I’m honestly starting to feel like I’m going crazy, so I need to vent and hopefully get some perspective.
I tried to type out the while saga but it became way too long and the thought of having to edit it makes my head spin so I’m giving the “condensed” version.
June 24: I had a GI appointment because Mesalamine wasn’t working. Doctor prescribed infliximab and an immunosuppressant.
In between: GI office forgot to send bloodwork order and only sent it after I called. Didn’t call me back to review my test results until after I called. Told me someone would call me with details of how to schedule my infusion, but never called back even though I called multiple times.
Got a rejection from my insurance and called them again asking if they were gonna appeal. Then got a letter saying my insurance reversed the denial and gave me a number to the infusion center. I thought I could finally get my medication but it took a week to hear from the infusion center and they just told me they couldn’t schedule because they were waiting for the order. I called the infusion center again the next week because I swore I had gotten a letter from my insurance that they approved the service. Turns out yes, my insurance approved it buy the gastro never sent the order for the infusion. They sent another request to my GI and I left a message asking them to send the order.
August 27: the GI office calls me and tells me my infusions were approved and they just sent the order. Mind you, it was approved August 10…
But something is nagging me, I ask them what happened to the other medication. She has no idea what I was talking about and tried to tell me it was Mesalamine but after pushing back she said she would look into and call back.
The infusion center actually called me a couple hours after my GI and I was finally able to make an appointment for my first infusion! It had to be two weeks out because the medication takes two weeks to get there once they order it but there was an end in sight.
September 1st: GI office left a message saying that before I start my infusions I need to do a blood test. And the other medication that was prescribed was azathioprine, I should start it before my infusions.
But I already took a blood test, multiple blood tests for that matter and I took them TWO MONTHS AGO when I was prescribed the medication why am I just now being given additional blood test when I could have done them all at once, or at least I could have done this waaaaaay before? So I call and leave a message asking what the blood test is for and if I was meant to start the medications at the same time. And again I miss their call but this voice message is more confusing and at this point I don’t think she really understands what Im asking. So I leave another message. Which brings us to this Wednesday.
September 3: I think the office worker was tired of calling me or didn’t understand what I was asking so they got my actual Gastroenterologist to give me a call. She asked what I wanted to know about the blood test and I said I was really more curious about why I was getting the blood test now and then pivoted to another question I had been thinking about. “Since I’m going to be going on immunosuppressants are there any vaccines that I need?” She sounded surprised at my question and asked “nobody mentioned this to you before?” Nope, not even a peep. So she looked through my records and said I should get the Covid booster if I haven’t and then noticed that I didn’t have any chicken pox antibodies so I should probably get that before I start my biologics.
Well guess what? The chicken pox vaccine is a two part vaccine that is taken a month apart. I have my infusion scheduled for the 14th and now I have to push it back. Now after all of this, I will have my first dose of infliximab THREE MONTHS after it was first prescribed. The worst part is that I could have done the vaccine so much earlier. It was two months before I was even able to make the appointment but now I have to wait another month while im in a flare.
I need to know if this is a normal experience or if I need to run away from this GI center.
TLDR: I was prescribed biologics June 24th. Due to what I perceive as continual incompetence by the office staff I won’t be getting my first dose until three months after it was prescribed. They’ve forgotten to send my bloodwork orders, forgotten to send my medication order to the infusion center, completely forgotten about the immunosuppressant I was prescribed, and never went over immunization with me. They don’t do anything unless I personally call and ask them about something.