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La Dolce Musto: the column

Health Care Doesn't Care: An Old Folks' Hospital Diary (Part Two)

Posted by Michael Musto at 9:00 AM, May 6, 2008

Other little hardships were popping up like butt rashes. Dad's cash was mysteriously stolen from his room on his first day in the home--a lovely welcome. Worse, he fell off the bed because they didn't have the railings up. (Maybe they’d been stolen too.) He started healing from that, but two weeks later he slipped and fell again! “The railing was up on one side,” a worker explained to me in a sadistic monotone. What about the other side? “If we put two sides up, it’s a restraint,” she droned, simply. You can't argue with logic like that—and at least one more side was up than last time.

By now, I had no idea when he’d ever get out of this ridiculous hole. Talk about a restraint. The social worker had promised a meeting where we'd discuss his situation with the staff, but suddenly no one was saying another word about it. I sensed that they all wanted to keep dad there as long as the insurance would pay for it, and too bad if he wasn’t eating, kept falling, and had to shell over that copay.

Miraculously, my mom did get out—exactly when her full coverage expired, interestingly enough. Her at-home help was covered for a while too, but basically you get what you pay for. On the first day, the assigned woman was three hours late and on the second day she didn’t show up at all. The third day she came late and made herself lunch. And on the fourth day she rested.

Between hissy fits, I called dad’s social worker to beg for his own exit plan. “But he might fall in the house,” she said, pleadingly. “Well, he fell twice in the hospital,” I screeched. “How much worse can it get?” These people are geniuses at mumbo jumbo designed to distract you until the insurance runs out. Under pressure, she instructed me to call the head of rehab for more info about dad’s release. I did so, only to have the head of rehab cheerily say I should call the social worker! This was turning into a “Who’s on first?” routine, but without railings.

(To be continued tomorrow. . .)

PART ONE

more: healthcare

comments

This is bringing back sad memories of my own folks in the hospital. It's so straining in every way. I almost had a stroke dealing with it.

Posted by: sassyfas at May 6, 2008 11:56 AM

My grandmother's cash was stolen, and the administrator suggested it was the other patient in the room! And yes, the insurance stops paying 100% in 20 days. Day 21, it goes to 80% and everyone is suddenly well enough to be released.
If you can, you need to get your dad out of their and get some in-home care. There are also some decent places, at least in my area, that offer assisted living, convalescent care, and physical therapy programs, whatever the need would be.
My grandmother went from hospital to physical therapy wing, to home a few times in her last years.
You are lucky that you understand that the coverage is what these people are mostly concerned with. The nurses are angels, but the doctors and the administration are often mercenary.

Do your research and don't take anything they tell you on face value. My grandmother eventually passed away due to bad decisions on the part of administration and her primary physician. She was released to a different care home than our first choice, as it was full. She still had "a slight case of pneumonia" said the doctor. Next day, her breathing was poor and she needed respiratory treatment, which was not available at the home. I insisted that she be readmitted to the hospital. They immediately intubated her, a tube through her nose to help her breathe, and then after a few days, they started giving her increasing doses of morphine to help her tolerate the intubation.
Morphine shuts down the respiratory system, making her increasingly dependent on the oxygen, and the intubation gets increasingly irritating, meaning more morphine is necessary.
We didn't see this coming, but they had to know.
I apologize for this long post, but maybe someone will see it. I also am sorry to give a negative message, because your parents need all the positive vibes that they can get. It's just important to know what you're dealing with, and it sounds like you figured it out a lot faster than I or my family did. best wishes

Posted by: David at May 6, 2008 6:04 PM

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