[QUOTE=Uncommon Sense]
Ah, Kalhoun, -vaginal vault. That would explain one of my ex’s quite accurately.
[/QUOTE]
(snicker!) That’s one way of looking at it. However, I immediately envisioned more of a “pole” vaulting scenario… not unlike an old boyfriend of mine whose enthusiasm made it less like sex and more like an olympic sport.
“…and over at Kalhoun Stadium, we have Ex-Boyfriend who is hoping to medal in the Vaginal Vault!” (crowd cheers)
[QUOTE=Guinastasia]
Nitpick: technically, it was hanging out of her urethra, not her vagina.
Jesus Christ, if that happened to me, even if THAT wasn’t an emergency, I’d probably have to go to the ER anyways, after I cracked my skull on something, right after I fainted.
[/QUOTE]
Not to nitpick a nitpick, but how is that even possible?
And no kidding about your second part. I always said that the jumping out of the airplane wouldn’t kill me, it would be the ‘shitting my self to death’ part. Same thing here.
[QUOTE=ShelliBean]
Not to nitpick a nitpick, but how is that even possible?
And no kidding about your second part. I always said that the jumping out of the airplane wouldn’t kill me, it would be the ‘shitting my self to death’ part. Same thing here.
[/QUOTE]
Your bladder would be up inside your urethra, wouldn’t it? You don’t pee from your vagina.
Unless, of course, she means the walls separating everything collapsed, or what not.
Either way-aaaaahhhh!!!
Good grief, of course you should appeal, and based on my experiences you’re going to have a very high chance of an easy win. Get your doctor involved, doctors can write withering statements to insurance companies when required. I’ve never in my life lost an appeal to an insurance company.
[QUOTE=Guinastasia]
Nitpick: technically, it was hanging out of her urethra, not her vagina.
[/QUOTE]
Nope. My bladder was decidedly hanging–well, bulging–out of my vagina. (And for those of you who asked–it looked like a pink kiwi.) In essence, the vaginal wall, weakened from childbirth, collapsed and the bladder fell into and out of the vaginal canal.
From here:
Thankfully, I “just” have the cystocele–bladder only. My urethra is where it should be. The OB warned me, though, that despite all the indications that my uterus is in place, it’s possible it has collapsed some, too. We shall see. I must admit I’ve been afraid to go back to the OB for fear of the “surgery” word. I really need to make that appointment. (If my uterus is involved, it could mean a hysterectomy, though he thinks I could still have more children if I want, which I do. But that’s another topic for another thread.)
Oh, and Update: I called my insurance, and they said the hospital submitted the bill as a nonemergency. The first step, the agent recommended, is that I go back to the hospital and have them resubmit it with the proper emergency forms. If that fails to get the insurance to cover the costs, then I can pursue an appeal–but he recommended I go to the hospital first. That way, if it’s denied, I have recourse…if I first try to appeal and it’s denied, I’m screwed and get a $400 bill for Christmas.
What a pisser. Thing is, the ER doc was so nonchalant–he actually asked me why I thought it was necessary to come in. WHY DOES EVERYONE IN THE MEDICAL WOLRD ASK ME THAT?? Is it UNREASONABLE to think an internal organ going external warrants an emergency?? All of y’all understand my HOLY FUCK! reaction, so why the doctor and insurance seems to think it’s no biggie is mind numbing. Granted, it turns out it isn’t as bad as it seems, but it sure SEEMS pretty scary, riiiiiiiiight? Sheesh.
I would have told that doctor that I live by one simple rule. When my insides are outside, I consider that an emergency.
[QUOTE=Ruffian]
What a pisser. Thing is, the ER doc was so nonchalant–he actually asked me why I thought it was necessary to come in. WHY DOES EVERYONE IN THE MEDICAL WOLRD ASK ME THAT?? Is it UNREASONABLE to think an internal organ going external warrants an emergency?? All of y’all understand my HOLY FUCK! reaction, so why the doctor and insurance seems to think it’s no biggie is mind numbing. Granted, it turns out it isn’t as bad as it seems, but it sure SEEMS pretty scary, riiiiiiiiight? Sheesh.
[/QUOTE]
When my son was a year old he had a febrile seizure. We thought he was going to die. It was one of the scariest things in my life. We called the ambulence, went to children’s hospital. The ER doc looked him over and said “febrile seizure, common, nothing to worry about. 50% chance he’ll never have another one, if he does, don’t worry about them unless they last longer than a minute, here is how you manage a fever.”
Took him to the peditrician for a followup, she confirms everything. Yep, scary. Yep, nothing to worry about. He’ll probably never have another one, if he does, he’ll probably outgrow them before he starts school.
A year later he had another one. And another. During a twenty four hour period he had six. After the sixth one we called his peditrician and her response was “He’s had SIX and you are just calling me now!!!” (“Well, you told me they weren’t anything to worry about.”) Take him to the ER, ER doc looks him over, sends us home “nothing to worry about.” He has two more and is no longer running a fever and they are coming closer together, take him back (by this time I haven’t slept in 22 hours), ER doc decides that there is no way she is going to get me to go home without a neurologist looking him over (and gives him a shot of valium perscribed by the neurologist on the phone which breaks the seizure cycle). We check in for the day. Neurologist drives in, looks him over, says “no big deal, slight increased risk of epilepsy, but you won’t be able to tell about that for years, go home.”
He’s never had another one.
But, with the exception of the on call peditrician and the ER nurse (who was the only medical professional to see a seizure) the “oh, yeah, not a big deal” was amazing.
Are you sure you didn’t accidentely go to Dr. Nick? (Hi Dr. Nick! Hi Everybody!)
From what other people in the thread have said this happens regularly to women?? Pardon me for a moment while I go AHHHHHHHH!
Google for an appeal letter. I pretty much copied a letter I found … somewhere… and won. I also cc:'d my primary care doc, the director of BCBS customer care or somesuch, my surgeon, and my HR DIRECTOR. Speaking of which, your HR department might have some helpful suggestions, too.
[QUOTE=Antinor01]
Are you sure you didn’t accidentely go to Dr. Nick? (Hi Dr. Nick! Hi Everybody!)
From what other people in the thread have said this happens regularly to women?? Pardon me for a moment while I go AHHHHHHHH!
[/QUOTE]
We had a lengthy discussion about it here: http://boards.straightdope.com/sdmb/showthread.php?t=392572&highlight=uterine+prolapse
I never thought I’d find humor in something so bizarre, but this shit can be funny!
I would say that the medical personnel reaction of “no big deal” to things they see all the time, but are scaring you to death, is bad healthcare. It doesn’t matter if a prolapsed bladder is common, or febrile seizures are common - they aren’t common TO YOU.
I know it’s great to get experienced medical people, but they gotta remember what it’s like on the other side of lying in that bed. I went in with a ruptured ovarian cyst (no big deal, quite common, except the pain was like nothing I’ve ever experienced), and five or six of them taking turns examining me all pushed hard on my abdomen. Guys, I have a ruptured cyst - do you think you could stop pressing on the white hot pain area?
My point - compassion goes a long way when people are scared, sick and in pain.
[QUOTE=Kalhoun]
We had a lengthy discussion about it here: http://boards.straightdope.com/sdmb/showthread.php?t=392572&highlight=uterine+prolapse
I never thought I’d find humor in something so bizarre, but this shit can be funny!
[/QUOTE]
Umm, I think I’ll take a pass. I have had little to no need in my life to have a lot of understanding of female anatomy and this is one of the things about it that I think I’ve heard enough about already in this thread. Once again, AHHHHHHHH!
I totally pee from my vagina.
[QUOTE=Ruffian]
Do I have any recourse in this? Is there any hope whatsoever of me convincing them that it seemed like a worthy reason?
[/QUOTE]
Yes.
Call customer service and tell them “I want to appeal this decision”.
Have your doc - the one who suggested the ER as an option - write a letter on your behalf.
Good luck, and be persistant.
[QUOTE=Rick]
I would have told that doctor that I live by one simple rule. When my insides are outside, I consider that an emergency.
[/QUOTE]
I think that’s a very sensible rule. I, personally, do not want to see my innards, unless it’s an X ray or ultrasound picture, in which case I will examine the picture closely. However, with a pic like that, my innards are all still INSIDE me.
This reminds me. . . I need to go to the pharmacy to get a prescription refill tomorrow.
OMG. Yaaaagghh!
Now I’m going to go read the other thread to continue this shuddering and wincing-- I think it’s burning calories.
[QUOTE=Ruffian]
Nope. My bladder was decidedly hanging–well, bulging–out of my vagina. (And for those of you who asked–it looked like a pink kiwi.) In essence, the vaginal wall, weakened from childbirth, collapsed and the bladder fell into and out of the vaginal canal.
From here:
[/QUOTE]
Eeek! Thanks for the correction. Please, fight these bastards over this. That is INSANE.
Just FTR: Despite all the OH DEAR GOD things that happened to my body…hey, he’s worth it.
Meanwhile, I’m off to fight the bastards. I just hope it’s some lame-ass thing like someone at the hospital used the canary form instead of the goldenrod form when billing my insurance.
squee
He sure is-he’s so CUTE!
Well! Isn’t HE the little party animal! What a happy little guy!
