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Sunday, January 20, 2019

I'd Like to Knit Medicare into a Corner

Blue Ocean is coming along.  A bit slowly though.  Since taking this picture I've added a 3rd color and believe it's about 6 inches wide and about 55 inches long...forgot to write it down after I measured it.  I've been knitting a little here and there, but not making as much progress as I would like.    

Dad has fallen for the 3rd time in the last couple of years, so we've spent more time at the hospital, talking to doctors, making phone calls, trying to follow up on a medicare nightmare.
Did you know, you can be an inpatient at the hospital for several days, but medicare deems you not an inpatient, but an outpatient.  EVEN if you were admitted through the ER, and got to the ER via an ambulance at 3 in the morning!!!  Are you familiar with being admitted as an outpatient for observation?  If not, you really need to read the tiny print on your medicare book.  My Dad is to be 93 in a few weeks, fell, the squad took him to the hospital.  They ruled out breaks with xrays and scans, and were concerned about his heart, and did some things to his pacemaker....3 days later while in a hospital bed........being seen by only hospital doctors........they tell us he is not really admitted.  Now his actually hospital bills, may still get paid (too soon to tell yet if there's an issue with that), but..........since he wasn't really admitted, no follow up care in a skilled nursing facility for physical therapy, nursing, occupational therapy etc will be covered.  Apparently this relatively new "thing" has created lots of problems and huge numbers of law suits nationally.  Seems a crime to me you pay for medicare for YEARS, and then when you get old and need it........poof!

After talking to everyone under the sun to try and get this reversed, we were contacted by a Rehab Hospital...not a skilled facility, but a hospital where he was admitted and received intense therapy that is covered and this stay will qualify for him for the follow up care he needs at a skilled nursing facility for awhile before he goes onto Assited Care.  He's been living alone, and just really can't any longer.
While I don't think the mess about the wall on the boarder is at all funny...this made me smile.  And I believe would be just as effective as donnie john's big beautiful wall that Mexico was going to pay for..........perhaps more effective, though you could die from laughter watching.
Anyone using a dry brush?  A friend of mine got me doing this.  It feels good and is suppose to be helpful with improving dry skin...and has some other benefits.  I've not been able to be consistent yet with using it, as I've been rushing in and out of the shower to get to the various care facilities for Dad, but...hope to eventually.
There's actually a chart to show you  how to dry brush your body.

12 comments:

  1. Our NHS has a lot of flaws but it really brings it home how lucky we are to have it when we hear about medical insurance in other countries. I hope it all gets sorted out for your dad, how would elderly people go on with it all if they didn't have a caring family to help. It's stressful enough having loved ones in hospital without having all that to sort out too. I've never heard of a dry brush before.

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    1. Thanks for the visit Jo, but the friends I have in other countries are quite happy with their insurance and none of them have the headaches and added stress of fighting with an insurance company when they're ill or trying to care for a sick loved one. Right you are, how are our elderly folks without internet suppose to be able to navigate things this crazy.

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  2. Thankfully my 91 year old mom didn't have that outpatient issue when she was diagnosed with a UTI and Sepsis in September. She subsequently spent the entire month in a local rehab facility that was totally covered by Medicare. It is amazing that she recovered. Unfortunately she can not go to assisted living because of how she set up her trust and will. It is so expensive though that I don't think she could ever afford it. I hope all goes well with your dad's care in the future. I love that fencing meme.

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    1. Thanks for the visit CathieJ, glad your Mom didn't have those issues. Dad doesn't have a trust. But the whole issue of care for the elderly is a mess here in this country. A very expensive mess.

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  3. They sure try to weasel out any way they can. Good that it will hopefully be paid for and there is a work around. Assisted living sure isn't cheap anywhere either. lol yeah, that fencing would probably work better than that idiot's wall.

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    1. Thanks for the visit Pat, much appreciated. The whole medical insurance thing, such a nightmare. I know we're not the only family dealing with this, but it's just so wrong and frustrating.

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  4. dealing with bureucracy of anytype can be stressful and frustrated. I do it on my job every so often.
    I usual start my conversation...I'm not sure what my question is but here is what I need and how do I get to that point.
    Coffee is on

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    1. Good points Dora, appreciate your thoughts.

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  5. Oh, honey...I'm dealing with big headaches re a client's MediCare now. Seems in addition to what you wrote, to get any real nursing help, you need to be...dead or on the cusp. Sigh. Sorry for your frustrations.

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    1. Right you are. Good luck with your situation as well.

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  6. thanks for dropping by my blog. I hope your dad gets the help he needs. big hugs Lynda Ruth Purple Pixie Dust

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    1. Thank you Lynda, much appreciated.

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