Guest guest Posted June 11, 2003 Report Share Posted June 11, 2003 Hi all, had his clinic appointment today at nemours here in Florida, it went well. Dr Geller asked if was on any kind of chest therapy and I said No, So he had a tech come in and give me the basics about how to tap your childs lungs, Please if anyone could give ideas about the best position to do that, I am really really not sure how to do this, yes he gave me a quick explanation but you know how that is when you have kids running all over, you only get to hear half of it. He gave me this thing that sort of looks like a cup but is soft. Are there any books on how to explain this?The Dr. is going to put in a request for the vest, but I'm worried about how this is going to be paid for. has CMS insurance which is a branch of medicaid, so I don't know how that will work. Is it hard to get the vest?The overall visit went well, had a chest x ray, blood taken and a throat swab. He gained weight but his nutritionist wants me to add some cream to his scandishakes to add more fat, his enzymes were increased to 3 pancrecarb w/ meals and 2 w/snacks. So we will see how that goes. I will keep you all posted, Thanks...... , mommy of 5 yrs old w/cf/adhd and no cf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2003 Report Share Posted June 11, 2003 The vest is the best way to go if you can. Here in Indiana Children's with Special Needs foundation payed for ours. Our daughter is 4 now and has been using it since she was a year old. When we did use the pitter-pats were told to focus 10 minutes on each lobe of each lung.. Right-upper, right-lower, and left-upper and left lower. So it took approx. 40 minutes 2 or 3 times a day, depending on her condition. The vest takes 30 minutes, but focuses on all 4 areas simutaneously and for the entire time. It is far more efficient than we could ever be. Hope this helps, Jeff vest/chest therapy and clinic visit Hi all, had his clinic appointment today at nemours here in Florida, it went well. Dr Geller asked if was on any kind of chest therapy and I said No, So he had a tech come in and give me the basics about how to tap your childs lungs, Please if anyone could give ideas about the best position to do that, I am really really not sure how to do this, yes he gave me a quick explanation but you know how that is when you have kids running all over, you only get to hear half of it. He gave me this thing that sort of looks like a cup but is soft. Are there any books on how to explain this?The Dr. is going to put in a request for the vest, but I'm worried about how this is going to be paid for. has CMS insurance which is a branch of medicaid, so I don't know how that will work. Is it hard to get the vest?The overall visit went well, had a chest x ray, blood taken and a throat swab. He gained weight but his nutritionist wants me to add some cream to his scandishakes to add more fat, his enzymes were increased to 3 pancrecarb w/ meals and 2 w/snacks. So we will see how that goes. I will keep you all posted, Thanks...... , mommy of 5 yrs old w/cf/adhd and no cf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2003 Report Share Posted June 11, 2003 Dr Gellar is a great CF doc.I have a sheet that shows all the positions 7 how you do that. The little cup is really all most out of date now ..with the vest , etc. BUT it sure is better than having to cup your hands. Let him get the vest. CMS or Medicaid will cover it & what isn't .. Advanced respiratory isn't going to take it away once its there. So look at that great big Bright light .its aimed at you & . Now post mw your snail mail address so I can mail some info " stuff " to you. By the way I am right her in Orlando & I would love to have to stop by & say hi anytime. Phone number is 407-898-447 take care, send me the address now :) LOVE & HUGS, grandmomBEV vest/chest therapy and clinic visit Hi all, had his clinic appointment today at nemours here in Florida, it went well. Dr Geller asked if was on any kind of chest therapy and I said No, So he had a tech come in and give me the basics about how to tap your childs lungs, Please if anyone could give ideas about the best position to do that, I am really really not sure how to do this, yes he gave me a quick explanation but you know how that is when you have kids running all over, you only get to hear half of it. He gave me this thing that sort of looks like a cup but is soft. Are there any books on how to explain this?The Dr. is going to put in a request for the vest, but I'm worried about how this is going to be paid for. has CMS insurance which is a branch of medicaid, so I don't know how that will work. Is it hard to get the vest?The overall visit went well, had a chest x ray, blood taken and a throat swab. He gained weight but his nutritionist wants me to add some cream to his scandishakes to add more fat, his enzymes were increased to 3 pancrecarb w/ meals and 2 w/snacks. So we will see how that goes. I will keep you all posted, Thanks...... , mommy of 5 yrs old w/cf/adhd and no cf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2003 Report Share Posted June 11, 2003 Hi , We had those cups until may of this year! We got a MedPulse vest It is similar to the one by advanced respiratory. Our insurance did agree to pay for it and has a medical assistance (state) type of insurance, too. It took a while for approval but we got it. I know that advanced respiratory has great results with all types of insurance too. It is good to learn the manual PT and positions anyway-in case of an emergency, like some part of the vest not working when you need it to. Good Luck!! vest/chest therapy and clinic visit Hi all, had his clinic appointment today at nemours here in Florida, it went well. Dr Geller asked if was on any kind of chest therapy and I said No, So he had a tech come in and give me the basics about how to tap your childs lungs, Please if anyone could give ideas about the best position to do that, I am really really not sure how to do this, yes he gave me a quick explanation but you know how that is when you have kids running all over, you only get to hear half of it. He gave me this thing that sort of looks like a cup but is soft. Are there any books on how to explain this?The Dr. is going to put in a request for the vest, but I'm worried about how this is going to be paid for. has CMS insurance which is a branch of medicaid, so I don't know how that will work. Is it hard to get the vest?The overall visit went well, had a chest x ray, blood taken and a throat swab. He gained weight but his nutritionist wants me to add some cream to his scandishakes to add more fat, his enzymes were increased to 3 pancrecarb w/ meals and 2 w/snacks. So we will see how that goes. I will keep you all posted, Thanks...... , mommy of 5 yrs old w/cf/adhd and no cf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2003 Report Share Posted June 11, 2003 You don't have to worry about a thing, . will get his Vest from us and we will work with your insurers. You just worry about . It is very easy to get the Vest. The most important thing is that you use it. Everything else will work itself out. I hope this helps. Randy , RN Advanced Respiratory vest/chest therapy and clinic visit Hi all, had his clinic appointment today at nemours here in Florida, it went well. Dr Geller asked if was on any kind of chest therapy and I said No, So he had a tech come in and give me the basics about how to tap your childs lungs, Please if anyone could give ideas about the best position to do that, I am really really not sure how to do this, yes he gave me a quick explanation but you know how that is when you have kids running all over, you only get to hear half of it. He gave me this thing that sort of looks like a cup but is soft. Are there any books on how to explain this?The Dr. is going to put in a request for the vest, but I'm worried about how this is going to be paid for. has CMS insurance which is a branch of medicaid, so I don't know how that will work. Is it hard to get the vest?The overall visit went well, had a chest x ray, blood taken and a throat swab. He gained weight but his nutritionist wants me to add some cream to his scandishakes to add more fat, his enzymes were increased to 3 pancrecarb w/ meals and 2 w/snacks. So we will see how that goes. I will keep you all posted, Thanks...... , mommy of 5 yrs old w/cf/adhd and no cf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2003 Report Share Posted June 12, 2003 HI , The CFF used to, maybe still do publish a booklet entitled " Segmental Bronchial Drainage " or something like that, it shows all the positions and where to pound. You could try calling them at 1800FIGHTCF and ask if they still have it. It's worth a try. love, M Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2003 Report Share Posted June 12, 2003 In a message dated 6/11/2003 11:11:54 PM Central Daylight Time, rgarcia@... writes: > You don't have to worry about a thing, . will get his Vest > from us and we will work with your insurers. You just worry about . > It is very easy to get the Vest. The most important thing is that you use > it. Everything else will work itself out. > > I hope this helps. > > Randy , RN > Advanced Respiratory > Randy, I have a question one of my daughters is on a waiver program that pays what are insurance won't. We all ready have one vest but we have two daughters with CF. If we request another vest and are insurance will not except it will the vest company bill it to our state waiver program? My social worker didn't know if the state of Minnesota would. Deb A Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 12, 2003 Report Share Posted June 12, 2003 Deb, I'm not sure about that one. I would suggest that you talk to our reimbursement folks. They are much better prepared to give you the right info. I hate to be vague, but I don't want to give you false info. Call 1- and ask for the reimbursement specialist for MN. That person will be able to answer your question. I hope this helps! Randy ______________________________________________________________ Information contained in this e-mail message may be legally privileged and confidential information intended only for the use of the individual(s) named above. If the reader of this message is not the intended recipient, you are hereby notified that any use, dissemination, distribution, or copying of this e-mail is strictly prohibited. If e-mailed messages include MEDICAL RECORDS, these records ARE PRIVILEGED AND CONFIDENTIAL and may be released only upon written permission of the patient. If you have received this e-mail in error, please immediately notify the sender by telephone at 1- and delete this e-mail. Thank you! ______________________________________________________________ Quote Link to comment Share on other sites More sharing options...
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