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Author Topic: How can you get your ID doc to go to 6 months.  (Read 558 times)

0 Members and 1 Guest are viewing this topic.

Offline gadawg1979

  • Member
  • Posts: 141
How can you get your ID doc to go to 6 months.
« on: June 28, 2014, 01:44:15 AM »
I am staying UD and my numbers keep getting better.  I travel a ton with work and it would make my life so much better to only go every 6 Months, but my current ID will hear nothing of the such.... I now have insurance, but I have stayed with the ASO because I like them and I know that having a paying customer helps, but really cut me some slack....
Diagnosed March 2012
Initial CD4- 156 VL 200K (started Complera) Genotype test no resistance
First labs on meds CD4- 246 VL 2K Taken after 30 days on Complera
90 Day labs VL 306 No CD4 Drawn
8/21/2012 CD4 474 VL Undetectable (40) %20.6
11/27/2012 CD 4 522 VL Undetectable (40)
2/14/2013 CD 4 464 VL Undetecable (30) 19.6%
6/8/3013 CD 4 528 VL Undetectable (30)
9/24/2013 CD 4 546 VL Undetectable (40)
1/30/2014 CD4 560 VL Undetectable (40) 22 %
6/19/2014 CD4 584 Vl Undetecable (30)

Offline mecch

  • Member
  • Posts: 11,254
  • red pill? or blue pill?
Re: How can you get your ID doc to go to 6 months.
« Reply #1 on: June 28, 2014, 02:49:29 AM »
Sounds to me someone has to compromise. Ask the ID when every 6 months is possible, if not now.  If you are not happy with the response, say so.  If its because that's his view of the best way to treat you well, then you can compromise and accept, or you can tell him you are going to come every 6 months and deal with it, which he may or may not, or you can get a new doc who is OK with that.
ďFrom each, according to his ability; to each, according to his needĒ 1875 K Marx

Offline mikeyb39

  • Member
  • Posts: 921
Re: How can you get your ID doc to go to 6 months.
« Reply #2 on: June 28, 2014, 08:09:38 AM »
well your doctor can't tell you what to do.  You have complete control of your health, so if you want to come only every 6 months, then just tell him that is what you are going to do.

Your doctor can make recommendations, but ultimately its up to you when you want to come back. If that is unacceptable to your doctor, then I would go elsewhere.
11/02/2010  cd4-251, vl-591000
12/09/2010  started Atripla
02/18/2011  cd4-425, vl-800
06/10/2011  cd4-447, vl-70
10/10/2011  cd4-666, vl-80
01/05/2012  swiched med (prezista,norvir ,isentress, )
02/10/2012  cd4-733, vl-UD  Viread removed
06/10/2012  cd4-614, vl-UD
12/14/2012  cd4-764, vl-UD
09/01/2013  cd4-785, vl-UD
03/06/2014. cd4- 1078, VL-UD

Offline Miss Philicia

  • Member
  • Posts: 23,902
  • celebrity poster, faker & poser
Re: How can you get your ID doc to go to 6 months.
« Reply #3 on: June 28, 2014, 08:51:18 AM »
I go to a large clinic that while having its own endowment also receives money from the city's health department. My doctor years ago told me that if he was in private practice he'd only have me come every six months, but the health department has guidelines of a minimum of every 4 months for places receiving funding. I think it has to do with care retention concerns.

Just thought I'd throw that out there because there are often "unknown reasons" for things if you are using facilities that are publicly funded in the US. If you're seeing a doctor with a private office obviously this information is not relevant.
"Iíve slept with enough men to know that Iím not gay"

Offline emeraldize

  • Member
  • Posts: 3,335
Re: How can you get your ID doc to go to 6 months.
« Reply #4 on: June 28, 2014, 12:00:31 PM »
The " deal " I struck several years ago was I'll continue with quarterly labs (mostly) but I want 2x a year visits. And, they know my real goal is one. miss P is right. There are reasons for facilities/insurances to do it one way vs another. Ask questions and push. I 'm fortunate to have private insurance. However, on top of that I do what I say I'll do, I'm UD and there is a level of trust. I also told them I'd prefer valuable clinic time be spent on those who truly need to be seen. Right now, I don't.

Offline WindySkies

  • Member
  • Posts: 113
  • Tested + 10/11/12
Re: How can you get your ID doc to go to 6 months.
« Reply #5 on: June 28, 2014, 08:46:56 PM »
With my Dr it took me getting to a CD4 of 1,400 and being UD for over a year.  In the end I think most doctors like the regular patients because they or their insurance pay.  If you go from 4 times a year to 2 times, he's only making half the money as before.

I finally put my foot down with my Dr and told him it was either 2 times a year or I would find a new Dr to see.
10/11/2012 Journey Started
10/17/2012 First Labs: VL=57,645  CD4+=730  37%
10/31/2012 Started Complera
11/30/2012 Labs: VL=80  CD4+=929 40%
12/24/2012 Started Stribild

Undetectable since 1/15/13 CD4+= Over 1,400 and 49%

Offline elf

  • Member
  • Posts: 596
Re: How can you get your ID doc to go to 6 months.
« Reply #6 on: July 02, 2014, 10:51:17 PM »
My situation is a bit weird, technically I could see my doc every 12 months,
but I have to go to the ID clinic every 3 months to pick my meds up,
they used to give me a 6 month supply, but because of the crisis (or
''bureaucratic procedures'' /''hospital budget statistics'' as they call it officially),
it's every 3 months now.  :-\
Which is kinda pain in the ass since I'm planing on moving to another country.  >:(

PS
They consider me ''stable'', and ''in a good shape''
that's why I can only get one viral load test and one CD4 test per year,
which sucks!  :-\
« Last Edit: July 02, 2014, 10:54:04 PM by elf »
Let's have a Kiki!

Offline mikeyb39

  • Member
  • Posts: 921
Re: How can you get your ID doc to go to 6 months.
« Reply #7 on: July 04, 2014, 08:30:46 AM »
With my Dr it took me getting to a CD4 of 1,400 and being UD for over a year.  In the end I think most doctors like the regular patients because they or their insurance pay.  If you go from 4 times a year to 2 times, he's only making half the money as before.

I finally put my foot down with my Dr and told him it was either 2 times a year or I would find a new Dr to see.

Windy is right.  I take Adderall and for the longest time he would do just 10mg twice a day which means I have to come in every month and pay my 20.00 co-pay.  I finally told him to write me a 20mg pill twice a day, which is the same cost with my insurance,. His first response is 'you don't want to come see me every month.  I said no of course, he is about 30 mins from my work/home

So yes Dr. love that visit as much as possible.  Unfortunately Adderall they can't write for refills or call it in, you have to go back every month.

11/02/2010  cd4-251, vl-591000
12/09/2010  started Atripla
02/18/2011  cd4-425, vl-800
06/10/2011  cd4-447, vl-70
10/10/2011  cd4-666, vl-80
01/05/2012  swiched med (prezista,norvir ,isentress, )
02/10/2012  cd4-733, vl-UD  Viread removed
06/10/2012  cd4-614, vl-UD
12/14/2012  cd4-764, vl-UD
09/01/2013  cd4-785, vl-UD
03/06/2014. cd4- 1078, VL-UD

 


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