medical

The Problem With Doctors

Well, the problem is not with doctors themselves but when you have multiple doctors and the “failure to communicate” to quote Cool Hand Luke.

This is a relatively new issue for me. Most of my early adult life was spent in the military. So most doctors were in one building, the base hospital. For soldiers that were assigned to units other than the hospital itself, they had a “Battalion Aid Station” (BAS), basically an Urgent Care center. They could go there for “sick call” (early morning time for folks with colds, injuries etc..) and usually, they saw a P.A. (Physician’s Assistant). If they needed specialized care they would have an appointment made for them or were sent to the ER if needed (i.e. a broken bone that needed to bet set immediately).

Once they were under the care of a specialist, a surgeon, urologist,  internal med, orthopedist or OB/Gyn for the ladies, they would stop by the BAS, get their medical records and go to the appointment. This way the specialist had all tests, x-rays, lab work etc.. right there for each and every visit. It was a fairly good system. And if one doc had a question for a doc in another department, it was a simple walk down the hallway or just a phone call away.

What do we have now? Multiple specialists spread all over creation who only talk to each other when the patient asks. And then only if “the situation needs it”.

Case in point. I had blood work done last week. I asked the lab tech if the results of the labs ordered by my primary care doc be sent to my bi-polar doc, and the labs ordered by my bi-polar doc sent to my primary care. “Nope”. It’s not on the order.

Now I understand HIPPA laws. Back in the day, when I was doing websites (thankfully I don’t so that anymore), the Christian group I was playing webmaster for (and yes I was a “Christian” at that time and belonged to the group) wanted a “prayer request” page.  When I pointed out that a page listing names and illness and such violated HIPPA laws, they didn’t seem to care. They wanted it anyway. When I refused to do it on the grounds that as the “webmaster” it would expose me to a federal lawsuit, they still didn’t seem to care. The “We’re should be allowed because it’s for a good cause” was the mindset. No need to say I am no longer a member of said group.

But back to the blood work.  So I had to call my primary care doc had her office fax over the lab work to both my cardiologist and my bi-polar doc. No worries there. Her office is quite up to standards electronically, as is my cardiologist. My bi-polar doc? Not so much. The young lady I spoke to was very confused as to what I need to be sent and to where. How difficult is it to understand that I need the lab results the doctor you work for ordered sent to my primary care doc? Apparently quite difficult, as she called me back several hours later asking why did she need to send the lab results that my primary care doc had over back to them? So again I had to explain I only needed the results that YOUR doc has sent to my primary doc.

One thing that would fix that is a general repository of medical records. A giant database that everything goes to and any doctor you see, whether it be a new primary care if you’ve moved, or a new specialist you need to see, can pull your data out of the “cloud”.  But that is not likely happen. Too many hackers and that would be a prime target. If that data was breached and held captive people would die.  And that’s not good.

But what about a scheduled day once a month for doctors to get together and discuss patients that they have in common. I imagine a “Skype” or a conference call, doesn’t have to be video, where doc “A” can talk about patient “X”‘s recent lab work, and doc “B” may express concern that it may be cancer, while doc “C” says, it may just be a drug reaction. I figure if every doc took one day a month to handle their patients with multiple specialists, they could discuss every one of those patients at least once a year, and maybe every 6 months, with as many of the other docs as could attend. Maybe I’m just dreaming, but there hs to be a better way for doctors to communicate.

Got any better ideas?

Peace,
B

World Mental Health Day

From Wikipedia:

World Mental Health Day (10 October) is a day for global mental health education, awareness and advocacy against social stigma. It was first celebrated in 1992 at the initiative of the World Federation for Mental Health, a global mental health organization with members and contacts in more than 150 countries. This day, each October, thousands of supporters come to celebrate this annual awareness program to bring attention to mental illness and its major effects on peoples’ life worldwide. In some countries this day is part of an awareness week, such as Mental Health Week in Australia

  • 1 in 5 (or 43.8 million) adults experience mental illness in a given year.
  • 1 in 25 (or 10 million) adults experience a serious mental illness.
  • 1 in 100 (or 2.4 million) live with schizophrenia.
  • 2.6% (or 6.1 million) of Americans have bipolar disorder.
  • 6.9% (or 16 million) suffer from severe depression.
  • 18.1% (or 42 million) live with an anxiety disorder.
  • 90% of those who die by suicide have an underlying mental illness.

And yet:

  • Only 41% of adults with a mental health condition received help and less than 50% of children 8-15 received mental health services.
  • Only 36.9% of those suffering from anxiety receive treatment.
  • Less than 20% of Americans with moderate depressive symptoms sought help from a medical professional.
  • And 4% of young adults with self-reported mental health needs forego care.

These numbers are scary. As one with Bi-polar (“luckily” I’m type “2”, my manic phase is spending money, not rage), I understand the problems faced and the stigma that admitting you have a mental illness can bring.  I take my meds as directed, and they usually work. However, like everything else, some days they don’t.

I’ve walked into a car dealership and bought a new truck, on my lunch break, just because I felt it was time. I’ve also laid in bed wondering how many sleeping pills I had left, and would it be enough?

I have never acted on any of the suicidal thoughts I’ve had. I’ve come close, but my fear is that I’d screw that up too and be in a coma the rest of life and become even more of a burden on my family.

Many times mental health is not understood in the same way as physical health. If you have the flu, your coworkers usually don’t want you around because you’re contagious. But if your depressed or having an anxiety attack, and take a day off, they don’t seem to understand. I have been a firm believer in “Mental Health Days” long before I was diagnosed.

Here’s a link to a story out of the UK of a boss that “get’s it.”  Go read it and come back, I’ll wait for you.

Back now? Hope you enjoyed that story. It’s reassuring that there are other people in the world with the compassion to allow someone to take a needed break.

There are way too many different types of mental illnesses for me to list here. I know that several of friends, both in the real world and the online world, have some of the issues. I’d just like you to know that I’m here to listen to you. I’m not trained in counseling (although I was a paramedic for most of my military career), I will gladly listen and offer whatever help I can. There are millions of us out here with similar problems. We can help each other, along with trained medical folks. Get your counseling, if it helps, take your meds, meditate, follow whatever faith practice you like. We can do it.

Peace,
B

 

Long Ago On Twitter

There was a time when big corporations paid attention to their Twitter accounts. Some years ago I found a bag of rather old Fritos stuffed away behind some stuff in the pantry. I randomly tweeted that “I hope they wouldn’t kill me.”  Within minutes I had a response from Frito Lay on how to replace the bag at no cost to me. Despite the fact that they were well beyond their expiration date. They didn’t care. They wanted to help.

Another time I asked on Twitter how to remove White Out from a pair of pants. The “Goo-Gone” folks replied that their product would do it. Sadly it didn’t, but at least they reached out.

But things have changed. In recent time Wifey® and I have reached to AT&T (see here), we have tried not only on this blog, but Twitter and Facebook without a single damn response. And now in the aftermath of Hurricane Irma, I cannot get our utility company (Florida Power & Light) to answer me. I have sleep apena, as such I need a CPAP machine to help me breathe at night. Couple that with my asthma/emphysema, the possibility of my stopping breathing in my sleep is greatly increased. Not to mention how hard it is to get up when the alarm goes off, provided of course that I’m not already up doing nothing but trying to get my head around me and breathe.

So what was once a great way to reach out to someone in a large corporation has turned to shit. They don’t care. Helping people in need does nothing for their bottom line, so they turn a blind eye and ear.

I feel very let down by this turn of events. I didn’t spend 20 years of my life defending this country in the military to be treated like this.  Not that my congressman cares either. His office staff has been AWOL for a week or more.

So all-in-all, I say “fuck it”.  I’m gonna drink my craftbeer as long as I have gas for my generator to keep the fridges running and money to buy it.

For those of you not in the paths of Hurricane Harvey or Irma, peace to you. Be thankful of what you have. For those that, like I, have been affected by either storm, best of luck. I’m ready to call it quits.

Just how hard is it to emmigrate to Scotland anyway?

Peace,
B

Anger & Resentment

I have just come from two doctors appointments today.  The first was with my primary care physician (actually her Nurse Practitioner) to find why after more than 18 months of dieting and exercise (including the cutting out of all alcohol, watching my carb intake, both Paleo & Keto plans) I have continually gained weight, without adding any noticeable muscle mass. In my Army career (and honestly my entire life) upper body strength has always been lacking. Push-ups, pull-ups and such were so tough I usually only made the minimum to pass.  Sit-ups weren’t so tough, but still not easy.  And I won’t even go into the 2 mile run.

This afternoon I meet with my respiratory doctor. I know have an official diagnoses of COPD/Emphysema and now need a nebulizer four times a day, along with 2 daily inhalers and a rescue inhaler.  I’m turning into my dad. He had emphysema and used a nebulizer for years. But he smoked 2 – 3 packs of cigarettes a day for many years. I have smoked maybe 10 cigarettes in my life.  I would say it’s not fair, but then no one ever said life would be fair. How I came to have the lungs of a 2 pack a day 20 year smoker is beyond faith.

Let’s talk about my mind/brain. I’m bi-polar type 2. Have been all my life. There is a good possibility that all of these conditions can be blamed on the fact that my mother smoked and drank while she was pregnant with me.  Not that I blame her. In 1958 it was par for the course, doctors didn’t know any better. so nothing was said.

So who can be blamed? Some might say, the sins of the fathers have been passed down. I don’t believe that, since I don’t exactly belive in the Christian God. At honestly, at times like this my belief drives me further away from a “true and just God”.

While I admit I never was one to “treat me body like a temple”, the  military made sure I was in the best shape I could be. I know my body has broken down over the years, I’m 58 now, not the 17-year-old kid who first enlisted. But dammit, I’m still too young for this shit!

I want to see my granddaughters graduate high school. Maybe get married and give me great grand children. Now I’m not sure I’ll make it to retirement. Wifey® and I want to buy an RV and travel the country. For all I know, I’ll never leave this house again.ZXZZZX

I go see my psych doc near the end of the month. I want to talk cannabis oil with him. It has to be oil, since my lungs are so fucked up I can’t smoke a joint. I’m hoping it will alleviate some of the bi-polar problems so I can deal with these other issues with a “sane” mind.

But for those that hold to the maxim that “God won’t give you more than you can handle” I say bullshit.  It’s not in the Bible. I’ve looked, Wifey® has looked, and my seminary friends have confirmed this fact. And I have to ask why was I born broken? What sin did someone in my family do that caused me to be the scapegoat? It couldn’t possibly be for the Messiah to prove his claim.

I am ready for it to end. I am not contemplating suicide, so don’t go calling anyone. But I wish it was over. And as I’ve said before, it would have better if I had never been born. As my sons like to say “No good can come of this”. I truly hope that when I die my conscience doesn’t go somewhere, that I just get reabsorbed to the universe and hopefully stay there. maybe become the “star-dust” of another spirit, maybe on another plane of existence. But not to come back to this hell on earth.

I never wanted this to become a “whiny” blog, so I’ll stop here. But I will say again. There is no “True and Just God”. Someone prove me wrong.

Meanwhile, I’ll keep looking for sign from Brigid, maybe she’ll bring me peace.

Peace,
B