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Wed Oct 10, 2007 4:26 am


[size=18][/size In Tucson, Arizona there was only one ocularist which I went to. I didn't think to check on how good he was. I was his last case. He made me two prosthetics. The first one was bigger than my other eye. So he made me a second one. Like an idiot I let this ocularist try over and over again to make a prosthesis that fit and matched. I went to a plastic surgeon and the first thing she said is your prosthesis doesn't fit correctly. She recommended I go to Phoenix and have one made. I haven't gone yet waiting to see if my insurance will pay. Vocational Rehabilitation is not sympathetic because I have insurance. In the mean time I have this prosthesis that causes pain. The pain is always there it feels like someone punched me in the eye. It is more like persistant soreness than anything else. It goes to the side and points down. It does not match. I am wondering if this will cause me long term problems while I am waiting for insurance to go through or beg Vocational Rehabilitation to help me pay for a new one. Any response will be appreciated.[/b]



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Wed Oct 10, 2007 11:16 am

 
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THAT REALLY SUX.
I would ask for a bloody refund. Especially if he can't make a satisfactory eye for you!!!!

I am fussy with my eyes, but have been lucky that most are good.

SOrry i am not much help.

GOodluck!!

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Wed Oct 10, 2007 2:37 pm

 
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thats brutal, what a pain.

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Wed Oct 10, 2007 4:36 pm

 
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That does suck........ Bad

Gutted for ya, hope you get it sorted soon

Let us know how you get on

Andy

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Wed Oct 10, 2007 10:41 pm

 
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I agree with Teka; get your money back (or if Insurance paid for it get the Company to get refund); you can demand an Insurance Company does this; then get them to pay for the new eye; personally I wouldn't wear the bad fitting eye if it causes pain; but speak to the plastic surgeon and get her advice; good luck; cheers Vera

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Thu Oct 11, 2007 12:11 am

 

I agree! It is terrible to have a poorly fitting prosthetic. I had mine done by someone who was supposed to be good.
They were NOT!!! The 2nd one was 100% better. I hope you can get funding/refund for a new one :)
Deb



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Sun Nov 04, 2007 4:53 am

 
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I'm very sorry to hear about your troubles, I hope you can find someone who will do a better job on a new prosthetic.

I would try to get your money back from the ocularist if possible but you may need to work with your insurance company to do so. In some states I believe it may even be illegal for the ocularist to refund an insurance payment directly to you.

There are many good ocularists out there and I am sure you will find one. I wouldn't recommend wearing the prosthetic if it is causing you pain, you would be better off wearing a conformer until you can have a new one made. Good luck and keep us posted.

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Sun Nov 04, 2007 12:51 pm

 
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Aeowen wrote:
you would be better off wearing a conformer until you can have a new one made. quote]
Quote:
My Ocularist has a great policy " if your not satisfied you don't pay, just give the prosthesis back" Brian I still have my conformer,sitting in salt water solution, How long is a conformer good for? Thanks Brian for beging such an asset to the forum! Kendra :)

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Sun Nov 04, 2007 5:04 pm

 
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Conformers would tend to last indefinitely I would say. They are designed to be temporary so I wouldn't recommend someone wearing one permanently. There wouldn't be any harm per se but there definitely could be some contraction of the socket. But I do think wearing the conformer until a new prosthetic can be made is better than wearing a prosthetic that hurts.

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Sun Nov 04, 2007 5:34 pm

 

Kendra, no need to keep your old conformer in water. Just dry it off and keep it safely somewhere.



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Mon Nov 05, 2007 12:12 am

 
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Queenpatty/Brian
I would like to clear up my last post; what I meant was;
Queen patty should explain to her Medical Insurer what has been going/ happened about the prosthetic not being acceptable/useable; Insurers on behalf of the insured (Queenpatty) should go into bat for her with Occulist for a refund to them (the insurer)
if Insurer gets a refund; then Queenpatty can then go to new occulist and send the bill to Insurer (Insurer has still only paid for one eye!!) I hope this makes sense; I don't know what it is called in USA but it is along the lines of Third-Party recovery; cheers Vera

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Mon Nov 05, 2007 10:04 pm

 
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That is good advice but hopefully it won't come to that. In the best case scenario the ocularist would fix the prosthetic and make the patient happy. If that doesn't happen the ocularist should voluntarily reimburse the insurance company or the patient and refer her to another ocularist.

Call me paranoid but the less I have to deal with insurance companies the better. I wrote somewhere else that some of them were relatively easy to deal with and this is true, but I am always having to justify what we do and what we charge so if things can be resolved without dragging the insurance company into it, so much the better.

Having to justify medical necessity for a patient who HAS HAD THEIR EYE REMOVED!! is crazy, but that's a whole 'nother topic (and rant).

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