question

[Guest guest]

Absolutely. If the

primary insurance denies, but the transplant meets Medicare guidelines, then

there would not be any problem billing Medicare/Medicaid in the secondary &

tertiary levels.

Meredith Gray

Transplant Financial Coordinator, Continuity

of Care and Case Management/ Box

602

Strong

Memorial Hospital

(fax)

5-1616 ID# 6541 (pager)

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From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Patti Montemayor

Sent: Friday, July 27, 2007 3:19

PM

To:

TxFinancialCoordinators

Subject:

question

pt has

commercial insurance thru part time employment (primary

insurance)

has medicare and medicaid also.

pt worked up at a hospital that commerical insurance will not pay

because out of network. (found out too late)

Could that hospital accept the denial from commercial insurance but

then bill medicare and medicaid with no problems? or can medicare deny

too? thanks

Patti Montemayor, RN CCTC

Transplant Coordinator

and White Hospital

254/724-8448

[Guest guest]

As i am new in dealing with this seems like every time i take my 2nd puff on my

daily med i wind up coughing it out, any suggestions?

[Guest guest]

Hi :

That depends on what your medication is. Generally I'd say wait a few minutes in-between.

Subject: questionTo: asthma Date: Sunday, July 5, 2009, 3:03 AM

As i am new in dealing with this seems like every time i take my 2nd puff on my daily med i wind up coughing it out, any suggestions?

[Guest guest]

thanks i will look into that. Like i said i do not cough too much on the rescue inhaler but i do often on the 2nd puff on my daily inhalerSubject: Re: questionTo: asthma Date: Monday, July 6, 2009, 8:18 PM

Hi . I am late in reading this so if you hear the same thing from me please excuse me as I haven't read all the posts and answers yet.

First, make sure that you are using a chamber with your inhaler. If you ask your doctor for one, he/she probably has them from the drug reps. If not he/she will write a script for one. My insurance covers mine as I replace them about once a year, but if your's doesn't they are cheap only about $10. A chamber is a plastic tube. You put the inhaler in one end and put the other end in your mouth. Then you activate the inhaler and slowly inhale the med through the tube. If you inhale too fast it will whistle. Then wait about 3-5 minutes before doing the second dosage. That give the first puffs time to start opening the airways and the second one will go deeper and much smoother. That's all I can think of. Hope it helps. Madeline http://health. groups.yahoo. com/group/ Lungs_on_ Vacation/

From: thomas <deathjdstn32@ yahoo.com>To: asthmayahoogroups (DOT) comSent: Sunday, July 5, 2009 3:03:28 AMSubject: question

As i am new in dealing with this seems like every time i take my 2nd puff on my daily med i wind up coughing it out, any suggestions?

[Guest guest]

, that is a very good question. I generally reassess about once a year. However with any major changes such as med changes or climate changes your asthma can change. If it seems to be getting worse, you should definitely see your doctor. I would not just simply reassess. You may need a different controller or have an underlying infection or any number of things. Best of luck. Madeline http://health.groups.yahoo.com/group/Lungs_on_Vacation/

To: asthma Sent: Friday, September 4, 2009 3:42:40 PMSubject: question

i was wondering when or even if you might need to reassess peak flow zones and how you would do it. when i first got my peak flow meter i really didn't have anyone explain to my how to so i just took readings for a few weeks and recorded the numbers and then figured my zones based on this. when my doctor added advair to my long list of meds my numbers changed( higher) so i had to redo it. now my asthma has gotten worse and i have a new meter. should i refigure my zones? how? does my asthma need ot be controlled? because in the past 3 years it hasn't. my doctor is now seriously considering daily prednisone( mostly because i've been on pred 6x this year so far and don't really have much control unless i'm on at least a little( 10mg or so) pred. i just want to be able to breathe and to live my life without my asthma constantly interfering.

karan

From: mesewpretty <karolsews_32@ msn.com>Subject: ThrushTo: asthmayahoogroups (DOT) comDate: Friday, September 4, 2009, 3:43 AM

HiI have thrush and Wal Mart wants $50.00 for a 6oz bottle. Do any of you know of anything else I can use? Thanks,Karol

[Guest guest]

Hi:

Our peak flow naturally lowers as we age over 40, generally. I keep the same ranges no

matter what my medications are. The readings without medication are your baseline. I

have not changed mine since getting asthma 5 years ago, from 45 to 50 years old. The

Advair 250/50 works very good for me and many other people. Very preferable to using

Prednisone any time except in an emergency like serious attack that nebulizer treat-

ments do not produce significant enough response to get you in safe zone again. The

type of peak flow meter you use does not matter if used properly. Your baseline zones

of red, yellow, and green should be set the same.

Chart yourself and know your triggers well, so you can avoid them and also know you

are about to have an attack and can take pre-emptive treatment, like using nebulizer,

based on your peak flow readings. Use the average of 3 readings in a row like you are

supposed to for best accuracy.

Be well,

From: mesewpretty <karolsews_32@ msn.com>Subject: ThrushTo: asthmayahoogroups (DOT) comDate: Friday, September 4, 2009, 3:43 AM

HiI have thrush and Wal Mart wants $50.00 for a 6oz bottle. Do any of you know of anything else I can use? Thanks,Karol

[Guest guest]

Hi:

Our peak flow naturally lowers as we age over 40, generally. I keep the same ranges no

matter what my medications are. The readings without medication are your baseline. I

have not changed mine since getting asthma 5 years ago, from 45 to 50 years old. The

Advair 250/50 works very good for me and many other people. Very preferable to using

Prednisone any time except in an emergency like serious attack that nebulizer treat-

ments do not produce significant enough response to get you in safe zone again. The

type of peak flow meter you use does not matter if used properly. Your baseline zones

of red, yellow, and green should be set the same.

Chart yourself and know your triggers well, so you can avoid them and also know you

are about to have an attack and can take pre-emptive treatment, like using nebulizer,

based on your peak flow readings. Use the average of 3 readings in a row like you are

supposed to for best accuracy.

Be well,

From: mesewpretty <karolsews_32@ msn.com>Subject: ThrushTo: asthmayahoogroups (DOT) comDate: Friday, September 4, 2009, 3:43 AM

HiI have thrush and Wal Mart wants $50.00 for a 6oz bottle. Do any of you know of anything else I can use? Thanks,Karol

[Guest guest]

Hi:

Our peak flow naturally lowers as we age over 40, generally. I keep the same ranges no

matter what my medications are. The readings without medication are your baseline. I

have not changed mine since getting asthma 5 years ago, from 45 to 50 years old. The

Advair 250/50 works very good for me and many other people. Very preferable to using

Prednisone any time except in an emergency like serious attack that nebulizer treat-

ments do not produce significant enough response to get you in safe zone again. The

type of peak flow meter you use does not matter if used properly. Your baseline zones

of red, yellow, and green should be set the same.

Chart yourself and know your triggers well, so you can avoid them and also know you

are about to have an attack and can take pre-emptive treatment, like using nebulizer,

based on your peak flow readings. Use the average of 3 readings in a row like you are

supposed to for best accuracy.

Be well,

From: mesewpretty <karolsews_32@ msn.com>Subject: ThrushTo: asthmayahoogroups (DOT) comDate: Friday, September 4, 2009, 3:43 AM

HiI have thrush and Wal Mart wants $50.00 for a 6oz bottle. Do any of you know of anything else I can use? Thanks,Karol

[Guest guest]

Its interesting that you have never changed your peak flows..have you always lived in the same general area? My peak flows increased dramatically when we moved from Florida to Georgia...to the point where I now am in trouble at the same peak flows as what were normally my green in Florida. My bests in Florida were between 450-490..yet this is where I was at when I went to the ER a few weeks back and they couldnt hear me moving air. In FL, at that range I was in good control and breathing just fine. My normal "bests" here range from 550-580 with an occasional 600 thrown in for kicks. The difference in my ox. sats at the ER in Florida (98%) vs 95%, and the difference in my lung sounds here seems to support that I run into trouble here at my Florida levels.

In NY I didnt really track my peak flows because I was never educated to do it for one and secondly because the only times I ever had troubles were when I had bronchitis. In Florida I started having issues depending on the pollen season so I educated myself about peak flows a bit more and started doing them regularly. I found it very interesting to see the differences in my peak flows...but I also found it very interesting that Madelines docs told her to avoid the Gulf Coast, which is where I lived in FL. Since leaving the Gulf, you can see my peak flows have drastically changed...in less than 6 months.

I guess what Im saying is that it might be necessary to re-evaluate if you move from one region to another, or if you are finding that you are consistently reaching higher peak flows over a long range time (a couple months) and that you are having troubles at your old "bests" like I did. My Florida bests got me 4 neb treatments in a week, a week of 60mg of Pred and another week of yellow zone peaks before I finally stabilized back into my green zone this week. Im not back to the 550-580 range, but Im close..in my low green.

Ann