The Weirdly Wonderful Seneca Wallace Small Talk Chit Chat Talkin' Topics Thread

[spuds1961]

Originally Posted by JosieD

I totally missed that whole page in the thread. Sometimes it is hard to keep up here especially with all the baseball talk. Shame we don't have a section for that.

One post because a question was asked Wah Wah Wah.

[jlzinck]

Originally Posted by BostonNut

You could always take the MBTA commuter rail!

I still need to drive 40 miles to the commuter rail. Only goes to South Station. Then I would need to take the Red Line to Kendal/MIT and walk a half a mile.

[oldgoldy97]

Originally Posted by jlzinck

The cockroach who hit and almost killed my daughter lived in Milford.
My Dumber than a rock sister in law lives in Milford.
Lots of activity of frozen water in Milford.
An Inordinate number of crimes committed with machete's in Milford.

I knew I heard of it.

[corndog]

Happy Wednesday to some of y'all.

[JosieD]

Hello. Today is Wednesday Octobet 8th.

[JosieD]

Originally Posted by spuds1961

One post because a question was asked Wah Wah Wah.

Are we reading the same thread?

[BostonNut]

GM SW!

[Bosoxfan5990]

Good morning, early birds.

[Boo]

Originally Posted by Saraste

The people making these decisions and allowing what is happening to him and Goldy's gramps to happen ought to...(don't want to say what I really think...would probably lead to the hammer).

Mainly the insurance companies. That is the system we have though.

[Boo]

Did FT Jr have a game last night?

[BostonNut]

Originally Posted by Boo

Did FT Jr have a game last night?

They probably skipped it to watch the Blue Jays game.

[Boo]

Originally Posted by BostonNut

They probably skipped it to watch the Blue Jays game.

Think he threw a Spock Wookie helmet at FT?

[jlzinck]

Sorry this is happening.

The Skilled facility that my LCS owner is in is not good. They are so understaffed.

Originally Posted by JosieD

This is going to be very long so I will TLDR: Nanny's husband is dying and nursing home tried to hide it to scam us for $8k

My nanny's 2nd husband (together 40 years, married over 30) is currently in skilled nursing. He has been there for at least 2-3 months and has had 2-3 hospitalizations while there. Last Monday, they called my mom and said she had to take him home on Wednesday because he was out of "rehab days" or they could move them over to their "24/7 side" and it would around $8,000. We were able to appeal the decision. She contacted his insurance company and they said the nursing home never summitted a request for additional days and that he was eligible to continue care. At this time, my mom was told that he was fatigued and refusing to do PT. She submitted the first appeal and it was denied. She asked me to help because she was getting too frustrated with them and needed help making decisions. I did a ton of research based off of what they shared with us. I did not realize he was in skilled nursing. We spoke to the social worker and I specifically asked about hospice and levels of care. They repeatedly said rehab care and said he wasn't participating in the required number of hours weekly to qualify. She said that we weren't there yet and no one has suggested it. We were again told he was refusing to participate in his treatment. I asked billing questions because they were having my mom appeal through a 3rd party insurance company. She said she couldn't answer any billing questions and we had to speak to another person at the home. She would call us back. In the meantime, we called the third party insurance company and submitted a 2nd level appeal. I asked the appeal person what she would add if she were in our situation and she gave us a lot of helpful advice, which we did have added to the appeal. The 2nd level appeal was approved two days later. We spoke with the billing specialist the day after we submitted the 2nd appeal but did not have the final decision yet. Again, I asked about when we start thinking about hospice. We also asked to have his PT schedule spread out over 5 days instead of 3 one hours sessions. She said hospice has never been mentioned and we couldn't request an addendum in PT during the appeal process. She said we most likely wouldn't win the 2nd appeal and we discussed moving him to 24/7 care, the price and if it impacted their assets. Saturday, we got a text saying the 2nd level appeal was approved but didn't specify the number of days.

Today, my mom got another call from the home stating that his days end on 10/9 and we have to pick him up or move him to their "24/7" side. The social worker sent her a letter that she needs B (Nanny's husband to sign). My mom sent me the letter and I carefully reviewed it and got back to my mom. We did not receive a letter like this last week. I asked why. They had B sign it without brining it to our attention. He doesn't remember signing anything nor is in his right mind to do so without one of us explaining it to him. It states we should have gotten a detailed letter outlining why they did not agree with more days. There was nothing sent to us or provided when we were asking questions last week. It states his therapy was supposed to continue during the appeal process. His last PT was 10/2 so that clearly did not happen.

The PT finally got back to my mom today. He has been expressing to the nursing staff since 9/22 that B's health is significantly declining and that we should seek hospice care at this point. He told my mom that any further PT would be torturing him as his decline has been rapid. He stated he was very upset and didn't understand why no one had said anything prior to this. After talking over all the options with my mom, we will be requesting he be moved to a hospice based facility tomorrow. I will be submitting a report to office of aging after we get him moved out of there.

[Boo]

Originally Posted by jlzinck

7 more than my last job but going through Boston

Become a Door Dasher

[Boo]

Or move near Glen and pick up his food for him anytime he wants something, you'd be rich.

[Boo]

Rain on and off for a little more this morning, it rained all night it seems. Got a good inch (a Bnut). Supposed to clear off and get windy. High around 70 but chilly with the wind.

[fulltritty]

Originally Posted by bigdog2003

The Grumpy Monk

Never been to that one. The prime rib on their Facebook page looks good though.

[fulltritty]

Originally Posted by JosieD

This is going to be very long so I will TLDR: Nanny's husband is dying and nursing home tried to hide it to scam us for $8k

My nanny's 2nd husband (together 40 years, married over 30) is currently in skilled nursing. He has been there for at least 2-3 months and has had 2-3 hospitalizations while there. Last Monday, they called my mom and said she had to take him home on Wednesday because he was out of "rehab days" or they could move them over to their "24/7 side" and it would around $8,000. We were able to appeal the decision. She contacted his insurance company and they said the nursing home never summitted a request for additional days and that he was eligible to continue care. At this time, my mom was told that he was fatigued and refusing to do PT. She submitted the first appeal and it was denied. She asked me to help because she was getting too frustrated with them and needed help making decisions. I did a ton of research based off of what they shared with us. I did not realize he was in skilled nursing. We spoke to the social worker and I specifically asked about hospice and levels of care. They repeatedly said rehab care and said he wasn't participating in the required number of hours weekly to qualify. She said that we weren't there yet and no one has suggested it. We were again told he was refusing to participate in his treatment. I asked billing questions because they were having my mom appeal through a 3rd party insurance company. She said she couldn't answer any billing questions and we had to speak to another person at the home. She would call us back. In the meantime, we called the third party insurance company and submitted a 2nd level appeal. I asked the appeal person what she would add if she were in our situation and she gave us a lot of helpful advice, which we did have added to the appeal. The 2nd level appeal was approved two days later. We spoke with the billing specialist the day after we submitted the 2nd appeal but did not have the final decision yet. Again, I asked about when we start thinking about hospice. We also asked to have his PT schedule spread out over 5 days instead of 3 one hours sessions. She said hospice has never been mentioned and we couldn't request an addendum in PT during the appeal process. She said we most likely wouldn't win the 2nd appeal and we discussed moving him to 24/7 care, the price and if it impacted their assets. Saturday, we got a text saying the 2nd level appeal was approved but didn't specify the number of days.

Today, my mom got another call from the home stating that his days end on 10/9 and we have to pick him up or move him to their "24/7" side. The social worker sent her a letter that she needs B (Nanny's husband to sign). My mom sent me the letter and I carefully reviewed it and got back to my mom. We did not receive a letter like this last week. I asked why. They had B sign it without brining it to our attention. He doesn't remember signing anything nor is in his right mind to do so without one of us explaining it to him. It states we should have gotten a detailed letter outlining why they did not agree with more days. There was nothing sent to us or provided when we were asking questions last week. It states his therapy was supposed to continue during the appeal process. His last PT was 10/2 so that clearly did not happen.

The PT finally got back to my mom today. He has been expressing to the nursing staff since 9/22 that B's health is significantly declining and that we should seek hospice care at this point. He told my mom that any further PT would be torturing him as his decline has been rapid. He stated he was very upset and didn't understand why no one had said anything prior to this. After talking over all the options with my mom, we will be requesting he be moved to a hospice based facility tomorrow. I will be submitting a report to office of aging after we get him moved out of there.

I'm sorry to hear about his health.

Nursing homes are the biggest scam out there and should be shut down.

[fulltritty]

Originally Posted by JosieD

I totally missed that whole page in the thread. Sometimes it is hard to keep up here especially with all the baseball talk. Shame we don't have a section for that.

It could be worse. We could still have ruggy, computer man, and AZ professor in here talking about football.

Funny thing happened at work this week. They usually spend hours loudly talking about footbsll crap on Mondays in the new room we moved to. The lead of the other contract in here is a big Eagles fan from Philly. The Eagles lost and there was no football talk this Monday. My employees, who can't stand football either, were so thankful and now are hoping the Eagles lose the rest of the way out.

[fulltritty]

Originally Posted by Boo

Did FT Jr have a game last night?

He had practice. Mrs. FT brought cup cakes for the kids after the game and made sure to tall everyone that it was his birthday the day before. Moms.

[fulltritty]

Originally Posted by BostonNut

They probably skipped it to watch the Blue Jays game.

I didn't watch the game at all. I believe he watched it until bed time at 9:30.

[fulltritty]

Originally Posted by Boo

Rain on and off for a little more this morning, it rained all night it seems. Got a good inch (a Bnut). Supposed to clear off and get windy. High around 70 but chilly with the wind.

Rained a bit this morning on the drive in. I'm surprised there were no accident although I almost had one on Rt. 3 when an idiot decided to cross the road in front of me.

[Boo]

Originally Posted by fulltritty

Rained a bit this morning on the drive in. I'm surprised there were no accident although I almost had one on Rt. 3 when an idiot decided to cross the road in front of me.

Alien?

[fulltritty]

Mrs. FT got scammed from an Ebayer.

She bought FT JR a Blue Jays Division Champs hoodie. Did she buy it from Fanatics or the Blue Jays team store? No, she bought it from some apparel store in Texas on E-bay. We open it up yesterday to give it to FT JR and he and I are laughing at the wording. The Blue Jays are apparently the 2025 American League West Champions. And she pulled the purchase up and it says the seller doesn't take returns.

[Boo]

Originally Posted by fulltritty

I didn't watch the game at all. I believe he watched it until bed time at 9:30.

Hey Bnut, true fan^^^