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No Surprise

No surprise here, but I’m exhausted. These past couple of months, I have been unable to fall asleep. Honestly, it takes half a century to fall asleep. Once I’m asleep I’m good, it’s just getting there that’s hard. Thankfully, I have bloodwork in a few weeks to determine if my thyroid is the culprit. After all, it usually is!

While it’s no surprise I’m tired, it will come as no surprise that prior authorization approval is still pending for the Mayor’s Dexcom. When he was in the hospital in October, Cigna called and told us they would approve a CGM and insulin pump immediately for him. Cigna doesn’t have the best reputation, but they did the right thing. It is taking weeks for BCBS to approve the Dexcom 7. It’s unacceptable to me that BCBS would delay the medical equipment necessary to keep his blood sugar stable.

Perhaps I’ll sleep better when I’m not worrying about where his next Dexcom is coming from. I’m going to try calling again this evening. The doctor’s office reached out to BCBS yesterday. It’s so infuriating that I even have to fight this battle. At this point, I’m going to have to take it to the socials to get it approved. They already have confirmation of his type 1 diabetes and have paid for his insulin pump. This is just absolute insanity.

2025 Goal Tracker:

  • Run a 5K: in training
  • Complete Kayla Itsines program: in progress
  • No afternoon Starbucks (except for travel/vacations): I made it into February and haven’t buckled!
  • Top performer at work: on it!
  • Travel: working on it
  • Eat to lower inflammation: in progress
  • Read daily: in progress. I’m reading She Wolves by Helen Castor.
  • Get out of debt: in progress
  • Financial independence: in progress

If you could be someone else for a day, who would you be, and why?

If I could be someone else for a day, I’d want to be my Grandma T. I’d love to walk a day in her shoes with her memories and her experiences. The not-so-serious answer would be that I’d love to be Victoria Beckham for a day, so I can hang out with her husband David.

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Fabulous

I had a fabulous weekend with the family. It was, however, a bit short. Oh, and there was the fact the Mayor’s Dexcom died and so did the replacement. We had to go bare Saturday night. It was a nightmare. I don’t think I slept at all. The Dexcom gives us security. We know if his sugar is off, the Dexcom will alert us. With no Dexcom to alert us, we were back to waking up in the middle of the night to make sure he was okay.

Our change of insurance precipitated the issue with his Dexcom. While my weekend was fabulous, I think we all know health insurance in the US is far from fabulous. BCBS will not approve the Dexcom prescription without prior authorization, despite the fact that he has an insulin pump with a noted type 1 diagnosis on file. It makes me wonder if they’d rather have us manage his condition at the hospital. Surely that can’t be the more cost-effective way to manage type 1.

We ended up paying cash for one Dexcom 7 sensor to tide us over until the authorization comes through. Unfortunately, our Walgreens didn’t have any on hand. Fortunately, Sean, the pharmacy tech assisting us, called around and found us one nearby immediately. While I’m usually quite tepid in my praise for Walgreens Pharmacy, yesterday they went above and beyond for us. We all breathed a collective sigh of relief once the Mayor was back on his Dexcom 7.

In between the continuous glucose monitor drama, the Hubby and I took the puppies for walks on Saturday and Sunday. The weather was perfect for it and the dogs were thrilled to go on an adventure. Saturday is an active rest day for me, so a nice leisurely walk with the dogs was on brand. Hopefully, it’s a habit we can maintain as the spring continues. It’s great for the dogs and it’s great for us.

2025 Goal Tracker:

  • Run a 5K: in training
  • Complete Kayla Itsines program: in progress
  • No afternoon Starbucks (except for travel/vacations): I made it into February and haven’t buckled!
  • Top performer at work: on it!
  • Travel: working on it
  • Eat to lower inflammation: in progress
  • Read daily: in progress. I’m reading She Wolves by Helen Castor.
  • Get out of debt: in progress
  • Financial independence: in progress

What is the biggest challenge you will face in the next six months?

In the next six months, our youngest will be graduating high school and concluding his youth hockey career. It’s odd to think about hanging up the hockey mom life after twenty-plus years of mayhem. Anyway, it will be a big adjustment for both me and my hubby.

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Aggravating

Is there anything more aggravating than health insurance? I don’t think so. Today’s aggravation with Cigna comes from them doubling the price of my Synthroid on top of doubling my premiums. Of course, the generic is free, but unlike most drugs, Synthroid and its generic partners are not the same. Unlike other drugs, where generic may be just fine, doctors recommend you stick with what you start with. To change later would be disruptive due to differences between the drugs. This does work both ways, so if you start with the generic, you stay with the generic.

Cigna has been on my shit list for a while now. Firstly, I can no longer use the pharmacy I’ve used for 18 years. I guess they don’t want me using a pharmacy that has a majority stake in Aetna. Moreover, they’re refusing to pay for Hubby’s MRI because apparently, they know more about knee injuries than his orthopedic surgery. I guess they’d rather the surgeon root around in the operating room figuring out the scope of damage instead of the surgeon knowing and planning for it ahead of time. It’s an utter crock of shit.

What I’d like to say to Cigna

It’s aggravating because who has the time to fight with their insurance company? I’m grateful that my hubby’s injury isn’t emergent. At this point, we’d be better off playing roulette at the casino to cover our medicine bills than trusting Cigna to do the right thing by my family. After all, I’m on the hook for both the Mayor’s surgery and the Hubby’s. To be fair, I don’t think an insurer that faithfully covers their clients’ medical bills exists in this galaxy. If you find one, it’s like finding the Holy Grail. Anyway, I guess my overarching point is that Doctors should be dictating standards of care, not insurance companies and large hospital systems.

What were your parents doing at your age?

At my age, my parents were working their butts off, so my brothers and I could go to college. Their hard work and dedication to us allowed each of us to be successful. Now, I’m attempting to do the same thing with my boys. Also, when they were my age I used to make fun of them for going to bed early. Now here I am in bed by 9:00 pm every night. I guess we do eventually become just like our parents, which is just fine in my book because my folks are amazing.