re: No wonder medical cost or so high...

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Problem is you shouldn't be asking questions about the cost, but questions as to why a follow up is needed. People don't ask enough questions around this kind of thing and unnecessary costs to your insurance company are what drives up the cost.

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Funny you mentioned that. The past two years this preventative visit was performed by Internal Medicine MD...this year by a certified nurse practitioner CNP. I am sure this is the providers way of lessening their cost for this ACA mandated free preventative care visit. Anyway, I ask the CNP why the follow up and she says an enzyme level was high. Should have been less than 50 and it was 61. I go home and do some research and discover that the statin drug I am on to keep cholesterol in good shape side effects are may cause increased levels of this particular enzyme. I again, follow up, and ask about the statins effect and to inquire what the enzyme level was in the past as a baseline reference.

She admitted the enzyme was at the same level for the past two years "but she wanted to err on the side of caution" and that the statins could be the cause. I should have declined the test, but did it to keep the wifey from worrying.Discussed with the head MD my concerns with the CPN's decisions and while he would not say so his demeanor was "wait till I get a hold of that dumb bitch."