creekland Posted April 1, 2014 Share Posted April 1, 2014 We were not successful at getting dd her MRI yesterday. It turns out that when the md puts "urgent" on the mri order, medi-cal translates that as 7 - 10 days instead of the usual 30 days for authorization. The doc said to try the er, but they turned us away, saying, "Mother Theresa, herself couldn't get an mri through the er." It is so hard to wait. The soonest I can contact the radiology department regarding dd's case is tomorrow. I am praying that they can get her in this week. She is holding up, but she's scared. Thank you all for your prayers. Please keep them coming. :grouphug: No advice, but what was offered above sounded good. Plenty of prayers and :grouphug: though. Thanks for the update. Quote Link to comment Share on other sites More sharing options...
TianXiaXueXiao Posted April 1, 2014 Author Share Posted April 1, 2014 i think i missed something. are you waiting for authorization or for the mri appt? if its for authorization, calling your insurance company may bring good results. it may not, but its worth a try. we have friends who had much longer waits with blue cross than we did with kaiser, because with kaiser it is all "in house". but i would just lay it out for the insurance folks. "i have a child who is in agony, and who is scared besides. we have been at this for eight months now. (or however long it is). i understand you folks are swamped, but what can we do to speed up the process". rinse, repeat. The problem is medi-cal. I was on the phone with them several times yesterday. They are in the midst of switching everyone over from state-administered medi-cal benefits to a contractor (Partnership California) that is taking on my dd's case effective today. It is bad timing. I have been in touch with Partnership and they couldn't do anything until she is officially in there system today. I will be calling soon to see if she is in their system and to see if they can expedite the Treatment Authorization Request for the mri. Quote Link to comment Share on other sites More sharing options...
shawthorne44 Posted April 1, 2014 Share Posted April 1, 2014 prayers Quote Link to comment Share on other sites More sharing options...
PollyOR Posted April 1, 2014 Share Posted April 1, 2014 I am praying that they can get her in this week. She is holding up, but she's scared. Frustrated for you! :grouphug: Quote Link to comment Share on other sites More sharing options...
Alte Veste Academy Posted April 1, 2014 Share Posted April 1, 2014 ((((((((TWells)))))))) ((((((((TWells DD))))))))) Quote Link to comment Share on other sites More sharing options...
Tiramisu Posted April 1, 2014 Share Posted April 1, 2014 :grouphug: :grouphug: :grouphug: I'm very sorry to hear you are going through this. We will keep you in our prayers. Quote Link to comment Share on other sites More sharing options...
Tap Posted April 1, 2014 Share Posted April 1, 2014 :grouphug: Quote Link to comment Share on other sites More sharing options...
elfgivas Posted April 1, 2014 Share Posted April 1, 2014 The problem is medi-cal. I was on the phone with them several times yesterday. They are in the midst of switching everyone over from state-administered medi-cal benefits to a contractor (Partnership California) that is taking on my dd's case effective today. It is bad timing. I have been in touch with Partnership and they couldn't do anything until she is officially in there system today. I will be calling soon to see if she is in their system and to see if they can expedite the Treatment Authorization Request for the mri. medi-cal has an ombudsman who may be able to help you navigate the system. here's a link http://www.dhcs.ca.gov/services/medi-cal/Pages/MMCDOfficeoftheOmbudsman.aspx i would start by telling them you need help navigating the system, and don't have a complaint yet. the "i think we fell thru the cracks at a time when that could be disastrous" might work well. good luck! ann ps. when you call, ask the name of the person you are speaking with. keep a running record of times, names, numbers etc. at the end of a call, ask them if you can call back in a few hours, or if they will call you. then, call, and ask for them by name. ask if there is anything else you could be doing or should be doing to help this happen faster. i would also ask which mri they use, and if they could put you on the schedule now so that her waiting time is reduced. (they likely won't, but it may help them think of other approaches). Quote Link to comment Share on other sites More sharing options...
mumto2 Posted April 1, 2014 Share Posted April 1, 2014 Praying :grouphug: Quote Link to comment Share on other sites More sharing options...
Juliegmom Posted April 1, 2014 Share Posted April 1, 2014 Praying! Quote Link to comment Share on other sites More sharing options...
Jan in SC Posted April 1, 2014 Share Posted April 1, 2014 Can your ped admit her and get the MRI faster? My oldest ds had some really scary symptoms and the neurologist told us he would just admit him because we would have the MRI in a couple of hours instead of having to wait. I agree with calling your insurance. My son hurt his knee pretty badly and I called and told them that he was in tons of pain and it was ridiculous to wait. (Our ortho has his own machine.) The person was very helpful and he had the MRI that afternoon. I'm not familiar with your insurance, but I bet they have a customer service person that could help you. Quote Link to comment Share on other sites More sharing options...
minuway Posted April 1, 2014 Share Posted April 1, 2014 Just letting you know she is especially on my heart. My daughter is just about her age and your daughter keeps popping into my mind at odd times. So we are really lifting her up. :grouphug: You've gotten some good advice here. Such a bad time with all the craziness going on here - we're in CA too ,and I have some friends trying to navigate stuff with their insurance switching over. Hang in there!!! Quote Link to comment Share on other sites More sharing options...
Venia Posted April 1, 2014 Share Posted April 1, 2014 My thoughts are with you and your DD. :grouphug: Quote Link to comment Share on other sites More sharing options...
I.Dup. Posted April 1, 2014 Share Posted April 1, 2014 Praying. Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted April 1, 2014 Share Posted April 1, 2014 :grouphug: Quote Link to comment Share on other sites More sharing options...
TianXiaXueXiao Posted April 2, 2014 Author Share Posted April 2, 2014 Can your ped admit her and get the MRI faster? My oldest ds had some really scary symptoms and the neurologist told us he would just admit him because we would have the MRI in a couple of hours instead of having to wait. I agree with calling your insurance. My son hurt his knee pretty badly and I called and told them that he was in tons of pain and it was ridiculous to wait. (Our ortho has his own machine.) The person was very helpful and he had the MRI that afternoon. I'm not familiar with your insurance, but I bet they have a customer service person that could help you. Thank you so much for this suggestion, Jan! Our ped got dd into the hospital tonight and they should be doing the mri in the morning. This board has been such a wonderful resource and I have found so much support from you all. Thank you all for praying and keeping us in your thoughts. Quote Link to comment Share on other sites More sharing options...
Kfamily Posted April 2, 2014 Share Posted April 2, 2014 :grouphug: :grouphug: :grouphug: Thinking of your daughter, you and your family. Quote Link to comment Share on other sites More sharing options...
Jan in SC Posted April 2, 2014 Share Posted April 2, 2014 Thank you so much for this suggestion, Jan! Our ped got dd into the hospital tonight and they should be doing the mri in the morning. This board has been such a wonderful resource and I have found so much support from you all. Thank you all for praying and keeping us in your thoughts. I'm so glad!!!! I hope you had a peaceful night and the MRI results are negative. Quote Link to comment Share on other sites More sharing options...
Trish Posted April 2, 2014 Share Posted April 2, 2014 i think i missed something. are you waiting for authorization or for the mri appt? if its for authorization, calling your insurance company may bring good results. it may not, but its worth a try. we have friends who had much longer waits with blue cross than we did with kaiser, because with kaiser it is all "in house". but i would just lay it out for the insurance folks. "i have a child who is in agony, and who is scared besides. we have been at this for eight months now. (or however long it is). i understand you folks are swamped, but what can we do to speed up the process". rinse, repeat. Why is there a long wait for authorization? Normally this is a phone call/fax from the doctor's office to the insurance, and authorization is quick. What is the purpose of the delay? Quote Link to comment Share on other sites More sharing options...
elfgivas Posted April 2, 2014 Share Posted April 2, 2014 glad to hear that her doctor was able to admit her!! hope results are clear and that there is an easy fix. praying.... Quote Link to comment Share on other sites More sharing options...
Elisabet1 Posted April 2, 2014 Share Posted April 2, 2014 (((hugs)))) Keep us updated! Quote Link to comment Share on other sites More sharing options...
creekland Posted April 2, 2014 Share Posted April 2, 2014 Praying that all is going well today - yeah for the ability to get it done! Quote Link to comment Share on other sites More sharing options...
LMV Posted April 2, 2014 Share Posted April 2, 2014 We're still praying. I hope the MRI goes well today! Quote Link to comment Share on other sites More sharing options...
Tiramisu Posted April 2, 2014 Share Posted April 2, 2014 You're still in my heart and prayers. Quote Link to comment Share on other sites More sharing options...
oneddmanybooks Posted April 2, 2014 Share Posted April 2, 2014 Continuing to pray! (My dd is 9, having some digestive issues, but nothing was learned from bloodwork and stool sample. So we will be going to the gastroenterologist (sp?).) Quote Link to comment Share on other sites More sharing options...
TianXiaXueXiao Posted April 2, 2014 Author Share Posted April 2, 2014 We just got the mri results. It's a benign cyst! Glory to God in the highest! We will meet with the doctor tomorrow to discuss treatment. Thank you again for your prayers and encouragement! Quote Link to comment Share on other sites More sharing options...
Melissa in Australia Posted April 2, 2014 Share Posted April 2, 2014 :hurray: :party: Quote Link to comment Share on other sites More sharing options...
Mandylubug Posted April 2, 2014 Share Posted April 2, 2014 Ahhh I have chills! So happy for you! Quote Link to comment Share on other sites More sharing options...
Jennifer in MI Posted April 2, 2014 Share Posted April 2, 2014 I have chills too. Seriously! I'm THRILLED for you and your daughter!!!!! What a relief. Quote Link to comment Share on other sites More sharing options...
Starr Posted April 2, 2014 Share Posted April 2, 2014 Yay!!! Quote Link to comment Share on other sites More sharing options...
catz Posted April 2, 2014 Share Posted April 2, 2014 Wonderful! So happy to read this news! :D Hoping for smooth sailing from here on in for you. Quote Link to comment Share on other sites More sharing options...
Alte Veste Academy Posted April 2, 2014 Share Posted April 2, 2014 We just got the mri results. It's a benign cyst! Glory to God in the highest! We will meet with the doctor tomorrow to discuss treatment. Thank you again for your prayers and encouragement! I am so beyond happy for you! So, so, so HAPPY!!! Quote Link to comment Share on other sites More sharing options...
mamajudy Posted April 2, 2014 Share Posted April 2, 2014 Thank God!! Tears in my eyes... Quote Link to comment Share on other sites More sharing options...
creekland Posted April 2, 2014 Share Posted April 2, 2014 So glad to read the news!!! Thanks for updating. Quote Link to comment Share on other sites More sharing options...
Heatherwith4 Posted April 2, 2014 Share Posted April 2, 2014 I'm so thankful for your news! Quote Link to comment Share on other sites More sharing options...
Ali in OR Posted April 2, 2014 Share Posted April 2, 2014 We just got the mri results. It's a benign cyst! Glory to God in the highest! We will meet with the doctor tomorrow to discuss treatment. Thank you again for your prayers and encouragement! Praise God! Praying for an easy resolution to this problem and that your daughter will be a pain-free, happy little kid again soon! Quote Link to comment Share on other sites More sharing options...
Tiramisu Posted April 2, 2014 Share Posted April 2, 2014 We just got the mri results. It's a benign cyst! Glory to God in the highest! We will meet with the doctor tomorrow to discuss treatment. Thank you again for your prayers and encouragement! I was hoping for news like this. One of mine had some of the symptoms you described and finally the GI doctor ordered an abdominal u/s and all they found was a cyst as an "incidental" finding. It was so large in the u/s I thought it was an organ as I was looking at the images. Thankfully, it resolved on it's own with no intervention, but hers was an ovarian cyst. I hope your dd's cyst can be treated easily. Quote Link to comment Share on other sites More sharing options...
elfgivas Posted April 2, 2014 Share Posted April 2, 2014 oh my.... tears, happy tears.... we'll all sleep better tonight. ] and i'll be saying an extra prayer for that doctor, who saw his way to do a good and kind thing. ann Quote Link to comment Share on other sites More sharing options...
Melinda S in TX Posted April 2, 2014 Share Posted April 2, 2014 We just got the mri results. It's a benign cyst! Glory to God in the highest! We will meet with the doctor tomorrow to discuss treatment. Thank you again for your prayers and encouragement! Praise the Lord! That is wonderful news. Quote Link to comment Share on other sites More sharing options...
MooCow Posted April 2, 2014 Share Posted April 2, 2014 Yay! Quote Link to comment Share on other sites More sharing options...
Woodhaven Posted April 2, 2014 Share Posted April 2, 2014 Amen! God be praised! I am SO glad for you and your daughter! Rejoicing with you!! Quote Link to comment Share on other sites More sharing options...
Grover Posted April 2, 2014 Share Posted April 2, 2014 that is the best news I've heard all day! Quote Link to comment Share on other sites More sharing options...
Jean in Newcastle Posted April 2, 2014 Share Posted April 2, 2014 Let us know how they are going to treat it. I'm so glad that it is a benign cyst, but dealing with pain and nausea isn't fun no matter what. Quote Link to comment Share on other sites More sharing options...
Mom in High Heels Posted April 2, 2014 Share Posted April 2, 2014 I'm so relieved for you! Quote Link to comment Share on other sites More sharing options...
TianXiaXueXiao Posted April 3, 2014 Author Share Posted April 3, 2014 I will keep you posted. There is much we still don't know about the cyst. The report says it is not connected to any organs, but it is pressing on her bowels and bladder. The doctor did say that it is very benign, so that is good. Quote Link to comment Share on other sites More sharing options...
PollyOR Posted April 3, 2014 Share Posted April 3, 2014 Such good news! It brought tears to my eyes. Happy tears. :) Quote Link to comment Share on other sites More sharing options...
minuway Posted April 3, 2014 Share Posted April 3, 2014 YAY!!!! :hurray: :grouphug: :laugh: Praise GOD! Quote Link to comment Share on other sites More sharing options...
readinmom Posted April 3, 2014 Share Posted April 3, 2014 Great news! Please keep us updated on treatment and how she is doing. Still praying... :grouphug: Quote Link to comment Share on other sites More sharing options...
creekland Posted April 3, 2014 Share Posted April 3, 2014 I will keep you posted. There is much we still don't know about the cyst. The report says it is not connected to any organs, but it is pressing on her bowels and bladder. The doctor did say that it is very benign, so that is good. When's her next appt? Quote Link to comment Share on other sites More sharing options...
whitestavern Posted April 3, 2014 Share Posted April 3, 2014 So happy to hear the good news! Quote Link to comment Share on other sites More sharing options...
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