Guest guest Posted February 15, 2002 Report Share Posted February 15, 2002 > I work in a SNF and we would like to begin to provide therapy on site at > the Assisted Living next door. According to the Medicare Manual section > 721 it states that: (04-98 COVERAGE OF SERVICES 271) Outpatient PT, OT, > and SP services are covered when furnished in the home. In this case the > home being the Assisted Living. Is anyone out there doing this already? > Are you billing it through the provider number at the SNF? Any problems > with this? > Thanks! > aberryman@... > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2006 Report Share Posted June 1, 2006 Dx’d January 15, 2002 Age 63 at time of DX PSA 5.23 Gleason of 3+3=6, by local hospital, 3+4=7 by s Hopkins, with perineural invasion noted Urologist graded at T2a, Oncologist at T3b, both did DRE Received IMRT Radiation, 44 treatments ending June 12, 2002 Started Zolodex, Casodex February 18, 2002, discontinued June 2004 Bone scan negative, CT of pelvis and abdomen negative -------------------- I would appreciate any response, and my thanks to you. In a recent physical and blood work, my PSA was noted at 0.03. Prior to this, it has stood at 0.00. Do I have cause for concern? I understand that during the period of ADT the therapy would have kept it at the low point, but now off that for two years, is it normal for the PSA to show some rise? Also, I have pain located across the abdomen, all the way across, from my waist down to, but not including the genital area. I have had CT's, MRI's, and a colonoscopy. All clear. Does anyone have a clue, guess, as to what is causing this. Has been going on for over a year. Bending aggravates it. Lying down soothes it. I know - so lie down! I would appreciate anyone taking the time to address this and give me your thoughts, guesses, reading of tea leaves, whatever. The best to all of you, and thank you. Kimble, in the middle of the Appalachians (No, I actually typed this myself.) :):) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2006 Report Share Posted June 1, 2006 Your psa is probally ok. Keep records of the scores and watch for 3 consecutive rises. If it rises three times then begin to worry. As for the pain radiation kills allot more than just the cancer cells so you might be having pain from the treatment. Bone scans usually wont pickup tumors smaller that 2cm and ct's area also lacking on very small tumors but their among the best available. Relax and give it a close watch and if your doc's are good listen to them. Use green tea drink it then rad the leaves. best of luck Kimble wrote: Dx’d January 15, 2002 Age 63 at time of DX PSA 5.23 In a recent physical and blood work, my PSA was noted at 0.03. Prior to this, it has stood at 0.00. Do I have cause for concern? I understand that during the period of ADT the therapy would have kept it at the low point, but now off that for two years, is it normal for the PSA to show some rise? Also, I have pain located across the abdomen, all the way across, from my waist down to, but not including the genital area. I have had CT's, MRI's, and a colonoscopy. All clear. Does anyone have a clue, guess, as to what is causing this. Has been going on for over a year. Bending aggravates it. Lying down soothes it. I know - so lie down! I would appreciate anyone taking the time to address this and give me your thoughts, guesses, reading of tea leaves, whatever. The best to all of you, and thank you. Kimble, in the middle of the Appalachians (No, I actually typed this myself.) :):) The prostate cancer facts, a forum for survival stats, end of life, and other issues we normally don't discuss. So if your looking for this type of support information stop on by. Browse Archives at groups.google.com Be a chatter box. Enjoy free PC-to-PC calls with Yahoo! Messenger with Voice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2006 Report Share Posted June 1, 2006 Hi . I have scattered some tea from my wifes tea bags and although it is a little murky I think my WAG is have a bone mass density scan of your hips. There is a thing called Transient Osteoporosis that could just possibly cause pain in the area you mention. You did the Zolodex for 2 years and that may be a SE. 2471 "Again, PCa and its etiology escapes into the fog, as elusive as ever" Alvin Chin A question Dx’d January 15, 2002 Age 63 at time of DX PSA 5.23 Gleason of 3+3=6, by local hospital, 3+4=7 by s Hopkins, with perineural invasion noted Urologist graded at T2a, Oncologist at T3b, both did DRE Received IMRT Radiation, 44 treatments ending June 12, 2002 Started Zolodex, Casodex February 18, 2002, discontinued June 2004 Bone scan negative, CT of pelvis and abdomen negative -------------------- I would appreciate any response, and my thanks to you. In a recent physical and blood work, my PSA was noted at 0.03. Prior to this, it has stood at 0.00. Do I have cause for concern? I understand that during the period of ADT the therapy would have kept it at the low point, but now off that for two years, is it normal for the PSA to show some rise? Also, I have pain located across the abdomen, all the way across, from my waist down to, but not including the genital area. I have had CT's, MRI's, and a colonoscopy. All clear. Does anyone have a clue, guess, as to what is causing this. Has been going on for over a year. Bending aggravates it. Lying down soothes it. I know - so lie down! I would appreciate anyone taking the time to address this and give me your thoughts, guesses, reading of tea leaves, whatever. The best to all of you, and thank you. Kimble, in the middle of the Appalachians (No, I actually typed this myself.) :):) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2006 Report Share Posted June 1, 2006 Thank you, , for your response. I will suggest that to my doc. Again, thank you. A question Dx’d January 15, 2002 Age 63 at time of DX PSA 5.23 Gleason of 3+3=6, by local hospital, 3+4=7 by s Hopkins, with perineural invasion noted Urologist graded at T2a, Oncologist at T3b, both did DRE Received IMRT Radiation, 44 treatments ending June 12, 2002 Started Zolodex, Casodex February 18, 2002, discontinued June 2004 Bone scan negative, CT of pelvis and abdomen negative -------------------- I would appreciate any response, and my thanks to you. In a recent physical and blood work, my PSA was noted at 0.03. Prior to this, it has stood at 0.00. Do I have cause for concern? I understand that during the period of ADT the therapy would have kept it at the low point, but now off that for two years, is it normal for the PSA to show some rise? Also, I have pain located across the abdomen, all the way across, from my waist down to, but not including the genital area. I have had CT's, MRI's, and a colonoscopy. All clear. Does anyone have a clue, guess, as to what is causing this. Has been going on for over a year. Bending aggravates it. Lying down soothes it. I know - so lie down! I would appreciate anyone taking the time to address this and give me your thoughts, guesses, reading of tea leaves, whatever. The best to all of you, and thank you. Kimble, in the middle of the Appalachians (No, I actually typed this myself.) :):) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2006 Report Share Posted June 1, 2006 Why thank you . I hope I make sense when I rattle on. I never know for sure anymore. I’m kind of crusty like an old barnacle and can rub the wrong way sometimes. Good Luck -----Original Message----- From: ProstateCancerSupport [mailto:ProstateCancerSupport ]On Behalf Of Kimble Sent: Thursday, June 01, 2006 9:16 AM To: ProstateCancerSupport Subject: Re: A question Thank you, Sam. I really appreciate your response. Always check your posts. I enjoy you. Thanks again. ----- Original Message ----- From: sam mcdaniel To: ProstateCancerSupport Sent: Thursday, June 01, 2006 10:12 AM Subject: Re: A question Your psa is probally ok. Keep records of the scores and watch for 3 consecutive rises. If it rises three times then begin to worry. As for the pain radiation kills allot more than just the cancer cells so you might be having pain from the treatment. Bone scans usually wont pickup tumors smaller that 2cm and ct's area also lacking on very small tumors but their among the best available. Relax and give it a close watch and if your doc's are good listen to them. Use green tea drink it then rad the leaves. best of luck Kimble wrote: Dx’d January 15, 2002 Age 63 at time of DX PSA 5.23 In a recent physical and blood work, my PSA was noted at 0.03. Prior to this, it has stood at 0.00. Do I have cause for concern? I understand that during the period of ADT the therapy would have kept it at the low point, but now off that for two years, is it normal for the PSA to show some rise? Also, I have pain located across the abdomen, all the way across, from my waist down to, but not including the genital area. I have had CT's, MRI's, and a colonoscopy. All clear. Does anyone have a clue, guess, as to what is causing this. Has been going on for over a year. Bending aggravates it. Lying down soothes it. I know - so lie down! I would appreciate anyone taking the time to address this and give me your thoughts, guesses, reading of tea leaves, whatever. The best to all of you, and thank you. Kimble, in the middle of the Appalachians (No, I actually typed this myself.) :):) The prostate cancer facts, a forum for survival stats, end of life, and other issues we normally don't discuss. So if your looking for this type of support information stop on by. Browse Archives at groups.google.com Be a chatter box. Enjoy free PC-to-PC calls with Yahoo! Messenger with Voice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2006 Report Share Posted June 1, 2006 Sam, I don't always understand you, my ignorance, and that goes for some of the other well-informed folks on this list, but I have to say I always get a charge out of your posts! Take care, and best wishes. Kimble Re: A question Your psa is probally ok. Keep records of the scores and watch for 3 consecutive rises. If it rises three times then begin to worry. As for the pain radiation kills allot more than just the cancer cells so you might be having pain from the treatment. Bone scans usually wont pickup tumors smaller that 2cm and ct's area also lacking on very small tumors but their among the best available. Relax and give it a close watch and if your doc's are good listen to them. Use green tea drink it then rad the leaves. best of luck Kimble wrote: Dx’d January 15, 2002 Age 63 at time of DX PSA 5.23 In a recent physical and blood work, my PSA was noted at 0.03. Prior to this, it has stood at 0.00. Do I have cause for concern? I understand that during the period of ADT the therapy would have kept it at the low point, but now off that for two years, is it normal for the PSA to show some rise? Also, I have pain located across the abdomen, all the way across, from my waist down to, but not including the genital area. I have had CT's, MRI's, and a colonoscopy. All clear. Does anyone have a clue, guess, as to what is causing this. Has been going on for over a year. Bending aggravates it. Lying down soothes it. I know - so lie down! I would appreciate anyone taking the time to address this and give me your thoughts, guesses, reading of tea leaves, whatever. The best to all of you, and thank you. Kimble, in the middle of the Appalachians (No, I actually typed this myself.) :):) The prostate cancer facts, a forum for survival stats, end of life, and other issues we normally don't discuss. So if your looking for this type of support information stop on by. Browse Archives at groups.google.com Be a chatter box. Enjoy free PC-to-PC calls with Yahoo! Messenger with Voice. Quote Link to comment Share on other sites More sharing options...
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