So I had a manic episode Wednesday night/Thursday morning, likely from a combination of work stress and waaaay too much caffeine. I finally passed out around 7:00 Thursday morning, after calling (emailing) in FMLA. Been a month and a half since my last FMLA day, and I think I just went home early that day. I really am doing better overall. But it worked out, kinda, as I already had an appointment to see my primary care doctor today. I hadn’t remembered to tell my boss or HR about it and was wondering how to sneak out of work for about two hours. >_>
So the main reason for going is I wanted to switch birth control brands to the one my insurance covers for free, instead of paying a $25 copay. I’ve been duking it out with my insurance for a while, over multiple things.
It is always awkward, being checked in. Thankfully, the nurses accept my polite “No, thank you” to being weighed, though I have requested they flag my chart somehow so they know not to even ask, as it is very triggering for me and likely is for other people as well. For some reason it doesn’t bother me when my psychiatrist does it, but he does it himself, never comments on it, and I know he’s watching for changes due to my psychiatric drugs, which makes it actually a medical necessity, as often weight change is the first sign that something’s not right with my meds, or my overall mental status.
Then came the fun part, where I explain what I need, and asked if there was any way I could also get an IUD put in, or a tubal ligation, as I have no plans to have kids, and launched into my list of why it is A Very Bad Idea for me to actually birth children anyway, as with my current medications, by the time I would realize I was pregnant, very irreparable damage would’ve been done to the kid’s brain. Not to mention the horrible genetics I’d be passing down. (And with my new boyfriend, *his* genetics are equally awful, so the poor hypothetical kid would never have a chance.) She didn’t think my insurance would do both an IUD and hormonal birth control, but they might consider a tubal, as I am now 31 and now magically able to really decide what I want for my reproductive future. Maybe. I don’t know if it’ll be covered, of course, but she said she’d be happy to make a referral to a surgeon. I’ll have to call my insurance and see what they would be willing to consider. I’d rather go the IUD route than actual surgery, but either way, I just want that extra layer of backup, y’know?
I actually made my doctor cry, though, when I started in on my It’s A Bad Idea schpiel and she could see my overall level of frustration. She’s really nice, I like her quite a bit, and felt badly when she got choked up.
Oh, the best part of my visit? As I have been out of birth control for three weeks, and had *protected* sex about two weeks ago (I’m not an idiot) I still had to do a pregnancy test before she could actually prescribe me birth control. As much as I knew it was a veeery low chance, I was still nervous. She was happy with the negative, especially given how adamant I am about not having kids, and she prescribed it.
Of course, then the pharmacy discovered that while I had the correct *brand,* the little numbers after it were wrong, so the brand I switched to *still* wasn’t free. Gotta call my doctor’s office AGAIN tomorrow to correct that. (It’s supposed to be Junel Fe 1/20 and she’d written for like, Junel Fe 28 or something. I couldn’t tell you what those numbers mean if my life depended on it.)
Seriously, someone shoot me. At least my pharmacist found my pent-up-rage ranting against my insurance company funny, and she agreed with my frustration, as insurance companies rarely send formularies to pharmacies so they don’t know what is covered, either. She appreciated my frustration with how the birth control formulary I received- that had to be mailed to me, as it wasn’t even listed on my insurance company’s website- only listed the brand names they covered. No chemical information whatsoever. So I had to do my own research to match the brand they’ll cover with the chemical formula I am presently prescribed, that works juuust fine, thank you. Evidently the ACA only requires the insurances cover one brand of each compound, rather than just, y’know, paying for all of them. UNIVERSAL PAYOR SYSTEM, PEOPLE. IT IS A THING THAT WORKS IN QUITE A FEW OTHER PLACES VERY NICELY. If only America wasn’t positively allergic to anything that smacks of socialism/communism, we’d have nice things, AND save money, and this last month of absolute nonsense of trying to change and fill a prescription wouldn’t have happened.
I also remembered to stop at a lab on the way home to get bloodwork done that I’ve been forgetting since February, too. I was just full of medical compliance today.
…And did I remember to mention I have a boyfriend? That’s a topic for another post. XD