Haven't read through 31 pages of what is likely a few guys bickering back n forth, so sorry if this has already been discussed.
ESF, what is the actual medical reason the hospital and insurance (assuming you have insurance) is keeping you in the hospital rather than discharging to a SNF (Skilled Nursing Facility) which is "rehab" (not a "nursing home")? A SNF will have physical therapy, occupational therapy, medication management, smaller nurse-to-patient ratio and better food. Recovery in a SNF is generally faster because the therapies are more structured, frequent and intense. Plus less chance of getting secondary infections, etc...
I would strongly suggest you start researching eligible SNFs in your area before hospital discharge planning comes in and suddenly gives you the boot and your options are severely limited. If you get it narrowed down to 2 or 3, maybe have a friend or relative physically check them out. Some are very nice and others are shitholes. You likely won't find or be able to get into a 5 star, but don't accept anything less than a 4 star.
I've gone over a bit of this in some of the videos, but I switched insurance companies about a month prior and I was supposed to be in a SNF by last wed/thurs but found out on Friday and that one of the insurance companies or whatever it was thought I had dual coverage and there was a mix-up in which insurance company to bill. Thought it was cleared up on Friday and I will be out of here on Friday afternoon but it wasn't so I took me until today because of the holiday weekend and then today I found out the mix-up still wasn't cleared up.
Had a, I don't know how to call it, "interaction" with the doctor about him wanting to send me home because he says (in some accent) "oh I see you moving around just fine and walking around all day and you can do this and this and this and dress yourselfand do just fine"... Move around? dude you only seem to walk up and down the hallway Premera 20 minutes now after I get a shot of Dilaudid three times a day that's only walking straight front or backwards I got movie the side I have zero lateral movement in my left leg it's as if my hip abductor and gluteus medius is completely gone or firing at 0%. And dress myself? Dude I can't even put on my socks. I can't even put on my shoes. And I'm curious whether or not I can put on a pair of track pants or gym pants. And I was told I supposed to be going to a Skilled Nursing Facility because I was told I would need extensive physical therapy by the surgeon. And I seriously don't even look at my chart from longer than 6 minutes. Because you want to send me home the first time we met in that hallway but I pointed out to you that I had a midline in my arm and would require that midline for IV antibiotics and I cannot go home with a midline or Hospital policy because I have a history of IV drug use despite being clean for a year and a half. I'm surprised you're not aware of this. The dude also wanted to cut me loose with just cutting me off of the 2 mg every two hour Dilaudid dose I was getting with just 20 mg of oxycodone IR two or three times a day. Which is absurd considering the surgery that I had. I even spoke with two pain management doctors regarding what I'm going to do for pain management when I am discharged from this place the plan was to bring the oxycodone dose up to a sufficient level so that I'm not "falling off a cliff" when they pull the Dilaudid. ( can't have IV painkillers in an SNF). Can't fucking God I'm still here today when they pulled out the stitches and that while in here I still get a 2 milligram dose of dilaudid a couple minutes before they start the wound VAC change which is when they pulled out the stitches cuz holy fucking hell pulling those fucking stitches out hurt like a mother fucker.... anyways this doctor is more afraid of me putting a negative comment about him on YouTube then he is with looking at my fucking chart (ill talk about thAt more after I'm discharged from the hospital... They're super concerned about their little PR damage control bullshit since the other day)... Long story
Anyways... so I got about 20 minutes left in the day 2 trailer fix this insurance shit and get them looking for an SNF the rest of the day and first thing in the morning and best case scenario is I'm out here tomorrow afternoon or tomorrow morning.
I'm super aware I'm likely going to need physical therapy or at the very least occupational therapy.
Speaking to the pain management doctor I mentioned I don't anticipate being on painkillers longer than 2 weeks with that second week tapering down he mentioned me like we need any painkillers for about 5 weeks if not more earlier this morning. I'm sticking to my two week estimate. Right now I believe you my total milligrams of Oxycodone is about 280 per day consisting of 40 mg of oxy CR twice per day every 12 hours and then every 3 hours 20 mg of Oxy IR and those doses fucking suck. Even with the one milligram Dilaudid every 6 hours. Going to ask three pulled off the Dilaudid 1mg shyt tonight if they can bump the oxy CR doses by 20 mg each and see if that helps
I seriously doubt the food at any of the SNF is going to be any better than what I get here. This place is like the Cedar-Sinai of Palm Springs area. Catering service here is like a fucking Resort. Even made a couple of videos about the food.
They were even looking at SNS as far away as Loma Linda which I seriously hope I don't go to because number one that may be the hospital where my ex-fiance works. Since she's finally graduated med school. Number two that Hospital is a Seventh-Day Adventist Hospital and those people are vegetarian. That's the same hospital I was in when I had sepsis back in 2014 before I went to Cancun the food there is fucking horrible the entire time I was there I probably spent $200 on grilled cheese sandwiches after sneaking down to the cafeteria three or four times a day. & number 3 its fucking far & I won't be able to do any business from there or get visitors
