Monday, March 11, 2013

The thing and its opposite


Survived the first week of March.

First, something about spring and new beginnings. Coupled with the grogginess and well, jet lag, of Pacific Daylight Time.

A week of 4 warm, clear days and 3 rainy, cold grey ones.

Monday, the denial of a second appeal from Prudential. Some details of which appeared here, then had to be removed. Apparently the truth can't be told until...well it's unclear when.

This week I heard from knowledgeable persons that insurance companies deny all appeals just for business reasons. Don't take it personally. It has nothing to do with anyone or anything.

And the employees they assign to review the appeals are sincere about their jobs and truly believe the business-driven fictions they create. They may or may not have a medical background. It is allowed, impersonating medical professionals. They can have their own parallel reality. I might be the only one who has a problem with this.

After the outrage, note that the King of Clubs did indeed provide an Independent Medical Examination.

Tuesday, a second insurance company denied the cervical spine MRI, lacking proof that other options had been tried. This was the first visit to Dr. S. Maybe because he is a neurosurgeon. Not the first person you see for neck pain. Hello?

Did I try six weeks of treatments first including anti-inflammatory medication and physical therapy or a physician supervised home exercise program? Yeah, in 2010. But hey don't pick up the phone, no no, just deny it. Start the grievance procedure and meanwhile (in theory) no major exercise until an MRI shows what's going on.

Then, TurboTax says I'm getting a refund...

Wednesday, lunch to go over SBI auction script. Yay, they like it! Yet somehow no catharsis in telling the story. In a funk, slogging through it again. Nightmares leading up to the meeting. Concerning work and my manager who morphs into the lawyer. And a strange scorpion/centipede hybrid with an armored shell. It latches onto her neck and shoulder and can't be shed.

Thursday, dentist. Spinning. TV. Avoiding drama at all costs.

Friday, TRX. Which should be getting easier but totally kicks my butt. Barely ambulatory. And Route 66, a journey hits a milestone: 10,000 page views.

Saturday the auction, a room full of wonderful people. Hawaiian theme with hula dancers, fun and relaxing. Speech OK not great. Don't get me wrong, it's a real honor. The story puts a human face on brain injury. If it has to be MY face, could we get a better ending?

Fingernails and toenails fabulous in blue. I never win anything, but we did win a trip to Hawaii! No kidding...

There is a philosophical principle that says when a statement and its opposite are both true, you  approaching something profound and real.

Don't know about that. I'm writing this post and taking a rest day.

4 comments :

  1. You are truly awesome, sister. Happy that you won a trip to Hawaii, a truly special place with all its angular volcanic panoramas, sweet aromas, and fresh sea air. You are a very special person, with all your observations, verbal and literary abilities, and sense of humor/irony. I am one of your biggest fans. <3

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    1. Wow - I think you love Hawaii! Thanks for reading and supporting and being there...

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  2. You won! That's wonderful. :) I hope you have the best time.
    Otherwise... I'm so sorry there were so many downs to go with the ups. The insurance companies are just mind-boggling.

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    1. One thing I want to do is help people understand about insurance companies. How they may think they have insurance when they really don't. With brain injury I've seen how they kick people when they're down. Hoping they won't get back up. Most people don't have money or endurance to fight. It's a long process... one thing I recently learned was that insurance companies don't have to follow medical opinion when they're denying claims. They can just make stuff up. And that's exactly what they do. It's completely, totally legal on their end. No one is watching the ethics of this. But I figure it should be above the radar so people know what they're buying when they buy insurance.

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