It's never easy for any family to encounter a major tragedy and the discussions that are held are difficult. More often than not those discussions and decisions are also judged by others and they really shouldn't be. Deciding what someone would want regarding quality and quantity of life is the most difficult decision there is to make. It's hard to realize that sometimes there are fates worse than someone passing and vice versa. I hurt for families every time I see them walking a similar path.
On top of that situation Mike's dad wound up in ICU on a ventilator. His condition has some improvement but it is still very serious. They are taking his situation day by day and Mike has been visiting the hospital.
During our staycation we had an appointment with the medically dependent children's program to re certify Jude for another year. The case manager and a nurse came to evaluate Jude and to take down notes regarding his last year. While the nurse was there she asked if I needed anything and I explained I needed everyone to stop denying Jude's nurse. She was stunned that Jude had ever received any type of denial based on medical necessity. She just shook her head and kept commenting on the issue. She said "Baclofen pump.........needs a nurse, Continuous feeds......needs a nurse, Controlled substances....needs a nurse, etc." I just shook my head and agreed. So Jude's complexity according to MDCP has changed and he is now the very top level of medical necessity according to their charts. They consider the Baclofen pump an IV and said his care never should have been questioned. If I could only have the nurse and case manager with me each time I fight these denials.
Jude is doing well but he has been crying some at night indicating that he is dealing with some pain. We control it the best we can and generally with work we can get his smile back. I will share some more regarding places we visited tomorrow. It's not super interesting but I enjoyed it.
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