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(Imgur)   Farker vincent_blackshadow is on the mend. Not only has he charmed nurses into stealing bacon for him, they've also turned a blind eye so he could have his first beer since he was admitted to the ICU on Feb 7th. DIT   (i.imgur.com) divider line 160
    More: Cool  
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6439 clicks; posted to Main » on 24 Mar 2013 at 6:35 AM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-03-25 12:51:50 PM  

kiwimoogle84: smells_like_meat: kiwimoogle84: They want to send them home. I'll cross my fingers for you guys.

The problem with MRSA is that it is persistent and comes back quickly. When I was in the hospital, for 2 months, I was on IV antibiotics for 9 hours a day and had my blood tested for infection twice a day. The infectious disease doctor kept tweaking the type and dosages of the antibiotics often on a daily basis.

I was anxious to go home, as I'm sure V-B is, but waiting may be for the best.

I continued the IV routine at home with biweekly blood tests for a couple of months. I now get tested monthly and take oral antibiotics.


uttertosh: can I suggest investing in sponsorships for those in need?

Please stop this. Its unseemly.

I can see that. I've never had that myself luckily but I know the routine with lots of other inpatient cases, so I can see that, for sure. Well, it was an optimistic guess. Hopefully they knock it out for good, and quickly.

And yeah, Uttertosh, no one NEEDS TF. What a silly suggestion.


I was going to suggest a couple charities, but they need to check if they have to pay taxes on the donations.
 
2013-03-25 01:51:19 PM  

DirkTheDaring: kiwimoogle84: smells_like_meat: kiwimoogle84: They want to send them home. I'll cross my fingers for you guys.

The problem with MRSA is that it is persistent and comes back quickly. When I was in the hospital, for 2 months, I was on IV antibiotics for 9 hours a day and had my blood tested for infection twice a day. The infectious disease doctor kept tweaking the type and dosages of the antibiotics often on a daily basis.

I was anxious to go home, as I'm sure V-B is, but waiting may be for the best.

I continued the IV routine at home with biweekly blood tests for a couple of months. I now get tested monthly and take oral antibiotics.


uttertosh: can I suggest investing in sponsorships for those in need?

Please stop this. Its unseemly.

I can see that. I've never had that myself luckily but I know the routine with lots of other inpatient cases, so I can see that, for sure. Well, it was an optimistic guess. Hopefully they knock it out for good, and quickly.

And yeah, Uttertosh, no one NEEDS TF. What a silly suggestion.

I was going to suggest a couple charities, but they need to check if they have to pay taxes on the donations.


IANACPA, but gifts are usually tax-free to the recipient.  The donor pays the tax if the gift is large enough, and VB's fund is made up of a lot of small donations so I don't think anyone will be paying taxes here.  In addition, gifts to cover medical expenses are usually exempt.

http://www.irs.gov/Businesses/Small-Businesses-&-Self-Employed/Frequ en tly-Asked-Questions-on-Gift-Taxes

Stop railing on uttertosh - he specifically said he didn't want to be sponsored.

I'm so sorry VB that your stay has been extended.  Stick with it.  You didn't endure all this to die because you wanted out.

This whole thread has been a revelation to me.  I had no idea that MRSA was so debilitating.  I knew it could be dangerous and fatal, but I thought it was something like strep throat. Derp.
 
2013-03-25 02:06:47 PM  
Also, @Mrs VB or others involved in managing his health care costs:  It sounds as though you have good insurance and I hope the fund will cover the deductible/out-of-pocket expenses incurred.  However, if your insurance company gives you a hard time, please read this brilliant article in Time  http://www.time.com/time/magazine/article/0,9171,2136864,00.html .  Unfortunately, they have now put it behind a paywall, so you'll have to subscribe.  But the main suggestion I would have in this situation is to hire one of the patient advocates mentioned.  They are former billing claims agents and know how to assess a bill and where you are being financially raped.

This only applies if your insurance runs out or refuses to pay.  If your insurance company is on the line for the bill, they'll do the fighting for you.  Lots of luck in rehab and focus on recovery.

From my last post:  I meant to say:   You didn't endure all this to die because you wanted out of the hospital too early.
 
2013-03-25 02:25:24 PM  

ElizaDoolittle: Also, @Mrs VB or others involved in managing his health care costs:  It sounds as though you have good insurance and I hope the fund will cover the deductible/out-of-pocket expenses incurred.  However, if your insurance company gives you a hard time, please read this brilliant article in Time  http://www.time.com/time/magazine/article/0,9171,2136864,00.html .  Unfortunately, they have now put it behind a paywall, so you'll have to subscribe.  But the main suggestion I would have in this situation is to hire one of the patient advocates mentioned.  They are former billing claims agents and know how to assess a bill and where you are being financially raped.

This only applies if your insurance runs out or refuses to pay.  If your insurance company is on the line for the bill, they'll do the fighting for you.  Lots of luck in rehab and focus on recovery.

From my last post:  I meant to say:   You didn't endure all this to die because you wanted out of the hospital too early.


Actually, that's how she and I got to talking in the first place. 8+ years in the insurance billing, claims, hospital contracts, and financial counseling fields. She's already planning on contacting me with all the details to ensure that they were billed correctly and that there aren't any loopholes for an insurance company to exploit. I know full well when the insurance hasn't applied the proper contracts and I know how much the hospital is responsible for writing off.
 
2013-03-25 02:39:03 PM  

kiwimoogle84: ElizaDoolittle: Also, @Mrs VB or others involved in managing his health care costs:  It sounds as though you have good insurance and I hope the fund will cover the deductible/out-of-pocket expenses incurred.  However, if your insurance company gives you a hard time, please read this brilliant article in Time  http://www.time.com/time/magazine/article/0,9171,2136864,00.html .  Unfortunately, they have now put it behind a paywall, so you'll have to subscribe.  But the main suggestion I would have in this situation is to hire one of the patient advocates mentioned.  They are former billing claims agents and know how to assess a bill and where you are being financially raped.

This only applies if your insurance runs out or refuses to pay.  If your insurance company is on the line for the bill, they'll do the fighting for you.  Lots of luck in rehab and focus on recovery.

From my last post:  I meant to say:   You didn't endure all this to die because you wanted out of the hospital too early.

Actually, that's how she and I got to talking in the first place. 8+ years in the insurance billing, claims, hospital contracts, and financial counseling fields. She's already planning on contacting me with all the details to ensure that they were billed correctly and that there aren't any loopholes for an insurance company to exploit. I know full well when the insurance hasn't applied the proper contracts and I know how much the hospital is responsible for writing off.


You're awesome, kiwimoogle.  Just what the couple needs.  Do you mind if I ask a question, unrelated to VB?  In one of your posts on the first thread, you said (excuse me if I mis-read) that ambulances couldn't charge unless the ER doctor deemed it a non-emergency situation.  Three years ago I was alone at home and shattered my leg in a fall. I spent two hours in agony trying to get to my phone to call 911.  I couldn't walk or get to the bathroom or to a drink of water.  I think that qualifies as an emergency.  The ambulance service billed me.

Is there something I should know for the next time this happens?
 
2013-03-25 03:02:51 PM  

ElizaDoolittle: kiwimoogle84: ElizaDoolittle: Also, @Mrs VB or others involved in managing his health care costs:  It sounds as though you have good insurance and I hope the fund will cover the deductible/out-of-pocket expenses incurred.  However, if your insurance company gives you a hard time, please read this brilliant article in Time  http://www.time.com/time/magazine/article/0,9171,2136864,00.html .  Unfortunately, they have now put it behind a paywall, so you'll have to subscribe.  But the main suggestion I would have in this situation is to hire one of the patient advocates mentioned.  They are former billing claims agents and know how to assess a bill and where you are being financially raped.

This only applies if your insurance runs out or refuses to pay.  If your insurance company is on the line for the bill, they'll do the fighting for you.  Lots of luck in rehab and focus on recovery.

From my last post:  I meant to say:   You didn't endure all this to die because you wanted out of the hospital too early.

Actually, that's how she and I got to talking in the first place. 8+ years in the insurance billing, claims, hospital contracts, and financial counseling fields. She's already planning on contacting me with all the details to ensure that they were billed correctly and that there aren't any loopholes for an insurance company to exploit. I know full well when the insurance hasn't applied the proper contracts and I know how much the hospital is responsible for writing off.

You're awesome, kiwimoogle.  Just what the couple needs.  Do you mind if I ask a question, unrelated to VB?  In one of your posts on the first thread, you said (excuse me if I mis-read) that ambulances couldn't charge unless the ER doctor deemed it a non-emergency situation.  Three years ago I was alone at home and shattered my leg in a fall. I spent two hours in agony trying to get to my phone to call 911.  I couldn't walk or get to the bathroom or to a drink of water.  I think that qualifies as an ...


First, it would depend on your type of insurance- HMO vs PPO or other plan. If it was an HMO, it would depend on if they took you to a non- contracted hospital, or one that happened to be 30 miles or more away from your medical group if you have an HMO- in either case it can be considered an out of network visit and they pay nothing (HMO's are pesky little creatures that require a lot of bs to understand).

And if you had a PPO and you hadn't met your deductible yet, you would have been 100% responsible for the bill. That happens. It will be that way for my hospital visit this last weekend- I haven't hit my deductible yet for my PPO so I will have to pay out of pocket until I hit my $2,000 deductible, and then my insurance will kick in to pay 70%.

Sometimes ER doctors are excellent at treating and terrible with paperwork, and yes, if they don't specify that this is emergent vs non emergent, I as an insurance claims rep can't look at a diagnosis of "leg injury" and equate it to "shattered leg", therefore qualifying it to be paid on an emergent basis. If everything was up to snuff and you didn't owe any deductible or anything, literally the only thing I can think of was that someone messed up, and if you had insurance and one tiny box didn't get checked, now it's your bill- exactly as I stated, that a doctor would not rate it as emergent, and therefore necessary. Which sounds like utter crap but I've seen appeals for heart attack patients when they got the same kind of bill. I would have called the hospital about it at the time and had them explain why this was your bill- that's why we have customer service.

Hope that helps! EIP if you really want me to delve into the meat and potatoes of the insurance world- I am perfectly happy to do so. It's what I'm good at.

/sorry for the long windedness
 
2013-03-25 03:14:08 PM  
Kiwi, did you enjoy your slice of cheesecake yesterday?

:)
 
2013-03-25 05:03:39 PM  

Jim DiGriz: Kiwi, did you enjoy your slice of cheesecake yesterday?

:)


I DID. It was amazing.
 
2013-03-25 06:43:43 PM  
hey, cool. Boat didn't float.
 
2013-03-25 09:00:44 PM  

kiwimoogle84: First, it would depend on your type of insurance- HMO vs PPO or other plan. If it was an HMO, it would depend on if they took you to a non- contracted hospital, or one that happened to be 30 miles or more away from your medical group if you have an HMO- in either case it can be considered an out of network visit and they pay nothing (HMO's are pesky little creatures that require a lot of bs to understand).

And if you had a PPO and you hadn't met your deductible yet, you would have been 100% responsible for the bill. That happens. It will be that way for my hospital visit this last weekend- I haven't hit my deductible yet for my PPO so I will have to pay out of pocket until I hit my $2,000 deductible, and then my insurance will kick in to pay 70%.

Sometimes ER doctors are excellent at treating and terrible with paperwork, and yes, if they don't specify that this is emergent vs non emergent, I as an insurance claims rep can't look at a diagnosis of "leg injury" and equate it to "shattered leg", therefore qualifying it to be paid on an emergent basis. If everything was up to snuff and you didn't owe any deductible or anything, literally the only thing I can think of was that someone messed up, and if you had insurance and one tiny box didn't get checked, now it's your bill- exactly as I stated, that a doctor would not rate it as emergent, and therefore necessary. Which sounds like utter crap but I've seen appeals for heart attack patients when they got the same kind of bill. I would have called the hospital about it at the time and had them explain why this was your bill- that's why we have customer service.

Hope that helps! EIP if you really want me to delve into the meat and potatoes of the insurance world- I am perfectly happy to do so. It's what I'm good at.

/sorry for the long windedness.


I'll never accuse anyone of being long-winded again after that amazing Steve Brill piece.  It's a complex subject and sound bites are our enemy.  You have to read Brill's 25,000-word article to really understand why our medical bills are so high.  However, if you like soundbites, I liked this summary I saw on TV.  Some guy from TV:  So, we have a ridiculously expensive health care system without good outcomes, and the losers are the doctors, the nurses, and the patients? Some guy from Time:  Yes.

Thanks for your advice on the ambulance charges.  I was below my $2500 deductible when I broke the leg. $400 for a 30-block ride, but in the grand scheme of things, that was the least outrageous bill I got.

I hope you can set up your own business being a patient advocate.  It sounds reasonably lucrative, but also really helpful.  I wish Gambit's Girl had had you on retainer while she and her then-husband went through hell in their personal lives.  I wish she could have had you on board and handed the bills to you to be dealt with.  It seems to me quite enough to deal with two young children and a husband dying of a terrible disease, without having to spend your days on the phone screaming at the insurance company.

Sorry GG if I am mentioning your private life but I am just quoting you.  I admire you so much. Not sure I could have done what you did.
 
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