PREGNANCY-BIRTH Messages for September, 1998: Re: Almost 4 months Post Partum

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Re: Almost 4 months Post Partum

From: Deborah (anonymous@obgyn.net)
Fri, 18 Sep 1998 21:47:38 -0500 (CDT)

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At Fri, 18 Sep 1998, Christy wrote: >
>I am STILL having cramping at 4 months PP. I posted before and was told
>to see my OB. That isn't possible as my husband is in the Navy and They
>only allow for a 6 week PP visit. They want me to see a Nurse
>Practioner who has no knowledge of my pregnancy nor any knowledge of my
>MANY delivery complications. I am going to the Appt. but I suspect she
>won't give me the authorization to see my OB again. Does the insurance
>red tape bother you Dr.'s as much as it bothers the patients? What can I
>say to the Nurse to get her to authorize the visit? Any suggestions?

Christy,

First, I would like to acknowledge that *yes*, the insurance red tape bothers many of us and causes alot of daily frustration.

Secondly, I would like to encourage you not to discount the nurse practitioners ability to help you with your problem. When we see patients that we are not familiar with we simply request their medical records for our review. In addition, patients such as yourself are usually very helpful in giving us the information we need to know. At 4 months post partum, it *is* possible that your problem is not related to the pregnancy or delivery. The nurse practitioner will sort that out.

I would not visit the NP with the intent to just obtain a referral. This could impede her (him?) ability to help you. As far as your insurance, if she determines that your problem does indeed require the services of an OB.gyn then she will be able to secure that referral without difficulty. Nurse practitioners, midwives and family physicians are very well qualified to provide a pretty extensive scope of care and know when to refer to a specialist. I am sure you will receive excellent care.

I hope that your problem will soon be resolved.

>
>Thanx :)
>
>--
>Christy & Brett(5/30/98)
>
>--
>Christy
>

--
Deborah Wage, MSN,FNP,CNM
Advisor, OBGYN.net, Pregnancy and Birth

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