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 Hello |
Intro Brick Oven |
| Intro Preemies |
Brick Oven |
| Preemies |
Tomorrow |
| Intro Home Care |
Goodnight |
| Home Care |
founders |
| Tag Home Care |
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| Hello |
Intro Brick Oven |
| Intro Preemies |
Brick Oven |
| Preemies |
Tomorrow |
| Intro Home Care |
Goodnight |
| Home Care |
founders |
| Tag Home Care |
| Hello Return to index of stories... |
HELLO. I'M ALLISON MCNAIR. WELCOME TO NH OUTLOOK. |
| Intro Preemies Return to index of stories... |
FOR EXPECTANT PARENTS THE DUE DATE OF THEIR BABY IS A TIME OF EXCITEMENT. FOR NINE MONTHS THEY'VE BEEN ANTICIPATING THE ARRIVAL OF THEIR BABY. BUT WHEN THAT DAY COMES TWO AND A HALF MONTHS EARLY IT CAN BE A FRIGHTENING EXPERIENCE FOR MOM AND DAD. PRE-MATURE BABIES OFTEN HAVE MEDICAL COMPLICATIONS THAT CAN KEEP THEM IN THE INTENSIVE CARE UNIT FOR WEEKS. AND, AS PHIL VAUGHN SHOWS US, ONCE THEY GO HOME, FAMILIES USUALLY NEED HOME CARE SERVICES - AND THAT'S WHEN THE SECOND CHALLENGE CAN BEGIN. |
| Preemies Return to index of stories... |
SHOTS OF DEB PLAYING WITH CHILDREN NARR 1 - NOAH COUTURE IS SIXTEEN MONTHS OLD. HE WAS BORN ELEVEN WEEKS EARLY. DEB 1-1733 "HIS LUNGS WEREN'T DEVELOPED FULLY, HE WAS ON A RESPIRATOR AND HE HAD A BRAIN HEMORRHAGE WHEN BORN - THEY DIDN'T THINK HE WOULD MAKE IT." NARR 2 - WEIGHING ONLY THREE POUNDS, NOAH FOUGHT BACK. DEB 1 -1831 "THEN THEY SAID HE WOULD LIVE BUT THEY WERE ANTICIPATING HE WOULD HAVE PROBLEMS - RETARDATION, CEREBRAL PALSY. IT WAS HARD TO HEAR." NARR 3 - THE STAFF AT DARTMOUTH-HITCHCOCK MEDICAL CENTER SPENT THE NEXT TWO MONTHS STABILIZING NOAH. HE WAS THEN TRANSFERRED TO CONCORD HOSPITAL TO BE CLOSER TO HIS FAMILY. DEB 1 - "WE FIGURED OUR SON WOULD COME HOME AND BE FINE. AND THEN WHEN IT WAS TIME TO COME HOME FROM CONCORD HOSPITAL AT THE END OF OCTOBER THEY SAID HE COULD COME HOME WITH NURSING CARE." STAND UP - WHICH INCLUDED SPECIALIZED MEDICAL EQUIPMENT AND A NURSE AT HOME. WITHOUT THIS CARE, NOAH WOULD NOT BE RELEASED FROM THE HOSPITAL. BUT THE FINANCIAL COSTS WERE SUBSTANTIAL -- $1,500 A MONTH JUST FOR THE MEDICAL EQUIPMENT -- SO DEB AND STEVE APPLIED FOR ASSISTANCE THROUGH THEIR PRIVATE HEALTH INSURER. DEB 1- 2035 - "SO OUR DISCHARGE DATE WAS OCTOBER 31 AND THE DAY BEFORE WE WERE TOLD THAT CIGNA HAD TURNED US DOWN FOR COVERAGE AND HE WASN'T COMING HOME." NARR 4 - THE NEWS DEVASTATED DEB AND STEVE, BUT THEY KNEW THEY NEEDED HELP. LAURA 1- 5245 "MOST OF THESE PARENTS ARE COMPETENT TO TAKE CARE OF CHILD BUT IT'S TOUGH TO DO IT 24 HOURS, 7DAYS A WEEK. SO IT'S VERY IMPORTANT TO GET A NURSE IN THERE SO THEY CAN HAVE A PERIOD OF TIME TO SLEEP." SOUND OF CATHY, NURSE AND BABY NARR 5 - WILLIAM SCHWARTZ CAME INTO HIS PARENT'S LIFE THREE MONTHS EARLY. HE WEIGHED JUST TWO POUNDS. AT NINE MONTHS OLD, HE'S READY TO GO HOME. CATHY 3 -5225 - "PHIL - ARE YOU READY? EVEN THINKING ABOUT IT OVERWHELMS US… I CAN BE A MOTHER TO A NEWBORN BUT WILLIAM IS A SPECIAL TYPE OF NEWBORN, HE COMES WITH ALL OF THIS STUFF AND I'M NOT A DOCTOR. I CAN TELL WHEN HE'S UNHAPPY OR STRUGGLING BUT WILL I BE ABLE TO REMEDY THAT? I CAN HUG HIM, NURSE HIM AND LOVE HIM BUT… I DON'T KNOW." SHOTS OF DR. RHODES NARR 6 - DR. TORUNN RHODES IS A NEONATOLOGIST AT DARTMOUTH-HITCHCOCK MEDICAL CENTER. SHE SPECIALIZES IN PEDIATRIC MEDICINE AND CARES FOR ABOUT TWENTY BABIES A YEAR LIKE WILLIAM AND NOAH - MANY OF WHOM REQUIRE HOME CARE. RHODES 1-855 "WE HAD TO CREATE A SITUATION THAT WAS MANAGEABLE FOR THE PARENTS. BECAUSE YOU CAN'T SAY HERE IS YOUR BABY READY TO GO HOME, BUT NOT ALL FIXED AND LEAVE IT TO THE PARENTS." LAURA 1- 4852 "SINCE MANY OF THE PRIVATE INSURERS DON'T COVER BLOCK NURSING ITS NECESSARY FOR FAMILIES TO APPLY FOR THIS WAIVER PROGRAM TO COVER THIS VERY EXPENSIVE SERVICE OF BLOCKED NURSING TIME." STAND UP - "IN NEW HAMPSHIRE, THAT PROGRAM IS CALLED KATIE BECKETT. AS PART OF MEDICAID IT PROVIDES HOME CARE COVERAGE THAT PRIVATE INSURERS DON'T. BLOCK NURSING - HAVING A NURSE IN THE HOME IS WHAT NOAH NEEDED, SO DEB APPLIED." DEB 1-2220 "I WENT TO THE STATE OFFICE THAT DAY AND GOT ALL THE PAPER WORK TOGETHER AND APPLIED ON OCTOBER 31. PHIL - AND HOW LONG DID THAT PROCESS TAKE? WE WERE TURNED DOWN BY THE STATE. PHIL - WHAT WAS REASON? THEY NEVER GAVE US A REASON. SO WE CONTACTED DR. RHODES - SHE MADE SOME PHONE CALLS AND HE SUDDENLY HE WAS ON HIS WAY HOME." NARR 7 - BUT THAT WASN'T UNTIL MID-DECEMBER -- FORTY-EIGHT DAYS AFTER DEB APPLIED FOR KATIE BECKETT ASSISTANCE. WAITING, ACCORDING TO HOSPITAL STAFF IS NOT UNCOMMON. DION - 1 - 2358 "THEY CAN'T APPLY FOR KATIE BECKETT UNTIL WE KNOW WHAT THE HOME CARE NEEDS ARE." NARR 8 - AND THAT ACCORDING TO DION FORCIER HAS FORCED FAMILIES TO DELAY APPLYING FOR KATIE BECKETT UNTIL THEIR CHILDREN ARE CLOSE TO BEING DISCHARGED FROM THE HOSPITAL. DION 1-2403 "IT'S A CATCH 22 SITUATION BECAUSE THE APPLICATION TAKES 4-6 WEEKS TO BE PROCESSED AND THE BABY MIGHT BE READY FOR DISCHARGE BEFORE THEN." NARR 9 - THE RESULT IS SOME BABIES WAIT IN THE HOSPITAL FOR MEDICAID APPROVAL. COSTS THERE ARE ABOUT TEN TIMES HIGHER THAN IT IS FOR HOME CARE. PRIVATE INSURANCE COMPANIES THAT COULD BRIDGE THE COVERAGE UNTIL KATIE BECKETT IS APPROVED, OFTEN DON'T. SANDRA 1 - 612 'RIGHT NOW WE HAVE A BABY THAT'S BEEN WAITING A WEEK FOR A MEDICAID DECISION RELATIVE TO PRIVATE DUTY NURSING." NARR 10 - SANDRA POLEATEWICH IS AN ADMINISTRATOR AT INTERIM HEALTHCARE, THE STATE'S LARGEST HOME CARE NURSING AGENCY. SANDRA 1-1640 "I'VE BEEN DOING THIS FOR A LONG TIME AND IT USED TO BE YOU COULD PRESENT THE PICTURE THAT IF YOU BRING THIS BABY HOME AND PAY FOR EIGHT HOURS OF NURSING IT WILL BE A LOT CHEAPER THAN PAYING FOR A HOSPITAL IN THE NICU. NOW YOU CAN'T HAVE THAT DISCUSSION BECAUSE WHAT YOU HEAR IS THAT IT'S NOT A COVERED BENEFIT AND WERE NOT GOING TO PAY FOR IT." SOUND OF LAURIE AND BABY NARR 11 - THAT'S WHAT LAURIE LUCIER HEARD AFTER GIVING BIRTH TO HER DAUGHTER MAIJA, TEN WEEKS EARLY. LAURIE 1-719 "SHE WAS BORN WITH BRONCOPULMANARY DISPLASIA HER LUNGS ARE SCARRED FROM THE TUBES." NARR 12 - AFTER TEN WEEKS IN THE HOSPITAL, MAIJA SEEMED WELL ENOUGH TO GO HOME. WHILE LAURIE WAITED TO HEAR ABOUT KATIE BECKETT ASSISTANCE, HER DAUGHTER'S OXYGEN SATURATION LEVEL DROPPED. LAURIE 1-1146 "SO AT THAT POINT I CALLED UP THE INSURANCE COMPANY I SAID WE WERE HAVING TOUGH TIME WAITING AND PUT TWO EXPEDITORS ON IT BECAUSE WE WERE IN DESPERATE NEED AND ASKED IF THEY COULD PAY FOR BLOCK NURSING UNTIL WAS KATIE BECKETT APPROVED." NARR 13 - LAURIE'S REQUEST WAS DENIED BECAUSE IT WASN'T PART OF HER PRIVATE INSURANCE POLICY. SHE DID EVENTUALLY RECEIVE HOME CARE THROUGH KATIE BECKETT. SOUND OF LAURIE AND BABY DISSOLVE TO SOUND OF PUBLIC FORUM NARR 14 - LATE THIS SUMMER, MEDICAID REPRESENTATIVES MET WITH HEALTH CARE WORKERS. THEY WOULDN'T TALK WITH US ON CAMERA BUT THEY DID DISCUSS HOW TO BETTER MANAGE HOME CARE FOR CHILDREN WHO NEED IT. RHODES 1-2427 "I THOUGHT THAT IT WAS A POSITIVE TONE. MY IMPRESSIONS WERE THAT THEY WANT TO COOPERATE WITH HEALTH CARE PROFESSIONALS NOT CUT BACK ON SERVICES." SOUND FROM THE MEETING ABOUT THE WAITING PERIOD TO APPLY FOR KATIE BECKETT RHODES 1-2655 "IF YOU COULD CHANGE SOMETHING ABOUT THE SYSTEM WHAT WOULD IT BE? I WOULD HAVE THE PRIVATE INSURERS AND PUBLIC PUT HOMECARE ON THE SAME LINE AS HOSPITALIZATION." NARR 15 - PERHAPS THAT WOULD ENSURE THERE ARE NO CRACKS FOR THESE FAMILIES TO FALL BETWEEN. FOR NH OUTLOOK, I'M PHIL VAUGHN |
| Intro Home Care Return to index of stories... |
JOINING ME NOW TO DISCUSS THE STRUGGLES GRANITE STATERS ARE FACING WITH HOME CARE, SUSAN YOUNG THE EXECUTIVE DIRECTOR OF HOME CARE ASSOCIATION OF NEW HAMPSHIRE, SANDRA PO - LOT - OH- WITCH A REGISTERED NURSE WITH INTERIM HEALTHCARE OF MANCHESTER AND MABEL BROWN OF RAYMOND, MABEL IS CURRENTLY RECEIVING HOME CARE AND HER HUSBAND RECEIVED SIMILAR CARE BEFORE BEING PLACED IN A NURSING HOME. THANK YOU ALL FOR JOINING US TODAY. |
| Home Care Return to index of stories... |
POINTS OF DISCUSSION SANDRA - IT SEEMS TO TAKE A LONG TIME TO PROCESS PAPERWORK, ETC. PEOPLE EN UP STAYING AT HOSPITAL LONGER - ANY PROGRESS IN MAKING THIS EASIER FOR FAMILIES? SUSAN - PHIL FOCUSED ON FAMILIES WITH PREMATURE BABIES - IS THE HOMECARE AVAILABLE TO ANY PERSON IN NEED OF ITS SERVICES HOME CARE INCLUDES WHAT SERVICES? MABEL - WHAT HOME CARE SERVICES ARE YOU RECEIVING? MABEL - HOW HAS IT CHANGED YOUR LIFE? SANDRA - HOW CAN YOU TELL WHEN PARENT OR LOVED ONE WOULD BENEFIT FROM HOMECARE? IS HOMECARE ONLY VAILABLE AFTER HOSPITAL STAY? SUSAN - HOW WELL ARE WE DOING IN NH IN TERMS OF ACCESS/AFFORD ABILITY? MABEL - YOU WILL BE DISCHARGED FROM SERVICES SOON - HOW PREPARED ARE YOU FOR THAT? SANDRA/SUSAN - CHALLENGES FACING HOME CARE IN NH? BUDGET ISSUES FACING HEALTH AND HUMAN SERVICES CONCERNED ABOUT CUTS IN MEDICAID? |
| Tag Home Care Return to index of stories... |
YOU CAN FIND MORE INFORMATION ABOUT HOME CARE IN NEW HAMPSHIRE BY VISITNG THE HOME CARE ASSOCIATION OF NEW HAMPSHIRE AT HOMECARE-N-H-DOT-ORG |
| Intro Brick Oven Return to index of stories... |
THIS THANKSGIVING HOLIDAY MANY PEOPLE WILL GATHER WITH FAMILY AND FRIENDS AROUND A MEAL PREPARED IN THE HOME. SOME PEOPLE WILL BE PREPARING THEIR MEAL OUTDOORS IN A BRICK OVEN THEY BUILT THEMSELVES. BEN FRENCH SHOWS US HOW ONE HENNIKER FAMILY LEARNED TO DO IT. |
| Brick Oven Return to index of stories... |
NAT: TRACK 1: YOU KNOW THAT GENUINE BRICK OVEN PIZZA OR BREAD YOU FIND IN THE SOME BEST RESTAURANTS? SOT/NAT: 29:28 WHAT DO YOU THINK? **BUTT** 31:36 31:36 GUESS WHO MADE IT? YOU DID. TRACK 2: WELL NOW A NUMBER OF PEOPLE ARE FINDING THEY CAN GET THAT SAME WOOD FIRED FLAVOR IN THEIR OWN BACKYARD. DONNA AND JOE PARRIS DID JUST THAT. THEY BUILT THEIR OWN MASONRY OVEN ON THEIR PATIO- AS DONNA WILL TELL YOU, THE REACTION FROM FRIENDS AND FAMILY WAS MIXED AT FIRST. SOT: T9; 58:07 YOU'RE BUILDING A BRICK OVEN?! SO AND THAT'S TRUE THEY DID JUST THINK OF IT AS RESTAURANT AND HOW WOULD SOMEONE APPLY IT IN A HOMEOWNER SITUATION. 58:17 OUT SOT: T9; 41:07 I HONESTLY DON'T KNOW WHAT THE DRAW WAS BUT JUST THE CURIOSITY TO LOOK IN THE OVEN AND WONDER HOW THEY DID IT- HOW DID THEY CONSTRUCT THE DOME AND HOW DID THEY GET IT TO STICK UP THERE DID THEY USE A FORM YOU KNOW ITS JUST THAT AGE OLD QUESTION THAT KIDS ASKIS WHY AND HOW DOES IT WORK AND THAT'S HOW I GOT STARTED. 41:25 TRACK 3: ALAN SCOTT HAS BEEN ANSWERING THE QUESTION HOW DOES IT WORK FOR YEARS. HE'S WRITTEN A BOOK ON THE SUBJECT AND HOLDS WORKSHOPS FOR PEOPLE INTERESTED IN CRAFTING THEIR OWN BRICK OVEN. SOT: TASTE SOT: PARRIS WHY WE DID IT… DONNA? T9; 1:49:30Ŕ TRACK 4: THE PARRIS' ARE PROFESSIONAL MASONS- SO THEY DO HAVE AN EDGE ON SOME OF THE OTHER PEOPLE AT THE WORKSHOP. T9; 57:42 MOST EVERYONE THERE REALLY DIDN'T HVE ANY FORMER KNOWLAGE AND REALLY DIDN'T HAVE ANY KNOWLAGE BUT WERE ABLE TO PUT IT ALL TOGETHER WHICH WAS REALLY THE NEAT THING ABOUT IT. 57;54 OUT SOT: T9; 01:54:54 IT ALSO MIGHT LOOK COMPLICATED LOOKING AT IT AT THIS POINT BUT IT'S REALLY NOT- IT'S REALLY JUST STEPS 55:02 SOT: … SOT: SOT: HOW LONG IT TAKES…COST. STANDUP: SO IF YOU DO LIKE THAT BRICK OVEN FLAVOR AND HAVE THE TIME AND MONEY - THE PARRIS' SAY IT MIGHT BE WELL WORTH YOUR EFFORT TO FIND A WORKSHOP AND BUILD YOUR OWN BRICK OVEN. TRACK 5: THE PARRRIS' HOPE THEY CAN EVEN COOK THE THANKSGIVING TURKEY IN THEIR NEW OUTDOOR APPLIANCE THIS YEAR. SOT ?: "I BUILT IT SO IT WOULD FIT A BIG BIRD" SOT: T9; 54:15 MORE FAMILY GATEGRINGS WILL POTENTIALLY HAPPEN BECAUSE OF THE EXCITEMENT OF FIREING UP THE OVEN AND GETTING PEOPLE TOGETHER SO MAYBE DIFF PEOPLE GETTING TOGETHER THATMIGHT NOT HAVE BEFORE BECAUSE THERE MAY BE THIS COMMON THING OF FIRING UP THE OVEN. 54:33 OUT TAG: IN HENNIKER, IBFFNHO. |
| Tomorrow Return to index of stories... |
ON THE NEXT NEW HAMPSHIRE OUTLOOK - THE HUMAN FACE OF HIV AND AIDS. GRANITE STATE COMPOSER TIM JANIS BRINGS A NEW CONCERT SERIES TO THE REGION. |
| Goodnight Return to index of stories... |
THAT'S IT FOR THIS EDITION OF OUR PROGRAM. FOR ALL OF US HERE AT New Hampshire PBS, I'M ALLY MCNAIR. THANKS FOR JOINING US. WE'LL SEE YOU NEXT TIME ON NEW HAMPSHIRE OUTLOOK. |
| founders Return to index of stories... |
THANKS TO OUR FOUNDING SPONSORS WHO HAVE PROVIDED MAJOR FUNDING FOR THE PRODUCTION OF NEW HAMPSHIRE OUTLOOK: NEW HAMPSHIRE CHARITABLE FOUNDATION PUBLIC SERVICE OF NEW HAMPSHIRE ALICE J. REEN CHARITABLE TRUST PUTNAM FOUNDATION STRATFORD FOUNDATION |