Category Archives: Emergency/Crisis Medical

maps of the territory

I have maps of the territory and can act as your guide.

:- Doug.

Posted in Aging, Caring, Conversation, Death and dying, Eldering, Emergency/Crisis Medical, Estates: Administration & Probate, Family, Grieving, Healing and Wholeness, Long-Term Care, Powers of Attorney, Trusts and Trusting, Wills | Leave a comment

It’s Dad

It’s Dad
It’s family
We’re gathered for

:- Doug.

Posted in Caring, Death and dying, Emergency/Crisis Medical, Family | Leave a comment

Cure or comfort, how can we know?

How can we in the early 21st Century know when to go from cure to comfort? Or should we like water, like life, gradually flow? Can we, ought we, make such a distinction? Ought we seek to give comfort whenever we can, at all times, ever?

:- Doug.

Posted in Caring, Death and dying, Emergency/Crisis Medical, Family, Healing and Wholeness | Leave a comment

More time with you

A lawyer can take more time with you.

:- Doug.

Posted in Caring, Emergency/Crisis Medical | Leave a comment

knowledge of medicine, tender, tough?

What characteristics would you want in someone making big medical decisions for you: good head, good heart, imagination, knowledge of medicine, tender, tough?

:- Doug.

Posted in Death and dying, Emergency/Crisis Medical, Family, Healing and Wholeness | Leave a comment

the root of all challenges

O save us from conflict
Battles and wars
Competitors, rivals, enemies everywhere
But the root of all challenges
Is with one another: our connection

:- Doug.

Posted in Emergency/Crisis Medical, Family, Healing and Wholeness | Leave a comment

I cannot answer your questions

I cannot answer your questions. I can only address them. Only you can answer your questions. You take in what I give you, adjust its fit and assimilate into yourself only what fits for you.

:- Doug.

Posted in Caring, Eldering, Emergency/Crisis Medical, Estates: Administration & Probate, Long-Term Care, Powers of Attorney, Trusts and Trusting | Leave a comment

How doctors die

Friends–

Here is a New York Times article that you will want to read. Check out some of its links, too!

http://www.nytimes.com/2013/11/20/your-money/how-doctors-die.html?src=me&_r=0

:- Doug.

Posted in Conversation, Death and dying, Emergency/Crisis Medical, Family, Healing and Wholeness, News | Leave a comment

Where is love in POST?

Where is love in POST? Where is love in Conversation? Where is compassion?

:- Doug.

Posted in Caring, Conversation, Death and dying, Emergency/Crisis Medical, Family, Healing and Wholeness | Leave a comment

Arrow of increasing capacity to clear the path

There is an arrow of increasing capacity to clear the path, within which we can place various documents and steps. Where would you place Living Wills, Powers of Attorney, Health Care Representative appointments, Conversation?

:- Doug.

Posted in Death and dying, Emergency/Crisis Medical, Healing and Wholeness | Leave a comment

In elder caring, things move quickly

In elder caring, things move quickly. More quickly than you would expect.

Client is in the nursing home, and the nursing home is saying he is “plateauing:” they need to stop therapy and make the family private pay. Medicare will no longer pay.

Forget for the moment that “plateauing” is not the standard. The notice says “Call your QIO at: {insert QIO name and toll-free number of QIO} to appeal….” No name or number of the QIO! (QIO is Quality Improvement Organization.) The notice is given after the termination, not two days before as required.

So we appeal. Indiana’s QIO acts quickly and upholds our appeal within 24 hours. The nursing home issues another notice: this time they insert the QIO’s name and number, but still try to backdate the notice. We appeal again. The QIO acts quickly again.

They uphold our appeal again. (Turns out the nursing home had no records to show the condition of our client!)

So I call my client’s spouse to give the good news and it turns out that the client is now becoming belligerent around the nursing home staff and they want to send the client to a psychiatric hospital. This sounds too convenient to me, but after investigation, it seems true. So off to the hospital. All in the space of Friday to Monday.

The point is that things change quickly and we need to respond as quickly. The point is also there are many good people out there who can help make things right. The point is also that sometimes paperwork does not prove what the providers say it will prove, so it is good to follow your instincts when something does not seem right. The point is also that the person in a nursing home needs an advocate and most often that advocate is their spouse or their child: you. And you can call in help.

:- Doug.

Posted in Caring, Emergency/Crisis Medical, Family, Long-Term Care | Leave a comment

News: renewing our resolve for respecting patient’s wishes

Friends–

Here is a Senate hearing on “Renewing the Conversation: Respecting patients’ Wishes and Advance Care Planning” from June 26, 2013. Worth a look.

http://www.aging.senate.gov/hearing_detail.cfm?id=344148&

:- Doug.

Posted in Death and dying, Emergency/Crisis Medical, News | Leave a comment

Cancer and gentle loving metaphors

There are more gentle and loving frames within which to set our approach to any cancer test results seeming negative. Military and war metaphors, fighting and vanquishing, are too harsh for a part of a loved one’s body. When our grandchildren misbehave, we do not seek to vanquish and punish and kill them, but to love them into preferred behavior, to distract them if necessary, to teach them better ways.

:- Doug.

Posted in Caring, Emergency/Crisis Medical, Healing and Wholeness | Leave a comment

Why people don’t know what they want

The reasons most people do not know what they want are they haven’t thought about it and they don’t know what are their choices.

:- Doug.

Posted in Death and dying, Emergency/Crisis Medical | Leave a comment

10 ways we can be kind to people dying

What are 10 ways we can be kind to people who are dying?

:- Doug.

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POST is a flapping of butterfly wings

POST is a flapping of butterfly wings, a little thing, starting.

:- Doug.

Posted in Conversation, Emergency/Crisis Medical | Leave a comment

If these are at odds, which do you choose?

If these are at odds, which do you choose?
A. Life sustaining treatment
B. Treatment that provides comfort, relieves suffering, and promotes doing your own activities of daily living

:- Doug.

Posted in Death and dying, Emergency/Crisis Medical, Healing and Wholeness | Leave a comment