Tuesday, October 25, 2005

Medicaid Approved 10/25/05

I have some good news to report--I received a letter this past weekend from Medicaid stating that Theo qualifies for full Medicaid coverage from 9/1/05 on. When I called, the caseworker told me that after Social Security approves him for disability, they will cover from the date of disability which is 08/20/05--the day we went to the ER and the tumor was discovered. In the meantime, they had me fill out another form for the state of VA disabilty determination which I sent in yesterday. So, with the SSI qualification pending, and of course, they never really know how long anything will take, the state form will also be in the works. Whichever one goes through first will determine his disability status and allow Medicaid to pay from 8/20 on. The paydate starts on 9/1 because he began receiving hospice care in September--even though he didn't start getting the hospice care until 9/19 when we were discharged, they start from the beginning of the month. I am confident that the disability qulification will go through as well--I don't see how it couldn't-- which means that all our hospital bills will be paid through Medicaid. I am so thankful for that. The money in his savings account will go to pay for his future expenses and any expenses we may have--rent, bills, etc. if I have to be out of work for an extended period depending on his condition later on. I can only take off work for 2 weeks at a time because I used all my Family Medical Leave time and my Paid Time Off (PTO) hours (they include vacation, sick, emergency, whatever) when I took off for maternity leave for three months after he was born. Remember, we rushed him to the ER the Saturday before I was supposed to start back my regular work schedule on August 22. Instead, Theo was having his brain surgery that day. I am accruing leave hours weekly now, but because I used up the allowed FMLA time during the first months of his life, I am restricted to the 2 week limit, unless I take time off (beyond that 2 weeks) without pay, but that can only be for up to 2 more weeks. Everybody at work has been really great with my schedule and being as flexible as possible, so I'm not saying any of this in any meanspirited way, that's just the policy. Under those rules, I could have about a month off without losing my current position and benefits, etc. We have no idea what his situation will be like further down the road. So, I am glad that we will have a little extra money in his account to fall back on if we need it. Right now we have about $5000 in his account. We are going to continue to save as much as we can, because I don't know how much we might need for later, and obviously I didn't have any life insurance for him. Just about a week before all this happened I got one of those things from Gerber in the mail---pay $1 and get a $10,000 life insurance policy for your child that grows with him over the years, blah , blah, you know, you've probably seen them. And I looked at it and read it and thought about doing it and then I thought, "Why would anybody need to get life insurance for a baby? They can get it when they grow up" and I threw it out. Now I know why people get life insurance for their children. It's an awful think to think about. A book our hospital social worker gave us mentioned an interesting thing; we have a word for what you call somebody when they lose a spouse--a widow or a widower--and a word for children who lose their parents--orphan--but there is no word for a parent who loses a child. It is such a horrible thing that we don't even have a word for it in the English language. And I know we haven't lost him yet, but I still have to think about these things. I can't avoid thinking about them.

Today he has had a good day, he is sleeping right now. He just finished his afternoon feeding. He hasn't been gagging as much but he does on occasion so we have continued to run his feeds fairly slowly. He did throw up once this past weekend. He still has times when he gets very irritated and cry inconsolably for long periods and we don't know why--and then there are times that he will calm down quickly when he is held and loved on. He is pretty much on his own schedule where he sleeps for 3 or 4 hours and then is awake for a few hours, sometimes he might be awake for 3 hours or sometimes longer. He generally sleeps in the evening from 6:00 until about 8:00 and then falls asleep again till around 10:00 or so. Then he'll fall sleep around 1:00 or 2:00 a.m. and almost always wakes up around 4:30 or 5:00 a.m. and stays awake till about 6:30 in the morning. It's pretty tiring for whichever one of us is staying downstairs with him (we take turns--whichever one of us is working the next day sleeps in the bed), but we are able to sleep a few hours at a time downstairs with him at differnt times throughout the night, getting up when he does and also at 3:00 a.m. to give his medicine. I have decided to get a futon to put downstairs, the loveseat is getting less tolerable the longer we do this. It seems to be the best thing for Theo right now though. We are both doing as well as we can. Again, we have days that are better than others, and we have days that are very sad and difficult. We can only go day by day though.

Please keep us in your thoughts and prayers.
I'll keep you posted--
Love--
Karla

2 comments:

Betty said...

I am very glad to read that Theo's Medicaid has been approved, but I would like to comment on your entry of 10-21.
I have been thinking about and praying diligently for you since reading it. I cannot imagine the pain that you are going through and would never pretend to understand your suffering. I can say that the questions that you have regarding God an your faith are a very reasonable reaction to what you and your family are experiencing. Who wouldn't question God's existence and tolerance of such a tragedy to the innocent? We all do at some time or another. I could quote scripture to you, but at this time you may not have much trust in God or His Word, so I would like to mention a writer named Philip Yancey who writes in his book: WHERE IS GOD WHEN IT HURTS? "Suffering calls our most basic beliefs about God into question." This is true for people of faith as well as those with only a casual acquaintance with God. Larry Crabb, author of SHATTERED DREAMS says, "How do we trust a sometimes disappointing, seemingly fickle God who fails to do for us what good friends, if they could, would do?" After all, we assume, He is God, He is in charge, yet somehow He has failed us. Countless people in the Bible have had the same doubts; countless people today have felt the same. Viktor Frankl, a survivor of the Nazi regime wrote: "Despair is suffering without meaning." When we are overwhelmed by tragedy our confidence is shattered, our security is threatened and our perspective distorted, it is often impossible to see any meaning or positive outcome for our pain. A young woman named Sara and her husband at our church just this past week lost their 13 month-old daughter Amelia to a tragic accident in their home. I know her only casually, but how hard it is to fathom such loss. The fear, anger and abandonmnent one must feel is expected from the unexpected and can separate us from what may or may not look to be real. Trauma makes us reevaluate our convictions and spiritual choices, it demands more than seeing reality clearly, it demands admitting and accepting reality at its ugliest and often in the midst of that ugliness is when we learn the most crucial lessons that form the foundations for the rest of our lives. One postive thing is that tragedy thrusts us into realizing what matters the most, it changes our agenda, our "stuff" no longer holds much importance. Jesus while on the cross and in his consuming pain asked his Father, "Why has thou forsaken me?" His Father had not, but He could not look at the sin that had been laid upon His son because God is holy and for the first time in all of eternity past they were separted. That was Christ's greatest pain. God is all loving all knowing and all present. He is indeed a "cosmic" God, but He is an intimate personal God who is with you in this very moment, even when you don't understand Him. Christ said 2000 years ago that we would all have trouble, trials and pain, but he promised he would be with us and never ever leave us no matter what, no matter how long, or how far our pain takes us. Faith is believing what God has said even when it requires gigantic courage and colossal strength. "When you come to the edge of all the light you have known and are about to step out into the darkness, Faith is knowing 1 of 2 things will happen; there will be somthing to stand on or you will be taught how to fly."
If you should want to talk with me, your Grandmother has my phone number. May the peace of God that transcends all our understanding be in your heart. Your cousin, Betty

Rachel said...
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