I'm gonna have to negotiate with my doctor.

I posted in another thread that I was recently told to reduce my daily dose of Dilantin, then get blood drawn two weeks later. So I did that. But when I got to the clinic where I always have blood drawn, they told me they didn’t have an order. “Well, can you call Dr. F’s office?” I asked. They did; an order was faxed over; the procedure was done; and today I had my appt.

Before I saw the doctor*, the nurse** told me that the blood test hadn’t yielded the results they needed. Long story short, the order that was faxed over to the clinic was not the one specific to this new change in dosage. First she offered to draw blood again right there in the office, then came back and said she didn’t have the “tubes” (?) necessary to test for the Dilantin levels, so I would have to go back to the clinic.

It wasn’t until I got home that I said (to Mr. Rilch), “Waitaminit…The reason I didn’t give them the correct order, as the nurse said I should have, is because I was never given one! I was instructed to reduce my order over the phone, so I couldn’t have had that piece of paper. It would have been up to the office to fax over the correct order.”

So what I’m getting at here is, I don’t want another clinic visit to go on my insurance. What I’d like to do is go back to the office and have blood drawn there, and not have to make a co-payment because it won’t be an actual appointment.

I know this will be difficult to negotiate. First, I’ll have to convince them that I’m not unwilling to get blood drawn again at all; then, I have to hope that they’ll allow me to visit the office without making a co-payment.

I know I’ll have to get blood drawn again; I’m not trying to get out of that. Nor do I think that these people are at my beck and call. But the mistake, that resulted in the test not yielding the necessary results, was not mine. And I don’t think I should have to pay, or have it go on my insurance.

*Dr. F. is somewhere else right now (vacation? Teaching? I forget), and this new person is filling in. This is probably a matter of some kind of miscommunication, because of that. But it’s still not my fault that the clinic didn’t get the correct order, and I shouldn’t have to pay.

**She was wearing the coolest scrubs! Bright red pants, and a red top chockablock with hearts of a lighter shade of red!

You’re right; you shouldn’t be responsible for a new copay for an office visit when it sounds like the doctor’s office blew it.

Robin

You’re right and I’m sure your doctor will be fine with accepting the costs given that the mistake was his. This happens to me from time to time–lord knows I see enough doctors during the course of a year!–and I’ve never had a problem getting it straightened out with them. But it is incredibly annoying. I hope everything goes okay for you, Rilch

It did not go well.

I didn’t get to talk to the doctor, not that I thought I would, but talking to the nurse was most unsatisfactory. She started being a snip the minute she knew what I was calling about. First, she jumped to the conclusion that I’d feared she would: that I was balking at the idea of getting blood drawn again at all. Then she just kept talking fast and sounding very much like she wanted to have an argument.

Basically, she admitted that I was never given a paper copy of the correct order, and that the office had faxed over the wrong one, but “You’re the one who started talking about ‘fault’.” :confused: And she got very impatient in telling me again that she couldn’t test me for Dilantin in the office. Hey, I don’t have “R.N.” after my name; when she said ‘tubes’, I thought they might just possibly be an expendable that she was temporarily out of. My asking if she could do the test was not an accusation, but she took it as one.

So I have to go back to the clinic, where there is no co-pay, but it does go on my insurance. I will do that…then I’m requesting my records and finding a different doctor. I’ve had it. This is not the only problem I’ve had with this office.

I’m sorry to hear you had such a rough time. I’ve had to do something similar myself over the years. It amazes me how many doctors (and their nurses) think it’s perfectly okay to treat their paying customers like this. I see enough doctors that I’ve developed a real attitude about it and will not tolerate being treated this way. I’ve asked for my records on more than one occasion and told them why–maybe they’ll eventually get the message and wise up.

I hope you fare better elsewhere, Rilch! Good luck!
Laura