im still here thanks for asking

Tuesday, July 21, 2009

I’m still here – thanks for asking

I just wanted to put up a quick post thanking those of you who have emailed checking in on me since I have gone so long without posting anything new on the blog. I didn’t plan on taking a break from the blog, it has just happened. My time and energy have been needed in other areas of my life. I do miss writing, and hope to be back in the swing of things soon. Thanks for checking in on me, it means a lot to hear from people who miss the blog.

While I get the fires lit to get back to blogging, I suggest you check out this book:

This blog has dealt quite a bit with the issues facing hospice as an industry and the ups and downs of Medicare reimbursement , but we all know that ours are not the only issues in the health care world. In fact, it seems that hospice’s issues are so small that it is hard to get anyone to pay attention to them with all the other debates going on in health care. With that said, I believe that every one of us who works hospice knows that one of the biggest issues facing our health care system is long term care. Every day we see patients struggling to live at home, living in unsafe conditions, or flat out being forced into a nursing home because of financial reasons.

The book’s publisher asked me to review the book, and I have been amazed at what I have found. It deals with the long term care subject from a business point of view and has really opened my eyes to the size of the problem. Where our patients live is a big issue for every hospice and, as you will see in this book, is becoming the biggest issue facing our nation’s health care system. I’m sure I’ll write more in the future, but for now I hope the hospice community will start to prepare to be a part of this very important debate about where our aging population will spend their final years and how we, as a society, will pay for it.

Thanks again to those of you who have encouraged me to start blogging again. Check out this book and let me know what you think.


Christian Sinclair, MD

Welcome back!!! I almost forgot about you since you habe been gone so long!

Another Hospice Guy

Good to see you back, I really enjoy the blog and your comments and insights.

Hospice CA

Very supportive article.I understand every point in this blog, give some more information about hospice points.Good to see you back, I really enjoy the blog and your comments and insights.

Hospice Ventura County

Good blog! i like very much then tell me when you are update the blog.Thanks for this informational blog.

Rob @ nurse class 

Hi thank you for sharing this book as this would help open up many blind eyes on the condition of nurse care and long term care as we all know that it is in fact not been given the spotlight that is long overdue to it. Many who cannot afford private and good quality nursing homes have to deal with government funded homes that are sometime ill equipped to deal with certain illnesses and some of it are understaffed that makes it more harder to get by. I do hope that you write a review of the book as this would help shed light and make people understand especially the government the plight of long-term care.

nursing assistant

Nice writing…your are like an professional writer..keep up the good wotk!!


I just came from a HOSPICE consult in G.R., Mi hospitalfor my mom, at the request of one sister who lives near her, who was putting in too much time recently taking care of my mom and did not like it and saw Hospice as a SOLUTION. Sadly Hospice in this case was overly aggressively PUSHED by the two hospice workers, and the P.T. After giving their presentation and my mom clearly said she doens't want Hospice, two of her kids tried to convince her with Hospice, the P.T. and the patient care coordinator badgering my poor mom again and again after she said NO because that is what two family members wanted. I think Hospice is great for those who WANT IT. I do not think it should be promoted or or "advocated" for the patinet because one or more family members suggest it. I can definately see where a patient without a child on their side could very easily be put into a Hospice situation and not get the care they want or deserve because family members are tired of visiting hospital when a patient goes in and out of hospital more often for stabilization. The hospice workers kept coming back and making their case after my mohter said NO THANK YOU several times. She was tired and they were relentless. I am going to file a complaint as they kept saying it was her decision and then they would not stop trying to sell it! I was shocked. I can see how insurance companies would prefer Hospice as it is cheaper for some in long and short term but the DIGNITY part of Hospice has to be preserved and a big part of that needs to remain the PATIENTS choice to decide on their care.