I’ve lived here since 2002 and for the most part, I like it a lot.  It’s beautiful, old (Olde), I love my neighborhood but it also has a few annoyances particular to the locale:  Philadelphia has a city tax that eats a shitload of your money (which is why a lot of people live in NJ and commute), the liquor stores are state-run so more expensive (which is why, if you’re smart, you take stealth missions to NJ for booze) and I just found out today, I cannot get an A.R.T session for the same injury without a doctor’s prescription, regardless that I pay completely out of pocket, because I’ve surpassed the 30-day window.

Backtracking a day, yesterday’s run wasn’t awful or painful but it followed a rest day, so I naively expected to be tangibly improved.  Granted, I was tired from a long job and it was windy, but my leg was not magically done and frankly, I’m sick of noticing or thinking about it.  So when I got home, I called the ART lady to finish the thing off.  Appt made for 1pm today.  Cool.

Forward to today, I have a great run: 7 miles, a few around 8:00/mi, feeling the best I have post-injury.  In fact, had this run happened yesterday, I wouldn’t have even made an ART appt.  Still, I’m excited at the prospect because I know that with a little therapeutic mauling, it’ll be over for good.

50 minutes before the appointment, I get a call from the office asking if I’m going in for the original injury.  When I say Yes, she tells me that, due to some stupid law called Direct Access, I can’t have the session without a referral.  Nice.  The therapy place isn’t in my HMO network, and even if it was, doubtful I’d have been able to get it taken care of with less than an hour to the appt.

I’m not freaking out because today’s run was so good, but I’m pissed and disappointed – it takes a lot for me to seek help.   Also, there are very few ART or Graston people in Philly and since I have to rent a Zipcar to deal with it, I’m not going to find someone else.  Hopefully the week will continue to play out well on the heels of today.

Edit: Turns out Direct Access is actually a Federal Law and a bunch of states do this.  They make it a “feature” that they allow you to seek PT without a prescription for 30 days.  Maybe I’m pissed at Pennsylvania a little less now.  Maybe.  Back to hating the damn health system as usual.

Baby’s First Wheels!
I’m old (Olde), and it’s taken me this long to figure out that traveling with a duffel is dumb.  Every time I go anywhere, I look longingly at the other travelers with their handy little wheeled bags while I do the Quasimodo carry.  But at the same token, I always think “how do they fit anything in those?”  After Vegas though, I vowed to get a wheeled bag, no matter the sacrifice to size.

Well blow me down, I found the coolest bag.  It’s roomy, has a lot of variations on how you can pack it, is half hard-case, half duffel (expandable, at that) and lastly, it comes in different colors – easier to spot than black.  It was a little pricey but it’ll last for years, so I figure it’s worth it. First use: San Diego in April.  yay!

Blog Feed
I finally got rid of my original domain name (girl-in-motion.com) but I still have about 90 subscribers still using it in their blog feeds or blog rolls.  If you’ve noticed that the last post in your blog reader (or however you subscribe to this thing) has stopped updating, you’ll want to check that the link is girlinmotion.com (without dashes) to keep getting the latest boring, complaining, whining crap from me.

 

7 Responses to “Pennsylvania Can Go Suck It”

  • Cris:

    “I cannot get an A.R.T session for the same injury without a doctor’s prescription, regardless that I pay completely out of pocket, because I’ve surpassed the 30-day window.”

    Crazy. I believe Virginia also has that law; DC does not. Whether your state has it depends on the relative power of the local lobbying arms of the doctors and the pts.

    Couldn’t you call your doctor and just have him renew the referral over the phone? Most of them will do that without charge.

    • Flo:

      There’s no referral to renew, they’re not in my insurance network. I’ll be fine without it though, just won’t be quite as fast a resolution. Interesting about Virginia vs DC. This is all new to me.

  • The ideal solution would be to bribe the ART office with smuggled beverages.

  • Ewen:

    I was wondering why I wasn’t seeing updates in googlereader. Thanks! Will check when I get home.

  • There are so many things I don’t understand about legal stuff. Why is that not the doctor or PT’s decision? That seems ridiculous to me, especially considering you are willing to pay out of pocket.

    Our insurance is really backwards in some areas. If you rank in the “overweight” category for BMI, they will pay for the majority of Weight Watcher, but only if you fall into that category. If you are of “normal” weight, you get no extra benefit. We are just now getting coverage on very few birth control pills, but still not the common brands.

    Our coverage for PT is pitiful. I will likely never go again, unless absolute to be able to run again.

    Back on topic, though. Are you going to go back, or do you feel like you are over the issues?

  • I came looking for you . . . . cause it seemed like I hadn’t read anything from you in weeks! Yup – I changed the link!

    I like your hair. I sort of regret typing that . . . because if you are anything like me . . . you don’t really care what other people say about your hair. I always figure it is my hair and my head and I will do with it what I want! But I do like it ;-)

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