***NOTE*** this entry is filled with total mom things. Liquid poop and sickness and all that. If you don't want to read about it, click the little X now! LOL
I typically link up for Letters of Intent and for Friday Follow on Fridays. Today I'm not doing either of those. Why you ask?!
I woke up this morning to an explosion of liquid poop all over the place from my 3 year old. Going from dead asleep to cleaning up liquid poop is not my idea of a good start to my day! I figured it was a fluke and after cleaning it up and steam cleaning the carpet in his bedroom, the hallway, the stairs, and his mattress (yes those are all places the poop wound up.) I got the older boys dressed, fed, and made their lunches. I got them off to school and came home. I grabbed a quick breakfast of a bagel and started getting ready to take Avery to speech therapy.
After I got Avery dressed for therapy and started getting myself together I heard Avery coming up the stairs. As he was climbing the steps I saw his pants were wet! I asked him what he got into and he just said "wet". I laid him down to change his pants and immediately knew what was all over his pants. It was another explosive poop!! It was everywhere again. I stripped him down and seriously wiped his whole bottom half down with baby wipes. I grabbed the steam cleaner and cleaned it up from the dining room carpet and steps again (it was just running down his legs onto the carpet). After that I knew it wasn't a fluke. I called the speech therapist to cancel our appt for today. The last thing I needed was to be at therapy and it happen again and go all over their office.
I have cleaned and steam cleaned more this morning, then I have done in the last year total. I am SO over it! And it's not even noon yet! So not looking forward to the rest of the day!
I also have been fighting the preschool for the past 24 hours. See Avery is supposed to start preschool Monday. The preschool teacher emailed me saying she's trying to qualify Avery for "summer services" and needs his progress reports from the infant and toddler program in order to do so. I don't have any of those records! When we moved here from PA back in October I got rid of all of that. When we moved here they wouldn't put him in the infants and toddler program here in MD because he was to close to his 3rd birthday. So he went straight into the school system. I told her I have records from the private therapists he's been seeing and I could bring those. She told me the school system won't accept private therapy records.
Grrrrrrrrrr
I'm so sick of fighting these people!!! I ended up calling our old caseworker back in PA and left a message for her. Hopefully she can send me the records I need without any problems. According to Avery's private speech therapist the "summer services" aren't worth all this hassle anyway. She said it's only 4-6 30 minute sessions. It isn't a whole summer of services. Totally makes me not want to deal with all of this.
And with all that I'm off to change Avery again and prepare the steam cleaner for another round. *sigh*
Friday, April 30, 2010
Wednesday, April 28, 2010
Guess What?!
So today I broke some news on facebook. I feel it's only right to now blog about that news.
So here's the news....
Yep you read that right. I'm pregnant.
I told my family earlier today and felt like I could now share the news on facebook and my blog. It was definitely not planned. But as the news is sinking in I'm trying to get used to the idea. This pregnancy is a Nuva ring failure! My sister said her neighbor is also expecting her 4th and it was a nuva ring failure too!
My first words to the doctor?! "HOW?!" "Umm it's called a birth control failure" he responded.
Well DUH!
I'm due around November 28th. This will be another c-section so I'm sure we'll schedule it earlier than that. I'm hopeful that they'll do it before thanksgiving. Enough time before thanksgiving that I'll be out of the hospital and home to enjoy thanksgiving. What are my chances of that huh?
We haven't told the boys yet. Not sure when we will. I think telling them to earlier is wrong because 9 months is a long time for them to wait for a sibling. I'm thinking maybe once I'm showing and you can "feel" the baby from the outside of my belly. So it makes it more real to them.
And how will this affect Avery? I guess we'll have to wait and see.
So here's the news....
Yep you read that right. I'm pregnant.
I told my family earlier today and felt like I could now share the news on facebook and my blog. It was definitely not planned. But as the news is sinking in I'm trying to get used to the idea. This pregnancy is a Nuva ring failure! My sister said her neighbor is also expecting her 4th and it was a nuva ring failure too!
My first words to the doctor?! "HOW?!" "Umm it's called a birth control failure" he responded.
Well DUH!
I'm due around November 28th. This will be another c-section so I'm sure we'll schedule it earlier than that. I'm hopeful that they'll do it before thanksgiving. Enough time before thanksgiving that I'll be out of the hospital and home to enjoy thanksgiving. What are my chances of that huh?
We haven't told the boys yet. Not sure when we will. I think telling them to earlier is wrong because 9 months is a long time for them to wait for a sibling. I'm thinking maybe once I'm showing and you can "feel" the baby from the outside of my belly. So it makes it more real to them.
And how will this affect Avery? I guess we'll have to wait and see.
Way Back Wednesday!
Got this idea from Holly over at Elusive Tranquility.
This post was made October 16th of 2003!
This post was made October 16th of 2003!
Aidan turned 20 months yesterday. It's hard to believe he's that old already! 4 short months till he's 2. And 2 1/2 short months till he's a big brother! Here are some pics taken yesterday. He's wearing his Elmo slippers that I bought yesterday at Walmart and now he hasn't taken them off since!






Tuesday, April 27, 2010
Oh Insurance...
Oh insurance company, you were rude to the wrong person. I have fought to long and to hard for you to go and try to screw me now!
See Today I went to the mailbox and got the mail. In the mail was an EOB. Everyone knows what that is right?! For those that don't know, an EOB is an Explaination of Benefits. The insurance company sends one to you everytime they have to pay a claim. Now most people probably don't even look at it. But when you have a child with special needs that sees multiple therapists, doctors, has lots of assessments and tests, you tend to look at everything. So I opened this EOB and nearly had a heart attack. I saw at the bottom "Patient responsibility: 702.48" Oh My God!!! I immediately started scanning the EOB. The explaination was for speech/occupational therapy that Avery received while we were still living in Pennsylvania. It was therapy done at Hershey Medical Center. It showed what they billed the insurance and then that the insurance only paid a little over 100.00 on each session for a total of 4-5 sessions. Next to each session was the code "30". At the bottom of the EOB it shows the codes and what the codes stand for. Next to the "30" was the words "Not a PPO provider"
What?! I KNOW the therapists called the insurance and I personally went back and forth with the insurance multiple times fighting them to cover his therapy. There was no other provider in our area that could treat for the things he needed to be treated for. They authorized this therapy! They said they would cover it at "typical PPO provider rates." That means they would cover 90% for the therapy.
I immediately called my husband who told me "Oh no, you better call the insurance right now."
"Should I wait and see if we get a bill?" I asked him.
"No! You call them and take care of the problem before we get a bill!" He replied.
I took a deep breath and called the insurance. You see the problem with my husband's insurance is that he works for a Union. Because he works for a union they have a "health fund" which takes care of paying all the insurance claims. We have Cigna PPO insurance, but they are just the "go between" really. The ones that I have to deal with every time I have a question about benefits, or coverage, or I have to fight them to cover something, I have to deal with The Sheet Metal Workers Local 100 Fund Office.
Calling them is torture. Why you ask? Because they are the rudest people ever. Every single time I call they talk to me like I'm a complete moron who is not worth their time. See this was our exact conversation this afternoon:
Them: "Sheet Metal Workers Local 100 health fund."
Me: "Yes, Hi! I have a question about an EOB I received today. I don't know if I should talk to you, or maybe someone else?"
Them: "Oooookay (real attitudish) are you a doctor, insured, what?"
Me: "My husband is the insured, I'm calling about an EOB for my son, who is a dependant."
Them: "And do you maybe have a claim number or anything?"
Me: "yes, I do the claim number is *******."
Them: "Ok let me look at my copy" *pause* "And what is the problem" (again with the attitude!)
Me: "I don't understand why my portion is so much."
Them: "Well if you look right there it tells you that it isn't a PPO Provider"
Me: "I understand that, but if you would look in our notes you would see that my son has special needs, and there's a note in his chart that says these appts are covered at the 90% rate. It was pre-approved through you guys before he ever went there." (now I was getting mad because she was being so rude to me!)
Her: "well then maybe they never looked at your notes, hold on a second."
Her: "Ok I see the notes in your file, Obviously they never looked at your notes before paying the claim. I will resubmit this claim to be redone."
Me: "I appreciate that. Thank you."
Her: "Uh huh, bye"
Seriously, is there any need to be so rude to me? It isn't like you aren't being paid to deal with this stuff. It is your job to answer the phones NICELY I might add and deal with this stuff. So why do you have to be so rude?
They really should hire people who are more people friendly.
This isn't just a one time thing either. It's every single time I call. No wonder I get the comments from the doctors offices "gosh, they're just a peach to deal with" (sarcasm if you can't tell), When the doctors office calls to verify benefits or anything. So they aren't just rude to me!
So Cigna PPO or Sheet Metal Workers Local 100 if you see this blog post, maybe you could hire people who actually like their job and like talking to people. Cause you aren't making a very positive impression on people.
*yes linky love to them so it makes it easier for them to see this blog post!*
See Today I went to the mailbox and got the mail. In the mail was an EOB. Everyone knows what that is right?! For those that don't know, an EOB is an Explaination of Benefits. The insurance company sends one to you everytime they have to pay a claim. Now most people probably don't even look at it. But when you have a child with special needs that sees multiple therapists, doctors, has lots of assessments and tests, you tend to look at everything. So I opened this EOB and nearly had a heart attack. I saw at the bottom "Patient responsibility: 702.48" Oh My God!!! I immediately started scanning the EOB. The explaination was for speech/occupational therapy that Avery received while we were still living in Pennsylvania. It was therapy done at Hershey Medical Center. It showed what they billed the insurance and then that the insurance only paid a little over 100.00 on each session for a total of 4-5 sessions. Next to each session was the code "30". At the bottom of the EOB it shows the codes and what the codes stand for. Next to the "30" was the words "Not a PPO provider"
What?! I KNOW the therapists called the insurance and I personally went back and forth with the insurance multiple times fighting them to cover his therapy. There was no other provider in our area that could treat for the things he needed to be treated for. They authorized this therapy! They said they would cover it at "typical PPO provider rates." That means they would cover 90% for the therapy.
I immediately called my husband who told me "Oh no, you better call the insurance right now."
"Should I wait and see if we get a bill?" I asked him.
"No! You call them and take care of the problem before we get a bill!" He replied.
I took a deep breath and called the insurance. You see the problem with my husband's insurance is that he works for a Union. Because he works for a union they have a "health fund" which takes care of paying all the insurance claims. We have Cigna PPO insurance, but they are just the "go between" really. The ones that I have to deal with every time I have a question about benefits, or coverage, or I have to fight them to cover something, I have to deal with The Sheet Metal Workers Local 100 Fund Office.
Calling them is torture. Why you ask? Because they are the rudest people ever. Every single time I call they talk to me like I'm a complete moron who is not worth their time. See this was our exact conversation this afternoon:
Them: "Sheet Metal Workers Local 100 health fund."
Me: "Yes, Hi! I have a question about an EOB I received today. I don't know if I should talk to you, or maybe someone else?"
Them: "Oooookay (real attitudish) are you a doctor, insured, what?"
Me: "My husband is the insured, I'm calling about an EOB for my son, who is a dependant."
Them: "And do you maybe have a claim number or anything?"
Me: "yes, I do the claim number is *******."
Them: "Ok let me look at my copy" *pause* "And what is the problem" (again with the attitude!)
Me: "I don't understand why my portion is so much."
Them: "Well if you look right there it tells you that it isn't a PPO Provider"
Me: "I understand that, but if you would look in our notes you would see that my son has special needs, and there's a note in his chart that says these appts are covered at the 90% rate. It was pre-approved through you guys before he ever went there." (now I was getting mad because she was being so rude to me!)
Her: "well then maybe they never looked at your notes, hold on a second."
Her: "Ok I see the notes in your file, Obviously they never looked at your notes before paying the claim. I will resubmit this claim to be redone."
Me: "I appreciate that. Thank you."
Her: "Uh huh, bye"
Seriously, is there any need to be so rude to me? It isn't like you aren't being paid to deal with this stuff. It is your job to answer the phones NICELY I might add and deal with this stuff. So why do you have to be so rude?
They really should hire people who are more people friendly.
This isn't just a one time thing either. It's every single time I call. No wonder I get the comments from the doctors offices "gosh, they're just a peach to deal with" (sarcasm if you can't tell), When the doctors office calls to verify benefits or anything. So they aren't just rude to me!
So Cigna PPO or Sheet Metal Workers Local 100 if you see this blog post, maybe you could hire people who actually like their job and like talking to people. Cause you aren't making a very positive impression on people.
*yes linky love to them so it makes it easier for them to see this blog post!*
Post It Note Tuesday!
Sunday, April 25, 2010
I Heart Faces - Week 17 (2010)
This weeks theme is Smiles!
This week should be happy and fun! Only requirements for your photo are they it has a person in it and they are smiling. :)
My entry for this week is one that makes me smile each time I look at it!

This week should be happy and fun! Only requirements for your photo are they it has a person in it and they are smiling. :)
My entry for this week is one that makes me smile each time I look at it!
I mean who can look at Undie heads without smiling?!
Now if you'd like to check out more picture that make you smile head on over to iheartfaces

Winner of the BellaGrace giveaway!
We have a winner!
Our winning comment was #5!
lovelyritaann said...I'm a fan of your blog on facebook
lovelyritaann at sbcglobal dot net
Congratulations!!! As usual, the winner has 48 hours to respond to my email or a new winner will be chosen!
Thanks to everyone for entering!
Our winning comment was #5!
lovelyritaann said...I'm a fan of your blog on facebook
lovelyritaann at sbcglobal dot net
Congratulations!!! As usual, the winner has 48 hours to respond to my email or a new winner will be chosen!
Thanks to everyone for entering!
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