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Thread: Jay 2 cushion and Medicare

  1. #1

    Jay 2 cushion and Medicare

    I've been trying to get my old Quickie GPV and Jay 2 cushion replaced for years. I've been discouraged by past failures and the bureaucratic hoops one needs to jump through but since January have giving it my all. I'm on a "mission" of principle. After 4 months of yeoman effort I finally got the 5 page Medicare "Functional Mobility Evaluation" form filled out and signed by my SCI rehab specialist doctor and personally hand delivered it to the people at the medical supply store. After all I've been through I'm certainly not gonna trust my doctor's front office to know how to use a simple fax machine! The people at the medical supply store think it "looks good" and should pass the Medicare Durable Goods authorization "gatekeepers".

    Why a diagnosed, 26 year post-injury paraplegic has to prove (to this degree) that they're still paralyzed is beyond me. Maybe the government really does have a cure for SCI but only doles it out to "special people" and wants to make sure that I'm not one of those.

    My main concern all along has been to get a new Jay 2 cushion. Mine is over 5 years old and can't last very much longer. I'm really surprised that it's lasted this long! I can keep buying nuts and bolts and spokes and tires and tubes etc and perhaps some new upholstery and probably keep this old Quickie GPV running forever. At my expense of course. I guess I could "borrow" an old shopping cart from the grocery store for those hard to find parts! My toolkit consists of 2 pairs of pliers, a few wrenches, a hacksaw, a couple butter knives and a big ol' hammer... and it gets the job done. But there's only so much that anyone can do to keep a gel or Flo-Lite filled plastic housed Jay 2 cushion functional. Anyway....

    Yesterday, after going through the process of ordering a new Quickie GPV (candy red!) with the DME (the wheelchair guy) it came time to order the Jay 2 cushion. He then told me that Medicare, according to their new rules, very rarely authorizes payment for Jay 2s or Rohos etc. He said that as long as I'm physically able to do "weight shifts" every 15 minutes, a Jay 2 cushion is no longer considered a "medical necessity" and that the $95, 2 inch thick piece of rubber foam that comes with the Quickie GPV (wow, talk about a rip-off) is what I'm supposed to use as a decubitus ulcer prevention and seating cushion. He even told me about a 75 year old paraplegic women who lives in a nursing home was denied a "special cushion"! I guess Medi-"care" doesn't care if a 51 year old complete paraplegic (26 years post injury) is forced to sit on a bag of rocks as long as he or she is able to do weight shifts.

    How many expensive "flap surgeries" will I need performed before I qualify? Dime smart and dollar stupid?

    I sent this email to SpinLife to get a second opinion.

    Hello,

    I'm a 51 year old T-5 complete paraplegic and have been paralyzed for 26 years. I've been using a (I'm on my 2nd one) Quickie GPV wheelchair for well over 10 years along with a Jay 2 cushion. I'm in the process of replacing these items and have a prescription from my Spinal Cord Injury specialist doctor as well as a filled out and signed 5 page Medicare "Functional Mobility Evaluation" form expressing the "medical necessity" for these 2 items. Medicare authorized my last Quickie GPV and Jay 2 cushion over 5 years ago. I'm being told that Medicare will authorize and pay for another Quickie GPV BUT that the "rules" have changed about them authorizing and paying for a Jay 2 cushion. I've never had a pressure sore on my butt and I attribute this fact to the effectiveness of the Jay 2 cushion. Can you tell me if Medicare will approve and authorize payment of a Jay 2 cushion for me? Or tell me what my "chances" are that Medicare will authorize payment of a Jay 2 cushion? I understand that you charge $299 for the Jay 2 (18" wide - 16" depth) and that the standard rubber foam cushion which comes standard on the Quickie GPV is $95. I'm poor, live alone and my only means of support is the Social Security Disability Insurance (SSDI) check that I receive each month. I can't afford a $299 Jay 2 cushion "out-of-pocket" and the one I'm sitting on now is over 5 years old. I've been "super glueing" the velcro on it in place trying to keep the cushion functional. Can you tell me what your general experience has been with Medicare authorizing payment for a Jay 2 cushion for a person in my medical condition?

    This is written "tongue in cheek" but is Medicare a medical insurance provider or a lottery?

    Thank you.

    Robert Clark
    So my question is, has anyone here who's on Medicare been able to get a Jay 2 or Roho cushion authorized by Medicare lately?

    Thanks.
    "Be kind, for everyone you meet is fighting a great battle." - Philo of Alexandria

  2. #2
    Senior Member lynnifer's Avatar
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    Sorry you're having these problems Bob.

    Sometimes if you keep an eye on Ebay, you can medical items for real cheap. I've seen plenty of J2's on there. I know that's not your point ... but just in case.
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

  3. #3
    Bob, unfortunately - and it does suck - Medicare has a pretty stringent list of criteria they use for the different 'levels' of cushions, backs, mattresses, etc. My son is a C4-5 and even we have to really fight for coverage for the higher level cushions.

    If you have a rehab center close by where you can get a seating eval, the therapists there usually know how to 'work the system', to get the best coverages; they'll work hand in hand with your rehab doc and DME.

    It's stupid, I know; we ran into the problem when ordering our first low air loss mattress, which is what the therapists at Kessler recommended for him when he was being discharged. He only had Medicaid then; and Medicaid would only approve a low air loss mattress for someone who had 'current' pressure sores. My son didn't have any at the time, but was at huge risk for them. They wouldn't cover it, and we ended up footing the bill for an Invacare ourselves.

    If you do have to pay for a cushion yourself, ask the DME - or wherever you're ordering it - if they'll give you a discount. After all, when they do get reimbursement from Medicare, it's certainly not their top retail price, so you shouldn't have to pay that either. However, companies like Sportaid, or Allegro, already have discounts in their pricing. But I do suggest trying it if you're ordering from a manufacturer or local DME.
    _____________

  4. #4

    Update

    Thanks Lynnifer and Marmalady for your responses and efforts to help.

    After my SCI specialist doctor screwed up my paperwork for 4 months I was finally able to get the 5 page Medicare "Functional Mobility Evaluation" form filled out (I had to fill it out myself or be charged $10 a page!) and signed by my SCI rehab specialist doctor and personally hand delivered to the people at the medical supply store where I'll be ordering the wheelchair and cushion from.

    I swear, I have the worst luck. After handing over the filled out and signed Medicare Functional Mobility Evaluation form, the wheelchair specialist guy Steve came out to my house 2 days later on a Friday for the official measuring. As he left I asked him not to file the paperwork with Medicare until I gave him a call early on Monday because I wanted the weekend to think about anything that may have slipped my mind or needed correcting. Wanted to make sure this "big ticket" item was done correctly the first time.... "Measure 7 times, cut once" or " "A stitch in time saves nine." ect.

    So I called back early Monday with a couple ideas that I wanted to talk to Steve about and to give him the okay to submit the application to Medicare. Well I was told that good ol' Steve had "car trouble" that day. Then I called back on Tuesday and he wasn't there... on and on. It appears as though he quit his job and just disappeared into thin air! So I have to start all over again with the wheelchair measuring/ordering someday next week with another wheelchair and seating expert because they can't find Steve's order form. And besides that, he ordered me a backrest height that isn't available on a Quickie GPV Rigid Frame and made at least one other mistake on the order form. You gotta keep an eye on these "experts" and do your own homework. So Plan B should start someday next week. I guess I should expect delivery of the chair around Christmas! Hopefully of this year.

    During this past week my Jay2 cushion, after over 5 years of use, gave out and started oozing the filler gel or Flo-Lite material all over the place. Considering at least a few transfers on and off of it everyday and sitting on it for up to 15 hours a day for over 5 years, IMO, that's quite an impressive piece of workmanship. A few months ago I rigged up a temporary cushion (ah, the wonders of super glue and velcro!) just for this eventuality so I'm not left "cushionless". Then the next day the solid 3/8 inch piece of hard plastic that I had been using instead of the cloth seat sling cracked/splintered in 3 places. I was getting outta the shower and only had a small folded towel (no cushion) on the plastic seat so wasn't really protected against the sharp edges of the broken plastic. That coulda been a disaster but luckily my butt wasn't cut. Hey, that coulda been a $60,000 or more hospital stay disaster if infection set in or I needed flap surgery, (with my luck) had I cut my butt bad enough on it! So I simply (well, most of the screws were stripped!) replaced it with the original cloth sling and all is fine now except that it's already sagging a bit.

    But to the topic of Medicare paying for a Jay2 cushion. Since the medical supply store that I'm trying to get my wheelchair and cushion from are clueless about Quickie GPV wheelchairs and Jay2 cushions I sent an email to SpinLife.... an online wheelchair and seating e-tailer. And it appears as though it's true that the Medicare rules have changed and Medicare won't cover the cost of a Jay2 cushion without a history of pressure sores. How ridiculous is that? And the Quickie GPV comes with just a 2 inch thick piece of rubber foam on it... my last one had a 4 inch thick piece of rubber foam as the standard, what I considered to be a temporary backup cushion. Like I'm not gonna bottom out on a 2 inch thick piece of rubber foam. Maybe it's hard styrofoam they mean! Are they insane? Anyway, here's the updated correspondence from SpinLife for anyone on Medicare who may be interested:

    Quote Originally Posted by Lisa Ryther
    Dear Robert,

    Usually Medicare will only cover a cushion w/a history of or current pressure sore, however, it really depends on who is reviewing this...If you information is all current, we can actually do an Advanced Determination for your case...All we need to do is place the order as a "Quote" and fax the informaiton to Medicare...They can give me a reply in approx. 45 days, and it will state also if the cushion has been approved...That way, we will know upfront what your out of pocket expenses are...also, do you have a supplemental/secondary ins. carrier?...Please call me on Monday to go over this in further detail...Thanks!

    Sincerely,

    Lisa Ryther,
    Billing Dept./Customer Service
    800-850-0335 ext: 114
    Quote Originally Posted by Bob Clark
    Hi Lisa,

    As I've already written, I'm interested in getting a Jay2 cushion. The last one I got was "overfilled". I don't see that option on your website. Is "Fluid Supplements (8oz.)" the same thing as being "overfilled"? I need the extra gel or Flo-Lite material in the cushion or my boney butt will bottom out. The "Fluid Supplements (8oz.)" option isn't something that I would need to somehow insert into the cushion myself is it? The cushion would just come with an extra 8ozs of the gel or Flo-Lite material in it from the factory.... the same thing as being "overfilled"? Am I correct in this?

    On my last cushion there was an array of small boxes on the cushion itself with the different sizes listed. And the size that I ordered was checked off in the correct box. There was also a small box that also said "overfilled" and that box was checked off too.... perhaps things have changed in how the Jay2s are designed and/or marketed.

    I'll be needing an 18" wide by 16" deep. I broke my left leg so it's 2" shorter hip to knee than my right leg or I'd be needing an 18" x 18".

    News update.... my current Jay2 that was over 5 years old finally failed 2 days ago. The white Flo-Lite material started oozing out of it. Grrrr....

    And no, I don't have a supplemental/secondary insurance carrier.... just Medicare.

    Thank you, Bob.
    And finally....

    Quote Originally Posted by Lisa Ryther
    Dear Bob,

    You may call us to place the order at 800-850-0335 to place your order for your Jay 2 cushions...I am not familiar w/the inserts, so you will need to speak to customer service on those questions...You will pay out of pocket, and due to not having a history or current pressure ulcer, the item will not be reimburseable/billable...Please contact me if you have any further questions regarding Medicare/Ins....Thanks!

    Sincerely,

    Lisa Ryther,
    Billing Dept.
    800-850-0335 ext: 114
    Ta-Daaa!

    I'm curious, are there any SCIs here at this forum who just use a 2 inch thick piece of rubber foam as a seating/cushion option?
    "Be kind, for everyone you meet is fighting a great battle." - Philo of Alexandria

  5. #5
    Oh, wow - maybe the universe doesn't want you have Jay2's, lol. We've been burned by DME's, too; actually had a 'DME Devo', if you can imagine that! Make copies - of everything!!

    The folks at Spinlife are right about the Medicare rules changing re what they'll cover for each 'condition'. If you have problems with doing your own weight shifts - ie bad wrists, arms, shoulders - that might be a plus in getting you the Jay 2 cushion, because it would put you 'at risk' for skin breakdown.

    Is there a seating clinic you can go to, to help you out with some of this? Sometimes the OT/PT folks know how to dance through all the little loopholes; if they're good - and the caveat here is that they're not all good, just as some of the DME folks are not good.

    Wish you the best of luck!
    _____________

  6. #6
    check ebay bob......

    if ya gotta pay cash for it anyways theres all types for sale on ebay for way cheaper than spinlife or them places. i just got a jay2 off there for $76.00. type in ------> [wheelchair cushion] in the search thing. they are really durable in my opinion. ive got one ive been using for 4 1/2 yrs an its still in pretty good shape except its kinda squished flat but i havent had a sore or anything yet.

  7. #7
    Senior Member jessie.gray's Avatar
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    Aug 2005
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    Washington State
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    I have seen on Ebay where some store is selling the Jay 2 and Jay G-gel cushions for a lower price than most medical supply stores want for them.

    Also, you might ask around at medical supply shops and see if they'll sell you a slightly used one for a low price. The shop where I live does this if they get one returned to them and its already been out of the box. I once got a very nice looking Jay Soft Combi cushion about 7 years ago becuase someone got the wrong size but opened the box, therefore, rendering it unsellable at full price.

    Jessie

  8. #8

    Another update

    It appears as though Medicare does pay for Jay2 Cushions. I called Medicare twice and talked to two different people from the Durable Goods department. They both insisted that the rules have not changed and as long as my doctor prescribes one for me as being "medically necessary" there should be no problem. Although no or practically no DME with accept assignment for them. I'll need to be pre-approved or pay up front and then be reimbursed by Medicare after it's approved for payment.

    I later called both of the medical supply stores that I've been dealing with (one brick and mortar the other an e-tailer, SpinLife) and told them of the discussion that I had with the Medicare Durable Goods people but they still insist that whenever they submit a request for coverage or payment they're denied. In a reluctant tone they both said that they'd nonetheless submit the paperwork for me. The theory being that Medicare deems a Jay2 Cushion to be a "preventative" device and they won't pay for preventative devices. Whatever. Back in 2000 they paid 80% for my Quickie GPV wheelchair and Jay2 Cushion. I wasn't sure about the Jay2 but was told by the Medicare people that their records indicate that they paid or was billed $369 for one. Go figure.

    Allow me to digress for a moment. I had an appointment with a General Practitioner doctor (D.O.) yesterday. My SCI rehab doctor practically insisted that I get a GP since some of the tests ect that I wanted were beyond her purview. So I made an appointment to see one, my second attempt. I won't get into it here now and may create a separate thread about my adventure when and if I feel up to it but that black cloud over my head continues to follow me. I was refused my appointment by the front office scrimage line because I don't have a drivers license or a state authorized photo I.D.! Had I heard the words "corporate policy" one more time they woulda, in Ernest T. Bass style, had a rock thrown their their window.

    The reason given was their fear of "Medicare Fraud". I had ten different items in my wallet with my name and address etc. on it and was referred to them by my SCI rehab specialist. Along with my two half-full prescription bottles. All they needed to do was call my SCI rehab specialist, the referring doctor, and get a description of me etc. The only instances of Medicare Fraud that I've ever heard of was of doctors who double and triple bill and create fictious patients etc. Hey, I would much rather have Medicaid than Medicare anway.... who in their right mind would want to "defraud Medicare. Medicaid pays for everything 100%! You can't make this stuff up.

    They mailed their official "Patient History" form to my house prior to the appointment and I had it in my possession all filled out. On the form it listed 5 things for me to bring. One being, and I quote "2) Driver's license" unquote. A drivers license.... not a photo I.D. Does everyone in the State of Florida or the country possess a drivers license? Like 80 year old Aunt Martha?? Do you need to be a licensed driver with a photo I.D. to get medical care in this country? My brother was with me and has the same last name (we have the exact same 3 initials too) and had his photo drivers license with him and could vouch for my identity. He's also a licensed nurse so would be under some type of legal or ethical responsibility to be honest. Bob Clark is not my real name... my last name is rather rare. How many gimps who have been paralyzed for 26 years and looks every day of it could pull off such a Medicare Fraud stunt if they were stupid enough to want to try? It's not as though I look like Tom Cruise who "played" a paraplegic in "Born on the 4th of July" or Jon Voight in "Coming Home" whose legs are muscular and their posture perfect. Maybe I should've shoved a knife through my thigh to prove that I was paralyzed and not feigning one! They probably woulda stood there frozen in fear instead of administering first aid and then called 911 to let the EMS' take care of the wound.

    I even offered to pay with my credit card or cash upfront for the appointment but since I was a "Medicare participant" she refused that idea too. She told me that the DMV was a short 10 minute drive down the highway and I could get a Florida State I.D. there and reschedule my appointment. I can guarantee you that I will NEVER get an official Florida State photo I.D. no matter how close the damn DMV office is. Or a computer chip implanted in my forehead! What, a two hour wait in line to appease some bitch working the front window at a doctor's office. When I realized that all my efforts were for naught I left her with a few choice words like "It's bullshit like this that keeps me away from the fuckin' doctor!" It wouldn't surprise me one bit if they try to bill for a "missed appointment"! Oh, I was there 25 minutes early too as directed. My brother stayed inside for another 5 minutes still trying to reason with the evil gatekeeper but to no avail.

    So instead of seeing the doctor, and had they accepted my credit card or cash, I took my brother out to a hokey country bar with a great jukebox where we shot some pool and got pretty drunk on Heinekin and double shots of Canadian Mist. Actually my brother drinks whiskey sours.... he's kinda gay! In honor of the damn thwarted doctor's visit I tipped the barmaid 50 bucks. She gave us good and courteous service, was very polite, works hard on her feet all damn day whereas the fuckin' corporate medical system refused me entrance.

    The next doctor I see will be via 911. Let Medicare, whose controlled by Big Medical and Big Pharma anyway pay $400 for the ambulance ride and countless hundreds or thousands of dollars for an ER visit.

    Next week I'll once again try to get the wheelchair and cushion "project" jumpstarted again and life will go on.
    "Be kind, for everyone you meet is fighting a great battle." - Philo of Alexandria

  9. #9
    Quote Originally Posted by bob clark
    It appears as though Medicare does pay for Jay2 Cushions. I called Medicare twice and talked to two different people from the Durable Goods department. They both insisted that the rules have not changed and as long as my doctor prescribes one for me as being "medically necessary" there should be no problem. Although no or practically no DME with accept assignment for them. I'll need to be pre-approved or pay up front and then be reimbursed by Medicare after it's approved for payment.

    I later called both of the medical supply stores that I've been dealing with (one brick and mortar the other an e-tailer, SpinLife) and told them of the discussion that I had with the Medicare Durable Goods people but they still insist that whenever they submit a request for coverage or payment they're denied. In a reluctant tone they both said that they'd nonetheless submit the paperwork for me. The theory being that Medicare deems a Jay2 Cushion to be a "preventative" device and they won't pay for preventative devices. Whatever. Back in 2000 they paid 80% for my Quickie GPV wheelchair and Jay2 Cushion. I wasn't sure about the Jay2 but was told by the Medicare people that their records indicate that they paid or was billed $369 for one. Go figure.

    Allow me to digress for a moment. I had an appointment with a General Practitioner doctor (D.O.) yesterday. My SCI rehab doctor practically insisted that I get a GP since some of the tests ect that I wanted were beyond her purview. So I made an appointment to see one, my second attempt. I won't get into it here now and may create a separate thread about my adventure when and if I feel up to it but that black cloud over my head continues to follow me. I was refused my appointment by the front office scrimage line because I don't have a drivers license or a state authorized photo I.D.! Had I heard the words "corporate policy" one more time they woulda, in Ernest T. Bass style, had a rock thrown their their window.

    The reason given was their fear of "Medicare Fraud". I had ten different items in my wallet with my name and address etc. on it and was referred to them by my SCI rehab specialist. Along with my two half-full prescription bottles. All they needed to do was call my SCI rehab specialist, the referring doctor, and get a description of me etc. The only instances of Medicare Fraud that I've ever heard of was of doctors who double and triple bill and create fictious patients etc. Hey, I would much rather have Medicaid than Medicare anway.... who in their right mind would want to "defraud Medicare. Medicaid pays for everything 100%! You can't make this stuff up.

    They mailed their official "Patient History" form to my house prior to the appointment and I had it in my possession all filled out. On the form it listed 5 things for me to bring. One being, and I quote "2) Driver's license" unquote. A drivers license.... not a photo I.D. Does everyone in the State of Florida or the country possess a drivers license? Like 80 year old Aunt Martha?? Do you need to be a licensed driver with a photo I.D. to get medical care in this country? My brother was with me and has the same last name (we have the exact same 3 initials too) and had his photo drivers license with him and could vouch for my identity. He's also a licensed nurse so would be under some type of legal or ethical responsibility to be honest. Bob Clark is not my real name... my last name is rather rare. How many gimps who have been paralyzed for 26 years and looks every day of it could pull off such a Medicare Fraud stunt if they were stupid enough to want to try? It's not as though I look like Tom Cruise who "played" a paraplegic in "Born on the 4th of July" or Jon Voight in "Coming Home" whose legs are muscular and their posture perfect. Maybe I should've shoved a knife through my thigh to prove that I was paralyzed and not feigning one! They probably woulda stood there frozen in fear instead of administering first aid and then called 911 to let the EMS' take care of the wound.

    I even offered to pay with my credit card or cash upfront for the appointment but since I was a "Medicare participant" she refused that idea too. She told me that the DMV was a short 10 minute drive down the highway and I could get a Florida State I.D. there and reschedule my appointment. I can guarantee you that I will NEVER get an official Florida State photo I.D. no matter how close the damn DMV office is. Or a computer chip implanted in my forehead! What, a two hour wait in line to appease some bitch working the front window at a doctor's office. When I realized that all my efforts were for naught I left her with a few choice words like "It's bullshit like this that keeps me away from the fuckin' doctor!" It wouldn't surprise me one bit if they try to bill for a "missed appointment"! Oh, I was there 25 minutes early too as directed. My brother stayed inside for another 5 minutes still trying to reason with the evil gatekeeper but to no avail.

    So instead of seeing the doctor, and had they accepted my credit card or cash, I took my brother out to a hokey country bar with a great jukebox where we shot some pool and got pretty drunk on Heinekin and double shots of Canadian Mist. Actually my brother drinks whiskey sours.... he's kinda gay! In honor of the damn thwarted doctor's visit I tipped the barmaid 50 bucks. She gave us good and courteous service, was very polite, works hard on her feet all damn day whereas the fuckin' corporate medical system refused me entrance.

    The next doctor I see will be via 911. Let Medicare, whose controlled by Big Medical and Big Pharma anyway pay $400 for the ambulance ride and countless hundreds or thousands of dollars for an ER visit.

    Next week I'll once again try to get the wheelchair and cushion "project" jumpstarted again and life will go on.

    DAMMIT!!!!! bob. this is the craziest crap i've ever heard....... but totally believable. hope ya get things goin for you soon. the bad thing is once they do ever get you approved then it still takes FOREVER for the goods to get ya.


    good luck man.........

  10. #10
    Quote Originally Posted by rollin64
    DAMMIT!!!!! bob. this is the craziest crap i've ever heard....... but totally believable. hope ya get things goin for you soon. the bad thing is once they do ever get you approved then it still takes FOREVER for the goods to get ya.


    good luck man.........
    Hi Rollin64

    Thanks for the eBay suggestions and the kind words. Like I said, I can probably keep this old Quickie GPV running forever with parts from the hardware store and from my other 2 partially cannabalized Quickies in the garage. I do have an extra Jay gel cushion but it's a sport model or something. It's like semi-circular in shape, not square like the normal Jay2. Looks kinda like this:



    The velcro was the opposite on it so I created some velcro attachments (love that super glue!) so I do have something to sit on. I'm using the hard base from my old Jay2 but it's not a perfect fit and there's no padding for my thighs at all but it'll have to make due until I get a new Jay2. The gel pad is kinda small so I need to make sure I'm centered on it perfectly. Since it appears as though Medicare will pay for a Jay2 I'll probably put one on my Visa and hope for some reimbursement a few months down the road.

    I also have an 18 x 18 Jay2 that's in okay shape. But it isn't "overfilled" and I bottom out on it almost instantly. And since my left leg is 2 inches shorter than my right I can't sit up straight in it. I may have a neighbor who has a table saw take a couple inches off the hard base and rearrange the velcro and use that as an interim solution. Somehow stuffing an 18 inch gel/Flo-Lite cushion onto a 16 inch base. Maybe more super glue and extra velcro! I can get creative when I need to. Trust me, I have no confidence in anyone or anything so necessity is the mother of invention. Speaking of mothers, my 76 year old mother (on a small pension and SS) will buy me a new wheelchair and cushion (she's practically insisting on it) but it's the principle.... I have paid for medical insurance through Medicare and they're gonna fulfill their obligation.... even if it kills me! I can be very stubborn and I don't like taking charity from anyone or any entity especially when I'm already owed what I need by someone (Medicare) else.

    That doctor appointment was unbelievable. Every illegal alien who crosses our border knows where to go, pay 50 bucks and get a photo drivers license or "official" photo I.D. Or anyone can go online and get one for around the same price. I'm attempting to find the "corporate office" of the doctor's office so I can lodge a complaint there and hopefully get a logical explanation and maybe even an apology... but I'm not gonna hold my breath.

    One thing that really bugs me is that doctors don't have email addresses. My SCI rehab specialist and her office doesn't have one. They do have a fax machine (when it's working! ) and I just installed some phone/fax software so I may be able to contact her that way.... but it's impossible to talk to a doctor over the phone. It's all front office bullshit and their tactical evasive maneuvering.

    And the doctor office where I was refused service at because I didn't have a photo I.D. doesn't even have a fax number. I'll keep looking and try to find something. If I had a printer I would print out a letter and maybe the doctor would get it..... run around the front office scrimmage line. My penmanship really sux anymore (in 6th grade I got an award for penmanship!!) but that was a longggg time ago so I won't attempt a handwritten letter to the doctor who may not receive it anyway.

    What really irks me (and probably many other SCIs) is the preparation we need to go through to get ready for a doctor's or dentist's appointment. I fast for 2 & 1/2 days prior to any appointment, take laxatives and a suppository and totally clean my system out to avoid any embarrassing accident while trapped inside their waiting and exam rooms. And shower extra well and even do my toenails.... now that's a job! Plus shining up my old wheelchair to look as good as possible etc. We just don't jump up outta bed, take a quick dump, shower for 3 minutes and hop in our new Lexus' to arrive at the office 2 minutes before 9AM like the employees and doctors do. My brother took a day off from work and drove over 150 miles round trip for that failed doctor appointment.

    And thank you too jessie.gray for the suggestions.

    It's almost funny to me now so I'm not worried about it. Sooner or later I'll get what I need.
    "Be kind, for everyone you meet is fighting a great battle." - Philo of Alexandria

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