I’ve been having recurrent respiratory problems (can be related to severe stress because of my unstable professional life) since October 2018, and also sleep problems this year, and once I had to call an ambulance for the first one. I’ve been also diagnosed with sleep apnea and undergoing treatment for the same. Anyway, I visited a pneumologue in Paris couple of times, who did a few tests and wrote “Maladie de long durée exonérante” on her prescription. Since she didn’t have the program to send it officially to sécu, she asked me to go to my GP to finish the official sides of things, which I did. However, sécu rejected the decision, and gave me an option to contest it with the help of a representative doctor, which I was about to do. Now, my GP told me that it’d be the pneumologue since she proposed it, and I agree. However, the pneumologue rejected and told me that it’d be the GP’s job since he gets paid to do so. The sécu said choosing the doctor to represent is upto me and there’s no rule. However, since my pneumologue refused to do so, I forward her email to my GP,(CC: pneumo) writing this: *"Following your reply, I wrote to my pneumologue Dr. **, whose reply, written below, I forward you. Basically it says that representing the patient as maladie de longue durée exonérante is the job of the médecin traitant (even if it’s proposed by another doctor) . I also CC-ed her in the email, just in case you need to sort this out with her. The deadline to contest this decision is approaching, so a quick resolution to who’s going to represent me in the contestation against sécurité sociale’s refusal, would be greatly beneficial.".
Last Sunday morning, I got an email from the pneumologue that included this: “…; the country is lacking money the situation is hard france is not a money pump …” I found this extremely unprofessional.
Now, it makes me wonder: if by having chosen to contest sécu’s decision, I’m trying to take unfair advantage of the system? I understand that there’re people in way worse conditions than myself, but my question is: given my recurrent illness and given the fact the pneumologue was the one to suggest and propose “maladie de longue durée”, am I really being overreactive when I just stand up for that proposal and what I intuitively thought was correct? Also, if a doctor suggests ALD, should(s)he not show the courtesy to defend her/his proposal? I’m having second thoughts about challenging the decision and might drop it altogether - it’s not my intention to show my case as more important than it actually is. But still I find the pneumo’s language to be very rude. I’d appreciate your feedback, and please don’t hesitate to tell me that I shouldn’t challenge the decision, may be I just need to hear that.