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I rinse out my used plastic bags. Maybe not all the time, but often … Over the weekend, when I found myself carefully examining my Ziploc, it seemed a quick rinse and an inside-out rest on my drying rack would return it to a usable state. It’s not that I’m all that “green.” I do … Continue reading I rinse out my plastic bags
In 1988 Spencer Johnson, M.D., published an allegorical tale (or was it tail?) about how four characters respond to change. One of the characters (a mouse) was called Sniff. Well, Sniff, start sniffing! Currently, Medicare pays for services provided by skilled nursing facilities (SNFs) under the Medicare Part A SNF PPS benefit on a per … Continue reading The cheese has moved…will Sniff find it?
Packing for New Jersey to help Bernie (my father-in-law, whom I was honored to call “Dad”) navigate his transition from hospitalization to SNF, something told me to pack a suit. I did consider the possibility that Dad wouldn’t make it. He was 91 after all, with end stage renal and heart disease. And yet, just … Continue reading And he did it ‘his way’ – will you and yours?
My most recent trip to Washington, D.C., was wrapping up like most others. I was heading to Reagan Airport by way of Uber, but what happened next was not typical — and drove me to write this piece. My Uber driver, Sammy, casually drove his Toyota Corolla up the off ramp, heading the wrong way onto … Continue reading Don’t mess with my Uber rating!
Rose was 86 years old when she required surgery. The procedure itself was straightforward, but Rose had Alzheimer’s disease. The hospital was right to send her to our skilled nursing facility hours after surgery, knowing we were best equipped to care for her, given her significant cognitive impairment. The doctor at the SNF denied the … Continue reading Residents with cognitive impairment don’t feel pain
In January 2013, a final settlement was reached in a case tried before the U.S. District court in Vermont. That case is known as Jimmo v. Sebelius. The settlement ruling found that no “improvement standard” could be applied when determining whether or not a Medicare beneficiary was receiving care at a skilled level. Also, under … Continue reading Have you met Jimmo’s stepbrother Jimmo?