Refreshed, Calculated and Ever Scheming.

My scheming ass was scheming all the way from Altadena to Studio City then to Tarzana, while I dreamed and while I worked. I think I have three options to deal with the endo and insurance after reading over the letter from Aetna again. Love how I got the mail at 11pm on Thursday night and can't call the insurance's patient advocates until Monday at the earliest (pending they aren't on some holiday thing the next two weeks due to the holidays) and peeps yell at me about why I'm not doing something about it o.O. So I perfect my scheming. I have 45 days to perfect the scheming. >.>

Note: where it says "office visit with the endocrinologist" it's referring to the same endocrinologist I've been seeing for the past two years (yes it's been two years exactly now). You'd think with constant low numbers for two years that it'd be enough proof. >.>

1. I do the absolute basic of what they ask. I get copies of the USGs, stack of blood labs over the years, my history of nutritional attempts, what I've noticed, etc. hoping they understand that positive for Hashimoto's equals autoimmune attacking thyroid and also equals high need to monitor for thyroid cancer. Then do as I had made a plan on Tuesday to do, thorough research to find a new doc to get referred to before that appointment they referred to in the letter.

2. Do what appeared to be my only option for most of Fri (while I was still coming down off of the bit of an emotional ride I was on from Tues): let it lapse. Talk to my GP and see if he can order the tests I need ran that the endo refused to do, order the ones online that I can if he can't do it, pray he can and will be able to CT/MRI my adrenals (not sure of insurance laws regarding what my GP is allowed to request without referral to a specialist) --- basically pull together a ton of info on the state of my entire endocrine system then do an insurance referral for a NEW endo (this guy I'm researching).

3. This may be my favourite scheme, a surgical strike against my endo. I do what I did when they did a denial for my neurologist, give them everything I can find. I did this when they denied my neurologist.

• a copy of all blood labs with a list of my medications, supplemental, and nutritional protocols at the time of each blood draw
• temperature tests and what they mean WITH reference urls (collegiate style reference notes in footies) 
• section for my USGs and if I have it by them CT/MRI
• include a well written, researched and documented write up on what the labs mean when added together (so the labs from ALL doctors added together, not just from the endo). 
• if she had bothered to do whole lab work she would have noticed I have blood labs that PROVE adrenal involvement from my GP (which she refused to look at) doing random complete work ups while she was just doing 3 thyroid values. She would have seen that had she even done a full thyroid panel, but no she couldn't even be bothered to do that. 
• make sure that I note the negligence to bother doing more in depth testing and the bad science of coming to a definitive decision on my health by doing a test only once, my regular doc even knew if my cholesterol came back high "let's retest this in a couple months." (whole reason I'm not on unnecessary drugs is due to that retesting, he found out it's only high when I'm sick or in an autoimmune flare). 
• be sure to include endocrine symptoms I'm still having that are of major concern that are not being addressed then provide cited paragraphs/links to what they add up to and point to where in my labs they can find where the endo should have been concerned, I mean why I'm concerned to be in an endo's care. 
• Hell maybe include scans of the images of how I feel to really drive it home? Maybe less than professional lol
• While I'm doing this, the insurance company will have this on file, as will I and my mom (possibly my GP). A remote possibility it will get my endo's attention if they try to reprimand her for being inattentive. But it will be ready to be used against her if I find out I have something serious and when I no longer need to remain civil with her.
• Had a dream where I found out I was terminal with stage 4 adrenal tumor (the thing was a few pounds large). I went to her office some months later and many lbs lighter after a surgery with my results and a letter which read. I found out I have stage 4 adrenal cancer. I'm on chemo, but "that's not your problem since that's not your department" right? Send my file to ---- I just might do something like that if it happens with some kind of lawsuit slapped behind it. That shyte shouldn't be allowed to be gotten away with. I sound very American at that moment >.> 

    If I save my appointment and USG referrals that will give me the 6 months to execute the plan to have my GP do the adrenal and reproductive (both endocrine go figure) testing I need to have done to be able to approach the new doc.... and cancel the appointment with the hag. Hopefully closer to an answer. Who knows with the right tests ran I could find something that will alarm someone other than me >.>