posted
First I want to say thank you to everyone b/c I have been reading this forum for a few weeks now and have learned so much.
You will notice I don't post much, but it is because I am still figuring things out and don't always feel like I have much to offer.
I do have a specific question though. My LLMD is recommending IV abx and I am fine with this as I feel things going downhill even on orals. I have searched topics like PICC vs. Mediport, etc.
My LLMD has a strong preference for Mediport over the PICC largely due to concern for infection. I work in a hospital and also am very concerned about this. But since I can't quite picture what this treatment will be like, I am asking for input.
I realize that many folks requiring IV abx are not able to work, but I have been able to continue largely because my job is quite flexible, but I do work 4 days a week at this point.
LLMD is saying I would do 4 days of abx then be off for 3. Those of you that have a port, how long does the infusion take and is it possible to work in a hospital while "accessed" without too much concern for infection?
What sort of questions do you recommend I ask my insurance company before committing to any of this? I realize most will not pay for extended treatment, but will calling and asking questions about the procedure to have the port implanted and home health benefits raise a huge red flag unneccesariy?
I don't even feel like I have the correct verbage to ask many questions, so any input you all have is greatly appreciated.
Thank you!
Posts: 47 | From Texas | Registered: Oct 2010
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sammy
Frequent Contributor (5K+ posts)
Member # 13952
posted
I worked in a busy pediatric office for 9mo while on IV antibiotics. I had a PICC line. The easiest thing you can do to prevent infection is keep your PICC or port covered while at work.
You might also consider bringing an extra set of scrubs to work so that you can quickly change if you get them dirty, wet, or contaminated in any way.
If you get a PICC you will also need to be mindful not to overuse the arm. Lifting or assisting heavy patients and repetitive movements can cause arm pain. You wouldn't have to worry about this with port.
Call or stop by your human resources dept to ask for a copy of you insurance medical policy. That should give you coverage details. If you still have questions, call. HR personnel are usually really friendly and helpful. They can get you more info if needed.
Before you start IV get a prior authorization in writing from your insurance company stating if and how long they will pay for your IV antibiotics. Verbal answers are not enough (I learned the hard way).
Good luck!
Posts: 5237 | From here | Registered: Nov 2007
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posted
I've only had the PICC, not a port, but I worked as a veterinary technician for the 4 months that I was on it. Never had a problem with it.
I think infusion time depends on what medication you're on. I did IV Rocephin, and did it over half an hour, athough with set-up and everything, it took me closer to an hour to do the whole thing.
Posts: 306 | From Brownsville, PA | Registered: Jul 2007
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