Good grief what a day. Steve's insurance wont cover Spiriva, So I called the Pulmonary office and asked them to get a Pre Auth.. According to his insurance even with a Pre Auth it will be at least 141.00 a month.... The is no Guarantee they will even accept the the pre Auth from the Doctor ... I have no idea how to afford that, We can drop TV and just live off basically dial up speed internet, as we have no other options. some how again cut into food budget? This is going to be more difficult now that Steve is diabetic.

I called the drug manufacturer and because he has Medicare they offer ZERO patience assistance. They gave me the number to a foundation that "might" be able to help. I completed there application. I need to call the Pulmo office again tomorrow and ask them if I need to hand carry it to them (1.5 hours north) Or can mail , they fill out there page and fax it in for me, also ask ( i'll beg ) If there is anyway they can give us one more sample because who knows how long this process will take.

The oral medication that works over time to hopefully stop or at least decrease the amount of COPD flares? they also offer no assistance since he is Medicare and the drug isnt on the list of meds that the foundation helps with.

Took my dogs out this Am and A nasty storm came through out of nowhere and My one dog is terrified of thunder storms and Lighting. So by the time it was safe for me to run out to get them he was frantic. Diarrhea and lots of vomiting , He spent all day in my lap, hes huge, Hes not dehydrated, very needy but was wagging his tail. Hes finally calmed and got off me.. Between Fibro and being mashed with him laying on me all day, I cant take a deep breath its just to painful.

I'm really struggling with one thing after another after another after another. The Spiriva is allowing him to breath a bit deeper and hes able to maintain 90-92 oxygen level on room air , at rest. So somehow we have to find a way for him to have it. He should not have to feel like hes sufficating all the time.