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Blu-ize
Plan B is Now Plan A
Member since 7/05 32475 total posts
Name:
Susan
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PINS and NEEDLES-Freddy update
Been a while...here goes
Jamaica thinks that he would be best served in a subacute facility for the rest of his rehab because they don't do functional rehab, just regular therapy. Great. The insurance company wants to keep him there because he's made such great progress. Ok..but they were missing the nursing component. the nurses there are not trained to help him functionally with his prosthesis. They are acute nurses that don't do rehab! Ok, that's effed up..they work in a rehab unit.
After lengthy conversation with his case manager at Empire (she's great), she is doing everything she can to get Fred to the right place. We think that place is North Shore extended care.
So we'll know soon whether he is accepted or not. I sure hope so. I can't take much more of this.
We expect that he will do better there because of the functional training.
But they have to accept him and have a bed for him.
Fingers crossed..sitting on pins and needles until I hear. The case worker is going on vacation next week and her boss will handle Fred's case. I'm told that she has been briefed.
On thing the case worker did say is that they want the best for him and will help him as much as possible. That is really unusual for an insurance company!! Fred is blessed and so are we. We also found out that Fred's policy will give him home care if he is homebound. That is usually not a covered benefit. Usually it's out of pocket. What a relief.
We got the apartment for them in Holtsville and mom and dad are planning their move for the end of Sept. It's possible that Fred could come home sometime in October depending on how he does.
Is it nuts that I just want my mommy and daddy here?
Being a grownup is overrated.
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Posted 8/31/07 2:27 PM  |
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TreAnt427
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Member since 8/06 8652 total posts
Name:
Tracy
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Re: PINS and NEEDLES-Freddy update
Hang in there!
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| Posted 8/31/07 2:29 PM |
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Phyl
R.I.P. Sweet Mia ♥
Member since 5/06 28918 total posts
Name:
The Mystical Azzhorse! ™
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Re: PINS and NEEDLES-Freddy update
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| Posted 8/31/07 2:30 PM |
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MsSissy
xoxoxo
Member since 3/07 39159 total posts
Name:
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Re: PINS and NEEDLES-Freddy update
You can certainly use your mommy and daddy right now.
That's great news that his coverage will cover home care! What a huge relief that is for everyone.
Many  that you hear something soon!
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| Posted 8/31/07 2:30 PM |
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Blu-ize
Plan B is Now Plan A
Member since 7/05 32475 total posts
Name:
Susan
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Re: PINS and NEEDLES-Freddy update
we still have to get the apartment in AZ rented. that's a killer.
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| Posted 8/31/07 2:33 PM |
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SweetestOfPeas
J'taime Paris!
Member since 3/06 32345 total posts
Name:
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Re: PINS and NEEDLES-Freddy update
I just wanted to add that insurance companies are not the enemy.
frivolous lawsuits IMO are. lawsuits are what cause so many thing to be 
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| Posted 8/31/07 2:37 PM |
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Blu-ize
Plan B is Now Plan A
Member since 7/05 32475 total posts
Name:
Susan
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Re: PINS and NEEDLES-Freddy update
the way all these doctors and therapists talk you would think that the insurance company is the reason people don't get the help they really need.
I've seen it..my brother is very lucky. VERY LUCKY...he knows it too.
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| Posted 8/31/07 2:50 PM |
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Blu-ize
Plan B is Now Plan A
Member since 7/05 32475 total posts
Name:
Susan
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Re: PINS and NEEDLES-Freddy update
heading out to see the man..
the man I call Stumpy.
Maybe I'll smack a few people around over there while I'm at it.
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| Posted 8/31/07 3:07 PM |
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Tah-wee-ZAH
Kisses
Member since 5/05 15952 total posts
Name:
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Re: PINS and NEEDLES-Freddy update
That is great about the insurance comp. My Dad had great coverage but I remember battling daily with the b!atch from the insurance company... she was a cold hearted wench. That's a huge relief!! I know what it feels like
I don't blame you one bit wanting your parents back here. You've carried a lot on your shoulders these past months... it's time to spread the responsibility.
all goes smoothly
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| Posted 8/31/07 3:16 PM |
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LisaW
Time for me to FLY!
Member since 5/05 13199 total posts
Name:
Did I ever tell you that I hate people?
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Re: PINS and NEEDLES-Freddy update
Again, I have to say you are an amazing sister
Hope it all works out!
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| Posted 8/31/07 3:18 PM |
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Tah-wee-ZAH
Kisses
Member since 5/05 15952 total posts
Name:
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Re: PINS and NEEDLES-Freddy update
Posted by Blu-ize
the way all these doctors and therapists talk you would think that the insurance company is the reason people don't get the help they really need.
No truer words have been spoken.
People are not at the mercy of the medical professions but they are at the mercy of the insurance companies
I hate to admit it (being a history teacher) but France has done one thing right.
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| Posted 8/31/07 3:18 PM |
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Bxgell2
Perfection
Member since 5/05 16438 total posts
Name:
Beth
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Re: PINS and NEEDLES-Freddy update
Oh girl, you certainly know I can relate. Good luck.. and thank goodness you have so many advocates on your side
Keep fighting!!!
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| Posted 8/31/07 3:19 PM |
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Blu-ize
Plan B is Now Plan A
Member since 7/05 32475 total posts
Name:
Susan
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Re: PINS and NEEDLES-Freddy update
Posted by Tah-wee-ZAH
Posted by Blu-ize
the way all these doctors and therapists talk you would think that the insurance company is the reason people don't get the help they really need.
No truer words have been spoken.
People are not at the mercy of the medical professions but they are at the mercy of the insurance companies
I hate to admit it (being a history teacher) but France has done one thing right.
I'm beginning to like Universal Health Care.
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| Posted 8/31/07 3:19 PM |
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Blu-ize
Plan B is Now Plan A
Member since 7/05 32475 total posts
Name:
Susan
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Re: PINS and NEEDLES-Freddy update
the case worker says that he's got at least 40 more years to live and we should give him the best chance at a recovery.
he may never be the same but we are ok with that.
Come on Northshore...please accept him.
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| Posted 8/31/07 3:21 PM |
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lvdolphins
My Loves!
Member since 5/05 46292 total posts
Name:
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Re: PINS and NEEDLES-Freddy update
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| Posted 8/31/07 3:21 PM |
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GenLCSW
Baby # 3 is here!!!
Member since 7/05 21138 total posts
Name:
Genna
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Re: PINS and NEEDLES-Freddy update
If I can help, let me know! I am a social worker in a nursing home that has rehab
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| Posted 8/31/07 3:42 PM |
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Blu-ize
Plan B is Now Plan A
Member since 7/05 32475 total posts
Name:
Susan
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Re: PINS and NEEDLES-Freddy update
Posted by GenLCSW
If I can help, let me know! I am a social worker in a nursing home that has rehab
thank you for the offer. Can you tell me which place?
The case manager at Jamaica sent his stuff to Northshore today. Of course I didn't expect to hear considering the holiday weekend. But I hope by Tuesday we have a plan to get him there.
Hey, if the insurance company says it's ok and they will pay I guess that's a big hurdle in getting him accepted.
He is dying to get out of there and I am too. He is really ready for the functional training.
Do your nurses do functional things with the patients? I know a person with a prosthesis is different than most, but he needs the functional training with it.
The head of PT at Jamaica says there are CNAs that are trained from the PTs to help with the prosthesis at subacutes. I certainly hope so.
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| Posted 8/31/07 9:48 PM |
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TeddyBear922
LIF Adult
Member since 8/06 1265 total posts
Name:
Chris
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Re: PINS and NEEDLES-Freddy update
I'm so glad you found an apartment for them, and it seems like things are looking up again. I will keep my fingers and anything crossed that Freddy is accepted at Northshore.  and  because I'm sure you need one every so often.
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| Posted 9/4/07 9:12 AM |
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