24 THE QUEENS COURIER • JANUARY 30, 2020  FOR BREAKING NEWS VISIT WWW.QNS.COM 
 Useful tips to help caregivers  
 navigate the cost of care 
 When a patient receives bad  
 medical news, it can be a paralyzing  
 moment. It's easy to see  
 how any serious diagnosis can  
 shatter someone's life into a million  
 pieces, but we oft en  overlook  
 what's  happening  to  the  
 caregiver who's devoting their  
 time and energy to provide care.  
 On top of the physical and emotional  
 demands,  the  fi nancial  
 cost of caregiving is unavoidable. 
 What makes someone a caregiver? 
  American caregivers support  
 patients in a variety of ways.  
 Th  ey can be young or old, live  
 close by or miles away and provide  
 care full time or part time.  
 Many  of  us  are  caregivers  -  for  
 our children, parents, siblings or  
 even close friends. Maybe you  
 are  a  caregiver  who  provides  
 "hands-on" care now, but may be  
 called upon to provide fi nancial  
 assistance in the future. It's crucial  
 for caregivers to make wise  
 fi nancial decisions about caregiving  
 - for their loved ones and  
 just as importantly, for themselves. 
 At  34  years  old,  Danielle  
 Fontanesi had to give up her  
 job as a full-time attorney so she  
 could care for her husband, Matt.  
 Matt was fi ghting acute myeloid  
 leukemia and needed aroundthe 
 clock  care  while  recovering  
 from a stem cell transplant.  
 Fontanesi wasn't able to go back  
 to work for more than a year,  
 and found it challenging to fi nd  
 a new job given her employment  
 gap, which cost her more  
 than $175,000 in lost income.  
 Th  e cost of relocating next to a  
 major cancer center where Matt  
 was treated was also substantial. 
 "Not only did I lose income, I  
 lost a year of career progression,"  
 says Fontanesi. "We still had to  
 pay our rent, car payments and  
 hospital expenses, while not having  
 income during this period." 
 According to Gwen Nichols,  
 MD, Chief Medical Offi  cer  of  
 Th  e  Leukemia  &  Lymphoma  
 Society(R)  (LLS),  Fontanesi  is  
 far from alone in her fi nancial  
 plight. 
 "Again and again, we fi nd that  
 caregivers  make  huge  fi nancial  
 sacrifi ces to care for their  
 loved one," Nichols says. "When  
 you tally up the losses, it's quite  
 astounding: loss of wages, loss of  
 health insurance, loss of retirement  
 savings and the list goes  
 on. Th  ese hold serious fi nancial  
 consequences for caregivers." 
 Over time, the economic burdens  
 of long-term medical care  
 can  create  added  distress  for  
 patients and caregivers that is  
 oft en called "fi nancial  toxicity."  
 Financial toxicity occurs when  
 growing  out-of-pocket  healthcare  
 costs lead to serious fi nancial  
 problems.  Out-of-pocket  
 costs can include anything from  
 hospital stays or outpatient services  
 to medical equipment and  
 medications. 
 To help caregivers navigate the  
 cost of cancer care for themselves  
 and their loved ones, Nichols  
 off ers these important tips: 
 Encourage your loved one to  
 seek a second opinion: When  
 appropriate, caregivers should  
 help their loved one seek a second  
 opinion.  A  second  opinion  
 can help ensure an accurate  
 diagnosis, which can then guide  
 your loved one's treatment plan.  
 An accurate diagnosis enables  
 resources to be directed in a way  
 that  off ers your loved one the  
 greatest potential benefi ts,  both  
 in terms of a better health outcome  
 as well as fi nancial impact.  
 When weighing multiple treatment  
 options or in circumstances  
 of uncertainty, it's also helpful  
 to gain a second opinion to help  
 inform the best course of care  
 and avoid the detrimental health  
 eff ects and costliness of incorrect  
 or unnecessary treatments. 
 Help start a dialogue: It's crucial  
 to have an open conversation  
 with healthcare providers about  
 fi nancial pressures. You and your  
 loved one should partner with  
 their medical provider to understand  
 the cost of certain services  
 and treatments. Th is  information  
 can help empower you and  
 your loved one to make the right  
 decision for you and your family. 
  For example, your loved one  
 may be able to choose among  
 treatments or select providers or  
 treatment centers that off er  the  
 same or even greater potential  
 benefi t, but at a lower cost. 
 Be an advocate for change:  
 Your voice as a caregiver is valuable, 
  and can help shape discussions  
 about the cost of care.  
 Whether you act as an individual  
 or part of an organized eff ort by  
 a patient advocacy organization,  
 you can make an impact by sharing  
 your story about the fi nancial  
 hardships  you've  experienced. 
  Th ese fi rsthand  accounts  
 are vital for spurring action. To  
 learn more about LLS Advocacy  
 and how you can raise awareness  
 about the cost of cancer  
 care, visit www.lls.org/be-an-advocate. 
 Take  advantage  of  available  
 resources:  Caregivers  are  
 oft en hesitant to seek help and  
 are oft en unaware of the many  
 resources available to them at  
 their  fi ngertips.  LLS  has  free  
 resources and support services  
 such as online chats with medical  
 experts, support groups, help  
 with fi nancial pressures, referral  
 to other helpful local and national  
 resources, and more. To learn  
 more, visit www.lls.org/support/ 
 caregiver-support. 
 Nichols also notes that it's crucial  
 to take time for self-care  
 and remember that your family  
 is your fi rst resource, so don't  
 be afraid to reach out to them  
 for help. Th  ere are many ways  
 for friends and family to lighten  
 the load in this challenging time:  
 assisting with home repairs, running  
 errands,  or  preparing  a  
 meal. Th  ese kind gestures go a  
 long way when there's fi nancial  
 strain. Aft er all, if you sacrifi ce  
 your own health and well-being, 
  you won't be at your best to  
 eff ectively care for a loved one. 
 — Courtesy BPT 
  top doctors 2020 
 
				
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