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Communicating with Doctors, etc.

Shevek

Well-Known Member
V.I.P Member
I have not been able to access even simple medical procedures for many years. I get close, but they move the goal posts and I have a meltdown with a very slow recovery. Has anyone tried an introduction like "I have Autism. In order to communicate with Neurotypicals such as yourself, I have to emulate one. However, I need you to take it very seriously when I tell you about my limitations, and make sure that no one you send me to will be making assumptions about me being uncooperative rather than actually in danger."
 
My wife and I have been in healthcare for nearly 40 years. She deals with adults and I deal with kids. We do talk "shop" when we get home.

I don't know your personal experience with whom you dealt with, but just for some perspective, it might not have anything to do with your autism, per se, although it may seem that way from your perspective. It might be, but we deal with all manner of people every day, and what you're describing might not be cause and effect.

If you are in the US, keep in mind that insurance companies micromanage the doctors. The doctor will want to, say, do an MRI because it will give him/her the best information. This goes through the scheduling departments on one end, which may be weeks or months before a time slot is available to even do an MRI. Meanwhile, the doctor's office needs to obtain a "prior approval" to even do the MRI. The insurance company comes back and says, "NO", our algorithm says you need to do an X-ray first. They don't care that the X-ray isn't going to give the doctor the information that is needed. So, you get the X-ray (which also needs to be scheduled and costs everyone time and money). Sure enough, not what they needed. Reorder the MRI and process starts over again.

The same process occurs with ordering prescription medications, surgeries, etc. Did you fail physical therapy first? Did you try this cheaper drug, first?

TIPS: (1) You can get a 75% discount on labs and procedures if you do not have insurance. I learned this the hard way. If I pay cash, my cost is significantly less what the insurance company is going to charge me. ALWAYS ask what the cash, out-of-pocket cost is, before handing over your insurance information at the front desk.
(2) If you are paying cash, you don't need insurance prior approval. That MRI, cash, may cost you $800 (expensive). If you go through insurance, it might be $2400 (really expensive), assuming they even approved it.
(3) Pay cash with discount cards for prescriptions. You can save yourself a ton of money.
(4) Free samples at your doctors office. When the doctor thinks that medication "X" is going to work because you've already failed medications "A" through "R" and the insurance company is dragging their feet or denying an approval, ask if they have free samples.

The Amish community around us do the same thing. Those families pay cash for everything. They take up a church collection and bills are paid.

Insurance is good for catastrophic things like prolonged ICU stays, where you're laid up in the hospital for a long time. Insurance is not good for labs, medications, simple procedures, etc, where it may actually cost you more. I know, it doesn't make a lot of sense, but you might get a bit more traction there and save yourself some time and money.

My personal physician does not accept insurance for some of these same reasons. It's all cash/credit card. He can get things done far more efficiently and economically if he doesn't have to deal with the middle man.
 
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BTW, this situation, the situation where there is a bureaucracy "middle man", it is often this bureaucracy that not only sucks up all the resources, but also tends to be an obstacle to progress. This happens in nearly every industry, and government, most especially. At what point do well-meaning rules and regulations become an unruly monster and/or a mechanism for waste, fraud, and abuse?
 
It’s easiest for me if doctors guide the visit and ask me questions. It’s harder if I have to tell the doctors everything myself and pull answers from them.
 
I know about how painful the process is. Especially doing things over the phone. Digging through the automation to try and get a humanbeing to talk to about what you need. Jumping through hoops to get anywhere. It's annoying as heck.

But that's why what @Neonatal RRT said is 100% true. It's alot better without insurance for minor things. My Uncle told me about when he got a a growth on his side. I think it's call a poma, polma, or something like that. He paid cash for the surgery and got it out. It was quick and easy.

There is alot of messed stuff going on in the field of medicine. But good doctors will work with you, if you know what to do and how to go about it.
 
I have plans to show my dentist, optometrist and family doctor I have Sjogren's syndrome I expect an arrogant response from my family doctor.
 
I fired a couple of dentists, my current one is a genius, Does ever procedure speciality himself really like him interesting guy cannot chat with mouth open. dropped previous family doctor who was getting senile current doctor is across street, competent that's it.
 
I'm in Canada, in a rural area. Choices are very limited, and anyone talented enough to compete in a city moves there. The culture seems to prioritize keeping Dunning-Kruger syndrome as the norm in staff with mutual ass-covering, and taking revenge for any criticism, even of an obvious scheduling error that has to be fixed. The strict rule regarding treatment is to never leave a dollar on the table if the government is offering it. It is assumed that the patient has infinite resources to travel and show up whenever and wherever scheduled, like a junior worker in a restaurant chain. If a prescription or a procedure harms health, there is no regret. There is absolutely no monetary incentive to cure anyone - that is a favour done for people they like. It is tolerated because it makes the organization look worthwhile, but the administration hates losing a billing token, and the staff resents not having an easy, unnecessary job sent their way.
 
Why since the stroke, I have not moved back to rural living, bought two properties, had skill set to build house. all out window with stroke. Now sitting on properties of significant value, was not the plan. So much for what I perceived as bad luck.
 
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I have fired many doctors over the years, including flat out walking out of the exam room while he was talking to me.

I now pay a monthly fee to be seen by one doctor only who takes no insurance. I am not charged for visits or consultations beyond my monthly fee. This is for primary care.

But Shevek is in Canada and in a rural area.

What he is asking in the OP is: has anyone tried saying what he is considering saying?

And I would personally like to know wife anyone has found a good opening line with the doctor to help them understand your perspective as ND?
 
Curious which Province, I told my dentist, some of the issues I was having Let him know I was probably autistic and no dummy, we really hit it off. My biggest issue with my current doctor he thinks he is the brightest person in the room, learned fast not the case.
 
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Saskatchewan, AKA "the rectangle of regression," but even in suburban BC, I'd feel like the shooter in a pinball game. I'd state my symptoms, and they'd check off all the possible places to send me to generate billing. I had the dire rear for two years and many various appointments until a medical student who was fraudulently using his wife's prescription pad knew the right prescription. I was his last patient as he got busted, after fooling Saskatchewan for two years.
When I moved here, I was advised to set my watch back thirty years, and now I pass that on.
 
I currently bring my wife with, seeing that after the stroke, during physio appointment, the therapist had to take wife for a walk and chat first. So now get they see me as strange. I like to talk, once they realize that they find me interesting.
 
I don't trust any doctors, since being married to one, who was a very good GP, I learnt about how many bad ones there are. They are great with the flavour of the day issues, but anything different then they just lie about what they know and send you to the wrong specialists. Sorry for my negative contribution.
 
I have not been able to access even simple medical procedures for many years. I get close, but they move the goal posts and I have a meltdown with a very slow recovery. Has anyone tried an introduction like "I have Autism. In order to communicate with Neurotypicals such as yourself, I have to emulate one. However, I need you to take it very seriously when I tell you about my limitations, and make sure that no one you send me to will be making assumptions about me being uncooperative rather than actually in danger."
When I see a doctor for the first time, I play a little game called "What's My Problem?" I then proceed to state my situation (no eye contact, stubby fingers, clumsy, no friends, no social life, anthrophobia, unable to recognize body language or facial expression, etc). If the doctor cannot name autism, I say "You are not qualified to deal with me." For a GP, I will state autism, since I am not there for mental health, and proceed.
 
When I see a doctor for the first time, I play a little game called "What's My Problem?" I then proceed to state my situation (no eye contact, stubby fingers, clumsy, no friends, no social life, anthrophobia, unable to recognize body language or facial expression, etc). If the doctor cannot name autism, I say "You are not qualified to deal with me." For a GP, I will state autism, since I am not there for mental health, and proceed.
I like it!
 
Saskatchewan, AKA "the rectangle of regression," but even in suburban BC, I'd feel like the shooter in a pinball game. I'd state my symptoms, and they'd check off all the possible places to send me to generate billing. I had the dire rear for two years and many various appointments until a medical student who was fraudulently using his wife's prescription pad knew the right prescription. I was his last patient as he got busted, after fooling Saskatchewan for two years.
When I moved here, I was advised to set my watch back thirty years, and now I pass that on.

"Dire rear"?! I'm going to borrow that expression, if you don't mind. :D

I'm American so I have no helpful suggestions about how you should find medical care in Canada. I don't recommend you come to the US for medical care at this point in time. Diplomatic relations are in a shambles.
 

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