Friday, May 30, 2014

Knock Those Barriers Down

So in essence the only obstacle keeping us in the hospital is our insurance company. In order to take him safely home, we need to have new powerful equipment. Feeding tube equipment, a new bipap with O2 flow, more tricked out oxygen compressors and tanks to handle higher flow needs, and most importantly a vapor therm machine. It's considered "the Cadillac" of nasal canula breathing devices and our private insurance does not see the need to approve it. Because of their denial, no equipment can be delivered to our house and we currently no longer have powerful enough devices at home to maintain him at safe levels. Our home nurses are ready to begin working again and Dori is getting frustrated asking for Wynnie -- so now we play the waiting game. 
The hospital's case manager, the ICU doctor and ICU nurse practitioner are all making calls to "make the case" for the medical necessity approval of the vapor therm. It may take a few hours, or it may take a few days til all approvals are made and medical equipment is delivered. The hospice liaison is also helping the hospital try to expedite the approvals. Anyone have any brass knuckles we can borrow??
 #humanasucks #humanaishorrible #hashtagsarestupidbutihopehumanagetsofftheirassanddoestheirjob #humanaisinthedenialbusiness 

Best case scenario everything magically gets approved today and we go home tonight, worse case we are moved out of the PICU unit and are sent down to the regular hospital floor for a few days til all the elusive  approvals are made. Either way, he has made great strides in the right direction. Compared to Tuesday night and Wednesday morning, he is SO much healthier. Great job Wynner!! 

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