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Re: Define infertility From: Kelly Shanahan (mks@sierra.net) Thu Jul 31 22:20:03 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Zach Newton: "Re: obgyn as gatekeeper..." Previous message: Fred Burson,DO: "Phrenic nerve injury with diaphragmatic paresis in a breech vaginal delivery" Maybe in reply to: Gordon M. Goldman: "Define infertility" At 03:45 PM 7/29/97 -0500, you wrote: >Listmembers, > >Have a question regarding the definition of infertility. Pt. insurance >company refuses to reimburse her for work-up of habitual abortion in >first trimester. She already has three previous uncomplicated >pregnancies, so not a primary infertile couple. Is repeated failure to >carry beyond first trimester considered infertility?? I didn't think >so, but need documentation, if avialable. > Gordon Sorry I don't have any good references, but this has worked for me (I HATE insurance companies) in the same situation: Dear Mr./Ms. Reviewer without a medical backgroud (equivalent to "you stupid git, for Monty Python fans) My patient, Ms. X, gets pregnant without any trouble, ergo, she is not infertile (you #%$@&^* idiot). She cannot carry her pregnacy beyond a certain point; now, if she is pregnant, how can she be infertile????? I am not asking to investigate infertility, I'm asking to investigate why she can't get out of the first trimester and why she doesn't have a baby in her arms yet. I am asking for you to cover a few tests which will cost about $2500, max. You can approve this or you can keep paying $800 to $1000 a pop for her D&Cs and subsequent psychiatric care for her depression brought about by her continued miscarriages. Kelly -- Kelly Shanahan, Md S. Lake Tahoe, CA Next message: Zach Newton: "Re: obgyn as gatekeeper..." Previous message: Fred Burson,DO: "Phrenic nerve injury with diaphragmatic paresis in a breech vaginal delivery" Maybe in reply to: Gordon M. Goldman: "Define infertility"

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