Medicare is tightening up on costs. |
Due for my regular quarterly checkup and meds renewals, an office assistant sat with me before the doctor's visit and presented me a card that is being given out to all Medicare patients.
On it were the number and hours for the doctor's office and an 800-number to call if a concern arises when the doctor's office is closed. I was told a live person would answer and discuss my issue. The resolution could be --
- telling me to arrange for a visit to the doctor the next available day;
- actually getting the doctor on the phone for a 3-way conversation and resolution; or
- calling 911 for an ambulance.
I like to think that I don't abuse the ER -- the next to last time I visited one was 43 years ago and I was sent home with an appendix about to rupture; the last time I visited one, they cut my leg off -- but I could see the point of controlling costs.
Then he told me that I would be screened for two additional concerns to Medicare: Depression and being a fall risk.
The depression issue we disposed of in 'No' answers to three brief questions -- at the end of which the doctor said, 'I didn't think we were going to find a problem here'.
The fall-risk assessment was a little trickier.
I would have to stand on a platform that moves ever so slightly and measures your reaction. Hands at your side, once with eyes open, once closed.
The doctor told me before the test that I would need a further screening regardless; because of my prosthesis I am considered a fall risk.
When I asked why Medicare didn't already have a profile for me, he said they don't have a database and probably are building it.
This I found somewhat odd, since I have been evaluated for being a fall risk at several points since my amputation --
- At JFK after the surgery and after heavy-duty pain meds had been withdrawn, so I could get in and out of bed on my own;
- At Aristacare, where I was sent for rehab before I could be discharged to home;
- At home, by Muhlenberg's Home Health service before I could be considered completely discharged; and
- By JFK as part of my outpatient physical therapy program.
Medicare is wonderful, but I do wonder sometimes if the left hand knows what the right hand is doing.
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