A flood of fresh tears flowed as I thumbed through the twenty-eight page  document.  The Medicare “Summary Notice” coldly spelled out the amounts paid to the mile-long list of medical providers.   I couldn’t help but re-live the experience of dad’s final days as I moved chronologically through the papers.  The final ER visit.  Multiple blood draws.  An electrocardiogram.  Numerous ex-rays and a CT scan.  The chest tap and chest tube. The ambulance ride back to the nursing home.  The physician’s final visits.

Perhaps what stood out most was the ER doctor’s description: “Emergency department visit, problem with significant threat to life or function.”

Dad was, indeed, gravely ill when he landed in the emergency room in mid-November.  His white blood-cell count was sky-high, indicating something was seriously wrong.  When I arrived at his bedside, I couldn’t help but look at his frail body and think that we might not be there had it not been for a snap decision made by a physician a month earlier. Continue reading →