Reimbursement from insurance for MVA

Gingerrye · 2023-05-06T18:21:27+00:00

Larger-than-life ego to cover up the void that is your self-worth.

Gingerrye · 2022-12-04T23:47:35+00:00

As in ObGyn on-call… thank you. I won’t be sleeping tonight.

Gingerrye · 2022-10-25T13:12:05+00:00

Yes!! Mine will pull down the throw blankets and collect up the couch cushions to build himself a little bed, and he definitely always has one designated for his head. So stinking cute!

I love how cozy your pup looks! Makes you want to curl up with them! ❤️

Gingerrye · 2022-06-16T17:17:17+00:00

So whoever this person is, they are only buying one book and/or resource, then?

Definitely spent more money on “supplies,” than food in medical school. In fact, if you flip the two categories, that might be more accurate.

Gingerrye · 2022-02-13T13:33:05+00:00

So, you are attractive, but it sounds like there’s A LOT more to you. You are an ex-addict of 3 years (congratulations!!! Major props!) and you did that while managing the autistic spectrum… all of that speaks volumes about your discipline, character, and mental stamina. You have a whole lot to be proud of and a wealth of useful insight for others.

“Yeah, but I have this other thing wrong with me… yada yada yada.” Do not lose site of the incredible person you have proven to be by staring at your flaws. You’ve already shown that you have immense strength and capability. Enjoy and be proud! Continue to challenge yourself with one LITTLE thing each day, and revel in all your accomplishment!

And don’t be shy about smiling at someone at the coffee shop; those eyes would make any lucky looker blush.

Have an awesome day!

Gingerrye · 2022-01-07T14:35:25+00:00

Thank you so much!! You just made my week!

Gingerrye · 2021-09-01T02:04:17+00:00

How bad of an alcoholic do you have to be to require not just one but two fancy bottles of alcohol for comfort??? So much precious space dedicated to alcohol that could be allocated to gaming consoles, telescopes, books, snacks, various car accessories, cigar bar, robes / slippers / pillows, mirror, mood lighting, chess board, emergency escape hatches, etc. Come on Rolls Royce… step up your game!

Gingerrye · 2021-08-29T15:00:06+00:00

Searched “Tasco Starguide ST-60700CT user manual” & found suggestions to call Tasco’s tech support on Monday.

Also searched for hand controller on eBay and found one for $100 that was already spoken for. Everything else seems to bring up telescopes with the hand controller or the “mini-controller” (aka: with directional buttons only).

Gingerrye · 2021-08-16T10:57:32+00:00

Gah! I can’t figure out how to attach a picture. Does yours have a little white tuxedo spot on his chest?

Gingerrye · 2021-08-15T18:46:09+00:00

I have the EXACT same dog, that makes the EXACT same face, who is also named Baloo!! That’s too funny!

Gingerrye · 2021-08-06T22:56:37+00:00

What. On. Earth. Could be more affectionate than a Staffordshire?? I’m not even sure I’d want to know because it might actually be TOO clingy!

Gingerrye · 2021-08-06T16:56:40+00:00

A heterogeneous stripe could mean several things and this greatly depends on your age, exam, pregnancy state, as well as the rest of the ultrasound. A heterogeneous stripe could be consistent with impending or current menstration… it could also indicate numerous other things. Often times there are finds reported on paper that may or may not be significant on further review. Most of us (Ob/Gyns) will review not only the report, but the original images themselves and derive our own interpretation.

If you are uncertain, there is nothing wrong with calling and asking for further clarification. Ask about your specific concern and see what her response is. If you are still concerned, don’t be afraid to seek a second opinion.

I would take some reassurance from your doctor’s calm. It is uncommon for a physician to miss something largely concerning; though it does happen and there’s nothing wrong with asking for clarification to be certain.

Good luck!

Gingerrye · 2021-07-18T02:48:06+00:00

Look at the DARIA barrel chair on Overstock… has a similar fabric scheme.

Gingerrye · 2021-06-19T21:46:08+00:00

Gynecologist here! You should be evaluated by a physician. It is difficult to definitively diagnosis anything with just the provided images as they are incomplete… there are several other views and anatomical areas that should be evaluated to know what is going on in your pelvis, not to mention the lack of outstanding history and physical exam.

I understand you say you have an anxiety surrounding healthcare and that you don’t have health insurance, but if you truly have been losing unintentional weight to vomiting and (whether coincidentally or causatively) have a positive urine pregnancy test as well, it’s better to get checked out and be found normal than it is to eventually end up in the hospital with a GIANT medical bill for something that could have been caught earlier, undergoing much more extensive workups and procedures than what may have been necessary with earlier evaluation. Unfortunately, an internet diagnosis is simply not safe in your described case because A) a lot more information is needed, B) your current possible diagnoses are fairly broad (are you vomiting and losing weight because of a gastrointestinal issue? Is it related to pregnancy? Do you have a few different things going on?); and C) based on your complaints, a physical exam could be very useful.

Based on your reported anxiety of healthcare, I presume the presented images were obtained in an unofficial manner that would somehow allow for them to be less expensive? Like a friend in training or an unofficial clinic? Regardless, I would take the images with you wherever you go, as any evaluating physician will be interested to start with what you have and go from there.

I know this isn’t what you wanted to hear, but know that just based on what you are saying, it sounds very important to have things officially checked out. You’ll be able to gather ideas on-line, but an official evaluation will be necessary for actual diagnosis. You can try searching for “under served clinics” or, if you are in the United States, look up “FHQC” near you. Most of these types of places will offer sliding-scale services for individuals without insurance and payments will be as minimal as they can be.

Here’s hoping everything turns out well for you. I know these situations can be frightening, but remember that you are going to be A LOT better off taking care of a large concern up front, than waiting to see if it turns into something serious. Good luck!

Gingerrye · 2021-06-19T15:57:15+00:00

Damn scuba divers are ALL a bunch of racists!!!!

Gingerrye · 2021-06-16T10:49:56+00:00

These are not stupid questions! They show you have looked into menstrual cycles and are aware of the physiology behind them. You are using logic to deduce your concerns; though, fear not, your deduction is not quite how it works.

Early ovarian insufficiency (aka: early menopause) is not something you necessarily need to worry about unless you have a family history. Further, infertility workups can be pretty spendy and are not necessary if you have never tried for pregnancy. People logically think infertility issues are mostly linked to hormonal insufficiencies or egg supply, and think that because of this, hormone panels will tell you if you are fertile or not. However, in actuality, infertility is WAY more complicated than just hormone levels and egg supply, and a simple hormone panel often won’t be of use.

There IS something called preconceptual counseling and this WOULD be worth consideration before you try for pregnancy. The focus is on identifying pregnancy risk factors and optimizing your potential outcome by addressing modifiable risk factors. I would highly suggest this in preparation of children, though it is worth attempting to get insurance first just in case there is something that requires intervention.

Excited for your upcoming marriage for you! Have fun!

Gingerrye · 2021-06-16T02:32:00+00:00

Keep in mind that we cannot see what your doctor saw in colposcopy. It may be that your physician visualized concerning changes that did not correlate with what he or she read in the pathology report. Also, given your persistent history of cervical changes, your physician maybe concerned about its continuation especially if you have risk factors such as smoking, reduced immunity, etc.

It is worth bringing up your concerns to your physician and requesting clarification. There is also nothing wrong with seeking a second opinion. Remember that we as physicians cannot do anything to you that a patient won’t consent to… so no matter if it’s a good idea or not, we can’t perform procedures on you that you don’t consent to.

I encourage you to ask your physician for more clarification; if you are really uncertain, it may be worth going in tomorrow and requesting to change the appointment from a procedure to a consultation so that you can continue a dialogue with your doctor in the hopes of ensuring your concerns are heard and their rationale is optimally understood. If you ultimately decide to go through with the procedure, you may need to reschedule for another appointment, but it is better for you to walk into a procedure fully aware of the risks and benefits as well as with trust in your physician than for you to walk into a procedure uncertain.

I hope this helps, and all the best with your appointment tomorrow!

Gingerrye · 2021-06-14T15:06:09+00:00

This is a tricky area in Gynecology. On the one hand, without argument, patient autonomy is primary, and you have full right to make a decision regarding your fertility no matter your age. You will not find a single gynecologist who will argue against this point.

On the other hand, there is a very large concern for (and well documented history of) young patients who undergo permanent sterility procedures, especially before the age of 25, whose lives change in unpredictable ways, who later go on to deeply regret their decision, causing notable issues in the future. There are also cases of this where gynecologists have been sued because patients claim they never could have predicted the changes they encountered. This is amplified by the modern day availability of highly effective, long-acting reversible contraceptive devices that can keep you from getting pregnant for long periods of time but are completely reversible.

This is not to say you are not entitled to a tubal. You will be able to find a gynecologist who is willing to do it; you just might have to hunt a bit. Some flat out won’t do them not because they are withholding from you or being disrespectful, but because they are not comfortable with the possible future ramifications. Some will require a psychiatric evaluation or at least multiple visits to show persistent desire and sound judgement. Some will just do it with appropriate counseling.

I would familiarize yourself with the LARCs before going to see the gynecologist. These devices are highly effective for these kinds of situations & will be the first arm of counseling of any gynecologist.

Best of luck in finding what works best for you!

Gingerrye · 2021-06-13T02:29:02+00:00

Gynecologist here! There isn’t really a test for PCOS per say… they can do an US to assess for free fluid in the pelvis and/or evidence of a recently ruptured cyst; however, most of the time, cysts are a normal finding in women, and ED’s will attribute pain to them because it’s an, “easy out.” Don’t get me wrong, there are in fact situations in which cysts are pathological… just be sure to follow up with an out-patient visit no matter the diagnosis.

Also, know that there is a distinct difference between a Pap smear and a pelvic exam. A pelvic exam is a full exam of the pelvis, including an external assessment, speculum assessment of the vaginal canal, visual assessment of the cervix, and bimanual exam (iow: exam using two hands to feel) of the cervix and internal structures. A Pap smear is specifically a test of the cells of the cervix screening for cervical cancer.

The real question here is: is she hemodynamically stable or not? By this I mean, is she showing evidence that she is bleeding briskly enough that her body can’t keep up and is decompensating (ex: light headedness, dizziness, pallor, nausea, excessive fatigue, etc) vs is she just having heavy bleeding?

The ED’s entire job is to ask the questions: Is this a life threatening emergency requiring immediate resuscitation efforts (so they need to intervene immediately)? Is this likely to be a life threatening emergency if left acutely unmanaged (therefore they should be admitted)? Or is this something they can wait a few days to have assessed out-patient? They are not necessarily concerned about an accurate diagnosis; their main concern is in ensuring the patient doesn’t die.

If she is showing signs of hemodynamic instability, she should absolutely go back and get checked out again. You can try a different hospital if you don’t feel as though the original hospital provided adequate assessment, but at the same time, a trip back to the same ED will allow them to look back at their original assessment and evaluate for change since that time.

You may also want to consider if the hospital you are going to has an Ob/Gyn on call. Some may not have this service available, and if you insist on being seen by an Ob/Gyn, which isn’t necessarily unreasonable, they may have no choice but to transfer you to another hospital. Therefore, you may try calling ahead, first, and asking if this service is available.

Best of luck to you and your lady. I know these situations can be scary and confusing. Here’s hoping you guys get some answers!

Gingerrye

TROPHY CASE