Re: sent home

[Guest guest]

le,

My daughter had her infusion in a doctors office. It was not the best

experience ONLY because this doctor had patients to see as well and was a new

procedure at this particular office and they were trying to work out the kinks.

When I complained how uncomfortable I was with the infusion in such a busy

office, they switched her infusion to days when she would be the only patient

there. I think they only had a total of maybe 6 patients they infused.

Infusing while no other patients was nice, as the nurse could take vitals, and

monitor her more closely. . That was wonderful, however still have

severe post infusion side affects. She is no longer getting infusions, as we

received a second opinion and this new immunologist does not believe she ever

really needed them. I don't think there are many offices out there that will

agree to infusions. If you do find one, take it from me...... MAKE SURE THEY

UNDERSTAND ABOUT IVIg, and you as the parent are NOT THE ONE POLICING EVERY MOVE

THEY MAKE. If you choose an office environment ask, how many patients do they

infuse, how long have they been doing this in an office setting, do they use a

pump to infuse the product, who decides the rate of infusion... and is this

under the control of the nurse or the doctor? These are all things I wish I

would have asked initially.

A hospital or clinic environment is set up in a much more structured fashion,

and they follow procedures to the letter. My experience with an office

infusion was , they made there own rules and set there own infusion rates, and

on the days the doctor was not there the nurse had full say in what happened.

Our nurse was extremely well intended, loving, caring and went out of her way to

help us, however I truly don't think she had enough understanding or experience

with administering IVIg to children. The office was not very clean, and I

never witnessed any sense of sterile technique used. They never washed their

hands prior to starting the IV, and did not wear gloves. It was very very very

casual. This was great as far as atmosphere for us, as you felt like you were

home, however I had real concerns regarding safety. At one visit I found a

needle on the floor next to s chair with blood in the hub. This to me was

the last straw. The sad thing is, the nurse who was handling this was one of

the nicest persons you would ever want to meet, but just overworked. Good Luck

and I hope this helps .

Sharon

11 (mom) Previously diagnosed PID, now currently diagnosed GERD, asthma,

allergies

sent home

omeone on this site had mentioned once that they get IVIG in the Drs office. Is

that the case. After spending 8 hours on the road I am seriously reconsidering

our options. At this time our Ped does not want having homecare due to

s reactions in the past. Our local infusion center deals with adult cancer

patients................I don't know if its worth changing as has been

going to LPCH for 7 years................its home away from home. I think I

just tired right now.Good night ,le

[Guest guest]

I am sorry to say, , but the insurance companies seem to have the

final say here. They seem to have a set number of days for each procedure

but that varies with companies. If the doctor feels that the patient is in

danger to be sent home, usually the insurance company complies.

With my THR it was stated that I would stay in the hospital from 3 to 5

days.

I was shocked when the other lady said she was sent home the very day

of having a total shoulder replacement.....now a scope I might understand

because those are done at surgical centers like knee scopes and have no

overnight stay. But not a replacement.......BARB

Re: I am New Here

OMG you are a much braver person than I. I had that pain pump for the day of

surgery and the following day and had 3 nights in hospital. I am 5 weeks out

from that, having said that it was a revision.

[

------------------------------------

[Guest guest]

just had tsr on march 18. i was in the or at 7:30 am, found myself in recovery

at about 1:30 pm. i was told medicare would not pay for an over night stay, so i

got dressed and went home. i know who i'm not voting for in 2012. that's a no

brainer.

From: BARB <barbmch@...>

Subject: Re: sent home

Joint Replacement

Date: Saturday, March 19, 2011, 6:04 PM

 

I am sorry to say, , but the insurance companies seem to have the

final say here. They seem to have a set number of days for each procedure

but that varies with companies. If the doctor feels that the patient is in

danger to be sent home, usually the insurance company complies.

With my THR it was stated that I would stay in the hospital from 3 to 5

days.

I was shocked when the other lady said she was sent home the very day

of having a total shoulder replacement.....now a scope I might understand

because those are done at surgical centers like knee scopes and have no

overnight stay. But not a replacement.......BARB

Re: I am New Here

OMG you are a much braver person than I. I had that pain pump for the day of

surgery and the following day and had 3 nights in hospital. I am 5 weeks out

from that, having said that it was a revision.

[

------------------------------------

[Guest guest]

Part of the problems, at times, are the case managers not doing their jobs in

appealing and such.  My DIL works at a rehab/nursing home and wants to get me

into the rehab after my knee surgery.  I called Blue Cross/Blue Shield about my

benefits for inpatient rehab and was told that I had none because of my age...so

they shut you down quick if you don't know the right things to ask.

Kathy then called and got a run around, but she does know how to handle

insurance carriers, and finally dragged out of the person that I did have

benefits and it's up to the doc and case manager to pursue.  But, she had to

give them " attitude " because they didn't want to admit that there was a

possibility I did have benefits.

So, you have to strongly advocate for yourself, or have someone in your corner

who knows the ins and outs...don't presume the case manager will get the job

done.  When I had my hip replaced, GEHA denied inpatient rehab...I later learned

they paid $700 a day towards it, but refused me because we didn't fight for it. 

Double speak is the way lots of these insurance companies go, unfortunately. 

I'm truly shocked a total shoulder replacement would be sent home the same day,

too, it's unthinkable! 

Lynn

LTHR Oct 09

RTKR coming on 29 Mar

A bright spirit once said, in days of old, " Faith itself is the pot of gold. "  

Emma O'Reilly

Visit my art blog:  http://adreamseyeview.blogspot.com/

From: BARB <barbmch@...>

Subject: Re: sent home

Joint Replacement

Date: Saturday, March 19, 2011, 9:04 PM

I am sorry to say, , but the insurance companies seem to have the

final say here.  They seem to have a set number of days for each procedure

but that varies with companies.  If the doctor feels that the patient is in

danger to be sent home, usually the insurance company complies.

With my THR it was stated that I would stay in the hospital from 3 to 5

days.

I was shocked when the other lady said she was sent home the very day

of having a total shoulder replacement.....now a scope I might understand

because those are done at surgical centers like knee scopes and have no

overnight stay.  But not a replacement.......BARB

Re: I am New Here

OMG you are a much braver person than I. I had that pain pump for the day of

surgery and the following day and had 3 nights in hospital. I am 5 weeks out

from that, having said that it was a revision.

[

------------------------------------

[Guest guest]

I think I would have refused to go.I couldn't go home on same day as surgery

The doctor /surgeon should have said it wasn't safe to do so.

-- Re: sent home

Joint Replacement

Date: Saturday, March 19, 2011, 6:04 PM

I am sorry to say, , but the insurance companies seem to have the

final say here. They seem to have a set number of days for each procedure

but that varies with companies. If the doctor feels that the patient is in

danger to be sent home, usually the insurance company complies.

With my THR it was stated that I would stay in the hospital from 3 to 5

days.

I was shocked when the other lady said she was sent home the very day

of having a total shoulder replacement.....now a scope I might understand

because those are done at surgical centers like knee scopes and have no

overnight stay. But not a replacement.......BARB

Re: I am New Here

OMG you are a much braver person than I. I had that pain pump for the day of

surgery and the following day and had 3 nights in hospital. I am 5 weeks out

from that, having said that it was a revision.

[

------------------------------------

[Guest guest]

Well, that's just beyond awful!  Not the President's fault, however...your case

manager and doctor should have seen to it that you had a longer stay.  I would

address a letter to a patient advocate at the hospital and to Medicare (it could

be their rules are being interpreted incorrectly by the case manager)...I know

it's too late for you, but you may help the next person facing such surgery.

When's your follow up with your surgeon?  Hope you're doing well...are they

sending PT to your home?

Lynn

LTHR Oct 09

RTKR tomorrow!

I'm no model lady. A model's just an imitation of the real thing.- Mae West

All religions, arts and sciences are branches of the same tree. - Albert

Einstein

Visit my art blog:  http://adreamseyeview.blogspot.com/

From: BARB <barbmch@...>

Subject: Re: sent home

Joint Replacement

Date: Saturday, March 19, 2011, 6:04 PM

 

I am sorry to say, , but the insurance companies seem to have the

final say here. They seem to have a set number of days for each procedure

but that varies with companies. If the doctor feels that the patient is in

danger to be sent home, usually the insurance company complies.

With my THR it was stated that I would stay in the hospital from 3 to 5

days.

I was shocked when the other lady said she was sent home the very day

of having a total shoulder replacement.....now a scope I might understand

because those are done at surgical centers like knee scopes and have no

overnight stay. But not a replacement.......BARB

Re: I am New Here

OMG you are a much braver person than I. I had that pain pump for the day of

surgery and the following day and had 3 nights in hospital. I am 5 weeks out

from that, having said that it was a revision.

[

------------------------------------

[Guest guest]

I'm confused by this since a patient is told prior to any " procedure "

whether it is going to be performed on an out-patient basis (i.e. sent

home the same day). You just can't be sent home unexpectedly that day

unless it has been discussed since the medical providers have to be

sure that there is a home care plan in place. People aren't even

allowed to go home after a colonoscopy without being picked up by

someone.

In my experience Medicare is generally more " generous " than private

insurance companies in terms of benefits - especially in terms of

length of hospital stay and ability to go to rehab facilities after

surgery.

Even private insurance can't just dump someone unexpectedly as there

needs to be a discharge plan in one's medical files.

My personal experience is that one can in effect " negotiate " with your

doctor who is ultimately the one who determines whether to discharge

you. There is quite a bit of leeway especially if the person lives

alone and therefore might not be able to be released as quickly as

someone who has a live-in spouse or other caretaker to help.

In my experience, many people want to go home as quickly as possible

if they have adequate help at home (assuming they are in no medical

danger).

But it's ultimately it's between you and your doctor and I can't

imagine NOT asking my doctor at the earliest time when the expected

length of stay would be.

As another poster has written, the President and the Democratic Party

are actually the party in favor of Medicare - read a little American

history as it was attacked by the Republicans as a form of " socialized

medicine " .

On Mar 27, 2011, at 8:54 PM, maryanne.waspe1@... wrote:

> I think I would have refused to go.I couldn't go home on same day as

> surgery

>

> The doctor /surgeon should have said it wasn't safe to do so.

>

>

>

> -- Re: sent home

> Joint Replacement

> Date: Saturday, March 19, 2011, 6:04 PM

>

>

>

>

>

>

> I am sorry to say, , but the insurance companies seem to have the

> final say here. They seem to have a set number of days for each

> procedure

> but that varies with companies. If the doctor feels that the patient

> is in

> danger to be sent home, usually the insurance company complies.

> With my THR it was stated that I would stay in the hospital from 3

> to 5

> days.

> I was shocked when the other lady said she was sent home the very day

> of having a total shoulder replacement.....now a scope I might

> understand

> because those are done at surgical centers like knee scopes and have

> no

> overnight stay. But not a replacement.......BARB

>

> Re: I am New Here

>

> OMG you are a much braver person than I. I had that pain pump for

> the day of

> surgery and the following day and had 3 nights in hospital. I am 5

> weeks out

> from that, having said that it was a revision.

>

>

>

> [

>

> ------------------------------------

>

>

[Guest guest]

That's interesting, when I had my reverse shoulder replacement in October

Medicare paid for my 2 day hospital stay and could have stayed a 3rd day if I

wasn't feeling well enough to go home.

Are you blaming the President for Medicare not paying for your hospital stay?

More than likely it's either the hospital case manager or os who messed this up.

Take care,

Jeff

________________________________

From: jac eagle <eaglejac@...>

Joint Replacement

Sent: Sun, March 20, 2011 10:05:46 AM

Subject: Re: sent home

just had tsr on march 18. i was in the or at 7:30 am, found myself in recovery

at about 1:30 pm. i was told medicare would not pay for an over night stay, so i

got dressed and went home. i know who i'm not voting for in 2012. that's a no

brainer.

From: BARB <barbmch@...>

Subject: Re: sent home

Joint Replacement

Date: Saturday, March 19, 2011, 6:04 PM

 

I am sorry to say, , but the insurance companies seem to have the

final say here. They seem to have a set number of days for each procedure

but that varies with companies. If the doctor feels that the patient is in

danger to be sent home, usually the insurance company complies.

With my THR it was stated that I would stay in the hospital from 3 to 5

days.

I was shocked when the other lady said she was sent home the very day

of having a total shoulder replacement.....now a scope I might understand

because those are done at surgical centers like knee scopes and have no

overnight stay. But not a replacement.......BARB

Re: I am New Here

OMG you are a much braver person than I. I had that pain pump for the day of

surgery and the following day and had 3 nights in hospital. I am 5 weeks out

from that, having said that it was a revision.

[

------------------------------------

[Guest guest]

not really sure what's going on with medicare and other providers, seems though,

things may have changed this year. i didn't want to demand a night in the

hospital, only to be charged later on with a 5 figure bill. i was told however,

the stay was denied by medicare not anyone else.

by the way in dec. 2010, my wife was in for an angiagram and a stint. a few days

in the hospital and no complaints from medicare. that's why i believe changes

took place this year.

hope you never need another hospital visit, but if a situation comes up with you

or someone you know, check the finanical obligations first.

thanks for the reply

john

From: BARB <barbmch@...>

Subject: Re: sent home

Joint Replacement

Date: Saturday, March 19, 2011, 6:04 PM

 

I am sorry to say, , but the insurance companies seem to have the

final say here. They seem to have a set number of days for each procedure

but that varies with companies. If the doctor feels that the patient is in

danger to be sent home, usually the insurance company complies.

With my THR it was stated that I would stay in the hospital from 3 to 5

days.

I was shocked when the other lady said she was sent home the very day

of having a total shoulder replacement.....now a scope I might understand

because those are done at surgical centers like knee scopes and have no

overnight stay. But not a replacement.......BARB

Re: I am New Here

OMG you are a much braver person than I. I had that pain pump for the day of

surgery and the following day and had 3 nights in hospital. I am 5 weeks out

from that, having said that it was a revision.

[

------------------------------------

[Guest guest]

I don't believe anything has changed with Medicare. Do you have traditional

Medicare or a Medicare Advantage plan? If it's the latter, that may be the

problem. Blame the insurance company, the doctor, or the hospital - not

Medicare.

----- Original Message -----

From: " jac eagle " <eaglejac@...>

not really sure what's going on with medicare and other providers, seems

though, things may have changed this year. i didn't want to demand a night

in the hospital, only to be charged later on with a 5 figure bill. i was

told however, the stay was denied by medicare not anyone else.

by the way in dec. 2010, my wife was in for an angiagram and a stint. a few

days in the hospital and no complaints from medicare. that's why i believe

changes took place this year.

hope you never need another hospital visit, but if a situation comes up with

you or someone you know, check the finanical obligations first.

thanks for the reply

[Guest guest]

my elderly uncle just spent 4 days in the hospital for congestive heart

failure

and medicare didn't quibble a bit on his length of stay......plus his

supplemental

insurance always pays 100% of what Medicare doesn't pay....BARB

Re: sent home

I don't believe anything has changed with Medicare. Do you have traditional

Medicare or a Medicare Advantage plan? If it's the latter, that may be the

problem. Blame the insurance company, the doctor, or the hospital - not

Medicare.

----- Original Message -----

From: " jac eagle " <eaglejac@...>

not really sure what's going on with medicare and other providers, seems

though, things may have changed this year. i didn't want to demand a night

in the hospital, only to be charged later on with a 5 figure bill. i was

told however, the stay was denied by medicare not anyone else.

by the way in dec. 2010, my wife was in for an angiagram and a stint. a few

days in the hospital and no complaints from medicare. that's why i believe

changes took place this year.

hope you never need another hospital visit, but if a situation comes up with

you or someone you know, check the finanical obligations first.

thanks for the reply

------------------------------------

[Guest guest]

Have the same plan for 10 years, no problem until 2011.

From: R <nancyr44@...>

Subject: Re: sent home

Joint Replacement

Date: Monday, March 28, 2011, 11:29 AM

 

I don't believe anything has changed with Medicare. Do you have traditional

Medicare or a Medicare Advantage plan? If it's the latter, that may be the

problem. Blame the insurance company, the doctor, or the hospital - not

Medicare.

----- Original Message -----

From: " jac eagle " <eaglejac@...>

not really sure what's going on with medicare and other providers, seems

though, things may have changed this year. i didn't want to demand a night

in the hospital, only to be charged later on with a 5 figure bill. i was

told however, the stay was denied by medicare not anyone else.

by the way in dec. 2010, my wife was in for an angiagram and a stint. a few

days in the hospital and no complaints from medicare. that's why i believe

changes took place this year.

hope you never need another hospital visit, but if a situation comes up with

you or someone you know, check the finanical obligations first.

thanks for the reply

[Guest guest]

I have to add that the changes for medicare have not taken place yet. You are

totally mistaken about the new health care bill, but I am sure you don't want to

hear that, and won't listen to reason. I don't know what happened at your

hospital, but someone made an error. It just might have been you.

All the best, Joan

________________________________

From: jac eagle <eaglejac@...>

Joint Replacement

Sent: Tue, March 29, 2011 11:44:47 AM

Subject: Re: sent home

Have the same plan for 10 years, no problem until 2011.

From: R <nancyr44@...>

Subject: Re: sent home

Joint Replacement

Date: Monday, March 28, 2011, 11:29 AM

I don't believe anything has changed with Medicare. Do you have traditional

Medicare or a Medicare Advantage plan? If it's the latter, that may be the

problem. Blame the insurance company, the doctor, or the hospital - not

Medicare.

----- Original Message -----

From: " jac eagle " <eaglejac@...>

not really sure what's going on with medicare and other providers, seems

though, things may have changed this year. i didn't want to demand a night

in the hospital, only to be charged later on with a 5 figure bill. i was

told however, the stay was denied by medicare not anyone else.

by the way in dec. 2010, my wife was in for an angiagram and a stint. a few

days in the hospital and no complaints from medicare. that's why i believe

changes took place this year.

hope you never need another hospital visit, but if a situation comes up with

you or someone you know, check the finanical obligations first.

thanks for the reply