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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

More End-Of-The-World Craziness

This morning over on Twitter (@beachdaze if you want to follow me), Emily Miller (@emmillerwrites to follow her) of RNS (@RNS to follow them) posted the daily Slingshot. It’s a short roundup on interesting religious articles. I usually find at least one, if not more articles that I find  more than amusing.  Today’s was about Nibiru or Planet X as it’s been called.  Supposedly this “Planet X” is going to collide with earth on September 23, 2017. Yes friends, we have but days, no, just hours to live! Why were we not informed of this earlier? Surely NASA (more likely Elon Musk) could have come up with a rocket to whisk at least a remnant of humanity away to safety.

But no. And why? Because it’s all BS anyway.  David Meade, the crackpot behind all this is using numerology to decipher the dates.  Numerology? And the number 33 specifically. I just can’t make this up!

Read the entire article here.  Make up your own mind. I’m pretty sure come September 24th, around 5:30PM, I’ll be opening a craft beer as usual. Feel free to join me.

And of course there’s a video for you too.

Peace,
B

Days Without Power….

Our local power company, FP&L expects to have the power back on NLT 2345 hrs, 17 September (that’s 11:45 PM, Sunday September 17 for those non-military types). That’s 5 days away..  Please send gasoline for the generator and craftbeer to keep me sane….

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I can shower with only the light from a flashlight, or even in the dark, but I’m not going to shave in those conditions. Not to mention that “No power = No CPAP = No sleep”. My co-workers are going to hate me.

Here’s a video to enjoy.

Peace,
B

Hurricane Irma & Others

And Florida has once again survived yet another “killer” hurricane. Hurricane Irma was a storm you only see every 500 years, but it came just days after Hurricane Harvey which was a storm you only see every 500 years.  So either something has gone terribly bad with the space-time-continuum, or Mother Earth is really pissed at us humans right now.

Watching the weather reports as I sat at the Port Orange EOC (Emergency Operations Center), I saw the devastation that the Caribbean Islands received. Having cruised to some of those islands, I was heart-broken to see the damage. South Florida, where I grew up was hit very hard. Lots of flooding. My older brother and I were texting back and forth (he’s in the Atlanta area now) about past hurricanes. We lived about 10 – 15 miles from the coast in Miami when Donna hit in 1960. I wasn’t even two yet, so I don’t remember it.  He told me we had about 3 – 4 of water in the yard from storm surge. That’s pretty bad.

Since I’ve retired from the Army and moved back to Florida, we’ve had a fair number of Tropical Storms and Hurricanes. In 2004 we had three in rapid succession. Charlie did a great deal of damage to the Daytona Beach area. I remember driving with my younger son (older son was out with his National Guard unit doing hurricane recovery) trying to find a chain saw. A neighbor’s tree fell into our yard taking out our power lines and blocking the door of the shed. Which, of course was where my chain saw was. So we needed to buy a chain saw to get to our chain saw. Nobody had a chainsaw to sell, but we did pick up a nice 5Kw generator that we use to this day. Which was good, since we were without power for ten days.

The next storm was Frances, but she wasn’t too bad. But the third storm, Jeanne seem to sit on top of us for days, just dumping water. Our street was flooded, but it didn’t reach the house so all was OK.

Last year we had Hurricane Matthew. Since Matthew went straight up the east coast of Florida without really making any landfall in our area, there was a lot of wind and rain, but not too bad as we were on the west side of the storm. I spent one night in the EOC working to keep the IT infrastructure running. Then went home and cleaned the yard of all the oak tree debris.

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The calm before the storm. COPO EOC.

This year was Irma. She couldn’t make up her mind where she wanted to go. She was going to follow Matthew’s course and go up the east coast between Florida and the Bahamas. Then she started shifting more west. At one time she was going to go straight up the middle of the state, basically targeting Disney World, and head towards Tennessee where my granddaughters evacuated to. Next morning, she was going up the west coast, leaving Daytona out of harms way.  Finally she made landfall in the Big Marco Island area of the west coast, looking like she was going to ride the coast line. Nope, turned easterly and headed back to Disney. Maybe she doesn’t like the rat (Mickey Mouse) anymore that I do.

So my brother and I are texting back and forth, while I’m in the EOC, he’s in Atlanta, his wife and mother-in-law are just outside of Orlando and it looks like they’re going to take a direct hit. The only good thing is that Irma is now “only” a category 2 storm. Not the major category 4 it was at first landfall. But now the track also takes it straight to Atlanta! And since it’s moved more easterly, Daytona is gonna get hid hard again. We just couldn’t avoid this storm no matter where we were.

But, since I lived to tell the tale, all is well. I did my three shifts in the EOC, the house survived with only minor damage, lots of debris in the yard, and the apparent loss of our papaya tree.

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Only damage to the house. One piece of fascia was blown off.

And while I was doing my work at the EOC, Wifey® put on her Wonder Woman outfit and went to work. She not only cleaned up the major debris from our yard, she did it for the elderly lady next door who is the process of moving out and selling the house. Pretty big pile she made too.

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Debris Pile.

She says that there’s one branch she can’t move by herself. But all in all, she did wonderfully. I absolutely love how she’s not afraid to jump in and get stuff done when it needs to be done.  Thanks babe!  Love ya!

Now we wait for FP&L to get our power back on. It usually takes days for us, I don’t know why. Maybe it’s property value.  Take care of the guys in the higher tax brackets before fixing the peons.

But what do I know?

Hope you all made it through the storms OK.

Peace,
B

Random News…

Just three “Today in History” things I’ve picked from my Twitter feed (@beachdaze) today.

Gene Wilder passed away one year ago. Most you, of course will always remember him as “Willy Wonka”, but believe it or not I have never watched that movie (either version with Gene or Johnny Depp).  For me, one of my favorite movies of his is “Blazing Saddles” as “Jim” the gunslinger.

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But my favorite has to be “Young Frankenstein” where he has the title role of Dr. Frederick Frankenstein.  Not surprisingly, both are Mel Brooks movies.  Seen here with the great Peter Boyle as “The Monster”.

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Also today would have been The King of Pop, Michael Jackson’s 59th birthday.  I couldn’t decide which was my favorite video of his, but in the end I went with “Man In The Mirror”. Just due to its message. It’s not as flashy as some of his other big videos like “Thriller” or “Beat It”, but it has a better message.

 

And finally, Netflix premiered 20 years ago today. Twenty years of people binge watching entire seasons in a single sitting.  I think all I’ve seen on it was the BBC’s “Sherlock”.  TV is not my “thing”…

Peace,
B

P.S.  I almost forgot this gem:

https://www.pushtrumpoffacliffagain.com/

B

News You Can Use… No Not Really

Found this interesting headline yesterday; ‘Truck With 20 Tons Of Nutella And Chocolate Vanishes; Police Hunt For Semi’s Sweets”.  I thought it very clever, so I had to read the article. This link is from NPR, I also saw that AP picked it up, but I’ve misplaced that link. My favorite quote from the article;

“Anyone offered large quantities [of chocolate] via unconventional channels should report it to the police immediately.”

I can imagine some shady character standing on a dimly lit street corner saying to passerby’s; “Psst.. Buddy wanna buy a kilo or two of Nutella? It’s fresh, never been stepped on. You know you do.  Come on give it a try, the first one’s free!”

But then maybe growing up in Miami in the 60’s and 70’s has warped my perceptions a bit.


I’ve been looking for some more light-hearted news, but with all that’s been going on as of late, they’re hard to come by.  So I’ll leave you with this video, hopefully it will bring a smile to your face.

Peace,
B