Cat Forum / Cat Anecdotes / October 2007
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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