Guest guest Posted October 7, 2001 Report Share Posted October 7, 2001 Mar, Please let me know what meds your husband is on. I am having a pity party right now! My Mom is in a nursing home the last 2 1/2 weeks. She has been with me for three years. After seeing a neurologist who didn't know what he was doing, I put her in the hospital to put her on meds to help her sleep. The Psych put her on meds that were suppose to help her sleep. Ha! She now can't do anything. She can't feed, dress herself, is in depends, can't talk most of the day. They keep telling me she isn't eating! She can't raise her arms to feed herself if she was hungary and she isn't. She still isn't sleeping and when she is awake from 4-7 in the afternoon, they are complaining she is " combative. " I am still trying to figure out when she is combative. She couldn't have been " combative " this am if she had tried, she was to drugged out! And night before last when I went at supper, they were withholding her food!! I can't prove that because her last name starts with W and everyone had their food and was eating when I got to the nh. I finally asked if she didn't have a tray? And they said it was coming and brought it in. I think I just caught them. But then I may be a bit paranoid! I have never seen her combative and don't know when she is awake long enough to be a fighter. And now with not walking and the drugs she is on, her feet are swelling to twice their size. She is 87 years old and every time I tell someone the Xanax was working, they tell me she can't be on that long term. She had 1/2 pill three times a day and it was levelling her out fine. She had 1/4 of a respidal and it helped keep her in bed at night. I know the Xanax is addictive but at 87 who cares. The meds she is on now will kill her anyway. I cried all the way home from the nh this am where she took her meds just fine. But I gave her juice with them. That was the nurse's complaint yesterday. She fights getting her meds! She doesn't like water and has never taken her meds with water and warm water at that. She barely drinks water except with lots of ice. And they sure don't have much to drink at the nh. I will start taking juice to her as they seem to ration it. She gets a small, maybe 4 oz glass, for breakfast. I already told them she doesn't like coffee or milk. She has coffee and milk on her tray every meal. And she is getting dehydrated from not drinking enough. I keep telling myself to give her time to adjust, but if they will not work with me, the stress is just as great either way. They keep telling me I have to talk to the MD. But f haven't found that an easy task either. Love to know what kind of meds you are working with to keep your husband calm! Donna A truly happy person is one who can enjoy the scenery.... on a detour. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2004 Report Share Posted September 14, 2004 Oops! I didn't get the address correct the first time! Mark Stine, MD Indianapolis, IN Hello, everyone! My wife and I are planning to start a practice like Gordon's next August. We are new to this group, too, so forgive me if these questions have been discussed previously (I haven't had the time to explore the archives). I am starting to look at computer systems/EMR/practice management, etc. I'd like to know if there are strong opinions out there on particular systems to look at or avoid. Also, any recommendations/opinions/success or horror stories on billing insurance companies directly as opposed to contracting with a clearing house or billing service? Thank you! Mark Stine Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2004 Report Share Posted September 14, 2004 You might want to look at emrupdate.com for some of the ins and outs with the emr's available. There are definitively differing levels of computer comfort and needs. In this group alone you have folks who are able/willing to create their own systems all the way to those of us who like to have the bells and whistles included. It depends on your computer comfort level and how much time and energy you wish to devote to setting yourself up. We could not. We needed a software ready to go. We wanted a fully integrated software so that if we wanted a billing service it would be easy to use, even long distance, or easy enough to bill ourselves if need be. I, personally, would stay away from any software that you do not manage and control your own data. It is attractive and functions really well using an ASP model where your data is stored elsewhere, but the risks involved with any company having control over your data are not worth it. You can cover this in your contracts, but contracts get violated daily and litigation takes time and money without any guarantees. So, keep your own data. Also, I would not be so inclined to pay a large amount of money upfront for software again. If you need to change, then your investment is not so painful to loose. eClinicalworks offers a subscription for about $400 a month. It includes support and upgrades. You do not own it, but without support and upgrades with most software, what do you own anyway. You will hear from some happy amazing charts users too, but again it depends on the level of functionality you want and your comfort level with doing many things outside of your software. Only you can answer those types of questions. We probably wouldn't have functioned well on amazing charts, but others love it. We have always used a billing service. It has been painful and we have probably lost a lot of money. You should bill yourself. Having said that, we are about to start with a new billing service because I don't want to bill. It depends on your volume and time. I think most everyone here agrees that the doctor should do his/her own coding. It is the rest that we haven't been willing to deal with yet, but many here do and keep overhead down. With an integrated system, it is frairly easy to do. It depends on how many insurance companies you are involved with. We have too many and I do not want to deal with it. If you cotract with only a couple and your volume is low, then bill yourself. Billing services, generally, do not have the same interest in your business and patients that you do. If you want more tips on what not to do and pitfalls to avoid, I am glad to help. Been there, done that. Mstine5043@... wrote: Oops! I didn't get the address correct the first time! Mark Stine, MD Indianapolis, IN > ATTACHMENT part 2 message/rfc822 From: Mstine5043@...Date: Thu, 9 Sep 2004 19:34:04 EDTSubject: (no subject)To: @... Hello, everyone! My wife and I are planning to start a practice like Gordon's next August. We are new to this group, too, so forgive me if these questions have been discussed previously (I haven't had the time to explore the archives). I am starting to look at computer systems/EMR/practice management, etc. I'd like to know if there are strong opinions out there on particular systems to look at or avoid. Also, any recommendations/opinions/success or horror stories on billing insurance companies directly as opposed to contracting with a clearing house or billing service? Thank you! Mark Stine Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2004 Report Share Posted December 15, 2004 WOOPS WILL TRY AGAIN Quote Link to comment Share on other sites More sharing options...
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