[mraines]

Originally Posted by CoachKandSportsguy

Agree with BlueAsh.

My mom is in hospice, for losing weight, in memory care, 98, post broken hip surgery.

She fell, I was in FL, and the nurse from Hospice sent her to the hospital for something he thought didn't look right. I was like, describe it, I am not sure what you are seeing, not sure I agree from the descriptions I have been receiving about the severity of the fall, but OK.

Came back nothing wrong.
total encounter cost Medicare $15K.
Recommendations: higher dosage of ibuprofen for the bruises.

CYA or the fear of the effects of lawsuits are everywhere.

A great book to read is by a Boston Surgeon Atuwal Gwandi
Amazon.com

His description of the healthcare industry has come along way from the turn of the 20th center, 125 years ago. Some has been from the legal system forcing better practices.
However, the EMR of today are being created to prove behaviors are done, and that takes time, and can be very granular, and to push towards proactive medical care versus reactive medical care, which will always be there. Proactive medical care is very difficult and has a higher cost than pure reactive medical care

good luck to us!

While taking care of my mom with dementia, I learned you really need to be on top of everything.

[mraines]

Originally Posted by Stu from NYC

We moved here a month after covid and the DR we found would only do telehealth visits for the next year. She had a family and wanted to protect herself. Perfectly understandable.

Nice to speak to her but she could not listen to our heart and lungs or look at our ears, throat etc.

A year later I pushed the issue wearing whatever she asked us to protect her and the visits were much more productive.

And I had a doctor who did not wear masks and did not require his patients to wear them. He wanted me to come in for a yearly Medicare exam and I refused due to lack of masks. He actually sent me a certified letter that he would no longer be my doctor. I never heard of such a thing but he actually did me a favor.

[golfing eagles]

Originally Posted by mraines

And I had a doctor who did not wear masks and did not require his patients to wear them. He wanted me to come in for a yearly Medicare exam and I refused due to lack of masks. He actually sent me a certified letter that he would no longer be my doctor. I never heard of such a thing but he actually did me a favor.

Res ipsa loquitur