1. 2. 3. Life in a Small House: Organic, Green, and on a Budget: Sixty 4. 12. 15. 16. 17. 18. 19. 20. 23. 24.

25. 26. Sixty 27. 28.

29.
Our insurance company covers sixty therapy visits per calendar year.  The team of therapists and the claim department of the center have been trying to figure out ways to best use these "visits" by offering co-treatments, but apparently, if Liam sees an OT and a speech therapist, even if at the same time, it counts as two visits.

So, after being evaluated, the speech therapist said she'd like to see Liam twice a week, but really that number was so that she could preserve the amount of visits we have covered because she anticipates seeing him for awhile.  After evaluations, the OT and PT each suggested two visits each week and figured they'd be finished in four to six weeks.

After doing some research on aphasia, I decided I wanted more speech and less OT and PT.  Everything I've read said intensive speech therapy soon after the stroke is the best road to helping him communicate better.  I've seen great gains in his motor skills and am not concerned about those areas.  Especially the physical therapy, I mean, heck, he's a five-year-old boy.

After the OT (occupational therapist) saw him today she was raving about how much better he was after just a few days.  I approached her on the subject of going down to just one visit a week and she was totally on board.

And again after the PT saw him and was raving about how much stronger his right side was getting she agreed to the idea.

The speech therapist declined my offer for her to just come live with us and agreed that he could benefit from more visits.

So yay! for me for standing up to what I feel would be the best treatment for my kid.  And boo! for insurance companies for putting therapists in positions to be "conservative" when it comes to treatment plans. 

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30. 31. 32. Life in a Small House: Organic, Green, and on a Budget: Sixty

Thursday, July 12, 2012

Sixty

Our insurance company covers sixty therapy visits per calendar year.  The team of therapists and the claim department of the center have been trying to figure out ways to best use these "visits" by offering co-treatments, but apparently, if Liam sees an OT and a speech therapist, even if at the same time, it counts as two visits.

So, after being evaluated, the speech therapist said she'd like to see Liam twice a week, but really that number was so that she could preserve the amount of visits we have covered because she anticipates seeing him for awhile.  After evaluations, the OT and PT each suggested two visits each week and figured they'd be finished in four to six weeks.

After doing some research on aphasia, I decided I wanted more speech and less OT and PT.  Everything I've read said intensive speech therapy soon after the stroke is the best road to helping him communicate better.  I've seen great gains in his motor skills and am not concerned about those areas.  Especially the physical therapy, I mean, heck, he's a five-year-old boy.

After the OT (occupational therapist) saw him today she was raving about how much better he was after just a few days.  I approached her on the subject of going down to just one visit a week and she was totally on board.

And again after the PT saw him and was raving about how much stronger his right side was getting she agreed to the idea.

The speech therapist declined my offer for her to just come live with us and agreed that he could benefit from more visits.

So yay! for me for standing up to what I feel would be the best treatment for my kid.  And boo! for insurance companies for putting therapists in positions to be "conservative" when it comes to treatment plans. 

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6 Comments:

At July 12, 2012 at 7:52 PM , Blogger Christie said...

On the one hand, I'm so happy you have insurance that offers help at all. On the other, I'm sorry that help is limited and that means you have to ration care at this point. Liam is such a trooper. You guys are in our thoughts pretty much all the time. We wish you the best. Also, I'm glad you're blogging again and hope your writing is your own form of therapy.

 
At July 12, 2012 at 8:16 PM , Blogger Amy said...

The other bright side is at least he gets all three therapies 'approved' without any questions asked and not dependant on some medical board reviewing his evaluations and deciding whether or not they feel it would be beneficial to him.

 
At July 12, 2012 at 10:43 PM , Blogger Caroline said...

Hey Cathy, I am thinking we need to do some type of fundraising...maybe we can get some of your other friends that do home parties of some sort as well as my Thirty-One business together and donate all proceeds to Liam's therapy/doctor bills. I also have a few friends who's husbands are in bands that play 'out' a lot and could raise money that way. Please feel free to im me on facebook to discuss it. I would really love to help any way I can.

 
At July 13, 2012 at 11:56 AM , Blogger Cathy said...

Christie - So far our insurance has been pretty good. I am very thankful for that.

 
At July 13, 2012 at 11:57 AM , Blogger Cathy said...

Amy - you're right and I've thought of you struggle often while dealing with this. I did find out today that after 23 sessions the therapists will need to prove to the insurance company that the therapy is showing improvements.

 
At July 13, 2012 at 11:58 AM , Blogger Cathy said...

Caroline - thank you so much for thinking of us like this. if the need does arrive I will definitely contact you. I think we'll be okay and am happy with what's lined up as far as therapy goes.

 

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