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Wednesday, April 18, 2012
Would it have been different?
Fortunately so far insurance is cooperating, which really is a result of our own efforts. And its a small consolation since I should have been seeing this "2nd opinion" physician from the beginning. It is so frustrating that business gets in the way. Turns out our last physician hasn't really seen much of this condition, and therefore hasn't done many of these procedures...and by not many I mean I may have been the first one he did with ultrasound guidance. I try not to be angry, because it doesn't do any good. But I am angry. I'm angry because you trust your physician to do what is best for you, and that should include the referrals that are best. I realize that isn't how all referrals work, and if there are multiple experts available then fine - but come on - in Asherman's there just aren't that many experts around. In fact the vast majority of people with Asherman's don't have any chance to see a real expert, or if they do it requires traveling not just across the state, but sometimes across the country. Lucky for me one of the national top 3 experts is just across town. Except we only have our own research to thank for that discovery since we were referred on it was to someone a couple hours away. Since we didn't know Asherman's was going to be the diagnosis when it all started I had no reason to question seeing our in-network physician in the beginning - or what he was doing for that matter. And the general concept of what he did seemed appropriate according to our research once we did know what we were dealing with. However (and I fault myself for this) I never pressed him on his experience with Asherman's. How many has he seen? What severity has he dealt with? What procedures has he done? How many? What were his personal outcomes? What was his comfort level with proceeding? What made him change his approach slightly from consult visit #1 to the last procedure? I don't know why I didn't ask any of it. I don't know if I even thought of asking it then. I don't know that it would have changed what we did anyway, especially since at the time this was the only option that insurance would cover. And really at this point it doesn't matter, but I can't help wondering. If my insurance provider didn't have to change we'd have seen this physician from the beginning; would we have been spared the heartache of an infertility diagnosis? Of failed management? Would we be still waiting on that news - and would it be the same? Will it be the same anyway? Fortunately in this process we at least haven't gone backwards or made things worse as far as we know, which has happened to many others across the country. The important thing I keep reminding myself is that at least we are in expert hands now.
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