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Update on my brother #5 (and somewhat OT)

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jmcquown - 07 Oct 2007 07:25 GMT
I was there for three days and nights.  Came home on Friday.  Persia was
happy to have me back full time :)

Yesterday morning he called, he needs his dressing changed.  I drive 25
miles to his house and our friend of 35 years is sitting there with him
watching television.  What, you couldn't ask Dave to put on some fresh
gauze?  I had to drive 25 miles over here just to do this?  Maybe it's a guy
thing, I don't know.

I arrived.  Dave left 15 minutes later.  I changed his dressing and then he
announced he was going to take a nap.  Sorry, I'm not going to stick around
while you take a nap.  I'm going back home.  I left him a DVD to watch for
when he woke up.  But sorry, I want to be at HOME.  With my kitty and my
bird.  And not having to watch The Food Network 24/7.

Jill
Granby - 07 Oct 2007 11:13 GMT
Can't you arrange for a visiting nuse to change the dessing?  That is what
they do around here.
>I was there for three days and nights.  Came home on Friday.  Persia was
> happy to have me back full time :)
[quoted text clipped - 15 lines]
>
> Jill
jmcquown - 07 Oct 2007 11:29 GMT
> Can't you arrange for a visiting nuse to change the dessing?  That is
> what they do around here.

I don't know that his insurance would pay for that.

>> I was there for three days and nights.  Came home on Friday.  Persia
>> was happy to have me back full time :)
[quoted text clipped - 15 lines]
>>
>> Jill
Lesley - 07 Oct 2007 17:50 GMT
> > Can't you arrange for a visiting nuse to change the dessing?  That is
> > what they do around here.
>
> I don't know that his insurance would pay for that.

Over here when Dave was in hospital and his back needed dressed but we
wanted to go out I offered to do it, I'd seen it done enough  was
really just a matter of taking off the guaze and putting some more on
and I am sensible enough (I don't make a habit of it) to wash my
hands...

Well you'd think I suggested the nurses perform a sexual act on a
small chicken! There were at least a couple of occasions whwen I
didn't get no supper because we had to wait a few hours for a nurse to
do it

Lesley

Slave of the Fabulous Furballs
EvelynVogtGamble(Divamanque) - 07 Oct 2007 22:40 GMT
> Can't you arrange for a visiting nuse to change the dessing?  That is what
> they do around here.

You don't live in the U.S., do you?  Here such services are
seldom covered by one's medical insurance, and are
prhibitively expensive for people with nornal, "average"
incomes.
tanadashoes - 07 Oct 2007 13:05 GMT
> I was there for three days and nights.  Came home on Friday.  Persia was
> happy to have me back full time :)
[quoted text clipped - 10 lines]
> when he woke up.  But sorry, I want to be at HOME.  With my kitty and my
> bird.  And not having to watch The Food Network 24/7.

Ok, I'm cynical, but it sounds like it is sympathy milking time.  I've
had to become a little tougher over the years because of this sort of
thing.  If/when he calls again, I'd go over there, but if the friend
is there, I'd let both of them know it is the last free ride.  Pay for
the gas, get your butt budy to change the gauze, or hire a nurse.
Tough love time.

I'd also let him know that I'll check up on him every so often and
when.  If he's gone when I get there, have a nice day, get your butt
brother to help you out.  Tell him that he needs an animal companion
and you'll be pleased to pick one out for him, he can pay the tab.  Or
you'll drive him to the shelter and he can pick out his own kitty.

Pam S. who's had to do something similar over the years and is meaner
than an old coon dog.
jmcquown - 07 Oct 2007 14:19 GMT
>> I was there for three days and nights.  Came home on Friday.  Persia
>> was happy to have me back full time :)
[quoted text clipped - 18 lines]
> the gas, get your butt budy to change the gauze, or hire a nurse.
> Tough love time.

I totally agree, Pam.  It's time he stopped acting like I'm a visiting
nurse.  Because I'm not.  I don't have the gas money to drive back and
forth.  I understood him needing to not be alone the first couple of nights.
But now I think he's simply abusing my kindness.  I'm absolutely NOT driving
over there again today.

Jill
bobblespin - 07 Oct 2007 15:00 GMT
>>> I was there for three days and nights.  Came home on Friday.  Persia
>>> was happy to have me back full time :)
[quoted text clipped - 25 lines]
>I'm absolutely NOT driving over there again today.
> Jill

I agree 100% with you and Pam.  He's using you and he'll keep doing it
until you say no. You've done more than your share, and more than a lot
of relatives I know would do.

Bobble
jofirey - 07 Oct 2007 18:20 GMT
>>> I was there for three days and nights.  Came home on Friday.  Persia
>>> was happy to have me back full time :)
[quoted text clipped - 26 lines]
> driving
> over there again today.

Its a brother, sister thing.  If it were my brother, I'd flat tell him if he
called that I was out of gas and couldn't get there today.  (If I didn't
want to go)  Or "I'll be there at such and such a time, but I need gas
money."

Of course it helped that I had a brother I could say anything to, joking or
not and it was OK.  He could do the same with me.

Jo
Kreisleriana - 08 Oct 2007 15:57 GMT
>>> I was there for three days and nights.  Came home on Friday.  Persia
>>> was happy to have me back full time :)
[quoted text clipped - 28 lines]
>
> Jill

You're a good sister, Jill.  I know you're not beating yourself up, but
don't beat yourself up. ;)  You know what they say on airplanes-- put the
oxygen mask on yourself before you take care of the kids, because if you
collapse, you're no good to anyone else.  Take care of yourself.
Sherry - 09 Oct 2007 05:39 GMT
> >> I was there for three days and nights.  Came home on Friday.  Persia
> >> was happy to have me back full time :)
[quoted text clipped - 26 lines]
>
> Jill-

You and Scott are both very lucky that you don't have a job right now.
Time is something
you have plenty of, even if money is tight. Perhaps he'd help you with
gas expenses.
A cancer diagnosis is bound to be a terrifying thing to face. If it
were my brother,
I would not begrudge driving a few miles if it takes some of the
burden
off of him, or somehow comforts him to have you around.

Sherry
jmcquown - 09 Oct 2007 15:34 GMT
>>>> I was there for three days and nights.  Came home on Friday.
>>>> Persia was happy to have me back full time :)
[quoted text clipped - 31 lines]
> you have plenty of, even if money is tight. Perhaps he'd help you with
> gas expenses.

I mentioned I didn't have money to put gas in my car.  He was ho-hum about
it.  No offer to give me a couple of bucks for gas.  He's just like that,
Sherry.

> A cancer diagnosis is bound to be a terrifying thing to face. If it
> were my brother,
[quoted text clipped - 3 lines]
>
> Sherry

I'm sure it's very scary, although it had not spread and the surgeon seems
to feel he'll do just find without any further treatment.  He was also
instructed (and his surgeon told me) he needs to start trying to be
self-sufficient.  Walk around.  Don't over-do, don't lift heavy objects, but
walk around.  Don't just sit on your a.s.

The other thing is, my presence may "comfort" him, but I was bored as hell.
I took books to read.  All he wanted to do was watch The Food Network.  I'd
get up and sit on the patio with my book, just a few steps (or a yell) away.
He'd come out and find some reason for me to come back inside.

And what I neglected to say is this:  When I said I'd be driving home
briefly last Wednesday to make sure Persia had plenty of food, to scoop her
litter box (which I do daily, like a religion) and to give Peaches fresh
water, he said, "You can't treat them like babies.  They'll be fine."
EXCUSE ME?

I wasn't about to leave them alone for three nights running without coming
in to assure them I was still in the picture.  They didn't know what was
going on.  For all they knew (well, Persia, at least) I'd abandoned them!

And what if something happened?  What if someone broke in?  What if there
was a fire?

Sorry if it sounds selfish.  It ticked me off that I got over there to put
another piece of gauze on his back (not even a full dressing change!) and
Dave was just sitting there.  He could have slapped a piece of gauze and
some tape on as easily as I did.  Dave was already there!

Jill
Granby - 07 Oct 2007 21:44 GMT
Pam: You go girl!  My husband was a parpolegic, had heart surgery, diabetic,
bedsores and all that.  Care givers do not have an easy life.  However, you
either learn to stand up for yourself to family and friends as well as the
patient or it can kill you.  I never quite got the hang of tough love but
admire anyone who does.  If ever there is a "next time" I know now I could
take care me as well as the one I am careing for.  If you do it, do it.  If
you can't, then figure out a way to get help.
>> I was there for three days and nights.  Came home on Friday.  Persia was
>> happy to have me back full time :)
[quoted text clipped - 30 lines]
> Pam S. who's had to do something similar over the years and is meaner
> than an old coon dog.
Christina Websell - 07 Oct 2007 20:13 GMT
>I was there for three days and nights.  Came home on Friday.  Persia was
> happy to have me back full time :)
[quoted text clipped - 13 lines]
> when he woke up.  But sorry, I want to be at HOME.  With my kitty and my
> bird.  And not having to watch The Food Network 24/7.

He has had very painful surgery I know (and sympathise) but surely by now he
could change his own dressing?  I managed.
Having said that getting a cancer diagnosis is a big shock, maybe he just
wants his sister around and the dressing is the excuse?
Don't be too hard on him atm, especially if he lives on his own.
I felt after my cancer surgery that I needed and wanted to be cherished and
cared for by my family.

Tweed
jofirey - 07 Oct 2007 21:14 GMT
>>I was there for three days and nights.  Came home on Friday.  Persia was
>> happy to have me back full time :)
[quoted text clipped - 24 lines]
>
> Tweed

I'm pretty good at looking after myself too, but I'm pretty sure his
incision is on his back in the area of his shoulder blade.

I'll give his buddy the benefit of the doubt.  More men than women cannot
deal with the sight of blood or anything else of the sort.  If Charlie is
injured while working in the yard or around the house, he comes looking for
me with whatever happens to be bleeding wrapped up in whatever he could find
to cover it up quickly.  He bleeds very easily and can't even look to see if
it is minor or serious.

Jo
Christina Websell - 07 Oct 2007 21:51 GMT
>>>I was there for three days and nights.  Came home on Friday.  Persia was
>>> happy to have me back full time :)
[quoted text clipped - 27 lines]
> I'm pretty good at looking after myself too, but I'm pretty sure his
> incision is on his back in the area of his shoulder blade.

Oh, I didn't realise that.  So he can't change it himself then.  I imagined
that lung surgery would be on the front.
Here in the UK we have "district nurses" that will come and do this sort of
thing.  When I was recovering from surgery at my aunt's house a district
nurse came and took my staples out of my incision.  I was out of my own
area, but I advised my doctor of this beforehand and he arranged for nurses
to come from my aunt's doctor's practice to do it.  They then billed him for
it.
If I could not have taken care of my dressings myself, the district nurses
would have come again as often as necessary to do it.
Don't you have this sort of system in the USA?  Surely you are not thrown
out of hospital after a serious operation to fend for yourself?  Tell me
this is not true..

Tweed
Granby - 07 Oct 2007 22:00 GMT
We were always able to have visiting nurses when needed but, Bob didn't want
any part of them so, as soon as "we" meaning me, usually, learned to do
whatever it was, he was so nasty to the nurse, tjhey wouldn't come back.

>>>>I was there for three days and nights.  Came home on Friday.  Persia was
>>>> happy to have me back full time :)
[quoted text clipped - 44 lines]
>
> Tweed
jXwXeXrXmXoXnXt@sonic.net - 07 Oct 2007 22:17 GMT
> If I could not have taken care of my dressings myself, the district nurses
> would have come again as often as necessary to do it.
> Don't you have this sort of system in the USA?  Surely you are not thrown
> out of hospital after a serious operation to fend for yourself?  Tell me
> this is not true..

Sure we have them here. As long as you either have a decent insurance
policy, or can afford to pay for it yourself.

Joyce
Christina Websell - 07 Oct 2007 23:07 GMT
> > If I could not have taken care of my dressings myself, the district
> > nurses
[quoted text clipped - 6 lines]
> Sure we have them here. As long as you either have a decent insurance
> policy, or can afford to pay for it yourself.

I don't understand why the USA doesn't have a similar scheme that we have
here.  Everyone who is in work has money stopped from their wage towards
their medical care, no choice about it.  It's proportionate (sp)  to what
you earn.  I used to moan about paying the equivilent of 120 dollars/month
until I needed it.
It's not perfect, there is often a waiting list for non-urgent treatment but
when I was really ill, I was rushed into hospital and had all sorts of
tests, ultra-sound, CATSCAN, you name it, I had it. All free as was the
resulting operation and the district nurses come as standard.
There is enough left over from what working people pay to treat others who
are not in such a fortunate position, thus no-one goes without medical care,
should they need it.

Tweed
jXwXeXrXmXoXnXt@sonic.net - 07 Oct 2007 23:48 GMT
>> Sure we have them here. As long as you either have a decent insurance
>> policy, or can afford to pay for it yourself.

> It's not perfect, there is often a waiting list for non-urgent
> treatment but when I was really ill, I was rushed into hospital and
> had all sorts of tests, ultra-sound, CATSCAN, you name it, I had it.
> All free as was the resulting operation and the district nurses come
> as standard.

In the US, hospitals are required to give emergency care, regardless
of whether the patient can pay for it or not. But short of emergencies,
health care providers are not required to provide health care (phrasing
deliberate) unless the person can pay somehow (via insurance or out of
pocket).

So if you suddenly collapsed and had to be rushed to the hospital in
the USA, you would get whatever treatment was necessary to save your
life in that moment, even if you couldn't pay. If you had a long-term
or chronic illness, even if life-threatening in the long run, you would
be on your own to continue its treatment after the immediate emergency
has been resolved.

> There is enough left over from what working people pay to treat
> others who are not in such a fortunate position, thus no-one goes
> without medical care, should they need it.

Ironically, it is often people who are not working who need medical care
the most, for a number of reasons, the main one being that many people who
don't work are simply too sick to work. If they don't have some kind of
long-term disability benefit from a job - if they had the bad luck to get
seriously ill when between jobs, for example - they're SOL.

I don't undrestand how the US readers on this newsgroup can read what
Tweed, Lesley, and other non-US'ans have to say on the subject of
universal health care, and just say nothing, but go on believing that
universal health care is some kind of socialist evil that's going to
rot your brain and your teeth and cause your children to turn gay or
something.

Tweed, Lesley, Marina, Cheryl Perkins, and other regular non-US posters
are not exactly the radical fringe here. They represent mainstream
European and Canadian viewpoints on the subject of universal health
care. I share their views on this subject, but somehow I am seen as
way out-there. What's up with that?? Universal health care is the
*only* sane way for a wealthy, industrialized nation to take care of
its citizens' health needs. And we are the only such country in the
world that doesn't provide it. What are Americans so afraid of?

Joyce
Granby - 07 Oct 2007 23:59 GMT
We don't say  much because so long as the "have's" in washington have their
way and the medical lobbiests get paid it will stay the way it it.  I am
self employeed and have probbly paid my last medical insurance policy, it
has gotten so expensive.  When I get sick, and at my age I will, I will be
SOL. until I retire and get medicate then, sometimes it is a crap shoot.

> >> Sure we have them here. As long as you either have a decent insurance
> >> policy, or can afford to pay for it yourself.
[quoted text clipped - 45 lines]
>
> Joyce
Yowie - 08 Oct 2007 01:15 GMT
<snip>

> Tweed, Lesley, Marina, Cheryl Perkins, and other regular non-US posters
> are not exactly the radical fringe here. They represent mainstream
> European and Canadian viewpoints on the subject of universal health
> care.

And Australian. I haven't waded intot he debate much, but we have a two tier
system here. Everyone gets medicare, those of us who earn over a certain
amount each year are expected to pay for private helath insurance too (and
if we don't, we pay more tax). For example, I don't have to pay to see the
doctor -t he doctor has arranged to claim my fee back from medicare. All i
have to do is sign. Not all doctors do this, and some charge the full amount
and htenyou have to claim back, but most of the doctors in my area 'bulk
bill' (ie, they just charge back to medicare without you having ot hand over
any cash)

Medicare covers most necessary treatments, but its not so good with things
like physiotherapy, dental, optical. Thats where private health insurance is
good. Priavte health insurance also gives you a choice of doctors and the
option of using a private hospital rather than a public one. There are
provisions for physio, dental andoptical for those without private health
insurance, but hte waiting list is long, and usually the services are only
in capital cities.

Again, its far from perfect, and open to abuse, but I never have to fear
that I can't afford treatment. Almost all regular prescriptions are on our
"PBS", which means the maximum you pay per script is about $30. Which can
get pricey if you have lots of scripts, and aren't a health care card
holder, but its still better than paying the price the drug companies want
you to pay.

Many (although not all) pharmacies will run some sort of payment scheme
anyway - I know mine does. Its not the biggest and fanciest pharmacy with
cool gifts and lots of pretty things, but I genuinely think they care about
their customers, which is why we go there rather than a supermarket like
pharmacy.

To get this, however, it has to be paid for. It comes out of our income tax,
which is higher than in the USA. In effect, the rich sponsor the poor by
giving their tax to systems which they themslves have no need of (they could
afford to fund themselves, they don't need government assistance). Having
come from a poor family and am now earning an 'average' income, I am happy
to give part of my 'wealth' to those who need it. But I doubt others would
be so generous unless they had no choice in the matter. Thats why its a
universal tax system too. :-)

Yowie
jXwXeXrXmXoXnXt@sonic.net - 08 Oct 2007 02:27 GMT
> To get this, however, it has to be paid for. It comes out of our income tax,
> which is higher than in the USA. In effect, the rich sponsor the poor by
[quoted text clipped - 4 lines]
> be so generous unless they had no choice in the matter. Thats why its a
> universal tax system too. :-)

I feel the same as you do, Yowie. I earn a good living, and I'd be
glad to pay more taxes so that everyone could have health insurance.
This is not merely an altruistic view. I'm one layoff from not having
insurance myself, as well as being broke due to no income. That's
exactly the position I was in just a couple of years ago. So I feel
that having universal care, paid for by taxes, is self-protection as
well as a moral position on public health.

Yes, I'd pay higher taxes. But maybe I wouldn't *need* so much cash on
hand because I'd have my health care needs paid for. I do pay out some
amount on co-pays, as well as partial premium contributions through my
paycheck deductions.

I just think that people shouldn't be so sure it couldn't happen to
them, that they'd find themselves with no job and no insurance, and
suddenly become very ill. This is one of my big fears.

Joyce
EvelynVogtGamble(Divamanque) - 08 Oct 2007 19:47 GMT
>  > To get this, however, it has to be paid for. It comes out of our income tax,
>  > which is higher than in the USA. In effect, the rich sponsor the poor by
[quoted text clipped - 21 lines]
> them, that they'd find themselves with no job and no insurance, and
> suddenly become very ill. This is one of my big fears.

But of course that can never happen to ex-presidents, or
ex-congressmen here - SFAIK, their government medical
insurance (plus pension) is good for life.  (And of course
the moron in our White House thinks anyone can be treated in
an emergency room free of charge - he's obviously never had
to patronize one!)
Christina Websell - 08 Oct 2007 22:38 GMT
> >> Sure we have them here. As long as you either have a decent insurance
> >> policy, or can afford to pay for it yourself.
[quoted text clipped - 43 lines]
> its citizens' health needs. And we are the only such country in the
> world that doesn't provide it. What are Americans so afraid of?

So I'd better not add that any medicines/tablets I might need that I cannot
buy over the counter, my doctor gives me a prescription for.  The
prescription costs me the US equivalent of around 12 dollars for one item,
no matter if the tablets cost a hundred pounds for a course of them or just
a few pence, it costs me the same price.
If I know I am going to need a lot of different prescription drugs - like I
did when I had my eye operations - I can buy a sort of "season ticket" for
three months/six months or a year. IIRC it cost me around US 60 dollars for
3 months worth of anything I needed, which saved me loads of money as I
proved to be allergic to some of the eye drops. 3 different kinds per day,
and one use only little whatnots as I was allergic to the preservatives used
in the bigger sizes.
I get US spam that says "Buy <some prescription drug> online here"
Phenomenal prices!
Prescriptions are free for children and people over retirement age.
So if you are over 65 and have the misfortune to have a lot of medical
conditions all at once at least paying for your medications won't send you
into an early grave..
Oh, did I say I'd better not add this?   Whoops, I just did ;-)

Tweed
jmcquown - 08 Oct 2007 01:19 GMT
>>> If I could not have taken care of my dressings myself, the district
>>> nurses
[quoted text clipped - 22 lines]
>
> Tweed

I feel exactly as you do, Christina.  We tout the U.S. as the "greatest
country in the world", yet there's no medical care for so many people.

I was out of work in 1993 for a month.  The very day I was to start a new
job I wound up in the hospital having emergency surgery.  Had I been able to
report to work for even an hour I'd have had full medical coverage.  As it
was, I was taken to what is considered the "charity" hospital, and they
still billed me for it.  $15,000 for the surgery alone.  This doesn't
include the separate charges by the anthesiologist and charges for the
hospital room itself, as if I were being put up in the Ritz or something.
They even billed me for the covered plastic drinking cup!

There was absolutely no way I could pay these bills.  They tried to sue me,
but you can't get blood from a stone.  I wound up filing bankruptcy,
otherwise they'd have been able to attach just about anything of value I
happened to own.  It's a sad state of affairs.  Even now, I don't qualify
for the state equivalent of Medicaid.  Why?  Because I don't have children.
Apparently if you never had kids you never get sick, right?  I don't pretend
to understand the logic behind this.  I paid into the system in taxes for
over 25 years but can't get a single thing back.  That makes me very angry.

Jill
Christina Websell - 09 Oct 2007 01:41 GMT
>>>> If I could not have taken care of my dressings myself, the district
>>>> nurses
[quoted text clipped - 48 lines]
> over 25 years but can't get a single thing back.  That makes me very
> angry.

It's disgusting and I don't know why you all tolerate your healthcare
system.
No-one can help getting ill.
Ours is not great, there can be a nine month wait to see a consultant for
non life threatening conditions, but if it is you are in the hospital in a
few hours like I was.  And it costs exactly nothing.

Tweed
jXwXeXrXmXoXnXt@sonic.net - 09 Oct 2007 04:17 GMT
> I was out of work in 1993 for a month.  The very day I was to start a new
> job I wound up in the hospital having emergency surgery.  Had I been able to
[quoted text clipped - 4 lines]
> hospital room itself, as if I were being put up in the Ritz or something.
> They even billed me for the covered plastic drinking cup!

> There was absolutely no way I could pay these bills.  They tried to sue me,
> but you can't get blood from a stone.  I wound up filing bankruptcy,
> otherwise they'd have been able to attach just about anything of value I
> happened to own.

Jill, that's a horrible story. My worst nightmare! And a bankruptcy
follows you around for 7 years, so you can't get any credit or loans.
At least all that's over with now. (If this happened to you now, you
might even have trouble declaring bankruptcy...)

Did you at least get to keep that job?

Joyce
Sherry - 09 Oct 2007 05:01 GMT
On Oct 8, 10:17 pm, jXwXeXrXmXoX...@sonic.net wrote:

>  > I was out of work in 1993 for a month.  The very day I was to start a new
>  > job I wound up in the hospital having emergency surgery.  Had I been able to
[quoted text clipped - 18 lines]
>
> Joyce

Something I wasn't aware of until it happened to a friend's son--there
*are* means to get medical
care if you can't afford it, in some situations. Surgeons apparently
take on a limited number of
pro bono cases. Her son was in a bad motorcycle accident with no
insurance. They were advised to
apply for Medicaid (knowing they would be denied)...then to bring the
rejection papers back to the hospital.
The hospital then names you a "charity case" and adjusts the bill.
Total bill for extensive facial reconstruction
surgery: $1,300.
Not ideal, but it beats bankruptcy. It doesn't take much to rack up a
huge hospital bill. I was in the hospital
for about 24 hours having a stent done (relatively minor procedure
compared to surgery). Total bill for the
hospital alone was $38,000. I haven't gotten the bill from the cardio
yet.

Sherry

Sherry
jmcquown - 09 Oct 2007 15:37 GMT
>  > I was out of work in 1993 for a month.  The very day I was to
>  start a new > job I wound up in the hospital having emergency
[quoted text clipped - 20 lines]
>
> Joyce

My boss at the time was soooo understanding about the situation, Joyce.  He
held the job open for me while I waited for a medical release to go to work.
I was there for 11 years.

Jill
jofirey - 07 Oct 2007 23:57 GMT
> If I could not have taken care of my dressings myself, the district nurses
> would have come again as often as necessary to do it.
[quoted text clipped - 3 lines]
>
> Tweed

Not exactly.  If you are in the hospital here, there is a department that
has to make sure there are provisions for follow-up care before you are
thrown out  ;~)

But they are pretty quick to decide that whatever you can come up with on
your own is good enough.  If you have no one and can't take care of yourself
you are transferred to a rehab or post care type facility.  But for the most
part you are expected to pay for it yourself if you have any means.

Some insurance will provide some coverage, and Medicare will provide a
limited amount of coverage.

But it is very easy to fall between the cracks in what passes for the
system.

Jo
jmcquown - 08 Oct 2007 01:08 GMT
>>>> Yesterday morning he called, he needs his dressing changed.  I
>>>> drive 25 miles to his house and our friend of 35 years is sitting
[quoted text clipped - 16 lines]
> Oh, I didn't realise that.  So he can't change it himself then.  I
> imagined that lung surgery would be on the front.

Yes, the incision is in the back, from the shoulder blade down towards his
oxter.  But that's not where the dressing is needed.  It's the incision
where the 2nd drainage was.  It's "leaking" fluid.

> Here in the UK we have "district nurses" that will come and do this
> sort of thing.  When I was recovering from surgery at my aunt's house
[quoted text clipped - 9 lines]
>
> Tweed

LOL  I'm sorry, that struck me as funny.  Yes, you pretty much fend for
yourself.  Aside from a few follow-up visits (such as when the removed the
2nd drainage tube), that's it.  I did all sorts of household chores for him
since he isn't supposed to be lifting stuff.  And bending over is a tad
painful, as well.  You wouldn't think doing laundry was a big deal until you
can't bend over to get stuff out of the dryer.  And of course I cooked for
us while I was there.

Jill
Christina Websell - 08 Oct 2007 23:30 GMT
>> If I could not have taken care of my dressings myself, the district
>> nurses would have come again as often as necessary to do it.
[quoted text clipped - 7 lines]
> yourself.  Aside from a few follow-up visits (such as when the removed the
> 2nd drainage tube), that's it.

So that's when his "medical care" needs were seen to be over, yes? So then
they bowed out, as they should.

> I did all sorts of household chores for him
> since he isn't supposed to be lifting stuff.  And bending over is a tad
> painful, as well.  You wouldn't think doing laundry was a big deal until
> you
> can't bend over to get stuff out of the dryer.  And of course I cooked for
> us while I was there.

You are a good sister.  When we have to endure painful surgery and a
recovery time, we need kind relatives.
I don't know what I would have done if my aunt & uncle hadn't volunteered to
look after me after my surgeries.  They did it with such a kind heart and
never complained, although I am sure I was a nuisance at times when I was in
pain.

Tweed
jmcquown - 09 Oct 2007 15:40 GMT
>>> If I could not have taken care of my dressings myself, the district
>>> nurses would have come again as often as necessary to do it.
[quoted text clipped - 10 lines]
> So that's when his "medical care" needs were seen to be over, yes? So
> then they bowed out, as they should.

Oh, he still has another follow-up visit next week.  The surgeon said he
wants to do an x-ray and possibly another CT scan.  But after that it's just
a matter of healing.

>> I did all sorts of household chores for him
>> since he isn't supposed to be lifting stuff.  And bending over is a
[quoted text clipped - 11 lines]
>
> Tweed
Granby - 10 Oct 2007 00:22 GMT
Don't get upset with me but, methinks you may have spoiled him in the past
and he expects it to continue.

>>>> If I could not have taken care of my dressings myself, the district
>>>> nurses would have come again as often as necessary to do it.
[quoted text clipped - 31 lines]
>>
>> Tweed
jmcquown - 11 Oct 2007 16:30 GMT
> Don't get upset with me but, methinks you may have spoiled him in the
> past and he expects it to continue.

I'm not upset with you.  He and I were roommates for 8 years back in the
1980's.  I was already divorced by that time.  We did the "live and let
live" thing for a long time (although I did teach him how to cook).

He'd have parties.  I usually just sat in my bedroom and read.  Occasionally
we'd have parties together.  But he was the social creature, not me.

Then our paths diverged.  He got married, then 2 years later, divorced.  I
haven't spoiled him.  I was there when he needed me to be there back then
and he was hurting.

I was there last week for 3 nights.  The doctor said he needed to get up and
start moving around.  Get out of the chair.  Take it easy, but do something.
He liked having someone there to wait on him.  Sorry, that's not my job.  I
was there when he needed care the most.  Our older brother drove him home
from the hospital, even though I'd offered to pick him up.  Our 25 year old
nephew has not been there once, even though he doesn't have a job and
there's no reason he couldn't go over and help Uncle Scott.

I'm not a home health worker.  I'm not a paid companion.  I'll be there if
he really needs help, of course.  But to expect me to abandon my pets... to
say to me, "Don't baby them, they'll be fine" when I wanted to go home to
check on Persia and Peaches... that's just silly.  It's not babying them.
It's being a responsible pet owner.  Scoop the litter box.  Check the food.
Fresh water for Peaches.

I *KNOW* the diagnosis is scary.  I know the surgery was serious.  I also
know my brother.  He will milk this for everything he possibly can.  I was
playing chief cook & bottle (dish) washer.  I was vacuuming.  I was doing
laundry.  I was digging up potted plants!

I wasn't supposed to want to go home to take care of my pets.  Sorry, I'm
going home to take care of and see my pets.  They don't know what's going
on.  They don't know why I left them alone for 3 nights.  For all they knew,
I'd disappeared.  Abandoned them.  Persia was already abandoned once.  I'm
not going to make her feel that way again.

No, there wasn't anyone I could ask to check on them.  My neighbors, Roger &
Roseanna, moved away and I don't know the young kids across the way except
to say "hi" to.  I'm certainly not giving them a key.

I'm so sorry he managed to need another piece of gauze slapped on the one
day I wasn't there.  So I drove over on fumes to do that, even though our
friend of 35 years was sitting right there and could have done it for him.

If he wants company all he has to do is say so.  I wouldn't have a problem
with that.  But stop making excuses when what you really want is not to be
alone.  I like solitude.  I enjoy being alone.  Sitting on the patio with a
book, with Persia in her Kitty Walk is quite nice.  I don't need people
around me all the time.  I'd go sit on his patio to read, always within
yelling distance.  He would find some reason to come out and make me come
back inside.  And watch The Food Network.  Sheesh.

Jill

>>>>> If I could not have taken care of my dressings myself, the
>>>>> district nurses would have come again as often as necessary to do
[quoted text clipped - 32 lines]
>>>
>>> Tweed
CatNipped - 08 Oct 2007 17:40 GMT
> If I could not have taken care of my dressings myself, the district nurses
> would have come again as often as necessary to do it.
> Don't you have this sort of system in the USA?  Surely you are not thrown
> out of hospital after a serious operation to fend for yourself?  Tell me
> this is not true..

LOL!  Yep, it's true.  When I had my hysterectomy (which involved removal of
the cervix, both ovaries, and sections of my bowel that had tumors
attached - almost as extensive as your surgery, Tweed), my insurance wanted
me to have it done on an "out patient" basis.  My doctor insisted I have at
least a 3 day hospital stay (the *most* they would approve even with
extensive paperwork filed every day to get approval day to day).  After the
third day I was out on my own and there was no way my insurance would pay
for a nurse's visit.  Since my husband worked, I was left alone to take care
of myself every day (and to be honest, he didn't do anything when he *was*
home so I set up a stool in front of the kitchen sink so I could wash dishes
without having to stand up).  Having a nurse come out to the house would
have cost hundreds of dollars and we couldn't afford it.

Hugs,

CatNipped

> Tweed
Christina Websell - 08 Oct 2007 23:08 GMT
>> If I could not have taken care of my dressings myself, the district
>> nurses would have come again as often as necessary to do it.
[quoted text clipped - 6 lines]
> attached - almost as extensive as your surgery, Tweed), my insurance
> wanted me to have it done on an "out patient" basis.

WHAT?  You are kidding, yes?

>My doctor insisted I have at least a 3 day hospital stay (the *most* they
>would approve even with extensive paperwork filed every day to get approval
>day to day).

I was discharged after 4 days (too early) but they were "short of beds."

>After the
> third day I was out on my own and there was no way my insurance would pay
> for a nurse's visit.  Since my husband worked, I was left alone to take
> care of myself every day (and to be honest, he didn't do anything when he
> *was* home so I set up a stool in front of the kitchen sink so I could
> wash dishes without having to stand up).

Well, that is Ben's shame then.  I could not even walk after 3 days.

> Having a nurse come out to the house would have cost hundreds of dollars
> and we couldn't afford it.

The nurses only come out to the house to give essential medical care, like
taking out the sutures or staples, or attending to wound infection.  It
doesn't cost anything.
How did you get your stitches taken out?

Tweed
jXwXeXrXmXoXnXt@sonic.net - 08 Oct 2007 23:21 GMT
> "CatNipped" <CatNipped@PossiblePlaces.com> wrote in message

>>> Don't you have this sort of system in the USA?  Surely you are not thrown
>>> out of hospital after a serious operation to fend for yourself?  Tell me
>>> this is not true..

>> LOL!  Yep, it's true.  When I had my hysterectomy (which involved removal
>> of the cervix, both ovaries, and sections of my bowel that had tumors
>> attached - almost as extensive as your surgery, Tweed), my insurance
>> wanted me to have it done on an "out patient" basis.

> WHAT?  You are kidding, yes?

I had a friend who had an emergency appendectomy and was discharged on
the same *day*. Lucky for her she had a family who helped take care of
her, but my god, that's major abdominal surgery! Weren't they even
concerned about potential infection?

Joyce
Granby - 08 Oct 2007 23:47 GMT
I have an isssue with the way they send new mothers home these days.  Yes, a
full week in bed flat on your back is not good, they proved that but less
than 24 hours in hospital isn't good for Mom or baby.  I nearly fell over
when  read that at least 40 per cent of new babies have to be readmitted or
at least doctored for respitory problems.  I think this is because they
don't get things cleaned out of lungs as good as should be done and is done
in the hospital.  OK someone, smack me down , is just my opinion.  Dr. Mom

> > "CatNipped" <CatNipped@PossiblePlaces.com> wrote in message
>
[quoted text clipped - 18 lines]
>
> Joyce
Christina Websell - 08 Oct 2007 23:52 GMT
> > "CatNipped" <CatNipped@PossiblePlaces.com> wrote in message
>
[quoted text clipped - 16 lines]
> her, but my god, that's major abdominal surgery! Weren't they even
> concerned about potential infection?

Appendectomies are not seen as major abdominal surgery here.  Probably would
be kept overnight, not more.
As an aside, while the surgeons were rummaging around in my abdomen they
took my appendix out too.  When I asked why the consultant said that the
appendix can act as a reservoir for cancer cells and given that I was being
operated on for ovarian ca it seemed like a good idea.
I never knew that, about the appendix.  You live and learn.  Who would have
thought that such a tiny (useless organ now) would do such a thing?
Gathering any cancer cells you might have. Ugh.

Tweed
jXwXeXrXmXoXnXt@sonic.net - 09 Oct 2007 04:11 GMT
>> I had a friend who had an emergency appendectomy and was discharged on
>> the same *day*.

> Appendectomies are not seen as major abdominal surgery here.  Probably would
> be kept overnight, not more.

A lot has changed in the past decade re: surgery. This was in 1998. Maybe
now an appendix can be removed laproscopically? I don't know. But if it
can, then I can understand that philosophy - that's just not as traumatic
an operation as it used to be. When my dad had an appendectomy in around
1966, he was in the hospital for a week. No complications or anything,
that's just how long they kept people then.

Joyce
Jack Campin - bogus address - 09 Oct 2007 22:22 GMT
>>> I had a friend who had an emergency appendectomy and was discharged
>>> on the same *day*.
[quoted text clipped - 6 lines]
> 1966, he was in the hospital for a week. No complications or anything,
> that's just how long they kept people then.

I had my gallbladder out laparoscopically four years ago.  It's supposed
to be a less-than-24-hours business - some people discharged the same
day - but I came rather close to dying from post-operative shock and was
in for three days.  Hospitals need the option to be flexible (which is
exactly what insurance companies in the US model won't permit them).

==============  j-c  ======  @  ======  purr . demon . co . uk  ==============
Jack Campin:  11 Third St, Newtongrange EH22 4PU, Scotland | tel 0131 660 4760
<http://www.purr.demon.co.uk/jack/>   for CD-ROMs and free | fax 0870 0554 975
stuff: Scottish music, food intolerance, & Mac logic fonts | mob 07800 739 557
jofirey - 10 Oct 2007 06:04 GMT
>>>> I had a friend who had an emergency appendectomy and was discharged
>>>> on the same *day*.
[quoted text clipped - 12 lines]
> in for three days.  Hospitals need the option to be flexible (which is
> exactly what insurance companies in the US model won't permit them).

Just for the record, the insurance companies do not force the hospital to
send the patient home if they are not stable.  The insurance companies just
don't pay the hospital for more days and the hospital can't charge the
patient either.  Its part of the contract between the hospital and the
insurance company.

Not paying the hospital more and making the hospital send the patient home
are not exactly the same thing.  The hospitals just make it sound like they
are.

Jo
EvelynVogtGamble(Divamanque) - 09 Oct 2007 19:38 GMT
>  > "CatNipped" <CatNipped@PossiblePlaces.com> wrote in message
>
[quoted text clipped - 13 lines]
> her, but my god, that's major abdominal surgery! Weren't they even
> concerned about potential infection?

More and more, in the U.S., these decisions are left up to
untrained clerical personnel at one's insurance company -
your doctor has little authority to order a hospital stay,
and if he does, there's no guarantee your insurance company
will pay for it.  (In America, it's all about making money
and paying annual dividends to the stockholders.)  People
who claim they "don't want the government making medical
decisions for me" don't stop to think that they ARE the
government, ultimately - and that the "decisions" of trained
medical personnel working for the government is more likely
to be in their favor than "decisions" by some clerical
worker in a company with an over-riding profit motive.  They
can make sure that their elected representatives vote for
the kind of coverage THEY want.  Judging by the staggering
proportions of our National debt, the government has no need
to "make money".  (If they broke even with a plan that
covered all citizens - as does Medicare, although they
pretend not - they'd be ahead of most government agencies!)
CatNipped - 09 Oct 2007 01:29 GMT
>>> If I could not have taken care of my dressings myself, the district
>>> nurses would have come again as often as necessary to do it.
[quoted text clipped - 8 lines]
>
> WHAT?  You are kidding, yes?

Nope, seriously - the insurance company wanted me to go home the same day.
The doctor had to fill out extensive paperwork every day in order to keep me
an "additional day".  But after three nights, even paperwork wouldn't work -
the insurance company wouldn't pay for another hour in the hospital.

>>My doctor insisted I have at least a 3 day hospital stay (the *most* they
>>would approve even with extensive paperwork filed every day to get
[quoted text clipped - 10 lines]
>
> Well, that is Ben's shame then.  I could not even walk after 3 days.

Oh, they had me up and walking 3 hours after surgery (it helps keep you from
getting really painful gas pains).  I voluntarily got up about every 2 hours
to walk around (I'd had gas pain after surgery before - I'd do *anything* to
keep that from happening again).  And yeah, that is Ben's shame - he's still
the same... I'm having horrible pain in my neck, shoulder, arm and wrist
from the broken wrist I had a year ago (I think I damaged a disk and nerves
in my neck at the same time because it hasn't stopped hurting for a single
second since then), but he still won't do things to help me around the house
to keep me from adding to the pain - he's that lazy and it really hurts me
that he doesn't care enough to keep me from hurting.

>> Having a nurse come out to the house would have cost hundreds of dollars
>> and we couldn't afford it.
[quoted text clipped - 3 lines]
> doesn't cost anything.
> How did you get your stitches taken out?

I had the stitches that disolved on the inside and a visit to the doctor's
office to get the outer stitches out.

Hugs,

CatNipped

> Tweed
jmcquown - 09 Oct 2007 15:42 GMT
>>> If I could not have taken care of my dressings myself, the district
>>> nurses would have come again as often as necessary to do it.
[quoted text clipped - 34 lines]
>
> Tweed

The sutures they used on me in 1993 and on my brother last month "dissolve"
after a period of time.  No need to have them removed.

Jill
Christina Websell - 14 Oct 2007 00:10 GMT
>> The nurses only come out to the house to give essential medical care,
>> like taking out the sutures or staples, or attending to wound
[quoted text clipped - 6 lines]
> "dissolve"
> after a period of time.  No need to have them removed.

Cool, I was stapled up with metal staples that had to be removed for my big
op and had dissolvable stitches for my op in March which became badly
infected so give me staples every time. Neither option is nice.

Tweed
jofirey - 14 Oct 2007 01:31 GMT
>>> The nurses only come out to the house to give essential medical care,
>>> like taking out the sutures or staples, or attending to wound
[quoted text clipped - 12 lines]
>
> Tweed

Aside from looking at them and feeling a bit like Frankenstein's monster,
the staples aren't nearly as bad as they sound.  And getting mine out was
far easier than I had been imagining.

Jo
Sherry - 08 Oct 2007 23:46 GMT
On Oct 7, 3:51 pm, "Christina Websell"
<spamf...@tinawebsell.wanadoo.co.uk> wrote:

> >>>I was there for three days and nights.  Came home on Friday.  Persia was
> >>> happy to have me back full time :)
[quoted text clipped - 43 lines]
>
> Tweed-

Oh, no, Tweed, a seriously ill person doesn't fend for himself. AFter
I had bypass, I had
several followups (no charge, included the initial surgeon's bill).
After my incisions
started giving me trouble, he sent me to a wound clinic 3 times a week
for wound care.
I could have had a home health care nurse to tend the incisions, but
my surgeon preferred
the wound care clinic. Both were 100% paid for by insurance, since by
then I had
met the out-of-pocket max for the year.
I wasn't released from the surgeon's care for 6 months.
Home health care is getting very popular with some doctors though, for
follow-up care that
requires a skilled nurse.

Sherry
jmcquown - 11 Oct 2007 22:28 GMT
> On Oct 7, 3:51 pm, "Christina Websell"
> <spamf...@tinawebsell.wanadoo.co.uk> wrote:
[quoted text clipped - 58 lines]
> then I had
> met the out-of-pocket max for the year.

But you had insurance.  Out of pocket max may have been $5000 for family
coverage.  Surgery such as yours would easily hit the OOP (I like to call it
the OOPS factor) in the first day.  If you don't have insurance, sure, you
get follow-up visits.  They can't deny you medical care.  But they charge
for it.  And if you don't have money they come after you, big time.  They'll
garnish your paycheck.  They'll lock down your bank account.  Been there,
done that.  It's no fun to be uninsured in the U.S.

> I wasn't released from the surgeon's care for 6 months.
> Home health care is getting very popular with some doctors though, for
> follow-up care that
> requires a skilled nurse.

I think home health care (visiting nurse, skilled nursing care, whatever you
call it) is a great idea.  The person can recuperate at home in a more
comfortable, less clinical setting.  It's got to be better for the patient
all around.  However, a lot of medical insurance will not cover the cost of
a home health care worker.  And doctors, while they may embrace the idea,
aren't the ones running the health care system in the U.S.  Whether you have
insurance or not, I don't know too many nurses who also cook, do dishes,
laundry, vacuum and... oh, let me wash your hair!  And I'll change the
dressing for you.

Jill
Sherry - 12 Oct 2007 04:49 GMT
> > On Oct 7, 3:51 pm, "Christina Websell"
> > <spamf...@tinawebsell.wanadoo.co.uk> wrote:
[quoted text clipped - 69 lines]
> garnish your paycheck.  They'll lock down your bank account.  Been there,
> done that.  It's no fun to be uninsured in the U.S.

But, even *having* insurance isn't a free ticket to medical care. We
pay huge
premiums every month. And I *still* owed thousands of dollars. As a
matter of
fact, I owed $221.85 per month for five years, of which I paid every
last penny. The hospital can still "come after you".....but it's
better to work with them before that happens. Hospitals are pretty
eager to help figure out a way for you to be able to afford to pay the
bill. AFter all,
it's to their benefit.
I know people who work in jobs they hate simply because they need the
insurance
provided by the employer.
Then, if you *don't* have insurance, the hospital will "adjust" your
bill, and reduce
it tremendously. And *that* isn't fair to the people who *do* pay
insurance premiums, and receive the same care for a *much* higher
price, no matter who is paying it.
The health care/insurance industries just suck, no matter how you look
at it.

Sherry
jmcquown - 12 Oct 2007 15:13 GMT
>> But you had insurance.  Out of pocket max may have been $5000 for
>> family coverage.  Surgery such as yours would easily hit the OOP (I
[quoted text clipped - 15 lines]
> bill. AFter all,
> it's to their benefit.

I'm not trying to argue with you.  When I had insurance I was paying a hefty
monthly premium just like everyone else.  It was an irritant, of course, but
I deemed it necessary.  Unfortunately (that came out wrong, but you know
what I mean!) I didn't incur any large medical bills while I had insurance.

> Then, if you *don't* have insurance, the hospital will "adjust" your
> bill, and reduce
> it tremendously.  And *that* isn't fair to the people who *do* pay
> insurance premiums, and receive the same care for a *much* higher
> price, no matter who is paying it.

I sure didn't find that to be the case when I had that emergency surgery in
1993.  If $15,000 for the surgical bill alone was "reduced" I'd have hated
to see the actual bill.  And that was just one of the bills.  It didn't
include the overnight room charge,and "incidentals" such as a plastic
drinking mug with the hospital logo on it... as if I'd want a 'souvenier' of
my not-so-lovely overnight stay in their hospital.  The anesthetist's bill
was also separate.  May have been another bill or two, I honestly don't
recall.

I spoke with a woman in the financial services department at the hospital
when I went in for a follow-up check the next week.  The bills hadn't
started arriving yet but I wasn't planning to wait for them.  I asked if
there was any sort of assistance I could apply for.  (I had no way to know
for sure my "boss" could hold that job open for me even if he wanted to.)
The woman sighed and said you can apply, but I wouldn't bother.  She was
quite blunt about it, to whit, "You don't have kids or grandkids you're
caring for.  You aren't over 65.  The state isn't gonna help you."

That's still the case now, at least in Tennessee.  It makes me very angry.
I've worked since I graduated from high school.  I paid taxes into the
system all those years... for what?!

> The health care/insurance industries just suck, no matter how you look
> at it.

I totally agree with that :)

Jill
Sherry - 12 Oct 2007 16:33 GMT
> >> But you had insurance.  Out of pocket max may have been $5000 for
> >> family coverage.  Surgery such as yours would easily hit the OOP (I
[quoted text clipped - 55 lines]
>
> Jill- Hide quoted text -

Jill, get this story. My nephew was in a motorcycle wreck, 25 years
old, no ins. He pretty much crushed his cheekbone, eyesocket and left
forehead.
They go to the ER. They patched him up, then referred him to a surgeon
who takes on a few "charity cases" each year. (tax deduction? good
samaritan? Who knows).
Anyway. The surgeon agreed to do the surgery pro bono. The hospital
agreed to provide the operating room and staff for $1,300, which had
to paid upfront.
Now, the ER visit was $10,000. They told him to apply to DHS. Said he
would get turned down, but he had to do it, and bring the rejection
papers back to them. Then
they "adjusted" the bill, to less than half of the original amount.
Isn't that weird? First time I ever heard of a surgeon doing free
work. I'm guessing
this is probably a situation that doesn't apply very often.
BTW, that little plastic cup with the logo in it? You probably paid at
least
fifty dollars for it. :-)

Sherry
Lesley - 12 Oct 2007 20:13 GMT
> I think home health care (visiting nurse, skilled nursing care, whatever you
> call it) is a great idea.  The person can recuperate at home in a more
> comfortable, less clinical setting.  It's got to be better for the patient
> all around.

In the UK there's a movement towards discharging patients as soon as
possible but backing that up with home care- it's cheaper for the
health service to send people round to the patients home to attend to
their care rather than keeping them in a hospital bed. It doesn't
always work, as we have found out to our cost but for most people it
does work

Lesley

Slave of the Fabulous Furballs
jofirey - 12 Oct 2007 21:17 GMT
>> I think home health care (visiting nurse, skilled nursing care, whatever
>> you
[quoted text clipped - 11 lines]
>
> Lesley

Sorry, but given how much trouble it can be to get various health care aids
to do their jobs while they are in the hospital, supposedly with adequate
supervision, I find it unlikely they become useful when allowed to run about
on their own.

I just don't trust human nature all that much.

Jo
 
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