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Author Topic: Do most people have to re-do the Med Ex Form (21-2680) after the Doc's + ?'s  (Read 572 times)
MozzarElla
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« on: April 11, 2011, 11:35:28 AM »

Hello, All! And... Thank You, Debbie, for all your work in creating and maintaining this site.
(Fun scroll option there! Wink)
I have been dealing with the medical form 21-2680 "Examination for Housebound Status or Permanent Need for Regular A & A". Each of my parents' doctors have made glaring errors, omissions, or lack of medical terms in the form. (Saying my Dad is continent, when that is one of his main physical problems; referring to my Mom's short and long term memory problems as (mere) "forgetfulness"-- and we were THERE for the mini-exam and interview and still such layman's terms were used.) I have been spending days reviewing each of their forms and correcting errors, omissions, and replacing mild layman lingo with medical terminology. I will then kindly re-submit these to each of the doctors and hope they will appreciate and accept my cleaning up their responses or filling in their non-responses. (Anyone else have doctors whom they have had long-term relationships with who seem unable to accurately fill out the form? [Side note: neither Dr answered correctly Question #32. Admittedly, it is a hard one to read, as it has a loooong (53 word) clause before they actually ask the 14 word question which asks basically to describe the claimant's typical day. Both doctors were off-base in their responses. Roll Eyes

Anyway, one of many questions I would like to pose here is to confirm that, in my father's case, we should have him actually stop driving. He does currently drive, but just within a 2 mile radius-- any more, then he would become disoriented. So to be safe and truthful, I am thinking we should ask him to stop driving at this time, as the VA will likely not understand/accept the fact that he's doing "ok" with his little jaunts to the drugstore and back to the assisted living center.

Does anyone have feedback on that? We need to build a strong case for him, as he relies heavily on my mother for many things during the day, but she has her own set of serious health problems.

Any input other forum readers could post would be most appreciated.
Many thanks![/color][/size][/size]
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caregiverx2
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« Reply #1 on: April 11, 2011, 03:10:36 PM »

Dad's PCP asked me to complete forms.  I worried that my words would not give the medical explantation VA would expect.
I answered questions in my own words & got the help from a nurse to put in medical terminology.  (note: form completed on computer has limited characters) Made appt to see Doctor, he reviewed & signed.  Good Luck
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Caroliso
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« Reply #2 on: April 12, 2011, 04:29:34 AM »

excellent question, Ella.  I am waiting to get form back from doc and have this very worry.  Doc has only seen my dad in short in-office visits and doesn't see his deterioration in ADL tasks, for example.  Wish I'd thought of providing answers for his review, I told him I would provide any detail he needed but haven't heard from him.  I think he's bogged down with paperwork as he said it was "at the top of his pile" when I emailed last week.
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vetadmin
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« Reply #3 on: April 12, 2011, 12:08:26 PM »

First, let me say "thank you" for the scroll.  Made me smile and made my day!

The doctor's eval is the critical piece, so good idea to clean it up.  Many fill it out and just take it to the dr's office on the visit and to review.

You do need to clearly state the need for assistance, and yes, dad needs to stop driving.  This is a big issue, and for our loved ones, this is the last piece of independence they try so hard to hang on to, and can be a challenge in getting them to surrender.
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Red Headed Mommy
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« Reply #4 on: April 12, 2011, 08:57:17 PM »

I know it is extremely difficult to get our loved ones to stop driving...Our primary doctor had the best idea...he suggested that we disconnect the battery cables.  Dad would then tell me he couldn't get his car to start...I told him we better look into it...after a while, he stopped trying to drive.  Looking back on it, it was an extremely gentle way to handle a tough situation...
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romalynn
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« Reply #5 on: April 13, 2011, 04:10:22 PM »

What a great idea on the driving issue, I know an elderly gentleman who is way too sick to be driving for his own safety and others as well.  Will sugges this idea to his family. 

As well I typed in the information for the last lady I helped and then her son just got the doctor to sign it.  Worked with no questions about it.  Thanks to all here
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