what are you doing right now?

[The Walk of the Penguin Mich]

Aug 2, 2024 21:22:36 GMT -5 Opti said:

Aug 2, 2024 20:03:50 GMT -5 cooper88 said:

Nope, they discharged home because they got better! However, they didn't send his medications home with him. Assholes.

Not sure what protocol is, but I think they may have to destroy meds in the snf instead of sending them home with a patient. The discharging doctor is supposed to write scrips before discharge and have them sent to the patient's pharmacy before they leave.

Each state is different, but I know this to be true for NJ. Because some patients abuse their meds and will overdose on them if they are allowed to carry them out, I believe that NJ does not allow the leftover meds to be taken on discharge. Sometimes that can be worked around with social work and nursing in advance.

So it wasn't an unsafe d/c though. Something got screwed up with the medication. So, who is calling the nursing home and the pharmacy to straighten it out tomorrow?

I came home with my IV antibiotics when I left the nursing home I was rehabbing in.  The pharmacy had just delivered a week’s worth of IV bags and they all came home with me.  

Im not exactly why you think that patients would abuse meds bought, received and doled out by a nursing home any more than a patient would abuse a vial of 30 days or 90 days that they’d receive from a pharmacy.  

[The Walk of the Penguin Mich]

Today was busy.  We dropped off DS at the train station north of Seattle, and turned around to drive home.  We had to stop at the store and pick up some stuff for lunch we were having with friends.  They brought lobster rolls, and they were incredible.  After leaving the brewery, we went to a cider mill and had lemonade slushies while overlooking the bay.  It was sunny out and warm, but we had a nice breeze.  Good conversation, good friends, good day.

This will probably be the last time we can get together for awhile.  They leave in a few weeks for Africa.  When they get back, we leave for Ireland.  When we get back, they are onto China.  When we get back, we are home until Jan.  So we might be in th3 same state again in Nov?  

The husband is also a diver, so would like to plan a dive trip with them.

[finnime]

Good morning, compassionate invisipeeps, unsnagging complicated relationships and shoring up delicate egos as you plough the north forty. Welcome to Saturday. I hope your day is worthy of the weekend and that no one gives you any trouble.

You're right, I've not mentioned DSS before here. He absented himself years ago from our lives due to no cataclysmic event but just an evolving self-absorption of his own that he never outgrew. At this point I'm not sure he's aware of where we live. DH sends him $$ for his birthday and Christmas and he doesn't respond with a simple thanks. I'm sure he has his gripes about his father but I also know absolutely DH loves him and has always treated him well. Sigh.

DH goes very far out of his way to avoid conflict. There was a joke in our divorce support group that went, 'I'll never marry again. I'll just find someone who hates me and buy them a house.' For DH, that was not really a joke.

I spent yesterday ordering things we'll be needing for the shows next weekend and the weekend after. I'm really happy it worked out, the one in Mystic. I made plans for Franklin the Dog to be at DSis's the first weekend and ODB's the next. Now we just hope for decent weather. I need to clean out the car.

The heat continues today although it's not supposed to be as hot as it has been the last 2 days. We'll see.

Yesterday we had a red-pink sun rising. Due to the white balance on my camera, the sun came out white as the brightest thing in the image, but its tail on the water shows it well.

[Opti]

Aug 2, 2024 23:14:56 GMT -5 The Walk of the Penguin Mich said:

Aug 2, 2024 21:22:36 GMT -5 Opti said:

Not sure what protocol is, but I think they may have to destroy meds in the snf instead of sending them home with a patient. The discharging doctor is supposed to write scrips before discharge and have them sent to the patient's pharmacy before they leave.

Each state is different, but I know this to be true for NJ. Because some patients abuse their meds and will overdose on them if they are allowed to carry them out, I believe that NJ does not allow the leftover meds to be taken on discharge. Sometimes that can be worked around with social work and nursing in advance.

So it wasn't an unsafe d/c though. Something got screwed up with the medication. So, who is calling the nursing home and the pharmacy to straighten it out tomorrow?

I came home with my IV antibiotics when I left the nursing home I was rehabbing in.  The pharmacy had just delivered a week’s worth of IV bags and they all came home with me.  

Im not exactly why you think that patients would abuse meds bought, received and doled out by a nursing home any more than a patient would abuse a vial of 30 days or 90 days that they’d receive from a pharmacy.  

I know some will. I saw it up close and personal as a front desk person. Those who seek drugs and those who are alcoholics are pretty devious in getting their drugs of choice. But again, it's not about what I think. It's what (NJ) law makers chose to do and codify into the laws that various areas have to follow. 

Mich, do you see the difference though in legal liability in those two bolded cases?

If you want some slightly modified stories on drug seeking patients (prescription drugs), those who abuse alcohol etc. I'll be happy to supply one to three of them. Bars have serving laws because of liability. It has very little to do with how drunk people can get at home or be while driving. 

And things do get ugly, its not just on the TV show Chicago Med that one has to call the police or fire department to deal with some patients. Patients do sue facilities or report them to state authorities regularly. Imagine how documented things can get when several police officers in addition to various departments of the facility have to write incident reports. I had to write several myself. I hope Mich you can understand that no facility enjoys being put through this and that perhaps after too many complaints, state legislators might write laws to limit problems of the past years. They don't enjoy numerous phone calls and whining either.

As always, YMMV. 

[Opti]

Plus remember various things matter. If a patient is on hospice the rules are very different and the meds are not ordered through the facility. I know I personally made calls to get visitors to pick supplies up that were paid for on behalf of the patients.

There are more exceptions, but I was not privy to most as I have not been an administrator of a nursing home, a director of nursing, or even a social worker.

[Opti]

Aug 2, 2024 23:14:56 GMT -5 The Walk of the Penguin Mich said:

Aug 2, 2024 21:22:36 GMT -5 Opti said:

Not sure what protocol is, but I think they may have to destroy meds in the snf instead of sending them home with a patient. The discharging doctor is supposed to write scrips before discharge and have them sent to the patient's pharmacy before they leave.

Each state is different, but I know this to be true for NJ. Because some patients abuse their meds and will overdose on them if they are allowed to carry them out, I believe that NJ does not allow the leftover meds to be taken on discharge. Sometimes that can be worked around with social work and nursing in advance.

So it wasn't an unsafe d/c though. Something got screwed up with the medication. So, who is calling the nursing home and the pharmacy to straighten it out tomorrow?

I came home with my IV antibiotics when I left the nursing home I was rehabbing in.  The pharmacy had just delivered a week’s worth of IV bags and they all came home with me.  

Im not exactly why you think that patients would abuse meds bought, received and doled out by a nursing home any more than a patient would abuse a vial of 30 days or 90 days that they’d receive from a pharmacy.  

Pretty hard to abuse IV bags though, right? A 30-day supply of pills that can kill you if you take too many at time ... a bit different.

[MJ2.0]

Aug 2, 2024 14:54:35 GMT -5 giramomma said:

Aug 2, 2024 14:23:51 GMT -5 Pink Cashmere said:

Feeling like crap, that’s what I am doing.

Mister and I have still been getting along better. So much so that a couple weeks ago I asked him what was he up to and whether I should be worried. He asked what did I mean. I said you’ve been being nice and agreeable lately. He said “I must really be mean then, because I didn’t think I was being nice”. I didn’t know how to take that, so I left it alone.

But he’s been doing more stuff around the house without me asking, and when I do ask him to do something, he does it without me having to remind him. He’s more chatty and starting to be affectionate again.

I am sorry you are feeling like crap. DH and I have had similar conversations. He'll bring me coffee when i can get it myself. I'll be like, I appreciate and you don't need to be so nice. Dh is like "I'm not being nice."

I just move along. For my DH, I think he's trying to say that he's just doing normal things, not "nice" things, which tend to be above and beyond.

I also have to stop gushing at DH for being so "nice". For me it almost gives the message that I expect less from him, and that's not the vibe I'm going for. I *have* accepted a LOT less from SOs in the past, but I'm trying to let that part of me die. Old habits and all that....

[MJ2.0]

feeling relatively good today. I did 20 mins of hatha yoga and went on a 2 mile walk while talking to my mom. I think I'm finally "better"! Still blowing my nose and masking around DS, but overall I feel good-ish.

I have to arrange some kind of workout for DS today to help whip him into a semblance of a shape for fall cross country. He hasn't been running AT ALL this summer, but we did a lot of walks, some racquetball at the park, and a couple of trips to the rock climbing place. I just can't buddy with him to do all the running he needs. I have never been a runner. DH likes running/jogging, but he hasn't been the same since he broke his ankle 2 years ago. 

Happy Saturday all!

[andi9899]

I'm going to see these today. I'm also going to the open house for the weird house.

www.zillow.com/homedetails/2724-S-45th-Ter-Kansas-City-KS-66106/75729886_zpid/

www.zillow.com/homedetails/5618-Sutton-Ave-Kansas-City-KS-66106/75718270_zpid/

[flamingo]

I did not sleep well last night. I have frozen shoulder and clearly need to get back to PT bc my range of motion and pain is going in the wrong direction. Earlier this summer I thought I might actually be getting better, but I guess not. 

[alabamagal]

Heading to Miami for annual family vacation. Looks like tropical storm will blow through by Sunday and we should have good weather for lobster diving by Tuesday. Mainly looking to spend some good quality team with the grandkids.

[The Walk of the Penguin Mich]

Aug 3, 2024 5:51:46 GMT -5 Opti said:

Aug 2, 2024 23:14:56 GMT -5 The Walk of the Penguin Mich said:

I came home with my IV antibiotics when I left the nursing home I was rehabbing in.  The pharmacy had just delivered a week’s worth of IV bags and they all came home with me.  

Im not exactly why you think that patients would abuse meds bought, received and doled out by a nursing home any more than a patient would abuse a vial of 30 days or 90 days that they’d receive from a pharmacy.  

Pretty hard to abuse IV bags though, right? A 30-day supply of pills that can kill you if you take too many at time ... a bit different.

So how is this different from writing a prescription for 30 days and handing it to them as they leave?  They get the same pills.  

[chiver78]

my friend S is back this weekend for Cape League baseball. he rolled in around 2am last night, so he's still sleeping. I'm doing quiet stuff now that I'm back from a grocery run, and gymnastics event finals are streaming in another tab on this laptop. happy weekend, kids! 

[The Walk of the Penguin Mich]

Aug 3, 2024 5:31:53 GMT -5 Opti said:

Aug 2, 2024 23:14:56 GMT -5 The Walk of the Penguin Mich said:

I came home with my IV antibiotics when I left the nursing home I was rehabbing in.  The pharmacy had just delivered a week’s worth of IV bags and they all came home with me.  

Im not exactly why you think that patients would abuse meds bought, received and doled out by a nursing home any more than a patient would abuse a vial of 30 days or 90 days that they’d receive from a pharmacy.  

I know some will. I saw it up close and personal as a front desk person. Those who seek drugs and those who are alcoholics are pretty devious in getting their drugs of choice. But again, it's not about what I think. It's what (NJ) law makers chose to do and codify into the laws that various areas have to follow. 

Mich, do you see the difference though in legal liability in those two bolded cases?

If you want some slightly modified stories on drug seeking patients (prescription drugs), those who abuse alcohol etc. I'll be happy to supply one to three of them. Bars have serving laws because of liability. It has very little to do with how drunk people can get at home or be while driving. 

And things do get ugly, its not just on the TV show Chicago Med that one has to call the police or fire department to deal with some patients. Patients do sue facilities or report them to state authorities regularly. Imagine how documented things can get when several police officers in addition to various departments of the facility have to write incident reports. I had to write several myself. I hope Mich you can understand that no facility enjoys being put through this and that perhaps after too many complaints, state legislators might write laws to limit problems of the past years. They don't enjoy numerous phone calls and whining either.

As always, YMMV. 

So this is New Jersey.  This is also how the nursing home where you were worked.  A blanket statement where drugs get destroyed is not always correct.  

Come to think of it, when I left the nursing home, I received sufficient narcotics for 24 hours until I could get my prescriptions filled.  

I wonder how my insurance would have dealt with the fact that they had just paid for a week worth of IV antibiotics…..about $3000……which would have otherwise gotten destroyed and were expected to repay another $3000 so I could deliver them at home?  

Id posit that they were presumably destroyed so the staff couldn’t get access to them and sell them, not the patients.  I wonder if they truly got destroyed?

[wvugurl26]

I need to unpack and do laundry today. We leave Wednesday night for vacation.

DH just left to return the meat we had in our chest freezer to his parents. They woke up one day and the ice cream was melted. The fridge was 17 years old so they ordered a new one. It was delivered Monday and is functioning properly.

I also need to unpack the various deliveries and reset from back to back work trips. And see what food we need for the next 5 days.

[jerseygirl]

When Jerseyguy was released from the rehab , he was given the meds he hadn’t used. This is in NJ
The meds were for blood pressure and heart

[soupandstew]

Aug 3, 2024 8:02:10 GMT -5 andi9899 said:

I'm going to see these today. I'm also going to the open house for the weird house.

www.zillow.com/homedetails/2724-S-45th-Ter-Kansas-City-KS-66106/75729886_zpid/

www.zillow.com/homedetails/5618-Sutton-Ave-Kansas-City-KS-66106/75718270_zpid/

I like the one on 45th.  And I can't wait to hear about the weird house

[andi9899]

What about this one? I like it. It's in a decent area. I lived in this area briefly a while back. It was pretty quiet.

www.zillow.com/homedetails/5805-N-Colrain-Ave-Kansas-City-MO-64151/2494232_zpid/

[wvugurl26]

Some facilities also force the patient or their family to provide the medication or they won't be admitted. In that case, the medication damn well better be returned.

If the SNF is properly covering the medication as they should, then it seems reasonable to send a small supply until the person or their family can get to the pharmacy.

[soupandstew]

Having looked at a lot of real estate listings over the past couple of months (I look at my area too, not just Andi's) I've noticed a huge difference in photo quality and how that impacts the listings.  A good photographer opens up all the window coverings, turns on all lighting, and makes sure to include desirable features like ceiling fans, modern showers, clean garage etc.  This makes a good house look even better.  But a poor photographer takes out-of-focus, poorly lit photos that don't even show the good stuff and makes a decent place look like a dungeon.  The realtor we recently met with made a point of telling me that she hires a professional photographer to shoot her listings.

I'm also stunned to see some realtors still using the term "master" bedroom or suite.  I don't think there's a realtor in Houston that would make that mistake and risk turning off a potential buyer.  

[cooper88]

Aug 3, 2024 8:50:38 GMT -5 The Walk of the Penguin Mich said:

Aug 3, 2024 5:31:53 GMT -5 Opti said:

I know some will. I saw it up close and personal as a front desk person. Those who seek drugs and those who are alcoholics are pretty devious in getting their drugs of choice. But again, it's not about what I think. It's what (NJ) law makers chose to do and codify into the laws that various areas have to follow. 

Mich, do you see the difference though in legal liability in those two bolded cases?

If you want some slightly modified stories on drug seeking patients (prescription drugs), those who abuse alcohol etc. I'll be happy to supply one to three of them. Bars have serving laws because of liability. It has very little to do with how drunk people can get at home or be while driving. 

And things do get ugly, its not just on the TV show Chicago Med that one has to call the police or fire department to deal with some patients. Patients do sue facilities or report them to state authorities regularly. Imagine how documented things can get when several police officers in addition to various departments of the facility have to write incident reports. I had to write several myself. I hope Mich you can understand that no facility enjoys being put through this and that perhaps after too many complaints, state legislators might write laws to limit problems of the past years. They don't enjoy numerous phone calls and whining either.

As always, YMMV. 

So this is New Jersey.  This is also how the nursing home where you were worked.  A blanket statement where drugs get destroyed is not always correct.  

Come to think of it, when I left the nursing home, I received sufficient narcotics for 24 hours until I could get my prescriptions filled.  

I wonder how my insurance would have dealt with the fact that they had just paid for a week worth of IV antibiotics…..about $3000……which would have otherwise gotten destroyed and were expected to repay another $3000 so I could deliver them at home?  

Id posit that they were presumably destroyed so the staff couldn’t get access to them and sell them, not the patients.  I wonder if they truly got destroyed?

This is exactly the issue. Patient's insurance has already paid for those medications and mostly will not pay for an early refill. The nursing facility discharges the patient with what they have on hand, that their insurance already paid for. It's considered an unsafe discharge if they do not do that.

[giramomma]

Aug 3, 2024 8:58:31 GMT -5 andi9899 said:

What about this one? I like it. It's in a decent area. I lived in this area briefly a while back. It was pretty quiet.

www.zillow.com/homedetails/5805-N-Colrain-Ave-Kansas-City-MO-64151/2494232_zpid/

I would not look at this one.

I think it's going to be too much work to update. Plus the big ceiling crack and being sold as is.

[giramomma]

Aug 3, 2024 8:02:10 GMT -5 andi9899 said:

I'm going to see these today. I'm also going to the open house for the weird house.

www.zillow.com/homedetails/2724-S-45th-Ter-Kansas-City-KS-66106/75729886_zpid/

www.zillow.com/homedetails/5618-Sutton-Ave-Kansas-City-KS-66106/75718270_zpid/

I like both of these, but I like the exterior of the one on 45th better.

[CCL]

Aug 3, 2024 8:02:10 GMT -5 andi9899 said:

I'm going to see these today. I'm also going to the open house for the weird house.

www.zillow.com/homedetails/2724-S-45th-Ter-Kansas-City-KS-66106/75729886_zpid/

www.zillow.com/homedetails/5618-Sutton-Ave-Kansas-City-KS-66106/75718270_zpid/

I like the 1st one, except a couple things I see with the concrete, but they may be minor.

I'm surprised by all the walk-out basements available there.

[andi9899]

Aug 3, 2024 9:25:43 GMT -5 giramomma said:

Aug 3, 2024 8:58:31 GMT -5 andi9899 said:

What about this one? I like it. It's in a decent area. I lived in this area briefly a while back. It was pretty quiet.

www.zillow.com/homedetails/5805-N-Colrain-Ave-Kansas-City-MO-64151/2494232_zpid/

I would not look at this one.

I think it's going to be too much work to update. Plus the big ceiling crack and being sold as is.

And this is exactly why I'm running them all by ypu guys. I didn't even see the crack. Thanks!

[The Walk of the Penguin Mich]

Aug 3, 2024 8:02:10 GMT -5 andi9899 said:

I'm going to see these today. I'm also going to the open house for the weird house.

www.zillow.com/homedetails/2724-S-45th-Ter-Kansas-City-KS-66106/75729886_zpid/

www.zillow.com/homedetails/5618-Sutton-Ave-Kansas-City-KS-66106/75718270_zpid/

The deck on the second house looks like it has some rotted boards.  How much rotted might be just a few boards or the whole deck.  Might want to check that out.

[TheOtherMe]

Aug 3, 2024 9:25:43 GMT -5 giramomma said:

Aug 3, 2024 8:58:31 GMT -5 andi9899 said:

What about this one? I like it. It's in a decent area. I lived in this area briefly a while back. It was pretty quiet.

www.zillow.com/homedetails/5805-N-Colrain-Ave-Kansas-City-MO-64151/2494232_zpid/

I would not look at this one.

I think it's going to be too much work to update. Plus the big ceiling crack and being sold as is.

This is an estate sale.  You have a beauty shop.  The crack in the ceiling bothered me, too.

[Cookies Galore]

Aug 3, 2024 8:02:10 GMT -5 andi9899 said:

I'm going to see these today. I'm also going to the open house for the weird house.

www.zillow.com/homedetails/2724-S-45th-Ter-Kansas-City-KS-66106/75729886_zpid/

www.zillow.com/homedetails/5618-Sutton-Ave-Kansas-City-KS-66106/75718270_zpid/

Did you previously share the Sutton house before? The exterior and the interior brick wall look so familiar.

[soupandstew]

Aug 3, 2024 10:28:29 GMT -5 Cookies Galore said:

Aug 3, 2024 8:02:10 GMT -5 andi9899 said:

I'm going to see these today. I'm also going to the open house for the weird house.

www.zillow.com/homedetails/2724-S-45th-Ter-Kansas-City-KS-66106/75729886_zpid/

www.zillow.com/homedetails/5618-Sutton-Ave-Kansas-City-KS-66106/75718270_zpid/

Did you previously share the Sutton house before? The exterior and the interior brick wall look so familiar.

the interior brick wall bothered me a lot - it just sticks out like an irrelevant afterthought.  

[NancysSummerSip]

Mostly an indoor day today, due to our tropical storm rain. We are not getting a direct hit, but wind/rain squalls. A good day to get big nasty chores done.