tag:blogger.com,1999:blog-52242836552942197552024-03-05T08:04:44.839-08:0021st Century Old Folks Home *** ASSISTED LIVING COMMUNITY ~ A LIFESTYLE OF FULLNESS ***
Your University for 2nd childhood!!
~ The goal of this website is to help and encourage those who never imagined they'd move to an Assisted Living Community, but never-the-less are faced with the challenge. Please leave a comment to guide me as I take up this new challenge. If you have a story to share or want to suggest a topic to encourage others adventuring through this phase of life feel free to contact me.* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.comBlogger22125tag:blogger.com,1999:blog-5224283655294219755.post-68765319059994522562016-04-19T10:58:00.001-07:002016-04-19T11:05:07.765-07:00Changes In Who Decides Your Medical Treatment<div dir="ltr" style="text-align: left;" trbidi="on">
<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: large;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">What my husband
and I perceive from recent appointments with several doctors is that doctor's
no longer make the decision on what treatment is best for their patient. <o:p></o:p></span></div>
<span style="font-size: large;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">Instead, they
provide their patient with information and then the patient must choose what he
or she wants for their lifestyle.<o:p></o:p></span></div>
<span style="font-size: large;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">I liken this new
way to handing a person an artist’s palette, some tubes of paint, plus pastel
chalks, charcoal, watercolors, brushes, and other artist's tools, and telling
the person to create the picture they envision. Or, put a person into a shop
full of equipment and tools and tell the person to create what they want!!<o:p></o:p></span></div>
<span style="font-size: large;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">It’s true that the
good old days recalled by any elderly person, of going to your doctor and
having him or her diagnose your illness and provide proper treatment has been
replaced. Nowadays, the patient is questioned, is sent for tests, and then the
doctor gives a diagnosis based on the tests rather than how the patient feels.
</span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;"></span> </div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">This is followed by one or more referrals to specialists ~ who then describe
the problem to the patient and offer choices of treatment options<span style="mso-spacerun: yes;"> </span>~ for the patient to decide what is the
proper treatment for them so that they will achieve the lifestyle they prefer.<o:p></o:p></span></div>
<span style="font-size: large;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">Your doctor’s
online Patient Portal may or may not help you with this "NEW" way of
doctoring. When we asked if having a Patient Portal was mandatory, the
receptionist told us it is not mandatory for a patient to have one, but doctors
without a high enough percentage of patients who do have a Patient Portal are
fined by the government. Whether or not that’s true, we don’t know.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;"><div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">What is your Patient Portal and is it important?</span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;"></span> </div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">Yes, your Patient Portal is important to you. However, there are many types. S<span style="font-size: small;"><span style="font-size: large;">tandardization of the technology in the healthcare services industry have been slowed down due to internal factors, such as resistance to changes in medical practice patterns, new costs to train staff and ongoing costs to maintain the validity and relevance of computerized order systems, and concerns revolving around compliance with future medical standards.</span> </span></span></div>
<o:p></o:p></span><span style="font-size: large;"></span> </div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">Your
doctor’s office will help you set up your Patient Portal, which provides you
with online access to your medical records. When you’ve mastered setting up the
portal, which requires a “Signin” name and a “password”, become acquainted with
how to navigate it; how it works, where you find what you want to know, how
information is edited, and how to contact your medic.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;"><a href="https://www.healthit.gov/providers-professionals/achieve-meaningful-use/menu-measures/patient-education-resources"><strong><span style="color: blue;">HealthIT.gov</span></strong></a> has an excellent download for frequently asked questions (FAQ). Scroll to "<strong>FAQs about the Patient Portal (for Patients)</strong>" and click the Download. Save it on your computer so you can refer to it when you need answers.</span></div>
<span style="font-size: large;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">Among other
things, Patient Portals basically include:</span></div>
<ul style="text-align: left;">
<li><span style="font-size: large;"> Appointments, past and upcoming.</span></li>
<li><span style="font-size: large;"> Tests and their results</span></li>
<li><span style="font-size: large;"> Patient's medical history & patient’s family medical histories</span></li>
<li><span style="font-size: large;"> Patients medications, current and past
</span></li>
</ul>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">Beware: Unless you’re
educated in reading test results yours won’t tell you what you need to know.
However, test results can be a real asset for patients who research, and
research, and research until they match their symptoms precisely with a disease
or disorder.<o:p></o:p></span></div>
<span style="font-size: large;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">Online research
can lead to organizations and groups that specialize in disorders you’ve never
heard of, and therefore, be hugely beneficial ~ if you study them closely. <o:p></o:p></span></div>
<span style="font-size: large;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">Nevertheless, many
websites you find can also be dangerously misleading and provide false
information. Proceed with caution.<o:p></o:p></span></div>
<span style="font-size: large;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; text-indent: 0in;">
<span style="font-size: large;">Pay heed to these
new changes, because whether you like them or not, it is how medical treatment
works today, and it behooves the patient to understand them as fully as
possible.</span></div>
</div>
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-66312915969578347782016-03-16T20:02:00.000-07:002016-03-16T20:02:36.624-07:00Don't Delay When You Need Medical Help<div dir="ltr" style="text-align: left;" trbidi="on">
<!--StartFragment --><span style="font-size: x-large;">Delay seeking medical help at your peril when illness or injury occurs!</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;">Ambulance Paramedics and Emergency Department medics willingly tell patients that the sooner they get a diagnosis so treatment can begin the faster they'll recover, and the better their outcome.</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;">They are not referring only to heart attacks and other life-threatening events. Recovery from anything ranging from a common cold, skin infection, and subtle unexplained dizziness to diffuculty breathing, dibilitating weakness, chest pain, falls, and obvious illnesses and injuries all respond</span><span style="font-size: x-large;"> best when assessed and treated promptly'</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;">Delay often leads to requiring more extensive treatment than if the patient visited their doctor, an urgent care center, or a hospital emergency department as soon as possible.</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;">It's human nature to deny illness, and to rationalize reasons to wait and see. Also, injuries such as a blow to the head, or a stumble that results in bumping into something, or falling, can be serious even when the victim is able to regain their balance and doesn't seem to have hurt themselves.</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;">In many seemingly minor injuries, pain often doesn't set in for 12-24 hours, but during that time. especially in head injuries, tissues can swell and begin resticting normal blood flow, and even lead to a death that could have been prevented</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;">Don't delay ~ seek immediate medical help.</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;"></span> </div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-43166195937907846822016-02-15T12:32:00.001-08:002016-02-16T15:26:33.486-08:00Learn Why Everyone Should Plan Beyond Life ~ and How To Do It<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: large;">Americans dislike talking about death, much less attending to advance planning. Now, a</span><span style="font-size: large;"> new Washington-based website, </span><a href="http://planbeyond.com/" target="_blank"><span style="font-size: large;">PlanBeyond </span></a><span style="font-size: large;">, is a one-stop place to get information on resources that should be high priority for everone, not just those in their senior years.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">The website goal is to guide you, and remove the burden of industry jargon while providing one place to go for the kind of help that's scattered all over the web.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">You'll find a host of information and resources for end-of-life decisions. Besides estate planning help, it includes links to information such as, <em>Is Life Insurance Without a Medical Exam Worth It?</em>, <em>The Biggest Medicare Mistake You Can Avoid</em>, <em>Alternatives to a Payable On Death Account, </em>and many more.</span><br />
<span style="font-size: large;"><em></em></span><br />
<span style="font-size: medium;"><span style="font-size: large;">Of particular benefit are articles by professionals in various fields, and state-specific advice because laws vary in every state.</span></span><br />
<span style="font-size: large;"></span><blockquote class="tr_bq">
<span style="font-size: large;">"A 2012 study by the American Medical Association sugests that 76 percent of people in the United States neglect end-of-life planning, often waiting too long," said Seattle-based Laura Troyanai, founder and chief editor.</span></blockquote>
<br />
<span style="font-size: medium;"><span style="font-size: large;"></span></span><br />
<span style="font-size: medium;"><span style="font-size: large;">Do yourself a favor, visit the site, browse the links, and then bookmark </span><a href="http://planbeyond.com/" target="_blank"><span style="font-size: large;">PlanBeyond</span></a><span style="font-size: large;">.</span></span><span style="font-size: medium;"><br /><span style="font-size: large;">
</span></span></div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-82682577508325431152015-12-24T10:23:00.000-08:002015-12-24T10:24:28.539-08:00Family History Spotlight<div dir="ltr" style="text-align: left;" trbidi="on">
<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: large;">Family history is in the spotlight this season. Learning about your family's health history may help you have a longer and healthier future together.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">Because only a third of Americans have ever tried to gather and write down their family's health history, the Surgeon general created a web-based program that creates a 'family tree' that you can download and print to share with your family members or doctor. The information is not kep on the website; it is private.</span><br />
<span style="font-size: large;"></span><br />
<a href="http://www.hhs.gov/familyhistory" target="_blank"><span style="font-size: large;">Family Health History. </span></a><span style="font-size: large;">Use the Links in the panel on the left to get to the following:</span><br />
<span style="font-size: large;"></span><br />
<a href="https://familyhistory.hhs.gov/FHH/html/index.html#" target="_blank"><span style="font-size: large;">Family History</span></a><span style="font-size: large;"> and </span><a href="https://familyhistory.hhs.gov/FHH/html/fhh.html?action=create" target="_blank"><span style="font-size: large;">Create Family Health Portrait</span></a><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">[Source: U.S. Department of Health & Human Services]</span></div>
<span style="font-size: large;"> </span></div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-5326740933236114292015-12-11T13:17:00.001-08:002015-12-11T13:23:35.648-08:00Find Out if Your Hospital or Health Care Organization is Accredited<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: x-large;">I hope you'll forgive my lack of posts ~ like many of my peers I've been frequently "socializing" with doctors in hopes of feeling better... which fortunately is helping.</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: large;"><span style="font-size: x-large;">First on my list of information to share with you is what I learned about were to find out whether your hospital or other health care organization is accredited. Go to </span><a href="http://www.jointcommission.org/" target="_blank"><span style="font-size: x-large;"><strong><span style="color: blue;">The Joint Commission.</span></strong> </span></a><span style="font-size: x-large;"> </span></span><br />
<span style="font-size: large;"><span style="font-size: x-large;"></span></span><br />
<span style="font-size: large;"><span style="font-size: x-large;">The statement at "About Us" says"An independent, not-for-profit organization, The Joint Commission accredits and certifies nearly 21,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards."</span></span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;">Explore the wealth of links on The Joint Commission website to learn what you want to know.</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;">Comments you leave on <strong><em>21st Century Old Folks Home</em></strong> are always welcome.</span><br />
<span style="font-size: x-large;"></span><br />
<span style="font-size: x-large;"></span> </div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-43773853466212744072015-11-12T11:16:00.000-08:002015-11-12T15:03:16.186-08:00Don’t Ignore These Stroke Warning Signs ~ Act Promptly!<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<span style="font-size: large;">A major "perk" of living in an assisted living community ~ which as you know, I refer to as A UNIVERSITY FOR 2ND CHILDHOOD ~ is that most of the residents have experiences from which you can learn.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">Take for instance what I learned from a recent first-hand experience at <a href="http://www.broadwaycourtestates.com/#!" target="_blank"><strong><span style="color: blue;">Broadway Court Estates</span></strong>,</a> an apartment complex where everyone quickly becomes "extended family".</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">
The lesson: <em>Knowing stoke symptoms ~ and taking immediate action ~ may minimize your chances of suffering a life-changing disability!</em></span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">One evening, Sue *[fictitious name] suddenly felt so tired at dinner in her Assisted Living Community dining room that she excused herself and went to her third floor apartment. Later, she said her legs hurt, which was unusual for her. But mostly she felt weak and feared she couldn't make it to her apartment. However, when she got there, she didn’t seek help, but went to bed and promptly fell asleep.</span><br />
<span style="font-size: large;">
</span><br />
<div style="text-align: left;">
<span style="font-size: large;">Sue was actually suffering a stroke! However, since she wasn’t aware of that unusually painful legs was a stroke symptom, and since she had no tingling, vision impairment or confusion, she didn’t think of stroke.</span><span style="font-size: large;"> </span></div>
<span style="font-size: large;">
</span><br />
<div style="text-align: left;">
<span style="font-size: large;">In the morning, she called her daughter who came and convinced Sue that her continuing symptoms should be checked by a medic. They went to the nearest hospital emergency room (ER).</span></div>
<span style="font-size: large;">
</span><br />
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;">After ER medics assessed her, they sent her home saying nothing was wrong.</span></div>
<span style="font-size: large;">
<div style="text-align: left;">
</div>
<div style="text-align: left;">
Four days later, when her daughter took Sue to her regular doctor, he ordered an MRI and discovered Sue had suffered a stroke.</div>
<div style="text-align: left;">
</div>
<div style="text-align: left;">
The doctor also said, </div>
<blockquote class="tr_bq" style="text-align: left;">
"<em>Unusually painful legs is a stoke symptom too often missed by medics</em>."</blockquote>
<div style="text-align: left;">
Fortunately, Sue’s stroke was mild, and her rehabilitation and recovery are going well.</div>
<div style="text-align: left;">
</div>
<div style="text-align: left;">
<strong>Print, memorize, and post the following STROKE WARNING SIGNS </strong>(Guidelines from <a href="http://www.heart.org/HEARTORG/" target="_blank"><strong><span style="color: blue;">American Heart Association </span></strong></a>and <a href="http://www.strokeassociation.org/STROKEORG/" target="_blank"><strong><span style="color: blue;">American Stroke Association</span></strong></a>):</div>
<ul style="text-align: left;">
<li><div style="text-align: left;">
Sudden numbness or weakness of the face, arm or leg – especially one one side of the body </div>
</li>
<li><div style="text-align: left;">
Sudden confusion, trouble speaking or understanding </div>
</li>
<li><div style="text-align: left;">
Sudden trouble seeing in one or both eyes </div>
</li>
<li><div style="text-align: left;">
Sudden trouble walking, dizziness, loss of balance or coordination with no known cause </div>
</li>
</ul>
<div style="text-align: left;">
<strong>Immediately call 9-1-1 or the emergency medical services (EMS) so an ambulance (ideally with advanced life support) can be sent for you.</strong></div>
<div style="text-align: left;">
</div>
<div style="text-align: left;">
Also, <strong>check the time</strong> so you’ll know when the first symptom appeared. It is very important to take immediate action! <strong>If given within 3 hours of the start of symptoms,</strong> a clot-busting drug called tissue plasminogen activator (tPA) may reduce long-term disability for the most common types of stroke.</div>
</span><br />
<div style="text-align: left;">
</div>
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-33697222560381346942015-10-24T13:10:00.001-07:002016-03-03T10:27:46.818-08:00Costly Facts About Medicare Observation and Outpatient Hospital Admittance<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">I've always been skeptical of email fowards. You know the ones, FWD: followed by some subject that holds little or no interest. However, the title on this one, <strong>Hospital Stay - Important please read, </strong>indicated a topic that interests me. So I read it.</span><br />
<br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Having recently been admitted, <!--StartFragment --><span style="font-family: "times new roman";">for medical observation, in</span> a couple of hospitals with Medicare covering all of the hospital and doctor charges except pharmacy, I didn’t believe what the writer described.</span><br />
<br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">However, after doing intensive research, I found the circumstances that made his saga ring true.</span><br />
<br />
<span style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;">Following instructions at bottom of page 40 in the <strong><span style="color: red;">2016</span></strong> <em><span style="color: red;"><strong>Medicare & You publication</strong></span></em>, I studied the important, lengthy explanation. <span style="mso-bidi-font-weight: bold;"><a href="https://www.medicare.gov/Pubs/pdf/11435.pdf" target="_blank"><strong><em><span style="color: blue;">Are You a Hospital Inpatient or Outpatient</span><span style="color: blue;">?</span></em></strong></a></span></span></span><span style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;"></span></span><br />
<span style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;"></span></span><br />
<span style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;">Observation in an intensive care unit, ICU, is not covered by Medicare. Scroll down to see how it applies to this man’s experience! </span></span><br />
<span style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;"></span></span><br />
<span style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;"><!--StartFragment --><span style="font-family: "times new roman";">My advice? Study your <em><strong>2016 Medicare & You</strong></em> book, because it spells out the circumstances under the various categories on admittance, including "observation", are not covered.</span></span></span><br />
<span style="font-family: "times" , "times new roman" , serif;"><span style="font-size: large;"><span style="font-family: "times new roman";"></span></span></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Read also, </span><a href="https://www.medicare.gov/sign-up-change-plans/decide-how-to-get-medicare/your-medicare-coverage-choices.html" target="_blank"><span style="font-family: "times" , "times new roman" , serif; font-size: large;">"<strong><span style="color: blue;">Your Medicare coverage choices"</span></strong>.</span></a><br />
<br />
<span style="font-size: large;">Although doctors would like to admit patients for treatment rather than for observation, today's Medicare rules that govern admittance prevent them from doing what they believe would be in the beset interests of their patients.</span><br />
<br />
<span style="font-size: large;"><span style="font-family: "times" , "times new roman" , serif;">The following is the original FWD: </span><span style="font-family: "times" , "times new roman" , serif;"><strong>Hospital Stay - Important please read.</strong> SENIORS BETTER READ THIS!!! from a senior gentleman in Mesa , Arizona: </span></span><br />
<blockquote class="tr_bq">
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">"Family, Friends, Neighbors, and former Classmates, I just found myself in the middle of a medical situation that made it very clear that "the Affordable Care Act" is neither affordable, nor do they care. </span></blockquote>
<blockquote class="tr_bq">
<span style="font-size: large;"><span style="font-family: "times" , "times new roman" , serif;">"I'll go back about seven years ago to a fairly radical prostate surgery that I underwent. The Urologist who performed the surgery was very concerned that it was cancer, though I wasn't told this until the lab report revealed it was benign.<br /><br /> "Since that procedure, I have experienced numerous urinary tract infections, UTI's. Since I had never had a "UTI" prior to the prostate surgery, I assumed that it is one of the side effects from surgery, an assumption since confirmed by my Family Doctor.<br /><br /> "The weekend of March 8-9, I was experiencing all the symptoms of another UTI. By Monday afternoon the infection had hit with full force. Knowing that all I needed was an antibiotic, I went to an Urgent Care Center in Mesa, AZ, to provide a specimen a requirement for getting the prescription. After waiting 45 minutes to see the Doctor, I started getting very nauseous and light-headed.<br /><br /> "I went to the Receptionist to ask where the bathroom was, as I felt that I was going to throw up. I was told that I would have to wait for the Doctor because I would have to leave a specimen, and they didn't want me in the bathroom without first seeing him. <br /><br /> "That was when the lights went out. My next awareness was that of finding myself on the floor (in the waiting room) having violent dry heaves, and very confused. At this point, I tried to stand up but couldn't make it, and they made it very clear they weren't going to let me get up until the ambulance got there.<br /><br /> "By the way, when you're waiting to see the Doctor and you pass out, you get very prompt attention.<br /><br /> "Now, "the rest of the story", and the reason for sending this to so many of you. I was taken to the nearest hospital, to emergency. Once there, I was transported to an emergency Examination room.<br /><br /> "Once I had removed my clothes and donned one of those lovely hospital gowns, I finally got to see a Doctor. I asked "what is going on? I'm just having a UTI. Just get me the proper medication and let me go home."<br /><br /> "He told me that my symptoms presented the possibility of sepsis, a potentially deadly migration of toxins, and that they needed to run several tests to determine how far the infection had migrated. For the next 3 hours, I was subjected to several tests, blood draws, EKG's, and demands for specimens.<br /><br /> "At about 7:30 [p.m.], the nurse came back to my room to inform me that one of the tests takes 1- 2 days to complete. I asked if they [the results] could be emailed, at which point she informed me that I wouldn't need them emailed because I wasn't going anywhere. I did tell her I wanted to see the doctor because I had no intention of staying overnight.<br /><br /> "Now, this is what I want each of you to understand. Please read these next sentences carefully.<br /><br /> "The doctor finally came in to inform me that he was going to admit me. I said, "Are you admitting me for treatment or for observation?"<br /><br /> "He told me that I would be admitted for observation.<br /><br /> "I said, "Doctor, correct me if I'm wrong, but if you admit me for observation, my Medicare will not pay anything. This due to the Affordable Care Act."<br /><br /> "He said, "That's right, it won't."<br /><br /> "I grabbed my bag of clothing and said, "Then I'm going home."<br /><br /> "He said you're really too sick to be going home, but I understand your position. This health program is going to hit seniors especially hard.<br /><br /> "The doctor then left the room and I started getting dressed. I was just getting ready to put my shoes on when another doctor [the closer] came into the room. He saw me dressed and said, "Where do you think you are going?"<br /><br /> "I simply said "I'm going home."<br /><br /> "To which he replied, quite vociferously, "No you aren't."<br /><br /> "I said, "Doc, you and I both know that under the "Affordable Care Act" anyone on Medicare who is admitted to a hospital for observation will be responsible for the bill. Medicare won't pay a cent." At which point he nodded in affirmation.<br /><br /> "I said, "You will either admit me for a specific treatment or you won't admit me."<br /><br /> "Realizing he wasn't going to win this one, he said he would prepare my release papers. A few minutes later, the discharge nurse came to my room to have me sign the necessary papers, relieving them from any responsibility. I told her I wasn't trying to be obstinate, but I wasn't going to be burdened with the full [financial]responsibility for my hospital stay.<br /><br /> "After making sure the door was closed, she said, "I don't blame you at all, I would do the same thing." She went on to say, "You wouldn't believe the people who elect to leave for the same reasons, people who are deathly sick, people who have to be wheeled out on a gurney."<br /><br /> "She further said, "The 'Affordable Care Act' is going to be a disaster for seniors. Yet, if you are in this country illegally, and have no coverage, you will be covered in full."<br /><br /> "This is not Internet hype folks, this is real. I just experienced it personally. Moving right along, this gets worse. Today I went to a [required] follow-up appointment with my Arizona Family Practitioner. Since my white count was pretty high, the follow-up was important.<br /><br /> "During the visit, I shared the experience at emergency, and that I had refused to be admitted. His response was "I don't blame you at all, I would have done the same thing." He went on to say that the colonoscopy and other procedures are probably going to be dropped from coverage for those over 70."<br /><br /> "I told him that I had heard that the "Affordable Care Act" would no longer pay for cancer treatment for those 76 and older, is that true? His understanding is that it is true. The more I hear, and experience the Affordable Care Act, the more I'm beginning to see that we seniors are nothing more than an inconvenience, and the sooner they can get rid of us, the better off they'll be.<br /><br /> "We can have an impact on this debacle by letting everyone in Congress know that their responsibility is to their constituents, not the president and not the lobbyists. We need to let them ALL know that they are in office to serve and to look after the BEST INTERESTS of "we the people," their employers, and not to become self-serving bureaucrats who serve only out of greed. And if they don't seem to understand this simple logic, we'll fire them.<br /><br /> "REMEMBER: Demand [that]your hospital admission is for TREATMENT and NOT for OBSERVATION! Don't believe this? Ask your doctor.<br /><br /> "SEND THIS TO EVERY SENIOR AND ALL MILITARY [ACTIVE OR VET] AND LET THEM KNOW THIS IS HOW OUR REPRESENTATIVES ON CAPITOL HILL TREAT THOSE WHO RISK IT ALL SO THEY CAN SIT UP THERE AND ENJOY ALL THE BENEFITS THEY EXEMPT FROM THE REST OF US. <br /><br /> "Lord, keep your arm around my shoulder and your hand over my mouth.”<br />END of FWD<br /><br />My advice? Study these: </span><span style="mso-bidi-font-weight: bold;"><a href="https://www.medicare.gov/Pubs/pdf/11435.pdf" target="_blank"><strong><span style="font-family: "times" , "times new roman" , serif;"><span style="color: blue;">Are You a Hospital Inpatient or Outpatient</span><span style="color: blue;">?</span></span></strong></a><span style="font-family: "times" , "times new roman" , serif;"> and ,</span><a href="https://www.medicare.gov/sign-up-change-plans/decide-how-to-get-medicare/your-medicare-coverage-choices.html" target="_blank"><span style="font-family: "times" , "times new roman" , serif;">"<strong><span style="color: blue;">Your Medicare coverage choices"</span></strong>.</span></a></span></span></blockquote>
<span style="font-size: large;">When you need help, these agencies have typically provided information about their state's <strong>SHIP</strong> programs. First, Locate your local Area Agency on Aging by visiting </span><a href="https://www.blogger.com/www.eldercare.gov" target="_blank"><span style="font-size: large;"><strong><span style="color: blue;">Elder Care Locator</span></strong>. </span></a><span style="font-size: large;"> Once on the site, enter your zip code or city/state, and your local agency should populate.<br />
<br />
Also, towards the bottom of the search results, the contact information of the SHIP programs in that territory or state are typically displayed.<br />
<br />
Another resource where you do not need to register or enroll to locate SHIP information for your locality is, </span><a href="https://shipnpr.acl.gov/" target="_blank"><strong><span style="color: blue; font-size: large;">SHIP NPR</span></strong></a><strong><span style="color: blue; font-size: large;">. </span></strong><br />
<span style="font-size: large;"></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Good luck!</span></div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-5278784401438342172015-08-23T17:17:00.002-07:002015-08-29T11:06:40.691-07:00DON'T BE CAUGHT WITHOUT YOUR ADVANCE DIRECTIVES<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="background: rgb(238, 238, 238); color: black; font-size: large;">Now, more than ever, you need to
have your <!--StartFragment -->life decisions in place. Below is a proactive guide to what you need.</span><o:p></o:p></div>
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</span><br />
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<span style="background: rgb(238, 238, 238); color: black;"><!--StartFragment --><span style="font-size: large;">Let's talk first about who you are,
your medical conditions, and how you want to be treated by first
responders and physicians.</span></span><br />
<span style="background: rgb(238, 238, 238); color: black;"><span style="font-size: large;"></span></span><br />
<span style="background: rgb(238, 238, 238); color: black;"><span style="font-size: large;"><span style="color: blue;">Ev<!--StartFragment --></span><span style="color: black; font-size: large;">ery senior citizen should have a wearable ID for their own safety -- a dog-tag, a wrist bracelet. I</span>f you have a serious medical condition
you should wear a medical identification tag, engraved with instructions
that are important to your medical care. Tags come in various sizes, shapes,
and are available at drugstores, by mail, or at online sources. Most jewelry
stores will order one and engrave it to your specifications. (</span><a href="http://www.medicalert.co.uk/" target="_blank"><span style="color: blue; font-size: large;"><strong>Medic</strong></span></a><strong><span style="color: blue;">, </span></strong><a href="http://www.medicalert.org/" target="_blank"><span style="color: blue; font-size: large;"><strong>Medic Alert Foundation</strong></span></a>,<span style="font-size: large;"> and </span><a href="http://www.americanmedical-id.com/index.php?usersession=3XKXPDZM" target="_blank"><span style="color: blue; font-size: large;"><strong>American Medical ID</strong></span></a><span style="color: blue;"><strong>.</strong></span>
</span></div>
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</span><br />
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<span style="background: rgb(238, 238, 238); color: black; font-size: large;">A Vial-of-Life document is a concise
record <!--StartFragment -->of your medical<br />
information to be used in an emergency. The information assists medics in providing essential proper care.</span></div>
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</span><br />
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<span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;">Create a basic "Vial of Life" from
an empty prescription bottle. On a slip of paper list:</span><o:p></o:p></span></div>
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</span><br />
<div class="htmlbody" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: left; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="mso-list: Ignore;">1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><!--[endif]--><span style="background: rgb(238, 238, 238); color: black;">Your name, birthdate</span></span><span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;">.</span></span></div>
<div class="htmlbody" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: left; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="mso-list: Ignore;">2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><!--[endif]--><span style="background: rgb(238, 238, 238); color: black;">Primary care doctor and contact
information.</span></span></div>
<div class="htmlbody" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: left; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="mso-list: Ignore;">3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><!--[endif]--><span style="background: rgb(238, 238, 238); color: black;">Current prescriptions, vitamins
and supplements you take.</span></span></div>
<div class="htmlbody" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: left; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="mso-list: Ignore;">4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><!--[endif]--><span style="background: rgb(238, 238, 238); color: black;">Immunizations and blood type</span></span></div>
<div class="htmlbody" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-align: left; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="mso-list: Ignore;">5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span><!--[endif]--><span style="background: rgb(238, 238, 238); color: black;">Who to contact in an emergency.</span></span><br />
<span style="font-size: large;"><o:p></o:p></span> </div>
<div style="text-align: left;">
<span style="font-size: large;">
</span><span style="background: rgb(238, 238, 238); color: black;"><span style="font-size: large;">Roll the list. Insert into the
bottle.Tape the bottle under the right-hand corner of the top shelf
in your refrigerator. Put a Vial of Life sticker near your door and on the
outside of your refrigerator. (<a href="http://www.vialoflife.com/area/#/guest-vial" target="_blank"><strong><span style="color: blue;">Vial of Life</span></strong></a><strong><span style="color: blue;"> </span></strong>for printable free online forms.)<o:p></o:p></span></span></div>
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</span><br />
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<span style="background: rgb(238, 238, 238); color: black;"><span style="background: rgb(238, 238, 238); color: black;"><!--StartFragment --><span style="font-size: large;">Advanced care directives are legal documents. If you haven't made yours, ask your lawyer or physician's office for the form and ask them to help you complete that vital legal document. Make certain your wishes are stated clearly. Many state laws kick in when you become incapacitated, and you may not agree with all of them. Without your completed document, conflicts may arise and put you in a difficult situation.</span></span><span style="font-size: large;">
<u1:p></u1:p> <br />
</span></span><br />
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<span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;"><span style="background: rgb(238, 238, 238); color: black; font-size: medium;">A Living Will allows you to specify your directives for medical care when you become unable to communicate them. For instance, you might state that no <!--StartFragment -->extraordinary measures, ie., tube feedings, respirator, be used in the case of a catastrophic injury, terminal illness or dementia ~ whe</span></span><span style="background: rgb(238, 238, 238); color: black;"><span style="background: rgb(238, 238, 238); color: black; font-size: medium;">ther it be Alzheimer's, Multi-infart, or other type ~ the patient can live from a few weeks or months to many years.</span></span></span></div>
<span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;">
</span> </span><br />
<span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;">The Durable Power of Attorney for Health
(DPAH) is another important legal document you should complete. Your DPAH states
the person authorized to make your medical care decisions when, for whatever
reason, you are unable to make them.</span></span></div>
<div class="htmlbody" style="margin: 0in 0in 0pt;">
<span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;"> </span></span></div>
<div class="htmlbody" style="margin: 0in 0in 0pt;">
<span style="background: rgb(238, 238, 238); color: black;"><span style="font-size: large;">Because all states do not have
reciprocal laws, consider completing a DPAH for each state you routinely
visit<strong><span style="color: blue;"> </span></strong></span><a href="https://jhupbooks.press.jhu.edu/sites/default/files/books_pdfs/advance_directive_forms_by_states.pdf" target="_blank"><span style="color: blue; font-size: large;"><strong>Advanced Directives by state.</strong></span></a></span></div>
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</span><br />
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<span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;">Many hospitals have Living Will and DPAH forms available. The hospital's Notary Public Officer can notarize
them, generally free of charge. Stationary stores and many bookstores also
carry them. You can also have your advanced directives stored online,
retrievable by doctors and hospitals.</span></span><span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;"><u1:p> </u1:p></span><o:p></o:p></span></div>
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<span style="background: rgb(238, 238, 238); color: black; font-size: xx-small;"><!--StartFragment --><span style="font-size: large;">Living Wills and Advance Directives, while initially appearing complicated, are designed to simplify concerns. They can complicate matters when validation or specific criteria must be evaluated, but without them, end-of-life concerns can mushroom and become overwhelming.</span></span><br />
<span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black; font-size: xx-small;"><u1:p></u1:p></span></span><br />
<span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black; font-size: xx-small;"><u1:p><!--StartFragment -->It's far worse to become critically
ill or to die without proper documents on file. Protect yourself.</u1:p></span></span><o:p></o:p></div>
<span style="font-size: large;">
</span><br />
<div class="htmlbody" style="margin: 0in 0in 0pt;">
<span style="background: rgb(238, 238, 238); color: black;"><span style="font-size: large;">Complete each of these Medical-legal documents and put
them where they'll be easily available.<o:p></o:p></span></span></div>
<span style="font-size: large;">
</span><br />
<div class="htmlbody" style="margin: 0in 0in 0pt 0.5in; mso-list: l1 level1 lfo2; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span style="background: rgb(238, 238, 238); color: black;">Place
a card inside your wallet <!--StartFragment -->stating where to find your directives.</span>
</span></div>
<div class="htmlbody" style="margin: 0in 0in 0pt 0.5in; mso-list: l1 level1 lfo2; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span style="background: rgb(238, 238, 238); color: black;"><u1:p>Carry
a set of copies in sturdy clear plastic sleeves with you when you leave
home</u1:p></span></span></div>
<div class="htmlbody" style="margin: 0in 0in 0pt 0.5in; mso-list: l1 level1 lfo2; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></span><span style="font-size: large;"><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span style="background: rgb(238, 238, 238); color: black;">Be
sure your doctor has a copy of each document.</span></span><span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;"><u1:p> </u1:p> </span><o:p></o:p></span></div>
<span style="font-size: large;">
<a caught="" get="" href="http://www.americanmedical-id.com/index.php?usersession=3XKXPDZM">Meic Alert ID </a></span><br /><div class="htmlbody" style="margin: 0in 0in 0pt;"><span style="font-size: large;"><span style="background: rgb(238, 238, 238); color: black;">Do your paperwork now and don" span="" t="" unprepared.=""></a></span><span style="font-size: large;">
</span></div>
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<span style="background: rgb(238, 238, 238); color: black;"><span style="font-size: large;">END</span></span>
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* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-25494021173287880992015-07-10T20:11:00.003-07:002015-07-10T20:12:58.419-07:00Always Ask Before Being Admitted to a Hospital ~ Am I An Outpatient? Or Am I An Inpatient?<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: large;">
</span><br />
When being admitted to hospital, no matter the reason, you will be confronted
with a bewildering array of paperwork. You may be unaware that 'admitted'
includes two categories -- 'inpatient' and 'outpatient.' If you have Medicare
Part A, Part B and Part D insurance policies YOU SHOULD ASK - "Am I an
inpatient or outpatient?"<br />
<br />
You do not have a choice, because Medicare sets the criteria. However, you should know because being an outpatient could be costly to you. Medicare rules define medications for which you have a prescription from your doctor as "Prescriptions (Self-Administered Drugs)." As an outpatient you are responsible for payment when a "self-administered"
drug is given to you from the hospital pharmacy.
<br />
<blockquote class="tr_bq">
"Their cost can be extremely prohibitive, and in many cases Medicare members discover an outpatient is responsible for the hospital fees for those prescription drugs too late," Rod Haynes, Centers for Medicare Medicaid Services (CMS)/ Consortium for Medicare Health Plans Operations (CMHPO) Region 10, said.
</blockquote>
This government <a href="http://www.medicare.gov/publications/pubs/pdf/11333.pdf"><strong><span style="color: blue;">publication </span></strong></a> explains how it works. <br />
<br />
You need to be very clear about which prescription drugs your Medicare-D
insurer covers, and the conditions under which they pay, or in some instances,
DO NOT PAY. This is vital knowledge before allowing the hospital to remove any
self-administered drugs you've brought with you.
Medicare rules stipulate,<br />
<blockquote class="tr_bq">
"If you bring your prescription(s) from home, we [the hospital] are required to obtain approval from your physician prior to use. In addition, a hospital pharmacist must verify and certify the medication before it can be used in the hospital. There is a small fee for the medication verification."</blockquote>
<br />
<br />
There is no standing Medicare rule mandating that hospitals must allow patients to bring in their prescriptions when receiving care. Individual hospitals may or may not choose to permit this practice.<br />
<div>
</div>
<div>
Why will prescription drugs you've brought (whether you're a patient in the ER
or in a hospital bed) be sent home, leaving you to take medications from the
hospital pharmacy instead? In most hospitals today there is no procedure
whereby you can be charged a small fee and allowed to save substantial sums;
the difference between what you will be charged for the hospital
pharmacy's medications and your brought-from-home prescriptions. Even though
they are identical.
</div>
<br />
Sean E. Dobbin, PharmD, Director of Pharmacy, Providence Sacred Heart Medical Center & Children's Hospital, explained that hospitals use digital-coding systems, much like the bar codes on items sold in stores. Hospital digital-codes coordinate your every medical procedure, including the medications you're given.<br />
<br />
<div>
When a nurse scans the band attached to your wrist, it must match the
digital-code on the medication being given. Although hospital administrators
are concerned about the resulting high cost to patients, hospitals have not yet
designed an efficient method to enter prescription drugs brought to the
hospital by patients into their digital-coding system.<br />
</div>
Complexities preventing this include: How can a hospital pharmacist ascertain
the patient brought prescriptions that,<br />
<ul style="text-align: left;">
<li>Have been stored properly?</li>
<li><span style="font-size: large;"></span><span style="font-size: large;"></span>Aren't from an expired batch?</li>
<li><span style="font-size: large;"></span>Are the strength the doctor prescribed?</li>
<li>Or that dosage changes haven't been made since the prescription was written?</li>
</ul>
Hospital pharmacy fees for one dose can equal or exceed the price of a thirty-day supply of the identical medication sold at your pharmacy -- a substantial difference for which your Medicare-D insurer may not reimburse you.<br />
<br />
<div>
Many diseases require medications that are catastrophically costly, yet vital
to the patient. To miss even one dose may be highly risky or even deadly, but
it's up to each hospital whether or not to accept the risk/liability of a
patient bringing their prescriptions from home. Before relinquishing your
medications, insist on meeting with the hospital pharmacist prior to taking any
medication. This way, rules can be agreed on in advance regarding your
self-administered drugs, or any drugs you know your Medicare-D has restrictions
for.<br />
</div>
<div>
The Medicare Rules also stipulate, "As a courtesy, we will bill your supplemental insurance on an "assignment" basis. This means we will ask the insurance company to pay us directly. Any amount not covered by your insurance will be your responsibility."<br />
</div>
<div>
This does not apply to medications in the self-administered category. According
to a finanial counselor at Providence Sacred Heart Medical Center and
Children's Hospital, Spokane, WA, it means the hospital may bill for covered
medications under Medicare Part A Supplement Plan. Hospitals do not bill
insurance companies for self-administered prescription drugs received from the
hospital pharmacy that are covered by Medicare-D insurance. The patient is billed and bears the responsibility to file a claim for reimbursement from their insurer.<br />
</div>
<div>
<div>
Haynes said Part D is a separate matter entirely. "While hospital
pharmacies are technically permitted to contract with Part D plan, it is very
rare for them to do so because of financial constraints. If a hospital is
willing to submit a patient's Outpatient drug claims to his or her Part D plan
for reimbursement prior to billing the patient directly, such an arrangement
would be entirely up to the hospital pharmacy. There is no Medicare rule
mandating that the hospital do this," he said.
The patient is left to suffer the consequences – or seek
relief.</div>
</div>
<br />
If for any reason you haven't reached an agreement with the hospital pharmacy
beforehand, as soon as you receive their bill for the self-administered drugs
you were given as an Outpatient, promptly talk to the hospital's Financial
Counselor and to the Director of Pharmacy. Explain circumstances you feel
should be considered, and request an adjustment. There are 'conditions' the
hospital can apply to mitigate the charges.<br />
<br />
If you need to file a claim for reimbursement from your Medicare D insurer, obtained the Prescription Drug Claim Form from the hospital's Outpatient Pharmacy Billing Department. The hospital pharmacist needs to fill out a form for each self-administered drug the hospital has billed for. Send your claim for reimbursement from your Medicare-D insurer before that insurer's deadline; keep copies.<br />
<br />
If your claim is denied, attach copies from<span style="mso-spacerun: yes;"> </span>your original claim and file an appeal. If a medication is not covered under your Medicare-D policy present the facts to the hospital's Director of Pharmacy and requested a review by that department. The charges may be mitigated and dismissed because of 'conditions' that meet certain criteria at that hospital.<br />
<br />
<div>
If your insurance doesn't cover the costs, and you fail to get remediation from
the hospital pharmacy, meet with the hospital's Financial Counselor. You may
qualify for financial assistance, or at least be able to arrange an acceptable
payment plan.</div>
<div>
END
</div>
<br />
Sources:<br />
<div>
<a href="http://www.medicare.gov/default.aspx"><strong><span style="color: blue;">Medicare.gov</span></strong>,</a> the Official U.S. Government site for Medicare.</div>
<div>
<div>
Search self administered drugs to get a the (pdf) Publication, <a href="http://www.medicare.gov/Publications/Pubs/pdf/11333.pdf"><strong><span style="color: blue;">"Self Administered
Drugs"</span></strong></a>
It explains how Medicare covers self-administered drugs given in hospital
outpatient settings.<br />
<a href="http://www.medicare.gov/Publications/Search/Results.asp"><strong><span style="color: blue;">Here</span></strong></a> you can find 118 Publications that answer Medicare questions.<br />
<strong><span style="color: blue;"> </span></strong>
<br />
<div>
</div>
</div>
</div>
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-54460005648982159652015-07-06T10:07:00.000-07:002015-07-06T10:07:00.397-07:00Give Yourself The Best Chance to Survive a Heart Attack or Stroke<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;"><span style="font-size: large;">Know
how to give yourself the best chance to survive a heart attack or stroke. Learn to recognize symptoms, and take fast action!! <br />
<br />
When the heart goes out of rhythm enough to cause a heart attack (your pulse
feels irregular, too fast, too slow, or pounding) then it MUST be brought
back into rhythm. You also need oxygen because your heart isn't pumping well
enough to meet your body's need for blood-carrying-oxygen, especially to your
brain. A doctor may prescribe medication, or you may need defibrillation.<br />
<br />
You may not think clearly.<br />
<br />
A quick assessment for stroke:<br />
S -- Smile. If lopsided, call 9-1-1.<br />
T -- Talk. Any difficulty with speech, call 9-1-1.<br />
R -- Raise arms -- if unevenly raised, 9-1-1.<br />
<br />
Call 9-1-1 immediately if you suspect a heart attack or stroke. It's better to
be embarrassed than dead, or risk having your lifestyle diminished because you
delayed.<br />
<br />
If you are driving a car, the best thing to do is stop at the very first place
where a phone can be found -- a house, a store, some motorist with a cell
phone, wherever -- and call 9-1-1. <br />
<br />
If you're 5 miles or LESS from the nearest hospital stopping by the roadside
and flagging someone to drive you there could be a better option, because of
the time it takes for an ambulance to reach you. <br />
<br />
However, ambulances and fire department Quick Response units carry oxygen,
which vastly improves your chances. So if you know an ambulance or fire station
is close, that's your best choice.<br />
END<br style="mso-special-character: line-break;" />
<!--[if !supportLineBreakNewLine]--><br style="mso-special-character: line-break;" />
<!--[endif]--></span></span></div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-72035688044407943822015-07-05T10:55:00.002-07:002015-07-05T10:55:45.360-07:00Don't Risk Premature Hospital Discharge: Appeal<div dir="ltr" style="text-align: left;" trbidi="on">
<div>
<span style="font-size: large;">You've been in the hospital for three midnights, or more, as an Inpatient not an Outpatient, but you don't agree when your doctor says you're ready for discharge. It just doesn't 'feel right.' You're afraid. You don't want to land back in the hospital for the same ailment. You'd like a second opinion.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;"> What can you do other than stay ~ and pay?</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">If you're an original Medicare beneficiary, appeal your discharge. Details and instructions are on the Important Message from Medicare (IM), given to you by the hospital when you arrived. You signed it, along with a batch of other admittance documents.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;"> Lost the IM? Ask for a copy.*</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">If you suspect premature discharge, as soon as you learn of your impending discharge act quickly.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;"> Protect yourself from a potential premature discharge by calling the Quality Improvement Organization (QIO) number on the IM.*</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">Called 'fast' or 'expedited' appeal, your phone call will start the process of a review made by a QIO. An 'expedited' appeal gets you a second opinion and buys time, without cost to you.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;"> A QIO is under contract with the government: your medical records are examined by a physician, independent of the hospital, to review the medical necessity, appropriateness, and the quality of hospital treatment. The appeal is completed quickly and renders a final decision. The appeal also lets you stay in the hospital until noon (at least) of the day following your discharge date, and Medicare benefits apply during the time of the appeal process.***</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">You start the process by phoning QIO, and it should be completed in no longer than seventy-two hours, but you must call QIO before midnight on your discharge orders date.</span></div>
<ul style="text-align: left;">
<li><span style="font-size: large;">Upon receiving an appeal request from the beneficiary, the QIO must notify the hospital immediately of the review request.</span></li>
<li><span style="font-size: large;">The hospital must provide patient records to the QIO by noon on the day after the QIO initially alerts the hospital to the expedited review request.</span></li>
</ul>
<div>
<span style="font-size: large;">Note - there are reasons QIO may not alert the hospital for a considerable length of time, and also reasons why the hospital transmittal of records may not be complete for a considerable length of time - as long as seventy-two hour delays are possible.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">Once the QIO notifies the hospital, the hospital is required to give a Detailed Notice of Discharge to the beneficiary (you) and to the QIO by noon the day after it is first notified of the appeal.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;"> The Detailed Notice states the hospitals detailed rationale for the discharge. The QIO must receive a copy of the Detailed Notice in order to make a determination. The Detailed Notice also includes hospital contact information for the beneficiary.****</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">If you do not receive the Detailed Notice by noon the day after you contact the QIO with an appeal request, act quickly. Report this to the QIO so that the QIO can take action to facilitate delivery of the notice to you. You'll know your appeal is going as scheduled when you receive it.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">The QIO must make its determination and notify the beneficiary, hospital, and physician within one calendar day of receipt of all pertinent information (delays can occur until records are complete.)</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">The hospital is prohibited from discharging you during your appeal, however if you leave the hospital before the review is complete, you abort your appeal.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;"> If the QIO agrees that discharge is appropriate, you can agree to the discharge or you can file a reconsideration request for an independent review entity to review the case. If you stay in the hospital following receipt of a QIO decision that the doctor’s discharge orders are appropriate, you should receive a HINN12 from the hospital, because unlike the initial expedited review, there are no financial protections during the reconsideration process.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">Sidebar:</span></div>
<ul style="text-align: left;">
<li><span style="font-size: large;">*Medicare, Medicare Advantage, and Medicaid each provide a hospital discharge appeals process. </span></li>
<li><a href="http://www.cms.hhs.gov/"><span style="font-size: large;">http://www.cms.hhs.gov/</span></a><span style="font-size: large;">.</span></li>
<li><span style="font-size: large;">** If the beneficiary wishes to appoint a representative to file an appeal on his/her behalf, a valid Form 1696 or a conforming written instrument must be signed by both the beneficiary and the prospective representative and filed with the appeal request. In such cases the hospital has very specific obligations regarding notifications to the representative.)</span></li>
<li><span style="font-size: large;">***Medicare does not cover inpatient hospital services that are not medically necessary or could be safely furnished in another setting. (Refer to 42 Code of Federal Regulations, 411.15 (g) and (k)). Options also remain to appeal an adverse decision.</span></li>
<li><span style="font-size: large;">****Detailed Notice, Form CMS-10066, </span><a href="http://www.cms.hhs.gov/BNI/Downloads/Detailed_Notice_English_and_Spanish.zip"><span style="font-size: large;">http://www.cms.hhs.gov/BNI/Downloads/Detailed_Notice_English_and_Spanish.zip</span></a><span style="font-size: large;">.</span></li>
</ul>
<div style="text-align: left;">
<span style="font-size: large;">END</span></div>
<div>
<span style="font-size: large;"> </span></div>
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-68518767103962143242015-05-25T20:58:00.001-07:002015-05-25T21:02:18.402-07:00<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: large;">Does your family know their ancestors? Perhaps it's time you shared with them what you know. And while you're at it, don't neglect finding ancestors and kinfolk on your family tree. None of us are getting younger, you know. ;0))</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">But how do I go about locating ancestors? you wonder.</span><br />
<span style="font-size: large;"></span><br />
<div>
<span style="font-size: large;">Until Karen Drain read a newspaper account about her Honberger ancestors in </span><a href="http://www.behindthesemountains.com/"><em><span style="color: purple; font-size: large;"><strong><span style="color: black;">Behind These Mountains</span> </strong></span></em></a><span style="font-size: large;">, she said,</span></div>
<blockquote class="tr_bq">
<span style="font-size: large;">“I knew only that they were present for part of Heron’s history, for good or for bad! I found your books through genealogy research. My ancestor is listed in a newspaper clipping you included in a book.</span><br />
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">When I found the listed page, I thought that the books would provide great reading material for my [91-year-old] Great Uncle Jack, who is helping me build the family tree. [And] my thoughts of buying your books in hardcopy were my only hope of sharing them with him."</span></div>
</blockquote>
<span style="font-size: large;">She’d read the 1919 <em>Sanders County Independent Ledger</em> account of a “saloon keeper” whose business had been robbed. She contacted me. I connected her with people still living in the Heron area who might be helpful. Through them, she touched bases with others who also added to her knowledge about her family connection to former Heronites.</span><br />
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">Karen said, </span></div>
<blockquote class="tr_bq">
<span style="font-size: large;">“Heidi [Dettwiler], Phoebe Harker, Linda Rocheleau, Fredi Pargeter, and Helen Meadows have all reached out to me and I am so humbled by everyone’s generosity in assisting me in my family search. You all are so wonderful!”</span></blockquote>
<span style="font-size: large;">However, the </span><a href="http://www.behindthesemountains.com/" target="_blank"><strong><em><span style="color: black; font-size: large;">Behind These Mountains</span></em></strong></a><span style="font-size: large;"> trilogy she wanted to purchase has become rare out-of-print collectible books. Like most regional history books, they were limited editions; 1,000 volume 1 copies and only 500 copies of volumes 2 and 3.</span><br />
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">Until I told her about requesting books through Inter-library loan, Karen wasn’t aware of that library service. A librarian searches for them and when located, requests a copy that library clients can check out to read. </span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="color: black; font-size: large;">In 2009, Kindle editions of </span><a href="http://www.amazon.com/-/e/B001KCEM56" target="_blank"><strong><em><span style="color: black; font-size: large;">Behind These Mountains, Volumes I, II & III</span></em></strong></a><span style="font-size: large;"> became available. Since there are about 1,000 vintage photographs from homesteader’s private albums in them I also offer .pdf formatted editions of the trilogy on a DVD for $50. The .pdf editions are a popular choice for those wanting print books because I include permission for a buyer to print [or have printed] a personal copy of each approximately 1200 page book. Karen elected to buy the DVD.</span></div>
<div style="text-align: left;">
<blockquote class="tr_bq">
<span style="font-size: large;">“I received my DVD today,” she wrote, “and I cannot wait to begin reading [on her computer’s large screen]! My hope is to print out a chapter at a time and send it to my great Uncle Jack. .. My thought is that he will have something to look forward to every week as I send him one or two chapters at a time. </span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">I believe I mentioned that Jack is 91 and he doesn’t even have a working television, let alone a computer. His phone is not a fancy one either so hardcopy is the only way for him to read your book. I want to [print and] send a few chapters at a time so he has something to look forward to and he will check his mail more often than he does! Thank you so much for sharing all of your research!”</span></blockquote>
<span style="font-size: large;">Her uncle plans to save the printed chapters and someday return them to Karen.</span><br />
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">As she began reading the .pdf copies on her computer, Karen discovered Heron was beset in 1909 by smallpox brought in by a child who had returned from visiting relatives back east. Coincidentally, her relative, Flora Emma Honberger Dingley, died in Heron in January 1909. Now she wonders if smallpox caused Mrs. Dingley’s demise.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">In a post on my </span><a href="http://bygonemontanans.blogspot.com/" target="_blank"><span style="color: black; font-size: large;"><strong><em>Bygone Montanans blogspot</em></strong></span></a><span style="font-size: large;">, which is designed to help people with their genealogy research, I shared family information and photos of the Honberger and Dingley ancestors in Heron, that Karen had sent. </span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">She responded, </span></div>
<div>
<blockquote class="tr_bq">
<span style="font-size: large;">“Thank you for sharing my family history in your blog. Perhaps another family member will read it and add to the information. We are shaking the bushes, so to speak… We are very thankful to find you and your work.”</span></blockquote>
</div>
<div>
<span style="font-size: large;">Laura Becquart, David Miller, Cindy Raynor, <!--StartFragment -->Tracey Lewis and Teresa Morkert are also among those who found the regional Montana history online.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">When he got in touch, David said, </span></div>
<div>
<blockquote class="tr_bq">
<span style="font-size: large;">"I found you at </span><a href="http://riverjournal.com/vivvo/keywords/mt-scribbler" target="_blank"><span style="color: black; font-size: large;"><strong><em>The River Journal</em></strong></span></a><span style="font-size: large;"> and </span><a href="http://montanascribbler.com/p/contact.html" target="_blank"><span style="color: black; font-size: large;"><strong><em>Montana Scribbler (contact).</em></strong></span></a><span style="font-size: large;"><strong><em><span style="color: black;">"</span></em></strong> </span></blockquote>
</div>
<div>
<span style="font-size: large;">Laura also emailed, </span></div>
<div>
<blockquote class="tr_bq">
<span style="font-size: large;">“My name is Laura Becquart and I am interested in purchasing the pdf printable version of <strong><em>Behind These Mountains</em></strong>. I already have the book for volume 1 [original out-of-print edition], and it contains quite a few pictures. Do you know if the pdf version will contain pictures as well? Also, is the $50 for all three volumes?"</span></blockquote>
<span style="font-size: large;">When I replied, she responded,</span><br />
<blockquote class="tr_bq">
<span style="font-size: large;">“Oh, this is too cool - I think I'm actually talking to Mona herself! You even signed my original edition of volume 1. My great uncle Lank (Loren Jameson) was able to get a signed copy for both my Mom and I. My Mom is Lucille Jenkins, the grand-daughter of Lucy Jenkins from Noxon.</span></blockquote>
<blockquote class="tr_bq">
<span style="font-size: large;">My brother was trying to find volume 2 and 3 for my Mom for Mother's Day. I told him I would look around on the Internet and see if I could find anything for him. Of course, there wasn't anything out there, but I did stumble upon your </span><a href="http://www.behindthesemountains.com/" target="_blank"><span style="font-size: large;">Behind These Mountains</span></a><span style="font-size: large;"> website. </span></blockquote>
<blockquote class="tr_bq">
<span style="font-size: large;">Would it be acceptable for me to mail you a check? I'm fine waiting for you to cash the check before you would mail me the pdf file.”</span></blockquote>
<span style="font-size: large;">We emailed back and forth as I related personal memories of times my husband and I enjoyed with her ancestors during the 60-years we lived near Noxon. Her check arrived and the DVD went in the mail the next day.</span></div>
<div>
<span style="font-size: large;"></span><br />
<span style="font-size: large;">Tracey Lewis found ancestors in my books, connected with living kinfolk she learned about using Internet reseach, and traveled hundreds of miles to meet some of them in person. As the families connected, they used emails, phone calls and letters, to discover other members of the family tree, and organized a grand family reunion for fhose they found.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">We learned much about our Gremaux family ancestors from a little-known out-of-print book in a library in Indiana. More information about that branch, and also the Vanek branch of our family tree, is located in a library in Lewistown, Montana. Many northwestern Montana settlers relocated to the lower Clark Fork River valley from the Plentywood area in Montana. The library there hosts detailed accounts of their lives.</span></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<span style="font-size: large;">How can you find your ancestors?</span></div>
<ul style="text-align: left;">
<li><span style="font-size: large;">Locate a library or museum in a town where an ancestor lived. Ask if any regional history books have been published. Request any that you find through Inter-library-loan. </span></li>
<li><span style="font-size: large;">Ask if there is a talking book or digital version. Many old books have been republished in a digital book, or online.</span></li>
<li><span style="font-size: large;">Type family names into several </span><a href="http://www.dogpile.com/info.dogpl.testc/search/web?q=Search%20Engines%20List&fcoid=996&fcop=right&fpid=2&qlnk=True"><span style="font-size: large;"><span style="color: purple;"><strong><em><span style="color: black;">online search engines</span></em>.</strong></span> </span></a><span style="font-size: large;">Each may return different results.</span></li>
<li><span style="font-size: large;">Utilize Ancestry.com. You won’t need to subscribe to Ancestry.com if your local library has access that you can use free.</span></li>
<li><span style="font-size: large;">Research ancestors through The Church of Latter Day Saints’ genealogy resources.</span></li>
</ul>
<div style="text-align: left;">
<a href="http://www.unz.org/" target="_blank"><span style="color: black; font-size: large;"><strong><em>Unz.org</em></strong></span></a><span style="font-size: large;"> is an excellent resource for locating books, periodicals and authors. The website has a powerful search engine, and is intended to provide convenient access to a large quantity of high-quality content material, mostly published over the last 150 years in America and England. It accesses over one million readable items, and titles of another million items not readable due to copyright.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">You, too, might find and learn more about your ancestors in a little known regional history book. In doing so, you'll also make a author as happy as I am ~ knowing my work connects families.You may also have a grand reunion, like Tracey Lewis and her kinfolk, of family tree members you have yet to meet.</span></div>
</div>
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-59887836048026504242015-04-30T20:34:00.001-07:002015-04-30T20:35:47.137-07:00Facts About Cruise Ship Retirement<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: large;">You've probably heard or read that spending your retirement years roaming the seas on cruise ships is the way to go and that it beats assisted living retirement communities in every way.</span><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">To learn the real facts, read <strong><em><span style="color: red;">"Is a Cruise Ship Retirement Cheaper than Assisted Living?"</span></em></strong> by Sarah J. Stevenson </span><a href="http://www.aplaceformom.com/blog/2013-2-2-cruise-ship-retirement-assisted-living/?utm_source=WhatCountsEmail&utm_medium=a-m-active&utm_campaign=***424"><span style="font-size: large;"><strong><span style="color: purple;">A Place For Mom.</span></strong> </span></a><br />
<span style="font-size: large;"></span><br />
<span style="font-size: large;">Before you leave the website, follow the links to other important information. I highly recommend subscribing to the </span><a href="http://www.aplaceformom.com/blog/"><strong><span style="background-color: #eeeeee; color: purple; font-size: large;">A Place For Mom blog. </span></strong></a><span style="font-size: large;">
</span></div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-55536673527601543252015-01-31T14:53:00.000-08:002015-01-31T14:53:25.199-08:00How to Avoid Costly Mistakes<div dir="ltr" style="text-align: left;" trbidi="on">
I'd like to direct you to <strong><span style="color: blue;">A Place For Mom</span></strong> which has an excellent article<strong><span style="color: blue;"> </span></strong><a href="https://www.aplaceformom.com/blog/2013-12-23-avoid-paying-too-much-for-senior-living/?utm_source=WhatCountsEmail&utm_medium=a-m-active&utm_campaign=1232015"><strong><span style="color: blue;">today</span></strong></a>, <em>How to Avoid Costly Mistakes in Your Search for Senior Living. </em><br />
<br />
In the panel on the left here you'll find links the A Place For Mom home page and to other good resources to visit frequently.</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-86761008186847759092015-01-04T21:02:00.000-08:002015-01-05T12:24:17.248-08:00When Wanting to Die ~ Burdens Shared Are Burdens Lightened <div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: large;"><span style="font-family: Times, "Times New Roman", serif;">
</span><span style="font-family: Times, "Times New Roman", serif;">A few days after Christmas, we heard from a cousin that our 97-year-old uncle
was critically ill and in a hospital. She said that after he was discharged he would likely need to be
moved from Mariposa Gardens ALC into extended care. We took her assessment
seriously. Less than six months earlier, uncle and aunty had moved into the
ALC. This would present an even more difficult change for them.</span></span><br />
<span style="font-family: Times, "Times New Roman", serif;"><span style="font-size: large;"></span></span><br />
<div style="text-align: left;">
<span style="font-family: Times, "Times New Roman", serif;"><span style="font-size: large;">My cousin added,</span></span></div>
<blockquote class="tr_bq">
<span style="font-family: Times, "Times New Roman", serif;"><span style="font-size: large;">"Aunty is sweetly confused but is aware enough to realize
life is taking a drastic change, and she is finding it difficult."</span></span></blockquote>
<span style="font-family: Times, "Times New Roman", serif;">
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;">We'd emailed Christmas greetings to these Canadian relatives early in December,
but hadn't worried when we didn't receive the annual holiday letter my uncle
always wrote. Here, in Washington State, when Art and I moved into an assisted
living community, I was beset with doubts and fears, especially during the
first month. Long-standing rituals, like sending seasons greetings, diminished
drastically.</span></div>
<span style="font-size: large;">
</span><div style="text-align: left;">
</div>
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;">A surprise email from my uncle arrived a few days after his niece's email.
Although we still didn't know his current condition, we guessed his congestive
heart failure had worsened.</span></div>
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;"> </span></div>
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;">We believed his every word when he wrote,</span></div>
<span style="font-size: large;">
</span><blockquote class="tr_bq" style="text-align: left;">
<span style="font-size: large;">"My health took a downward turn, was
in hospital 2 weeks and just home for a short duration. So thanks for all the
visits and love, but this is likely the last you will hear from me.
Uncle."</span></blockquote>
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;">We emailed their only daughter to comfort her, and were pleasantly surprised when
her reply said uncle was home with his wife at their apartment in the ALC and doing well.</span><br />
<br />
<span style="font-size: large;">Her email said both of her parents had their medications dished out by the
facility, "instead of hit and miss as they may have been taking them. Dad
wants to die. He doesn't want to live like this, but he's doing better than he
thinks, and has a new walker to get to meals. Both are doing well for now,
considering. However, Mom is starting to realize she may be alone soon. Despite
her failing memory, she's struggling with that realization. We're thankful to
the Lord for each day."</span><br />
<br />
<span style="font-size: large;">Uncle and aunty's reactions to their situation are somewhat like my own since Art
and I moved to this ALC, and like that of other people I've known. Although my
health has improved dramatically, on days when I feel ill and don't know the
cause, I, too, wish to just die.</span><br />
<br />
<span style="font-size: large;">Despite the many wonderful aspects of being among our contemporaries the past
four months, I understand that when an elderly ALC resident is hospitalized due
to illness it's normal for them to become depressed and think the worst ~ that
they may be dying soon.</span><br />
<br />
<span style="font-size: large;">And like Aunty, even though Art's health has stabilized these past months, I
suffer panic attacks when I think beyond the now.</span><br />
<br />
<span style="font-size: large;">Here are four things that have helped me:</span></div>
<span style="font-size: large;">
</span><ul style="text-align: left;"><span style="font-size: large;">
</span>
<li><div style="text-align: left;">
<span style="font-size: large;">I visit friends I've made, and we talk about our concerns, whether they are alone or have spouses or families who live nearby.</span></div>
<span style="font-size: large;">
</span></li>
<span style="font-size: large;">
</span>
<li><div style="text-align: left;">
<span style="font-size: large;">I've formed bonds with several who have no family nearby to rely on for help and comfort in time of need. Sharing makes us each other's support system.</span></div>
<span style="font-size: large;">
</span></li>
<span style="font-size: large;">
</span>
<li><div style="text-align: left;">
<span style="font-size: large;">We started a phone-calling tree ~ where each person calls the next on the list daily, rotating the list frequently. There is always someone at hand to share our cares.</span></div>
<span style="font-size: large;">
</span></li>
<span style="font-size: large;">
</span>
<li><div style="text-align: left;">
<span style="font-size: large;">Talking to staff members also helps. Good ALCs have staff that truly have our wellbeing and happiness uppermost in mind and will guide us to someone we can rely on.</span></div>
<span style="font-size: large;">
</span></li>
<span style="font-size: large;">
</span></ul>
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;">We take part in social activities, and encourage each other to attend.
Support and encouragement also result from participating in exercises classes,
religious services, and going on outings provided by the ALC.</span></div>
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;"> </span></div>
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;">Burdens shared are lightened in the
caring.</span></div>
<span style="font-size: large;">
</span><div style="text-align: left;">
<span style="font-size: large;">END</span></div>
<span style="font-size: large;">
</span></span><span style="font-size: large;"></span><br />
<div style="text-align: left;">
<span style="font-size: large;"> </span></div>
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-48508571968343417262014-12-29T10:31:00.000-08:002015-01-02T21:25:59.856-08:00Daily Life in an Assisted Living Retirement Community<div dir="ltr" style="text-align: left;" trbidi="on">
What is living in an assisted living community like on a daily basis? Author Caitin Burm gives insights and impressions gleaned from <a href="http://www.assistedliving.com/12-18-14-a-look-into-life-assisted-living/?utm_source=WhatCountsEmail&utm_medium=a-m-active&utm_campaign=b2c-12-26"><strong><span style="color: blue;">A Look Into Life in Assisted Living,</span></strong></a> by Carol Netzer. <br />
<br />
Scroll down to read snippets from Netzer's book, which is available on Amazon <a href="http://www.amazon.com/dp/B00NLM7OYE/ref=rdr_kindle_ext_tmb"><strong><span style="color: blue;">Kindle.</span></strong> </a> For those who don't own a Kindle device the website offers a free reader for mobiles, smart phones or computers.<br />
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-9483654122710056002014-11-30T20:38:00.002-08:002014-12-01T11:43:11.596-08:00Medical Emergency Victims and End-of-Life Discussions<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
The thought of people collapsing around you and then being taken to a hospital Emergency Room could be enough to curb your enthusiasm about assisted living communities. You may feel you don't want to live surrounded by only old, infirm people.<br />
<br />
Put aside those fears! Assisted living community residents include a healthy percentage of men and women whose needs are minimal, however you can expect senior citizens in vary stages of dementia, Alzheimer's, and stoke survivors. Walkers and wheelchairs and canes are common. Nevertheless, there are often some residents who simply want a safer, comfortable place to live that also offers a range of activities geared to their generation.<br />
<br />
Whatever the mix of the population where you live, in an ALC or any place else, one vital topic should be addressed ~ end of life decisions.<br />
<br />
Unfortunately, those decisions have not been addressed in far too many cases because so many questions need answers it's hard to know where to begin.<br />
<br />
<a href="http://www.caregivers.com/"><strong><span style="color: blue;">Care Givers </span></strong></a>[Caregivers Blog: Senior Care Support] provides invaluable information on many subjects. Scroll down the page to the following link which can give you a springboard to initiate discussions that will lead to appropriate action:<br />
<br />
<b><a href="http://response.aplaceformom.com/t?r=2842&c=4270&l=430&ctl=14D79:1673E8F3ADDE4DC9E138C1065D0D03DB79B17557C047DB32&"><span style="color: blue;">Are End-of-Life Discussions Covered by Your Medical Insurance?</span></a></b> Martha Stettinius, the author of the October 14, 2014 article, provides answers to many questions, as well as offering good advice.<br />
<br />
Stettinius is the author of the critically-acclaimed book "Inside the Dementia Epidemic: A Daughter's Memoir." You can read more about her <a href="http://www.insidedementia.com/"><strong><span style="color: blue;">here. </span></strong></a><br />
<br />
Back to what I started to write about, before I got sidetracked: What might actually happen after an ambulance has taken a ALC resident to a hospital Emergency Room? I don't believe my experience is unique so here's the scoop ~ <br />
<br />
I was the "victim", as medics refer to the person whose 9-1-1 call brings them to the "scene" [my apartment]. Due to prompt, appropriate medical care I was able to return home within 24 hours.<br />
<br />
I'd had similar experiences before, so I wasn't surprised. I also know the majority of "victims" do return home, although admittedly the percentage drops among the elderly vs the general population.<br />
<br />
What surprised me ~ made me teary-eyed and flooded my heart with that warm fuzzy feeling ~ was being greeted by several cards wishing me well! People who've known me less than two months cared! As soon as others saw me they offered encouragement, and help should I need it. <br />
<br />
I suspect ALC residents have a decided advantage in such cases, vs the general population--no matter where they abide. And when the inevitable happens and death calls, shared memories of the good times spent with their ALC neighbors and friends comfort the bereaved family.<br />
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-52973188299923895312014-11-27T18:58:00.004-08:002014-11-30T20:39:56.909-08:00Finding Acceptance in an Assisted Living Community<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoBodyText" style="margin: 0in 0in 0pt;">
Finding your niche in an assisted living community takes a bit of time, and it also depends on the staff and other residents. To be employed here at Broadway Court Estates, each staff member, including the hard
working waiters who serve evening meals ~ most of whom are young folks in high school or
college ~ are required to master recognizing each resident by face and name. They have only five days to do so, but it's good a system that draws each of them into
the "family" network.<o:p></o:p></div>
<br />
<div class="MsoBodyText" style="margin: 0in 0in 0pt;">
While Ross, one of the maintenance men, was installing our
new television and a sound bar, he said,</div>
<div class="MsoBodyText" style="margin: 0in 0in 0pt;">
<blockquote class="tr_bq">
"My first impression was this assisted
living community seemed like a luxury hotel except it has apartments instead of
rooms and suites." <o:p></o:p></blockquote>
</div>
<br />
That was the description I related to family and friends:<br />
<blockquote class="tr_bq">
"Visitors
sign in and are greeted at the front desk. The richly patterned maroon carpeting in the foyer also mutes sound on the broad curved staircase ascending to
the second floor. Its carved banister glistens from ornate chandeliers; a
perfect backdrop to cozy armchairs and a sofa flanking a fireplace. Think of a luxury hotel that invites strangers to share
intimate conversations."<o:p></o:p></blockquote>
Within the first month we learned the truth of what Ross
had said next:<br />
<blockquote class="tr_bq">
"But this place felt different. And it is. The residents and staff
are like one big extended family. Everyone becomes special in their own
way."<o:p></o:p></blockquote>
We had expected to make friends; we'd always played games
~dice, board and card games. We'd noted with pleasure the jigsaw puzzles in the
game room, plus shuffle board and billiards. Wii bowling, which we have yet to
play, was offered, too. Two rooms with exercise equipment, an indoor pool, sit
and be fit, and other physical fitness programs, mall walking, and scheduled
outings bring residents together. <o:p></o:p><br />
<br />
<div class="MsoBodyText" style="margin: 0in 0in 0pt;">
Nevertheless, we had no concept of what it would be like to be greeted by name whenever we left our apartment. We were unprepared emotionally, and hadn't anticipated feeling like part of a
family before the first month passed.<br />
<br />
However, it didn't take long to notice the sincerity of Ross' words. It's
impossible to remain a stranger for long here. Even the most shy and reticent are enfolded
in a quiet, unobtrusive way.<o:p></o:p></div>
<br />
<div class="MsoBodyText" style="margin: 0in 0in 0pt;">
How does it happen? In uncountable ways. <o:p></o:p></div>
<br />
<div class="MsoBodyText" style="margin: 0in 0in 0pt;">
One morning, at the self-service breakfast which takes
place from 6 a.m. - 11 a.m. in the 50s café in this ALC, the lady seated next
to me said, "I stopped to say hello to a woman sitting by the fireplace in
the foyer yesterday and when I asked how long she'd been here she replied,
"Two days, And I hate it!"<o:p></o:p></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
"Oh, dear, that's awful,"
I told her. "Come along, dear. Let's just go into the Cafe and have a cup
of tea or coffee and you tell me all about it." The two stayed in the Cafe
through lunch hour, and by the time they parted the newcomer felt much better.<o:p></o:p></div>
<blockquote class="tr_bq">
"It got me to
thinking," my breakfast companion said, "Maybe I should always say
hello to a stranger. Maybe they need a cheery word. Maybe they're as frightened
and worried as I was when I first came here to live."<o:p></o:p></blockquote>
Her words were a testament to
how residents in an assisted living community can come to feel like a big,
extended family; each member as uniquely special as those in a large clan.<br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
As the anniversary of our second month approached, we felt close bonds with those around us. When we share a table
at a Pub Night, an afternoon event where each week a different musician entertains
while staff members serve drinks and snacks, sharing the experience
spins webs that link each attendant.<o:p></o:p></div>
<br />
October featured the annual Bazaar where those who do crafts raise funds for the good of the residents and the community, and at the rousing good-fun Halloween party this year the largest number of residents so far was costumed.<br />
<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8UicNLEMIiLAzaMClhxMR5SjTzrX9umzQNJVD7cfPJsdrE_904KFFT1fxhaMnSjixzNvERxMXW0Rku3S0jOB0BAKybFVZKimUmh9ai8cNDJdKffZjN8588YAQAuKdV63m524i-O-cspE0/s1600/IMG_3710.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8UicNLEMIiLAzaMClhxMR5SjTzrX9umzQNJVD7cfPJsdrE_904KFFT1fxhaMnSjixzNvERxMXW0Rku3S0jOB0BAKybFVZKimUmh9ai8cNDJdKffZjN8588YAQAuKdV63m524i-O-cspE0/s1600/IMG_3710.JPG" height="149" width="320" /></a></div>
<br />
November hosted a Veterans Memorial program to honor the more than two dozen men and women veterans among the residents.<br />
<br />
The most recent social and "give back to the community" event that brought nearly everyone together was the annual "Tom's Turkey Drive." <br />
<br />
Tom Sherry, a local TV weatherman and celebrity noted for his efforts to bring together businesses and area residents to provide quality ingredients to families in need for their Thanksgiving Dinner each year. His 2014 goal was meeting the needs of 11,000 families.<br />
<br />
The ALC owners, staff and residents helped meet that goal. It was not only a gala event, in addition to residents purchasing Thanksgiving meals for needy families in the region, a check for $1,000 was presented. Thanksgiving Day the residents of this ALC gave special thanks for the privilege of helping others.<br />
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJ7310Xk_e1vUjWbzi3cmw3X8i9OIvWrosx18gdHtr6N3_I7jFojlkPI_ZqMTbA02pTMXpvUwqxkmUR4iN3OL1y83J_z0dMuzh_WA9YHwCDAeOuol28US-9lQuyE4dviYEdw5n6xbSfGco/s1600/IMG_4001.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJ7310Xk_e1vUjWbzi3cmw3X8i9OIvWrosx18gdHtr6N3_I7jFojlkPI_ZqMTbA02pTMXpvUwqxkmUR4iN3OL1y83J_z0dMuzh_WA9YHwCDAeOuol28US-9lQuyE4dviYEdw5n6xbSfGco/s1600/IMG_4001.JPG" height="238" width="320" /></a></div>
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<o:p></o:p> </div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-8119703830595163812014-11-11T21:17:00.000-08:002014-11-17T08:42:03.646-08:00Do People Who Can Afford an ALC Need Helpful Hints? The Answer is "Yes!"<div dir="ltr" style="text-align: left;" trbidi="on">
Shortly after she read my introductory post I received the
following email from my best friend, Marylyn, whom I've known and
corresponded with since we met the winter of 1969. We took a creative writing
class in Sandpoint, Idaho that year. I lived in Montana, and she lived
in Priest River, Idaho:<br />
<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<blockquote class="tr_bq">
"I forgot to comment on your blog intro. I found it
interesting and well written. I have an idea, which may be wrong, that people
who can afford assisted living probably don't need helpful hints about how to
enjoy their retirement and their luxurious new digs. What is it you plan to put
in this blog?"</blockquote>
Marylyn and I often disagree. We both achieved our dreams of
becoming professional writers, and although we get together now and then, it's
not real often. Nevertheless, we love and respect each other enough that we
agree to disagree. This is one of those times.<o:p></o:p><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<o:p> </o:p></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">Being
financially comfortable doesn't necessarily enable people to know how to get
the best out of their retirement years. </span></o:p>Irrespective of monetary worth, there is a need for
helpful information about choosing and living in an ALC. My previous post
talked about <a href="http://twentyfirstcenturyoldfolkshome.blogspot.com/2014/11/basic-services-of-assisted-living.html"><strong><span style="color: blue;">choosing.</span></strong> </a><br />
<br />
Emotional and psychological factors also come into play. Like most of the
newer residents here, Art and I are experiencing them. We are lucky to be in a
community where so many of the residents, and the staff without exception,
always greet us with a smile, a friendly word, and/or ask about our day.<o:p></o:p><br />
<br />
I can't tell you how helpful that is, especially on days when we're feeling apprehensive
and need encouragement. <o:p></o:p><br />
<br />
Those who joke and tease lift everyone's spirits, and like everyone else, we
look forward to seeing them. And because so many of the jolliest appear healthy
and are spritely, during the first weeks we wondered, 'Why are they here?'<o:p></o:p><br />
<br />
Because we're outgoing and friendly, we soon discovered they, too, have
serious physical limitations ~ just not obvious ones like noticeable memory
loss, or having to use a walker or a motorized scooter. For example, one has
untreatable macular degeneration and is going blind, another has terminal
cancer.<o:p></o:p><br />
<br />
Often, feelings of loneliness and isolation lead to serious consequences for
seniors' health. Here, as in most ALCs, residents are encouraged to participate
on a frequent basis in one or more of the social activities offered.<o:p></o:p><br />
<o:p> </o:p></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Arvy and Richard Monaghan, who joined Broadway Court Estates
ALC in May 2014 do that. They shared their story in a Thanksgiving blessing and tenant
testimonial, published in Issue 154 of the ALC community's monthly newsletter<strong><span style="color: blue;">,<!--EndFragment --><span style="mso-spacerun: yes;"> </span></span></strong><a href="http://media.wix.com/ugd/2e68d7_3446033deb00457ca469e4750ef48911.pdf" target="_blank"><strong><span style="color: blue;">TOP HAT & TALES</span></strong></a>.
It shows another point of view, and illustrates the benefits of participating
in social activities.<o:p></o:p></div>
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<o:p> </o:p></div>
<o:p></o:p><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_IPHmj68eXBhoZHJJRQTJj79pL0C5-Vlde-BMbIjx49Oz04SYY_jSDQ-p6ZGkMXWusUEHOxvx3U7QDHKYyc2GZyR-1fOTsYRBsVHmFB_0E3dgHPZEPwOjdLcFdS2bxxOFDrV7j4a57bdc/s1600/IMG_3763.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_IPHmj68eXBhoZHJJRQTJj79pL0C5-Vlde-BMbIjx49Oz04SYY_jSDQ-p6ZGkMXWusUEHOxvx3U7QDHKYyc2GZyR-1fOTsYRBsVHmFB_0E3dgHPZEPwOjdLcFdS2bxxOFDrV7j4a57bdc/s1600/IMG_3763.JPG" height="320" width="214" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div align="left">
Richard & Arvy Monahan at their ALC,</div>
<div align="left">
Broadway Court Estates in Spokane</div>
<div align="left">
Valley, Washington.</div>
</td></tr>
</tbody></table>
</div>
<br />
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<span style="mso-spacerun: yes;"> </span>"We are living
life again!"</div>
<blockquote class="tr_bq" style="margin: 0in 0in 0pt;">
<blockquote class="tr_bq">
"Truly it's "Hats Off" to BCE! We married in
March of 1952 and were blessed with 6 children. Our cup runneth over with
grandchildren and great grandchildren. Rich was employed by Nabisco for 38 1/2
years. Arvy was employed by doctors of Chiropractic for 19 years. We loved and
enjoyed our family and RV'ing for 10 years off and on.</blockquote>
</blockquote>
<blockquote class="tr_bq">
"Unfortunately, Rich developed health problems which in
turned caused his activities to decrease. We felt it was time to make a major
change in our lives and change <b style="mso-bidi-font-weight: normal;">we did</b>!</blockquote>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<blockquote class="tr_bq">
"We moved to Broadway Court Estates.</blockquote>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<blockquote class="tr_bq">
"The change was traumatic but it was just what was
needed. And to our surprise, the decision gave us both a much better and
healthier life!!</blockquote>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<blockquote class="tr_bq">
"Rich has joined the Wii bowling team offered here and
in November he will excitedly play in his 2nds Wii bowling tournament. Wow!
What a marvelous change!</blockquote>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<blockquote class="tr_bq">
"BCE has given us a whole new life and it's really
because they care and give freely to all their tenants.</blockquote>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<blockquote class="tr_bq">
"Thank you Broadway Court Estates," Rich and Arvy Monaghan.<o:p></o:p></blockquote>
The BCE Wii bowling team brought back their 3rd
Place trophy along with a traveling trophy from their latest tournament, November 9, 2014 ~ a symbol of
achievement that all residents can feel good about.<o:p><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjL9vQYIqtg_zIOnhUyq4Syl43H3W67FzI3tioayZSdMrL3w3W6ZqBY5X1ctMeSXrH9OfsBrwlfsAZITjO37yPRJQ_JfUHJK8hXCUuYJtXCcd7WBQrv1B__wO_tUs36ZdFm8x9KgAjQS_x1/s1600/IMG_3761.JPG" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjL9vQYIqtg_zIOnhUyq4Syl43H3W67FzI3tioayZSdMrL3w3W6ZqBY5X1ctMeSXrH9OfsBrwlfsAZITjO37yPRJQ_JfUHJK8hXCUuYJtXCcd7WBQrv1B__wO_tUs36ZdFm8x9KgAjQS_x1/s1600/IMG_3761.JPG" height="640" width="510" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div align="left">
<span style="font-size: small;">As long as the trophies are displayed in the foyer, expect residents to stop and admire them, chat about team members, and maybe consider joining the team as bowlers, cheerleaders, or spectators. It provides an opportunity for new residents to get acquainted, and for everyone to share camaraderie.</span></div>
</td></tr>
</tbody></table>
</o:p></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Achieving happiness whenever a lifestyle changes unexpectedly is challenging, as Rich and Arvy attest, and it's a topic I plan to explore more in future articles.</div>
</div>
</div>
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-62014903317051503422014-11-10T08:45:00.001-08:002014-11-11T21:19:03.177-08:00Basic Services of Assisted Living Communities<div dir="ltr" style="text-align: left;" trbidi="on">
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My husband and I had never been renters. Nevertheless, our
daughter-in-law and I started out intending to tour the five ALCs recommended
by our <a href="http://www.aplaceformom.com/"><strong><span style="color: blue;">A Place For Mom</span></strong></a> personal contact. However, instead of scheduling a tour for each one on a separate day ~ as we should have ~ we crammed them into that day.<br />
<o:p></o:p><br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
By the time Vickie parked at the last one just before dinner
time, I was shaky from exhaustion. We stayed only long enough to be shown the one
available apartment, which I declined.<br />
<o:p></o:p> </div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
I shared my enthusiasm about the first ALC with our family:</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<ul style="text-align: left;">
<li>Dad can rent a garage to use for his woodworking projects. It's convenient to him using his Jazzy wheelchair.</li>
<li>Meals options, housekeeping, an assigned parking spot, and a garden plot are included.</li>
<li>A heated indoor pool, therapy, entertainment and activities. Transportation provided.</li>
<li>There are rentable accommodations for guests and a cabana on the landscaped grounds for private parties.</li>
</ul>
</div>
A few days later, when Art and I toured the community together,
it still seemed a perfect choice. I couldn't imagine him saying the wonderfully
arranged two bedroom, two bath apartment, situated as it is in the building
wouldn't be agreeable for this change in our lives. Elevators seemed well
placed in the three-story complex, and suitably sized for his power
scooter, plus spacious enough to also accommodate
a resident using a walker, and one or two more people.<span style="mso-bidi-font-size: 10.0pt;"> <o:p></o:p></span><br />
<div>
</div>
<div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
During subsequent meetings with the sales manager we'd asked for and gotten everything we'd need. Even though our contact at A Place For Mom sent us the
standard <a href="http://www.aplaceformom.com/senior-care-resources/articles/assisted-living-residence-checklist"><strong><span style="color: blue;">list</span></strong></a> of questions to ask, instead of heeding the advice, we ignored
it, confident that we'd covered all the basics.</div>
<br />
We were extremely lucky and
didn't reap disastrous consequences.<o:p> </o:p></div>
<div>
</div>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfgsKgPqpdT5uTHlzW7f8EbtJqIFzbQ4zQjq6Ay5NF7IMhswuG-ZQCEF7twSSmdvxhiKxJHYugaHptFwhrmsq9KEZ5Ri8tF0aAoDLft3qzCPaEwx6LpR_wDtQn2rhHPFvesL9Oolv3QNTG/s1600/Mimi+kitten.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfgsKgPqpdT5uTHlzW7f8EbtJqIFzbQ4zQjq6Ay5NF7IMhswuG-ZQCEF7twSSmdvxhiKxJHYugaHptFwhrmsq9KEZ5Ri8tF0aAoDLft3qzCPaEwx6LpR_wDtQn2rhHPFvesL9Oolv3QNTG/s1600/Mimi+kitten.jpg" height="320" width="264" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div align="left">
Mimi's kitten portrait. She's elderly now, like us.</div>
</td></tr>
</tbody></table>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Our pet was welcome, too! For a non-refundable fee of $375,
Mimi, our precious cat could share the apartment and its private balcony with
us. <o:p></o:p></div>
<div>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
The little plaque, "It belongs to the cat. We just pay
the mortgage", would hang above the apartment door knocker, with Mimi's
portrait below.</div>
<div>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
We did however learn we should have done more than casual
inspections before signing the apartment rental agreement. During our tour, we'd
focused mainly on the floor plan, which was adequate for Art's motorized
scooter. We overlooked things we should have noticed. Fortunately, they were
minor, easily resolved, maintenance issues.<o:p> </o:p></div>
<div>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
The apartment had remained vacant for two years after being
renovated, when the first and only renter moved out. New appliances were
installed in the laundry room and the kitchen, attested to by boxes still
awaiting removal when the apartment was offered to us. New carpeting was
freshly vacuumed.<o:p> </o:p></div>
<div>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
When the maintenance crew replaced washing machine hoses
that had been 'borrowed', we all laughed when they said, "This apartment
became 'the go to supply' when something was needed."<o:p> </o:p></div>
<div>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
As I said earlier, we were lucky. Nevertheless, don't count
on getting lucky. Do your homework before deciding which ALC is right for you.<br />
</div>
<div>
<span style="mso-spacerun: yes;">At A Place For Mom, <a _blank="" href="http://www.aplaceformom.com/assisted-living#services" target="_blank"><span style="color: blue;"><strong>here</strong></span></a><span style="color: blue; mso-spacerun: yes;"><strong> </strong><span style="color: black;">is where</span> </span>you can learn about </span>the differences between the variety of assisted living accommodations available today, plus an explanation of the basic services. scroll to General at the bottom for a list of links to options.</div>
<div>
</div>
<div>
It is particularly important to check out the type of
license they have, level of care, and/ or services provided. Equally important
is understanding the limitations of provided service, as well as what is not
provided. Allow yourself plenty of time, and visit and inspect more than one
assisted living community.<span style="mso-bidi-font-size: 10.0pt;"><o:p> </o:p></span></div>
<div>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Print a copy of the <a href="http://www.aplaceformom.com/senior-care-resources/articles/assisted-living-residence-checklist"><strong><span style="color: blue;">checklist</span></strong></a><strong><span style="color: blue;">,</span></strong> provided at A Place For Mom, of questions to ask. Make a copy to take along to each ALC you visit.</div>
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<br />
Assisted Living Federation of America, <a href="http://www.alfa.org/alfa/default.asp"><strong><span style="color: blue;">ALFA,</span></strong></a> is an online website that can
also help you avoid disappointments, and potentially very costly mistakes.
Scroll to the end <a href="http://www.alfa.org/alfa/Checklist_for_Evaluating_Communities.asp" target="_blank"><strong><span style="color: blue;">here</span></strong></a> where you'll find a link to print a .PDF copy of the website's checklist of things you can ask about. Take time to study it,
and write out your list of questions.</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<o:p> </o:p></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Make a copy to take along to each ALC you tour and consider.<o:p></o:p></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<o:p> </o:p></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<a _blank="" href="https://www.caring.com/" target="_blank">Caring.com</a> is another excellent resource for people looking for assisted living information and options. You'll find five additional important questions, with expert answers, <a href="https://www.caring.com/ask/assisted-living-questions" target="_blank">here</a>. </div>
</div>
</div>
</div>
</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-6585906866470497062014-11-02T20:17:00.002-08:002014-11-11T21:19:40.975-08:00About my Convictions ~ and When the Doldrums Get me Down<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: large;">
</span><span style="font-size: large;">
</span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjM57EjgAGFATJZklItVH4S12xgnLSkmXAP3VMpZIIANNPP43874IzV-DkBDyPM4szLxb1qt1aq_NL0ySQvcwEe98WMtjqEXkalLwwp6OMmQmUZpgOvrDt4poMOkH5FDseR1nhGbccJEz6x/s1600/IMG_1334.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><span style="font-size: large;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjM57EjgAGFATJZklItVH4S12xgnLSkmXAP3VMpZIIANNPP43874IzV-DkBDyPM4szLxb1qt1aq_NL0ySQvcwEe98WMtjqEXkalLwwp6OMmQmUZpgOvrDt4poMOkH5FDseR1nhGbccJEz6x/s1600/IMG_1334.JPG" height="239" width="320" /></span></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div align="left">
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif; font-size: small;">No matter the species, Art sees beauty in each length of </span></div>
<div align="left">
<span style="font-size: small;"><span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">wood </span><span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">and, with phenomenal patience, turns it into an object to</span></span></div>
<div align="left">
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif; font-size: small;">treasure .... if he's successful in avoiding the pitfalls associated</span></div>
<div align="left">
<span style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif; font-size: small;">with any new hobby.</span></div>
</td></tr>
</tbody></table>
<div style="text-align: left;">
Some days I need reliable old standbys when my spirits are low. So I sing aloud the song taught to me by my mother when I was a child:<br />
</div>
<div style="text-align: left;">
"Count your blessings,</div>
<div style="text-align: left;">
Name them one by one.</div>
<div style="text-align: left;">
Count your many blessings,</div>
<div style="text-align: left;">
See what God hath done."<br />
<br />
Today <span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">
I'm baking three buttercup squash from plants Art seeded in our garden.
Last spring he took time ~ from enjoying his [then] 4-month-old passion for
turning marvels from wood on his Delta lathe ~ to plant them.</span><!--EndFragment --></div>
<br />
<!--StartFragment -->As he planted the seeds
last spring, Art and I had no idea that our lives would change<br />
<a href="http://www.palousenewscast.com/" target="_blank">drastically</a> before harvest.<br />
<br />
In early September neighbors picked the nine squash that had ripened on the sprawling plants, and carried them into our kitchen.<br />
<br />
When we moved, we brought them to our apartment at Broadway Court Estates. Their fragrance brings nostalgia.<br />
<br />
When my sister and her daughter come today to view our "new digs", we'll reminisce about gardening.<br />
<br />
As you begin visiting this blog, the goal of which is to help and encourage those who never imagined they'd move to an Assisted Living Community, <!--StartFragment -->you'll no
doubt want to know how I am learning to reconcile my feelings about
this major life style change.<br />
<br />
<blockquote class="tr_bq">
"Dear Lord,</blockquote>
<blockquote class="tr_bq">
I thank You for this day.</blockquote>
<blockquote class="tr_bq">
I thank You for my being able to see and hear this morning.</blockquote>
<blockquote class="tr_bq">
I'm blessed because You are a forgiving God and an understanding God.</blockquote>
<blockquote class="tr_bq">
You have done so much for me and You keep on blessing me.</blockquote>
<blockquote class="tr_bq">
Forgive me this day for everything I have done, said or thought that was not pleasing to You. I ask Your forgiveness.</blockquote>
<blockquote class="tr_bq">
Please keep me safe from all danger and harm. Help me start this day with a good attitude and plenty of gratitude.</blockquote>
<blockquote class="tr_bq">
Let me make the best of each and every day and clear my mind so that I can hear from You. Please broaden my mind and keep me from being prejudiced. Let me not whine and whimper over things I have no control over, or be my first response when I'm pushed beyond my limits.</blockquote>
<blockquote class="tr_bq">
I know that when I can't pray, You listen to my heart. Continue to use me to do Your will. Continue to bless me that I maybe be a blessing to others. Keep me strong that I may help the weak ... Keep me uplifted that I may have words of encouragement for others.</blockquote>
<blockquote class="tr_bq">
I pray for those that are lost and can't find their way. I pray for those that misjudged and misunderstood. I pray for those who don't know You intimately. I pray for those who don't believe. I thank You that I believe God changes people and God changes things.</blockquote>
<blockquote class="tr_bq">
I pray for all my sisters and brothers and for each and every family member in their households. I pray for peace, love and joy in their homes that they are out of debt and all their needs are met.</blockquote>
<blockquote class="tr_bq">
I pray that every person knows there is no problem, circumstance, or situation greater than God. Every battle is in Your hands for You to fight.</blockquote>
<blockquote class="tr_bq">
I pray that these words be received into the hearts of every person. </blockquote>
<blockquote class="tr_bq">
God I love You and I need You, come into my heart, please."</blockquote>
To that prayer ~ whose author I do not know ~ I add, "According to Thy will dear Lord."<br />
<br />
I find that prayer particularly comforting when the doldrums get me down ~ <!--StartFragment -->a common occurrence for people in the first few weeks
after moving into an assisted living facility.<br />
<br />
Apparently, days when your spirits are low arrive no matter the reasons for moving into an ALC. <span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">Something
feels amiss. Those who've experienced this say they felt unhappy ~ like they
weren't where they belonged<!--StartFragment -->, but one way you can learn to cope is to reach
outside yourself.</span><!--EndFragment --><br />
<br />
Take heart. <br />
<ul style="text-align: left;">
<li>Ask those you meet what brought them here.</li>
<li>Listen with compassion.</li>
</ul>
<div style="text-align: left;">
You'll soon realize you have many blessings to count.</div>
<div style="text-align: left;">
</div>
<div style="text-align: left;">
Participate in activities offered, even if only as a spectator. When you're among others, it helps you live through a day when the doldrums get you down.</div>
<br />
A family member confided the following about her 9<!--StartFragment -->2-year-old mom who moved to a senior apartment just over a year ago (and was widowed a week after moving in):<br />
<blockquote class="tr_bq">
"The part that has helped her most is building friendships from acquaintances, and that didn't happen fast. <!--StartFragment -->Not so much of the doldrums now, thank goodness."</blockquote>
[Readers who want details of "our story" will find a link to it in the October 2014 archive at the left<a href="http://www.palousenewscast.com/2014/10/adieu-north-palouse-washington.html" target="_blank"><span style="color: #336699;">.</span></a>]</div>
* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com0tag:blogger.com,1999:blog-5224283655294219755.post-90945965431696074352014-10-27T19:22:00.000-07:002014-11-03T12:29:30.120-08:00Wecome to ALC ~ The 21st Century Old Folks Home<div dir="ltr" style="text-align: left;" trbidi="on">
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<img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhdKmBwZ0fSma7zyUalWK3Y9Z9e3zqJpWSIi4k3goEIk78T0Yk8fY5BR6kPYIcm3L2LcNjVhmuPV7x8wr6ZSJFUf5TpQnLvhcp85vAhXvfjuwJpMtqIuu4-vHO6TWmjtIov37z_1uQku0IY/s1600/IMG_35951.jpg" height="400" width="297" /></div>
Three weeks after moving to an apartment in an Assisted Living Community [ALC] I stepped out onto the balcony in hopes that seeing trees in transition would bolster my hopes. My husband of 65 years and I were also in transition.<br />
<div style="text-align: left;">
</div>
<div style="text-align: left;">
September's usual fall rains had been skimpy ~ which was a blessing for our unexpected move ~ but lack of moisture often caused tree leaves to end their lifecycle without the colorful demise that gladdened the hearts of those fortunate enough to witness the glorious reds, saffron, oranges and bright gold hues.</div>
<div style="text-align: left;">
</div>
<div style="text-align: left;">
Several varieties of maple trees, already richly gaudy from treetops downward to where mature green leaves glistened on lower branches presented an array of beauty beneath a wild variety of grey clouds skidding across blue sky which heightened the colorful hues.</div>
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</div>
<div style="text-align: left;">
Our balcony's roof and railings framed the view, and I felt as though nature was pointing the way of our new life-phase.</div>
<div style="text-align: left;">
</div>
<div style="text-align: left;">
If asked, I'd wager nine out of ten people in our generation would say emphatically, "No way! I'll never live in an old folks home!" Certainly it never entered our minds.</div>
<div style="text-align: left;">
</div>
<div style="text-align: left;">
Oh, sure, gender, age, and statistics indicated I'd be widowed ~ eventually. Nevertheless, we felt prepared for it. Our home was large and I had no aversion to sharing it with other widows ~ when the time came.</div>
<div style="text-align: left;">
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Yet on this day in early October we were here ~ in an apartment in an Assisted Living Community ~ faced with this new experience.</div>
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Could we adapt</div>
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Would we be happy?</div>
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What did our future hold?</div>
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As I designed the layout for this blog and titled it I added, "The goal of this website is to help and encourage those who never imagined they'd move to an Assisted Living Community, but never-the-less are faced with the challenge. Please leave a comment to guide me as I take up this new challenge. If you have a story to share or want to suggest a topic to encourage others adventuring through this phase of life feel free to contact me."<br />
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[Readers who want details of "our story" can read it by clicking <a href="http://www.palousenewscast.com/2014/10/adieu-north-palouse-washington.html" target="_blank"> here.</a>]</div>
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<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhID1Q1ICaUQLwm_wx6R6K3qLOow1DbBimXwL1IUjCAbI6Jqlul960mToGa96pgohUNqZD8e6wgL9ouqDDD2WRitqPwDbpogdRvNyYPrhA8NglEogAHs0FYWXLz0gOPWazz5hOa8jFDjSVK/s1600/Mona+3-23-14.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhID1Q1ICaUQLwm_wx6R6K3qLOow1DbBimXwL1IUjCAbI6Jqlul960mToGa96pgohUNqZD8e6wgL9ouqDDD2WRitqPwDbpogdRvNyYPrhA8NglEogAHs0FYWXLz0gOPWazz5hOa8jFDjSVK/s1600/Mona+3-23-14.jpg" height="288" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Mona ~ one month before the unthinkable happened,<br />
An accident changed our lives,<br />
Assisted Living Community lifestyle became our best option.</td></tr>
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* * * * * * * * * * Mona * * Leeson Vanekhttp://www.blogger.com/profile/13960344550865461358noreply@blogger.com4