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Home > Archive > Multiple sclerosis support > March 2005 > anyone w/Medicare have trouble finding docs?
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anyone w/Medicare have trouble finding docs?
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| i'm shopping for a new G.P., and getting disheartened by the number of
doctors who refuse to see me with straight medicare. didn't have any
problem while i had the medi-gap policy, but now that it's getting
ready to expire, i get a lot of 'oh, the doctor isn't seeing any NEW
Medicare patients' or 'i'm very sorry, we don't accept medicare,' and
such. i realize it's because they don't want to have to accept
assignment and less money, but GRRRR! :/
the reason i'm shopping for a new doc is that the clinic i'd been going
to for years, a 10-minute bus ride or 5-minute drive from home, has now
changed their policy and no longer accept either medicare or medicaid
patients.
i called one of those 1-800-DOC-FIND places, and they suggested a
community clinic, a bus-trolley-bus ride away, probably an
hour-and-a-half one way, and it's a first-come, first-served policy --
they said to be preapred to wait 2 to 4 hours to be seen. ACK!
i already depend a lot on the neuro and my gynecologist for regular
care, but it's not like i'm going to make an appt. with either of them
for something like a viral infection or sprained ankle.
anyone else have this problem? it's frustrating!!
rose
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| HI Rose,
I can't say I have had that trouble "yet". After managing a medical
practice for quite a while I can tell you why more and more are not
taking Medicare patients...they really get paid nothing compared to
private pay and regular insurance reimbursements. I my area it is
primarily retirement so doctor here would put themselves out of
business if they didn't do Medicare...where do you live? I don't think
any of them accept Medicare assignment but they almost all accept
Medicare patients.
Sorry you are having such a hard time!!! Don't give up the search,
maybe you could contact a retirement home (not that you need one!!)
or a senior center and ask who their retirees see...they might have a
suggestion.
Good Luck!
Kami
"rose" <rosedawn_scott@yahoo.com> wrote in message
news:1111853513.648554.115850@l41g2000cwc.googlegroups.com...
> i'm shopping for a new G.P., and getting disheartened by the number of
> doctors who refuse to see me with straight medicare. didn't have any
> problem while i had the medi-gap policy, but now that it's getting
> ready to expire, i get a lot of 'oh, the doctor isn't seeing any NEW
> Medicare patients' or 'i'm very sorry, we don't accept medicare,' and
> such. i realize it's because they don't want to have to accept
> assignment and less money, but GRRRR! :/
>
> the reason i'm shopping for a new doc is that the clinic i'd been going
> to for years, a 10-minute bus ride or 5-minute drive from home, has now
> changed their policy and no longer accept either medicare or medicaid
> patients.
>
> i called one of those 1-800-DOC-FIND places, and they suggested a
> community clinic, a bus-trolley-bus ride away, probably an
> hour-and-a-half one way, and it's a first-come, first-served policy --
> they said to be preapred to wait 2 to 4 hours to be seen. ACK!
>
> i already depend a lot on the neuro and my gynecologist for regular
> care, but it's not like i'm going to make an appt. with either of them
> for something like a viral infection or sprained ankle.
>
> anyone else have this problem? it's frustrating!!
>
> rose
>
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| rose wrote:
> the reason i'm shopping for a new doc is that the clinic i'd
> been going to for years, a 10-minute bus ride or 5-minute
> drive from home, has now changed their policy and no longer
> accept either medicare or medicaid patients.
Don't they have an ethical obligation to see you or refer you?
I'd ask them to help me find someone else ... and I'd make a call to
the state medical society to see what the doctors' obligations are ...
Good luck.
Kathie
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| Rob Duncan 2005-03-29, 7:15 pm |
|
"KKT" <sendme.nospam@hotpop.com> wrote in message
news:424597f7$1_3@newspeer2.tds.net...
> rose wrote:
>
>
> Don't they have an ethical obligation to see you or refer you?
>
> I'd ask them to help me find someone else ... and I'd make a call to the
> state medical society to see what the doctors' obligations are ...
>
> Good luck.
>
> Kathie
They dont. Rose, maybe giving the local MS society a call may work to your
advantage. I bet they run into that problem frequently. Hows the weight
gain diet going? It gets a tad tiresome to stick to that every, single,
day... doesnt it? But it works.
Rob
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| Kami wrote:
> HI Rose,
>
> I can't say I have had that trouble "yet". After managing a medical
> practice for quite a while I can tell you why more and more are not
> taking Medicare patients...they really get paid nothing compared to
> private pay and regular insurance reimbursements. I my area it is
> primarily retirement so doctor here would put themselves out of
> business if they didn't do Medicare...where do you live? I don't
think
> any of them accept Medicare assignment but they almost all accept
> Medicare patients.
hi kami,
i understand why they don't want to take medicare patients, but
understanding it and havig to live with it are two different things.
;-> my own neurologist is no longer accepting new medicare patients;
the reason i'm still seeing him is that he's been my neuro since '93,
and he's still seeing his medicare and medicaid patients already in his
case load, but he's no longer accepting new patients, unless they're
signed up with the specific plan from the hospital he's on staff at.
ACK -- I used to be beter with proper grammar, i'll just assume you
know what i'm talkinga bout, even though it was phrased very clumsily!
=:o
i'm in san diego, CA. i think lot of our local retirees are retired
military, and thus enrolled in CHAMPUS/CHAMPVA or the plan whose name
i'm forgetting at the moment...is it 'tri-care,' or something like
that?
> Sorry you are having such a hard time!!! Don't give up the search,
> maybe you could contact a retirement home (not that you need one!!)
> or a senior center and ask who their retirees see...they might have a
> suggestion.
well, the 1-800-DOC-FIND number i was given by the clinic will search
based on your insurance and your local area...it looks like i'll be
able to FIND a place to be seen, it'll just be far away, difficult to
get to, and have a long, long, LONG wait in store. the community
clinics generally accept both medicare and medicaid patients. i was
just hoping i might be able to find someone closer, whose office made
appointments instead of first come/first served. we do have a local
senior center, asking them about docs could be helpful.
thanks for the suggestion! :->
best,
rose
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| KKT wrote:
>
> Don't they have an ethical obligation to see you or refer you?
no, not if the group no longer accepts one's particular type of
insurance. they did kinda-sorta refer me, by giving me the 800-number.
my own neurologist is no longer accepting any new medicare patients,
but because he's been my doc for so long, he IS continuing to see his
long-term medicare patients. and my neuro's a good'un, so i'm glad
about that!
i'll keep looking -- it's not the end of the world, it's just
frustrating as all get-out. :/
rose
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| Rob Duncan wrote:
> They dont. Rose, maybe giving the local MS society a call may work
to your
> advantage. I bet they run into that problem frequently.
hi rob,
i'm giving my own badself a big giant 'DUUUUUH' right now -- i never
thought about calling the M.S. Society. sounds like a good idea, they
may have some helpful info for me -- pause to write it on my calendar
for monday!
> Hows the weight
> gain diet going? It gets a tad tiresome to stick to that every,
single,
> day... doesnt it? But it works.
holding steady at 105. i saw the neuro this month, and while he was
pleased, he's not ready to get me back on schedule for novantrone
treatments yet. i see him again next month, and we'll talk further
about it.
it actually hasn't been that tireseome, rob -- before this, i was on a
5,000 calroie a day diet, with ensure supplments, and literally, almost
ALL I did was cram in food i didn't want when i didn't feel hungry, all
damn day long -- now THAT got tiresome, and i felt like hell all the
time.
it's been almost like a vacation, really!! :-> i still haven't been
waking up hungry -- i just don't seem to have much of an appetite
anymore. but, as i said before, maybe it's just because my body got so
used to calorie-overdose, it's taking time to get back to normal. i
dunno, but i'm definitely glad to be maintaining without having to eat
like a herd of half-starved elephants every day! =:o
rose
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"rose" <rosedawn_scott@yahoo.com> wrote in message
news:1111853513.648554.115850@l41g2000cwc.googlegroups.com...
> i'm shopping for a new G.P., and getting disheartened by the number of
> doctors who refuse to see me with straight medicare
My mother is 73 and was going to what i thought was a really bad doctor.
Lots of things he did that i didn't agree with, combined with poor customer
service, no call backs, etc. I told her i was going to find her another doc
to try. She has medicare with a Blue Cross supplemental which is suppose to
pick up what Medicare doesn't. I was shocked that it was so hard to find
her a GP that would take Medicare. I even called referral services etc.
Finally asked my SIL grandparents what doc they used. They gave me a name
of a doc they have used for years and he happened to be taking new patients.
My mom likes him and i feel like i really lucked out.
I guess my point is, that i know what you are going through Rose. Good luck
in your search.
TC,
Jodi
| |
| Rob Duncan 2005-03-29, 7:15 pm |
|
"rose" <rosedawn_scott@yahoo.com> wrote in message
news:1111943667.117701.253260@g14g2000cwa.googlegroups.com...
> Rob Duncan wrote:
> to your
>
> hi rob,
>
> i'm giving my own badself a big giant 'DUUUUUH' right now -- i never
> thought about calling the M.S. Society. sounds like a good idea, they
> may have some helpful info for me -- pause to write it on my calendar
> for monday!
>
> single,
>
> holding steady at 105. i saw the neuro this month, and while he was
> pleased, he's not ready to get me back on schedule for novantrone
> treatments yet. i see him again next month, and we'll talk further
> about it.
>
> it actually hasn't been that tireseome, rob -- before this, i was on a
> 5,000 calroie a day diet, with ensure supplments, and literally, almost
> ALL I did was cram in food i didn't want when i didn't feel hungry, all
> damn day long -- now THAT got tiresome, and i felt like hell all the
> time.
>
> it's been almost like a vacation, really!! :-> i still haven't been
> waking up hungry -- i just don't seem to have much of an appetite
> anymore. but, as i said before, maybe it's just because my body got so
> used to calorie-overdose, it's taking time to get back to normal. i
> dunno, but i'm definitely glad to be maintaining without having to eat
> like a herd of half-starved elephants every day! =:o
>
> rose
Im so happy thats working for you. High quality protein makes a world of
difference in inducing anabolism. (muscle growth) Truly, I think Ensure is
a sick joke some great marketeers have pulled on an unsuspecting public. I
think the stuff is garbage compared to a real weight (muscle) gain drink.
Im sorry youre not waking up hungry. That should have happened. Maybe its
the MS? Who knows? Speaking of hungry... I need some chocolate milk and
some chips. (the NCAA tournament is on.) Did you see yesterdays two
overtime games? Wild, huh?! This is a good year for college basketball! I
was rooting for Washington and Arizona, but pfft... they both collapsed.
Didnt deserve to win.
I am SO much more into college sports these days. Im disgusted with most
pro athletes. Greedy, drug using, wife beating, arrogant, "whats in it for
me," attitude smart-allecks. (sp?) Im glad the NHL closed down for the
season. (Sorry Canada) I love hockey, live, in person, but not on tv. Its
no fun.
A friend of mine, Billy, was a pro soccer player. Decided to finish his 3rd
Masters and is now working on his Phd up in Spokane. He drove down for the
holidays and played in an indoor soccer tournament here on our team. It was
hillarious. The team renamed itself "The Fighting Ponies!" Had pink
jerseys with those iron-on appliques of silly 12 year old girl type
butterflyes and unicorns and such. They wiped the place up. The Open
Division players never new what hit em. One time I told Billy Id buy him a
piture of beer if he scored 5 goals. He did. In the first half. Some
athletes are amazing. He probably weighs around 145lbs. 5'6" or so. Just
rambling...
Rob
| |
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| Jodi wrote:
> My mother is 73 and was going to what i thought was a really bad
doctor.
> Lots of things he did that i didn't agree with, combined with poor
customer
> service, no call backs, etc. I told her i was going to find her
another doc
> to try. She has medicare with a Blue Cross supplemental which is
suppose to
> pick up what Medicare doesn't. I was shocked that it was so hard to
find
> her a GP that would take Medicare. I even called referral services
etc.
> Finally asked my SIL grandparents what doc they used. They gave me a
name
> of a doc they have used for years and he happened to be taking new
patients.
> My mom likes him and i feel like i really lucked out.
>
> I guess my point is, that i know what you are going through Rose.
Good luck
> in your search.
thanks, jodi! i'm glad things worked out well for your mom. it is kind
of hit or miss -- the docs who accept medicare may already have so many
patients that they're not taking on anyone new.
i tried the M.S. society first thing this morn -- unfortunately, they
said they couldn't help with G.P.s, they have a list of neurologists
that they refer folks to, but i guess the assumption is that everyone
already has his or her own primary doc. if it turns out i have to go to
one of the clinics and waste an entire day to get seen for a bronchial
infection or something -- oh well, it's not like i've never done it
before. i suppose i could also just do without regular care, and pay a
doctor cash when something non-ignoreable comes up...the OB/GYN already
measures and weighs me, takes my BP, listens to my heart, etc.
if it was easier to get from place to place, this would be less of a
hassle, but as things stand now, doctor's appts. involve trying to
schedule them around dennis's work schedule, or him having to go in to
work late. i'm just not able to take public transpo, transfer, and walk
these days, as i always did previously. another good thing about
(hopefully, soon!) being approved by medicare for the power wheelchair
would be tht I COULD get around to doc's appointments without having to
be carted around.
BTW, Jodi, how is Tracey doing with the novantrone? every time i talk
to the neuro about it, i think of her, and hope she's hanging in there
and doing better.
best,
rose
| |
|
| On 28 Mar 2005 08:22:46 -0800, "rose" <rosedawn_scott@yahoo.com>
wrote:
>
>thanks, jodi! i'm glad things worked out well for your mom. it is kind
>of hit or miss -- the docs who accept medicare may already have so many
>patients that they're not taking on anyone new.
>
>i tried the M.S. society first thing this morn -- unfortunately, they
>said they couldn't help with G.P.s, they have a list of neurologists
>that they refer folks to, but i guess the assumption is that everyone
>already has his or her own primary doc. if it turns out i have to go to
>one of the clinics and waste an entire day to get seen for a bronchial
>infection or something -- oh well, it's not like i've never done it
>before. i suppose i could also just do without regular care, and pay a
>doctor cash when something non-ignoreable comes up...the OB/GYN already
>measures and weighs me, takes my BP, listens to my heart, etc.
>
>if it was easier to get from place to place, this would be less of a
>hassle, but as things stand now, doctor's appts. involve trying to
>schedule them around dennis's work schedule, or him having to go in to
>work late. i'm just not able to take public transpo, transfer, and walk
>these days, as i always did previously. another good thing about
>(hopefully, soon!) being approved by medicare for the power wheelchair
>would be tht I COULD get around to doc's appointments without having to
>be carted around.
>
>BTW, Jodi, how is Tracey doing with the novantrone? every time i talk
>to the neuro about it, i think of her, and hope she's hanging in there
>and doing better.
>
>best,
>rose
Ask the MS Society for a referral to a neurologist near you, call the
neurologist and ask what GP they best like to work with, call that GP
and see if you can get an appointment.
Donn
| |
|
| Rob Duncan wrote:
> the MS? Who knows? Speaking of hungry... I need some chocolate
milk and
> some chips. (the NCAA tournament is on.) Did you see yesterdays two
> overtime games? Wild, huh?! This is a good year for college
basketball!
michigan state/kentucky was an exciting one! i haven't got any ties to
either michigan or kentucky, so we watched without rooting for anyone,
just to see a decent game.
> I am SO much more into college sports these days. Im disgusted with
most
> pro athletes. Greedy, drug using, wife beating, arrogant, "whats in
it for
> me," attitude smart-allecks. (sp?) Im glad the NHL closed down for
the
> season. (Sorry Canada) I love hockey, live, in person, but not on
tv. Its
> no fun.
i know you've said before you're a big NFL fan -- do you watch college
football too? we all enjoy college football more than NFL generally.
the 2 sports we go out of our way to watch are boxing and racing, catch
the super bowl every year -- seems un-american to do otherwise. ;->
i know what you mean about pro sports. about once every 10 years, the
chargers do something that makes san diego sit up and take
notice...then every time, they proceed to blow it BIG-time! and the
city is going to spend taxpayer money to build one of the crummiest
football teams of all time a new stadium.
it's ridiculous -- EVERY single person i talk to says 'if LA. wants
them, let them go to L.A. -- they don't deserve a new stadium!' but the
city pols disregard what the fans say and pander to the sports teams. i
like LaDanien tomlinson, but L.T. can't carry a whole team on his own!
ryan leaf and drew brees are spoiled, overpaid, and only intermittently
decent players. i'll miss doug flutie -- not because he was the best or
brightest, but because he was DAMN good for an old guy -- he had heart,
and it showed, especially compared against the younger, higher-paid
players.
i like hockey on teevee ok, but i know what you mean about live games
-- when i was a kid, we used to go to baltimore and watch the clippers,
LOL -- not a pro team, but fun games. i even remember their song: 'go
you baltimore clippers, go you clippers from baltimore/fight you
baltimore clippers, and face the fight for a baltimore score!' LOL!
dennis's bro-in-law plays for a local team, and of course, we're
interested, since a relative/friend plays. ;->
'defensemen, forwards and goalies, we'll win without a doubt; for
baltimore and maryland, every clipper fan will shout: FIGHT! FIGHT!
FIGHT!"
LOL, sorry -- childhood flashback there. ;-> and i never even lived
in bo'more, although i did take my GED there, lo these many years ago.
i'm a 'skins fan, no matter how they're doing, always will be i guess.
growing up in DC, i guess one's 'hometown teams' tend to stick with ya.
oh, BTW -- my oldest sis has been a sports nut since she was a kid
(she's almost 60 now). she and her husband liked to go to L.A. and
watch HIGH SCHOOL sports, trying to spot who'd make a great college
and/or pro player. i'll never forget, years ago, she told me she and
her husband had been to a H.S. game, and she said 'ithere's this kid
i've got my eye on...his name is shaqille o'neill...' LOLOL!! she sent
us a pic of her posing with shaq, my sis is 4'11" -- the picture was
HILARIOUS! you get to see the VERY top of her head, about level with
his belt area, and the top of HIS head didn't make it into the shot.
oh well, i'm rambling too...
ramblin' rose ;->
| |
|
|
"rose" <rosedawn_scott@yahoo.com> wrote in message
news:1112026966.601240.105460@g14g2000cwa.googlegroups.com...
> BTW, Jodi, how is Tracey doing with the novantrone? every time i talk
> to the neuro about it, i think of her, and hope she's hanging in there
> and doing better.
>
> best,
> rose
She is doing ok, good days/bad days, alot of puky days. She took a spill
going out a friends house whose driveway is on a hill so she is pretty sore
from that right now.
The doc had her on Novantrone every 6 weeks, then when the tysabri didn't
go through the doc said she doesn't want her to do anymore Novantrone til
she has another MRI. I'm not sure why because she just had one around
Christmas. Anyway, now that she has a port they use a different MRI machine
and she can't get in til May 22, so she is kinda on hold right now, only
doing betaseron. Hopefully she will get a little relief from the nausea
though.
Thanks for asking Rose, my daughter always asks how you are doing too. 
TC,
Jodi
| |
|
|
"rose" <rosedawn_scott@yahoo.com> wrote in message
news:1112026966.601240.105460@g14g2000cwa.googlegroups.com...
> it is kind
> of hit or miss -- the docs who accept medicare may already have so many
> patients that they're not taking on anyone new.
The one i finally found was not advertising, was not on any of the referral
lists and i never would have known he was accepting new patients except by
word of mouth. When we went there, he did have an "accepting new patients"
sign up inside the office. I wonder if just hitting the phone book and
calling would get you any leads?
If you do have to go across town to a doc, do they have anything like
dial-a-ride there? We have a program called dial-a-ride for senior citizens
and the disabled (they also have vans) who will give rides for $1. You have
to set the rides up in advance though. Would your local MS Society know if
that is available in your area?
Jodi
| |
|
|
"Jodi" <hellofromjodi@nospamcharter.net> wrote in message
news:yg_1e.18849$OC2.260@fe03.lga...
> If you do have to go across town to a doc, do they have anything like
> dial-a-ride there? We have a program called dial-a-ride for senior
> citizens and the disabled (they also have vans) who will give rides for
> $1. You have to set the rides up in advance though. Would your local MS
> Society know if that is available in your area?
I don't know if this is near you or not, but maybe they would have info on
if dial-a-ride is in your area:
DIAL A RIDE
Disabled/Seniors OC Transit District ----Orange County ......(714) 636-7433
Dial a ride is like a taxi afa it picks you up from your home. Here is some
general info:
What Services Does Dial-a-Ride Provide?
ADA: The Americans with Disabilities Act (ADA) of 1990 requires public
transportation agencies to provide paratransit services—which complement
regular fixed-route bus service—for individuals who do not have the
functional ability to ride public transit buses. Dial-a-Ride ADA service
provides shared-ride public transportation that complies with the
requirements of the ADA.
Dial-a-Ride service is available to:
a.. Persons who meet the eligibility requirements of the Americans with
Disabilities Act (ADA),
b.. Other persons with disabilities,
c.. Senior citizens age 65 and over,
d.. and in some cases the general public.
You may be asked for identification to establish your eligibility to use
Dial-a-Ride services.
> Jodi
| |
|
| Jodi wrote:
> She is doing ok, good days/bad days, alot of puky days. She took a
spill
> going out a friends house whose driveway is on a hill so she is
pretty sore
> from that right now.
OUCH. I bet she's metaphorically kicking herself for not having been
careful enough -- one of the hardest things for me to deal with is
remembering I NEED to pay constant attention to what i'm doing, to
avoid the avoidable spills, bumbs, and cuts. when i'm doing something
that i realize needs my full attention, i generally do well, but it's
those things i've done a zillion times before, where i figure i've got
it down, that sometimes get me. i hope she feels better from THAT
soon!!
> The doc had her on Novantrone every 6 weeks, then when the tysabri
didn't
> go through the doc said she doesn't want her to do anymore Novantrone
til
> she has another MRI. I'm not sure why because she just had one
around
> Christmas.
did tracey get one dose of tysabri before it was pulled? I know that,
for those folks who did, it seems their neuros are ordering
precautionary MRIs, just to make sure nothing weird shows up. i
shouldn't speculate though. maybe they just want to check the lesion
burden after all the novantrone infusions she's had -- maybe it'll show
something good! (fingers crossed!)
Anyway, now that she has a port they use a different MRI machine
> and she can't get in til May 22, so she is kinda on hold right now,
only
> doing betaseron. Hopefully she will get a little relief from the
nausea
> though.
yeah, i'm pretty much on hold right now too, minus the betaseron. if
actual cannabis isn't always available, i do know that docs will
prescribe marinol for nausea; maybe that would be helpful?
anyway, both of you have my best good thoughts -- i wish i had more to
offer, but FWIW, sympathy, empathy, and wishes for the greatest of good
fortune comin' atcha from san diego!!
rose
| |
|
| Jodi wrote:
> If you do have to go across town to a doc, do they have anything like
> dial-a-ride there? We have a program called dial-a-ride for senior
citizens
> and the disabled (they also have vans) who will give rides for $1.
You have
> to set the rides up in advance though. Would your local MS Society
know if
> that is available in your area?
hi jodi,
we USED to have the dollar dial-a-ride, and man was it great! it was a
taxi, you gave them a call half an hour before you wanted to be picked
up, and as many folks as would fit in the cab rode around together,
being dropped off one by one. it would take you anywhere within 10
miles. it was actually kinda fun -- at least for somebody like me,
who's been known to convo with strangers on public transpo and such.
;-> unfortunately, when the county went broke, the service went
bye-bye. (it was a general service, not only for seniors and disabled,
but anyone who wanted to travel within a 10-mile area.)
what we do stil have is the 'access bus' -- every bus and trolley in
the county is accessible, but the access bus comes to your door and
drops you off at the office door. it's not for general travel, but for
doctor's appts. and such. it's $4.50 one way, which is a bit steep, but
the real impediment at the moment is that one has to be in a wheelchair
to use it -- they call it the 'para-transit' as well. i've got the
manual chair, which means i'd be eligible -- but i honestly don't have
the arm strength necessary to wheel myself into the building, in and
out of hte elevator, and down the hall. when i DO get approval for the
power chair, i imagine i'll make use of the access bus from time to
time!
i'm nostalgic for dial-a-ride. don't get me wrong, it's great to have
the para-transit, but it'd be downright KEEN to be able to go to the
mall, the park, a friend's house, etc., without having to be picked up
and carted around and imposing on friends and loved ones every time i
go further than the cul-de-sac.
(at this point, i'm just bitching and grousing a little bit -- there
are a lot of people a lot worse off -- it's more like a heavy-sigh
frustration about the whole thing than a worry that i won't be able to
get to necessary medical appointments.)
i know we've all got problems of our own, so sorry about the eeyore
act, and thanks for indulging my complaining! :->
rose
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