Outstanding answer, Bob. Sent from my iPad
Begin forwarded message: > Resent-From: [email protected] > From: Robert Vogel <[email protected]> > Date: May 24, 2016 at 12:52:47 PM EDT > To: DAVID LEWIS <[email protected]> > Cc: Quad-list Post <[email protected]>, Borcherding Tom > <[email protected]> > Subject: Re: [QUAD-L] Have sore on rear. Have Roho question > > Hi David, > > Bob Vogel here. I’m a T10 complete para, 31 years post injury and I’ve had > experience in both > questions you ask. > > Per your ROHO question—the first and most important thing to do is have your > sore documented by > your doctor, either your primary care doctor or PM&R doc—meaning you get in > to see the doc, and the > sore is in your medical chart. From there it *should* be a slam dunk to get > a ROHO. Usually the best way > to go about it is can call your local DME provider (wheelchair and cushion > store) and tell them > you have a pressure sore, you are on an egg crate cushion and and need to > move up to a ROHO at which > point they *should* take you step by step through the process which is: 1. > Document by doctor. 2. Set up an > appointment with a seating clinic, either a physical or occupational > therapist that specializes in seating. 3. The > DME provider then does a great deal of paperwork contacting your insurance > provider for approval, getting detailed > chart notes from seating clinic as well as chart notes from your doctor, > getting a detailed “letter of medical necessity” for > your cushion etc. This is a lengthy and time consuming process, however in > the case of a pressure sore you should > be given top priority. > > An example of this—30 years ago—despite asking for a ROHO, I was sent home > from rehab on a memory foam cushion. > Despite constant weight shifts and mirror-skin-checks every night, about > three months after I was out of rehab I developed > a small pressure sore (about the size of the round eraser at the end of a > pencil). It wasn’t deep, but it wouldn’t heal. > I went to my PM&R doc, had them look at the pressure sore and they contacted > my DME provider and my insurance > (Medicaid) paid for a ROHO—which I got within a month. A combination of the > ROHO, lots of weight shifts, spending > lots of time off my butt, I was able to heal the sore. > > Per your question about a wound care nurse, they are vital! A wound care > nurse works wonders helping heal a > sore as fast as possible. A pressure sore needs very specific care and > environment at different stages of > healing—such as debridement, (removing dead skin in or around the wound), > specific types of packing materials > (stuff that goes in the wound to give healing cells something to hang on to), > creams for specific PH, etc. etc. Wound > care nurses know exactly what to do with a sore and when to do it to heal you > as fast as possible. > > Hope this helps. > > Bob Vogel > > > > >> On May 24, 2016, at 8:58 AM, DAVID LEWIS <[email protected]> wrote: >> >> Hiya, >> I have a sore starting on my butt. It wont seem to heal. >> They asked me if i needed a wound nurse. What do they do. >> >> And does Medicare cover the cost of one of those Roho Cushions? >> I have been using those foam eggrcrate ones. >> Thank you. Quad over 35 years. >
