Wednesday, June 21, 2017

June 21, 2015: Woo hoo I won!

Me vs Medicare

I don't think the office workers at my surgeon's office ever gave him my message.  I never did receive a call back and neither did the social worker at the home.

I had an appointment on Monday the 19th with Dr Barney, one of the trauma surgeons who worked on me when I was brought to Legacy Emanuel Hospital.

She examined me and I told her about the problems with Dr Vande Zanschulp's staff.  She said she felt comfortable recommending that I stay in the staffed nursing facility until my surgeon said I was ready to be discharged.  She suggested that I make an appointment with Dr Vande Zanschulp  for re-evaluation next week.

When I got back to the home I gave the doctor's handwritten progress notes to Emily, the social worker.  She had received the typed progress notes from this doctor before I even arrived back at the home.  She faxed the letter to insurance.  I asked her to make my follow up appointment with the surgeon.

As of today neither Emily nor I have heard back from Dr Vande Zanschulp's office. They really do their jobs poorly at this office.  I have an appointment in July and I'll be sure to inform him.

Yesterday afternoon I received a call from the company reviewing my appeal and they said that they agreed with Medicare's decision and denied my appeal.  I was not surprised.

Then a couple of hours later Emily brought over a letter she received via fax from Aetna that approved my stay for 3 more days.  That means 6 more physical and occupational therapy!  Yay!  Therapy is the only way that I'll get better.

I don't know what happens after I leave.  No one has informed me.  Hopefully I will get home health care and some home therapy.    Therapy won't be twice a day like in the home unfortunately.  I will have to figure out some safe exercises on my own.

Yesterday afternoon my rollator (4 wheeled walker) was delivered.  I've been working on going up and down ramps and curbs with it.  The curbs are especially scary.  Tomorrow I am supposed to work on going up and down stairs using only one handrail.  That was hard for me before with my bad knee.  I hope I can do it now with two bad legs.

No comments: