My experience with the wound Vac was that it worked great initially but as the wound gets smaller all of the wound measurements stayed the same for months.  I had two wounds and had to take iron pills daily.  Going over some of my Medicare and HMO bills, the wound vac company wants about $4000 a month from the insurance company.  My company settled for $1500 a month before they begginned their service with me.  It has been over a year and a half and I was told that my initial co-pay was $29 a month.  For a total period off and on for about nine months, the wound vac people have charged me in excess of $1500 and I've talked to the insurance company and they claim that they can't do anything about that.  Not only that, the wound vac company wrote me a complimentary letter asking me to call or write my insurance company and Medicare and asked them if they would please pay more because they believe that the negotiations was the unfair.  They feel that the insurance company is not paying him enough.  As high as my HMO premiums are, I believe I would not be so smart if I was to call them and asked them to please pay the wound vac company more money.  So if you use in the wound vac, and if you have a co-pay, get that in writing before you begin your treatment.  My income is strictly social security disability and they have me only $200 a month plan from a collection agency.
----- Original Message -----
Sent: Saturday, June 11, 2005 3:44 PM
Subject: Re: [QUAD-L] 2nd hosp trip and advice needed

Hi Stacy,
 
I know you will win these battles and will be back as soon as you're able.  I will keep you in my thoughts and prayers.  Stay strong and get yourself well and feeling better.  You can do what it takes because you have powerful energy.
 
With Love,

CtrlAltDel aka Dave
C4/5 Complete - 29 Years Post
Texas, USA

Stacy Harim <[EMAIL PROTECTED]> wrote:
Well I thought things were on the up and up and it turns out I had a set back.  My incision got infected. I had some drainage, I called the doc and he sent me to the local ER since I had the surgery by him in Hopkins 2 and 1/2 hrs away.  He told me they would open the incision and drain it and made me aware that it was no big deal.  It turned out to be a big deal.  I went and the local docs didn't want to touch me so they arranged an ambulance ride back to Hopkins (actually bay view, an annex of Hopkins).  They opened my incision and hooked me up to a wound vac. I was there for 3 days and 2 of the days were waiting for medicare and medicaid to approve the wound vac and nursing care at home.  What a joke.  They will pay for 2 extra days of hospital stay but wont cover the wound vac and nursing care right away to avoid the cost of being in a hospital.  I honestly wish I knew that it would be another hospital! stay, I would have done my bowel prep at home b/c it was the night for me to do it b/c of course they never got a commode chair for me.  I ended up doing the bowel prep in bed and I had my first accident since paralysis the day after I did the suppository.  I have to do my program on the commode for me to completely empty.  I was so mad b/c I was sitting up when it happened and now I fear a UTI b/c it got around the catheter. (I still have the foley while stoma heals).  I hope I don�t get one but I get UTI's a lot.  I also would have taken a shower b/c I hadnt washed my hair in a couple of days and we all know that we are not going to be offered a shower or given one when we ask b/c it would just be too much work.  I asked and they offered me the no rinse shampoo cap to wash my hair and a basin of water to wash up.  UGH.  Frustration has ultimately taken it's toll when the PA came in to activate the stoma so I wouldn't have to go back up Mond! ay.  She filled my bladder through the foley and inserted the catheter through the stoma and there weren't any results.  I'm ready to freak out.  They said it could be there is still swelling and don�t worry we'll try again in a week and it should work.  I�m really worried about all of this.  This surgery has turned into a nightmare.  The wound is still quite large and deep.  I'm looking at about a month of healing time and praying the stoma works when I go back up at the end of next week.  does anyone have any words of wisdom with the wound vac and/or the stoma.  I'm worried on both accounts.  I will be writing a letter to the hospital about the commode situation.  That is not an issue, they will be hearing from me.  Thanks in advance
 
Stacy

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