A nurse from my health insurance company gave me this formula. For every day you spend in the hospital you'll need a week of recovery once you go home.
So I've completed the first week of 5. Geese, I don't have a life, again. (I wrote this on Thursday, and by Friday I did feel a lot better!)
I'm having dizzy spells, hanging onto furniture. Who me, anxious? Heart, lungs, skin, pulse ox, blood pressure, nebulizer, therapeutic vest, pills, pills, pills! Go to tests for this and that. Calls to and from nurses, insurance, appointment schedulers...when do I have time to just be myself?
Warning - a long discussion leading nowhere follows.
There was the scary certified letter Wednesday. The mailman comes to your door and you have to sign that you've received the letter. It is like a legal document. Why? This was from the hospital from which I'd been discharged just a week before. OK, maybe they thought I could pay the bill myself, instead of the insurance company. I signed. And stood inside my apartment and opened it.
La dee da- a standard Dear Patient form letter, with attached "Important Message from Medicare" - in bold face type. It has to do with discharge from the hospital.
I read quickly through the form letter from Medicare, about appealing something.
I go back to the first one...read more carefully. Look for any dates regarding all this. None anywhere. Not even on the envelope. Appeal what?
Why did I get it?
What's it referring to? Somehow the forms refer to being discharged before I felt I'd received adequate care. Being a form letter, it says
"if you want to appeal (regarding discharge too soon or not feeling medically able to go home) you must contact the Quality Improvement Organization no later than the day of discharge, before leaving the hospital." (underline mine!)
Methinks this is another one of those "they doth protest too much."
QIO isn't given any reference in the letter. Incidentally, there's no way to contact them. Incidentally, I was discharged a whole week before receiving this form letter!
Oh the Medicare Important Message form does give some QIO numbers and how to appeal your Hospital Discharge (even after deadline - with your Medicare health plan.)
Ah ha. I remember news stories now that this hospital has been sanctioned by Medicare. Maybe this is what it's all about.
Nothing to do with me. I received a discharge summary. I've since reviewed the discharge with my primary physician. What a load of baloney!
My doctor made sure I had followed his orders (I think, by setting up oxygen at home.) Wait wait. The oxygen wasn't set up until the second day after I went home. Perhaps this is his CYA (cover your ass, if you never ran into that before)! He did say he didn't want me coming back to the hospital with anything related to not having oxygen that first night. Well, I've had it.
And I've doubly HAD IT with this hospital! Ever since HCA bought it out, and half the specialty doctors left, and then all the subsidiary doctors have been brought into their corporate umbrella, it has not done well with the local population. Almost all the nursing staff and technicians are "Traveling Nurses." They used to be called Temps. But they actually work for HCA and are housed by the corporation in towns where they're employed, and apparently put out bids for where and how much they'll work. My phlebotomist was from Sarasota FL and bids for 3 or 4 days a week, a month at a time, here in Asheville, and gets well paid.
I really have had very good care, except for the construction noise the last day. Wait wait, I filled in a survey and said that, and then this letter arrived.
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I really needed this...
Daily Om gave this little helpful reminder last Thursday.
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...I have dizzy spells and hang onto furniture every day! Life is grand.
ReplyDeleteYes, each day I wake up is a blessing!
DeleteI wish things were easier for you. I'm a bit puzzled by the letter, wondering what if anything you're supposed to do. They seem to have sent it too late to be useful, how clever of them.
ReplyDeleteI think I'm now on the list of "watch out a difficult patient." As long as that means good care, I really don't mind.
DeleteWishing you improvement in your health and relief from anxiety soon.
ReplyDeleteThanks. I am slowly getting strength back. As my friends have put up with all my worrisomeness, at least getting better I'll need to focus on other things.
DeleteAs we have different health care and insurances systems I can't offer any help with understanding those procedures. But I do know recovery takes time and that it's not always easy to be a patient patient... I hope you'll find your way and the right kind of help both with the physical recovery and with the "paperwork"!
ReplyDeleteThanks. I'm very grateful for the insurance policy which is also a Medicare system policy...so I do have mandated care, plus extras which seem quite helpful.
DeleteOne week per day. That seems about right. My husband was in the hospital for 14 days with pneumonia which would be 3 1/2 months recovery. It was probably closer to four months. I hope you recovery is speedier.
ReplyDeleteMe too. I have been feeling much better and am now finished with the antibiotics. Having recurrences of pneumonia is frustrating of course.
DeleteI find all of this puzzling. There is different than here.
ReplyDeleteAnyway, keep plugging forward.
You all don't have the intermediary business of health insurance companies, who want to make profits. And the pharmaceutical companies too. Doctors and nurses give care, but hospitals also want to make profits. Curses on capitalism!
DeleteI wish you the best my dear friend. I care about you. Yes, our system is unbelievably complex unnecessarily. So every other civilized Nation does healthcare better than us and it's a real shame for everyone involved.
ReplyDeleteThanks Cloudia. Who knew that when health insurance took over what a mess health care would become. Well, I probably had a good idea.
DeleteHello
ReplyDeleteThe only time I feel dizzy is when I have a spell of Vertigo.
I remember my hubby getting a similar letter about being discharged.
Take care, I hope you are back to your normal soon.
Take care, have a great day and happy week ahead.
Dizzy or light headed feelings are side effects of half the drugs I take, as well as heart problems I have.
DeleteMy daughter who is a nurse at a local hospital here says the same thing about traveling nurses. And there is much resentment from the nurses who are not traveling nurses. It's a mess. Also, our local, largest community hospital was just sold to FSU's school of medicine. I don't understand a bit of this but it has been a huge mess.
ReplyDeleteI absolutely understand your question about when you get to live. It's a conundrum, isn't it?
And I have a new nerve medicine prescribed 2 months ago that I haven’t tried yet because of all these other symptoms. Im super cautious because the specialists don’t have any idea what the latest tests show.
DeleteI had lunch with friends from high school today. Guess what we talked about . . . health care and medicare. Bah humbug.
ReplyDeleteI have friends we check on each other daily…thank heavens. And yes, it’s really a challenge to get to something else, after a perfunctory look at world events, and our latest reading. Family news is still interesting at least!
DeleteI am happy to read you are getting better.
ReplyDeleteSo much work involved in healing. Stay with it, Barb!
ReplyDelete