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Archive for the ‘Why Patient Advocate?’ Category

How to Hire a Patient Advocate?

Friday, August 14th, 2009

CNN had a segment on today about How to Hire a Patient Advocate.
August 14, 2009
How to Hire a Patient Advocate
Posted: 09:37 AM ET
From CNN’s Senior Medical Correspondent Elizabeth Cohen

It’s Empower Me! Friday! Today we are answering a question from Leonard, a viewer who is looking to hire a patient advocate to help him get his HMO to pay for charges he says they won’t reimburse. Leonard is not alone; many other people are in the same situation. Here are some places you can go to find a patient advocate.
www.billadvocates.com: That’s the website for the Medical Billing Advocates of America. Among other things, they offer a state-by-state guide of patient advocates.

www.healthcareadvocacy.org: Along with helping you navigate the health care maze, Healthcare Advocacy can help manage medical debt.

www.patientadvocate.org: That’s the website for the Patient Advocate Foundation. They’re a good resource if you need assistance with specific issues with an insurer, employer and/or creditor regarding insurance, job retention and/or debt crisis matters relative to their diagnosis of life threatening or debilitating diseases.

www.npaf.org: The National Patient Advocate Foundation can help you understand what the laws are in your state and the different ways it’s possible to get coverage if you’re uninsured.

Click here to read the rest of the CNN Article

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Hospice vs Home Health vs the Doctor

Saturday, June 20th, 2009

Yipes! Why can’t they all work together. 93 year old patient in a board and care home has a UTI. She needs a Urine Culture done. She is on Vitas Hospice. Elderly patients do not tolerate a UTI and it can cause sudden onset of dementia and other behavioral issues as well as pain and discomfort. This patient becomes confused and combative. The staff notifies Hospice. The family notifies her primary care physician. He orders a Urine Culture and another blood test. The patient is weak and can’t go to the lab to get the tests done. Home Health will not come to her house because she is a Hospice patient. The patient continues to suffer, and it takes a week to get her on antibiotics. The family is still trying to get her lab work done via home health. Although, the last time home health finally obtained her specimens, they lost them.Kaiser had no clue what happened. Political medicine just does not work!
Finally the patient gets on antibiotics, and with in 14 hours she is no longer combative, feels much better and is no longer confused.
Diagnosis: Sudden onset dementia cause by a UTI.
Prognosis: Good Recovery with the correct antibiotics.
We treat our animals better that we treat our seniors! Sad Commentary on HMO Health Care.
What should have happended in a perfect world:
Board and Care notifies Hospice, of patients condition
Hospice RN makes an assessment of the patient and gets the test done to confirm the infectious process.
Doctor orders the antibiotics, and the patient is on her way to recovery with in 24 to 48 hours…. instead of
7 days of suffering with a UTI.

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Tips: Ten tips for being happier

Friday, June 5th, 2009

Tips: Ten tips for being happier by Gretchen Rubin
These aren’t necessarily the most essential tips for being happy — I tried to include strategies that might not otherwise occur to people. So, for example, “helping other people” isn’t listed, even though it’s one of the best ways of boosting your happiness.

1. Don’t start with profundities.
When I began my Happiness Project, I realized pretty quickly that, rather than jumping in with lengthy daily meditation or answering deep questions of self-identity, I should start with the basics, like going to sleep at a decent hour and not letting myself get too hungry. Science backs this up; these two factors have a big impact on happiness.

2. Do let the sun go down on anger.
I had always scrupulously aired every irritation as soon as possible, to make sure I vented all bad feelings before bedtime. Studies show, however, that the notion of anger catharsis is poppycock. Expressing anger related to minor, fleeting annoyances just amplifies bad feelings, while not expressing anger often allows it to dissipate.

3. Fake it till you feel it.
Feelings follow actions. If I’m feeling low, I deliberately act cheery, and I find myself actually feeling happier. If I’m feeling angry at someone, I do something thoughtful for her and my feelings toward her soften. This strategy is uncannily effective.

4. Realize that anything worth doing is worth doing badly.
Challenge and novelty are key elements of happiness. The brain is stimulated by surprise, and successfully dealing with an unexpected situation gives a powerful sense of satisfaction. People who do new things — learn a game, travel to unfamiliar places — are happier than people who stick to familiar activities that they already do well. I often remind myself to “Enjoy the fun of failure” and tackle some daunting goal.

5. Don’t treat the blues with a “treat.”Often the things I choose as “treats” aren’t good for me. The pleasure lasts a minute, but then feelings of guilt and loss of control and other negative consequences deepen the lousiness of the day. While it’s easy to think, I’ll feel good after I have a few glasses of wine…a pint of ice cream…a cigarette…a new pair of jeans, it’s worth pausing to ask whether this will truly make things better.

6. Buy some happiness.
Our basic psychological needs include feeling loved, secure, and good at what we do and having a sense of control. Money doesn’t automatically fill these requirements, but it sure can help. I’ve learned to look for ways to spend money to stay in closer contact with my family and friends; to promote my health; to work more efficiently; to eliminate sources of irritation and marital conflict; to support important causes; and to have enlarging experiences. For example, when my sister got married, I splurged on a better digital camera. It was expensive, but it gave me a lot of happiness bang for the buck.

7. Don’t insist on the best.
There are two types of decision makers. Satisficers (yes, satisficers) make a decision once their criteria are met. When they find the hotel or the pasta sauce that has the qualities they want, they’re satisfied. Maximizers want to make the best possible decision. Even if they see a bicycle or a backpack that meets their requirements, they can’t make a decision until they’ve examined every option. Satisficers tend to be happier than maximizers. Maximizers expend more time and energy reaching decisions, and they’re often anxious about their choices. Sometimes good enough is good enough.

8. Exercise to boost energy.
I knew, intellectually, that this worked, but how often have I told myself, “I’m just too tired to go to the gym”? Exercise is one of the most dependable mood-boosters. Even a 10-minute walk can brighten my outlook. Having trouble sticking to your exercise regimen? Here are 12 tips for staying motivated to exercise.

9. Stop nagging.
I knew my nagging wasn’t working particularly well, but I figured that if I stopped, my husband would never do a thing around the house. Wrong. If anything, more work got done. Plus, I got a surprisingly big happiness boost from quitting nagging. I hadn’t realized how shrewish and angry I had felt as a result of speaking like that. I replaced nagging with the following persuasive tools: wordless hints (for example, leaving a new lightbulb on the counter); using just one word (saying “Milk!” instead of talking on and on); not insisting that something be done on my schedule; and, most effective of all, doing a task myself. Why did I get to set the assignments? I found it hard to give up nagging—in fact, I came up with 19 strategies to try to cure myself of the nagging habit.

10. Take action.
Some people assume happiness is mostly a matter of inborn temperament: You’re born an Eeyore or a Tigger, and that’s that. Although it’s true that genetics play a big role, about 40 percent of your happiness level is within your control. Taking time to reflect, and conscious steps to make your life happier, really does work.

More info

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Unemployment Hits Cancer Survivors Harder

Friday, May 22nd, 2009

Unemployment Hits Cancer Survivors Harder
When the Journal of the American Medical Association published a study in late February that showed people with cancer had a higher risk of being unemployed, it wasn’t surprising to some survivors.
More Info

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Trouble Getting Tests results from you Doctor

Thursday, May 21st, 2009

This seems to be an on going problem for several patients. If the test results could change the course of you life, it would be a “kind” compassionate thing for your doctor to be able to get them to you timely.
How to accomplish is the trick. You can ask before you get the test done, how and when they will be notifying you. Also ask if there is anything you need to do to expedite this process, to reduce your stress.
Your Patient Advocate can also help you with this if they have a HIPPA release to act on your behalf.
CNN did an interesting article on this subject.
More info

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Frustrated Patient Advocate

Tuesday, May 12th, 2009

My frustration is extremely high tonight with the health care system.  One of my patients just needed his PET scan results, to know if the cancer had returned.  His doctor’s office could not be bothered with calling him with the results… but left him to “wonderment”  over the weekend.  They just do not get it!  The patient’s stress and consternation could all have been eliminated with at 5 second phone call to say from his doctor’s office saying… you are fine.  He probably will not die of the cancer, but of  health care system induced stress!  My patient”s comment was ” I guess they are just not compassionate”.  I will be having a chat with the doctor’s office staff about this issue.  Hopefully  it will not happen again.

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