Eeek!

Believe it or not, completing my physical has gotten trickier.

Donald managed to get me signed up for off-base care with a civilian provider. When he got stationed at Fort Lewis and switched us from TriCare Standard to TriCare Prime, it took a month to take effect. That was the first 3 weeks of waiting, and the most reasonable.

Well, after I had all my labs taken (on the 9th) and had set up an appointment for the 20th, he hastily signed me up for civilian care. I'm grateful, I really am. I would have done the same thing, but... well, he didn't think to ask when it would take effect.
Well, it took effect immediately... and we didn't know it.

On the 15th, I drove to Fort Lewis after work (a 1 hour drive) to have my TB test read.
...and then was told that I didn't belong to their clinic anymore, and thus were not sure if they could read my TB test.

In very friendly and professional terms, I essentially told them to just shut up and read my freakin test because they had given it to me 48 hours prior and if they didn't read it then nobody could.

I then used my brief moment with the nurse to request my lab results from the 9th. Turns out I'm disease free! Everything came back clean.
Except HIV.
Which is to say, I couldn't be given the results to that test. Only my primary care doctor is authorized to give me those results due to some reasonable, yet highly inconvenient, privacy laws.

At check-out, I asked the front desk if there was a way around my HIV results (secretly, I wanted the results on paper so I could take all my results to my off-post clinic's PromptCare). They say no... then inform me that they must cancel my appointment for the 20th due to my switch to off-base care.

I spent the next hour being sent from office to office, trying to find someone authorized to bend some rules to make up for the misery I'd been put through.
No dice.

The best they can do is to "try", and then promise to call me back. They called once (a few hours later) to tell me they were trying, and then promise to call with an official answer later. We never got that call. I wasn't shocked.

The soonest my new doctor can see me is mid-October. EEK!

So I call TriCare and ask them how to have my HIV test sent to my new doctor's office. They tell me that they can't, and that my MD must submit a form to have the results forwarded to him by mail.
Which would-- you guessed it -- delay things even further.

Prompt Care would be a different physician, and not my primary care doctor, so they could neither submit the form nor be given the results.

Upon finding this out, I was on my cell phone while sitting in the clinic's parking lot - an uncomfortable place to have a meltdown.
So... I call Donald at work, hoping to calm myself down by maturely explaining the situation to him. Instead, I cried. A lot. And it was the UGLY CRY.

Luckily, I have the most amazing husband ever, and he came home early from work, let me cry more, and then took me shopping. After an hour at the mall, I managed to spend $12 on a bottle of body spray. Such a small thing, but it made me feel better. Then we picked up dinner from Safeway so I wouldn't have to cook, and finished our evening in front of the TV.

On Monday I'm going to find out if the clinic will allow me to have another HIV test drawn locally without having to meet with my doctor first.
I'm sure they will. It's a perfectly reasonable request.
If they say no, I'm going to have another meltdown. Possibly a loud one, right there in their office. Maybe it will get me a sooner appointment. Unlikely, but at this point I have nothing to lose.


The physicals are supposed to be some of the more straight-forward and simple parts of the home study and dossier, so if I wasn't experiencing this all for myself, I wouldn't believe any of it.

I'm choosing to believe that God needs us in Ukraine later rather than sooner.

I was listening to my favorite radio show host yesterday morning, and he said he wondered about how sick God must get of us complaining, and if he ever felt like telling us to shut up. Then, he reminded his audience that God gives us EXACTLY what we need, even if it doesn't come in the cute little package we want, and that instead of complaining about our less-than-perfect situations we should all just SHUT UP and be grateful.

So, I'm trying to be grateful. Hopefully, all these delays might finally make sense once we're in Ukraine.

PS - I have a cranky boy on the couch with me who's pushing random keys and poking me in the face. Someone's ready for bed, even if he says he's not.
...that someone would be my spouse.

Complications, Complications

The Army is sending Donald to BNOC (leadership training) smack dab in the middle of our "most likely to travel to Ukraine" timeframe. He'll leave in late March and return in May.

Assuming we FINALLY get this physical situation sorted out, our documents would (we assume) be translated and submitted in November-ish.

After reading other Ukrainian-adoption-bloggers timelines', that would have us receiving an SDA appointment somewhere between February and May.

I ran my first 5k this morning (a big deal for me), then we went to the Puyallup fair, and then we went shopping. It was a full day... a perfect day.

Until we came home and found this out.

BNOC is a school required for soldiers after they are promoted to SSG. He was promoted back in 2006, but due to deployments, other training, 2 moves, and one paperwork mix-up, he has yet to be sent. If he had recently been promoted, they would likely allow him to push it out by another few months, but that's looking unlikely right now.

I consider myself to be a very optimistic and generally happy person, but I feel so defeated. The past 2 months have consisted of one depressing setback after another, and I've never felt so discouraged.

Ultimately, I know everything will unfold in the way God intends... but when life is continually so complicated, it makes me believe that He is paying extra attention to our life. As if he's taking more time to orchestrate things in the most intricate, detailed, and, well - COMPLICATED way possible.

And right now, I don't find that the slightest bit comforting. I should, but I don't.

I'm working on that.

TriCare... oh, Tricare...

The military employs some of the greatest doctors and nurses on earth. I'm so grateful for the healthcare provided to me because of my husband's job.

Having said that, I have never had a single positive experience making appointments or getting referrals. Trying to get a simple physical for the adoption (our home study has been otherwise complete for going on 2 months now) has been quite the challenge.

Thursday, September 9th:

We waited a LONG TIME for my appointment on September 9th. I went to said visit, and the doctor was wonderful. She ordered all the appropriate labs and told me to come back the following week and she would do a papsmear (I hate typing that out loud, but it's crucial to plot development). For a brief moment, I think how smoothly everything is going, but quickly decide to distract myself with other thoughts for fear of jinxing things.

Whoops. Too late.

I go to make a follow-up appointment across the hall, at which point I'm told that I can't make another appointment with her. You see, the appointment I just had was in the Red Team clinic... and I don't "belong" to Red Team. Internal Medicine is my assigned clinic, and that's where I have to go.

Hurray for socialized medicine!

But it gets better. They all but accuse me of having hacked into their computer system or of using my voodoo mind powers to have made the initial Red Team appointment. "Well you clearly don't belong to Red Team, so how you even made that first appointment is questionable."

Like WTF?!?

I called the appointment line. I gave them my information and said I needed a physical for an adoption. I'm sneaky and manipulative like that, I know!

I temporarily gave up, and went to get my blood drawn before the lab closed.

This was Thursday.

I go home, but by the time I'm home the appointment line is closed.

Friday, September 10th:

After getting off work that afternoon, I called Tricare to make an appointment with Internal Medicine... for September 20th. Compared to how long I waited last time, this is fast. Foolishly, I got optimistic and reassured myself that "I already have all my labs done, so I can get everything completed at this appointment and I'll be done."

...or not.

The TriCare appointment people then specifically tell me my primary doctor can NOT do a papsmear for me, under any circumstances (it has been 4 years since my last, so it was required for the physical). Their first available appointment? OCTOBER 20TH. At this point I give up on being nice, and tell them NO-freakin-WAY.

NOPE.

NOT ACCEPTABLE.

"FIX THIS!"

After much complaining, they manage to find me a sooner appointment with the OBGYN clinic for... October 18th. Because that's so much better.

At this point I start crying for about 3 seconds. That's all I had time for. I got over it, and put my game face back on.

And I flipped out more. It tends to do the trick with TriCare.

I'm eventually told that once I year I can do a self-referral off-post for a well-woman exam. SUCESS!

At this point it's 5pm, and the civilian doctors offices are closed.

Monday, September 13th:

I go to Fort Lewis (All these clinics are located in Madigan Hospital/Medical Center) to get my TB test (a 50 minute drive from work, 1 hour in-clinic, and then a 30 minute drive home.)

Finally, I'm home.

I call the tri-care approved doctors to set up an appointment. Everyone has appointments for the following week (roughly two weeks from my initial doctor's appointment). A reasonable timeline... except that I was due to start my... er, "monthly" THIS weekend. So it was the week of the 13th or else I'd have to wait until at LEAST September 24th... after my appointment for the physical (where everything needs to be signed off at).

The civilian doctors have ONE available appointment for the next day, the 14th, at 11:15am... when I'm at work. I call around to find a co-worker who can cover for me. NOBODY can.

Ultimately, I decide that ensuring this physical doesn't get pushed out by another 6ish weeks is WORTH the risk of getting fired. I take the appointment, and tell work that I won't be in the next day. They took it well.

Tuesday, September 14th:

Went to the Gyno. Got my lady tests done.

Today, September 15th:

After work, I'll be driving back to Madigan (on Fort Lewis) to get my TB test read.

I'm no medical professional, but I feel no bump. I think I'm clean.

Hopefully this will all be over on the 20th! (Which I also do NOT have coverage at work for... we'll see how that works out.)

The good news?

I picked up paint samples last week for Little Winn's room. WHICH room (s)he gets is still up for debate though, haha. I'll save that for a later post though. :-)