Being a Caregiver

Make an Appointment : Johns Hopkins Lyme Disease Research Center

Being a Caregiver | Johns Hopkins Medicine

COVID-19 Appointment Information and Procedure Updates
Get the latest updates for all appointments and procedures at Johns Hopkins.

COVID-19 Appointment Information from the Division of Rheumatology

The Johns Hopkins Lyme Disease Research Center is located at Johns Hopkins at Green Spring Station.

We see patients with active skin lesions of acute Lyme disease.

Telehealth Services

Tick bite and Lyme disease rash consultation is available by telemedicine appointment at the Johns Hopkins Lyme Disease Research Center.

A telehealth visit requires the ability to digitally photograph the patient’s skin rash for the evaluation and to meet certain State insurance parameters.

Only available currently to patients in Maryland, Pennsylvania, Virginia, and Delaware. Call 410-870-5963 for appointment.

In-Person Clinical Services

We also see patients with late or chronic manifestations of Lyme disease on a consultative basis by referral from a primary care physician.

Prior to scheduling patients without an active Lyme disease rash, we conduct a full review of the consult request including:

  1. Physician referral from your primary care physician
  2. Medical records with notes describing the initial diagnosis of Lyme disease
  3. Lab and radiology test results
  4. Treatment history

Above information should be faxed to 410-616-7595, including your name, address, and phone number on all documents.


The record review takes on average 4 weeks at which time we will contact you with the next steps.

If your physician feels that a more urgent consultation is required, the physician may call our office to speak to one of our staff at 410-616-7596.

Consultations may take from 1-3 visits to complete the evaluation, testing, and to formulate a plan for the patient and their primary care physician to implement.

To arrive on time for your appointment it is important that you follow the Address & Directions outlined on our website.

In early Lyme disease it is important to understand that a rash is not always present or easily recognizable. Please refer to our poster of varied rash manifestations as a helpful identification tool for patients and clinicians.

For additional disease information please click here.

Clinical Office Hours

Our office hours are 7:30 AM to 4:00 PM. Our telephones are attended by our Medical Office Coordinator between the hours of 7:30 AM to 4:00 PM. During non-office hours, calls are handled by the answering service who will contact the covering physician for you.

IF YOU ARE DEPRESSED OR HAVE SUICIDAL TENDENCIES:

  • Call 911
  • Go to the nearest emergency room
  • Call the National Suicide Prevention Lifeline number. 1-800-273-8255. Available 24 hours/day
  • Text HELP to Crisis Text Line at 741-741. Available 24 hours/day

Return Patients:

Appointments can be made by calling 410-616-7596.

Cancellations:

We ask that you please notify us as soon as possible regarding cancellations of appointments as there may be others who may need to be seen.

After Your Appointment:

Your test results from the Johns Hopkins laboratories or studies will be available through the MyChart portal in 3 business days from the time the result is final; you were given directions to sign up for this at the completion of your initial appointment.

Any test results that demand a change in your medical plan will be discussed with you before your next visit. We can discuss the rest of your test results more completely in person at your next visit.

We will typically make comments on the labs that you will also be able to view (such as, “all labs look fine”)

Insurance / Billing Information

We are participating with the following insurance payors:

  • Aetna Health Plan
  • Beech Street PPO
  • Blue Cross Blue Shield
  • CareFirst BlueChoice HMO
  • CIGNA
  • Coventry Healthcare
  • EHP
  • First Health
  • Great West/One Health PPO
  • Humana Choicecare
  • InforMed/CHP
  • Kaiser
  • MDIPA HMO
  • Maryland Medical Assistance
  • Medicare Part B*
  • Multiplan PPO
  • NCAS
  • One Net PPO
  • Optimum Choice HMO
  • Priority Partners MCO
  • Private Healthcare Systems (PHCS)
  • Tricare Reserve Select
  • Tricare Standard
  • United Healthcare
  • US Family Health Plan

* We do not participate with out-of-state Medicaid or Medicare Advantage/Replacement plans

Source: https://www.hopkinslyme.org/about-the-center/make-an-appointment/

Home | Johns Hopkins Student Assistance Program

Being a Caregiver | Johns Hopkins Medicine

The Johns Hopkins Student Assistance Program (JHSAP) is a life management resource that can help you identify and manage challenging issues in healthy ways. Getting help is free, convenient, and confidential.

A message for students from the Johns Hopkins Student Assistance Program (JHSAP):

We know that the COVID-19 situation is causing significant change and potential anxiety and distress for our community. This is an unprecedented event, and JHSAP is committed to supporting students wherever they may be. We will be updating this page with additional information and resources as the process unfolds and want to share the following at this time:

  • 24/7 mental health support is available for students by calling the JHSAP number: (443) 287-7000 or toll free (866) 764-2317.
  • Video, telehealth services (via Zoom or Doxy.me) are available for students who are in Maryland, DC, Pennsylvania, and Delaware and whose mental health needs can be served via this platform. Video or phone consultations will be scheduled for students outside these areas.
  • Students who are already connected to a JHSAP clinician, can call as noted above or send their clinician a secure message to mailto:jhsap@jhu.ed for any non-urgent issues.
  • JHSAP is glad to assist students in finding care resources within their communities.
  • Online support resources available to JHU students include the Calm app and SilverCloud.
  • Consultation to staff and faculty will continue as usual.

JHSAP urges you to attend to your emotional and mental well-being, and to reach out to us for support during these challenging times.

Managing Concerns and Emotions about COVID-19

Here are some additional tips to help you put information and concerns in perspective, manage your worry, and maintain a positive outlook.

  • Seek accurate information and limit exposure to social media and access news reports from reliable sources of information including:
  • Keep things in perspective. Take a deep breath and stay focused on the present situation. Most people who contract COVID-19 will experience only mild symptoms. It can be helpful to shift your focus to things within your control and engage in heathy coping strategies.
  • Acknowledge reactions. Allow yourself time to reflect on what you are feeling and how you may be reacting to any fears and uncertainties.
  • Maintain your normal day-to-day activities and keep connected. Maintaining social networks can foster a sense of normality and provide valuable outlets for sharing feelings and relieving stress. Feel free to share useful information you find on governmental websites with your friends and family. Our day to day activities have been significantly disrupted. Work to create structure in your day by having a regular sleep routing, scheduling time with hobbies, homework, reading, etc.; and scheduling regular phone/video contact with friends and family.
  • Follow the prevention and protection tips given by medical professionals such as national medical authorities and your own medical doctor.
  • Seek supports & use campus resources. Reach out to friends and family and learn about on-campus and off-campus resources that are available including’

JHSAP can assist with navigating these resources and provides 24/7 support to address concerns by phoning (443) 287-7000 or toll free (866) 764-2317.

SilverCloud is an online, self-guided, interactive mental health resource that provides students with engaging activities, tools, videos, and exercise 24-hours a day. Sign in at: jhu.silvercloudhealth.com/signup/.

Calm app is a meditation and relaxation aid for sleep and well-being.

  • Avoid stigmatizing or generalizing. Remember to keep in mind the kindness and empathy with which we strive to treat one another at all times as we address this challenge together. Be aware if your behavior or attitudes change towards others from another country, and avoid stigmatizing anyone who is sick as potentially having the Coronavirus.

RECOGNIZING DISTRESS – A SELF-CHECK LIST

  • Increased worry, fear, and feelings of being overwhelmed
  • Depressive symptoms that persist and/or intensify
  • Inability to focus or concentrate accompanied by decreased academic or work performance or performance of other daily activities
  • Sleep difficulties
  • Excessive crying
  • Isolating or withdrawing from others
  • Unhealthy coping (e.g., increased alcohol or drug use, engaging in risky/impulsive behaviors)
  • A feeling of hopelessness and/or a paralyzing fear about the future
  • Sudden anger or irritability, or noticeable changes in personality

SEEKING SUPPORT

It is common to experience signs of distress during times of uncertainty.

If you notice these signs in yourself, reach out to family and friends for support, and engage in your usual heathy coping strategies (e.g.

moderate exercise; eating well; getting adequate sleep; practicing yoga, meditation, or some other mindfulness activity; take time for yourself; engage in a hobby or other fun activity, etc.).

If your distress continues or increases to make it difficult to manage your day-to-day activities, then seek professional help. JHSAP is available 24/7 by calling (443) 287-7000 or toll free (866) 764-2317.

Adapted from: Amherst University – “Managing Concerns and Emotions about COVID-19 (https://www.amherst.edu/campuslife/health-safety-wellness/counseling/covid-19-news-and-service-changes) and American Psychological Association- “Five Ways to View Coverage of the Coronavirus” (https://www.apa.org/helpcenter/pandemics).

See what students, staff, and faculty say about JHSAP.

FREE Services at JHSAP:

Short-Term Counseling:

Identification and assessment of personal, family, and school/work-related issues, brief counseling and consultation, and referrals to appropriate and accessible services and resources.

Crisis Response:

Small student groups or departmental meetings with a counselor to help process the emotional consequences of a crisis and provide resources to help everyone move forward.

Healthy Relationship Support:

Support and guidance that will enhance the trust, respect, and communication between you and your partner. Problem-solve and help create a plan for managing your reactions to difficult relationships.

School-Life Coaching and Adjustment:

Academic and professional development support on topics such as study skills, stress management, school-life balance, financial management, and adjusting to a new culture.

Educational Workshops:

Preventive and educational sessions that benefit all JHSAP students, as well as support and discussion groups.

Source: http://jhsap.org/

Report: Rich Johns Hopkins Hospital garnishes wages of the poor

Being a Caregiver | Johns Hopkins Medicine

iStock

BALTIMORE—Rich Johns Hopkins Hospital, one of the most prestigious hospitals in the U.S., aggressively sues and garnishes wages of patients who live in the poor neighborhoods north, northeast and southeast of Hopkins’ location just outside downtown Baltimore, a new report says.

Using debt-collecting attorneys and getting court judgments, Hopkins pursued 2,438 patients from 2009-18 in those poor surrounding city wards for as little as $280 each in debt.

And 86% of those it pursued were African-American. The largest employer of garnished patients was Hopkins itself, followed by low-paying Walmart and McDonalds.

The Taking Neighbors to Court report relied on legal records of wages, garnishments, and lawsuits, augmented with testimony from the patients. The patients qualified under federal law for free or reduced-price charity care. But investigators found Hopkins brass rarely told patients about it, and its forms and procedures made charity care difficult to get.

Hopkins Hospital’s pursuit of poor debtors flies in the face of a blunt statement from Johns Hopkins himself, who founded the hospital. On his deathbed in 1889, Hopkins willed the funds for the creation of a hospital that would, among other requirements, “treat the poor without charge… regardless of the patient’s age, sex or color.”

Classified as a non-profit institution, Hopkins gets subsidies to treat the poor.

The report, commissioned by the Coalition for a Humane Hopkins, National Nurses United, and the AFL-CIO, comes as NNU has campaigned for months to organize registered nurses at both Hopkins and its Bayview Medical Center subsidiary. The union’s key issues are short-staffing, high turnover, no raises, benefit cuts and erratic hours for the hospital’s RNs.

“For too many years, Johns Hopkins put nurses on the back burner either through ignoring patient safety concerns, cutting benefits, or keeping wages stagnant. We have the opportunity to change that and we hope that you will join us in the fight for our patients and for our profession,” the Hopkins RN’s organizing committee, which approached NNU, wrote to their colleagues.

“Many units are hemorrhaging experienced nurses, which puts our patients in danger,” the organizers added. NNU issued a prior report about the state of nursing at Hopkins, too.

“When one nurse has to double their patient load, so their coworker can take a much-needed break, our patients are in danger. When nurses are forced to pick up overtime shifts in order to support themselves and their families, our patients are at risk. Now, our financial security is even more threatened” by management cuts in health and other benefits, they wrote.

“Severe understaffing, unsafe nurse-to-patient ratios, stagnant pay and declining benefits hinder our ability to provide excellent patient care. All these factors result in a failure to retain nurses. Hopkins management has been burning out nurses and pushing them out the door.”

The new report follows a prior Baltimore Sun series on Hopkins’s treatment of its poor patients earlier in the 21st century. And the report comes at a time when it medical care costs account for the largest single share of U.S. personal bankruptcies.

A typical garnishment victim was patient Eric Simmons, who had an ankle injury treated at Hopkins six years ago. The injury cost Simmons his job at a bakery, but he got a new “and more difficult job at Amazon.” Two years later, Hopkins sued him and won, garnishing his wages until it got its $524 back.

“Stop lying and tell the truth. I was never offered charity care. You withheld information from me – information that could help me and my family,” Simmons said.

A Latina who worked for Hopkins had two major surgeries in four months and temporarily lost her Hopkins-provided health insurance while recuperating after it paid for 80% of the costs. She knew about the charity care program and applied, but the hospital denied her application. Later, Hopkins sued her for the $2,300 left, won, and took $650 from her for each of the next four months.

Some patients fared even worse. One woman, who lived within three miles of the hospital, had her insurance cover all but $280 of her bill. Hopkins sued her for the sum, won, and seized – and cleaned out – her bank account, which had $92.18. That exposed her to later bad check and overdraft fees.

The report also pointed out Hopkins didn’t need to pursue the poor for the money.

Hopkins received $189 million in federal and state reimbursements and tax credits for charity care in 2018 alone. It recovered $975,000 from the lawsuits, its highest figure in the decade of data. It’s total regular revenue that year was $2.07 billion.

“For a wealthy hospital Johns Hopkins to hound economically distressed patients for even minor medical debt is unconscionable and disgraceful,” NNU Co-President Zenei Cortez, RN, e-mailed to local media. “For Hopkins, the payoff is minor, but for the families they target the consequences can be devastating.”

Those hardships show up in tables in the report. Grouping the neighborhoods around Hopkins by zip code, the report details the percentage of poor people in each, the percentage of poor kids, how many poor patients it pursued and the average it gained from suing each.

The highest number of lawsuits Hopkins filed in 2018 was 153 against residents of zip code 21213, several miles northeast of the hospital. Some 28% of its residents are poor, and its median household income is $34,917, just under half of the Maryland median. It’s 89.6% African-American.

The AFL-CIO isn’t happy either. It opposed a big Hopkins Bayview reconstruction and expansion project which a Maryland commission had to approve.

Hopkins, the federation said, “failed to comply with charity care requirements for low-income patients, proposed rate hikes to support the project” and had “quality of care issues. And Hopkins brought thousands of lawsuits against patients to collect medical debts.”

Source: https://www.peoplesworld.org/article/report-rich-johns-hopkins-hospital-garnishes-wages-of-the-poor/