Showing posts with label The Ridiculous. Show all posts
Showing posts with label The Ridiculous. Show all posts

Friday, May 1, 2009

Be/Loved


Hello, Dedicated Reader Base!


I was discharged from the hospital yesterday afternoon, to the great relief of everyone involved, particularly the hospitalists and nurses. When I am a little stronger, a post on hospitalists and certain types of RN will be forthcoming. I am pretty sure that the three hospitalists (one an intensive care hospitalist, one a pulmonologist, one a whiz-girl at internal medicine) were not "Happy." And I am positive that Happy the Hospitalist (The Happy Hospitalist) would not recognize himself in the performance of these particular three colleagues.


Anyway, the short version:


Surgery went well, although we failed in our goal of putting in a full shoulder prosthesis because the orthopedic surgeon found more infection... that continues to *not* grow in petri dishes. Later that night, I twice went into what we will call respiratory distress -- O2 sats dropped from the low 90s to the 30s within 5 seconds. I learned the meaning of gratitude at that moment, because my nurse happened to have just walked in the room. I mean, being on continuous monitoring doesn't do a whole heck of a lot of good if no one is watching! She stuck to me like glue until a Super-Duper Respiratory Therapist arrived, who then rescued me a second time. We were on our way to Intensive Care before the third episode even had a chance. I don't remember the third go 'round, anyway, as I was, if you can believe these medical types, "obtunded," and they proceeded to tube and then attach moi to a vent.


Yadda yadda -- I'll spare 'ya. [EEGs, CT scans, MRIs, echos, blood sugars and more!]


After some mis / management -- that wasn't all that big a deal, so long as you weren't the patient -- and a few days time, I am home. With the infection still blooming, and the explanations still lacking. We're doing i.v. vancomycin through the PICC line again.


The Poor Fredster. He is sleeping in this morning, and I am so glad. He is lovely, have I told you?

Tuesday, October 28, 2008

Bull Crap Bull Skeet of Tête-de-Hergé


Retired Educator here.


A week or so ago, I received my usual hefty packet of health insurance Explanation of Benefits forms from Bull Crap Bull Skeet of Tête-de-Hergé. The trouble was that only one of the enclosed EOBs related to me. The other five reflected insurance use by four different individuals whom I'd never had the pleasure of meeting. Now, however, I knew their full names (and for two, their spouse's moniker), Social Security Numbers, employers, employee ID numbers, doctors' names, and what medical facilities they use. Just by the type of coverage they opted for, and their met or unmet deductibles, co-insurances, out-of-pocket, in-network and out-of-network payments -- it's easy to form a financial picture of my four new buddies. A couple of them are strapped for cash.


Somehow, knowing exactly where they were, what they were doing, and what was being done to them, on a certain day -- well, I think an e-vil person could parlay that into Deceitful Gain. (The term came to me in a dreamscape wherein I walked unseen around the current President of the United States as he stood at a podium, in the proverbial jeans with rolled cuffs, blue shirt with rolled cuffs, cowboy boots, and herniated stance. He was speaking a fiction, talking about "bad guys," those reprobate E-vil Doers, when -- unbidden -- he found himself salivating over the notion of the E-vil Doers reaping Deceitful Gain. He tossed it out to the press like a verbal hand grenade.)


Choo? Choo? Train of thought? Ah, yes. Knowing such specificity, anyone could return to the scene of the ersatz "benefit," posing as:


Celeste S. T. or as her husband Dale A. T. -- I do hope Celeste is recovering from her surgery in early July. Maybe I should contact Dr. Stuff's office to get the date of her next appointment. Without breaking a sweat, I know that Dr. Stuff is an OB/GYN and even that his PA's name is Courtney. I checked him out at the Composite State Board of Medical Examiners, and wow, is he an impressive doctor, currently Department Chair at one of the local medical schools! Oh, a bit of trivia for you -- Dale, it turns out, is a graduate of G. J.'s Comedy Workshops, so he is bound to take all of this confusion with good humor.


or


Doretha A. D. or as her husband Clark O. D. -- he works for PoDunk Seal & Stamp, "a bonafide mover-and-shaker in the world of embossed aluminum products." Now, I don't know if we're talking about the same Clark O. D., although most of the personal information does line up for this, but it looks like this guy was one of the original Gospel Intrepids: "God blessed the group to record their first album "I Want To Be Adored" which became a hit and carried the group around the country with some of the great gospel artists of our time. The group was then signed to a recording contract with Spotless Sounds Records. They recorded six (6) albums during the seven (7) years they were with Spotless Sounds Records." But back to Doretha -- wow, would you look at this! Thank goodness case law is public domain, eh? It turns out that sometime back in the 80s (those were the days...) Doretha and Clark appealed to a Court of Appeals about a Big Bad Creditor's e-vil lien, and they were successful in having the lower court's opinion reversed! Yay, Doretha! Yay, Clark! Hmm, so now I know a great deal more about them, including the fact that their lawyer back in June of 1984 has since become an inveterate ambulance chaser and horrific TV commercial maker! And lessee, what else? Ah, just by doing a little lazy genealogy work, I have found Clark and Doretha's son, L. Heathcliff.


The Fredster just stuck his head down to see what had me tsk-tsking so much, and went pale. Seriously, he turned white as a sheet. Well, white as a *white* sheet. (I have an Analogy Disability.) "You can't do that," he said. "You had better not mess with Bull Crap Bull Skeet of Tete-de-Hergé, Retired Educator, I mean it! And you cannot publish other people's private information, either. You have crossed the line this time." Then he fairly ran away, knowing by my big smile that I am going to proceed anyway -- he didn't even get to hear my assurance that I have made as many changes to my "case presentation" as the sainted nurses and doctors do in their HIPAA-fied blogs. Shoot, probably *more*.


So I guess I will honor Fred and forego telling you about Willie E. J. -- nice guy, works for the state. The great news for Willie is that he only owes $15 on his X-ray bill at County Hospital...


The day these EOBs arrived, I weathered the idiot telephone computer to reach a Customer Service Representative. (See? I can be nice. I did not even mention the word oxymoron.)


Never have I been treated so well! Warm tones, terms of respect, adequate time to present my issue, immediate recognition of the problem, and an equally swift offer of a solution. Solution? Well, no, what was done was done. The questions I had related more to ascertaining whether my personal information, like those of these lovely people that I now knew intimately, was in the hands of someone who did not work for good, as I do, but for e-vil.

Customer Service Representative Number One told me that he had a real, live specialist lined up for me to talk to, and would I mind very much holding just a few seconds? "Not at all!" I crowed.


Hmmm. Customer Service Representative Number Two? Smarmy, very, very smarmy. We danced around a few issues. Like how Bull Crap Bull Skeet of Tête-de-Hergé knew who had received whose information, like how "they" had plugged all leaks, and -- my favorite -- like how they knew that my information had not been compromised. She issued reassurances that *no one* could fulfill and Retired Educator stopped pulling her punches.


"Retired Educator, we will send you a stamped, addressed envelope in which you can return those EOBs to us at no cost or disruption to you!" (Like I had just won the Lottery.)


"Customer Service Representative Number Two? I have a shredder. It's taken care of. So if you will just note that on your little computer? Actually, come to think of it... Might it not be more righteous, and righteous *is* what we're reaching for here, yes? -- Might it not be more righteous for me to contact these poor folks by phone, and then mail *them* their EOBs? They are the rightful owners, you might say! Whaddaya think? Oh, and about your reassurances that none of my EOBs were sent erroneously to some e-vil Deceitful Gainers -- that's what the gol' darn President of these United States of America calls them, you know? Deceitful Gainers. They're out there, Customer Service Representative Number Two, they are out there. Anyway, I need for you to tell me exactly how you know that my EOBs are not in the Evil-Doers, Deceitful Gainers little hot hands, 'kay? Come on, put my mind at ease, Customer Service Representative Number Two!"


"Retired Educator, can you hold?" she whispered. I was wearing her down.


When she returned, she launched a cock-and-bull story worthy of Bull Crap Bull Skeet, all about how they had crosschecked the triplecrosser doo-hicky with the appropriate top secret incantations and by golly, my name remains unsullied. That envelope that she'd mentioned was on its way, and if I would just return those errant papers...


"Right-O," I told her. "I'll get right on it. The shredder is warming up, as we speak. Oh -- do you mind if I blog about this?"


*******************************************************************************

I have indeed shredded the EOBs in question.


Yesterday, I received a notice from BCBS that my personal info had, in fact, been compromised, and so would I please accept a free year's subscription to Equifax Credit Watch (Gold level!).


"Well, that's okay. Yeah. Cool," thought I. I love getting free stuff, even if it is my own financial history. I logged on at Equifax, gave every bit of data requested, then entered my free year's subscription code... and was told that it was an invalid number.


Why am I not surprised?

Friday, August 22, 2008

a cup of trouble, anyone?

dear all,

would anyone like to borrow some trouble?

i had my echo at 8:30 this morning. i asked the tech how it looked and she gave me a thumbs up and a "looks good to me." so we go home and i plan to pay some bills, declutter my piles of paper, etc.

ring ring ring.

it is one of the cardiologists. he is talking fast, and i cannot understand the words.

so... my heart is pumping well. i still have my usual aortic regurgitation from my bum aortic valve. and then there was that other thing. oh what was it?

oh yeah! where the aorta attaches to the heart ("the aortic root"), well... it is kind of dilated. like in an aneurism. i become a regular chatty cathy -- i ask if this precludes me having the surgery on monday and he says, no, that will be fine. then he starts to yell at me about how i need to have echos regularly -- that they found this dilation back in 2003. i don't *remember* that! (after i hang up and am talking to a weeping fred, he reminds me -- my cardiologist told us that it wasn't as bad as it looked on the echo -- and that i did NOT need to foillow up with him anymore! fred remembers that vividly.)

anyway, it measures 4.65 centimeters. i ask what needs to be done about it -- and the guy fairly hoots! (he actually was very nice) "major open heart surgery," says he.

well, what kind of symptoms should i be looking out for? and i am getting a chill just typing his response.

"you won't have any symptoms."

as in, it blows, i die. (hence, the weeping fred.)

there must be something extremely wrong with my mental health, this all seems like a great big joke to me! whahaha! what's gonna happen next?

i told fred that this is definitely an incentive to live in the moment.

so -- i guess it is a good thing i don't have hypertension.

whahahahahahahahaha!

love,
prof

Tuesday, August 19, 2008

$25,000 ou La Litote

Comment se fait-il qu'en lisant l'article cité ci-dessous, j'ai pensé tout d'abord à Corneille, à cette litote célèbre de sa Chimène?

Qu'est-ce que c'est, une litote?

Selon un certain D. Fontaine: "Affaiblir une expression pour lui donner davantage de force." Supposément une figure de style délicate... ici cela me semble aussi délicat qu'un marteau. "Shoddy care"? $25,000?

"Va, je ne te hais point."

California fines 18 hospitals for shoddy care
Published: 8/19/08, 9:46 AM EDT
By SHAYA TAYEFE MOHAJERLOS ANGELES (AP) - Eighteen hospitals in California were fined for state health code violations in which patients died from various mishaps such as an improperly inserted tube and a ventilator that wasn't turned on. Other violations include surgical tools left inside patients after surgery.

The fines made public Monday stem from investigations by the California Department of Public Health that found shoddy care had either killed or endangered the lives of several patients. The hospitals were each fined $25,000 - the latest of dozens of penalties the state has issued in recent years to more than 40 hospitals.

Kathleen Billingsley, director of the health department's Center for Healthcare Quality [said,] "The entire intent of these fines is to improve the overall quality of care in California."

The report detailed a death at a La Mesa hospital in which a worker failed to turn on a ventilator for a patient who was being transferred....

Monday, August 11, 2008

Pain and Oversize Pink Frames

Oversize Pink Frames by Linda Farrow for Luxe
PRICE: $525
AVAILABLE AT: Aloha Rag
505 Greenwich St.
Soho
212-925-0882

Retired Educator, here. La Belle Bianca Castafiore? Wouldn't you know that she is a migraineur (proprement dit: migraineuse)? And so it is hand-to-forehead, sigh-then-moan, a red-lipped pucker (Chanel Rouge Hydrabase Creme Lipstick in Red N°5) and these big old pink-framed dark glasses, all topped with that blessed paisley turban that announces her migraines like a neon sign. Quel douleur, quel désespoir profond, quelle souffrance! Néanmoins, je ne peux pas la convaincre qu'elle serait infiniment plus heureuse dans sa propre chambre! I cannot convince her to retire to her well-appointed, restful, easily darkened room that just happens to be at the opposite end of our cozy Marlinspike Hall. No, she prefers to suffer in plain view.

I find myself humming quite a different version of her favorite refrain:
"Je ris de la voir si souffrante dans ce manoir!"

In the midst of this mini-petit-micro pain crisis, I checked my correspondance to find the sainted Jim Broatch calmly at work, connecting people with CRPS / RSD to all kinds of possibilities out in the world. It is so easy to lose oneself with this disease -- not just by deciding to saw off one's arm one Saturday afternoon -- but by losing social interaction. As hard as it is to leave a protected environment and risk being jostled, pushed, stepped on, or -- my personal favorites -- slapped on the shoulder or given that well-meaning warm hug by the requisite Church Lady, we have to go out there or totally give in to a life of pain, spasms, contractures, and depression. So God bless Jim and his talented minions for their constant assault on our laziness and fear!

Here is the latest e-alert with details about a recruiting study -- one of the few I have seen that explicitly includes those of us with CRPS Type 2. I was starting to get an inferiority complex and I think we can all agree that I don't need another complex...


Study Currently Recruiting: Neurotropin to Treat Acute Dental and Chronic Neural Pain

Neurotropin to Treat Acute Dental and Chronic Neural PainSponsored by the National Institute of Dental and Craniofacial Research (NIDCR)

Purpose: This study will examine the effectiveness of the drug neurotropin in treating acute pain after tooth extraction and chronic pain after injury to a limb or a large nerve.

Individuals who meet the following criteria should apply:

Three groups of patients will participate in this study: 1) dental patients undergoing removal of impacted third molars (wisdom teeth); 2) patients with chronic regional pain syndrome type 1, or CRPS-I (also called reflex sympathetic dystrophy); and 3) patients with chronic regional pain syndrome type 2, or CRPS-II. CRPS-I is pain that develops after relatively minor injury to an arm or leg, but lasts much longer and is much more severe than would normally be expected. CRPS-II is pain resulting from injury to a large nerve.

Candidates will have a history and physical examination, blood tests, electrocardiogram and, for dental patients, oral examination and dental X-rays to confirm the need for third molar extraction.

Participants will undergo the following tests and procedures:

Patients with CRPS I and II will receive an individualized regimen of physical therapy and standard treatment to control their pain. In addition, they will receive neutropin or placebo tablets for 5 weeks, then no trial medicine for at least 1 week, and then the other trial drug for the next 5 weeks. That is, patients who took placebo the first 5 weeks will take neutropin the second 5 weeks and vice versa. Neither the patients nor the doctors will know who received which drug during the two intervals until the study is over.

Patients will complete questionnaires about their pain, quality of life, and ability to perform daily living activities. They will have various tests to measure pain (such as sensitivity to heat and cold, to an electric current, to a mild pin prick, etc.); to provide information about changes in their condition (such as tests of range of motion of joints and limb size); to measure blood circulation and sweating in the arm or leg (such as measurements of blood flow to the limb, skin temperature, and sweat production), and other procedures.

Contact:
National Institute of Dental And Craniofacial Research (NIDCR)
9000 Rockville Pike
Bethesda, Maryland 20892 United States

Patient Recruitment and Public Liaison Office1-800-411-1222 TTY 1-866-411-1010 prpl@mail.cc.nih.gov

http://www.rsds.org/3/research/neurotropin_research.html

This E-alert was made possible by the contribution of the members of the Reflex Sympathetic Dystrophy Syndrome Association (RSDSA). To learn more about becoming a member of RSDSA, please click here.