Monday, November 30, 2009
Because he saved my computer.
I'm back up and running, sort of. My e-mail is functioning, and I'm able to connect to the Internet, which is more than I could do yesterday. B has run every virus scan known to mankind, and he thinks, knock on wood, that he's gotten all the nasty little bits of the virus that kept mutating out of the system. He's also installed a program that scans my computer constantly for bugs. He had it on his computer, which escaped infection (at least so far), and he's hoping it will both prevent further viruses from taking hold and attack any remnants of this one that might still be on the machine.
In the meantime, I'm letting my computer recuperate and the scanning program do its work. I'm not visiting any websites, not even Facebook or Twitter, out of fear of reinfection, and I'm checking e-mail only sporadically.
So I may be quiet for the next few days while we make sure there's nothing damaging left on my computer. I'll be happily working my way through my knitting queue and drinking tea, enjoying a few more days of being offline.
Sunday, November 29, 2009
It turns out that being without a computer has been good for me. I didn't realize how much time I was spending in front of the monitor checking e-mails, looking at Facebook and Twitter and reading blogs. I've gotten a lot more done around the house, and I'm finishing Christmas knitting projects way ahead of schedule. I've also caught up on movies I wanted to watch, and I beat B four times in a row at Trivial Pursuit on his iPhone.
I've tried to go whole weekends without being online before, but in the end I always end up turning on the computer for a "quick check" of my e-mail. Now that I don't have the option of checking e-mail, unless my husband lets me use his computer, which he only does when he can stand over my shoulder and yell "don't click on any links!" it's much easier to stay offline.
Whenever my computer is repaired, I'll be making a much more concerted effort to spend less time on it (for at least a few days).
Saturday, November 28, 2009
B has been giving me a hard time about visiting p*rn sites, because that's where people usually pick up this type of problem. Plus, until he disabled the wireless card, the laptop kept opening p*rn site after p*rn site. Even more embarrassing, B's been telling our friends and family about my new "habit." Sigh.
This morning I turned on my desktop and got the same error messages as on the laptop. I didn't touch anything and yelled for B, who started swearing - loudly. He then disconnected the computer from the network in the hopes of preventing the virus from spreading any further.
Right now I'm camped out on his desktop, which seems to be problem free for the moment. He's doing lots of backing up of everything on the network and then disconnecting back-up drives. B's poor neck is still giving him problems (he's going in for an epidural this week), and he's had to sit at the computers all day today trying to fix everything, so far without any luck.
Keep your fingers crossed that we can disinfect everything. I don't want to think what the alternatives might be. New computers aren't exactly in the budget right now.
Friday, November 27, 2009
Besides, I did the "Black Friday" thing once, and it was enough to scare me off for the rest of my life.
It was 1987. We were visiting my grandparents, who lived in New Port Richie, FL, which is in the Tampa Bay area. The week before Thanksgiving, my mother and I had been searching the stores for a dress for me to wear to my best friend's debutante party. We had found a lovely embroidered linen skirt and blouse that were perfect for the party's tea dance theme, but mom decided that we should hold off on buying it and look for other options Thanksgiving weekend when we were at my grandparents' house.
So the day after Thanksgiving we loaded up the station wagon, with me and my sister riding in the rumble seat in the way back, and headed to Countryside Mall, which was considered a BIG deal back then - it had lots of stores AND an ice skating rink. The plan was for my dad and grandfather to take my sister skating while mom and grandma and I shopped for dresses - on the busiest shopping day of the year.
I was in no way prepared for the agony the next two hours would bring. While my mom and I were on pretty much the same page in terms of what kind of dress or outfit we were looking for, my grandmother kept bringing me dresses that were too frilly or too flowery or too frilly and too flowery. I'd have to try them on and then find some excuse to explain why I was vetoing them - the sleeves were too long, the arm holes were too tight, the skirt was too short, etc. - to keep from hurting her feelings. It slowed the already insane shopping process down considerably.
Two hours later, we met back up with my dad, grandfather and sister, who had pink cheeks and a hot chocolate moustache from her skating adventure.
I had a headache and the very same skirt and blouse I had picked out the week before at the store in Sarasota. Two hours of shopping madness for the very same outfit - and it wasn't even on sale.
Thursday, November 26, 2009
Here are the reasons I'm thankful, in pictures.
Elizabeth - for being the best surprise baby and for making our lives happier
Happy Thanksgiving to you all. May your day be filled with fun, family and lots and lots of pie.
Wednesday, November 25, 2009
Lily lost one of her top front teeth this past weekend, and it's amazing how different one missing tooth makes her look. I teared up when she grinned at me the next morning because her smile - her real smile, not this goofy one - is so different. She also has a funny lisp going on that cracks us up. We've taken to calling her the Toothless Wonder, which makes her giggle.
And just as Lily lost one tooth, Elizabeth got another. A second tooth has poked through on the bottom, bringing her grand total up to three - two on the bottom, one on the top. You can barely see the new tooth next to her other one, so she still looks a lot like a cute little pumpkin.
The hat she's wearing is one I just finished knitting for B. I popped it on her head and told her to take it to daddy. Instead, she wore it all afternoon. The little nut won't wear hats that are custom-made just for her, but she'll protest if I take off one that is so big it falls over her eyes.
Tuesday, November 24, 2009
So imagine my joy when I got home and found the following in my in-box, courtesy of Runnerdude, also known as The Dad. Thanks, Dad, you saved the day with silliness. I laughed the whole way through, as did the big girls, but they didn't get the humor on the same level as I did.
It's a little slow through the first 90 seconds, but then things pick up.
Monday, November 23, 2009
I already did was my hands - in my mouth!
I'm wiping the window - with my tongue.
I need dinner. Dinner makes me fast and fat.
My tummy is sad. Riding my new bicycle would make my tummy happy.
My pe.nis is cold. I need a diaper.
Thank you for our food. Happy birthday. Amen (While taking his turn to say the blessing at dinner)
There are times when Campbell hams it up for us, but he's never quite as funny as when he's just being his normal little self. B and I often have to clap our hands over our mouths at the dinner table to keep from laughing out loud. His sisters already give him too much applause when he's being a nut, we don't need to encourage him further.
Sunday, November 22, 2009
I celebrated by sleeping.
B and I had been watching a movie together - "Duplicity," and goodness Clive Owen is beautiful - but I couldn't keep my eyes open. So I toddled off to bed, leaving B to his own devices.
I fell asleep at 2:30, and the next thing I knew it was 6:00. I had slept like the dead - I don't think I moved the entire time.
To say that I am chronically sleep deprived would be an understatement. I don't think I've had more than 6 continuous hours of sleep since before Elizabeth was born. She's getting better at sleeping through the night, but it's pretty much a guarantee that if she sleeps through, one of the other kids won't. Campbell is particularly prone to waking up with nightmares.
So, yes, the nap did me good. And, yes, I could fall back asleep right now without any problem at alzzzzzzzzz
Saturday, November 21, 2009
This year, despite my initial hesitation, I decided to sign Lily up for Saturday class. We generally have slow, relaxed Saturday mornings with lots of cartoons and cereal in the living room, and I didn't know if I wanted to give them up. But this change in schedule has worked really, really well for me, and now I look forward to my Saturdays.
Lily and I head out at 8:40, leaving all the other hooligans at home. There's no traffic and parking is a breeze. If I didn't run earlier in the morning, I head over to the Trail while she's in class and do a loop around the lake. If I did run, I wander across the street to the farmers' market and grab a cup of coffee and a breakfast taco while I wander around. I almost always bump into someone I know, and I can have a nice chat without kids pulling on me.
This morning was dreary and rainy, so I grabbed my breakfast, went back to Ballet Austin, worked on a knitting project and listened to my iPod. It was a lovely way to spend 40 minutes, and I found myself wishing that her class was even longer, just so I could have more time to myself.
I think I'll be keeping Lily in Saturday classes for as long as possible; I love my new routine.
Friday, November 20, 2009
Thursday, November 19, 2009
And I can't forget about the cute little felted snowmen I planned to knit for all the neighbors. I managed to complete two rather lumpy little guys - they took much longer to knit than I anticipated. When I was finished with them, they looked so pitiful that I couldn't bear to give them away for fear that they looked like a craft people at homes for the insane would make, if they were allowed to even have pointy sticks in the first place.
This year I have set out a much more sane plan, and I started several weeks ago, which means I'm already ahead of the game. I have one hat, one shawl, and one scarf already finished and one hat half way done. I have one more hat, two more scarves and two pairs of mittens to go.
I know it sounds like a lot, but the scarves are my little bits of fluff, and I can knit one in two days without a problem. The hats are simple watch caps that are knit on big needles with thick yarn and take no time at all. The only tricky things are the mittens. Those involve actual patterns and some more complex knitting.
My incentive for getting all the gifts finished quickly, aside from Christmas, is that I have several projects in my queue that I want to knit for ME. I've given away pretty much everything I've knit for the past six months, and I'm feeling a bit selfish.
And now I'm off to knit.
Wednesday, November 18, 2009
Yesterday morning it was in the high 30s when the kids got up, so B and I made Ella put on pants, which she didn't like at all. She got even with us by wearing a short-sleeved shirt and carrying her sweater instead of wearing it.
This morning, it was in the 40s, so I let her wear shorts, but I insisted she wear her sweater. Ella grumbled all the way to the car and refused to talk during the ride to school. I resisted the urge to point out that every other kid in our car pool was wearing long pants, long sleeves, AND a sweater or coat. I knew that would just make her angrier.
In Ella's defense, the weather here can be tricky. We can start the day with temperatures in 30s and have things warm up to the 70s in the afternoon. But it never gets so warm that she's going to roast of heat exhaustion like she claims.
I think to survive the winter I'm going to have to come up with some sort of temperature/clothing chart - if it's below 35, you have to wear x, y, and z; if it's below 40, you have to wear x and y - just to avoid the fights.
At any rate, I'm glad we don't live where it get truly cold. Ella would sooner succumb to frost bite than to admit she needed warm clothes.
Tuesday, November 17, 2009
Even though this post is totally lame, I'm publishing it so that I can stay in the running for Nablopomo. I'm justifying it by reminding myself of all the writing I did today - at least I wrote something, even if I didn't publish it.
In the meantime, I'm keeping my fingers crossed that tomorrow will be better.
Monday, November 16, 2009
I thought the signs were pretty funny, even if the girls didn't understand why. Here are some samples (sic all):
A landry free day is your dream! Come to room RR now! (room RR was the girls' bathroom)
Room RR at your service!
Moms! Hate doing landry? Come to room RR!
You deserv a day of rest. Come to room RR.
Contact the Landry Team at email@example.com (except it was Ella's real e-mail address)
I submitted a few orders for laundry, via e-mail, and Ella replied in a very business-like fashion, giving me her rates: 50 cents per load for wash and fold, 25 cents for fold only. Once we'd negotiated my order and their prices, they set to work folding one basket of laundry that was already in the dryer and getting two new loads going.
And that was where it stopped.
They left one load in the dryer and one in the washer, and I couldn't get them to do any more, not even with the promise of higher pay.
Yesterday I was talking to a friend, and she and her daughter were folding laundry together. When I lamented the fact that I just can't get my girls to do laundry, she pointed out that she can't her daughter to clean up the kitchen after dinner, which my girls do every evening after dinner.
I suppose I can handle laundry for a bit longer without their help if it means I don't have to clean up the dinner dishes. But at some point soon, the Landry Team will be called back into service.
On another note, it's Day 16 of Nablopomo, and I can't believe I've made it this far. There have been a few close calls where I've dragged myself out of bed to post something. I'm more than half-way there, and I hope I can keep it up.
Sunday, November 15, 2009
I think the caller had already hung up, but if he hadn't, he sure got an earful of an enthusiastic three-year-old. Campbell was disappointed that no one talked back when he answered the phone.
Next time a salesperson calls, I'll make Campbell's day by letting him answer. He can be my very own secretary.
Saturday, November 14, 2009
Last night I went back to her online message form, and sent the following:
Last week I contacted Senator Hutchison about problems I am having with my insurance company and expressing support for health care reform measures currently being considered by Congress.
In response, I got a form letter that made it very obvious that no one on Senator Hutchison's staff even read what I wrote. Her response doesn't address my concerns and ignores completely that I don't support Senator Hutchison's actions. I wrote to the senator hoping that my voice would be heard, and it's obvious that it wasn't at all.
You ought to be embarrassed at providing such poor service to your constituents. I used to supervise the Citizens' Assistance center for a statewide elected official, and I would have NEVER allowed such an inappropriate response to be sent.
Shame on you.
I'll be interested to see what kind of response, if any, I get back. Who wants to bet that I'll get the very same form letter again?
Friday, November 13, 2009
I got immediate form e-mails back from Cornyn and McCaul thanking me for writing, and I haven't heard anything from either since. Last night I got a response from Senator Hutchison, and it's obvious that the person at her office responsible for handling constituent inquiries just looked at the subject line of the form I submitted and sent a standard response.
The e-mail thanks me for contacting the senator and then launches into an explanation of everything she is doing to prevent passage of the health care reform bill in the Senate and lists the "advantages" of the bills she is sponsoring. The e-mail closes with this:
You are among thousands of concerned Texans who have written to express their views on this topic. You may be assured that as health care reform legislation comes for consideration before the full Senate, I will continue fighting against the Democrats’ proposal to enact a government takeover of our health care system.
And that's the part that really pisses me off.
In my life prior to being a freelance writer and editor, I worked for the Texas Attorney General's office (back in the day when Senator Cornyn was the attorney general and Congressman McCaul worked for him; I've actually met both men). One of the many hats I wore was supervisor of the Citizens' Assistance Section. The AG's office received tens of thousands of letters and e-mails every year, and our section responded to all of them that weren't related to consumer protection issues and child support collection - other sections handled those.
I would have NEVER allowed a response like the one I received to be sent. Never.
People wrongly assume that the Attorney General of Texas is the attorney for the people of Texas. Instead, he is the attorney for the State of Texas. But people would write to us looking for legal advice, asking for referrals to attorneys, asking for help with landlords or doctors or whatever. And every single response we sent was appropriate to the request. If we couldn't directly help the letter writer, we'd supply a referral to someone who could, whether it was another state agencyor the writer's state legislator or a lawyer referral service or a tenants' rights group.
And if a constituent sent a letter with an opinion that was contrary to the attorney general's, we'd at least acknowledge that the person had an opposing viewpoint. The staff worked very hard to make it clear that we really did read each and every letter and e-mail that was sent. We also kept stats on the number of messages we got on either side of issues and reported them to the attorney general.
That's what makes me so mad about the e-mail from Hutchison's office. There's not even the pretense of having read my message. There is no recognition that I hold a different point of view or that I don't support her efforts.
I sent the message in the hopes of having my voice heard, and it is apparent that it wasn't at all.
Thursday, November 12, 2009
Why are you spelling it B.otox? I'm doing it to keep my blog out of the results for any searches for the term. People searching for cheap B.otox injections in strange places aren't my target demographic. Not that I really have any idea what my target demographic is.
I've never heard of getting B.otox for migraines. Does it work? Women who got injections for wrinkle removal started reporting that they no longer suffered from migraines. B.otox is a neurotoxin that paralyzes nerves and muscles, which is how it gets rid of wrinkles - it paralyzes the little tiny muscles in the face, allowing them to relax. It also prevents those muscles from doing things like lifting eyebrows.
Doctors discovered that it also paralyzes the nerves that cause pain when a migraine hits. It doesn't stop migraines, it just deadens the pain.
Does insurance cover it? No. Because it's an "off-label" use of the stuff, insurance does not cover the injections, which run about two hundred bucks. But I could end up evening things out if I don't have to pay 35 bucks a month for my Imitrex.
How long does it last? The doctors that I've spoken to have said the injections last anywhere from four to six months.
How long have you had migraines? I remember having them when we lived in Massachusetts, which was when I was seven. They've gotten more severe as the years have gone by.
Have you tried . . ? Yes, I've tried everything. I have taken a laundry list of medications - from daily preventives to stuff that supposedly stops the migraines when they start. I have yet to take a daily medicine whose side effects don't make me more sick. The only thing that has worked consistently has been Imitrex, and that works about 70 percent of the time. When it works, it's great. But when it doesn't, I end up in bed for hours, if not days. The pain is bad enough that I understand why in ancient times they bored holes in people's skulls to let the bad spirits out. I had a migraine last week that was so bad that I would have been willing to take a drill to my head.
You realize you're just one step closer to looking like a Real Housewife of the OC? I still have a few more steps to go - like giant fake boobs, bleach blond hair, fake tan, sugar daddy for a husband/boyfriend.
Will you post before an after pictures? Yes.
Wednesday, November 11, 2009
But . . .
I'm getting them to stop migraines, not to get rid of wrinkles.
My mom offered to pay for a round of injections for me and my sister since we both get pretty debilitating migraines. I've always sworn that I'd never allow someone to inject neurotoxins into my head, not even to get rid of migraines. But after spending four days last week in pain, I decided to take my mom up on her offer.
I had an appointment today with my neurologist, and I asked him about B.otox. He said that patients have had great success with it, and that he'd far rather have his patients get the injections than have to take medicine to prevent and stop the migraines. After we finished with my appointment, he took me down the hall to meet the doctor in his practice who does the injections. She's going to order the B.otox and then schedule my appointment when the stuff comes in.
When I told my neighbor, she rolled her eyes and said, "Whatever," like I'm using my migraines as an excuse to have B.otox. But when I pointed out that I am just about the least vain person in the world - I don't wear make-up on a daily basis, I don't color my hair despite the growing amount of gray, I spend most of my time in jeans and t-shirts - she said she believed me. Besides, I hate having shots with a passion, and I've heard that these injections HURT.
In a week or two I'll have a smooth forehead, and I won't be able to lift my eyebrows. But I also might be able to go several months without being in bed with a migraine. And that's worth the pain of the injections and the teasing I might have to endure.
Tuesday, November 10, 2009
My mom and Ella both claim that Elizabeth took 8 steps on her own, but I have yet to see a repeat performance.
Life is going to change around here once Elizabeth is really up and walking. Any day now, Elizabeth will be making the switch from baby to toddler. Sob.
Monday, November 09, 2009
The more they talked, the faster I knitted, just to keep myself from shouting at them.
Later, while B was in surgery, I was in the waiting room with just one other man. At one point, CNN was interviewing a legislator about the House health care bill that was just passed, and the man shouted, "What if Americans don't want reform?" and looked at me to agree with him. Again, I kept my mouth shut and knitted.
The kicker was that all of these people looked to be the right age to be on Medicare, which means they have government-run health care. The hypocrisy makes me want to scream.
One a positive note, I finished a shawl I've been knitting for a while.
Sunday, November 08, 2009
Saturday, November 07, 2009
When S was about 5, she became obsessed with "The Wizard of Oz," specifically Dorothy. S wore a plaid dress and always wanted her hair in braids (see above complaint about her hair). She also carried a basket with a little stuffed dog named Toto.
As S got older, she outgrew the Dorothy obsession, but that didn't mean the rest of the family did. For her 21st birthday, mom gave her a Madame Alexander Dorothy doll, and one year for Christmas I gave her a talking Dorothy Barbie.
But now Lily has taken up the obsession and is carrying on the torch for her aunt. S gave Lily a pair of super fancy sparkly red shoes for Christmas that Lily cherishes, and she has two stuffed dogs named Dorothy and Toto. When we started discussing Halloween costumes, Lily asked to be Dorothy. I sent out an e-mail to several friends asking if any had a Dorothy-esque dress that Lily could borrow, and a friend had a great one. Then I found Lily an official Dorothy wig at Walmart that completed the look.
And here she is, in all her Dorothy glory, except I didn't manage to get the shoes in the picture.
And my sister is officially jealous of Lily's shoes and wig. She's going to get Lily a Dorothy dress for Christmas. Shhhh - don't tell her.
Friday, November 06, 2009
For weeks Ella has agonized over what to be for Halloween, and all of my suggestions were met with eye rolls that make me fear Ella's teen-aged years. Finally, Ella decided to be Pippi Longstocking, provided we could find some way to make red braids. I offered to find Ella a wig that we could transform, but she didn't want to wear a real wig "because they are itchy."
So I spent hours trolling the interwebs looking for instructions on making a wig out of yarn. Pretty much all of the sites I found were worthless - they recommended using a hat and attaching yarn to the inside of the hat. Everyone knows Pippi doesn't wear a hat.
Eventually I cobbled together a plan based on several different sets of instructions and set to work. First, I had to go buy a pair of pantyhose because I haven't owned any in years. Then I cut the legs off and sewed the hole closed. After that, I trapped Ella on the kitchen floor, put the sewed-up pantyhose on her head, and started gluing strand after strand after strand of red yarn to the pantyhose. Ella did not like this process one bit, especially after the glue started seeping through the pantyhose onto her hair.
The front of the wig went well enough, although it did occur to me that Ella was going to have one heck of a comb-over.
Things got harder in the back. I couldn't get the yarn on fast enough, and the glue dried up a bit, which meant the yarn didn't stick well. Plus, Ella got extra wiggly, which just made things worse. It was at this point that Ella asked if we could just buy a wig, paint it red and add braids. I almost strangled her with the red yarn. Instead, I reminded her that she had said she didn't want a real wig because they are itchy. She said that if she had known making a wig from scratch would involve sitting on the floor for an hour with glue seeping into her hair, she would have asked for the real wig from the beginning.
We finished the wig finally, and on Halloween, B added the braids and wire to hold the braids up. It all looked pretty pitiful. So Ella and I made a last-minute run to Walmart to see if we could find another Dorothy wig like Lily's to alter. We couldn't find one, but we did have an entertaining trip, which is a post for another day.
Even though her braids were wonky, Ella was still a pretty cute Pippi. And next year - I'm buying the girl a wig.
Thursday, November 05, 2009
In and around raising four kids and running (not that I'm doing much of that lately) and knitting and working, I manage to read a lot. Right now I'm wading through Dickens' Bleak House, which I'm actually enjoying a lot.
So take a look, and let me know if you have any good recommendations.
Wednesday, November 04, 2009
Here's a cute baby to make everyone feel better. Elizabeth dressed as a little ladybug for Halloween. Lily wore this same costume when she was Elizabeth's size. There's a hat that goes with it, but Elizabeth refused to keep it on.
Before we went trick-or-treating, we had our annual pot-luck with several other families. The big kids left a whole row of empty juice and milk boxes on one of the benches. Elizabeth cruised along the bench, testing each box to see if she could slurp up any of the remnants. She was so proud of herself that she kept giving us huge grins and showing off her one tooth.
Tuesday, November 03, 2009
A few weeks ago I wrote about my ongoing fight with BlueCross BlueShield of Texas to get Elizabeth's delivery covered. Yesterday I went another round with the insurance company.
I received a letter in the mail telling me that my appeal had been denied because my situation didn't match any of the items on their list that would allow them to pay for the delivery. So I girded my loins and called BCBS. As soon as I got a human on the phone, I asked for a supervisor. I had the bad luck of being connected to Kelly C.
Here's where having a photographic memory for conversations comes in handy.
Me: I'm calling about my claim, which was denied.
KC: That's right. Your condition doesn't meet any of our requirements for being covered.
Me: Can you explain that please?
KC: We will pay for treating complications of pregnancy, but we won't pay for delivery.
Me: Did you get the letter from my doctor?
KC: Yes, we have it. But doctor's letters don't matter. Only medical records matter, and yours don't show that we should cover the delivery.
Me: When my son was born three years ago, you paid for his delivery because he was breech.
KC: We've gone back and reviewed claims, and it turns out the company paid for a lot of claims it shouldn't have. You son's delivery probably shouldn't have been paid, but we're not going to try and recover the payments.
Me: With this delivery, you paid for the claim from the anesthesiologist.
KC: That was a mistake, and if you ask for a review of this claim, we could end up reversing that decision.
Me: So I'd have to pay back the payment to the anesthesiologist?
KC: That's correct.
Yes, she did essentially threaten that if I pursued this they might make me pay more money.
Me: As my next step I'm going to be contacting the Department of Insurance, an attorney and my legislators.
KC: You can do that, but it won't do any good. No one in medical review is going to approve this claim.
Me: How can you work there and still sleep at night?
KC: If you're going to attack me personally, I'm going to terminate this call.
Me: Please put your supervisor on the line.
KC: There's no one higher than me.
Me: Bullshit. I want to talk to your supervisor.
KC: No one here is going to approve this claim.
Me: I don't care. Put someone else on the phone now. I'm finished talking to you.
After a few more back and forths where she claimed there was no one else to talk to and I told her I didn't care and that she needed to find someone immediately, she put me on hold. I sat there crying while listening to perky, cheerful hold music.
After about 10 minutes, Tanika got on the phone.
Me: Kelly told me that BCBS would pay to treat complications of pregnancy but not delivery. My complication was five weeks' pre-term labor with fetal distress. Now I'm not a medical person, but it seems to me that the treatment for that complication is to deliver the baby.
T: I'm not a medical person, so I can't explain why the medical section made this decision. But that seems reasonable.
Me: BCBS also paid for my anesthesiology bill without any protest. It was just paid automatically.
T: That's odd, because medical review says no claims from this date of service should have been paid.
Me: What do I do next?
T: You can file a second appeal - you're allowed two appeals. (Something KC never told me.) When you file your second appeal you need to include any other information that you feel is relevant, and have your doctor do the same. Anything you can give us that would help your case. After that, you can also contact TDI for help appealing this.
Me: Thank you so much for at least listening to me. Kelly C wouldn't even do that.
I felt like Tanika was sort of telling me, without actually telling me, how to get the claim paid. Kind of like the scene in "The Incredibles" when Bob Parr tells the little old lady exactly what forms she needs to file. And while Tanika didn't approve my claim, she did at least listen to me without being rude or telling me that the claim would never be paid.
After I spent about 15 minutes sobbing on the kitchen floor with Campbell asking, "Why you sad mommom?" I pulled myself together enough to call my doctor's office. The woman who deals with the insurance companies wasn't in, so I left a message for her to call me today. Maybe she has some further thoughts.
After I got off the phone with the doctor's office I cried some more. This has just worn me out. I feel helpless and out of control dealing with this immense company. I know the medical review section is nothing more than pencil pushers going through checklists without putting any thought into whether their decision actually make any sense. There is no reasoning with people who can only see checklists.
But yesterday also made me mad, not angry, MAD. I'm going to fight this as far as I can. BCBS has stolen my time, energy and joy at having a new baby from me, and that's what really upsets me.
I also truly believe that anyone who thinks our health care system is fine the way it is has never had to pay for his or her own health insurance and has also never had a claim denied. Anyone who has had to fight with an insurance company should know that the system is broken.
Tomorrow, a cute ladybug. I hope.
Monday, November 02, 2009
Last year, Campbell was not at all interested in Halloween. After stopping at a few houses, he came home with me and handed out candy, provided the trick-or-treaters weren't wearing masks. If they were, he retreated behind my legs and closed his eyes until I gave him the all-clear.
This year was a different story, however. Campbell LOVED Halloween. I took this picture as Campbell walked away from his third house, and it was the moment that he made the connection between saying "trick-or-treat" and getting candy. He looked at me and said, "Mommom, the peoples gave me candy!" From that point on, there was no holding him back.
He and I, with Elizabeth in tow, did two blocks before heading for home. After that, Campbell handed out candy without any fear of kids in masks. But he did correct their manners. As one little boy walked away, Campbell shouted, "You asposed to say 'Good-bye!'"
And is it only Campbell, or do all three-year-old boys have a permanent smear of schmutz across their face? His seems to be made up of snot, milk and peanut butter, and it sticks there no matter how often I wipe his face.
Campbell loved Halloween so much that he woke up Sunday morning and asked when we were going trick-or-treating again. He didn't like it when we told him the holiday was over. He also really wanted to wear his costume to school today. Since it was on loan from a friend, I vetoed that request.
Tomorrow - the cutest little lady bug ever.
Sunday, November 01, 2009
It sounds simple enough - write a post a day for 30 days - but I've been slacking off on my blogging lately. I have so much going on, do I really want to add yet another thing to my plate?
At the very least, now that I've posted this, I can continue if I want to. It would have been a shame to have failed the challenge on the first day.
Halloween pictures tomorrow. And later this week, an account of Ella's very first, and possibly last, trip to Walmart.