jwg: (Default)


On the way to South Africa we had a day in London. One of the things we did while there was to visit the Wellcome Collection - a museum dedicated to exhibitions about health. Henry Wellcome was a medical entrepreneur and his estate provided funding to start this collection and it's mission to deal with Health care ideas.and It had a large collection of medical devices including some 19th century artificial limbs.





There was also a collection called Play Well. It featured exibitions of things to enduce children and adults to play constructively. which has good health implications. With various subtleties such as a dolls' house that was open on both sides to encourage children to work together. Also Legos and larger collections of objects to place in play areas that would encourage experimental construction.

I remember as a child I loved setting up and modifying my elaborate electric train layout and also playing with erector sets to build elaborate structures;.
jwg: (bottlecap)
In July I was taken from the hospital where my surgery was done to the hospital where my ReHab was to occur.

I just got a bill for the ambulance ride. I was kind out of it so I don't remember it - but I think there were 2 people - driver and attendant and I was lying on a bed.

The insurance company paid $362.65
I pay $50

The bill had two items with these values - then adjusted by the insurance company to meet the above total:
1 NonEmg Base Rate $1,646.39
17 Mileage $1,224.00
---------------
$2,870.39

So they get 14% of what they originally billed.
And they charge $72 / mile

Another one of the absurdities of the US medical care system
I wonder if anyone ever pays the list price.

Home Rehab

Aug. 6th, 2014 08:08 pm
jwg: (Moai)
Progress is slow and steady. I started using a cane instead of the walker yesterday and that is a big improvement. And I barely need the cane but safety prevails. Today the PT guy came and agreed I don't need PT any more. After the neck brace is no longer needed there will be some neck PT as well as a device that stimulates bone growth. Appointment with the surgeon for that is three weeks away. I suspect after the visiting nurse comes tomorrow (I think it is tomorrow - they call in the morning) that will be her last visit.

[livejournal.com profile] annburlingham posted this pc in a FB comment today about my cane use. I'm not there yet.


I lost 18 pounds through this ordeal. I hope I don't gain must of it back because I'd like to remain thinner. My appetite is still smaller than it used to be - and I tire easily. Healing consumes lots of energy. I am doing more walking and just ordered a peddler (which I tried out with the PT guy who had one in his car) which will allow me to do peddling while sitting or put it on a table and get extra arm exercise.

Yesterday the OT person brought another shower caddie and now the shampoos, etc. are reachable from my shower seat. I managed my own shower today without Robert's help.

_______________________________
This was supposed to have been posted on Aug1, but although I put it on FaceBook I forgot to post it here.
_______________________________
Home Rehab
I've been home for a week. Much nicer than in hospital.

I still have a bit of occasional pain in my neck. It comes as a result usually from raising my arms. Ice on the bcd of my neck helps reduce/ eliminate the pain. Also there still is a bit of swelling there; making my neck brace a bit less tight helps reduce that.

I've had 3 visiting nurse visits, 2 Occupational Therapy visits and one Physical Therapy. All these people seem to agree I'm doing quite well and don't need much other than the passing of time. Today a trip into Cambridge to check in with my regular doctor.

In addition to walking with the walker I have an array of leg exercises that I do.

Had a much needed haircut on Wednesday.

I currently take Oxycontin twice a day and only occasional other pain meds. Last night I skipped the Oxycontin. I had trouble falling asleep (even though during the several hows before going to bed I had a hard time avoiding sleep while watching TV). But there wasn't amy pain. Tonight I think I'll try 1/2 the dose of Oxycontin. When things are normal I often have trouble falling asleep - melatonin usually works.; I took one after several hours of no sleep and it helped.

On Tuesday I went to JP with [livejournal.com profile] rsc; it was English Country Dance night - I watched and chatted with a bunch of people. This was the first time that when I saw bunch of people they weren't mostly hospital workers.
jwg: (harp)
Friday, July 25th is my going home day. I have a visit to the surgeon tomorrow (by ambulance - ambulance in case of traffic where they don't want me to be  forced to sit too long - I'll just pretend it is a stretch limo).

Walking is going well, I've been outside, walked on grass, up and down stairs... All but stairs  with a walker for safety -  little weight put on it. Still some pain in right arm that comes and goes with position, but the intensity of the maximum keeps decreasing.

It will be very nice to be at home.
jwg: (harpsichord)
[livejournal.com profile] susandennis wondered how I was and I realize that although I have been posting sporadicly to FaceBook, I haven't posted here.

I remain in rehab; the target release date is Friday, the 25th. I don't know how accurate that is, and will probably find out more on Tuesday.

I continue to make progress slowly but surely.  I use a walker to get around. I have mild to occasionally severe pain in my middle back, right shoulder, and right forearm/elbow. Position, pain medication, heat or ice help. Over time the situation improves.

We just ordered a shower seat, a hand held shower hose/nozzle, a bar to mount on the tub edge, and a suction bar for the wall and 3 sets of handles to mount on the toilet (one for one of the bathrooms in Cambridge). These are all to make sure I can navigate the use of the bathroom safely. Hopefully I won't need them for long.
jwg: (physics)

Here is our design modification to the hospital bed control that raises and lowers the head minimizing the chance of erroneously hitting the staff call button. The existing panels have very little contours or ridges that can be felt to determine which button will be touched. For people who can't see because a wide range restrictions this can be challenging. And depending on the amount to bed raising, the angle of presentation will vary. Only for horizontal head level is this a close toō horizontal orientation.

Now off to file the patent....

jwg: (people)

I'm back in my room. My c7-t1 has been fused. I have a pain killer to press every 5 minutes or so. I have some things strapped around my legs with tubes attached. I have no pain. My next surgery is sometime tomorrow. I am allowed to eat ice. This minimum security prison isn't bad; all the guards are very nice, I am reading some travel brochures, Victoria Falls, Cuba, Bali trips... And an AARP magazine.

jwg: (Hippo)

I have been admitted to Beth-Israel. More MRIs on my entire back revealed a cyst at C7-L1 and other arthritic spinal issues. I've been seen, poked, and prodded by many doctors here. The plan is to do surgery on Friday to remove the cyst and on Saturday to fuse some neck vertebrae. Slight chance the Friday surgery will be on Thursday. The consensus is that it is the cyst that is causing the problem. Separate surgeries to avoid being under anesthesia for too long a period of time. And then a few days of recovery. Perhaps some lower back surgery in the future.

Not much pain, just extreme difficulty walking, and much frustration.

jwg: (Elephant)

As some of you know I've been having some trouble walking. It started about 6 weeks ago. I started using a can - a nice looking one - late last week. MRI 2 weeks ago revealed spinal stenosis. I was referred to a spinal specialist and PT.The spinal specialist I saw yesterday recommended surgery and said if it got worse I should go to the ER. Today it seemed worse. So we showed up here at 4pm; it is midnight now. I am now awaiting more MRIs. The surgeon I saw a while ago seemed to think it might be neurological and surgery was not the answer. When I walked for him it actually seemed a bit better than this morning and Robert [livejournal.com profile] rscthought so, too. So we'll see what then next step is sometime tonight.

This a good hospital with a good reputation. And they do have access to my medical records at my HMO.

Lots of waiting - to be booked to taken to a room/bed - to be seen by various doctors and nurses - wait for food - wait for blood to be taken - wait for a glass of water, etc. now waiting for MRIs - they just collected the questionnaire. No metal, pacemakers, etc.

My several other trips to ERs were real emergencies so I got seen sooner. This ER is huge.

I sent Robert home - presumably, if I am not admitted I can stay here until the morning.
.
And to top it off we had tickets to the Red Sox / Cubs game. Sox lost. So it doesn't count against our records since we weren't there.

Typing is hard because I have a pulse monitor with a wire attached to my index finger.

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