Doctor’s Diary: Housecall pidgin talk (#100)

Hello

 
This is the 100th posting of Doctor’s Diary.  
 
Thank you to those who have supported and commented on these every-three-day “snippets.”  My hope has been to stimulate conversation, educate the mind, and stir the soul.  
 
There is a plethora of topics related to healthcare and I will continue to bring them to you as a frontline doctor.  
 
Each email has a link for comments to my blogsite “SCV Physician Report.”  Should you wish to read past postings, follow the link, then hit “Home” to see the listing.
 
Thank you again as we move forward.
 
Gene
 
 
Doctor’s Diary:  May 11, 2018
(Snippets from the frontline)
 
Housecall pidgin talk
 
“Whatsa matter you?” was the greeting from my 89 year old Hawaiian patient.
 
“I no like da bed!” 
 
She had battled bladder cancer with radiation treatment affecting her right hip, resulting in damage needing surgical intervention.  A month prior to hip surgery, I requested a hospital bed through a home health agency making it easier to stand, and allowing comfort at night.
 
“If I get little bit money, I go buy new bed!”
 
She was right as there was a problem.  “Where is the remote to elevate your head?”  Slowly and gingerly she got up, limped to the foot of the bed, pulled out a crank, and turned it.  “I neva like dat!”
 
The bed was vintage WWII, and as I lifted the mattress, a rust cloud arose from the springs.  Immediately, I called the agency and they switched the bed out.
 
Durable medical equipment like “da bed” (which also includes wheelchairs, walkers, canes, and other devices) are provided by Medicare.  But it is also the main source for Medicare fraud.  
 
The convoluted Medicare-fix now allows elder seniors patients to be ripped off by home health agencies using inferior equipment.
 
Whatsa matter Medicare?
 
Gene Uzawa Dorio, M.D.
 

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