A Case Study in How Our Health System Fails to Meet Our Needs.
June 20. My sister, 79, fell and broke her humerus near the shoulder. It was immobilized in an emergency room and she was sent home with her 70-year-old roommate.
June 22. A follow-up coordinator called her but gave her no referral to skilled nursing or physical therapy, which the emergency-room doctor had suggested.
July 6. On a “virtual visit,” she talked to a Physician’s assistant who suggested she go to a skilled-nursing facility immediately.
July 8. Nothing in her health network was available so she paid for skilled nursing in a nursing home. However, physical therapy was unavailable to her there.
July 22. That nursing home did move her to one in her Humana network on July 22, This facility is Four Fountains. [NOTE: 32 days after her injury]
July 26. Occupational and physical therapy began.
August 5. Therapy was stopped and she was told that she should go home. Someone did “walk her” on August 6, but she has had no therapy since then.
August 10. The administration at the current nursing home has said that she was “transferred to Medicaid” and would begin to get therapy again.
August 13. She was told that she didn’t get therapy because the insurance company thought it was her femur that was broken, not her humerus and that she might be getting it again starting Monday (8/16). She also had an argument with a nurse who told her she was too demanding when she wanted a drink of water.
Please note that she has had no counseling, although she has a history of major depression and often describes herself as “feeling weepy.” She is unable to walk unassisted and is getting weaker by the day.
She has received 9 (NINE) days of therapy in the 55 (FIFTY-FIVE) days since she injured the arm.
She has to sleep in a recliner because she cannot roll over on the affected arm. She cannot put pressure on the injured arm and the recliner is impossible for her to get into once she has moved out of it to go to the bathroom or to try to tiptoe about in the wheelchair.
I find her treatment unacceptable. Don’t you?