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Hi Elaine, In my experience if a hospital does not have the consultants required for a case the attending doctor has the option of transferring the patient to a facility that has the specialist or at the very least can arrange for the patient to be transferred to such facility and then be sent back. The insurance company should agree to this. If the person on the phone for the insurance company declines this then you can appeal by going to their medical director. I do not think this should be a problem with medicare. Ex patients are shipped to other hospitals for bypass surgeries all the time. Good Luck Enrique Torres MD --- Elaine Wirth <[log in to unmask]> wrote: > My name is Elaine Wirth. My husband has PD with > frontal lobe dementia. He went to Utah and rode in > the jeep boulder hopping with my son at the end of > April. He was coherent and his usual passive self. > In May, he began losing his balance and falling. > Toward the end of the month, he began having visual > illusions and became paranoid with hallucinations. > He also became agitated and combative. He was low > on oxygen and his mind left him for most of the day. > After a fight with the hospital, they admitted him > from the emergency room to the hospital. The > insurance company has been trying to get him entered > into a custoidial care facility. I have read that > this kind of problem can often be fixed, but is > tricky to adjust meds to put his acetycoline and > dopamine levels in balance. I do not want my > husband to be thrown away just because he is seventy > and causing the insurance company some money. There > are few neurologists in NM and the two that work for > the HMO will not > visit patients in the hospital. Now a geriatric > psychiatrist is managing my husband's case, but as > far as I know, he has not consulted any neurologist. > If any of you know any ways to require them to > provide a competent PD neurologist who might be > able to put these chemicals back in balance, or at > least give him the 6 to l2 weeks trials necessary, > please let me know. I am frantic. > Elaine Wirth > > > --------------------------------- > > ---------------------------------------------------------------------- > To sign-off Parkinsn send a message to: > mailto:[log in to unmask] > In the body of the message put: signoff parkinsn > Shape Yahoo! in your own image. Join our Network > Research Panel today! > ____________________________________________________________________________________ Bored stiff? Loosen up... Download and play hundreds of games for free on Yahoo! Games. http://games.yahoo.com/games/front ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn