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	<title>Novel Patient &#187; Insurance</title>
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		<title>Pain Scale</title>
		<link>http://novelpatient.com/2009/10/09/pain-scale/</link>
		<comments>http://novelpatient.com/2009/10/09/pain-scale/#comments</comments>
		<pubDate>Sat, 10 Oct 2009 04:27:21 +0000</pubDate>
		<dc:creator>Novel Patient</dc:creator>
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		<guid isPermaLink="false">http://novelpatient.com/?p=390</guid>
		<description><![CDATA[&#8220;How would you rate your pain on a scale of 1-10?&#8221; I detest this question.  But I get asked it all the time from my doctors.  How can you apply a pain scale to chronic pain?  I don&#8217;t even remember what no pain feels like.  So the whole scale seems to shift.  Pain is so [...]


Related posts:<ol><li><a href='http://novelpatient.com/2009/06/21/the-rituxan-gamble/' rel='bookmark' title='Permanent Link: The Rituxan Gamble'>The Rituxan Gamble</a> <small>Lately I've been gambling a lot.  No, not at the casino, but with my life. ...</small></li>
<li><a href='http://novelpatient.com/2009/09/14/visible/' rel='bookmark' title='Permanent Link: Visible'>Visible</a> <small>Today is the first day of National Invisible Chronic Illness Awareness Week, and it has...</small></li>
<li><a href='http://novelpatient.com/2009/03/25/numb/' rel='bookmark' title='Permanent Link: Numb'>Numb</a> <small>Literally. I bit my lip so hard I tasted blood, but felt no pain.  Most...</small></li>
</ol>]]></description>
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"How would you rate your pain on a scale of 1-10?"
I detest this question.  But I get asked it all the time from my doctors.  How can you apply a pain scale to chronic pain?  I don't even remember what no pain feels like.  So the whole scale s
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<p>Related posts:<ol><li><a href='http://novelpatient.com/2009/06/21/the-rituxan-gamble/' rel='bookmark' title='Permanent Link: The Rituxan Gamble'>The Rituxan Gamble</a> <small>Lately I've been gambling a lot.  No, not at the casino, but with my life. ...</small></li>
<li><a href='http://novelpatient.com/2009/09/14/visible/' rel='bookmark' title='Permanent Link: Visible'>Visible</a> <small>Today is the first day of National Invisible Chronic Illness Awareness Week, and it has...</small></li>
<li><a href='http://novelpatient.com/2009/03/25/numb/' rel='bookmark' title='Permanent Link: Numb'>Numb</a> <small>Literally. I bit my lip so hard I tasted blood, but felt no pain.  Most...</small></li>
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		<title>My Own Advocate</title>
		<link>http://novelpatient.com/2009/09/27/my-own-advocate/</link>
		<comments>http://novelpatient.com/2009/09/27/my-own-advocate/#comments</comments>
		<pubDate>Mon, 28 Sep 2009 04:05:33 +0000</pubDate>
		<dc:creator>Novel Patient</dc:creator>
				<category><![CDATA[Awareness]]></category>
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		<guid isPermaLink="false">http://novelpatient.com/?p=378</guid>
		<description><![CDATA[I always tell people that you have to be your own advocate, but it can be downright exhausting under the best of circumstances let alone when you are sick.


Related posts:<ol><li><a href='http://novelpatient.com/2009/09/09/10-ways-to-stay-organized-with-a-chronic-illness/' rel='bookmark' title='Permanent Link: 10 Ways To Stay Organized With A Chronic Illness'>10 Ways To Stay Organized With A Chronic Illness</a> <small>Being chronically ill it's hard to have the energy to get through the essentials of...</small></li>
<li><a href='http://novelpatient.com/2009/04/17/no-reason/' rel='bookmark' title='Permanent Link: No Reason'>No Reason</a> <small>So I finally found out what's going on with my Rituxin and the insurance... I...</small></li>
<li><a href='http://novelpatient.com/2009/08/31/30-things-about-my-invisible-illness-you-may-not-know/' rel='bookmark' title='Permanent Link: 30 Things About My Invisible Illness You May Not Know'>30 Things About My Invisible Illness You May Not Know</a> <small>The illness I live with is:  Sjogren's Syndrome, but I also have Autoimmune Pancreatitis, Autoimmune...</small></li>
</ol>]]></description>
			<content:encoded><![CDATA[<p><a title="tools by striatic, on Flickr" href="http://www.flickr.com/photos/striatic/229529792/"><img src="http://farm1.static.flickr.com/89/229529792_47a10f237e.jpg" alt="tools" width="212" height="318" align="right" /></a>Right now I&#8217;m waiting for some extra pain meds to kick in.  I&#8217;m trying to tapper my Prednisone dose down from 25mg a day to 20.   It doesn&#8217;t seem to be going well.  After dinner that telltale Autoimmune Pancreatitis pain started up for the first time since I was in the hospital last.  Not good.  I&#8217;ve also been running low grade fevers in the afternoons.  I suppose I&#8217;ll be putting in a call to my Rheumatologist tomorrow.</p>
<p>I also need to call my Internist for an appointment to check out what seems suspiciously like a sinus infection.</p>
<p>And I have a handful of other medical related calls to make (including some especially dreaded ones to my insurance company).  It&#8217;s enough to make me want to go hide under the covers and go back to sleep.</p>
<h2><span style="color: #800080;">I always tell people that you have to be your own advocate, but it can be downright exhausting under the best of circumstances let alone when you are sick.</span></h2>
<p>But I, like so many others, don&#8217;t have anyone else to do it for me.  So I have to be my own advocate.  I have to stay on top of these phone calls and appointments and lab results and new symptoms.  But lately it just wears me down and out.  It&#8217;s a lot of stress and a lot of effort.  Mentally and emotionally.  It&#8217;s all in the details, and so much is at stake.</p>
<p>It shouldn&#8217;t be this way though.  When people are sick they should be able to just focus on getting better and not navigating through medical bureaucracy and red tape.  It scares me to wonder what would happen if I became completely to ill to do it for myself.  Who would advocate for me then?  There are so many people already in that very situation.  I shudder to think what kind of care they are getting.</p>
<p>There must be a better way.</p>
<p>In the meantime, I do what I have to do regardless of the brain fog making it hard to think straight and the fatigue making it hard to keep my eyes open.  Because I&#8217;ve learned that even though being a professional patient is a full time job, you don&#8217;t ever get to call in sick.</p>
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<p>Related posts:<ol><li><a href='http://novelpatient.com/2009/09/09/10-ways-to-stay-organized-with-a-chronic-illness/' rel='bookmark' title='Permanent Link: 10 Ways To Stay Organized With A Chronic Illness'>10 Ways To Stay Organized With A Chronic Illness</a> <small>Being chronically ill it's hard to have the energy to get through the essentials of...</small></li>
<li><a href='http://novelpatient.com/2009/04/17/no-reason/' rel='bookmark' title='Permanent Link: No Reason'>No Reason</a> <small>So I finally found out what's going on with my Rituxin and the insurance... I...</small></li>
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</ol></p>]]></content:encoded>
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		<slash:comments>5</slash:comments>
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		<item>
		<title>The Rituxan Gamble</title>
		<link>http://novelpatient.com/2009/06/21/the-rituxan-gamble/</link>
		<comments>http://novelpatient.com/2009/06/21/the-rituxan-gamble/#comments</comments>
		<pubDate>Mon, 22 Jun 2009 00:40:03 +0000</pubDate>
		<dc:creator>Novel Patient</dc:creator>
				<category><![CDATA[Chronic Illness]]></category>
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		<guid isPermaLink="false">http://novelpatient.com/?p=192</guid>
		<description><![CDATA[Lately I've been gambling a lot.  No, not at the casino, but with my life.  My life, I'm realizing more and more, is a gamble.  I hope and I wish and I make educated decisions with risk analysis, but in the end I must simply roll the dice and see Share Related posts:Numb Literally. I [...]


Related posts:<ol><li><a href='http://novelpatient.com/2009/03/25/numb/' rel='bookmark' title='Permanent Link: Numb'>Numb</a> <small>Literally. I bit my lip so hard I tasted blood, but felt no pain.  Most...</small></li>
<li><a href='http://novelpatient.com/2009/06/03/bursting-the-bubble/' rel='bookmark' title='Permanent Link: Bursting the Bubble'>Bursting the Bubble</a> <small>Today a nurse told me I should live in a bubble.  She came to this...</small></li>
<li><a href='http://novelpatient.com/2009/04/17/no-reason/' rel='bookmark' title='Permanent Link: No Reason'>No Reason</a> <small>So I finally found out what's going on with my Rituxin and the insurance... I...</small></li>
</ol>]]></description>
			<content:encoded><![CDATA[Lately I've been gambling a lot.  No, not at the casino, but with my life.  My life, I'm realizing more and more, is a gamble.  I hope and I wish and I make educated decisions with risk analysis, but in the end I must simply roll the dice and see 
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</ol></p>]]></content:encoded>
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		<slash:comments>4</slash:comments>
		</item>
		<item>
		<title>The Good With The Bad</title>
		<link>http://novelpatient.com/2009/04/22/the-good-with-the-bad/</link>
		<comments>http://novelpatient.com/2009/04/22/the-good-with-the-bad/#comments</comments>
		<pubDate>Wed, 22 Apr 2009 20:09:49 +0000</pubDate>
		<dc:creator>Novel Patient</dc:creator>
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		<guid isPermaLink="false">http://novelpatient.com/?p=115</guid>
		<description><![CDATA[And the saga continues with yet ANOTHER ridiculous addition to the mess up list. I found out today that they were trying to get THE WRONG MEDICATION approved!  I just can't believe it.  I have one of the best rhematologists in the country and hi Share Related posts:No Reason So I finally found out what's [...]


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</ol>]]></description>
			<content:encoded><![CDATA[And the saga continues with yet ANOTHER ridiculous addition to the mess up list.

I found out today that they were trying to get THE WRONG MEDICATION approved!  I just can't believe it.  I have one of the best rhematologists in the country and hi
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</ol></p>]]></content:encoded>
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		<title>No Reason</title>
		<link>http://novelpatient.com/2009/04/17/no-reason/</link>
		<comments>http://novelpatient.com/2009/04/17/no-reason/#comments</comments>
		<pubDate>Fri, 17 Apr 2009 22:06:03 +0000</pubDate>
		<dc:creator>Novel Patient</dc:creator>
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		<guid isPermaLink="false">http://novelpatient.com/?p=102</guid>
		<description><![CDATA[So I finally found out what's going on with my Rituxin and the insurance... I called my doctor's office again today because again no one called me back after last time.  They finally were able to tell me that after TWO MONTHS of waiting that it w Share Related posts:Waiting Game Woes So I'm supposed [...]


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</ol>]]></description>
			<content:encoded><![CDATA[So I finally found out what's going on with my Rituxin and the insurance...

I called my doctor's office again today because again no one called me back after last time.  They finally were able to tell me that after TWO MONTHS of waiting that it w
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</ol></p>]]></content:encoded>
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		<slash:comments>3</slash:comments>
		</item>
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		<title>Waiting Game Woes</title>
		<link>http://novelpatient.com/2009/04/14/waiting-game-woes/</link>
		<comments>http://novelpatient.com/2009/04/14/waiting-game-woes/#comments</comments>
		<pubDate>Tue, 14 Apr 2009 23:15:38 +0000</pubDate>
		<dc:creator>Novel Patient</dc:creator>
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		<guid isPermaLink="false">http://novelpatient.com/?p=99</guid>
		<description><![CDATA[So I'm supposed to be starting a new treatment - Rituxin infusions, and I've been waiting for the insurance to approve it.  And waiting.  And waiting.  And waiting.  Waiting for TWO MONTHS now.  Calling every week or so.  Having no one call me Share Related posts:Numb Literally. I bit my lip so hard I tasted [...]


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</ol>]]></description>
			<content:encoded><![CDATA[So I'm supposed to be starting a new treatment - Rituxin infusions, and I've been waiting for the insurance to approve it.  And waiting.  And waiting.  And waiting.  Waiting for TWO MONTHS now.  Calling every week or so.  Having no one call me 
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</ol></p>]]></content:encoded>
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		<slash:comments>7</slash:comments>
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		<title>Numb</title>
		<link>http://novelpatient.com/2009/03/25/numb/</link>
		<comments>http://novelpatient.com/2009/03/25/numb/#comments</comments>
		<pubDate>Wed, 25 Mar 2009 08:17:24 +0000</pubDate>
		<dc:creator>Novel Patient</dc:creator>
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		<guid isPermaLink="false">http://novelpatient.com/?p=92</guid>
		<description><![CDATA[Literally. I bit my lip so hard I tasted blood, but felt no pain.  Most of the skin on my face, my lips, my tongue are more or less numb.  The strange thing, I realize now, is that it's been happening so gradually I hadn't noticed until tonight. Share Related posts:Weathering the Storm I had [...]


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</ol>]]></description>
			<content:encoded><![CDATA[Literally.

I bit my lip so hard I tasted blood, but felt no pain.  Most of the skin on my face, my lips, my tongue are more or less numb.  The strange thing, I realize now, is that it's been happening so gradually I hadn't noticed until tonight.
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<p>Related posts:<ol><li><a href='http://novelpatient.com/2009/02/20/weathering-the-storm/' rel='bookmark' title='Permanent Link: Weathering the Storm'>Weathering the Storm</a> <small>I had a bad case of "the pre-appointment jitters" over the weekend. Fear of the...</small></li>
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