Getting ready for the move

 We are moving to a retirement community, and frankly my dear, I'm pooped.  And so is my husband. On Friday we had a quick trip by ambulance to the ER because he was wrestling a painting off the wall which got tangled in the wire and he became short of breath.  He has 4 stents so rather than self diagnose, I called the squad. I had been at the bank depositing cash I'd found around the house (over $3,000) and had gone downstairs to enter the deposit.  Then I noticed he was on the floor "resting his eyes." We were discussing the seriousness of his symptoms and just decided to call rather than be sorry.  So our daughter, son-in-law and I spent the day in the ER admittance with him, and got home about 4 p.m. Today he feels fine and went to church, but I'm still a bit frazzled so I stayed home.

We had 34 paintings on the first floor and 260 total.  That's a lot of wrapping after deciding the locations for safe keeping (our apartment, our daughter's home, or put up for sale). We have not found 3 floor living a problem until this move prep.  We were always careful and limited our ups and downs to about 3 or 4 trips during the day. But the move has put that at more than 30 trips a day. This is definitely not good for either of us.  Today I was moving our emergency food to the kitchen to be disposed of.  I'd carry up a can of tuna, a can of soup, and a can of vegetables.  Then I'd sit down and do something else, or talk to a neighbor.  Then I'd make another trip. I've been emptying them and running the disposal before getting rid of the cans in the recycle bin.

Our wonderful neighbor Barbie brought us dinner last night--a scrumptious Salmon salad and wedding soup with warm bread.  The salads are so large we'll have two meals from that, and we had the soup for lunch after church. She may even help us with some things to take to Indianapolis because she goes there every week to babysit her grandbabies! I've got some genealogy to share with our niece who has shown some interest in that area.  For years people--Aunt Roberta, Aunt Babe, Cousin Jim--have been sending me stuff, now it's time to pass it along.

Today some of our neighbors have been coming by to see if they want to purchase the paintings we don't have plans to use.  My parents 1947 maple twin bed suite with a chest and a dressing table with all the bedding have been given to friends of ours who have lots of grandchildren who come to visit. They were so kind and helpful when Phil died 5 years ago, we know it is going to a loving family. That set started out in Forreston, IL, then moved to Mt. Morris, IL, then to Franklin Grove, IL, then to Columbus, OH, then to Lakeside, OH, then back to Columbus.  A well-travelled bedroom suite. They were also able to use the quilt rack that held Phil's quilt for 5 years that cousin Jeanette made for him shone in the lower photo on the futon.  

kitchen  

Office/den 

2 million children visited an ED because of a TBI sustained over 7 years

An estimated 283,000 children seek care in U.S. emergency departments each year for a sports- or recreation-related traumatic brain injury (SRR-TBI), according to a new MMWR Report. TBIs sustained in contact sports accounted for approximately 45% of all SRR-TBI ED visits. Activities associated with the highest number of ED visits were football , bicycling, basketball, soccer and playground activities.

Injuries differed by sex and age of the child. "SRR-activities associated with the highest percentage of ED visits varied by age group and sex. Football was associated with 26.8% of all SRR-TBI ED visits for males aged 0–17 years. Among males aged <5 years and 5–9 years, playground activities accounted for the most ED visits (38.2% and 19.6%, respectively). Among all females aged 0–17 years, soccer, playground activities, and basketball were the most common causes of SRR-TBI ED visits, contributing to 13.1%, 12.6%, and 11.9% of all SRR-TBI-related ED visits, respectively. Playground activities led to 42.3% of SRR-TBIs visits among females aged <5 years.

In all sports and ages, twice as many boys are injured than girls. https://www.cdc.gov/mmwr/volumes/68/wr/mm6810a2.htm?

No reduction in emergency room visits under Obamacare

Don’t expect use of emergency departments to drop after Obamacare is fully implemented.  A recent study of the Massachusetts system show that ER visits increased after insurance reforms.

“Insured white patients younger than 65 years accounted for 62.7% of emergency visits before reforms went into effect and 64.2% afterward. In the same age group, insured black patients accounted for 12% of emergency visits before the reforms and 13.9% afterward. The largest increase was among Medicaid patients younger than 65 years, who accounted for 23.6% of emergency department patients before the reforms went into effect compared with 29.7% afterward.”

http://newsatjama.jama.com/2014/03/20/emergency-visits-up-in-massachusetts-after-reforms-enacted/

Staples on a dollar and a head

I was looking for information on whether it is legal to staple a $20 bill to a letter and came across a story from Florida where a woman took her 8 year old to an ER for a small head wound caused by a pillow fight, and left with one staple over the wound and a bill for $1,654, of which $754 was covered by the family's insurance. Both the article and the readers' comments are mostly filled with the outrage over the cost of medical care for such a small accident. Duh! I wonder why?

It appears that few read it, or know anything about insurance, medical care or the costs of doing business--any business. Isn't it odd that other workers seem to want to be paid for their labor, to get their benefits paid by their employer, to receive unemployment and worker's comp, but doctors, nurses, lab techs, schedulers, and janitors in clinics should work for nothing or minimum wage? Isn't it strange that your landlord, electric company, gas and water utilities, gardeners, and street pavers all need to be paid and factored into your business costs, but not hospitals (she took him to the ER) or "doc in a box" clinics. And I found it odd that most people can grasp, when they get the bill, what 4 years of college costs, but are in la-la land about tacking on another 4-8 years of medical school to those costs. It appears from the article that no further testing was done to pad the costs (regardless of what Obama says about wrong foot amputation), so we can assume the doctor recognized from his training that a superficial head wound would bleed--a lot.

That ER where Mrs. Tobio took her child is also treating people who have no regular doctor, no insurance and no intention of ever paying. By law, it has to treat them too. So that cost is picked up by the people who do have insurance. And the doctor that stapled the wound has to carry malpractice insurance so that's factored into his costs--and no tort reform will be included in the current Senate or House bill because the lawyers have a powerful lobby. Also, in order to save costs, and they've already saved a bundle, the Tobios carry a very high deductible policy--$2500--choosing instead to cover the out of pocket expenses and pocket the savings. Some years they win, and some they don't. Even a few months of savings covered that $900 they had to pay. And their state regulates who they can buy from so that reduces competition and increases cost. That too isn't addressed in the current "reform."

When I was a kid, I was jumping on a bed like a trampoline and hit the ceiling cracking my head open. I don't remember if Mom took me to Dr. Dumont or not--there were puddles of blood everywhere so she probably did. Head wounds bleed like crazy. He probably used a needle and thread. I still have a bump and it's covered by my hair. But parents would not settle for that today. Childhood bumps have to have first class, non-scarring treatment. And no one had health insurance.

The reporter did her job--she got the scoop on what the real costs are behind that little staple in Ben Tobios head, but that's at the end. Most readers commenting, never got that far.

His staple paid for all the things the hospital does not, or cannot under current laws that regulate government programs such as Medicare, charge for, Sullivan said: bed sheets, plastic medical tubing, privacy drapes.

"Staples may be something we can charge for, so those things end up with what looks like a very high charge based on what the cost is," Sullivan said.

"At the same time," he added, "what drives the cost of health care is people get in a facility and they want the best doctors, the nice MRI machine that costs $1.5 million; they want the best of everything because we have very high expectations in a time of need, and there is a cost to that."

If I make coffee at home, it costs about ten cents a cup; if I go to Panera's it's about $1.80 plus my driving costs which includes auto insurance.