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It's a New Day


arogers

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Unless I hear from the SNF something different, I believe Bill will be coming home today.

 

I spoke with the Nurse Casemanager from the insurance company and expressed my frustration with the SNF regarding their accusations that our insurance was "impossible to deal with". She could sense I was just about to crack under the pressure so she called the Board of Pensions and hooked me up with a really nice lady. They have agreed to pay the SNF as though they are an in-network facility. She also confirmed that it is more the SNF who is causing the problem since they seem to want to demand a firm dollar amount the insurance company will pay. I still think the reason is that (I would estimate) 90% of the residents are primarily Medicare and/or Medicaide patients and there is probably a grid used for payment purposes. The lady from the BoP confirmed that a facility cannot demand payment up front from anyone - a fact I found impossible to grasp. It's sort of like going to the hospital and being expected to pay before service is rendered.

 

Anyway, I was told that Bill's discharge date is today - and I sure can live with that. It seems odd that I've heard nothing from the facility yet. I am expecting them to call and tell me Bill has been discharged so I can come pick him up. That seems to be the way things are working - no consideration for the caregiver, as usual. This time I'm prepared though and have a sense of peace about it.

 

Bill is understandibly excited and ready to roll. I explained to him that he has to be patient because there is alot more to it than just coming to pick him up. He doesn't understand everything coming home entails. That's been the way it is all along though - it's all about Bill!!! That's the reason he has wanted me to do so much for him I believe, the mental capacity for self-care has really been damaged. He has a child-like need to be cared for. The challenge of living with an adult without the capacity to be adult-like is a deficit that isn't obvious to the eye.

 

The September/October issue of Stroke Connection Magazine focused on dementia. I had not realized the short-term memory loss is part of dementia. The articles were interesting - I only wish there had been some information about men since the focus seemed to be on mothers, and the elderly as well. I don't consider 56 elderly! I have my own case study right here...

 

It's a new day, I'm feeling stronger emotionally and have to clean the bathroom. Time to get off this thing and get busy!

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Good blog Ann. I know a lot about dementia in the elderly from having Mum here and am now learning about dementia in the middle aged from Ray. I will be a real expert when all this is over.

 

Hope things work out as planned with Bill's homecoming. I'm glad you got the insurance worked out and don't have that hanging over your head. Life is hard enough without feeling your finances are up the creek as well.

 

None of this is easy. Having a husband with early onset dementia was not part of my original game plan. And as you said it is like being a Mommy again. With many medical problems added to the mix and with them far beyond childhood in size and age. It really breaks my heart sometimes.

 

As I say every day - so far, so good.

 

Sue. :friends:

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Thanks Sue.

 

I guess I should quantify the "obvious to the eye" piece. Since we are such a visual lot, it has always been my intent that Bill dress and generally present himself in the same manner he did pre-stroke. I know there are short-cuts, and since he's been in the SNF he's been dressing in gym shorts and golf shirts because he's been exercising. The other day he didn't want to wear a particular golf shirt because he'd worn it too many times while there!!!!

 

Another comment one of the therapists made to me was his apparent lack of sense of humor - however, she said every once in awhile he came out with a really funny comment. That's Bill - plays his cards close to the chest, then drops the hand for the win. I have learned that emotional lability entails more than the crying, or laughing - it takes on many forms and his seems to be a solemnity.

 

Once again I say it, one ... day ... at ... a ... time.

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Ann,

 

Dementia is dementia. It really doesn't matter if it comes from old age related things effecting the brain or a stroke (or series of strokes) effecting the brain. The symptons, prognosis and treatment is the same no matter your age or gender---I take that back, a person 56 years old is more likely to get some form of treatment that, at best, just attempts to hold back the tide. That's the heart-breaking part for caregivers of loved ones with dementia, isn't it. We don't want to accept what we know in our heads is true. It's too hard. Way too hard.

 

:friends: Jean

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Yes Jean - It is way too hard. I'm sure that's why everyday I think Bill will wake up and it'll be gone. But then, if I didn't have hope ... Well, we face each challenge as it comes - that's enough to handle.
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Ann,

 

Rob didn't laugh for a month after his stroke. This was very hard for me, as he and I both laugh a lot. In the hospital we had one episode we both will never forget where we both laughed really hard about something he said about the cauliflower in his soup.

 

He still doesn't laugh as much as he used to, but much more than he did the first month.

 

I wish there was an answer to the alternative to private insurance - man it's frustrating.

 

Take care Ann.

 

-Karen

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