TriCare?? Going to doc next week & getting nervous... - Page 2

Jess1216 · 05-08-2008, 09:43 PM

Quote:

Originally Posted by wannabmomma

Basically, it just sucks being a girl with PCOS LOL

OMG you're not kidding! Now I don't even know if I'm going to be able to go next week! My original appt. was last month. I ended up with AF so I had to cancel. They rescheduled me for 2 weeks later. Well, the day off the clinic called to tell me that they had to reschedule me again because my doc had a board meeting or something. They rescheduled me for 2 weeks later. I looked at the calendar and called them back to tell them that was the day after I was supposed to get AF again (the past few AF's have been 24 days like clockwork)...so they pushed it back to next week. Well AF is late and if she gets much later I may have her again by the time this appt. rolls around! This is getting old!

ibcnuldu · 05-12-2008, 01:00 AM

I've had tricare prime all my life.

Your PCP usually refers you out asap. I've never had a PCP try to really help me on OBGYN stuff. Same thing with pretty much everything else. Unless I was sick my PCP just referred me to someone else after 1-2 visits.

Oh and don't be surprised if you don't like your doctor. In my experience Tricare PCPs are usually crap. I've never had a doctor I really liked. I do however, LOVE my OBGYN. Many specialists take Tricare, but as for regular doctors it seems like we get the bottom of the barrel. Same thing with Medicare and Medicaid I suppose.

Jess1216 · 05-12-2008, 06:08 PM

Well as of right now my appt. is set for Wednesday still. I don't know if I'll actually be able to go. AF was due last Tuesday but she didn't show up til Saturday night. I don't know if she'll be gone by the time my appt. rolls around. If I have to reschedule this will be my 4th time!

I thought I'd have a shot at her referring me to an ob/gyn because of the PCOS but considering I never even made it past the desk clerk when I called, I don't know how my PCM feels about it yet!

Is it wrong of me to not really want a PCM managing my PCOS? I mean, am I being a little paranoid or overreacting? (I do have a tendancy to do that!!) I guess I'd just rather have someone who specializes in those specific organs and the conditions they have.

Jakes_Angel · 05-13-2008, 03:41 PM

Ok I didnt read through everything, but I am on TricarePrime and wanted to let you know that unless your pcm is the only dr you can ask for another dr if you dont agree with the one you have. And if you dont like any of the drs you can talk to the base command and tell them you are not happy with the treatment you are getting and ask if you can get a civilian dr.

Also maybe instead of asking your PCM you could ask for a referal to an OB. generally it is pretty easy to get OB referals and then an outside OB can help you with your diagnosis and referals for infertility. But Tri care covers everything up to IVF and IVF you have a waiting list and have to pay 5000 out of pocket(which is actually really good) Also you can get clomid for free if you get it on base. Anyways, I said that to say, if you dont have a infertility treamtment center around you Tricare has to send you out in the community. Also I just found out that if there is a specialist that tri care doesnt cover, if its the only one in the community they have to pay for it (I jsut found that out because there is only one PCOS specialist where I am and tricare doesnt normally cover it but will for a specialist)

If you have any questions about my TTC journey with tricare please message me and i will do what I can to help you out, thiswas all very scary to me at first but now i am doingit for a second time I kinda know my way around. I am sure there is still some stuff that I dont know about but I know the road I had to take.

Jakes_Angel · 05-13-2008, 03:48 PM

to answer your last ost (decided to go back and finish reading after all)

generally PCMs wont mess with OB stuff. All I have ever had to do is ask for a OB referal and I got it quickly rom my PCMs. My OBs were the ones that always held me up on trying to get pg. by the time everything was said and done it took about 6 months of testing to get refered to IF treamtments.

I hope you are able to get what you need to done.

ibcnuldu · 05-15-2008, 01:10 AM

Quote:

Originally Posted by Jess1216

Well as of right now my appt. is set for Wednesday still. I don't know if I'll actually be able to go. AF was due last Tuesday but she didn't show up til Saturday night. I don't know if she'll be gone by the time my appt. rolls around. If I have to reschedule this will be my 4th time!

I thought I'd have a shot at her referring me to an ob/gyn because of the PCOS but considering I never even made it past the desk clerk when I called, I don't know how my PCM feels about it yet!

Is it wrong of me to not really want a PCM managing my PCOS? I mean, am I being a little paranoid or overreacting? (I do have a tendancy to do that!!) I guess I'd just rather have someone who specializes in those specific organs and the conditions they have.

Be sneaky. Tell your PCM that you want to see an OB for your well woman's exam. You don't have to tell them about PCOS if you still haven't been diagnosed. (I'm sorry I forgot if you actually had been diagnosed yet.) But like I said, in my experience working with doctors many don't mind at all referring to an obgyn. I work for an Internal Medicine guy and we refer people out all the time.

lgt83 · 05-15-2008, 09:51 AM

Back when my husband was military we had TriCare Prime and I called them up and had my PCM changed to someone we got referrals for instead of the a** I was originally assigned to. The customer services people are pretty helpful. That was when we were in NY and when we were in IL, the clinic there didn't do ob/gyn stuff so luckily I had to go out to someone in the community and not military for the care I wanted. Unfortunately, still what I thought to be sub-par care, but that is the military for ya.
Even the doctor I liked refused to put me on Met -- I'd done the research myself and thought it was the best route -- and continued the bcp which I didn't want to be on but if that was the ONLY thing she was offering I was in a tight spot to do anything else.

I hope you have better luck finding the care you want within the military medical system, and hopefully the cust. service people with TriCare can help you out.

Good Luck!

Jakes_Angel · 05-15-2008, 02:59 PM

I am curious to know how your appt goes, please let us know.

Jess1216 · 05-15-2008, 03:14 PM

It was ok. I actually thought the doctor was really nice (she's actually a nurse practicioner--sp??). I was worried cause a lady at Curves didn't have very nice things to say about her so I was nervous.

Other than that there's not a whole lot to say. She said she'd gladly send me out to an OB/GYN once DH and I had been trying for a year & were unable to get pregnant. She said that some people with PCOS can still get pregnant on their own. I'm not going to press the issue for right now since DH and I aren't actively TTC (we're just not avoiding either). I've been off BCP's since...Nov. or Dec. and DH came home from deployment in Jan and we haven't used anything since then (and I haven't gotten pregnant either) so I figure even though we're not actively trying, I'll still include that as part of my 12 month waiting period if necessary.

DH is fine with not using any birth control but he's not ready to step it up a notch yet to acheive pregnancy. So I figure I'll chill out until Jan., see what happens and if nothing does happen then I'll get the ball rolling with the other tests or fertility treatments if I need them.

Jakes_Angel · 05-15-2008, 08:29 PM

If I were you I would still ask if I could talk to someone about getting the PCOS under control. Unless ofcourse the metfomin you are taking is working...but even then you need to have her on board to prescribe more to you if you need it. I hope she is willing to work with you over it all. Good luck and keep us informed. I will be praying for you guys.

ETA:
You may ought to start tracking your cycles as well, and possibly your bbt (not to "actively" start trying but so that when you want to pursue it more you can show that you have been watching your cycles and possibly make them think you were "actively" trying)-does all that make sense? It will also help you out when you do decide to start trying you will know whether you are ovulating or not or at least have some idea of whther you are.

05-12-2008, 01:00 AM	#17 (permalink)
ibcnuldu Hanging in there Join Date: Jun 2006 Location: Central Oklahoma Posts: 624 My Mood: Points: 5,956.02 Bank: 6,293.06 Total Points: 12,249.08 Donate	I've had tricare prime all my life. Your PCP usually refers you out asap. I've never had a PCP try to really help me on OBGYN stuff. Same thing with pretty much everything else. Unless I was sick my PCP just referred me to someone else after 1-2 visits. Oh and don't be surprised if you don't like your doctor. In my experience Tricare PCPs are usually crap. I've never had a doctor I really liked. I do however, LOVE my OBGYN. Many specialists take Tricare, but as for regular doctors it seems like we get the bottom of the barrel. Same thing with Medicare and Medicaid I suppose. __________________ Me: 19 Medications: Metformin ER, BCP, Exercise, Diet 226/213/190 Uh Oh! I goofed! Lost all that weight and put it back!

05-13-2008, 03:41 PM	#19 (permalink)
Jakes_Angel God Answers Prayers Join Date: Sep 2006 Location: Cali Posts: 986 My Mood: Points: 281.68 Bank: 691,636.09 Total Points: 691,917.77 Donate	Ok I didnt read through everything, but I am on TricarePrime and wanted to let you know that unless your pcm is the only dr you can ask for another dr if you dont agree with the one you have. And if you dont like any of the drs you can talk to the base command and tell them you are not happy with the treatment you are getting and ask if you can get a civilian dr. Also maybe instead of asking your PCM you could ask for a referal to an OB. generally it is pretty easy to get OB referals and then an outside OB can help you with your diagnosis and referals for infertility. But Tri care covers everything up to IVF and IVF you have a waiting list and have to pay 5000 out of pocket(which is actually really good) Also you can get clomid for free if you get it on base. Anyways, I said that to say, if you dont have a infertility treamtment center around you Tricare has to send you out in the community. Also I just found out that if there is a specialist that tri care doesnt cover, if its the only one in the community they have to pay for it (I jsut found that out because there is only one PCOS specialist where I am and tricare doesnt normally cover it but will for a specialist) If you have any questions about my TTC journey with tricare please message me and i will do what I can to help you out, thiswas all very scary to me at first but now i am doingit for a second time I kinda know my way around. I am sure there is still some stuff that I dont know about but I know the road I had to take. __________________ Dx PCOS-03/05 ~Clomid Rd 2-12/06-100mg-HPT+ 12/29/06 Tatem Christian became an angel on 12/30/06 ~Clomid Rd 4-5/07-150mg-HPT+ on 6/12/07 10/18-IT'S A BOY!!! Trevor Jakeb was expected on 2/18/08 Trey was stillborn on 3-1-08 at 41 weeks To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.* WE MISS YOU SO MUCH! Back to square one TTC#2 in Oct.

05-13-2008, 03:48 PM	#20 (permalink)
Jakes_Angel God Answers Prayers Join Date: Sep 2006 Location: Cali Posts: 986 My Mood: Points: 281.68 Bank: 691,636.09 Total Points: 691,917.77 Donate	to answer your last ost (decided to go back and finish reading after all) generally PCMs wont mess with OB stuff. All I have ever had to do is ask for a OB referal and I got it quickly rom my PCMs. My OBs were the ones that always held me up on trying to get pg. by the time everything was said and done it took about 6 months of testing to get refered to IF treamtments. I hope you are able to get what you need to done. __________________ Dx PCOS-03/05 ~Clomid Rd 2-12/06-100mg-HPT+ 12/29/06 Tatem Christian became an angel on 12/30/06 ~Clomid Rd 4-5/07-150mg-HPT+ on 6/12/07 10/18-IT'S A BOY!!! Trevor Jakeb was expected on 2/18/08 Trey was stillborn on 3-1-08 at 41 weeks To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.* WE MISS YOU SO MUCH! Back to square one TTC#2 in Oct.

05-15-2008, 09:51 AM	#22 (permalink)
lgt83 Registered User Join Date: May 2008 Location: in a rural/urban/suburban area -- it's different Posts: 3 Points: 135.43 Bank: 0.00 Total Points: 135.43 Donate	Back when my husband was military we had TriCare Prime and I called them up and had my PCM changed to someone we got referrals for instead of the a** I was originally assigned to. The customer services people are pretty helpful. That was when we were in NY and when we were in IL, the clinic there didn't do ob/gyn stuff so luckily I had to go out to someone in the community and not military for the care I wanted. Unfortunately, still what I thought to be sub-par care, but that is the military for ya. Even the doctor I liked refused to put me on Met -- I'd done the research myself and thought it was the best route -- and continued the bcp which I didn't want to be on but if that was the ONLY thing she was offering I was in a tight spot to do anything else. I hope you have better luck finding the care you want within the military medical system, and hopefully the cust. service people with TriCare can help you out. Good Luck! __________________ 24 years old, married (almost) 4 years and trying for our first baby.

05-15-2008, 02:59 PM	#23 (permalink)
Jakes_Angel God Answers Prayers Join Date: Sep 2006 Location: Cali Posts: 986 My Mood: Points: 281.68 Bank: 691,636.09 Total Points: 691,917.77 Donate	I am curious to know how your appt goes, please let us know. __________________ Dx PCOS-03/05 ~Clomid Rd 2-12/06-100mg-HPT+ 12/29/06 Tatem Christian became an angel on 12/30/06 ~Clomid Rd 4-5/07-150mg-HPT+ on 6/12/07 10/18-IT'S A BOY!!! Trevor Jakeb was expected on 2/18/08 Trey was stillborn on 3-1-08 at 41 weeks To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.* WE MISS YOU SO MUCH! Back to square one TTC#2 in Oct.

05-12-2008, 06:08 PM	#18 (permalink)
Jess1216 Wishin' & Hopin' Join Date: May 2008 Location: Southern Texas Posts: 68 My Mood: Points: 8,712.26 Bank: 24,938.97 Total Points: 33,651.23 Donate	Well as of right now my appt. is set for Wednesday still. I don't know if I'll actually be able to go. AF was due last Tuesday but she didn't show up til Saturday night. I don't know if she'll be gone by the time my appt. rolls around. If I have to reschedule this will be my 4th time! I thought I'd have a shot at her referring me to an ob/gyn because of the PCOS but considering I never even made it past the desk clerk when I called, I don't know how my PCM feels about it yet! Is it wrong of me to not really want a PCM managing my PCOS? I mean, am I being a little paranoid or overreacting? (I do have a tendancy to do that!!) I guess I'd just rather have someone who specializes in those specific organs and the conditions they have.

05-15-2008, 03:14 PM	#24 (permalink)
Jess1216 Wishin' & Hopin' Join Date: May 2008 Location: Southern Texas Posts: 68 My Mood: Points: 8,712.26 Bank: 24,938.97 Total Points: 33,651.23 Donate	It was ok. I actually thought the doctor was really nice (she's actually a nurse practicioner--sp??). I was worried cause a lady at Curves didn't have very nice things to say about her so I was nervous. Other than that there's not a whole lot to say. She said she'd gladly send me out to an OB/GYN once DH and I had been trying for a year & were unable to get pregnant. She said that some people with PCOS can still get pregnant on their own. I'm not going to press the issue for right now since DH and I aren't actively TTC (we're just not avoiding either). I've been off BCP's since...Nov. or Dec. and DH came home from deployment in Jan and we haven't used anything since then (and I haven't gotten pregnant either) so I figure even though we're not actively trying, I'll still include that as part of my 12 month waiting period if necessary. DH is fine with not using any birth control but he's not ready to step it up a notch yet to acheive pregnancy. So I figure I'll chill out until Jan., see what happens and if nothing does happen then I'll get the ball rolling with the other tests or fertility treatments if I need them.

05-15-2008, 08:29 PM	#25 (permalink)
Jakes_Angel God Answers Prayers Join Date: Sep 2006 Location: Cali Posts: 986 My Mood: Points: 281.68 Bank: 691,636.09 Total Points: 691,917.77 Donate	If I were you I would still ask if I could talk to someone about getting the PCOS under control. Unless ofcourse the metfomin you are taking is working...but even then you need to have her on board to prescribe more to you if you need it. I hope she is willing to work with you over it all. Good luck and keep us informed. I will be praying for you guys. ETA: You may ought to start tracking your cycles as well, and possibly your bbt (not to "actively" start trying but so that when you want to pursue it more you can show that you have been watching your cycles and possibly make them think you were "actively" trying)-does all that make sense? It will also help you out when you do decide to start trying you will know whether you are ovulating or not or at least have some idea of whther you are. __________________ Dx PCOS-03/05 ~Clomid Rd 2-12/06-100mg-HPT+ 12/29/06 Tatem Christian became an angel on 12/30/06 ~Clomid Rd 4-5/07-150mg-HPT+ on 6/12/07 10/18-IT'S A BOY!!! Trevor Jakeb was expected on 2/18/08 Trey was stillborn on 3-1-08 at 41 weeks To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.* WE MISS YOU SO MUCH! Back to square one TTC#2 in Oct.

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