I am finding that being my best advocate keeps coming up with my experiences within the health care system as well as to engage the supporting resources. There is a lot out there to support me, but getting the services to coordinate or to provide the resources that I could best benefit by has been somewhat difficult. And, keep in mind, I have experience working with “systems” as a social worker and through advocating for my clients. I am left wondering what others do if they are not in positions as myself: i.e. being fairly alert, mobile, not bogged down too much by the side effects of treatment, and having the wherewithal to access these systems and be persistent. Probably persistence is the most important aspect; persistence without expressing frustration, but gratitude for the services provided.
Let me share some of the places where I have been advocating. I somehow suspect this is not uncommon for anyone encountering the health system in Canada and trying to coordinate the myriad of supports. Recently I received a notice from Employment Insurance (EI) that my payments would stop (it has reached 8 weeks) but I know I am entitled to 15 with proper medical documentation. I know I provided the proper medical documentation already; and I managed to have this copied and stamped as received when it was submitted to my EI office. So upon receiving this information meant another trek to the EI office with my stamped medical certificate in hand. I meet with the worker who informs me that their system does not like to have more than one medical certificate and this is why my claim looked like it was to be ending. However with this sort of medical treatment, I could only have more than one certificate.
Back when I was initially diagnosed I thought this would be an issue and I was wondering how to avoid all this. I went to my GP just before my surgery – who did not even know about my diagnosis from the high risk centre that I was using. So my GP could not provide a medical certificate. I then went to my surgeon, who after some time of holding the paperwork completed a medical certificate based on the surgery but not my ensuing treatments. That certificate took me to the end of March, but I did not meet with my medical oncologist (who would be able to write a certificate on the prescribed chemotherapy treatment) until a few days after my surgeon said I’d be “recovered” from surgery. So this facilitated a trip back to my GP to get an intermediate certificate until I could get one from my oncologist. When I met my oncologist, he quickly completed the needed longer term certificate so I could then submit a third piece of documentation to EI. This is what I needed to do to ensure that I had documentation showing I was entitled to 15 weeks of sick leave for EI. Fortunately I had a great worker who “sweet talked” the appropriate person to quickly approve the most recent medical certificate.
This is just one example of what kind of run around seems to be typical to achieve anything that would help me within the system. I did a similar run around for putting my son’s daycare subsidy into special needs and to reduce the amount that I am paying (which is actually still in process). Part of the daycare subsidy is to know my expected annual income, which in turn meant I needed to get an estimate from my long term disability which I had not yet been approved for and had not yet a case manager assigned (although given the circumstances, they could assure me that I was likely to be approved). I’m sure one can imagine the rigmarole that emerged out of this situation.
What I keep wondering about is how folks who are not as privileged as myself, those who don’t have Long Term Disability, those who are not as well educated or whose have English as a second language. I wonder how they fair under similar circumstances. I understand that after 15 weeks Ei, there is only welfare as the option for those who don’t have any other forms of coverage. I know it takes about 6 months to obtain Special Disability in place of welfare, and likely that needs to be seen as a long-term disability. How does that work for someone doing chemotherapy, radiation and likely to survive the cancer diagnosis. That is certainly not enough to survive on. Does that put people in places where they are losing their homes while attending their health? I hear constantly from the medical professionals the importance of reducing stress. How does this reduce stress and how does promote better health for our communities? Just wonderin’.