Monday, March 09, 2009

What May Spring Bring?

I am getting ready to start covering some more violet leaves with fine silver slip for a local custom order. Across the street from my house these leaves grow abundantly, so I can take my pick of size and width. That is a start, but I will need more than one order to keep things going. I made these hoops and more are in the works. I've seen others' hoops sell repeatedly on Etsy, so these should also do well.

Try These Angles Fine Silver Hoops - $35.00

Blackened Chili Pepper Fine Silver Hoop Earrings - $28.00

Hand-forged Fine Silver Latch Hoop Earrings - $50.00

Fine Silver Bamboo Leaf Hoops - $25.00

Fine Silver U-shaped Hoop Earrings - $22.00

Dime-Sized Fine Silver Hoops - $20.00

Last week I ordered some more supplies for soldering. I've had a butane torch for several months but until now have not been able to get all the supplies I needed to go with them. Then the company called to say that the copper sheet and hard 75% silver solder is out of stock. I guess everybody was mobbing those two items when I ordered and then as my order was being processed they sold the last ones. Now I will have to get those two things from Rio Grande, but have little money left.

Recently I found out that Carmella's yearly insurance limit had run out and so I won't be reimbursed and further for any of her mange treatment claims. They only paid a small portion of that before her limit was reached, and now it will be July 11th before any illness can be reimbursed. If her mange re-occurs they won't cover it then because it will no longer be considered a "First Time Illness". I hope she won't get any more illnesses but I am worried about the mange coming back, as Dr. Norwood told me at the last appointment that it may be awhile before it is gone for good, and that can get expensive especially if it can never be reimbursed again. Even putting lemon on the side of her face (the area that is slowest to heal) in addition to the supplements and new flea drops which smell like heavy duty bug spray for a full day still has not returned that one area of her body to normal.

Now that she is not getting dips I am going to try putting on some other things as spot treatments and see if any of them work.

Soon I'm going to start approaching Science Diet about dog food endorsements using pictures from before her Mange and current ones showing the left side of her face where all the hair has grown back. Here she is on March 1st; the only day it snowed this year.
She was a little bit tentative about sticking her feet into the snow. She wrinkled her nose when flakes landed on it.
I took a picture of the purple/pink sunset and got a beautiful view of the snowflakes as they came down around my chimney.

I need to raise as much money as possible now that Carmella's insurance will not be paying any of this back to me. I'd really like to be able to have all her medical expenses paid off within the next few months.

My own insurance troubles are ongoing. Medicare Part D has continued to refuse to pay for one of my necessary medications. If I literally cannot get them to do that I don't know what I'm going to do because living without it is not an option and there is no equivalent substitute.

On Saturday, March 8, 2009, I received a denial letter in the mail dated March 2, 2009 stating the same reasons as my doctor's nurse had told me that the doctor had received last week. It said specifically;

"A prescription drug is a part D drug only if it is used for a medically accepted indication, meaning that it is prescribed for a use that is approved by the Food and Drug Administration (FDA) or approved for inclusion in one of the following three compendia:

1. American Hospital Service Drug Information;

2. United States Pharmacopeia-Drug Information (or its successor publications); or

3. Thomson Micromedex DrugDex"

The letter goes on to say;"Furthermore, beginning January 1, 2009, Part D will also accept anti-cancer chemotherapeutic drug uses that are approved for inclusion in the following additional compendia:

1. National Comprehensive Cancer Network (NCCN) Drugs and Biologics Compendium;

2. Clinical Pharmacology, or

3. Peer Reviewed Medical Literature.

Because the drug requested is not prescribed for a use approved by the FDA or in one of these references, the requested drug is not considered a Part D drug and is not covered by the plan.


You should check with your doctor for another drug that is included on your formulary and has been approved by the Food and Drug Administration (FDA) for this use."

The only one I know of that is officially FDA approved (because of the woeful lack of money devoted to research in this disease) is Prednisone which not only does nothing to cure it, but causes avascular necrosis among other serious adverse reactions and can severely compromise the immune system. The biologics and anti-cancer drugs are even worse! Some of the clinical trials on those actually had to be called off due to deaths and other serious events.

I've been on Benicar for several years with no adverse reactions whatsoever! I wonder how on earth the government allows a pharmacist to over-rule my doctor on something like this!

I don't have several hundred dollars to pay for this medication out of pocket, as I'm on Social Security Disability, and most prescription assistance programs require that you be totally uninsured before they will cover the cost. They don't pick up the slack when insurance companies choose not to cover a drug and leave the patient at risk of relapse; even death.

I could buy it cheaper from a manufacturer in India but even so, with sales not moving I don't know that I will have the money for that either.

It's possible that I may have to take this to court, but in the meantime I wrote President Obama, and sent another letter to the editor of a news blog which exposes inhumanity within the Medicare system. Apparently there have been cases that are in litigation now on this same issue.

Take a look at these interesting articles written by David Glendinning. They may help you or someone you know;

Medicare drug not covered? You can help patient appeal
For patients who need to veer from their drug plan's formulary, the assistance of their physicians will be essential.
David Glendinning, AMNews staff. March 20, 2006

Suit opposes Medicare denials of off-label, non-compendia drugs
The administration is interpreting Medicare law in a way that prevents coverage of lifesaving medications for people with rare diseases, a patient advocacy group says.
David Glendinning, AMNews staff. Jan. 21, 2008

Physicians complain Medicare Part D decisions threaten patient care
The AMA urges physicians who are encountering problems with Medicare drug plans to report them to CMS and the Association.
David Glendinning, AMNews staff. June 5, 2006.

With the new economic stimulus package allowing American citizens to keep more of their earnings each pay period I hope that some of it will be put towards buying more wonderful handcrafted items.

Those of you or with family member(s) going on interviews should consider buying your outfit and accessories from a small designer/maker instead of going to your local Walmart, mall, or department store this year.

After all, there is no better way to stimulate the economy than buying handmade! Remember that with love and action, all things are possible!


Randomocity said...

She is one lucky pup and looking better everytime you post an update. Lovely earrings!

Giftbearer said...

She has grown into a really gorgeous dog and was well worth saving! I knew the first time I saw her that she was really special.

Thanks for the compliments on my earrings. Hoping things will pick up soon.

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