Discussions

I know there was a recent topic posted about fish antibiotics. I thought that you had to have an RX to purchase the fish antibiotics now, does anyone have any definitive information on that topic? Also, because I have seen this question repeatedly in some online groups I belong to, I wanted to share some places that people can get antibiotics and other useful medications. 1.  Jase medical is online. You can get antibiotics and other medications sent to your home for emergency use. (Epi pens, Zofran, invermectin, fluconazole).  They provide an educational book describing when to take what medication and how much.  In addition, you can get a YEAR supply of other routine medications including thyroid meds, heat and blood pressure meds, depression meds, etc….You may also be able to use your HSA/flex spending money. 2. Alldaychemist.com is online pharmacy through India. They offer antibiotics, invermectin, some cox-2 pain meds like celebrex, and many other meds. The website requests an RX but this is NOT needed and you skip that section. This is a reputable company and I have personally used them. It does take about 30 days to get the meds all the way from India though. But their prices are dirt cheap. Meds are solid and my family has used several of them. i know there is at least one other company that functions similar to Jade medical here in the states and have heard of another pharmacy out of Mexico that provides medication utilizing a MD here in the states.  Where are you all getting you emergency meds and routine meds from to prepare for supply chain (or other) issues?

What are your tips for hiding food/valuables?
9
2
Nuclear disaster and water purification
8
8

How to keep records?  I agree with the online portals. You can get copies of everything. Also, agree with others to print and put in a file and then store digitally. How to deal with the insurance company? Agree with others on prior approval. Make a call the day before expensive tests and ask if you are unsure. If the code is not correct or not funded, contact DR office for resolution and then the insurance company. If nothing can be done there look up the code on google and do some research, you might be able to have a more informed discussion with a little more knowledge. We call them CPT codes. So google CPT code and then the number and it will bring up a list. Compare to your procedure and diagnosis. Also, in the pre-approval stage, if you are denied, have your DR do a person to person review with your DR. Specifically request this from your DR. AND on DR told me the squeaky wheel gets the grease. If you have the time and energy, call them daily….speak to the same person, if no help there, ask for the supervisor. How to not eat savings??  It is always cheaper to go with IN-NETWORK Doctor. That being said, that is not always the best choice as you might get better care elsewhere. So that is a cost/benefit decision. Also, many healthcare institutions moving toward providing an estimate of cost when requested by patient. Ask for those up front. RX express definitely helpful for drug costs. Print out the coupon and take it to the pharmacy. If your insurance supports mail order drugs for 90 days, do it!!! Always cheaper than 30 day from retail pharmacy. Can’t do schedule 2 or narcotics this way, but most others can be done like that. Get the itemized bill on everything and compare to your treatment. Anything you don’t recognize, dispute it. Is a test necessary? Ask the long list of questions…Why are we doing this test? What are you looking for, specifically? How will this test change my care? What will this CT scan show that the ultrasound didn’t show?? Is there a less invasive/expensive way to get this information? Also, if we find X what will we do versus if we find Y?? ( which goes to the question of how this test impacts your care) Clafify any previous tests that were the same. I just had these X-rays at my DR office. Can I just sign a consent and have the info sent here?? Or do you need new X-rays? What will these new X-rays show that the older ones did not? If in the hospital, what is the plan of care today? What tests are we doing? Am I seeing any new specialists and why am I seeing them? And good advice to have a support person taking notes. I am younger and in healthcare, but even I know I’m not at my best when I’m sick or distressed. Best to have two ears listening. Clarify details with nursing staff if you forget or have questions. Ask to speak to the doctor if you have new questions. Write down questions to ask when your DR comes in or when going to the office so you don’t forget them. Get a second opinion any time you feel uncomfortable for any reason.  As for who to see? Other than online and how you feel when you actually see the DR, ask a trusted healthcare professional (your primary), nurses, other friends in the area who they have used and what they think of the person. Are they competent? What is their bedside manner? Do they address concerns right away? Explain things in a way you can understand? Do you know anyone that had bad outcomes or situations with the healthcare provider. Also, I generally like nurse practitioners, they take more time with you. Listen better. Explain better. But that is just an opinion, and sometimes the special nature of the illness requires a DR anyway. Just some food for thought on that one.

Well use without electricity
10
8
What are your tips for hiding food/valuables?
9
2
Nuclear disaster and water purification
8
8
Well use without electricity
10
8

I know there was a recent topic posted about fish antibiotics. I thought that you had to have an RX to purchase the fish antibiotics now, does anyone have any definitive information on that topic? Also, because I have seen this question repeatedly in some online groups I belong to, I wanted to share some places that people can get antibiotics and other useful medications. 1.  Jase medical is online. You can get antibiotics and other medications sent to your home for emergency use. (Epi pens, Zofran, invermectin, fluconazole).  They provide an educational book describing when to take what medication and how much.  In addition, you can get a YEAR supply of other routine medications including thyroid meds, heat and blood pressure meds, depression meds, etc….You may also be able to use your HSA/flex spending money. 2. Alldaychemist.com is online pharmacy through India. They offer antibiotics, invermectin, some cox-2 pain meds like celebrex, and many other meds. The website requests an RX but this is NOT needed and you skip that section. This is a reputable company and I have personally used them. It does take about 30 days to get the meds all the way from India though. But their prices are dirt cheap. Meds are solid and my family has used several of them. i know there is at least one other company that functions similar to Jade medical here in the states and have heard of another pharmacy out of Mexico that provides medication utilizing a MD here in the states.  Where are you all getting you emergency meds and routine meds from to prepare for supply chain (or other) issues?

How to keep records?  I agree with the online portals. You can get copies of everything. Also, agree with others to print and put in a file and then store digitally. How to deal with the insurance company? Agree with others on prior approval. Make a call the day before expensive tests and ask if you are unsure. If the code is not correct or not funded, contact DR office for resolution and then the insurance company. If nothing can be done there look up the code on google and do some research, you might be able to have a more informed discussion with a little more knowledge. We call them CPT codes. So google CPT code and then the number and it will bring up a list. Compare to your procedure and diagnosis. Also, in the pre-approval stage, if you are denied, have your DR do a person to person review with your DR. Specifically request this from your DR. AND on DR told me the squeaky wheel gets the grease. If you have the time and energy, call them daily….speak to the same person, if no help there, ask for the supervisor. How to not eat savings??  It is always cheaper to go with IN-NETWORK Doctor. That being said, that is not always the best choice as you might get better care elsewhere. So that is a cost/benefit decision. Also, many healthcare institutions moving toward providing an estimate of cost when requested by patient. Ask for those up front. RX express definitely helpful for drug costs. Print out the coupon and take it to the pharmacy. If your insurance supports mail order drugs for 90 days, do it!!! Always cheaper than 30 day from retail pharmacy. Can’t do schedule 2 or narcotics this way, but most others can be done like that. Get the itemized bill on everything and compare to your treatment. Anything you don’t recognize, dispute it. Is a test necessary? Ask the long list of questions…Why are we doing this test? What are you looking for, specifically? How will this test change my care? What will this CT scan show that the ultrasound didn’t show?? Is there a less invasive/expensive way to get this information? Also, if we find X what will we do versus if we find Y?? ( which goes to the question of how this test impacts your care) Clafify any previous tests that were the same. I just had these X-rays at my DR office. Can I just sign a consent and have the info sent here?? Or do you need new X-rays? What will these new X-rays show that the older ones did not? If in the hospital, what is the plan of care today? What tests are we doing? Am I seeing any new specialists and why am I seeing them? And good advice to have a support person taking notes. I am younger and in healthcare, but even I know I’m not at my best when I’m sick or distressed. Best to have two ears listening. Clarify details with nursing staff if you forget or have questions. Ask to speak to the doctor if you have new questions. Write down questions to ask when your DR comes in or when going to the office so you don’t forget them. Get a second opinion any time you feel uncomfortable for any reason.  As for who to see? Other than online and how you feel when you actually see the DR, ask a trusted healthcare professional (your primary), nurses, other friends in the area who they have used and what they think of the person. Are they competent? What is their bedside manner? Do they address concerns right away? Explain things in a way you can understand? Do you know anyone that had bad outcomes or situations with the healthcare provider. Also, I generally like nurse practitioners, they take more time with you. Listen better. Explain better. But that is just an opinion, and sometimes the special nature of the illness requires a DR anyway. Just some food for thought on that one.