Community Chat

[ALRATIBA]

I fell last November - nothing broken - and they kept me three days and wanted me to stay longer but I wanted to go home.

Medicare and my insurance paid for EMT to hospital, hospital care and docs, x-rays, ct scan, and trip home in private ambulette.

And paid for four months of physical therapy.

[goldensrbest]

I don't understand why either ,just what she and mom has said.

[eddyandme]

So sorry for you and your Mom.

I would contact her local state senator's office, explaining the situation and asking for assistance in getting around the system (or yours if necessary).  It's unheard of that a hospital would release anyone, any age with broken bones in their neck!  Also contact the hospital's adminstrator's office - this hospital is setting themselves up for a malpractice lawsuit.  Something must be done.  

I've dealt with medical situations when my parents needed it.  I know how hard it is.  Start out sweet, talk softly but with knowledge; and, when you get nowhere - and it will happen at some point - insist, insist, insist.  It's the squeeky wheel that gets oiled.

Sending loving prayers to you and your Mom.

[tobes]

@goldensrbest Call your mother's PCP or specialist and ask them to intervene with the insurace company.  Sometimes this works. You may want to call visiting nurse (VNA) for your mom's at home care.  Sometimes home care by visiting nurses are better when treating  patients at their home.  Make sure the  hospital knows you physicia wanted your mom admitted.  Ask your mom's physician to make this clear to the hospital.

[FlyersGirl]

So sorry to read about your Mom falling. I will keep her and you in my prayers. 

[RedTop]

I am sorry to read of this serious fall in someone this age. Just went thru this with my mother in July.

My thoughts are the only reason hospital admission was suggested was more for clinical observation and physicial stabilization due to the patients age and overall condition, not the broken bones themselves. It doesnt sound like admission criteria was met for this injury.

The breaks will likely result in much discomfort, but I doubt much can be done about the bones; they will have to heal on their own.

Also, in light of hospital situations with COVID, OP's mother is much safer at home. My husband's aunt is in the hospital right now with a terminal condition, and her daughter who is a nurse in that facility cannot go see her while she is on the job. She has to visit on her day off.

[Mindy D]

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@goldensrbest wrote:

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@threecees wrote:

That's just terrible @goldensrbest 

So much unfortunate things going on in your life. You pay an arm and a leg

practically for insurance and then they don't want to even help when you

need them most.

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My dad was a coal miner, she has that insurance,plus medicare, they wanted to do a type  therapy, on a bed type thing,insurance would not pay,they said send her to a nursing home for a few weeks, no way she is going there if we can help it.

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@goldensrbest There are skilled nursing facilities but there are also rehab hospitals and there are facilities that have a combination of the two. In the combo type or rehab hospital They also have convalescent care if deemed medically necessary. They do skilled nursing care such as bathing, medical care and physical therapy. Her insurance might cover this type of establishment. Medicare covers it but there can be copays after a certain number of days. Ask the social workers or social services department at the hospital for help  with this for your mom. It's not the same as going to a nursing home to be a resident. 

[Cakers3]

@goldensrbest   I have no advice for you but the posters here are very helpful.

I will keep you and your dear mom in my thoughts and send comfort to you both.

[homedecor1]

@goldensrbest 

For whatever reasons this decision was made -- I pray she can get the proper treatment she requires and will say a prayer for her speedy recovery🙏🏻

[bmorechick]

My mom was in the hospital several years ago before she died and there was an issue with her staying and Medicare. I got on the phone immediately with the hospital social worker who worked with the nurse manager and the physician to certify her in writing for a continued stay. I was very persistent and hung on like a rabid dog to get what she needed. She was approved for a longer stay.  You must speak up because hospitals are under pressure to discharge folks.  My sisters and I are in the medical arena, so we were somewhat familiar with the hoops to jump through, but you must be an advocate.  I was ready to tangle with the hospital administrators at Johns-Hopkins if she did not get what she needed.

I hope she is able to at least get home health in her home, post discharge. You will have to make sure that happens. I live in another town but my sisters were fortunately right there with her, as was my dad.