In my free time, I had a fun round of talks with Schaller Anderson about why they weren't paying the $170 for the emergency anesthesia from my c-section. But let me back up. Our case manager at Schaller Anderson sent me a letter about two weeks ago saying that she assumed that I wanted to discontinue case management because she had not been able to get ahold of me. Mind you, I had talked with her three weeks earlier. Not sure what the fill-in-the-blank was going on for her to assume that we no longer wanted case management. I called her three times and left messages saying I had no idea that she had been trying to get ahold of me. She never left any messages on my voice mail and had not called Monday through Friday during the day because Jeff would have heard the call because he works from home. She finally called Friday and said that every time she called, she got a message saying that her number had been blocked from our line. But miraculously, it worked yesterday. I asked her about the $170 that Schaller Anderson had not paid for the anesthesia. She had called the claims department. Talked with someone named John C. (who wouldn't give his last name) and was told to have me call him. He couldn't talk with her because of privacy issues. This makes me of course wonder what the fill-in-the-blank a case manager is good for, if their own company representatives won't discuss the cases with them.
I called benefits looking for John C., but the woman answering the phone wouldn't transfer me. She said that she'd handle it. And, yes, they were denying the anesthesia because UPH (University Physicians Healthcare) had billed the c-section anesthesia as two line items (one for the anesthesiologist's time and one for the 2 units of anesthesia) instead of one line item. In other words, they were refusing to pay because UPH had described what they were billing them for. This was the same fill-in-the-blank that they had given me when I called them on 7/10. I said that they were being ridiculous. That I was taking care of a critical infant and that they weren't helping matters by giving me the run-around because of their nonsensical rules. The woman said that those were the rules. Essentially, she said that it was my responsibility to talk to UPH to get them to conform to Schaller Anderson's fill-in-the-blank billing practices and send things under one bill with one line item. What a bunch of fill-in-the-blanks.
I called UPH again. They reviewed the file and decided that the $170 wasn't worth pursuing. They aren't going to charge me for it. I thanked the woman at UPH and said that I realized that they were being gracious and that Schaller Anderson wasn't being responsible.
My dad visited Henry in the morning yesterday. My mom came by in the afternoon. We gave Henry a bath. He was pretty unhappy about it. I took the night shift of the Henry watch. Henry didn't sleep much.
Today (Saturday), we weighed Henry in mid-morning on our new baby scale. He was 5 lbs 11 ozs.
Jeff went to the grocery store. Brought some Sun Chips home. I had some. Then, unfortunately, I realized that they contain whey and nonfat dried milk in them. This, of course, presents a problem with Henry's milk allergy. Hopefully, this small amount won't effect him. But I've read cases online that say that even trace amounts can have them bleeding for several days after. Frustrating, because Henry has finally gone for over 24 hours without blood in his stools. Stools still contain mucous, suggesting inflammation, but the no blood is an improvement.
My mom came by in the afternoon. Henry had a nap that lasted an hour and a half (that's his new record for minutes sleeping straight). In the evening, he was a wild man. Vomited all over the place. Wouldn't settle down for the longest time. He would root, but then wiggle around like he didn't know how to suck on the nipple of the bottle. I tried nursing him. That worked for a few minutes but then he would shake his head back and forth not wanting to latch, despite making his "I'm hungry" La Cry.
Jeff and I really want to start infant massage with him. Babies who have massages on a regular basis gain weight faster than those who aren't given massages. But we can never seem to find a time when Henry is in a quiet, alert state that doesn't involve having just eaten. He's either screaming because he's hungry, drinking his bottle, content just having eaten (can't put him down horizontally for a 1/2 hour because of reflux), or taking an incredibly brief nap (in which case we don't want to disturb him).
Grandpa is holding him down. Looks like they are both taking a nap. Nice that he's finally not so crazy.
4 comments:
Hey Kate,
You could dry a limited massage immediately after he's nursed. That's what I'd been doing with Isabel. I had wanted to give her massages after her bath, but she hated baths at first, and was too upset for massage afterwards (that's not starting to change, fortunately). But, initially, I would give her a leg massage or arm massage immediately after nursing when she was calm.
The angry, rooting, rejecting business Isabel is doing too. We had a stressful night last night with Isabel screaming furiously, clearly hungry, but then not eating when put to breast. So frustrating!
Hi Jenny,
Beautiful pictures of Isabel on your blog. Love the one with Indy especially.
I have been doing a bit of what you suggested. Henry's calves were a little tight for awhile; they've since relaxed a bit. :)
When you give Isabel her bath, are you putting her in the water naked, or are you wrapping a towel or receiving blanket around her while putting her in the water? In the NICU, they had us do a "developmental bath" whereby we did the latter. We let Henry sit swaddled in the water for a minute or two, and then slowly unwrap pieces of the towel to soap him up. The wet towel keeps them warm while in the water. It is, of course, a bit messier to clean up afterward. :)
Hey Kate,
The towel suggestion is really good. I wish we had thought of it! No, we just put her in.
Fortunately, she's now liking her baths, and we've started a routine where we end the day with a bath and a massage, then a final nurse, and then (hopefully) sleep.
I think her first baths were too cool for her. She likes them warmer than I would have expected.
That's the routine that Jeff and I were hoping for...some day! It would be a nice end to the day. :)
We've been using the lightweight receiving blankets for the bath. It really does ease the transition into the water.
I'm always afraid that the water is too warm. But Henry likes it warm. Cool water doesn't relax him at all.
Many of the nurses suggested doing the hair last, because of heat escaping through the head. However, one nurse (Kathy) always did it first. Henry actually likes his hair being washed. It relaxes him. So we often start with the hair and scalp massage, then dry his peach fuzz off, and then put him in the bath. Can't say that it makes him enjoy the bath, but it prevents an all out tear fest. Not sure that this would work as well with your little one because she really has a beautiful and amazingly full head of hair! I'm sure it takes you a lot longer to dry Ms. Isabel's hair that it does for us to dry Henry's.
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