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Old 02-22-2010, 04:37 PM
 
4,502 posts, read 12,241,314 times
Reputation: 4072

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Any time I have to go to my primary doc, it costs me a $25 co-pay. Any time I see a specialist, it costs me a $35 co-pay. It seems that my primary doc can do nothing other than simple things like blood pressure check, pulse, temp, and if I have a cold or infection, write a 'scrip for antibiotics. Other than that, he refers me to a specialist.

Here's an example.... I saw him a few weeks back. He said I had a bit of a wax build-up in my ear (my fault for always using Q-Tips!!). It's gotten worse and I'm having a problem hearing out of my ear now. I told him and he said to use OTC drops... used them and they haven't worked. I called the office today and his sec'y said he can't do anything at the office and would probably refer me to an ENT!! I asked her why he can't take care of it there (I had the exact same problem years back and the doc I had then took care of it right in the office). She said he won't do it and I would need to see a specialist. A specialist??? For WAX BUILD-UP????

RIDICULOUS!!!!!

Keep in mind, with my insurance, I need a referral for everything... sooo, that means if I have a problem with my knee, I have to go see my primary and pay $25 just so his sec'y can do the referral. Then I have to pay another $35 to the specialist. In addition, if I need a refill on a 'scrip, I have to make an appt (another $25) just to get it and all my follow ups with the primary are $25.

Is this ridiculous or what???
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Old 02-22-2010, 04:48 PM
 
1,492 posts, read 7,093,502 times
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Not at all, this is the way the health care system- excuse me- the insured health care system is set up.

Have a GYN issue you 'know' your family doc can't/won't/doesn't handle.....often times you simply just can't call your 'specialist' as you are forced to go thru your family doc first to get the golden ticket- the referral.

Very rediculious! But health care is a product and this is the way things are if you are bound by your insurer.


A kid w/ tonsilitis can go to the doc, get a prescription, it not work....go back to the doc, get another prescription, it not work-
nothing wrong with this picture as

medicine is PRACTICED, it's not a guaranteed service.

I feel your pain, though as I'm not insured so if/when I go to a doc they BETTER be able to fix my issue. I don't have any money to waste.
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Old 02-22-2010, 04:53 PM
 
1,492 posts, read 7,093,502 times
Reputation: 1430
Oh, btw- your doctor just 'upsold' you....you know,
you order a burger and soda and they say, "would you like fries with that?"

Your doc sold you on a 'issue' that you did not say was painful and often times works out on it's on. Ear wax buildup can be seasonal. But you bought into it, as your doctor knew you would.

So more money for your doc and if you would have went to the specialist they referred you to....more money for thier friend! And maybe a kickback for your doctor.

Boy am I cynical about healthcare or what?
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Old 02-22-2010, 05:29 PM
 
4,502 posts, read 12,241,314 times
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Nooo... I refused the referral to the ENT... There is no way I'm paying $35 to go to a 'specialist" for something as simple as earwax build-up. When I called on the phone, it was to make sure they received something I mailed in and then mentioned to the sec'y about the ear problem.

I know how you're feeling, too. I only got health insurance through my job back in Oct/Nov. It's VERY expensive... I didn't have health insurance for 10 years before this.

The entire "health care" system is nothing buy a scam.
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Old 02-22-2010, 08:27 PM
 
2,838 posts, read 9,197,656 times
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I agree... I hate going to the doctor, only to pay my $35 copay for nothing, and to be told "well if it continues to bother you, COME BACK IN, and I'll refer you to a specialist." Yeah. I'm going to walk in for ANOTHER $35 so that I can be handed a referral to a specialist, which costs me $45. I've been told this twice in the past year... both times, I simply did not go back to my doctor, and surprise surprise, my condition cleared up. (Once it was a sore, white patch in my throat that persisted for several weeks, and the other was a burst eardrum which healed itself without antibiotics in about two weeks.)

Try this for your ear:

Put several drops of mineral oil in the ear (holding your head to the side so that it can't drain out right away). Wait five minutes, then tilt head to drain. Follow with several drops of hydrogen peroxide. Again wait five minutes, drain.

Do this every day for five days. On the fifth day, use a blue rubber bulb syringe (a baby nasal aspirator, but get the blue kind, not the clear kind) to flush out the ear with lukewarm (not hot or cold!) water. Your wax should pop right out. If not, do the whole thing again for five more days. If still nothing, and you still can't hear correctly, I'd grudgingly consider going to the ENT.
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Old 02-23-2010, 07:52 AM
 
1,492 posts, read 7,093,502 times
Reputation: 1430
Omigawd- proud of you for not falling for it!

Health care is a business, right?
They are in the business of making money, right?
It's a product they sell, right?

Then let the consumer treat them like it's a business!

Menu of prices!
Guarantee/Warranty
Appointment fees- we get charged if we miss or are late...let's start charging THEM if they miss or are late!!!!!
When we go in and ask for such and such....if they don't provide the service then we don't pay!

The list could go on and on!
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Old 02-23-2010, 08:06 AM
 
Location: Savannah GA/Lk Hopatcong NJ
13,114 posts, read 25,498,713 times
Reputation: 11200
Buy a glass medicine dropper and drop a few drops of peroxide in each ear,one at a time because you will need to tilt your head so the peroxide doesn't run out... when the snap, cracle , pop stops the wax should be gone....
Stop shoving it down the ear canal with Qtips....lol

This is all they did in the ER when son had problem...ER doc told him to do this when he started to feel build up

I agree though....doctors & insurance companies are in bed with each other & the patients get the shaft
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Old 02-23-2010, 08:13 AM
 
Location: Savannah GA/Lk Hopatcong NJ
13,114 posts, read 25,498,713 times
Reputation: 11200
Quote:
Originally Posted by VegasGrace View Post
Omigawd- proud of you for not falling for it!

Health care is a business, right?
They are in the business of making money, right?
It's a product they sell, right?

Then let the consumer treat them like it's a business!

Menu of prices!
Guarantee/Warranty
Appointment fees- we get charged if we miss or are late...let's start charging THEM if they miss or are late!!!!!
When we go in and ask for such and such....if they don't provide the service then we don't pay!

The list could go on and on!
Ohhhh I like those ideas very much
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Old 02-23-2010, 08:44 AM
 
Location: Chicago, IL
8,998 posts, read 13,393,675 times
Reputation: 3536
I remember when I was younger my doctor cleaned out my ears with one of those water piks. It hurt SO bad during but my mom let her do it.

In any case, I don't see why your primary doc couldn't do that but I am sure it would mess up with the 15 minutes per patient rule we seem to have here in America...unless of course you have a doc that takes cash only and they tend to spend more time with patients.

I can't 100% blame doctors. They have to make a living as well. With insurance companies taking a cut, denying them payment and having to pay staff, I can't 100% blame them for treating patients like cattle. I wish it were different.

As for your situation OP, that really is a racket. I know sometimes doctors will waive the co-pays if you have to come back within a certain amount of time. That's what I would do. If you didn't fix it the first time, why should I have to pay you AGAIN?!

I hated how my dermatologist would only let me have 3-4 refills with a prescription and wanted me to come back in so he could see if it was working. I deal with my face EVERY DAY. There is no need for you to get $$$$$$$$ just for counting the # of pimples on my face and prescribing antibiotics. I just started asked my primary doc for the acne meds and that saved me a trip and $$.
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Old 02-23-2010, 09:51 AM
 
8,415 posts, read 36,101,397 times
Reputation: 6302
Tell them you don't have health insurance. This never happens!

They make ear back flush kit things at the drugstore. My little brother had to have his ears manually cleaned when he was very young until he ears seemed to grow out of it. (no tubes)But we did the mineral oil in our house too. We would also lay bad ear down on a heating pad or hot water bottle and drink a lot of water. Don't pay for wax buildup removal. THAT is insane. DIY and stop going to the doctors so much. Then they can't charge you a thing.

Another things that you could do is report them to your insurance provider. I think that sounds like system abuse. The docs I know have no problem giving a referal over the phones. They actually would make more from me as I pay cash, but they still don't pull that on me. I hardly am ever at the doctors and would not call for wax build up though.
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