welcome to the organic green doctor blog

i am a family physician who was diagnosed with
early mild cognitive impairment(mci) amnestic type on december 21, 2010
this is a precursor to alzheimers disease
because of this diagnosis i have opted to stop practicing medicine
this blog will be about my journey with this disease
please feel free to follow me along this path
i will continue blogging on organic gardening, green living,
solar power, rainwater collection, and healthy living
i will blog on these plus other things noted to be interesting

Monday, May 23, 2016


now if you are in the medical industry you might recognized
this as a code for a medical procedure
a code that has been approved by
medicare medicaid better known as cms
all the insurances
all the medical societies for all the different primary cares and specialists
medicare pays roughly $86 for this service

now when i was in practice i always kept up with coding
thats what the doctor marks for each thing they do
insurance accepts these codes
as do medicare medicaid champus etc
each entity then pays for the service according to a fixed schedule
usually but not always private insurance pays more
but not always
some pay less than medicare pays

so this 99497 is an approved code
reimbursable by insurance
if your doc provides the service
most insurance pays for it

so what is the 99497 code
i call it the death panel code
remember all that death panel stuff from a few years ago
now its here
as it should be

as usual in politics they really exaggerate things
they gonna put those old folks out to pasture like
the indians use to do with their old folks
they knew apparently to just wonder off into the woods
so the story is told

the code covers the discussion of advance directives
let me just say
i have had one for 20 years
i plan to update it soon
it will say the same thing
if you put me on life sustaining mechanical machines
when there is  no hope for me
i will personally come back to this world
and send your soul to the devil

those who oppose this should be treated that way

now i did have some second thoughts about this
maybe i should have my wife she to keep me alive
no matter what
she will be a retired teacher and as such
will not qualify to get my social security when i die
like the rest of you will with your spouses
so i told her the other day
if they dont change the law maybe...

so these 99497 visits were what all the fuss was about
all i can say is thank you to whoever come up with this idea
its a discussion that we all need to have with our medical providers
our family
our friends
now medicare and insurances will pay for us to do it

you need a
living will
power of attorney for healthcare
power of attorney for finances
consider a no cpr maybe tatto it on your chest right where they
place their hands when they start cpr

looking at my family medical history and my personal history
i am going to die from either
heart disease
worse i guess
alzheimers disease

if its alzheimers disease
when i get to the point where i am not a functional human
mentally and physically
i want my wife she to bring out all my forms
they will say something like
my husband the organicgreendoctor being of sound mind and body
having utilized his 99497 visit to discuss this with his doc
now wants all this stuff put into service
there on all the forms it will say

let me sink or swim
dont you dare take me to no hospital
dont you dare push on my chest
dont you dare stick a tube down my throat
dont you dare put an iv in me
dont you dare put no feeding tube down my nose

its my time
let me please float away like the old timey folks use to

the organicgreen doctor

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