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I had a follow-up appointment with Dr. Sloane today.
In no particular order:
The low-tech neuro exam was reasonably good; I did worse than last time on the pattern-matching thing, and better than last time on the pegs to test dexterity.
He wants me to have some blood tests, but I'll have to go back for that, the lab closes at 4:30 and it was about 4:45 when I was done talking to the doctor. Just walk in, they're open 8:30-4:30, I can have this done either in the building I was in today, or another Beth Israel Deaconess location if that's easier.
He doesn't think I need to see the neuropsychiatrist for medical reasons; I think if I'd said I still wanted the appointment, he would have been OK with that too.
I should get an MRI, brain and cervical spine, with contrast. I may put that off until January, I have to figure out what's covered by Medicare, and when. From looking at Medicare.gov, it looks like I'd be paying an annual deductible and then 20% of the "Medicare approved amount"; that 20% seems to be on the order of $100 for an MRI, and I don't know if this would count as one scan or two. (Do more research later, I'm not scheduling anything tonight.)
BID has a specialty pharmacy, and I can get the Kesimpta there instead of having it shipped, he thinks. I won't need another dose until mid-January, and I may wait until the new year to get that, also for insurance reasons. Dr. Sloane also gave me another copy of a Kesimpta info sheet that has a phone number to contact if I need the drug for free.
In no particular order:
The low-tech neuro exam was reasonably good; I did worse than last time on the pattern-matching thing, and better than last time on the pegs to test dexterity.
He wants me to have some blood tests, but I'll have to go back for that, the lab closes at 4:30 and it was about 4:45 when I was done talking to the doctor. Just walk in, they're open 8:30-4:30, I can have this done either in the building I was in today, or another Beth Israel Deaconess location if that's easier.
He doesn't think I need to see the neuropsychiatrist for medical reasons; I think if I'd said I still wanted the appointment, he would have been OK with that too.
I should get an MRI, brain and cervical spine, with contrast. I may put that off until January, I have to figure out what's covered by Medicare, and when. From looking at Medicare.gov, it looks like I'd be paying an annual deductible and then 20% of the "Medicare approved amount"; that 20% seems to be on the order of $100 for an MRI, and I don't know if this would count as one scan or two. (Do more research later, I'm not scheduling anything tonight.)
BID has a specialty pharmacy, and I can get the Kesimpta there instead of having it shipped, he thinks. I won't need another dose until mid-January, and I may wait until the new year to get that, also for insurance reasons. Dr. Sloane also gave me another copy of a Kesimpta info sheet that has a phone number to contact if I need the drug for free.
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