What better way to end another week than with randomness.
*Jay over at Play's With Sirens is a fireman and any week when the guys have to work Mon, Wed, Fri they refer to it as hell week (yep, I said hell it's my blog and it's allowed cause I said so). Well I work hell week every week, what was I thinking?!?!
*Ian finally decided to show us what he can do and rolled over at our house I witness the roll in the morning and Marcus got witness that same night. I also got it on camera and in attempts to upload everything from the camera to the computer to a flash drive it didn't make the transfer and got deleted. I have since been waiting for a performance for the camera.
*Work has been work and we'll leave it at that. I am looking into other avenues though but nothing concrete. Marcus is also looking at different options. So if you pray and your prayer list is a little short the Z's could use some.
*We leave for San Diego in 25 days (whose counting?) and my sister has been looking at the weather and well folks we will be layering!!! Our goal is to each pack in carry-ons. It's going to take some planning and rolling. I'm thinking I will arm my parents with coupons and some cash to get diapers and food for Ian before we arrive. We are also trying not to have a jam packed schedule while were there either it is a vacation so we do want to do some relaxing. And of course workout as we will be doing some great eating!!
*Groupon, has anyone seen the deals they have on there?? Everyday I get a new one for the San Diego area in my inbox. For things that you may normally not think to do while there.
*there is serious thought going into starting P90x this fall, gotta get ready for swimsuit season next summer. (you can never start too early right?)
*Only a few days and we will find out if in fact Ali has found her lover boy or if she says bye to both Roberto and Chris. I have heard rumors that she is still single and choose no one. I do like Chris so if those rumors are in fact rumors I do hope Chris is her lover boy.
*pictures will be coming soon. A new camera is on order, although the only color they had left to order was orchid. Marcus is still a little unsure about it he keeps calling it pink and I keep reminding him it's orchid and it's a good deal, so get over it!!
Have a great weekend, we (I use the term very losely) are going to continue to work on finishing the basement although I did just ask for a pull up bar to be installed so it probably doesn't help that I keep adding things to the list. Oh well...
Friday, July 30, 2010
Wednesday, July 28, 2010
soap box derby
It's like a soap box derby around here. I'm pulling out my soap box left and right and jumping on and saying what I need to say to anyone who will listen. Thank you Marcus, mom, dad and Marci:)
Remember On Monday I was going to call the orthotics place and insurance? Well, have no fear I did and we may or may not be going over our minutes for yet another month. Maybe I can bill those to insurance?
First call was to orthotics who was surprised when I said we received a letter as they had yet to get one. Next she was surprised on their reasoning and agreed it was lame (yeah I got my soap box back out for her too). Next step is to appeal it and throw so much information their way that they cave and agree to cover it.
Second call was to insurance this was call probably wasn't necessary but hey I thought maybe I can ask for an exchange on their decision in my head it went something like this after I dialed 1 and verified my identity:
I(insurance): how may I assist you today
me: yes, I would like to exchange your lame excuse letter for not covering my son's durable device for an approved coverage letter please (this is where I would get out my soap box)
I: well of course mam, we are sorry that you aren't satisfied with that, our goal here is to make sure everyone is happy and cared for in the best way possible. We do apologize for the error we made in making our decision. Let me just go into the system and get that changed for you.
me: "smiling ear to ear" thank you
WAKE UP!!!
Yeah, it went nothing like that at all (It really hurt my exchange/return record). Instead after she pulled up our records and I pulled out my soap box,I think she put me on speaker then muted the phone and went for a coffee refill, potty break, water cooler catch up session (where they probably talked about me and what they were having for dinner) and came back to say "mam, that is all not to true there are some procedures that are guaranteed and those who reviewed the case felt this was not one of them and when you appeal it you are more than welcome to include everything you said into a letter." As I defeatedly got down from my soap box and was pissed beyond pissed I did what any female would do (no matter how sensitive you are)....CRY!!!
I talked to Marcus as I was trying to figure out why I'm so pissed at their decision when all along I knew the chances they wouldn't cover it were very high so I shouldn't be surprised by their response. What I wasn't prepared for was their choice of words. You can bet we aren't going down without a fight. As I said before Ian will get what he needs with or without the help from insurance (obviously it would be great for insurance to help).
Remember On Monday I was going to call the orthotics place and insurance? Well, have no fear I did and we may or may not be going over our minutes for yet another month. Maybe I can bill those to insurance?
First call was to orthotics who was surprised when I said we received a letter as they had yet to get one. Next she was surprised on their reasoning and agreed it was lame (yeah I got my soap box back out for her too). Next step is to appeal it and throw so much information their way that they cave and agree to cover it.
Second call was to insurance this was call probably wasn't necessary but hey I thought maybe I can ask for an exchange on their decision in my head it went something like this after I dialed 1 and verified my identity:
I(insurance): how may I assist you today
me: yes, I would like to exchange your lame excuse letter for not covering my son's durable device for an approved coverage letter please (this is where I would get out my soap box)
I: well of course mam, we are sorry that you aren't satisfied with that, our goal here is to make sure everyone is happy and cared for in the best way possible. We do apologize for the error we made in making our decision. Let me just go into the system and get that changed for you.
me: "smiling ear to ear" thank you
WAKE UP!!!
Yeah, it went nothing like that at all (It really hurt my exchange/return record). Instead after she pulled up our records and I pulled out my soap box,I think she put me on speaker then muted the phone and went for a coffee refill, potty break, water cooler catch up session (where they probably talked about me and what they were having for dinner) and came back to say "mam, that is all not to true there are some procedures that are guaranteed and those who reviewed the case felt this was not one of them and when you appeal it you are more than welcome to include everything you said into a letter." As I defeatedly got down from my soap box and was pissed beyond pissed I did what any female would do (no matter how sensitive you are)....CRY!!!
I talked to Marcus as I was trying to figure out why I'm so pissed at their decision when all along I knew the chances they wouldn't cover it were very high so I shouldn't be surprised by their response. What I wasn't prepared for was their choice of words. You can bet we aren't going down without a fight. As I said before Ian will get what he needs with or without the help from insurance (obviously it would be great for insurance to help).
Monday, July 26, 2010
experimental
Warning!!! I'm getting out my soap box.
On Friday I called insurance on my way home work and I of course I went through a dead zone and lost the call. Which means I had go back through the whole regamole and start back at square 1. After some looking the status was still pending. I asked how long it takes to say yes or no if something is marked URGENT and was told to call back Monday afternoon (today).
Once home with my favorite lil guy, we got the mail and wouldn't you know there was an envelope for Ian. I proceeded to open it (with his permission of course) and it was from the insurance company. And they denied coverage because it is experimental/investgational. Now, we knew all along the chances of them covering would be very slim but their reasoning is a bit of a stretch. Isn't everything in the medical field experimental/invesgational doctor's practice medicine for a reason. Nothing in the medical field is 100%. My sister broke her wrist they set it and put a cast on, only to then have to do surgery to re-break it and put pins in. She still has some issues with it...seems a bit experimental to me. Through all my research I've done with the cranal remolding they've all had success stories. So I guess I'm a bit confused as to how this is experimental/invesgational.
I'm going to call the orthotics company and see of there is anything else they can do to help get it covered or if it's just a loss cause. Marcus and I talked and had they just come back with the answer of no with the reasoning that Ian's case is not severe enough or they feel it's just comestic (which isn't true) then we wouldn't have an issue with it. But we feel their reasoning is a cop-out and a sad excuse.
The bottom line is that Ian is no matter what going to get what he needs.
The soap box has been put away, thanks for your time.
On Friday I called insurance on my way home work and I of course I went through a dead zone and lost the call. Which means I had go back through the whole regamole and start back at square 1. After some looking the status was still pending. I asked how long it takes to say yes or no if something is marked URGENT and was told to call back Monday afternoon (today).
Once home with my favorite lil guy, we got the mail and wouldn't you know there was an envelope for Ian. I proceeded to open it (with his permission of course) and it was from the insurance company. And they denied coverage because it is experimental/investgational. Now, we knew all along the chances of them covering would be very slim but their reasoning is a bit of a stretch. Isn't everything in the medical field experimental/invesgational doctor's practice medicine for a reason. Nothing in the medical field is 100%. My sister broke her wrist they set it and put a cast on, only to then have to do surgery to re-break it and put pins in. She still has some issues with it...seems a bit experimental to me. Through all my research I've done with the cranal remolding they've all had success stories. So I guess I'm a bit confused as to how this is experimental/invesgational.
I'm going to call the orthotics company and see of there is anything else they can do to help get it covered or if it's just a loss cause. Marcus and I talked and had they just come back with the answer of no with the reasoning that Ian's case is not severe enough or they feel it's just comestic (which isn't true) then we wouldn't have an issue with it. But we feel their reasoning is a cop-out and a sad excuse.
The bottom line is that Ian is no matter what going to get what he needs.
The soap box has been put away, thanks for your time.
Friday, July 23, 2010
Why I do it
Some of you who I'm friends with on FB know that I workout...up to anywhere from 2-3x a day. Yes sometimes 3x in 1 day. Why? Well, when I'm at work I workout at both locations I manage so there are 2 workouts (if you want to call them that I really have zero motivation to workout at work but do it for the clients) and then when I get home from work Marcus, Ian and I hit the road for a run. On the days that I get to be with Ian all day I will go for a run in the AM and then usually do something again in the PM. Before Ian entered ourlives and while I was pregnant I would workout 2x a day everyday except for Saturday's. This all started back in 2005 and I've been working out 2 or 3x a day since before that it was 1 time a day 6 days a week.
Anyways back to the title. I do this because 1)my body is use to it 2)I don't want any health issues as my age increases that can be avoided with a healthy lifestyle 3)I enjoy doing it, I feel accomplished 4)I want to instill into Ian the importance of daily exercise 5)sometimes I suck at making healthy food choices so I try to make it up with exercise 6)I simply want to be healthy and not carry a spare tire around my midsection
A friend has been inviting me to join her at her gym to workout the last week or so and it's been fun to change things up. We went to a bodypump class last week and if you ever have the opportunity to go a Les Mills bodypump class I highly encourage you to check it out. It will push you to your max, leave you with shakey legs and arms and you may not be able to properly shampoo or style your hair for at least 3 days without pain. My sister Marci is currently going thru the certification process to become an instructor. So I expect to have DVD's sent to my house for me to do at home which each new launch. Anyways I'm going back again tomorrow so if you see me around with "Ali hair" it's because I can't wash or brush it.
This week I went to a spinning class this was my 2nd time ever doing spinning and if you are looking to fill a bucket with sweat then you should probably go to a spinning class. Although it really comes down to how hard you want to work and how much you want to put into your workout. I never thought of spinning as a total body workout as who knew you used your core muscles while peddling. Well now I know, and can we please get so more padding on those seats by goodness. I must say this time my butt bones didn't hurt near as much as they did the 1st time.
Overall I really enjoy working out even when my legs are shaking, sweat is dripping and I'm doubting myself as to if I can finish the run that i started. I'm super proud of my hubby for lacing up the running shoes and hitting the road with Ian and I. He has also laced up his basketball shoes and start to shooting hoops with a friend of his and then running afterwards. So in a matter of 3wks he went from a couch potato to a 4x a week worker outer. And is making much healthier food choices. We should pretty much open up a smoothie store. Our blender is getting quite the workout as well.
If you're thinking out about working out you should probably stop thinking and get started. Anything is better than sitting around, you'll feel better and look better.
Anyways back to the title. I do this because 1)my body is use to it 2)I don't want any health issues as my age increases that can be avoided with a healthy lifestyle 3)I enjoy doing it, I feel accomplished 4)I want to instill into Ian the importance of daily exercise 5)sometimes I suck at making healthy food choices so I try to make it up with exercise 6)I simply want to be healthy and not carry a spare tire around my midsection
A friend has been inviting me to join her at her gym to workout the last week or so and it's been fun to change things up. We went to a bodypump class last week and if you ever have the opportunity to go a Les Mills bodypump class I highly encourage you to check it out. It will push you to your max, leave you with shakey legs and arms and you may not be able to properly shampoo or style your hair for at least 3 days without pain. My sister Marci is currently going thru the certification process to become an instructor. So I expect to have DVD's sent to my house for me to do at home which each new launch. Anyways I'm going back again tomorrow so if you see me around with "Ali hair" it's because I can't wash or brush it.
This week I went to a spinning class this was my 2nd time ever doing spinning and if you are looking to fill a bucket with sweat then you should probably go to a spinning class. Although it really comes down to how hard you want to work and how much you want to put into your workout. I never thought of spinning as a total body workout as who knew you used your core muscles while peddling. Well now I know, and can we please get so more padding on those seats by goodness. I must say this time my butt bones didn't hurt near as much as they did the 1st time.
Overall I really enjoy working out even when my legs are shaking, sweat is dripping and I'm doubting myself as to if I can finish the run that i started. I'm super proud of my hubby for lacing up the running shoes and hitting the road with Ian and I. He has also laced up his basketball shoes and start to shooting hoops with a friend of his and then running afterwards. So in a matter of 3wks he went from a couch potato to a 4x a week worker outer. And is making much healthier food choices. We should pretty much open up a smoothie store. Our blender is getting quite the workout as well.
If you're thinking out about working out you should probably stop thinking and get started. Anything is better than sitting around, you'll feel better and look better.
Monday, July 19, 2010
remolded
Our Dr looked over the scans and agreed that Ian needs to be remolded. He signed off on the medical necessity paperwork and the orthotics company sent all the info to insurance on Friday 7/16 it can take up to 30days for insurance to make a decision. Now, no matter what insurance decides Ian will be remolded with that said you wonder why wait the 30 days to hear back from insurance. Well, we thought the same thing in fact I already made an appt for measurements to be taken and what not. But, I'm going to cancel that appt. and reschedule for later because if you look at from a business perspective they won't work as hard and be on top of insurance to come back with a decision if we have already given them money. We all know how insurance works and businesses work...the evaluation scan was 350 or that is what they will bill insurance if insurance won't cover it then they will only charge us what it costs them to do the scan. Can you says screwed up?? The amount they would charge us is about half what they would charge insurance. So now 2x a week I will be calling insurance and once a week I will be calling the orthotics people. Why?? Well I have learned that presistance pays off and I won't let them forget about my lil boy and what he needs. I called insurance 3x a week for 2 months straight to get them to change the way they were looking at Ian's hospital bill...pros and cons to be born on New Year's Eve. Anyways let the waiting game begin, too bad with insurance the saying no news is good doesn't apply:)
We will give insurance about 2wks to make their decision and then go ahead and make the appt for the scanning and measuring to take place and then it takes about 7-10days for them to get the remolder (I don't like the way helmet sounds) back and then the remolding can begin.
We will give insurance about 2wks to make their decision and then go ahead and make the appt for the scanning and measuring to take place and then it takes about 7-10days for them to get the remolder (I don't like the way helmet sounds) back and then the remolding can begin.
Saturday, July 17, 2010
Photo Session
Ian's 6mos photo session with Knox Photography (these are just a few of them) looking forward to his 9mos photo session.
Thursday, July 15, 2010
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