BoneSmart® Hip / Knee Replacement Forum
Joint Replacement Patient Advocacy
and Online Community
  1. RATE YOUR SURGEON ON OUR NEW JOINT SURGEON LOCATOR

    Your opinion matters so please click on this announcement to find out how to rate the surgeons you have worked with

    You could also go to the Surgeon Locator via the blue nav bar at the top - find the tab "Surgeon Locator"

    Dismiss Notice

Time in Hospital

Discussion in 'Hip Replacement Pre-Op Area' started by chakazullo, May 13, 2019.

  1. chakazullo

    chakazullo new member
    Thread Starter

    Member Since:
    May 9, 2019
    Age:
    47
    Messages:
    2
    Gender:
    Male
    Country:
    United States United States
    Surgery is scheduled, and I want to know what my rights are as a patient. I inquired about rehab, but they said I would not be a candidate since I am only 47 years old. I called my insurance, and they said they would cover it, but only if it is medically necessary. There's the catch...the doctor has to say it's medically necessary, and I would like to stay more than 1 day in the hospital. The doctors obviously want you out as soon as possible to make more money by turning over beds..what would you do in this situation? I have lots of steps and not much help at home
     
  2. Eman85

    Eman85 post-grad

    Member Since:
    Mar 4, 2018
    Age:
    63
    Messages:
    1,134
    Gender:
    Male
    Location:
    E Tenesee
    Country:
    United States United States
    I spent 1 night at the hospital, my OS said I could stay 2 or 3 if I wanted as I would have met my out of pocket. I didn't but a co worker that used the same OS did. As far as rehab I don't know what you're looking for. If you read this site you'll see there really is no rehab beyond eating properly,resting,icing and walking.
     
  3. julesglass

    julesglass graduate

    Member Since:
    Apr 27, 2016
    Age:
    61
    Messages:
    572
    Gender:
    Female
    Location:
    Iowa
    Country:
    United States United States
    If you are concern because of little help at home and insurance will cover I would express this to surgeon to deem it necessary for your peace of mind. If you can stay at least two nights at hospital so you feel comfortable going home that does benefit you. Hospital staff is there to help you feel confident when you leave, that is part of their job. I stayed an extra day just for that confidence.
     
    • Like Like x 1
    • Agree Agree x 1
  4. Hippielife

    Hippielife member

    Member Since:
    Oct 13, 2016
    Age:
    69
    Messages:
    195
    Gender:
    Female
    Country:
    United States United States
    The faster out of the hospital the better, less chances for risk of infection and a chance to get some much needed rest.
    One day in next day out in some cases if surgery is early in a.m. the patient can be cleared to go home later the same day, provided they pass the protocol for release.I'm sure that’s the same in your case.
    Before a patient is released home the physio therapy nurse will come into your room after surgery. They are very good at giving instructions for walking with the walker, getting up and down from bed, bathroom is important, up and down stairs, getting in and out of a vehicle.You will only be released to go home once you have navigated all the physical and medical protocols. Some patients have a home nurse drop by once a week the first couple of weeks before the 6 weeks doctor visit to check on the patient.
    Also can also see on you tube the hip recovery exercises. Your insurance should cover the initial requirements after 6 weeks ask your doctor for a prescription for physio therapy is all that is needed. Also if water therapy is offered it’s a little gentler on the new hip once incision has healed.

    Many healing blessings sent your way. :angel:
     
    • Like Like x 2
    Last edited: May 13, 2019
  5. Ptarmigan

    Ptarmigan senior

    Member Since:
    Apr 20, 2019
    Age:
    62
    Messages:
    264
    Gender:
    Female
    Location:
    Washington
    Country:
    United States United States
    @chakazullo Times have definitely changed when it comes to the length of hospital stays. I learned this first hand when my husband had open heart surgery in 2010 to replace his aortic valve. He stayed in the hospital only 3 nights. Before he was discharged, he had recovered from the immediate trauma of the surgery, his vitals were stable, he was showing no signs of infection or other complications, he was eating and going to the bathroom, showering, walking, and managing stairs. He was ready for 6 weeks of dedicated recuperation, and he was both safer at home and far more comfortable.

    What I learned: hospitals are for treatment. We recuperate best at home.

    As for what your “rights” are, there might be a different way to ask some questions to get you answers:

    What does “medically necessary” mean?
    What kinds of patients need to go to skilled nursing facilities after they are discharged from the hospital?
    What can I do now to prepare my house for my recuperation?
    What insurance benefits do I have for in-home therapy or other support?

    And, depending on your individual circumstances, you can then start to identify the tools you’ll need at home, as well as volunteer or possibly paid helpers for the first couple of weeks, and put your plans in place.

    I am required to attend a class that covers all this. What sort of orientation does your OS or hospital provide?
     
    • Like Like x 2
  6. Joansie

    Joansie new member

    Member Since:
    Apr 10, 2019
    Age:
    58
    Messages:
    5
    Gender:
    Female
    Country:
    Ireland Ireland
    While it is normal to be concerned, hospital is unlikely to discharge you before you are ready. I am 58 and my new left THR is 1 week old today. I asked - and was allowed - to be discharged home within 36 hours of surgery (2 nights). After being mobilized on crutches and being able to have a shower, and even though I was sore & stiff (normal), I knew I would make better progress at home with pain relief. And, husband at home for part of the day to help. Really, we are all different. A good surgeon, positive mindset and relevant support are your best tools for recovery. As others say, once op over, rest, relevant exercises and short walks work well. Pain relief if/when needed helps - be sure and ask. Listen to your body (good at giving signals!), take your time and try not to worry. I have felt better everyday and one week on notice a big difference.
    Best of luck, Joan
     
    • Like Like x 3
    • Informative Informative x 1
  7. Jaycey

    Jaycey SUPER MODERATOR Moderator

    Member Since:
    Jan 27, 2010
    Messages:
    28,233
    Gender:
    Female
    Location:
    Yorkshire
    Country:
    United Kingdom United Kingdom
    @chakazullo Do you have a friend or neighbour who could stop by once a day in the first few days you are home? You will be moving around independently before you are discharged. But having someone check on you and maybe move things that you can't or drop off groceries is a comfort.
     
    • Like Like x 3

Share This Page