Part 1 of 5 Response to dismissal from services letter
Dr W,
I had held you in such high regard. You seemed to be a doctor who genuinely cared. You spent longer than your HMO allotted 15 minutes with your patients, asking appropriate questions, explaining things in layman’s terms, and answering questions even with the client might have thought their question would be considered stupid.
You knew a good deal about what I had been and was going through:
The family murder/suicide
The fact that I was dealing with unprocessed #Trauma from being enlisted in cleaning up the bloody crime scene because the police nor coroner’s department perform this service
That I was turned away for #MentalHealth services to process this #Trauma by 25 clinics in Oregon and 5 clinics in Nevada citing Medicare
Quotas
That calling the Oregon State Ombudsman’s and Governor’s Advocacy offices only resulted in me being told they only help with Medicaid
That I make $200 too much with my SSDI and tiny pension from the County of San Diego Department of Health and Human Services to qualify for anything but Qualified Medicare Benefits under Medicaid with a $2600 spend down which is impossible to meet
That a clinician in Nevada, who said she would work with me, fired herself 2 weeks in saying my family issues were too triggering for her
That calling NAMI only resulted in advice to lodge a complaint with the Federal Comptroller
That the representative at the Federal Comptroller’s general phone number informed me that filing a complaint had no effect on obtaining care and that I would hear nothing about the disposition of any investigation nor whether it would be determined if an investigation was even warranted
That the primary care physician in Salem, OR, refused to even consider that I might have a mild or moderate form of #CysticFibrosis despite:
The progressively worsening cough I’ve had since as far back as 12 years old
I have chronic #HereditaryPancreatitis
My daughter has one marker for the SPINK1 mutation
Two of my granddaughters have both markers and have a heterozygous manifestation of the hereditary #ChronicPancreatitis
That my sister and her son have a genetic mutation of the CFTR gene
That after the murder/suicide and subsequent denials for #MentalHealth services, my daughter and the rest of my family expected me to still be on my best behavior and ended up going no contact with me for small disagreements which unnecessarily escalated because of their lack of compassion
That I was battling with my apartment management over their willful negligence regarding
The plumbing leak
The storm damage in the ceiling
Mold growth in the apartment with dissemination into the air through the HVAC system
The snakes in the apartment; which, took an adult protective services worker’s involvement to remedy
That the only resolution offered me regarding my living conditions by three legal aid agencies was a 14/30—an ultimatum I was unable to follow through with because I had no money to move
The fact that, because of the mold exposure, I came to your office to be tested for mold in my lungs only to discover from the lab results of the sputum sample that there was actually Pseudomonas aeruginosa in my lungs
I am having trouble with medical transportation because:
I have no vehicle
My son, friends, and neighbors have no desire to help
My Humana Medicare Advantage Plan offered a choice between in home services should I become unable to care for my own hygiene or of receiving medical transportation services. I chose the in home services because it had been helpful in the past after back surgery and I had always been able to secure medical transportation in the past from Johnson County #MentalHealth Transportation Services
When I had trouble getting a medical ride from JCMH, I was informed by the program director that the program is officially only for the work and school rides of clients and because of short staffing caused by #COVID19 exceptions are now an extremely rare occurrence
That I was turned away from 37 different agencies which provide medical transportation because either I’m not a Medicaid client or because, I live on the outskirts of De Soto, I am out of the service area
That ride-share is unaffordable to me—it cost me $80 round trip from De Soto to KU Med West to provide the lab with the sputum sample you requested
That I was having problems getting treatment for the Pseudomonas in my lungs from the pulmonary clinic when the Levofloxacin you prescribed me