Bay 12 Games Forum

Please login or register.

Login with username, password and session length
Advanced search  
Pages: 1 2 3 [4]

Author Topic: Ingrown toenail and missing portion of nail Issues  (Read 8220 times)

nenjin

  • Bay Watcher
  • Inscrubtable Exhortations of the Soul
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #45 on: July 26, 2024, 12:43:49 pm »

Sounds like you're getting the full court press.

Sorry that it didn't go smoothly. But everyone's body is different. Just glad they're taking you seriously and they didn't write you off as a hypochondriac. +1 for self advocacy!
Logged
Cautivo del Milagro seamos, Penitente.
Quote from: Viktor Frankl
When we are no longer able to change a situation, we are challenged to change ourselves.
Quote from: Sindain
Its kinda silly to complain that a friendly NPC isn't a well designed boss fight.
Quote from: Eric Blank
How will I cheese now assholes?
Quote from: MrRoboto75
Always spaghetti, never forghetti

Truean

  • Bay Watcher
  • Ok.... [sigh] It froze over....
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #46 on: July 26, 2024, 01:29:44 pm »

[Please do not quote]

Not legal advice. If you take legal advice online, then you are stupid. Doesn't matter who or why; I've seen it go wrong.

https://www.arezamedical.com/product-page/antibacterial-alginate-silver-dressing-5

"Alginate with Silver" Those are the good, expensive dressings they don't break out most of the time.
Medicaid, Medicare and the VA usually only pay for these when infection or drainage happens.

"They did ask permission to show the pictures to the Utilization Review Committee in their hospital and I said they could see the pictures."
https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-482/subpart-C/section-482.30

The hospital is required to have and use a utilization review in order to be able to receive payment from the government funding sources (e.g. Medicaid, Medicare, VA) for anyone (not just you but for them to pay them for anyone at all from those sources). The hospital must account for the services it provides and this may invoke quality tracking standards. They have to deal with this properly or face lovely consequences.

"I told them I was not signing anything and the doctors didn't seem to care or mind that part at all."
Three doctors:

First, good job on the not signing anything.

Don't panic, because it looks like it is being addressed but someone messed up, probably the original doctor, which is why the older doctor is doing the talking and brought along the specialist doctor. The older doctor is probably in charge and steps in when stuff like this happens.

This is the hospital engaging in "mitigation." If you or someone ends up suing, they can show they acted properly and timely dealing with the situation under their compliance obligations through their compliance officer, who is an attorney (or absolutely should be if they don't want sued by someone like me, which has happened in the past but I am not in a position to do so now at all).
This doesn't necessarily get them off the hook, but they might be worse off if they just ignored it.

Remember those pictures I mentioned earlier.... THIS. This is why.

If it doesn't get better, then they have a potential lawsuit on their hands and you could look into a lawyer. However, hopefully it will get better and it sounds like the wound care specialist physician is the right general track. Keep taking those pictures and records of things because if someone tries to change their story later, that will pin them down to what actually happened. I am glad to see it seems to be improving. Document this well, because then they can't sweep it under the rug, or if they try to anyhow it can majorly come back to bite them in the ass. I've seen hospitals and doctors try to do this before and it gives the rest of the doctors a bad name they don't deserve and a lawyer a lovely malpractice lawsuit.

Take those pictures on a daily basis, because you are gathering evidence to scare these hospital administrators into shutting up and dealing with the problem. They have said it didn't matter or what something else to avoid responsibility in the past and they can argue with the pictures if they want but it's harder. Harder still to see a second opinion with corresponding notes from a different doctor.

I recommend you A.) Request copies of your medical records to see what these doctors are actually writing in their office visit, progress notes, history and physical or other medical documentation as well as laboratory tests (blood tests), and B.) get a second opinion from a different doctor at a different hospital. Call your insurance company and explain the situation to them to request pre-approval of coverage/payment to see another doctor at a different hospital.

The pictures are very good to have but NOT self explanatory. You need a physician's interpretation of the situation in their expert medical opinion. So you can have them look at it and write down what they see in their charting/notes.

CYA Cover YOUR A@@.  Why do you think they sent in that older doctor who did all the talking while the other one shut up? That's what they're doing.

I hope you don't need any of this, but if you do, then it's better to have it and not need it than need it and not have it.

Either way the goal is to get everyone through this situation in the best way possible.

[Please do not quote]
Logged
The kinda human wreckage that you love

Current Spare Time Fiction Project: (C) 2010 http://www.bay12forums.com/smf/index.php?topic=63660.0
Disclaimer: I never take cases online for ethical reasons. If you require an attorney; you need to find one licensed to practice in your jurisdiction. Never take anything online as legal advice, because each case is different and one size does not fit all. Wants nothing at all to do with law.

Please don't quote me.

Robot Parade Leader

  • Bay Watcher
  • Well, go on ... parade!
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #47 on: September 06, 2024, 12:44:22 am »

I wanna thank everyone here who is helping me.

So I've been going to wound care for a few weeks now and there is a lot of improvement over what it was. There's some more nail growing in behind part of it and I don't know if it is exactly how it is supposed to be but it is better than the mess it was. Still has a while to go but there's at least some progress.

The dark black part is gone and seems to be healing better than it was for sure. New skin seems to have mostly grown over some of the areas that were bad looking. At first I was kind of scared because the wound care doctor used something called a curette to get some of the bad parts off. It's a lot better looking than it was even if it has some ways to go to get back to normalish. It doesn't hurt much anymore like it used to. I can wear socks without issue again as long as I have a dressing on the toe so nothing gets irritated. It isn't quite the same as it was before yet, but it's better than it was when I was really worried.

I haven't been charged a dime for any of the wound care stuff, and they reassure me I never will be every time. So at least there's that. I don't want it to look bad anymore than anybody else would, but I'm less concerned with cosmetics than function. I have pictures of it every day and have given those to the hospital like they asked. Hope it keeps getting better.
Logged

nenjin

  • Bay Watcher
  • Inscrubtable Exhortations of the Soul
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #48 on: September 06, 2024, 10:15:11 am »

Glad it's getting to place where you aren't freaked out about it anymore, and that it didn't cost you an arm and a.....toe :P
Logged
Cautivo del Milagro seamos, Penitente.
Quote from: Viktor Frankl
When we are no longer able to change a situation, we are challenged to change ourselves.
Quote from: Sindain
Its kinda silly to complain that a friendly NPC isn't a well designed boss fight.
Quote from: Eric Blank
How will I cheese now assholes?
Quote from: MrRoboto75
Always spaghetti, never forghetti

Magmacube_tr

  • Bay Watcher
  • Praise KeK! For He is The Key and The Gate!
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #49 on: September 07, 2024, 12:57:18 pm »

So, the toenail party is still in full swing I see?
Logged
I must submerge myself in MAGMAAAAAAAAA! daily for 17 cents, which I detest. I also geld memes.

My gaem. JOIN NAOW!!!

My sigtext. Read if you dare!

Robot Parade Leader

  • Bay Watcher
  • Well, go on ... parade!
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #50 on: October 04, 2024, 09:07:17 pm »

Pretty much yeah.

It has improved after the last few weeks by like maybe 35-40% since the whole start of it from what they say. Still looks off and this is months after the procedure. They tell me the nail will take about 9 month to a year to grow the full length new nail for the part that remains. The skin part no longer looks infected since the are taking care of it. So at least there is that but still looks weird.

Their horrible, smiling little "hospital administrator" tried to have me sign some release form I did not understand and I kept saying no for like 30 minutes. She kept on pressing me to sign it without explaining anything and saying it was "standard," and like I was advised, I asked her for her home address. She asked why I would need that and I said to serve her process if she didn't stop. She finally stopped. Their actual lawyer came in (I met him once before) and apologized to me, and he showed me that she was not supposed to do that. He got a different lady he told me was the head of HR and screamed at the administrator in the hall way and made her apologize to me. It was weird. He asked me if I wanted to file a complaint against her and I said no not right now, because even though she's a jerk I don't want anyone in trouble if this heals right. They will continue the care at no cost til their mistake is better. I didn't mention it til they did. I actually like the lawyer, because I think he's been straight with me. He's a really nice guy who looks like he's maybe from India. I don't care where were he is from, but he seems decent and has not asked me to sign anything.

I have no idea what that was about other than the administrator lady was not supposed to do that and she did it. I keep taking the pictures of it. So does their nurse. I keep doing what they say. It still doesn't feel right. I don't care as long as it gets better and I can walk without pain like that.
Logged

Truean

  • Bay Watcher
  • Ok.... [sigh] It froze over....
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #51 on: October 05, 2024, 02:14:35 pm »

Please do not quote.
Not legal advice or representation,obviously.

Well played, Sir....

Recommend keep up the photo log and medical records requests.

Please do not quote.
Logged
The kinda human wreckage that you love

Current Spare Time Fiction Project: (C) 2010 http://www.bay12forums.com/smf/index.php?topic=63660.0
Disclaimer: I never take cases online for ethical reasons. If you require an attorney; you need to find one licensed to practice in your jurisdiction. Never take anything online as legal advice, because each case is different and one size does not fit all. Wants nothing at all to do with law.

Please don't quote me.

Magmacube_tr

  • Bay Watcher
  • Praise KeK! For He is The Key and The Gate!
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #52 on: October 06, 2024, 05:08:12 pm »

Logged
I must submerge myself in MAGMAAAAAAAAA! daily for 17 cents, which I detest. I also geld memes.

My gaem. JOIN NAOW!!!

My sigtext. Read if you dare!

nenjin

  • Bay Watcher
  • Inscrubtable Exhortations of the Soul
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #53 on: October 07, 2024, 01:48:50 pm »

Man, what a crazy amount of drama for dealing with an in-grown toenail.
Logged
Cautivo del Milagro seamos, Penitente.
Quote from: Viktor Frankl
When we are no longer able to change a situation, we are challenged to change ourselves.
Quote from: Sindain
Its kinda silly to complain that a friendly NPC isn't a well designed boss fight.
Quote from: Eric Blank
How will I cheese now assholes?
Quote from: MrRoboto75
Always spaghetti, never forghetti

Robot Parade Leader

  • Bay Watcher
  • Well, go on ... parade!
    • View Profile
Re: Ingrown toenail and missing portion of nail Issues
« Reply #54 on: October 07, 2024, 05:09:20 pm »

You're right and it completely is a crazy amount of crap to deal with. I would never believe this crap if I wasn't living it.

This goes back to freaking April. Think about that. It's pretty obvious he screwed up a bit and I'm just after fixing it.
Logged
Pages: 1 2 3 [4]