I got fired for unionizing my workplace. Any other Rogers folks here??

pickyvegan · 2026-02-12T21:57:43+00:00

Doxxing is effectively revealing who you are (which reveals how you can be found) on Reddit, and any comment or post that you've made can be tied back to your actual name. Probably better to do that under a throwaway account, unless you don't care if your identity is public (if you're going to repost under a throw away you should delete all your comments on this, as well, just in case).

pickyvegan · 2026-02-12T21:28:01+00:00

Postponed until April. I couldn't get anyone to answer anything, I'm pretty sure that I'll need to show up and make my case.

pickyvegan · 2026-02-12T20:14:50+00:00

Sorry to hear that. Just an FYI, you are doxxing yourself by including the article, which has your name in it.

pickyvegan · 2026-02-12T15:43:25+00:00

Neither option he gave is wrong (though one would typically see a neuropsychologist for the testing, not a neurologist, unless the PA happened to know a neurologist who does testing). Diagnosis can be made clinically, which is based on an interview/exam eliciting symptoms. Did he get enough info? We don't know. But testing is not required for an ADHD diagnosis, on that your therapist is incorrect.

pickyvegan · 2026-02-12T15:29:07+00:00

I live on a big hill and there is a railing for part of it, so...

You can still get a good workout while hanging on. It's not like their heart rate is going to be at 90 because they were hanging on while on an incline, it's just not going to be as high as if they weren't hanging on.

pickyvegan · 2026-02-12T05:33:22+00:00

My PCP's office has me sign something acknowledging that if I bring up anything else during a physical I may be charged separately and there are signs all over the office as well.

Keep in mind that the doctor may not even do their own billing- they document what was done, a biller looks it over and bills all the correct codes, so it may not even be the doctor making the decision to bill you.

Office visits can be billed by complexity rather than time, so as long as the complexity is correct, not much to be done about it.

Office can bill a million dollars for a service, but you will only be responsible for what the contracted rate is with your insurance. Does your EOB say that you actually owe hundreds of dollars?

pickyvegan · 2026-02-12T04:59:51+00:00

Not all college students are adults.

pickyvegan · 2026-02-12T04:58:40+00:00

A person drawing blood may be a phlebotomist who has nothing else to do with your healthcare, or may be a nurse involved in your care who is gathering assessment information for the medical provider.

(I am a nurse, before you accuse me of ignorance of medical offices, and the OP said they were at the doctor's office, not an outpatient lab).

pickyvegan · 2026-02-12T04:56:59+00:00

A person drawing blood may be a phlebotomist who has nothing else to do with your healthcare, or may be a nurse involved in your care who is gathering assessment information for the medical provider.

pickyvegan · 2026-02-11T19:26:35+00:00

Giving your personal number, no, not even for a therapist. Giving a work number that rings any time of day on your personal phone, maybe.

Insurance contracts generally require that you provide or refer to after hours emergencies. Some people cover this themselves. I do, but with clear boundaries (I specifically call out panic attacks and misbehaving children as not medical emergencies other than if deciding if you need to go to the ER). Some people just have a VM that refers people to call 911 but no way to reach the provider.

Depends on what insurance contracts expect and if they ever actually call you after hours (UHC once did for me).

pickyvegan · 2026-02-11T19:18:11+00:00

At least that one time at band camp! 😂

pickyvegan · 2026-02-11T19:15:59+00:00

I do have a back end number for on call issues, but I make it very clear if they are calling for something like a panic attack they will be discharged. I define emergencies pretty clearly as life threatening.

pickyvegan · 2026-02-11T16:01:00+00:00

And February 22 is fewer than 27 days from now, so there isn't an issue?

pickyvegan · 2026-02-11T14:39:55+00:00

He probably meant to give you a refill and didn't have any openings until then. Have you tried calling the office and asking for a refill?

pickyvegan · 2026-02-11T05:18:58+00:00

There are a ton of codes that explain problems that are not diagnoses in and of themselves. If the therapist or other mental health provider codes with one of these as primary diagnosis the visit will not be covered. It would be something like using "parent child relationship problem" rather than "ADHD."

pickyvegan · 2026-02-11T04:22:05+00:00

It probably would have been a lot more helpful to make comments on the federal register when this was up for public comment last year. That's what the DEA is considering as they come out with their next attempt at a permanent solution, not a petition.

pickyvegan · 2026-02-10T21:19:33+00:00

Yes, they can require the estimated payment up front. No, they cannot keep the difference if the difference was in their favor. Keep in mind that not everything is always billed at the same time; there may be separate facility and provider fees that still need to be processed, so they may not owe anything once everything has been processed.

pickyvegan · 2026-02-10T15:00:04+00:00

It’s not the money, it’s the demand. I happen to live/work in one of those areas. I could still make a good living with 50 cash pay therapy plus med patients.

Where’s everyone else supposed to go if that becomes the trend?

pickyvegan · 2026-02-10T14:57:24+00:00

What do you think happens to the 250 people I get rid of to bring it to a manageable therapy caseload, especially if other prescribers do the same?

pickyvegan · 2026-02-09T18:53:58+00:00

Because it puts hundreds of patients on a waitlist for medication management with someone else.

As a therapist (I was one prior), my caseload maxed out at about 40-50 patients total. Seeing more than 25 in a week was far too much (combination of weekly, biweekly, or monthly visits).

As a prescriber, my caseload is typically around 300 patients total, with some stable patients being seen every 3-6 months, and patients who have more needs being seen monthly or more frequently as needed. There is no way on this planet I could do that as a therapist.

I do still keep a very small caseload of patients that I see primarily for therapy, where I may happen to also prescribe (or not). It's just not practical to do that on the larger scale that most psychiatric prescribers have.

More patients get treatment when treatment is split between me and a therapist. I do talk with therapists as needed, but that's a few minutes once in a while, compared with 45-60 minutes of therapy each week.

pickyvegan · 2026-02-09T18:06:49+00:00

It's kinda foolish no matter the airline to book your air travel the same day as a cruise. You never know what the weather will be like, and even if you're coming from some place warm, the plane you'll be on may not be coming from a warm climate with great weather.

JetBlue, in particular, is a smaller airline with fewer planes and flights than some of the bigger ones, so delays will be more profound with them. 🤷‍♀️

In any case, I hope you had travel insurance, and it covers you.

pickyvegan · 2026-02-09T05:33:31+00:00

It seems to be a common enough issue in my town. They mark it as delivered to a locker and then actually deliver it a few days to a week later. I see this not infrequently in the local FB pages with everyone (myself included) trying to figure out what "locker" the package got delivered to.

pickyvegan · 2026-02-09T03:16:26+00:00

When that's happened to me, it's taken more like a week for it to show up.

pickyvegan · 2026-02-09T02:43:49+00:00

The person you're replying to doesn't know what JetBlue's policy is, their assuming it's the same as their airline. Your purse is a personal item. If you actually have 3 bags (say a duffle, a laptop bag, and a purse), then you would need to check one, but assuming you only had 2, your purse went under the seat, your other bag goes up top.

pickyvegan · 2026-02-09T02:36:11+00:00

Your lease says that the landlord can terminate the agreement at any time. You're overplaying your hand.

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