Saturday, June 24, 2023

Saturday, June 24, 2023 

       The staff is talking about getting me out of the hospital.  A rehab facility would be preferred, but the ones covered by insurance are full.  They won't release me unless I assure them I will have 24-hour care.  Scott said he would do it.

    I made alternate plans should Scott not work out. Step 1- I called Judy to set up teams of people to do turns of hands-on care: walking me several times a day, feeding me, cleaning me up, walking me to the toilet, changing my bedclothes, scheduling visits from friends and neighbors,

I planned to leave the hospital by Tuesday morning at the latest. Scott has ordered all the medical equipment I need at home. It should arrive on Monday. With any luck, I will be out by Monday afternoon. I have spoken to everyone about getting my discharge order set up. The plan is to go home. If that's not workable, I hope to enter a skilled nursing facility I pay for.  Question: If I went AMA and was absent without medical authorization, how would it impact my going into a facility after I got home? If I go out with AMA, I can go into an insurance and Medicaid-covered facility for thirty days.

  Dr. Sanchez came tiptoeing in while I was dozing and turned to leave when he saw I was dozing. I asked him to please not do that. I was always dozing; I didn't want to miss an opportunity to consult with the doctor. He insisted he was just being respectful. I insisted it wasn't respectful if it was not what I wanted. It drives me crazy when people impose their will 'for my sake.'

  Dr Chang, the surgeon, stopped by to check my range of motion limit. Given a choice of a trip around the world for two weeks or this stay in the hospital, I would choose the hospital. I have learned a lot about communication, cognitive styles, and my standards and expectations. I can also see my hard driving style and how it impacts others.  The approach should be as variable as the handshake; it depends 

   I had two bowel movements today. My first one since Tuesday morning before the shoulder surgery.