Posted on 09/09/2006 6:07:58 AM PDT by SoftballMominVA
Erin Monsell is an 18 year old girl who suffered traumatic brain injuries in a car accident about a year ago. My original post is http://www.freerepublic.com/focus/f-news/1692767/posts
The parents have been fighting with the insurance company (Anthem) for proper care. The Kluge (pronounced clue-ge) Center, at UVA has indicated that they could rehab her to independent living within 60-90 days. Anthem has stated that she is not worth rehabing and placed her in a nursing home.
Last week, without any real reason as to the decision, Medicaid approved a transfer for 21 days to Kluge! This is nothing short of a miracle.
Here is the mom's email about the move
Erin transported well. Was a little anxious upon arrival. She does not want us leaving the room. If any of us leave, she indicates that one of us has to stay. Unfortunately, we all had to leave this evening as her father had to go home, her brother had to go to his new home, and Randy and I had to go grocery shopping and dinner. She fretted that we all left, but seemed to fair the separation pretty good. She is still anxious, but it is understandable in the new digs.
Please continue to pray for Erin's healing and that we have a very successful 21 days. It is crucial that she progress, so that we can be approved for another 21 days. We are still fighting the insurance company as they still refuse to pay. Medicaid has afforded her the opportunity to be here the next three weeks. The doctor who performed the "peer-to-peer" with the so-called doctor at Anthem indicated that he was on the phone with the man for 45 minutes and it was "like beating [his] head against the wall." He said that the Anthem "doctor" was real good about spouting off regulations and the like. You could see the frustration in his face at remembering the useless conversation with Dr. Clapp last Friday. The third appeal is due to be heard next week. We'll see. Dr. Clapp,. who came on board with Anthem when Erin was still in Children's Hospital, has said "no" to everything to do with Erin's continued care. We need to pray for that man. Thank you all for your continued prayers for Erin.
Erin has 21 days to make progress. In addition, she has a stubborn case of E. Coli that is being treated for the 5th time and she is fighting that as well as rehabing.
If appropriate, please place on VA ping list. Thanks
With faith you can move mountains bureaucrats--or God then persuades others to do the moving, or circumvent them.
Cheers!
It is a privilege to intercede in prayer for Erin's mom on Erin's behalf. Prayer is powerful! I have witnessed miracles through the power of prayer. When I pray, I pray in faith that Jesus performs miracles today as He did 2,000 years ago because He is a living God. Praise His Holy Name!!
Praying in agreement with all others
The sad truth about insurance companies is that they make money by collecting more than they pay. It is a business.
She was making good progress on her therapy, but she developed an undetected urinary tract infection that put her in severe pain. She did not make any progress during the 3 weeks of the infection and Anthem is using the therapy notes from that time period as justification for denying therapy.
For the last several weeks she has been in a hospital bed, in a nursing home, with no stimulation from the staff other than a diaper change and readjustment every 3 hours and what the mom and dad can provide before and after work.
We are praying that Kluge is able to do what they believe they can and that Erin progresses substantially in the next 3 weeks.
If it hasn't already been started, as whether it might be appropriate to begin therapy with donepezil (Aricept) the centrally acting, reversible acetyl cholinesterase inhibitor. Although its main therapeutic use is in the treatment of Alzheimer's disease, it has been shown to be very helpful in the treatent of traumatic brain injury.
Thanks for the additional information. BTTT.
I'm sure she is NOT on it though, the last I heard she was only on meds to treat her infection and to keep her comfortable.
Four years ago, the young man got his Bachelor's degree and is able to walk with a cane.
God is so good and in His Universe, all things are possible.
God Bless
prayer bump
Thanks for the update. Will continue to pray for Erin and her family.
Sounds like Anthem needs to become the FORMER insurance company of any FReeper with a heart.
I'm so glad the father followed his conscience and God's bidding.
Many prayers for her that she gets the help she needs and recovers.
I don't know Anthem well, but still I find his sentiments surprising. Is this true, Anthem?
Good news. Keep us updated.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.