Wednesday, June 27, 2012

Even heroes need saving.

I like helping people. Sometimes I go out of my way to make people happy and to do the right thing. It takes more effort, but its worth it. As Martin Luther King Jr. once said "the time is always right to do what is right".   Yesterday I had only $7 in my bank account. I was going to use it to buy lunch but instead I bought benadryl for my wife because she has bad allergies.

A few weeks ago our cat has been acting weird since my wife cleaned a room. It no longer had an obstacle course of unpacked boxes and textbooks. I was reluctant at first to take it to the vet because I didn't think anything was wrong with it but we waited a day too late for our last cat and it passed away. We took the cat to the vet and the veterinarian said that she was fine. I sometimes resent taking the cat to the vet, spending $200 on a healthy cat seemed pointless. But I remind myself that I did the right thing.

I'm a nice guy. I don't understand why life deals me bad cards. I never hurt anyone. If there really was such a thing as karma, then I would never have a negative thing happen to me. Every day I worry what bad news will come my way.

It's been rough this month. Lately bills have been getting higher, as well as the temperature outside. My fingertip on my right middle finger is numb, at least I can still use the rest of it on special occasions.

Today I got a letter from my insurance saying they denied coverage for my new medicine because its "not medically necessary".

"The request does not meet plan criteria for an exception to the preferred drug list. Other medications are available on the preferred drug list. Coverage for the requested medication is provided for patients with a diagnosis or relapsing forms of multiple sclerosis with a documented history of contraindication, intolerance, or theraputic failure of other preferred multiple sclerosis agents suck as Avonex, Rebif, or Copaxone. Information reviewed does not support that the patient has previously tried these agents."

I have been diagnosed with MS since march 3rd, 2003. Since then I've been on the treatments Avonex, Celcept, Copaxone, and Tysabri. All of these medications should have been listed in my medical records which they should have. All medicines I listed either didn't work or did more harm than good. It's very disappointing to read something like this and know what I've been through to find a treatment that works for me. All the money spent on gas driving to infusion centers, all the time spent in doctors offices, all the hours of work I missed to attend appointments. Enduring all the pain from shots and their side effects. It makes me sad to feel as though I've gone through all of this in vain.


  1. Stephen it is not ever in vain! The insurance letter is most likely a form letter because you've never been on Rebiff. Someone is just checking a box. You can appeal the decision. You'll most likly need to appeal in Writing. Include notarized letter from your dr. What is the new medicine? Is it a newly approved FDA drug? If so that's why you got the letter. Message me on Facebook if you need anything that I can help with! Laura Svec

    1. I'm taking Gilenya. I got things under control now. Them commie screwballs don't have on record of my past treatments. They assume this is my first one. Dr. going to send them my medical records.