here we go again

ok, so now the surgery is scheduled for Tuesday morning. The hospital has assurred us that it WILL HAPPEN TOMORROW. So I’m guessing God has given us this extra day to get more people to pray for Emmett. Please pass this request on!

So our new plan is to leave here super early on the first train to London tomorrow, since they don’t have a hotel room for us tonight. I think this might work out better than us going to London tonight – all of us should sleep better at home, and we have all of Emmett’s feeding stuff here, so we don’t have to worry about having forgotten anything.

However, a new complication was introduced into this whole shebang today, when our base’s referral management office called to inform us that they had just been called by Great Ormond St Children’s Hospital in London to inform them that Emmett would be having the surgery Tuesday. I said yes, that was my understanding. The lady then informed us that we had not been authorized to go down there, we had only been authorized to see Dr. Kelsall (inverted commas guy) at Addenbrookes in Cambridge. I told her we had been also seeing Dr. Yates (the cardiologist in charge of Emmett’s case at Great Ormond St) during their joint clinics since October, and that ALL pediatric heart surgeries take place in London, because Addenbrookes doesn’t have the staff or equipment to do heart surgery on kids.

She then semi-yelled at me for not coming in and filling out these referral forms, and I sort of semi-yelled at her that we thought that had all been taken care of (we were approved for his cardiology referral in September), and that our pediatrician at the base was totally up to date on what was going on with Emmett’s case, and nobody has told us we needed to fill out more forms for each of the million doctors he sees. There was a lot of semi-yelling on both sides.

And OMGosh, this situation had better get worked out today, because, come hell or high water, that boy is having that heart surgery tomorrow. And I do not want to see a 50,000 pound bill for it 2 months down the road, which is exactly what happened with the intestinal surgery (although that bill was only 9000 pounds, a real deal for 2 weeks hospitalization, including 5 days in the PICU, and major intestinal surgery). No one at the base asked for authorization to transfer us to Addenbrookes for the surgery (although they transported us from the base over there in a frappin ambulance, for crying out loud), so tricare just wasn’t planning on paying the bill.

Can you see that I’m a little frustrated with this whole situation? Good, I’m glad that’s clear.

So while you’re praying for Emmett, please pray that tricare (military insurance) will actually approve for him to have this surgery before it happens.

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13 Comments

Filed under health issues

13 responses to “here we go again

  1. Because you need more stress! I realize that woman has a job to do, but does she not realize your child is having freaking HEART SURGERY??????? Sorry, I’m probably not helping with your own blood pressure issues, but I’m just wanting to more than semi-yell at somone on your behalf. As always, praying for Emmett and the rest of you all, and now for the insurance crap as well.

  2. Britta

    Oh Lauren- I am so sorry! I deal with Tricare and referrals on a bimonthly basis also. They send us to these guys and then don’t authorize them to do their job! It is absolutely crazy! Go to Tricare now… document your visit and request so taht if it doesn’t come in in time you can fillout the appeal and have something to back yourself up with. I have done this once before. Good Luck.
    I’ll be thinking about you!

  3. Christina

    Posted your prayer request on my blog: http://mrsbroccoliguy.wordpress.com/2009/01/05/emmett/ … I’d love to post a picture of Emmett too, if that would be okay. Thinking of you and praying for all of you today.

  4. Beth

    Tricare is extremely frustrating…heck, all insurance is extremely frustrating!! Sorry you’re having to put up with all that along with the stress of the surgery.

    Hoping and praying that all goes well!

  5. Lauren, I haven’t checked in for a while but Elaine reminded me to pray for you so here I am. I’ve read back a bit and there are a few things I want to say:

    1) You’re amazing.
    2) Congratulations on the pregnancy!
    3) Emmett is as lucky to have you as you are to have him. He may not like you very much, but since I’m assuming you’re the one taking him to be poked and prodded constantly, who can blame him? He’s going to come through this surgery with flying colors and then he’ll decide you aren’t such a bad person after all.
    4) You’re very amazing.

    You have had so much thrown at you this year and yet you’re still doing your best for all of your children. That is all anyone can ask – your best. It doesn’t have to be perfect and wonderful all the time. In fact, it rarely will be. Enjoy the peace that having your mother near will bring, and God bless Emmett as he goes through yet one more tough challenge in his little life.

  6. Praying for you guys as well. Just posted about E’s surgery tomorrow. Big hugs to you and all your boys…you’ll get through this too.

  7. Charity

    I am so sorry that you are going through all of this. I think you have a great attitude though to look at it as an extra day to pray for Emmett. We will definitely be praying for all of you and that Tricare is able to pull their heads out of their tushes!

  8. Amy

    I’m praying for your baby and will post a request on my blog as well. Blessings.

  9. ugh…none of that made any sense to me, but i can tell it sucks!!

    i pray that everything works out for you guys and i will also pray for peace for you and mike going into the surgery tomorrow. i cannot even imagine how hard it must be to know your child is going in for heart surgery!

  10. Emmett and his whole family is in my thoughts and prayers!

  11. Sending up prayers..you are in our thoughts. Sorry you are having to deal with added stress.

  12. Jennifer

    I’m crossing my fingers that you get it straightened out with Tricare. Will they actually do the surgery without a pre-approval from Tricare? Hospitals here wouldn’t touch you in a situation like that unless it was life or death. Ack. NOT what you need the day before major surgery for your baby!!

    We are continuing to pray. Hang in there.

  13. Carolyn252

    Hopes and prayers are with you for Emmett. Such a sweet baby.
    Stay strong. So many, many people are holding you in their thoughts.
    Best wishes,
    -A hopeful soon-to-be-the-Grandma-of-an-adopted-infant.

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