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Old 06-19-2018, 07:43 PM
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Stuck in a chair


I've been sick, and after about 9 days in the hospital and 2 weeks in a rehabilitation facility undergoing therapy, late this morning I was sent home. Not because I was ready, but because my insurance was done, and they weren't paying any more. I really needed another week or so. As of this morning, I hadn't been able to stand under my own power since entering the hospital. When the ambulance brought me home today, I picked out a good chair for them to sit me in, and THAT one I was able to get out of. Just the right height for me i guess. However, earlier today I walked around too much and got tired. I had to sit in another chair, and now I'm stuck. It has wheels, so I wheeled it around the house some, but i've been unable to lift myself up out of it.

Now I'm sitting alone in an apartment, stuck in a chair and unable to get out of it. I've tried for hours. I've tried levering myself up on different pieces of furniture. I tried my walker. I have Crohn's disease, and that's becoming an issue now. Even if I get out of this chair, though, and get to a toilet, there's no way I can get back up off of THAT now. One way or another, I'm stuck in a chair or on a toilet.

I'm so tired of all of this.
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Old 06-19-2018, 07:53 PM
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Call 911. You need help.


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Old 06-19-2018, 08:02 PM
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Call 911. You need help.
I agree with that. They get plenty of calls to help people up that can't get out of a chair, off a bed, out of the tub on their own, it's not at all uncommon.

ETA, if this is going to be a permanent or long term issue, look into having a company come out that can install things in your house to help you get around (grab bars etc). At the moment, you're in a chair, the problem is when you fall getting out of bed with no phone nearby and no one to find you between the bed and the wall.

Last edited by Joey P; 06-19-2018 at 08:04 PM.
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Old 06-19-2018, 08:11 PM
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I was getting help, then they carted me back home. Kind of makes me think they're done helping me.

It should not be a long-term thing - I just keep coming down with problems while I attempt to get to the point in time when I can have my colectomy. Blood clots. Degenerative bone disease. Cellulitis.

Maybe this is better put in the Mundane forum. Sorry.

Last edited by Face Intentionally Left Blank; 06-19-2018 at 08:11 PM.
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Old 06-19-2018, 08:47 PM
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Quote:
Originally Posted by Face Intentionally Left Blank View Post
Maybe this is better put in the Mundane forum. Sorry.
I'll move this there for you. Moving thread from GQ to MPSIMS.

Call 911. They'll help you. It doesn't matter if rehab sent you home. 911 will help you. Please call.
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Old 06-19-2018, 08:12 PM
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What is the consequence if you call 911 and they take you back to the hospital? Does the clock/calendar start over again for your insurance? If you can't stand on your own, I'm thinking you aren't safe to be on your own.

I think if it were me I would call 911 and have them take me back to the hospital. I would stay there until I could get up from a chair reliably and worry about negotiating a payment plan later. First priority is to make sure you don't die.

I'm sorry that you've been put into this position. Please send me a PM if you'd like me to call for help for you or there's anything else I can organize for you.
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Old 06-19-2018, 08:31 PM
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Whoever cleared you for release from the rehab facility ought to lose their job. There should have been a discussion about your living situation (Do you live alone? Are there stairs at your house/apartment?) and mobility. Because clearly you're not ready to be on your own, at least not without assistive technology installed. Perhaps it would be enough to have a visiting nurse or home health aide visit for a few hours each day. But all of this should have been discussed before they sent you home.
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Old 06-19-2018, 08:52 PM
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Whoever cleared you for release from the rehab facility ought to lose their job. There should have been a discussion about your living situation
At this point a few calls may be in order. I'd think the first call would be to a GP or whoever referred the OP to the hospital. Call them, tell them what's going on. Calls to the insurance company as well as (maybe) even a hospitalist and/or patient advocacy group.
In other words, you need a few people to go to bat for you with the insurance company, explaining that you're not ambulatory and either need to be admitted until you are or you need a caretaker. Your GP will and/or people at the hospital will have the right phone numbers and contacts at the insurance company to help push this through.
You can also call the insurance company yourself. If this is through an employer ask them to have their insurance agent/broker give you a call so you can talk to them. At least in my experience, brokers are great at dealing with the insurance companies.

As for calling 911, I don't know what would happen if they took him back, hopefully it would be a new claim, treated separately from the other, but as I mentioned before, the EMTs can even help him back to his chair (and maybe on/off the toilet while they're there.

TL;DR, the insurance company needs to know that you can't get around your house on your own.
Call 911, let them help you.
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Old 06-21-2018, 05:56 AM
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Whoever cleared you for release from the rehab facility ought to lose their job. There should have been a discussion about your living situation (Do you live alone? Are there stairs at your house/apartment?) and mobility.
It has been my experience, after a decade of dealing with family members in poor health and/or dying, that that conversation almost never takes place. The powers that be don't want to hear it. They assume there is family/support in place, that said family will drop everything to care for the sick person. And the older and poorer the patient the less likely there is to be that conversation.

And while it's easy to say there should be home visits for assistance that often doesn't happen either. When my husband was dying I was basically expected to care for him 24/7 without respite (our insurance was very reluctant to admit him to hospice - I got the approval letter about a week after he died).

Since we entered the era of the Holy Cost Reduction this sort of thing is distressingly common.
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Old 06-21-2018, 07:12 AM
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A couple of general safety tips for you and for people you love


For everyone's general information, in most US communities, you can call 911 and request a "lift assist."

They send out firefighters who lift you off floor/chair and move you to where you need to be.

In most communities this is a free service. It's not for daily transfers but for the occasional whoops

Remember this also if you are a caretaker. It's usually unsafe for one person to lift another by themselves. You don't want to end up with two people on the floor.

Of course a lot of times if you can't get up, you may need additional care (as we have just seen) so if the fall was for an unknown reason, make sure you call medics, not lift assist.

Also, most communities have a free or low-cost service (often through the fire dept) that telephones you at the same time every day. If you don't pick up, they summon a person of your choosing or EMS.
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Old 06-21-2018, 11:27 AM
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For everyone's general information, in most US communities, you can call 911 and request a "lift assist."

They send out firefighters who lift you off floor/chair and move you to where you need to be.

In most communities this is a free service. It's not for daily transfers but for the occasional whoops

Remember this also if you are a caretaker. It's usually unsafe for one person to lift another by themselves. You don't want to end up with two people on the floor.

Of course a lot of times if you can't get up, you may need additional care (as we have just seen) so if the fall was for an unknown reason, make sure you call medics, not lift assist.

Also, most communities have a free or low-cost service (often through the fire dept) that telephones you at the same time every day. If you don't pick up, they summon a person of your choosing or EMS.
Above bolding mine

To add to this, when my MIL was sent home from rehab after her last hospital/rehab stay, we were able to get her a "life alert" type system for free through Catholic Charities as she was prone to falling, and was still quite weak when we got her home (no questions were asked AT ALL regarding anyone's "faith" or church affiliation). Checking with the social workers at the rehab facility would, imo, be worthwhile if only to get the name of resources in your area who can provide this type of free service.
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Old 06-19-2018, 08:55 PM
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The funny thing is between the ambulance ride back to the hospital and the re-admission, this whole thing is going to cost the insurance company much more than had they done things right in the first place.
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Old 06-19-2018, 08:58 PM
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There are rehab centers dedicated to helping people transition from hospital care and back home.

My mom had a fall at home and was very weak. She went to the ER. They decided she wasn't sick enough to be admitted to the hospital.

She went into a rehab facility for 5 weeks. She's home and doing much better.

The daily therapy made a big difference in getting her back up walking.

Last edited by aceplace57; 06-19-2018 at 09:00 PM.
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Old 06-19-2018, 09:05 PM
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There are rehab centers dedicated to helping people transition from hospital care and back home.
The OP says that Face Intentionally Left Blank was in a residential rehab facility for two weeks. Clearly that wasn't enough time.
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Old 06-19-2018, 09:08 PM
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After you call 9/11 call a lawyer.
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Old 06-19-2018, 09:11 PM
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Sorry. I skimmed the OP. Saw hospital stay.

I agree calling 911 is required. The doctor can decide what's the next step.
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Old 06-19-2018, 09:30 PM
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I have a home-care assessment tomorrow around 2pm. Seems like a long way away now.

No one I talked to at the rehab facility wanted to send me home or said I was ready, they were doing it solely because the insurance money ran out and they had to send me home. The local hospital sucks anyway, they left me in a dirty diaper for half a day the last time i was admitted. If i could just get my damned colectomy, it would help everything. I've been trying to taper off prednisone (40mg) but the past few weeks they had me at the full dose, and no one would address my Crohn's at all. They just patched my cellulitis and open wound.
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Old 06-19-2018, 09:27 PM
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Call, now.
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Old 06-19-2018, 09:42 PM
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I'm so sorry our healthcare sucks so badly.

I hope tomorrow's assessment gets you into more care and the surgery you need.
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Old 06-19-2018, 10:14 PM
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I hope you make it til tomarrow. Have you no person to call?
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Old 06-19-2018, 10:42 PM
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Not to be too much of a nag, but I note that you've not actually said you called 911 to have your immediate needs addressed. So, DID you call 911, have your toileting needs been met and are you out of the chair?
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Old 06-19-2018, 11:44 PM
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Not to be too much of a nag, but I note that you've not actually said you called 911 to have your immediate needs addressed. So, DID you call 911, have your toileting needs been met and are you out of the chair?
No.

I just don't see the point in anything. I WAS getting help and they put me in this situation on purpose. What ELSE would happen if you send someone home alone who can't stand up? I've been to the local hospital where they alternately ignore you and treat you rough, and then berate you for crying out. I've tried for years to get better, but all I do is collect unexpected new maladies and fight over insurance. I feel like the living embodiment of Zeno's Paradox: always moving closer to getting better, but never actually getting there.


I dont know what would happen if i did dial 911. They already sent me home once today. Maybe I'll call my GP in the morning and see what she can do.
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Old 06-20-2018, 12:10 AM
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Does your GP have an on-call service? Can you call them tonight?
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Old 06-20-2018, 12:18 AM
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Dude, if you call 911 you'll probably make the night of some bored firefighters who do the first response. They can help you get out of the chair and at least get you into bed where you have a chance at being comfortable, and might be able to contact an appropriate social service department on your behalf.

Just call, okay? Or if you can't bring yourself to 911 call the non-emergency number, let them decide the issue. Just call someone, please.
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Old 06-20-2018, 01:48 AM
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Dude, if you call 911 you'll probably make the night of some bored firefighters who do the first response. They can help you get out of the chair and at least get you into bed where you have a chance at being comfortable, and might be able to contact an appropriate social service department on your behalf.

Just call, okay? Or if you can't bring yourself to 911 call the non-emergency number, let them decide the issue. Just call someone, please.
Thanks for caring enough to respond to this. Thanks to everyone, for that matter.

Only 6 hours before my GP's office opens. I have a long relationship with her, and she's been a great help to me in teh past, as much as she can be. I'll call her and fill her in, maybe she can accelerate my admission if I call her before I call for an ambulance. I'll try to grab some sleep in the meantime.

Last edited by Face Intentionally Left Blank; 06-20-2018 at 01:48 AM.
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Old 06-20-2018, 07:42 AM
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I called my GP, I called my home health care nurse (whom I haven't seen yet)

I called an ambulance.
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Old 06-20-2018, 07:54 AM
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I called my GP, I called my home health care nurse (whom I haven't seen yet)

I called an ambulance.
Don't forget the lawyer.
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Old 06-20-2018, 10:45 AM
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I called my GP, I called my home health care nurse (whom I haven't seen yet)

I called an ambulance.

Thank you for this. It was the absolute right thing to do.


Please, please let us all know the outcome. I would have driven myself to you to assist/help if you are anywhere near me!

This insight may be of help (I'm retired from first-responder stuff/Med Imaging of every sort, Lab Tech, etc) : Generally, Physical Therapy is who writes-off a person's abilities to 'live alone' (not always, but Docs rely on such info more often than not, and also the Nursing notes). PT's are overwhelmigly honest for the most part, and be sure to emphasize your struggles/difficulties to them. Make certain prob's are 'charted' for Doc(s) to review/evaluate!

I recently spent about 4-ish months in hospital bed (and basically no memory of it except for last week or two) and the Doc kept saying how I was improving on the getting-around part. He was ready to let me go home until I asked if he reviewed all the PT input. He said "yes", but turns out PT was not charting my prob's. Just the day before he scheduled my discharge, I went to pick a piece of paper on floor, and discovered that my legs would not work to get me back up, so I sat down and could not get up even with all 4 limbs working as hard as they could. That was not charted, and Doc immediately got PT to test me out in his presence - I failed miserably despite trying my hardest (felt like an infant!). With that 'new' knowledge, I was kept longer. Insurance (BCBS-OK) had zero issue w/ that and I strengthened over next week or two to 'reliably' performing strenght tests and all. Look into specifics like that, as it just might be what got ya discharged earlier than should've been done.


Get well soon, I hope, FILB..
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Old 06-20-2018, 10:50 PM
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Thank you for this. It was the absolute right thing to do.


Please, please let us all know the outcome. I would have driven myself to you to assist/help if you are anywhere near me!

This insight may be of help (I'm retired from first-responder stuff/Med Imaging of every sort, Lab Tech, etc) : Generally, Physical Therapy is who writes-off a person's abilities to 'live alone' (not always, but Docs rely on such info more often than not, and also the Nursing notes). PT's are overwhelmigly honest for the most part, and be sure to emphasize your struggles/difficulties to them. Make certain prob's are 'charted' for Doc(s) to review/evaluate!

I recently spent about 4-ish months in hospital bed (and basically no memory of it except for last week or two) and the Doc kept saying how I was improving on the getting-around part. He was ready to let me go home until I asked if he reviewed all the PT input. He said "yes", but turns out PT was not charting my prob's. Just the day before he scheduled my discharge, I went to pick a piece of paper on floor, and discovered that my legs would not work to get me back up, so I sat down and could not get up even with all 4 limbs working as hard as they could. That was not charted, and Doc immediately got PT to test me out in his presence - I failed miserably despite trying my hardest (felt like an infant!). With that 'new' knowledge, I was kept longer. Insurance (BCBS-OK) had zero issue w/ that and I strengthened over next week or two to 'reliably' performing strenght tests and all. Look into specifics like that, as it just might be what got ya discharged earlier than should've been done.


Get well soon, I hope, FILB..
Wow. I do hope you're doing better.

Thanks to everyone for their help and concern.

I'm in the local hospital. While I'm here, one of the doctors wants an mri on my back, and a neuro scan of some sort to investigate why I lost so much leg strength in such a short time. Have to admit I didn't question it. I'm so used to badly swollen legs and other fun things that I didn't question the weakness. I'm already having back issues due to my prednisone, so that might come into play.

I'll be here until tomorrow, maybe longer if they need time for tests. After that, they'll find me a spot in a rehab facility. Think the insurance should cover me for another two weeks or so. That is RIGHT NOW'S take on things, we'll see what they're saying in five minutes.

So, I'm off the chair, in a bed, and at least that much in my life is better. Now to grow stronger.

As to everyone who advocates getting a lawyer... Perhaps you are right, but I can barely navigate my way through getting helped out of a dirty diaper. My mind is scrambled, I just want to be warm and safe and clean-ish while I get healed up.

Last edited by Face Intentionally Left Blank; 06-20-2018 at 10:51 PM.
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Old 06-20-2018, 08:16 AM
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Then your federal and state representatives. It wont help your immediate issues (see above) but ultimately the healthcare system in your country needs to be fixed.
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Old 06-20-2018, 08:26 AM
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Then your federal and state representatives. It wont help your immediate issues (see above) but ultimately the healthcare system in your country needs to be fixed.
I'd still start with having the GP or hospital call the insurance company and request more rehab and/or an inpatient stay or letting OP stay at a rehab facility to ride this out. I'll also emphasize contacting the insurance broker as they'll know the insurance plan inside and out and may even be able to offer some more insight.
After than, at least in my state, the next call would be to the commissioner of insurance. They're government official that oversees unfair practices by insurance companies.

But if your insurance plan only allows a certain number of rehab visits, your doctor calling up and requesting more is probably the first thing to do. It may be as simple as that.
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Old 06-20-2018, 09:50 AM
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When my Wife got sick after an IronMan race in an unfamiliar town, I called 911.

They took her stats in the hotel room and calmed her down (she was hyperventilating, and I think a bit of heat exhaustion/lack of electrolytes).

Anyway, the cost was zero. Since she did not make a ride, we where not charged a thing.

JoeyP - You're EMS? Is this common not to be charged if you don't take the ride? (this was Boulder Colorado)
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Old 06-20-2018, 10:22 AM
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JoeyP - You're EMS? Is this common not to be charged if you don't take the ride? (this was Boulder Colorado)
No, I'm not EMS. I don't know what you'd be billed for if they just come out and help you but don't take you anywhere.
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Old 06-20-2018, 10:10 AM
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For future reference, calling 9-1-1 does not mean you must go for an ambulance ride. I remember a call I took where a lady just needed help getting up from a chair. Since the police were closest and available they handled the matter. The officer told me it made her night and she would be glad to handle such calls any day.

So it's really not a burden to call 9-1-1, all the more so if you are medically fragile and home alone like the OP. Helping people is what 9-1-1 is there for.
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Old 06-20-2018, 11:15 AM
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Thank you for letting us know that you called. I was worried about you! Keep us posted too, if you can. If there's anything we can do to help, let us know that too.
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Old 06-20-2018, 12:10 PM
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Yes, thanks indeed, it's worrisome to know a bad situation is going on and nothing can be done about it. Hope you get the help you need to recover fully!
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Old 06-20-2018, 03:18 PM
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Ditto.

I used to Fall Down A Lot, and after a few months of it, in Grand Central Station, terrifically embarrassed, I asked someone to call 911, and just stayed on the damn floor. Absolutely. (Motor-cortex anomaly. Who knew?)

Last edited by Leo Bloom; 06-20-2018 at 03:18 PM.
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Old 06-20-2018, 05:11 PM
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I hope not hearing anything means that Face is getting the necessary care in a facility.
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Old 06-20-2018, 11:38 PM
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You have two weeks in rehab (inpatient?), so once you get to day 10 or so out of 15, if you think you're going to need it, have the rehab facility and your doctor start making calls to the insurance company. That'll give them a few days to play phone tag and cut through some red tape while you're still there instead of being right back where you started.
Those last few days would also be the time to have the rehab people do some type of evaluation so that it's ready to give to the insurance company if they need more convincing.

Also, I don't know what type of rehab you're doing, but if it's anything physical, they should be showing you how to get around your house. How to get out of a chair by yourself, how to get out of bed by yourself, how to pick something up off the ground by yourself (like a dropped cell phone). If you're not independent enough to not pose a threat to your own health, you're probably not ready to be home alone.
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Old 06-21-2018, 12:13 AM
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I'm glad you're in a safe place. I hope things continue to improve. Please continue to let us know how things are going.
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Old 06-21-2018, 10:44 PM
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I'm sorry for not replying to everyone individually. Typing on these portable devices is not my strong suit. I really kind of hate using them, but it's what I have.


Went for mri's, today. I have two broken vertebrae. No reason for it they just broke because of all the prednisone I took.

They put a fentanyl patch on me and they expect me to do therapy. Doesn't seem smart. Two vertebrae already broke enough to hurt me and put enough pressure on my nerves to weaken me. Who knows what numbing me up and exercising me could lead to. Doesn't seem like anything but a 'hope for the best' plan, if you can call it a plan.

Gonna lose my dog now. No one will take care of her for me. I can't count the times I watched my sisters dog, or my stepsister's dog, but I need someone to watch my dog once, and I hear crickets. Fuck it, at this rate the dog will be better off with someone who isn't falling apart faster than they can put him back together.
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Old 06-22-2018, 07:30 AM
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...
Went for mri's, today. I have two broken vertebrae. No reason for it they just broke because of all the prednisone I took.

They put a fentanyl patch on me and they expect me to do therapy. Doesn't seem smart. Two vertebrae already broke enough to hurt me and put enough pressure on my nerves to weaken me. Who knows what numbing me up and exercising me could lead to. Doesn't seem like anything but a 'hope for the best' plan, if you can call it a plan.
...
Holy crap, sounds like you need better doctors and meds.

My brother's got Crohns, he injects HUMIRA every month or so and he's doing good, no unexplained broken vertebrae at least...I don't know if you're able to get that or if it would work for you but a quick look at prednisone makes it sound horrendous, there are a fair few other meds out there.

Also, depression is listed as an effect of prednisone and...I dunno, if I couldn't move from a chair and got to hospital finding I had a broken back, I'd probably use more exclamation points at least, make sure you're in your right mind before agreeing to any medical plans or just accepting the first option the doctor gives you.
  #43  
Old 06-22-2018, 03:59 PM
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Prednisone is great for short term use, but over the long haul it has terrible side effects - have you been on it for a long time?
  #44  
Old 06-22-2018, 06:31 PM
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Prednisone is great for short term use, but over the long haul it has terrible side effects - have you been on it for a long time?
Again, can't reply to everyone. Thanks to those who offered to help help out with my dog

I was on it far too long. It's was cheap and effective when I had no insurance. I'm supposed to be tapering off, but 40mg isn't calming my colon, and my new GI at Vanderbilt hasn't prescribed anything else. I'm supposed to taper off in anticipation of my upcoming colectomy, but instead my flare continues and I'm collecting new illnesses

Looks like I'm going into longterm rehab in the next few days. Had to sign my life away, I have to give them a month's notice before checking out, they're taking my monthly SSI check... I feel like I'm being involuntarily committed. I've never been in a situation where I couldn't go home if I wanted.

My sister freaked out a little bit on me yesterday, she apologized today a d is working to find a place for my dog. Kind of a bad (terrifying) time for a freak out from my perspective, but it happened. Dunno how the dog situation will work when i'll be gone a couple months, but we'll see.

I don't think the hospital has been giving me gluten-free food, as I'm bleeding worse now and my colon is really cramping. They're working on it though, and at least they stopped with all the gravy...

Last edited by Face Intentionally Left Blank; 06-22-2018 at 06:31 PM.
  #45  
Old 06-23-2018, 03:29 AM
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Again, can't reply to everyone. ... [snip]....
You need to get a lawyer, someone to both advocate for you and possibly to sue for malpractice and/or go after the insurance company because it doesn't sound like you are being properly cared for.
  #46  
Old 11-06-2018, 04:07 PM
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Went for mri's, today. I have two broken vertebrae. No reason for it they just broke because of all the prednisone I took.
Extended use of prednisone tends to cause osteoporosis. It seems like people somehow don't get told that at the beginning.
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Old 11-06-2018, 04:10 PM
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Extended use of prednisone tends to cause osteoporosis. It seems like people somehow don't get told that at the beginning.
I believe somewhere in the thread he explained that he couldn't afford the pricey alternatives.
  #48  
Old 11-06-2018, 04:14 PM
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I believe somewhere in the thread he explained that he couldn't afford the pricey alternatives.
Yes, understood. Still - people not getting told "this causes osteoporosis" is an issue IMO.
  #49  
Old 06-21-2018, 11:13 PM
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I am truly sorry for you and your dog. That seems like kicking a guy when he's down. If you are worried about your care don't be afraid to speak up. Tell them your fears of more damage occuring. Speak out often and loud. Good luck.
  #50  
Old 06-22-2018, 12:30 AM
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Where are you located and what exactly do you need for your dog?
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