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Show Cancer clinics sat times for Utah Coonfv P&g EJ 1985 Sunday, April I, THE DAILY HERALD, Prove, Utah, FEARS: By KARK FRITZ AP National Writer m - Subacute d CLARXSYILLf, Iiid. G;eer built barges and tugboats until age and injury ripped the muscle from his right shoulder, wore out his hips, ruptured a disc, gave him three hernias and left him in a nursing home with a tube stuck The Cancer Control Program, Pish Sta'e Department of Health, ?n cooperation with the American Cancer Society and participating iocs! health departments, will provide cancer screening clinics for women as indicated on the followschedule. ing ' The clinics will include a Pap Jest, pelvic and breast examinations, Wood pressure check, hemo-cul- t kits to test for colorectal cancer, health education information on risk factors, signs and symptoms of cancer and referral for appropriate medical follow-upAil women J 8 years of age or older, or who are sexually active, .who have not had a Pap test during ihe past year are encouraged to Win-for- in his bladder. Now, after eight placid years mostly in one place, Greer is giving up his little room, making space for a new type of patient who will arrive even sicker and leave even quicker, turning Greer's y bed into a potent, cash machine. "I hope everything works out. There'll be new staff, new people coming jn. I'm optimistic," Greer, 58, says wanly from bis wheelchair. "Of course, III have to move." For now, Greer lives quite contentedly with a roommate in the 22 5 bed Hilicrest cursing home in this town just over the Ohio River from Louisville, Ky. He is one of 43 people who were told last month that they will have to move this spring probably to other wings but maybe to other homes so their floor can be converted into one of the hottest concepts in health care. The industry calls it "subacute care," an attempt by nursing homes to be less like homes and more like hospitals, to provide stroke rehabilitation and cardiac care and intravenous feeding to people fresh out of surgery or still recovering from serious illness. This shift is being driven by the managed care revolution that is reshaping health care in America. Managed care companies ar e pressuring hospitals to cut costs by releasing patients sooner, creating demand for a new type of room for the person who is too sick to go home but not sick enough for a hospital. Nursing homes now are punching out walls, hanging new signs and hiring new staff or sometimes just relabeling old wards $68-a-d- ,attend. ; A fee ranging from $5 to $27 will be charged based on annual family income and family size. Appointments are necessary and can be made by calling J 800-7 i for all scieenings in Utah County. All clinics take place between 8:30a.m. and 3.30p.m. April 3: 2nd, 7th & 8th Ward, J215 N. 1000 West, Mapleton. April 4: Payson South Stake Center, 701 1 S. 600 East, Payson. April 5: Hobble Creek Stake Center, 555 S. 600 East, Spring-vill- s ! Subacute care feclfsties art finding a pfch in the health care industy posftgrang themselves as more than a nursing home but less than a hospital . If 4fa&l , ,.J 1 AJi 3jI Mainly some $msmmt& fx!flU!, iriK cf I 1 I I Wtw 1 I I i fee fidk to go Jae,iiUt toft! Waftest $SO0parfcr -- blue-coll- -- e. April 10: Orem Sharon Stake Center, 545 S. 800 East, Orem. April 11: 1st, 5th & 7th Ward, 860 E. 200 North, Springville. April 12: Spanish Fork Stake Center, 1006 E. 200 South, Spanish Fork. April 13: Canyon View Stake Center, 575 E. 800 North, Orem. April 19: Center St. Chapel, 355 E. Center, Springville. April 20: Orem Stake Center, 481 E. Center, Orem. April 25: Sunset Heights Stake Center, 1260 S. 400 West, Orem. April 26: River Grove 33rd Ward, 780 N. 700 West, Provo. April 27: Sharon Park Stake Center, 85 E. 700 North, Orem. ar in a mad scramble to capture mis new type of transitional patient. The incentive? Medicare, the health insurance for the ailing .elderly, which is worth three or four or more times the reimbursement generated by the typical nursing home patient on Medicaid . "What's important for these nursing homes is they're convert- ing a patient into a y patient' said Joyce Albers, health care analyst with CS First Boston, "'it's a significant uptake in revenue and the margins are higher." But while Wall Street drools over a brand-negrowth industry, advocates for the elderly see early evidence that nursing homes are losing interest in people like Greer, who have exhausted their savings and now rely on the modicum of Medicaid for life's raw es$100-ada- y $300-a-da- w sentials. "We're very concerned about it," said Michael Schuster, a lawyer for the American Association of Retired People. "They're what nursing homes were .about. We're certainly seeing a trend and it's disturbing.'" "It's impacting on virtually every issue we 4eai with' said Cleveland's nursing home (Ombudsman Deborah Allen, who said she's fighting the relocation of 60 elderly people by a nursing home which wants to convert their beds to subacute. interviews with more than 35 state and regional ombudsmen federally mandated civil servants charged with investigating nursing home complaints found that most had serious complaints about subacute care, including: That many nursing homes were shuttling elderly out of long occupied rooms on short notice, "interfacility transfer without adequate preparation can result in serious trauma or death," said Myron Dunavan, ombudsman for Kansas, where 35 people were recently relocated for the sake of low-prof- it -- subacute space. be- coming less focused on long-tercare, which is ironic because that's (ConMued frets Page S2) Next a woman is asked to go into the dressing room, remove; fee cfching from me waist up and fut on a hospital gown. An wforaj (ional video on self breast cxan nations plays while a woman js. changing. Owe inside the roorn.he, patient stands in front of the machine and the mammograer performing the procedure posi tions one breast on the bottom of, n glass shelf. All mammographers at Aaxri can Fork Hospital are female which can help put a .pa tientatease, The top of ihe shelf is then lowered to compress the breast 64, The mammographer instructs patient to tell her when She cgm-- ; pression is as tight as she m firTi ay $800-a-da- s. wards as soon as their fcospHsiiza-tiexpired. 'It's niindboggiisg to me that they need therapy for only as long as Medicare wjJi pay Cor k," said Connecticut ombudsman Barbara Frank. That the preference for short-terMedicare patients has created a shortage of beds foreiderly poor, ''It's had an impact on admissions," said Vivian Gmagebimi, ombudsman for me Washington suburb of Montgomery County, Maryland. That die failure of most states and me federal government to create guidelines for subacute has created a regulatory vacuum that has allowed some nursing homes to skirt laws protecting patients' rights. "They're sidestepping (laws) to say, 'Wejj, this is not really a nursing home said Kentucky ombudsman Gary Hammonds. That residents sometimes are compelled to sign waivers of their rights. The day Cindy Fugleman's father was checked into an Evans-yjjlhi., nursing home last one after suffering a stroke, she said she had to sign a form promising to get him out in 100 days, when his Medicare would expire. "I didn't think that sounded fair, fust because his insurance changed, they would kick him out," she said. That nursing homes were merely calling their units "subacute ' ' without increasing services . "There's a facility within 20 miles of here that has a hallway they're calling subacute," said Mike Houlihan, administrator at the Hilicrest home where Greer lives. "I'm sorry, that's not suba- That subacute patients were being discharged from these new X-r- ay X-r- aj first-tim- e stand. For me, me compression fejit very similar to someone squeezing my arm tightly or when I've iiad my blood pressure taken. It was not painful and only took about Q seconds to complete one "Everybody's pain level is deferent," said Faddis. "Our philosophy here is if we hurt you so much that you don't come back, wee lost the fight for breast cancer, more important to get you to e, X-r- ay with our wives, Gus and I finally had a very happy reunion over dinner in the summer of J992. We vowed we would get together at .) called. When I was in college, back in uupi mow -- Classof'3J,f:haca,NX Dear Ithaca: Your beautiful letter reminded me thai it is once again time to print my annual 1928, my dormitory buddy, "Gus," and I had many interests .in. common. However, we quarreled over Prohibition, and Gus played some nasty practical jokes on me. After 1929, 1 saw nothing rjfhirn. ; In 1991, 1 received a totally unexpected phone call from Gus, asking my forgiveness for what he called "the utterly uncalled-fo- r nastiness" he had inflicted on me. I replied immediately, "'Nothing Advice Columnist least once a year from then on. Unfortunately, this was not to be. Gus died several months later. would please me more." 1 told him in Latin, "Absoivo te" I thee. ; From then on, we were the best o'rieuds. Gus told me often how sad it was that we had lost more than 60 years because of sopho-mor-ic ab-spl- ve vjndictiveness. it doesn't matter how wounded or wronged either party may feel, the sooner you make up, the better it will be. Life is so precious and true friendship so rare that even a single day is too much time to lose . Together Reconciliation Day message and the fetter that started jt all. Here His: Dear Ann Landers: I've suddenly become aware that the years are flying by. Time somehow seems more precious. My parents suddenly seem old. My aunts and uncles are sick. 1 haven't seen some of my cousins for years. Then my thoughts turn to the dark side. I remember the feelings I've hurt, and I recall my own hurt the nnsunderstandings feelings and unmended fences that separat-e- 4 us and set up barriers . 1 have a friend in New York I haven't spoken to in three years. Another relationship in Seattle is on the rocks. We're both 41 now, and time is marching on I think of my mother and her sister, who haven't spoken to each other in five years. As a result of that argument, my cousin and I haven't spoken either. I don't know if she has children. What a waste of precious time! 28-ye- ar . Wouldn't it be terrific if a special day could be set aside to reach out and make amends? Everyone would vow to write a letter or make a phone call and mend a X-ra- y X-ra- ys nt X-ra- ys upon the waters and getting back caviar sandwiches. Reach out Apm L 1 ' I- - I M 9hJ Ik to- day. . about yourselfk 9 ample of casting your bread i Feel good (feu v: $8QQ-a-be- FAMILY BEAUTY CARE INVITES YOU TO -- After compressing both breasts flat, the mammographer positions the machine to take a side 0 each breast. To do that, a patjent must lift her arm to about shoulder level and the tissue is compressed in a diagonal direction . . The side yiew allows the mamcute." mographer to get a better picture ,pf But what is? the back breast tissue which ;s At Hilicrest, subacute is an where most breast cancers begip. d unit that Houlihan says four The collectively will offer skilled medical care five minutes. Thejpa-tieabout take cheaper than, but comparable to, then goes back to the dressing services now offered at hospitals . and continues watching the room ""We need she revenue generatvideo while.jthe informational ed by subacute to keep our doors develops tbe$-ra- y mammographer estiopen," said Houlihan, who film a preliminary and does mated that 40 of his Medicaid beds reading. Faddis said if the mammogra(See CARE n Page B3) pher sees anything questionable, would then be taken. more Once those are developed, all of the films are delivered to one of the hospital's radiologists for wofyer reading. .,v. strained or broken relationship, it If no lumps are detected,, )e could also be the day on which we patient can get dressed and. go would all agree to accept the olive home. If something suspicious.fS branch extended by a former detected, the radiologist will taikio friend. We could go on from here the patient and possibly ask for a to heal the wounds in our hearts sonogram to get a closer look at he and rejoice in a new beginning. area. v "If women hurt and then scare VanNuys Dear Readers; Six years ago, I people with their stories, they suggested that a special day be could be taking someone's life that set aside to heal tM wounds and way. We are sorry if it hurts them, reach out to those with whom we but one in nine women get brwai may have lost touch, I named it cancer and that is scary," Fadd "Reconciliation Day," saw. Life is ton short to hold grudges. To he able to forgive can be eoormousty healing and lifeflhanting, it's the best ex- Ann wants readers to make up on Reconciliation Day Dear Ann Landers: Your advice to "Grandmother in Fort Wayne" to reconcile with her daughter, "Melinda," was excellent. Lost years can never be re- ce back." 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