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I ask again help. What to do.
I have lived in America 23 years- marriage. My husband begged me not to work and I was a housewife all these years (my education is a rocket science) and I do not know simple things of life here. I did density in1 year because I search and found code for early density and how describe a patient for Medicare. I sent this information my doc on her portal and PA wrote me that they hoped it would go through. I told them that it needs doc to call provider line of Medicare but they did not do that, so I found by myself.
For Reclast there is no any any information how to order smaller dose of Reclast, I searched. searched, but nothing.
I wrote again my doc 5 months ago and asked her to call Medicare for small doses of Reclast. No answer from her. But she told me that for cancer patient Medicare allows to reduce dose of Reclast. This time I asked her a half of dose, no answer too.
5 months ago PA wrote me that the prescription is in Center because of my first infusion and I need to ask them to reduce dose. I do not understand one thing, doctor's occupation is merciful, what is wrong to call Medicare to help a sick person?
My question - can I asked a nurse in the Center , where I will do Reclast infusion to give me only a half of Reclast- to come in 30 minutes and finish the infusion? Can I give her 20$ as a thanks, I want to give her in the beginning or it is prohibited ?
Replies to "I ask again help. What to do. I have lived in America 23 years- marriage. My..."
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whiteswan,
while it is unusual to ask for a lower dose of Reclast and that may explain your providers reluctance, my opinion is that you need a new doctor.
You might call the infusion center and ask them if they are receiving prescriptions at a lower dose for Reclast. They can't legally change the dose. They
It seems that you are no more confused about how to maneuver through this medical system than your PA.
Even after living here for 73 years, it's tricky. One nice thing about Medicare here is that you can change doctors easily, though the md shortage has us with PAs and the wait for endocrinologist can be a few months. You might tell us what city you are in. Someone will know a good endocrinologist where you live.
Ask your PA to write for the reduced dose with the same code. The code is a diagnostic code which wouldn't change. At the same time ask them to request a longer infusion either in a note you can carry or directly to the infusion center.
I'm sorry you are having such a struggle inexcusable is the waiting 5 months with no answer from the PA.
Oh, I suspect the infusion nurse would not be allowed to take the 20$ (a common practice in China) either as an encouragement or as a token of gratitude.
They would stop the infusion if you had or complained of having a reaction. Although I think it is a 15 minute infusion and I don't know if the nurse would be standing by. And then you would't know how much of the dose you'd received.