May 28, 2014
Gordon Grigg…scheduled for release 9/29/2014.
Seems the court has had a change of heart when it comes to Mr. Grigg. Wonder what his victims have to say about his early release?
Here’s the earlier report: http://chuckgallagher.wordpress.com/2010/05/10/gordon-grigg-staying-in-prison-says-judge-aleta-trauger-looks-like-the-good-deeds-dont-outweigh-the-bad/
December 30, 2013
The WordPress.com stats helper monkeys prepared a 2013 annual report for this blog.
Here’s an excerpt:
The Louvre Museum has 8.5 million visitors per year. This blog was viewed about 130,000 times in 2013. If it were an exhibit at the Louvre Museum, it would take about 6 days for that many people to see it.
Click here to see the complete report.
December 2, 2013
Last entry (Part 9) Mayo Clinic fumbles the preverbial ball – but what an awesome recovery! Now we get the full picture and to be clear the process will be shared since the issue is NOT the Mayo Clinic, but obstinate Health Insurance Companies that seem to think they know more than my doctor. Arrrgggg!!!
My last entry is here: http://chuckgallagher.wordpress.com/2013/11/27/when-prostate-cancer-returns-ouch-mayo-clinic-fumbles-the-ball-part-9/
NEWS on the MAYO FRONT!
Today I get an inpatient email from the Mayo Clinic that stated the following:
To which I responded:
Diane (Dr Kwon’s nurse)…thank you for your email. It seems I am stuck between two competing factors – National Imaging Associates and the Mayo Clinic Urology. I cannot get my insurance company BC/BS to approved the C-11 that pre-certification comes through National Imaging Association. They won’t approved without a peer-to-peer discussion. Mayo Urology won’t do a peer-to-peer. PATIENT IS CAUGHT IN THE MIDDLE. Seems that sucks for the Patient (me in this case). Therefore, I respectfully request that someone with clinical knowledge do the peer-to-peer so that the C-11 can be approved. We both know that a pelvic MRI is likely (with a PSA of 1.1) to show nothing just like the CT scan and Bone scan. Happy to have the MRI done, but if that improves the approval of the C-11 scan great…otherwise seems it is a waste of time. National Imaging Association won’t consider a new application for the C-11 – they (according to your pre-certification dept) are only willing to reconsider with a peer-to-peer. I DO UNDERSTAND the time associated with this request. However, if it were you or your husband and there seems to be a stand off taking place that holds the patient (me) from getting what we both know I need, I’m sure you would agree that I have to ask. I am not asking that Dr. Kwon do the peer-to-peer, but do believe that there is someone in urology that is capable of convincing the physicial (likely retired and sitting on his ass with National Imaging Association) with NIA that a C-11 is the only thing that is likely to identify the location of my recurrent Prostate Cancer so that an effective treatment can be administered. I really appreciate your willingness to consider my request and hope that it falls on willing ears. Honestly that would be the best Holiday Gift I could receive – a yes from NIA. Thanks and hope your Thanksgiving was a blessing. Chuck
There is a simple saying – “You’ll always miss 100% of the shots you don’t take!” In other words you can’t get a “Yes” without asking. Me…well I am all about asking and more than once! Sales motto – ask until you get a “Yes” of piss them off trying. Either way you’ll get the outcome you desire or know that you’ve done your best trying!
Then later today a Mayo Clinic response – BETTER THAN EXPECTED!
Oh my…certainly better than expected. Dr. Kwon is the man when it comes to C-11 Pet Scans…so if anyone can convince National Imaging Associates of the value to me, he is the one that can do that!!!
THANK YOU! And the process continues!
November 27, 2013
Some posts are simple and don’t require many words.
Mayo Clinic pre-certification department – 100% satisfaction rating. Talking about a group that has gone above and beyond the call of duty…these folks certain have. Hats off to you.
Mayo Clinic Urology dept… well it started at 100% and I can honestly say they are good – real good – but when it comes to patient first or process and time – patient loses if they pay with insurance.
Let me explain. National Imaging Association denies the C-11 Pet Scan which would be the most likely test to determine the source of my recurrent prostate cancer. What they require is a Peer-to-Peer consultation with the folks at the Mayo Clinic.
Why? Likely because this particular Pet scan is so highly specialized that the NIA folks need to be “convinced” (my word) that its useful in my case. To be fair, Dr. Kwon, through the Mayo pre-certification dept sent extensive material to help them understand. Do I think the folks at NIA read it – na…not a chance.
But the problem is – Dr. Kwon and the Mayo Urology folks don’t (won’t) do peer-to-peer consultations with insurance companies. I was told if they did that is all they would do and therefore get no scans done.
Wait a minute…time out. You’re telling me that you (the Mayo Clinic) can’t hire someone with clinical urology experience to handle the interaction with insurance companies so that patients (like me) don’t get caught in the health insurance circle of death?
Sorry, but it is unacceptable that no one with enough specialized knowledge from Mayo Urology can take the time needed to do the peer-to-peer knowing that this test is “the” test needed to help me get appropriate direction needed for an effective treatment.
One call, but the Mayo Clinic won’t make that… at least that’s what I have been told for two days. So much for the patient coming first. Remember I (your patient) didn’t create this screwed up system of health care or payment system. I just need cooperation so I can move forward to eliminate this disease once and for all.
You sure you won’t make the peer-to-peer call? Please!