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About Geek

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    living better through chemistry

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  1. No dice. 4 emails for a new post on that blog and when I signed onto CB this evening there were 4 notifications for the same blog post - first time I've had multiple notifications on CB. Comments were made on other posts on that blog... only one email for those.
  2. The last few days I've been getting 4 email notifications for changes to a blog I follow. New posts by the blog owner, and comments by the owner on individual posts that I'm following seem to come in with 4 simultaneous, identical emails. Some comments by other users have come with 4 notifications. I had the same problem occur yesterday for a thread I'm following... but only posts by one user came with quadruple emails, and it hasn't repeated today despite new posts by that user. Not sure what's going on - and it's intermittent, of course, so who knows if/when it can be determined. I unfollowed and then re-followed the blog it was happening on. I'll update here in a few days if that seems to fix it.
  3. Hey @ananke. Try to breathe. The first 6 months at a new job is always stressful - especially the first few weeks. If there's a training schedule, would you be able to miss therapy for the first few weeks to be able to do the standard training? With the understanding that once you've completed that you will work a modified schedule most of the time. It's fair to ask for accommodating hours - and fair for them to say that there are some instances they need your flexibility too, right? Maybe during this intro period you could do phone sessions with your Tdoc? Do you have to tell your employer your diagnosis? Could you just say you have a mental illness and need regular therapy? I know there's a lot of stigma about PDs and I don't want you to get hurt by it. If you've already told them though, try to have some confidence that you'll be treated fairly. There is a growing understanding of mental illness in general. You are competent, and dedicated to your work. You're learning - so of course you're going to make some mistakes. No one expects you to be perfect right away. I'm sorry it's so hard. Hang in there and keep us updated.
  4. Try this page https://www.humana.com/finder/medical?pageId=a769eecca99f4452b6cec43c01066f6f Though it will be best to verify with your provider - oddly, these databases aren't updated as frequently as you'd think, so if the doc recently came on/off the insurance, it may be incorrect.
  5. Can you just download the full drug list? Scroll further down that page I linked to, and choose plan year (2019), plan type (Medicare Advantage - right?), and your state... should let you download a pdf with the full drug list. Open the pdf in adobe or another pdf reader and use ctrl+f to find "vyvanse" and "viibryd" (or scroll down to the V's manually).
  6. I recently got a new job, which caused a change in my employer-sponsored health insurance. My previous employer offered a plan through United Healthcare (with Optumrx pharmacy benefits). I found it was very, very had to find MH providers who would accept United. I was told that United Behavioral Health (the MH arm of UHC) has some of the lowest reimbursement rates and some of the highest denials, so it is time consuming for providers to submit (and re-submit/appeal) claims and then the payment is a pittance. I now have a Humana plan. My current employer is not based in my state (I work at a small satellite office), but they chose Humana because of the size of its network across the country. I believe they said the only counties in the whole country that didn't have Humana providers were counties that didn't have any providers. I can tell you - my Tdoc (who took UHC when I started seeing her, but stopped about 6 months later) takes Humana. When she stopped accepting UHC, Tdoc allowed me to pay her out of pocket at the same rate that she would have gotten from UHC (we decided not to file out-of-network claims due to my high OON deductible). She's got a PsyD with 25+ years experience, and the rate from UHC was $69/53+ minute session. Now, with Humana, between my co-pay and the share from Humana, she gets $114/53+ minute session. If you're comparing plans though, another thing I recommend is to find out what prescription plan/formulary you'd be getting, and checking to see if all your meds are covered. I didn't have issues getting meds covered when I was under UHC - but starting in 2019, Humana dropped coverage of a med I was taking that they'd previously covered (Savella). They also don't cover my current anti-depressant (Fetzima), though my Pdoc thinks if it works it's worth making an appeal to Humana to have them cover it (trying it now on samples). Here's a page from Humana's site where you can see what meds are covered under their medicare plan.
  7. My pharmacy does not write the manufacturer on the bottle, but it does include a description of the pills in the bottle - color, shape, and any writing on them. You can look up the pills to learn the manufacturer, all that stuff is unique. I haven't had issues with different generic brands, but I do verify the pills in the bottle match what the bottle says they should be anytime I get a new script or the manufacturer changes.
  8. I had Optumrx for several years, through my last employer. I didn't have many issues with them - but I also didn't use their mail-order service. The issues I ran into were all specific to the Walgreens I'd been working with. What's going on?
  9. @looking for answers just remember that (as always) this stuff is subjective. Personally, I take 300mg of IR Seroquel for sleep. It makes a noticeable difference over 200 or 250mg.
  10. Thanks for the suggestions everyone. @dancesintherain - I had used Zocdocs a year or two ago and forgot about it. Thanks for the reminder! I am more than open to seeing an NP or a PA. In fact, the provider I really liked at my current GP's office was a NP. I've had much better care from NPs and PAs than from MDs. Perhaps it's due to the different background/approach?
  11. Does anyone have tips on how to find a good GP? Who gets MI and won't talk down to me because of it? Physically, I am doing better than mentally. I do take daily and rescue meds for asthma. My GP's office is quite far away from where I live and work now. And the provider there that I liked moved away years ago... I have stayed with the practice only because I haven't really needed them. They've fumbled the few things I've sought their care for in the last few years. Now they're jerking my pharmacy around. It's time to move on. Tdoc and Pdoc don't have recommendations. I don't have friends. I don't know who else to ask.
  12. I am somewhat skeptical of the utility of an inpatient visit for a depressive episode if either a severe med reaction and/or safety are not an issue. The fact is that unlike mania or psychosis, meds for ending severe depressive episodes take weeks to kick in. Add in the cost and discomfort of an IP stay, and it seems... less than useful. That said, if it would make you more comfortable to feel like something was being done, to have some time off to regroup, etc. then go for it!
  13. I usually see my Tdoc in person, but we have done a video session when our schedules didn't mesh. I found it hard - I couldn't feel her presence in the same way. I had trouble "letting go". I hate seeing a new Tdoc, but I think I would struggle to make a connection with someone I saw exclusively by video. That said, I wouldn't rule it out. It's just not my first choice.
  14. That's why I come here: it helps me feel less isolated.
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