Tag Archives: accounts department

Tuesday 12th January 2016 – I REALLY DON’T KNOW …

… why they pay some of these people. If I were in charge, they would be paid in washers.

It’s no surprise to anyone to learn that neither of the two letters that I was promised, by two different secretaries of the hospital at Montlucon, has been prepared – let alone signed and posted. And so we had another fifteen minutes of unpleasantness at the reception counter when I went to collect my droit d’entrée to go to see the anaesthetist.

However, this was resolved in rather dramatic fashion while I was talking to the head of the accounts department. She told me (again – because she had told me this three or four weeks ago) that I needed to have the authorisation of my insurance company for the hospital to send the bills for consultation directly to them, and for this, I needed a letter from the doctor who was treating me.

I then (rather patiently for me) explained that I was in total agreement, but having asked for those letters on 23rd December from my Doctor and again on 4th January from my Surgeon, I had still received nothing despite the re-assurance on the telephone the other day, and in fact the letters hadn’t even been typed out.

At that news, the head of the accounts department picked up the telephone, dialled a number and had what can only be described as “a frank exchange of views” with someone on the other end of the line, including the phrase “do you realise that you are holding up the work of the hospital?”. And after she hung up the receiver, she gave me the form that I needed.

I don’t need all of this stress, and even less so when I’m ill like this. And I just go back to the very first day that I was admitted to the hospital, back in late November, when I handed my insurance card to the hospital. As you may remember, the hospital refused (and on a couple of occasions too) to telephone the insurance organisation as I was admitted. Hod they done so, they could have opened a file ON THE SPOT and established all of the information necessary to establish the necessary procedures and coverage ON THE SPOT and all of this unpleasantness could have been avoided. I don’t know enough about hospital procedure to be able to explain to anyone else what is happening and what to expect (from an accounting point of view), and the procedure in Belgium (where my insurance organisation is based) is so much different from that in France.

It’s all so unnecessary.

But abandoning yet another really good rant for the moment … "thank God!" – ed
let us retourner à nos moutons, as they say around here.

The alarm went off at 07:00 and I crawled agonisingly out of my bed. I’d had an early night and crashed out really quickly.

And during the night, I’d been trying to go to a rock concert somewhere but I had never managed to make it. And so I was at home somewhere or other (a house that I actually know but I can’t put a name or address to it, although it strongly resembled Davenport Avenue), and the musicians arrived! The three of them fitted into my tiny bedroom and started to play, just for me. The group might have been “Rush” or it might even have been “Strife” (I’ve been talking a great deal about them on my social network account just recently) but one thing was sure and that was no matter who it was, there was just one musician – the bassist – from the group and the other two members were the guitarist and drummer with whom I used to play back in the 1970s. And when they finished, the bassist said something along the lines of “that’ll teach you to come to our concerts next time”.
So from here, the drummer, guitarist and I had to catch a bus back to Crewe (we were in Chester at the time apparently – scene of many of my earlier musical successes) and so we waited – and waited – and waited – and no bus came (back in those days the C84 ran every hour). Eventually another bus came. This was a bus of the type of the mid-60s – an early Bristol RE single-decker with a green lower and white upper, but with large windows and very curved rather than angular corners – and on the headboard it was indicating “Whitchurch”. Buses heading from Chester to Whitchurch usually travel down the A41 through Christleton and that way but this bus was on the road out of Chester in the general direction of Tarvin, so I assumed that it might be going to Whitchuch via Nantwich, from where there were buses every 15 minutes to Crewe. But chatting to the driver, it appeared that he was only going so far down the Nantwich road, turning off just after Tarporley somewhere in the general area of Bunbury. And so we were there for a good while – the guitarist, the driver and I debating whether or not to take the bus, alight where it turns off the main road and wait for the very late C84. But what if the C84 overtakes us along the route? We’d then be even later and that would clearly be no good (the idea that if our C84 wasn’t running, we would be stranded wherever we were hadn’t entered our heads at all, apparently). The driver said that he could as a favour, pass by Aston Juxta Mondrum (which is nowhere near where we want to go and in any case didn’t have a bus service to anywhere) and drop us there, but we stood for ages at this bus stop, haunted by indecision and being totally incapable of making up our minds.

I was on the road by 07:30 and pulled into Pionsat at more-or-less the same time as the nurse (she who runs the pie hut at the footy) and so paying for my consultation from the other day was quite straightforward.

I arrived at the hospital in Montlucon at 08:30, having found a good spec to park Caliburn, and despite having had a little adventure on the way. It was pouring down with rain and round about St Gervais, the driver’s side windscreen wiper became attached from the arm. Luckily, I was able to rescue it and replace it but it came loose again and so I drove all of the way there without wipers (once you go through the initial 5 minutes of blindness, you’ll be surprised at how clear the view is through a “liquid windscreen”). Subsequent enquiries in the daylight revealed that the blade hadn’t been fitted correctly and I was able to deal with that.

It was just as well that I was early at the hospital. Once more, I had the choice of seats (the one in the corner by the power point) for we ended up 5 people in a room made for two and they were turning people away, to wait in the waiting room until there was a space for them. It really is no surprise that they couldn’t fit me in last Monday afternoon if this is how busy they are in the day hospital.

It was the efficient nurse who dealt with me today. Not only did she fit my drain at the first attempt, it hardly hurt (in comparison to all the others who have tried). And then we reverted to the marvels of modern 21st-Century technology, warming up the blood by stuffing it up my jumper.

I took advantage of my stay there by having a browse through www.archive.org. I discovered a while back that they are now grouping as *.zip files many of the old-time radio programmes instead of having them as individual downloads, but 1.4GB is beyond the capacity of my internet connection at home or here chez Liz and Terry. But not at the hospital where a real (as opposed to “notional”) 600kb/s is readily available, and so I downloaded all of Beyond Our Ken, all of the Sherlock Holmes radio shows of the 40s and all of the Philip Marlowe radio shows.

If I’m back next week (which is more-than-likely) there’s the Clitheroe Kid and the Navy Lark to download. And then I’ll be keeping an eye out for ITMA and Much Binding In The Marsh. And if it keeps on and on and on, I’ll end up with more radio shows than the BBC.

I declined the lunch that was offered, and for two reasons too.

  1. The food in the hospital is disgusting
  2. I was hoping to be in and out long before I became hungry

and wasn’t all of that a silly mistake?

I was indeed finished early – at 12:45 in fact. So much so that I had time for a coffee in the café, but I won’t be doing that again. Coffee from the machine is just €0:60 but in the café it’s €1:70, and it’s not as if the surroundings are any more pleasant than the hospital foyer. It did give me an opportunity to spy out the land there and check the food on offer (I need somehow to supplement the hospital diet) but there was, as I expected, nothing there that I could eat.

Then it was time to deal with the anaesthetist, and this is where we had all of the nonsense mentioned above. By the time that I had finished, it was almost 15:00 and how I wish that I had had lunch in the hospital earlier.

I gave the usual spiel to the anaesthetist. “I hate tubes, injections, internal cameras and all of that kind of thing. I don’t want to know what you are going to do to me – just do it and get on with it. if you find anything else when I’m opened up, do that too because I don’t want to come back a second time. But when I wake up, I want to have both my hands and both my feet, and I don’t want to see any tubes, pipes and cameras”.
“Both your hands and both your feet?” said the anaesthetist? “Not your head?”
“I lost my head years ago” I replied.

So we had a nice friendly chat. He’s an old guy, probably my age, with a sparkle in his eye and a devilish sense of humour which makes a change from most French people whom I know. I wish that there were more like him. And then I went for another spy around the 3rd floor to see what I could see. There seems to be a nurse there who would love to sooth my fevered brow, but I’ll be b*gg*red if I let him.

I did some shopping at Amaranthe, the health food shop. A pile of vegan cheese (we’re running low here) and a few other vegan bits and pieces. I bought myself a big pile of vegan muesli biscuits for lunch and nibbled them throughout the afternoon Liz didn’t give me a shopping list for the Carrefour so I had to improvise, and ended up forgetting a pile of stuff that would have been useful to us.That’s a shame, because I feel that I ought to be paying my way while I’m here, and a load of shopping each week would certainly help.

A new pair of slippers and a few pairs of sock was on my shopping list though. The slippers that I have are falling apart and my socks are … errr … quite religious. There was a special offer of 6 pairs of socks at €5:99. Terry asked me if they would last any kind of distance, to which I replied that maybe I only need to worry until the 27th January.

I didn’t feel like much in the way of tea. Too stuffed up with muesli biscuits I reckon. And then I had an early night, leaving you to digest a mere 2000 words this evening.

And serve you b*gg*ers right too!

Thursday 3rd December 2015 – WELL, THAT SORTED THEM OUT!

Yes – clearly my discussion with the Accounts department yesterday seems to have worked, and galvanised them into action, because they rang me up this morning to say that the Direct Billing account has now been established and I needn’t worry about the payments.

As if I was worrying about the payments anyway. It’s no concern of mine. As I said yesterday, the hospital could have done all of this on the day that I was admitted.

Anyway, it’s amazing what you can do when you set your minds to doing it, isn’t it, Accounts Department of Centre Hospitalier Montlucon?

Before all of this erupted however, I’d already been on my travels. Down to the depths of the hospital and the domain of the Body-snatc … errr … scanners. It’s like a huge time portal (made by one of my former employers, General Electric) and you pass in and out of it on a cantilever trolley. I did of course ask if I was going to wake up in the 25th Century, but knowing the Auvergne like I do, it’s probably something for bringing people kicking and screaming into the present day.

I had to drink something totally disgusting before I was scanned and to give you an idea of just how unpleasant it was, this is the first place anywhere in any hospital in which I have ever been in mainland Europe where I’ve been offered a cup of coffee afterwards. But that didn’t work and even 15 hours later I can still taste whatever it was.

But there was a moment of light entertainment down there in the bowels of the hospital. In the body-scanner machine you have to wear a kind of helmet and there are different sizes of padding; depending upon the size of your head. Chief Body-Scanner went on a fruitless search to find the right size for me.
Chief Body-Scanner – “but don’t you have a big head?”
Our Hero – “well, there’s quite a lot in it!”.

After that, I was left pretty-much to my own devices and cracked on with my University course on Hadrian’s Wall. A great chance to catch up on the outstanding stuff.

But we did have some kind of interruption. The doctor came to see me “you can go home later on today. You’ll be back tomorrow for a check-up and again in another week”
“I’m not so sure that that’s a good idea” I replied. “I’ll have to disturb someone at work right now to come over 50 kilometres to pick me up, and drive over 50 kilometres back. And then tomorrow, he’ll have to drive me over 50 kilometres to come here and then over 50 kilometres back again. If I can stay until tomorrow afternoon, there will be someone in Montlucon already who can bring me back without the slightest inconvenience to anyone”.

And so common sense has prevailed and I’m here until Liz comes to fetch me tomorrow afternoon.

When Liz turned up later (with some spare undies and a punnet of grapes) I told her the news, and that is indeed the plan. I warned her and Terry to make sure that they had plenty of garlic in and to wear it around their necks when they go to bed just in case I feel thirsty during the night.

And so that was that today. But I didn’t go off to sleep easily. I had borrowed a couple of books from the library and one of them looked quite interesting – namely the story of the discovery of some “treasure” in 1924 in a small village called Glozel, about 60kms from here.

It turned out to be one of the most controversial treasure trove discoveries in the whole of the country because while many of the objects are of a typical early neolithic style, many of them appear to be made in the Medieval period and some even contemporary to the discovery. And this led to all kinds of village feuds, court cases and the like, and the affair rumbles on today.

Anyway, there I was, riveted to this book from start to finish and it was 23:00 when I arrived at the last page. It’s a long time since I’ve been stuck to a book like that.

Wednesday 2nd December 2015 – JUST FOR A CHANGE …

… I didn’t have a great many interruptions today. And even better, being free of tubes and pipes for once, I took advantage of the shower that is in my little washroom here and had one of the nicest showers that I’ve ever had. And don’t I fell better for it? It certainly cheered me up.

Last night’s sleep was nothing much to write home about, particularly after the good night that I had had previously. But nevertheless I was on my travels once more during the night. I was running a taxi business with a group of kids, all about 9 or 10 and one day we were clearing up the yard and gathered together an enormous amount of waste or scrap which was valued at £280. For this, I was offered a brand-new car and that seemed like a once-in-a-lifetime deal to me so I was keen to accept. But these kids must have misunderstood because they thought that I was swapping it all for a set of new tyres, which was nothing like the same deal. as a result they insisted on accompanying me to do the deal. But we ended up in the local swimming baths and the papers somehow or other found their way into the water and no sooner had I retrieved one of them then another paper would find its way into the water and I had to fish that out of the water too. And so on.

And so having sorted myself out, I had the first of my visits today. I have finally made the acquaintance of the doctor who is dealing with my case. And while she’s not yet completed her enquiries, it’s pointing more and more towards a lymphoma. But in other news, my haemoglobin count has gone right down again to 7.8 and that means that this afternoon I’ll be having another blood transfusion.

We then had the usual pantomime with the Accounts Department. I shan’t bore you with the details because I’ve talked about them before, and doubtless I’ll be talking about them again. But basically, they are moaning that I haven’t paid them anything for my treatment so far. Regular readers of this rubbish will recall that I have an assurance from my former employers, and the idea is that whenever I go for any major treatment, I produce a card with an emergency phone number on it, the hospital or whatever phones it up and this opens a direct billing account. However, you might recall that the person on “reception” at the Emergency Admissions refused to call it up.

And so I had to request a form, which duly came, and I completed it and handed it to the hospital to fax off and to keep a copy so that they had all of the details to hand. But they refused to do that too, and so I had to post it off my snail mail.

And the result of all of this is that they now have to wait upon the pleasure of the Post office – and serve them right too.

While I was waiting for the blood I did the test that I needed to take for the end of my fourth week of my University course. I ended up with 90% which was disappointing as far as I was concerned because I fell down on the identification of the god Mithras and also on the pathological question concerning the kid’s skeleton that had been disinterred from under the floor of an army barracks.

I’m now four days behind on this course, despite at one stage of having been three days ahead. I need to get a wiggle on.

Later on, they came round with the blood.
“You’re having a lot of blood” said the nurse
“Well don’t worry” I replied. “If you run short, I’ll put on a black cape and prowl the streets of Montlucon at midnight”

They took so much time to organise themselves with this blood that by the time they had finished with the blood transfusion, it was after 22:00. I was too tired to try to watch a film and so I just crawled under the covers and went off to sleep.