[Hpn] Woman Refuses To Leave Hospital Has No Place To Go

William Charles Tinker wtinker@metrocast.net
Thu, 17 Feb 2005 21:04:21 -0500


This is a multi-part message in MIME format.

------=_NextPart_000_01ED_01C51534.4097A590
Content-Type: text/plain;
	format=flowed;
	charset="Windows-1252";
	reply-type=original
Content-Transfer-Encoding: 7bit

http://aolsvc.news.aol.com/

Woman Overstays Hospital Stay by a Year

Says She's Healthy, But Has Nowhere to Go

By BRIAN SKOLOFF, AP
"It isn't that I'm not ready to go. I just have nowhere to go," Sarah Nome
says.

(Feb. 17) - More than a year after Sarah Nome was deemed healthy and given
her discharge papers, the 82-year-old woman stubbornly refuses to leave her
hospital bed.

Nome admits there is no reason she should be racking up unpaid medical
bills - which have now topped $1 million - but says she has nowhere else to
turn.

Now Kaiser Permanente's San Rafael Medical Center in California is suing her
for the cost of her stay and trying to show her the door.

"The thing is, I have no medical problem. I've been here more than a year,
never had any medication, never had any treatment, never had a fever, have a
perfect heart, blood pressure is like a teenager," Nome said in a telephone
interview from the hospital north of San Francisco. "It isn't that I'm not
ready to go. I just have nowhere to go."

Exasperated hospital officials persuaded a judge to approve her eviction.
But because Nome is bedridden and cannot walk, they have no intention of
wheeling her onto the street. Instead, they hope the ruling encourages her
to pack her bags.

"We're really not interested in her money," Kaiser attorney Stanley Watson
said. "We just want her cooperation."

Nome's troubles began, her daughter Jane Sands says, in 2002 when she broke
both her legs while living alone. After several operations, Nome could no
longer care for herself and was admitted to the first of several nursing
homes.

The most recent one, Nome claims, sent her to the hospital against her will.
Hospital officials say she was admitted for a weeklong psychiatric
evaluation, was deemed to be in good mental health, was then ordered
released.

But because she is suing the nursing homes where she lived before she was
hospitalized, Nome and her daughter claim she has no choice but to stay put.
Nome is suing the last home she lived in, Greenbrae Care Center, for sending
her to the hospital.

Watson said hospital officials have tried to find a suitable home for Nome,
but Nome and her daughter insist on staying in Marin County, where Nome has
spent her entire life.
That puts Kaiser in a difficult position, given Nome's bedridden state.

"If a patient were ambulatory, you could simply discharge them and say,
`Have a nice day,"' Watson said. "But I can assure you that we don't plan on
having the sheriff come in and physically remove her and put her on the
street."

Greenbrae will not take Nome back because she is suing the nursing home,
said Bob Peirce, chief operating officer of Ocadian Hospitals and Care
Centers, which runs the center.

"She's suing us, and we obviously feel very strongly that she has no case,"
Peirce said.
Anthony Wright, executive director of the health care advocacy group Health
Access California, said Nome's situation highlights a larger, nationwide
problem.

"This issue is becoming more and more contentious because ... we don't have
a long-term care policy in this country, so there is no set way that we take
care of seniors who need ongoing care," he said.
Meanwhile, Nome remains in her hospital gown. She said the doctors and
nurses "couldn't be finer," but she has missed the news since her television
and newspaper privileges were taken away. "I think Bush might still be
president," she quipped.

She passes the time by reading in bed and gazing out the window.


Copyright 2005 The Associated Press.

------=_NextPart_000_01ED_01C51534.4097A590
Content-Type: image/jpeg;
	name="Sarah Nome.jpg"
Content-Transfer-Encoding: base64
Content-Disposition: attachment;
	filename="Sarah Nome.jpg"
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------=_NextPart_000_01ED_01C51534.4097A590--