well another first for medicine in the US of A

[Guest guest]

I have received a fax from the Nursing Home. Had a long term

patient there pass away 10 days ago . DX CHf / arrhythmia/

Dypsnea " 's insurance will not cover the morphine used for end of life comfort "

" please do a prior auth form and send back " I am asked ( of course this ain't no PRIOR auth any more...) Can it get any worse ? We do not now allow morphine for end of life dyspnea and chf ?

Heaven help us.( for hippaa purposes all my patients are now named . Unless they re named or maybe Isabel )-- If you are a patient please allow up to 12 hours for a reply by email/

please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax

[Guest guest]

That is so incredibly ridiculous-and may

rest in peace.

T. Ellsworth, MD

9377 E. Bell Road, Suite 175

sdale, Az 85260

From:

[mailto: ] On

Behalf Of

Sent: Wednesday, October 08, 2008

12:27 PM

To:

practiceimprovement1

Subject:

well another first for medicine in the US of A

I have received a

fax from the Nursing Home. Had a long term patient there pass away

10 days ago . DX CHf / arrhythmia/ Dypsnea

" 's insurance will not cover the morphine used for end of life

comfort "

" please do a prior auth form and send back " I am

asked ( of course this ain't no PRIOR auth any more...)

Can it get any worse ?

We do not now allow morphine for end of life dyspnea and chf

?

Heaven help us.

( for hippaa purposes all my patients are now named

. Unless they re named or maybe Isabel )

--

If you are a patient please allow up to 12 hours for a reply by

email/

please note the new email address.

Remember that e-mail may not be entirely secure/

MD

ph fax

[Guest guest]

That is so incredibly ridiculous-and may

rest in peace.

T. Ellsworth, MD

9377 E. Bell Road, Suite 175

sdale, Az 85260

From:

[mailto: ] On

Behalf Of

Sent: Wednesday, October 08, 2008

12:27 PM

To:

practiceimprovement1

Subject:

well another first for medicine in the US of A

I have received a

fax from the Nursing Home. Had a long term patient there pass away

10 days ago . DX CHf / arrhythmia/ Dypsnea

" 's insurance will not cover the morphine used for end of life

comfort "

" please do a prior auth form and send back " I am

asked ( of course this ain't no PRIOR auth any more...)

Can it get any worse ?

We do not now allow morphine for end of life dyspnea and chf

?

Heaven help us.

( for hippaa purposes all my patients are now named

. Unless they re named or maybe Isabel )

--

If you are a patient please allow up to 12 hours for a reply by

email/

please note the new email address.

Remember that e-mail may not be entirely secure/

MD

ph fax

[Guest guest]

this is very sad. I hope the executive(s) who came up with this particular rule has a good doctor like you when they are dying. I hope their insurance company does not deny them basic pain relief and comfort care. I hope they are lucky enough to have insurance.Subject: well another first for medicine in the US of ATo: practiceimprovement1 Date: Wednesday, October 8, 2008, 12:26 PM

I have received a fax from the Nursing Home. Had a long term

patient there pass away 10 days ago . DX CHf / arrhythmia/

Dypsnea "'s insurance will not cover the morphine used for end of life comfort"

" please do a prior auth form and send back" I am asked ( of course this ain't no PRIOR auth any more...) Can it get any worse ? We do not now allow morphine for end of life dyspnea and chf ?

Heaven help us.( for hippaa purposes all my patients are now named . Unless they re named or maybe Isabel )-- If you are a patient please allow up to 12 hours for a reply by email/

please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax

[Guest guest]

this is very sad. I hope the executive(s) who came up with this particular rule has a good doctor like you when they are dying. I hope their insurance company does not deny them basic pain relief and comfort care. I hope they are lucky enough to have insurance.Subject: well another first for medicine in the US of ATo: practiceimprovement1 Date: Wednesday, October 8, 2008, 12:26 PM

I have received a fax from the Nursing Home. Had a long term

patient there pass away 10 days ago . DX CHf / arrhythmia/

Dypsnea "'s insurance will not cover the morphine used for end of life comfort"

" please do a prior auth form and send back" I am asked ( of course this ain't no PRIOR auth any more...) Can it get any worse ? We do not now allow morphine for end of life dyspnea and chf ?

Heaven help us.( for hippaa purposes all my patients are now named . Unless they re named or maybe Isabel )-- If you are a patient please allow up to 12 hours for a reply by email/

please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax