A Day at PHC

07-04-2010 Sunday

Spending an entire day at a hospital is probably not on your list of 'things to do during a vacation leave', neither did I want that but what choice do I have? This is the only day I have to see a cardiologist so I made the most out of it.

For those of you whose not yet aware, I'll share this one fact about my health: I'm born with a congenital heart problem. My last check-up was eons ago, since in my case, there's really no need for constant check up unless there's gonna be a major change in my body system which is something that I'm experiencing now so I need to make sure I'll be able to live longer, without any health complications in the future.

Before going to Philippine Heart Center, I've thought of what I'm going to say to the cardiologist to make it look like I'm not aware of my heart problem, and to make him request a 2D-echo test for me. See the problem is, I've tried many times to get my 2D-echo approved to be covered by Medicard, a healthcare benefit that I have thru my company, but they kept on declining it because they don't cover a pre-existing sickness. My colleagues told me I shouldn't declare it on my next check-up, so that's what I did today.

My doctor is this old man with thinning grey hair, whom I first thought was the quiet grandpa type but he proved me first impressions aren't always accurate. I sat on the chair in front of his desk, with my hands nervously placed on my lap. He was shuffling these papers on his desk, mumbling to himself without looking up. When he finally did, he met my gaze and began to speak, "You know, young lady, lemme share you something since you're here and I just feel like sharing it.."

I tried hiding my confusion with a polite smile and nod.

He showed me the papers in his hand, "Look at this," he pointed his wrinkled finger on the fine print, "This is Blue Cross' previous rate on basic hospital services; Check-up P450, Blah blah P600, blah blah Pxx"

I kept on nodding but I'm seriously not understanding what he's getting at.

He flipped the next page, "Now, this is recently signed and approved by the hospital director, Blue Cross has lowered their coverage; Check-up at P300?!" he grunted loudly, "This makes the medicine career a prostitution!" he put the papers down, "You know we don't earn much out of HMO, these darn affiliations don't really help us that much.."

I think I'm trying to grasp his point, I thought to myself, 'Hey, my card is HMO, what's that supposed to mean?!'

He began gathering the papers and kept it in his drawer, "But I know the times are hard these days so we gotta help in any way we can, right?"

"Yeah..." I wanna say, 'Can we just get to the reason of why I'm here in the first place?'

He closed his drawer and grabbed my health record that I filled up a few minutes ago, "Alright, let's get down to business."

'Finally.' I thought as I adjusted myself in the chair.

A few questions. My scripted reply. A stethoscope against my chest, breathe in, breathe out. He said he couldn't hear anything wrong in my heartbeat. Then, he finally said the magic words, "I'll request a 2D-echo for you so we can see what's wrong." he pulled out a fresh sheet of paper, wrote down the much needed request and handed it to me, "Bring me back the result on your next check-up, I'll see you in a week."

I took the request sheet, thanked him and left the room. I was guided to the doctor's secretary and I showed her the request sheet. She asked me to sit down, I did and I listened while she called Medicard for approval. I began shuffling my feet in the chair, uh-oh, I wonder if Medicard keeps a record of previous inquiries about patient requests, I hoped to God they don't or I'm doomed to be declined of being covered for 2D-echo again.

The secretary finally hang up the phone, handed me back the sheet and said, "Proceed to the Laboratory Room in the Ground floor."

I gladly thanked her and went on my way. Hah! Covered!

The wait for my 2D-echo test was the longest. When I handed my request sheet to the nurse in charge, he mentioned that the line is awfully long and asked me if I'm willing to wait. I wanted to say, 'How long are we talking about?' but decided that since I'm already here, I might as well wait, so I said "Yes, that's fine." He lined up my paper along with the other patients and said, "Your name will be called, go take your lunch first."

I had lunch at a nearby McD's then went back an hour later. I checked with the nurse if my name has been called and he said no. "You're no. 28, we're serving no. 18."

I decided I'll just stick around to wait and boy, did I wait?! I was back by 12:30 and my name was called at around 3:30! So if you'll include my 1 hour lunch, my wait time is almost 4 freaking hours?! Oh well. I found out from other patients that the 2D-echo costs P4,000 and being exempted from paying that is enough for me not to feel so bad about waiting.

The result wouldn't be in 'till the next 3 business days or I could just get it on my next doctor's appointment. Good. I left Philippine Heart Center feeling good that I was able to accomplish what I came here for and most importantly, by next week, I'll know if I'm gonna live healthily ever after...

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"Me" Time

01-11-2010 Monday

I planned this day with my own things-to-do, things that I've been setting aside due to lack of time, or maybe...uhh opportunity? Haha. Ok, first thing that I badly need to do is visit a dentist. My tooth is not doing pretty well since the light cure stuff that my previous dentist put on it, break and now, there's a small hole in that specific tooth. It doesn't hurt but I don't want that tooth to be exposed like that.

After waking up, I grabbed the small Medicard booklet, provided by our company and searched for the nearest dentist in my area. It's a good thing that basic dental procedures are covered by that Medicard benefit that I'm getting from work. I found one in Novaliches and texted the cellphone number in the booklet. I asked for an appointment and the dentist told me that a patient cancelled his 11am schedule so I can take his place instead. Awesome.

The good news is I got my all my teeth cleaned, the bad news is that one tooth of mine has no hopes of getting another light cure. The damage is too deep. It's either extraction or root canal. The dentist did neither. She said we have to schedule that at another time. I have to take some antibiotics a few days prior to that. Sigh.

When I left the dental clinic, I was contemplating on what to do with this tooth. Somebody told me that root canal hurts like hell and I don't think it's covered by Medicard. Extraction is covered but that means I'm gonna be losing this precious tooth, the first ever tooth that will leave my mouth for good? Doesn't sound good to me. Well, I'll think about it.

After that, I went to Zabarte mall. An old friend of mine texted me, wanting to meet up with me for some good old chit-chat, some catching up with stuff and I decided, it would be good to have someone eat lunch with me so I said yes. I told her she can meet me at the mall. I got there first, and while waiting for her, I bought some stuff needed at home, stuff that, again, I've been wanting to buy but never had the chance to. I bought a wall clock with large numbers on it for my gramma to see the time clearly, a thermos because our old thermos is broken,and a new plastic pink pitcher. I found good deals at the mall so if you wanna know the total cost for all that? P305.00 nothing more, nothing less.

My friend texted me while I was paying at the cashier so after the small cashier, who looked like she hadn't been eating well, handed me the change for my P1000, I hurried downstairs to meet my friend.

We had lunch at McDo, it wasn't my treat, you know I'm a cheapskate, we paid for our own meals and did some chatting while eating. She has lots of stories to share and I half listened, half indulged in my food. I also shared with her the good things, and of course, the bad about my mom. I always feel a strong surge of emotions whenever I talk about what happened to my mom, those days of hell that I've been through. It was like, my words are powerful enough to relive those days. It scares me to go back to that day so as I tell her the story, I would pop a french fries in my mouth in every pause to bring me back to the present time.

She was sympathetic and I appreciate her listening to my long tragic story. I don't wanna spend that day in gloom so I changed the subject after that. A few more chats, then we finished our meal, left McDo and rode a jeepney to go home.

When I get back home, I was too tired to do anything else, there's nothing left to do anyway. Update this blog, ok I just did. What else is left? None. Ok folks, let's call it a day. G'bye.

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