Tuesday, January 30, 2007

No more Mr. Nice Guy

Or would that be Mrs. Nice Gal??? Anyway, there's a big long saga of trying to get Ryen into this inpatient feeding program. The latest is that the insurance company denied the authorization to have him re-evaluated. The dr who reviewed the case feels that Ryen is basically in the same position he was back in August and it wouldn't be worth it to re-evaluate him and possibly end up getting turned down again. So, while its kinda annoying, I totally agree with that. So, I wrote this email to the woman in charge of the program. Its totally pissy sounding, but I really didn't care. I've been yearning to give this woman a piece of my mind but I've held back and been the sweet, non-confrontational person that I am. But, no more! There's a long story as to why I dislike this woman so much which I won't explain, but she makes me want to hurl things at her head. So here's the email, think it was too much?? Maybe it was, but I wanted it to be, maybe that'll finally light a fire under her ass!! I took out the names to protect the innocent (that would be the 2 other ladies I referenced, not her!)


I'm sure you've probably heard by now that the insurance denied the authorization for Ryen to be re-evaluated by the feeding team. Quite honestly I agree with the reason's that the doctor turned it down. Other than his weight, which you know he has the ability to gain, I don't think you are going to see anything different from him in a new evaluation. And like the doctor's opinion, I do not want to go through another evaluation only to have you turn Ryen down again. You said the last time we saw you that your concerns were put to rest, so I don't see why there would be a problem letting him in. S told me that you asked her if you thought he would succeed in the program. Well here's my opinion on that...I don't believe Ryen is the perfect child, which is from what I've gathered what you require for admission into the program. If he was perfect he wouldn't need the program. So if you want a perfect child then we should probably just stop pursuing this. But if you want a child who needs help and would benefit from it, then there's probably not many better candidates than Ryen. I'm not looking for 100% success. Even as much as 50% would be amazing to me. I know 50% doesn't look good for you, and I don't mean to sound snarky here, but how good you look isn't really a concern to me...helping my child is. If you are in this to help kids then it shouldn't matter how likely it is he's going to succeed if we're willing to put in the effort to do it.

So, what I need to know is how can we get Ryen into the program? What exactly do we need to accomplish in order for him to meet your high standards? And if we can't do it without the re-eval then I need to know how we can do the program on an outpatient basis. You told me at his first evalutation that it could be done outpatient, but you have provided NO information whatsoever about what the program is so that we can do that. I feel like we've been wasting our time for the past 5 months waiting for you to tell us something, and Ryen isn't getting any younger, I don't think we have that kind of time to waste. I have plenty of other things to spend my time and energy on, I don't want to continue to pursue this for nothing. If you have some sort of problem with S that is keeping you from giving her information then give it to me, or give M the information. We're not therapists, but at least it would be something.

I'll let you know what kind of response I get, LOL!

1 comment:

Siuan said...

Honestly, I liked it! I think it's the kind of letter I would write it I was getting the run around from someone about my child. I hope you get the answers you need with results. Good luck!