{My Lobster Dinner @ "Crab 99"}
Okay, so, as if having Medical Issues that need immediate attention isn't stressful enuf, and concerns about possibly having Diseased Ovaries now, I had to have another Battle with HUMANA, my Medicare Advantage Provider, AGAIN!!! I'd contacted ABRAZO and they are getting me right in to see my New Primary Physician, another Female they assigned to me now that my Primary with them got transferred to another Office further away. They just told me to remember to notify HUMANA about the change in Primary Physicians to update their Records. Seems like that should be no problem, Right? Wrong!!!
I call HUMANA and they tell me, Oh, that Doc isn't In Network... Okay, says I, which ABRAZO Doc is In Network then? None they claim, which was very Weird, coz ABRAZO is One of Three Major Medical Providers in Maricopa County, the other Two being DIGNITY HEALTH and BANNER. What about them asks I, Nope they claim, not In Network! Really, says I, that sounds very Suspect. Especially when they tell me who is In-Network and it just HAPPENS to be a wholly owned Subsidiary of... HUMANA!!! Humnnn, that's sound potentially fraudulently Illegal to Scam the Feds and a Conflict of Interest, you'd be filing Claims to Pay YOURSELF... and I know that recently both AETNA and CIGNA got Federally Investigated for Fraudulent Activities very similar to this. I hang up, coz I was talking to a HUMANA Peon.
Then I call my Doc's Office over at ABRAZO... news to them that they're Out of Network with HUMANA, so they said they'd look into that coz it sounds Weird, especially when I told them I was also told their Two larger other Competitors were allegedly Out Of Network too! Very Suspect they say. Oh, don't worry, I'm going higher up the Food Chain right after this Call says I, and talk to someone with Authority over at HUMANA. I get a Supervisor, and I tell her that CIGNA and AETNA are under Federal Investigation for similar Practices just revealed and uncovered and fraudulent, and I'm thinking about turning this all in to the Feds to look into, if I don't get this "Misunderstanding" put Right. Coz for all I know this Unknown to me wholly owned Subsidiary they're trying to force me to use, are they even a Doctor, or are they sending me to a Veterinarian or some Hack behind an Ice-Cream Shop or something? *Winks*
Needless to say, said Supervisor said to give her a "Minute" and within that 60 Seconds she pushed it all thru for me, no more problems, I get to use my Newly Assigned Doc over at ABRAZO and I called my Doc's Office to tell them that too. That didn't take long they said, and Laughed, I've been going to them for Years, so let us just say they know I'm no pushover when it comes to Dealing with Insurance BS, of which, they agree, is out of Control now. I know it's all since this Administration coz I never had these problems with previous Administrations... but when the Government is Corrupt and doing Illegal shit at the very Top of the Food Chain, it's no Surprise when every other Entity that is large and in charge will figure they can do the same thing and get away with it as well!
I didn't Need that extra Stress and aggravation, but, I also didn't wanna be passed off to some sketchy Doc at a wholly owned Subsidiary of the very Insurance Company that Claims will be Filed with, sketchy as fuck!!! Paying themselves so to speak, how very convenient and what a Grift that is of Taxpayer Funds up for grabs now to whatever Criminal Enterprise wants to get Richer Quicker. And what level of Care are you then actually getting when there's such a Conflict of Interest? Anyway, I got it resolved to my satisfaction for me, but I just wonder how many Seniors are gonna be involuntarily forced to use wholly owned Subsidiaries of Insurance that are participating in this fraudulent Scheme to pay themselves out of Federal Medicare Funds?
Just something to be thinking about... you know, since, allegedly this Administration is supposed to be pretending they're all about Waste, Fraud and Abuse while being the biggest perpetrators of Waste, Fraud and Abuse... along with their Big Donors and Special Interest Groups and Corporations getting Rich off Questionable Practices. Anyway, The Man went to his Kidney Specialist and was supposed to see a Dr. Ting, who, by the Surname I assumed would be Asian. Well, in walks a Middle Eastern looking Doctor and I think to myself, this Guy doesn't look like he'd be a Dr. Ting, he looks Arabic or Moroccan to me. *Smiles* As we were leaving he handed me his Business Card, sure enuf, he had a Middle Eastern first and last Name. *LOL* I liked him, couldn't recall meeting a Dr. Ting anyway, tho' we may have too, I dunno, they Share an Office.
The Man's Kidneys while Hospitalized were not doing well, which is why they assigned him to a Kidney Specialist in the first place. Dr. Abdelaziz, looked familiar to me and I guess he did see The Man during one Hospital Stay when his Kidney function wasn't good. But, he marveled coz he said the Kidneys have regained regular function and asked what we'd been doing to cause such a turnaround on our own? I told him I've been loading The Man up with Cranberry Drinks daily, lots of Water, Blueberries, Grapes, Bell Peppers, Pineapple, Cabbage, Cauliflower and Seafood... all of which Kidney Friendly Foods, plus I always Cook with high quality Extra Virgin Olive Oil. He said, well, what you're doing is Working, so Keep doing it... I won't have to see him now for a Year unless things go Bad between now and then! Whoop Whoop, Great News!
He had his Eval with Victor early this Morning, it went very well, he Aced his Eval and did more than twice as much as he had last Eval, which impressed Victor a lot. He told me whatever I'm doing with The Man, to keep doing it too. Then his VA Nurse, Remi, came, his Numbers were all good so she was really pleased as well. She always asks about the rest of the Family and saw my Arm Bandages from my Urgent Care Visit so asked what was going on... I told her, along with the Insurance Drama which I had to sort out. She's such a compassionate and Caring Home Nurse, we just Adore her. She always makes The Man laugh a lot while she's here... he joked its like he's got Two Wives now. Coz she is in Agreement with me 100% of the time so we Double Team him. *Winks* She thinks that's hilarious. And said he behaves a lot like her Dear Husband. *Ha ha ha*
So, as a Reward for doing so well Today I took him to "Crab 99" again coz we had that 1 Lbs. of Crawfish we'd Won on their Roulette Wheel last time. OMG it was FANTASTIC, and so many Crawfish, in a Garlic Butter Sauce. You can choose your Sauce and it also comes with Corn On The Coblettes and New Potatoes in the Boil Bag and Sauce. The Man was licking his Plastic Gloves the Sauce was so damned good and fragrant! *Smiles* The Crawfish were whole and I wasn't sure how best to eat them that way, so one of the Staff there is a Beautiful Black Amerasian Young Woman, about our Granddaughter's Age, she said Crawfish Eating is her Specialty and she Tutored us on how to do it. I got so good at it by the time we finished that she said I was doing it like I've always done it... she was just an exceptional Teacher tho'. And they were some of the biggest Crawfish I'd ever seen, Monstrous sized!!! You get quite a Workout eating them served Whole! *LOL*
We also Ordered the Clam Chowder, for The Man, and since half our Meal was Free and I'd Won it and would Share it with The Man, I also ordered their Grilled Lobster Meal. The Presentation was Lovely and different than I'd ever had Lobster presented, it also had Baked New Potatoes and Steamed Broccoli... it was some of the best Lobster I've ever had and the Price was half what "Red Lobster" was wanting to charge for Lobster! I'd heard on TV that the price of Lobster was way up coz the price of Gas for Lobster Fishermen was up so high and the populations of Lobster are lower inland now than ever before, so they can't economically fish for it further out now in hopes of finding more of a population to Harvest. Anyway, my Food Porn Images show you our Meal for this Post. We enjoyed it so much and I Won another Plush Crab on the Roulette Wheel, so, now I have Twins of them. *Smiles*
I've since learned a Hack to get into the Meat of the Crawfish Claw. I think next time we'll try some of the Fried Catfish and Fried Clams. We're trying out most of what's offered on the Menu, a lot of folks were ordering the Crab Legs. I know that's a lot of a Workout to get to the Meat, mebbe moreso than the Crawfish. *LOL* The Crawfish were worth the effort coz it's like eating Mini Sweet Lobster. The Man never tried Crawfish before he met me, now he realizes he really likes them. He'd never eaten Gator either, now he realizes he really likes that too. They don't serve Gator there tho'. But they do have Cajun flavored Seafood Dishes as one of the many Flavor Options you can choose from. Anyway, so it rounded out the Day nicely and The Man clearly enjoyed himself and was upbeat the entire Day. He did really well.
The Niece has been doing okay since her Mom Died, she's had Friends be there for her in Texas, so I understand why she wouldn't come back to Arizona now, she's got a great Inner Circle there where her Husband is from. I know her Mom liked it there too, and if you have a Wonderful Community it means the World. The Niece also has lost a tonnage of Weight, I don't know how she's been doing it but she looks Fabulous now and has reached her Goal Weight and got her Bikini Body back. How she looked before she had all her Children and then struggled with Weight for the last few Years. It was so good to see her looking so Happy, so Refreshed and so Svelte and a Hawt Mama Jamma! *Smiles* I'd been Worried about her coz the Caregiving of her Mom for this past Year while she was Dying was so rough, so demanding, and she juggled it with Parenting Three Kids and while her Husband is mostly away on Business, and none of her Four Older Siblings helped.
But her Friends showed up for her and God Bless them all for coming thru and having her Back thru this rough Year of Extreme Caregiving and allowing her Mom to Die at Home by providing Home Hospice herself mostly, with just a One Day a Week visit from a Home Nurse that helped administer her Mom's Treatments and give her brief Respites and Training on how to Care for her Dear Mom. I'm so Proud of her. I'm glad all her Friends got together to take her out to The Beach for a Fun Time and to show off her New Svelte Bikini Body she's worked so hard to attain. I mean, this Girl was well over 230 lbs. in the "Before", so it's quite an accomplishment to get back down to the Slender Frame she always had before, it's not easy. Before having Kids she was Tiny... her Older Sister stayed Tiny after even Four Kids... sometimes it's the Luck of Genetics distributed unevenly... some Family get the preferred Genes and some don't. *Le Sigh*
Her Older Sister {on the Left}, lives in Florida and has a very demanding Career. She wasn't always there for their Mom and that did cause some Family division, since, she often came to visit us and Friends here in Arizona, but didn't stop by Texas to visit her Mom, even during the Terminal Illness Battle. I really don't know if she was able to get there for the Funeral, I do know she did get to visit her Mom at least once during the Home Hospice and during Treatments. Which I was relieved to see coz their Mom wanted all Five of her Kids to be there at some points before she Passed, she knew she was Losing this Battle. But, The Three Sisters are Estranged tho', and so are the Two Brothers, so, the Family Dynamic is complicated, very tense and divisive, always has been. I'd often Mediate even when they were all Growing Up.
So, since their Mom was Living with the Younger Daughter, I'm sure that could have been complicated and tense. The Older one, who is the Middle Daughter, does have a Support System in Florida who was there for her, I'm glad about that. I don't know the Oldest Daughter, never met her. Out of the Two Sons, I only have contact with the Younger one now, who is doing well, the Older one is not and hasn't been Clean in Years, so everyone HAD to cut him off. He always reached out to me coz they all consider me their Aunt Dawn and I Love them all, but he was just making Contact with everyone to ask for Money, or couldn't be Trusted to be around your Home or your Family, so, I don't want Contact until and unless he gets Clean and for a sustained period of Time.
It's Sad, and I know his Dear Mom wanted it so bad for him, but, it never happened in her Lifetime unfortunately. The Younger Brother did turn his Life around, I'm so Proud of him. But, he was no longer close to any Family, including his Mom. He has more Contact with me and my Family, than them. I want the very Best for all those Kids as much as I do for all my own. Watching them all Grow Up was a Privilege & Joy, and that our Families remained Close all these Years. Above is the Younger Son I do have Contact with still. He has a Lovely Girlfriend now and has been Sober for Years, I'm Proud of him.
Above my Cousin and his Wife in North Wales, he has an Older Brother but nobody has contact and I don't know how many of my Welsh Cousins are still among the Living? I have a few Cousins left here in America on the Rez, but there's not many of our Generation left anymore. I know my Dad ended up being the last of his Generation on his side of the Family and only my Mom's Older Brother outlived her, so she was second to the last of her Generation on her side of the Family. So, I guess I got pretty good Odds of having mebbe a few more Miles left in me? *Winks* Today I go in to see my New Primary Doc for that Ovary Thing follow-up. If they're Diseased I just want them removed. I Need to also Schedule a 6 Month Diabetic follow-up too but that could wait, the Diabetes is stabilized right now and I'm more concerned about what's on my Ovary and if it's something to worry about, remove, not be concerned about? I don't neglect things when we know something looks Suspect or a Mystery, I want it taken care of early, better results that way. And Hopefully no more putting on the War Paint to get the damned Insurance to cover Care!?!
Always ready to go to battle tho' if they start a War with me, coz I Surrender to no-one *Winks*... Dawn... The Bohemian























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