SuZir
Well-Known Member
difficult child continues to get slowly better and so the issue of what to do after hospitalisation arises. If nothing drastic happens, they are likely releasing him from hospital in few days after they have first poked and prodded him head to toe few more times to make sure there is no hidden neurological illness.
With physical symptoms the after care plan is clear, he will continue out patient in the place he is right now. Rehab continues with the same physical and occupational therapists it starts with now that he is inpatient, also the treating neurologist will be the same.
Now the psychiatric side is different. He is currently treated by the hospitals psychiatric consulting department that is there to treat psychiatric issues with somatic patients. After release he will be referred to either our county's mental health clinic, neighbouring small town hospital's outpatient clinic or even the University hospitals psychiatric hospital's outpatient clinic depending from diagnoses and how specialised treatment they think he needs. It is also possible that he may have a stay at the psychiatric ward or day hospital (outpatient program where you are at the hospital during the work days and go home for nights) after release from neuro and before getting home, but that depends on how he is mentally after neuro is done with him.
That is what the public side has to offer, but we also have a private option.
To put it short, public side offers all the really hard core and expensive treatments, but can be crowded, providers are likely to change, you often have to wait, it's often very inflexible, you often don't have much to choose from and so on. Private side offers flexibility, lot to choose from and so on in lighter level of care cases. Same doctors often work in both sides.
Till now difficult child has been treated by private side psychiatrist. He likes her, but she is couple hundred miles away in the city difficult child is not likely to go back to. It is time to change provider. If difficult child is offered something more intensive like day hospital from the public side, that is of course the best plan, but if not we have to choose between public and private. Of course his choice, but he can't afford private side, we can. We can't even make him continue with his treatment after he gets out of hospital, but if he wants to come home to us, and he currently really doesn't have any other place to stay, that is something we demand.
If difficult child is not ready to retire from sport, which I highly doubt, he will likely continue transient lifestyle. Private options in mental health care would give him stability for longer time. Going with public route would mean changing providers all the time with every move or staying resident in our county and having hard time access the care. Of course one can change from the public to private or back again in any time.
Just now, difficult child being so tired and listless as he is, he is likely to do whatever we say him to do. And, after very short consideration, we take that as an opportunity with husband. We are not going to sit back and wait for him to make decisions and call for appointments and so on. When released from the hospital he will have a ready made plan to public side and for the short term that is likely to be easiest and even best treatment available. But changing him to private side right from the hospital would likely give him much more continuity of care in long term. I'm not sure how high we should value that.
With physical symptoms the after care plan is clear, he will continue out patient in the place he is right now. Rehab continues with the same physical and occupational therapists it starts with now that he is inpatient, also the treating neurologist will be the same.
Now the psychiatric side is different. He is currently treated by the hospitals psychiatric consulting department that is there to treat psychiatric issues with somatic patients. After release he will be referred to either our county's mental health clinic, neighbouring small town hospital's outpatient clinic or even the University hospitals psychiatric hospital's outpatient clinic depending from diagnoses and how specialised treatment they think he needs. It is also possible that he may have a stay at the psychiatric ward or day hospital (outpatient program where you are at the hospital during the work days and go home for nights) after release from neuro and before getting home, but that depends on how he is mentally after neuro is done with him.
That is what the public side has to offer, but we also have a private option.
To put it short, public side offers all the really hard core and expensive treatments, but can be crowded, providers are likely to change, you often have to wait, it's often very inflexible, you often don't have much to choose from and so on. Private side offers flexibility, lot to choose from and so on in lighter level of care cases. Same doctors often work in both sides.
Till now difficult child has been treated by private side psychiatrist. He likes her, but she is couple hundred miles away in the city difficult child is not likely to go back to. It is time to change provider. If difficult child is offered something more intensive like day hospital from the public side, that is of course the best plan, but if not we have to choose between public and private. Of course his choice, but he can't afford private side, we can. We can't even make him continue with his treatment after he gets out of hospital, but if he wants to come home to us, and he currently really doesn't have any other place to stay, that is something we demand.
If difficult child is not ready to retire from sport, which I highly doubt, he will likely continue transient lifestyle. Private options in mental health care would give him stability for longer time. Going with public route would mean changing providers all the time with every move or staying resident in our county and having hard time access the care. Of course one can change from the public to private or back again in any time.
Just now, difficult child being so tired and listless as he is, he is likely to do whatever we say him to do. And, after very short consideration, we take that as an opportunity with husband. We are not going to sit back and wait for him to make decisions and call for appointments and so on. When released from the hospital he will have a ready made plan to public side and for the short term that is likely to be easiest and even best treatment available. But changing him to private side right from the hospital would likely give him much more continuity of care in long term. I'm not sure how high we should value that.
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