Thursday, October 26, 2006

Fewer shots, it seems

After Nathaniel was born, he got some Cynagis shots, which protect against RSV (which appears like a common cold in most kids, but can be much worse if you're working with a depleted immune system, which Nathaniel was).

The shot is given monthly in the winter months ... and it costs the insurance company something like $1,000 per shot.

So last spring, I think the pediatrician said we wouldn't be doing Cynagis this fall/winter. But then, last month, the doc's office says we are going to do it. Fair enough, we figure. Something to protect him from colds means he's less likely to get more ear infections.

But then the insurance company calls to say they're not going to approve it because the little guy is too healthy.

So now we don't know what to think. We love that he's healthy enough that he might not need the shot ... but is the insurance company just playing the odds to save money (technically, that is their business, after all). Or was the doctor's office unnecessarily calling for Cynagis for an easy paycheck (10 minute visit = good money from insurance company).

Then there's Nathaniel. Would it be better for him to have some help with dealing with RSV? Or is it better for him to get the immune system working 100 percent without help? Not to mention getting six fewer shots is probably something he'll be happy about.

It's all so confusing. I think, in the end, I'm OK with him not getting Cynagis ... but I hope I feel the same in another few months.

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