing it up I would just get seems like your Pdr would know you best. because they are the ones that spend more time with you. I was told they can't close a file without one so maybe its possible they have already sent your DR. one. Its sad that your DR would not just sign the paper really that seems plain wrong..... Oh but he will take your money just seems wrong... I think you can still win without one surely people have like maybe sadly there are more DR's that don't wont to get involved in ssa cases. sad

 
Old 09-06-2011, 02:47 PM   #11
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

True jgrangran. I won and my doctor did not do a RFC for SSDI. I wish they could just go on your history and medical records alone. A doctor can not refuse access to your medical records but can refuse to fill out any paperwork on your behalf.

 
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Old 09-06-2011, 03:46 PM   #12
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

Quote:
Originally Posted by mscat40 View Post
I know someone just recently posted about Dr.s not fill out the RFC forms. I don't see what the big deal is . You already paid the Co pay and two of the doctors hardly did nothing at all. How frustrating! Can your medical records go to your lawyer? My brother is a psysiatrist. He is really good. He has his own practice and does very, very well. It is very hard to go to these medical appointments only to find out that the DR's will not cooperate. I would be very upset!
I totally agree Mscat. I had a psychiatrist tell me point blank that he thought I was disabled and no longer able to work yet he was unwilling to do any kind of disability paperwork. He told me that he use to but the paperwork got so overwhelming that he just did not have the time to do it anymore. It is really not that bad or much IMO, esp. after you have been approved for benefits. Any paperwork after approval for continued benefits is minimal. The psychiatrist I had was not very good unfortunately. All he wanted to do was drug you to death. He told me he had one poor girl on 10 mgs of xanax per day. Can you imagine that? 10mgs xanax is equivalent to 200 mgs of valium per day. He also said he had lots of ppl on 50 mgs of valium daily. I feel really sorry for these ppl when all the drugging starts not to work due to tolerance. You are then left in mental agony. This guy was only interested in making money tho. Quality patient care was secondary to his income.

 
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Old 09-07-2011, 09:50 AM   #13
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

Yes, jgrangran, my atty said with the RFC he already has is fine, he just wanted another to collaborate it I guess? (My words not his). But more to come -- read below

Quote:
Originally Posted by mscat40 View Post
I know someone just recently posted about Dr.s not fill out the RFC forms. I don't see what the big deal is . You already paid the Co pay and two of the doctors hardly did nothing at all. How frustrating! Can your medical records go to your lawyer? My brother is a psysiatrist. He is really good. He has his own practice and does very, very well. It is very hard to go to these medical appointments only to find out that the DR's will not cooperate. I would be very upset!
I too read those posts mscat, I was shocked (her) doctor wouldn't support her-at all. But this isn't really the same thing.. My docs support me, he (IMO) is just trying to juice the pockets of a doctor friend of his and wants that doctor to request the records and 'fill in the blanks' -- Literally that is all it is. BUT I have GREAT insurance so 'friends help friends' ..er doctors help doctors - I guess.

So, I did some checking on this doctor since my orig post yesterday. This doctor lists a host of things he's accomplished in, according to his website, and psysiatrist is among them.. and likely what my ortho was wanting his expertise in - for a disability eval. So after speaking w/my atty this morning, they hadn't heard of him but said ok can't hurt since he takes your insurance (per my ortho). So I called... Woman asked the regular questions.. when I said I had been referred she asked for what reason -- when I said disability eval she says -- with out a giggle, studder or burp -- Insurance doesn't cover that. That will be a $1000.00 visit charge. I replied: Please cancel all the information I just gave you, I won't be needed his services.

When I called my atty back (the para) she was stunned and said 'do not go'; RN at my GP gasped & couldn't believe it. Apparently this psysiatrist (not psychiatrist) is a doctor of physical medicine, is the only one around here who can read what my ortho's diagnoses is, hold an ink pen or type on a keyboard and transfer that information onto clean white paper -- something the ortho has already done or he couldn't have performed the round of 8 facet blocks a few months ago... .. and I don't believe there is another, not that that would matter, since insurance does not cover disability evals. Atty/para, after she could contain herself, said not to bother, that it was ridiculous and it really isn't necessary, it just would have made things easier. "Sprinkles on the ice cream". She was really taken back coz the office has worked with my ortho before.

*sigh*

And how is your day?

 
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Old 09-07-2011, 11:16 AM   #14
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

how greedy are these doctors.they should have there liscence took away.how can they take advantage of ppl omg!! i hope and pray for you to get through this mess quick!! im sorry you are going through this.

 
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Old 09-07-2011, 12:26 PM   #15
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Re: The Doctor-Go-Round game... Ya'll are gonna love this

I agree edrivera61. Doctors like this usually gain a bad reputation over time and become known to insurers as hired guns. They are not given much credibility and their medical reports are often challenged. I don't mind paying doctors for their time in filling out disability paperwork but $1000 is really taking advantage of ppl and this person may not even write a fully favorable report or RFC on your behalf that may not even help your case that much. At the other end of the spectrum are doctors who don't wanna help you period. I wish there were IME doctors that one could go to solely for anything disability related who were 100% impartial. IOW, they favor neither you or the insurance company. They simply go by your medical records and history and render a decision after carefully reviewing all the evidence.

Last edited by BlueSkies14; 09-07-2011 at 12:27 PM.

 
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