[Diabetes-talk] medicare and test strips

Mike Freeman k7uij at panix.com
Fri Jun 24 21:52:42 UTC 2011


Amen, Cheryl. Good for health and good for the pocketbook!

Mike Freeman


On Jun 24, 2011, at 14:43, "cheryl echevarria" <cherylandmaxx at hotmail.com> wrote:

> We are not saying that it is happening to everyone, but at the same time you should keep records of how many times a day you test and the numbers.
> 
> 
> Leading the Way in Independent Travel!
> 
> Cheryl Echevarria
> http://www.echevarriatravel.com<http://www.echevarriatravel.com/>
> 631-456-5394
> reservations at echevarriatravel.com<mailto:reservations at echevarriatravel.com>
> 
> Affiliated as an Independent Contractor with Montrose Travel CST-1018299-10
> 
> Affiliated as an Independent Contractor with Absolute Cruise & Travel, Inc.
>  ----- Original Message ----- 
>  From: Bill Lewis<mailto:wlewis19 at cox.net> 
>  To: Diabetes Talk for the Blind<mailto:diabetes-talk at nfbnet.org> 
>  Sent: Friday, June 24, 2011 5:35 PM
>  Subject: Re: [Diabetes-talk] medicare and test strips
> 
> 
> 
>  Hi All,  I have heard nothiong from mly pharmacy about test strip 
>  record-keeping.  I just call them up, say I need a refill, give them the 
>  prescription number, and they deliver it to my door the next day. -- Bill 
>  Lewis
> 
> 
> 
> 
>  -----Original Message----- 
>  From: cheryl echevarria
>  Sent: Monday, June 20, 2011 6:20 AM
>  To: Diabetes Talk for the Blind
>  Subject: Re: [Diabetes-talk] medicare and test strips
> 
>  First, we don't need to get so complicated that no one knows what others are 
>  talking about.
> 
>  Being sighted and gone blind, I have always had to keep track of how many 
>  times of day I check my blood sugar, where in a book, or software program, 
>  so when I go to the doctor he can adjust my sugars where to see where I am 
>  going higher or lower and adjust appropriately, especially when I am sick, 
>  so if I run out of strips, he knows why.
> 
>  The insurance companies because of fraud, and not because of anything else, 
>  is for us to keep track of how many times a day, so whether we get 30 days 
>  supply or 90 day supply that we don't run out, and that the doctors, and 
>  suppliers, have proof so that when they get audited that they have it on 
>  file.
> 
>  And you don't' want to have to do this. hmmm.
> 
>  We have to also be in control of our disease, yes that is correct, not only 
>  as a diabetic, but let's go to one of my complications that I still have 
>  even though I am a transplant recipient, meaning to is a treatment and not a 
>  cure, but so far so good with my kidney, that is why I have to get every 
>  three months to make sure just like my diabetes.
> 
>  If I eat the wrong foods, like raw food (sushi, clams, or other foods I used 
>  to enjoy), I can't eat any more because it might bad, and could take away 
>  from me this gift of life.
> 
>  Or right now my potassium is high from eating to many high potassium fruits 
>  I love and have to cut back again, might harm my kidney.
> 
>  What I am trying to say that if we don't take care of ourselves and we need 
>  to be vigilant that, we will get sick and possibly die. It is called being 
>  compliant with our care.  No one else is going to take our medicine for us 
>  and eat the food, etc. We need to do this.
> 
>  But lets see medicine is changing every day, and some diseases are not even 
>  in the country anymore. We need to work hand in hand with medicine, we may 
>  not like it, but it is the only thing we have now.
> 
> 
>  Leading the Way in Independent Travel!
> 
>  Cheryl Echevarria
>  http://www.echevarriatravel.com<http://www.echevarriatravel.com/<http://www.echevarriatravel.com%3chttp//www.echevarriatravel.com/>>
>  631-456-5394
>  reservations at echevarriatravel.com<mailto:reservations at echevarriatravel.com<mailto:reservations at echevarriatravel.com%3Cmailto:reservations at echevarriatravel.com>>
> 
>  Affiliated as an Independent Contractor with Montrose Travel CST-1018299-10
> 
>  Affiliated as an Independent Contractor with Absolute Cruise & Travel, Inc.
>    ----- Original Message ----- 
>    From: Mike Freeman<mailto:k7uij at panix.com<mailto:k7uij at panix.com>>
>    To: 'Diabetes Talk for the Blind'<mailto:diabetes-talk at nfbnet.org<mailto:diabetes-talk at nfbnet.org>>
>    Sent: Sunday, June 19, 2011 5:57 PM
>    Subject: Re: [Diabetes-talk] medicare and test strips
> 
> 
>    Lynn et al:
> 
>    I understand. Although I have some philosophical problems with such an
>    approach, I'd be willing to accept it *if* meter manufacturers would 
>  provide
>    a way to exclude tagged testing results from calculations of averages etc.
>    or, alternatively, would allow deletion of results while accumulating 
>  actual
>    strip usage in a (perhaps hidden) variable that would be transferred in 
>  any
>    meter download. Ultimately, however, this sort of thing angers me to the
>    quick since doctors, CDEs, insurers and the like, appear to be wanting to
>    have their cake and eat it, too. That is, on the one hand, we are told 
>  again
>    and again and again that diabetes is primarily a disease of personal
>    management with advice and support from medical personnel. Yet on the 
>  other
>    hand, we are told we aren't responsible to handle our data ourselves in 
>  that
>    we might cherry-pick results or might cheet, getting more strips and
>    reselling them. I'm sorry but one can't have it both ways -- either we 
>  trust
>    patients or we don't! I'm sorry but this bothers me in a lot of things 
>  going
>    on these days in the world -- we all seem to want institutionalized
>    hypocrisy -- being able to have it both ways -- being deemed responsible
>    when it suits us and being declared incompetent when that suits us. I'm
>    sorry but as Heinlein said: THERE AIN'T NO SUCH THING AS A FREE LUNCH!
> 
>    I guess it also bothers me that we are forced to turn in imperfect results
>    when there appears to be very little work being done by meter 
>  manufacturers
>    to ensure perfect readings *every* time with no mistakes. When was the 
>  last
>    time you encountered a machine that always worked perfectly? And we -- the
>    patients -- are the ones getting the shaft!
> 
>    Mike
> 
> 
>    -----Original Message-----
>    From: 
>  diabetes-talk-bounces at nfbnet.org<mailto:diabetes-talk-bounces at nfbnet.org<mailto:diabetes-talk-bounces at nfbnet.org%3Cmailto:diabetes-talk-bounces at nfbnet.org>>
>    [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Lynn Baillif
>    Sent: Sunday, June 19, 2011 1:38 PM
>    To: diabetes-talk at nfbnet.org<mailto:diabetes-talk at nfbnet.org<mailto:diabetes-talk at nfbnet.org%3Cmailto:diabetes-talk at nfbnet.org>>
>    Subject: [Diabetes-talk] medicare and test strips
> 
>    Hi Everyone,
>    just want to add my two cents.  Probably 7 years ago, the endocrinology
>    practice I worked for, required the medical assistant to download meters
>    whenever someone came to visit the endo.  Part of the reason for this was 
>  to
>    document the number of times per day folks were testing so the appropriate
>    amount of strips were perscribed.  In the event that Medicare audited the
>    practice, this information was needed.
>    Lynn
> 
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