Wednesday, November 25, 2009
Feeling festive...
Thursday, September 10, 2009
An Emergency Room Anecdote...
You may or may not know that I spent some time, this past weekend, as a patient in an Emergency Care Center and then later an Emergency Room. Let me preface what I am about to say by stating that I have spent many hours working in several different emergency rooms so I know that my experience was not in any way atypical.
I arrived at the Emergency Care Center around 2am. I was given a cursory exam. It was determined that I needed some tests (a cat scan and cbc to be specific). I was promptly placed on IV fluids and offered pain medication (which I declined). Nothing remarkable or notable happened for the next couple hours as we waited for my body to ingest the Barium to facilitate the cat scan.
Around 4:45am the cat scan results didn’t appear to indicate a need for surgery but the physician is not confident in making that call alone. He would like me to receive a surgical consult, which he says must be done at the ER and requires me to transfer to another facility. Keep in mind that I am in little to no pain at this point. I am able to move of my own volition and power. But, I too want to be sure that we make the right choice and I agree to the consult. Unfortunately, my husband and I only have one car for our family that broke down earlier that day, not to mention he is at home alone with my 3.5 year old (who is asleep). I explain this to the doctor and tell him I’ll call for a taxi to take me to the ER. He then says, “Oh, you don’t have to do that. You can go by ambulance.” Those of you who are in the medical field probably have a good idea of what this means, not only in regards to hassle, resources and work for the system, but also financially for either, me, the hospital, my insurance, or the state. I express my reluctance to use the ambulance option. The doctor jokes that the taxi is likely to be much quicker anyway and agrees to my plan.
When I was last transported by ambulance (my head wound in 2005) it ended up costing my then lame insurance (Blue Cross Blue Shield) about $600 and me another $500. The taxi ride I took this weekend cost $15.
In an attempt to make a long story short I will skip some of the details that lend further evidence (beyond the ambulance debacle) to how inefficient and wasteful the traditional operations of this system are (prescription of iv narcotics I didn’t need, general malaise in processing me through the system, and poor communications between ER staff and other departments). The more disturbing aspect of this whole thing for me is how often when I worked in an emergency setting I saw this very same thing happen to many people who not only didn’t have insurance, but also didn’t have the information to make better choices and ended up receiving services they didn’t need. Now, don’t get me wrong, there are lots of people who definitely do need those services and I am very grateful that they are available. But think how great it would be if those who didn’t need them didn’t get them and we could offer more to those who do.
Many times throughout my most recent experience at the ER I was relieved to know I had insurance, because there are times in my life when I have not. And for those of you who believe that not having insurance is a plight reserved for the illegal aliens, or well-fare families, or just general degenerates of society. I am an American citizen, born and raised in the USA. I am well educated (by most people’s standards) in that I completed an undergraduate degree (nearly two), went on to finish a graduate degree, and have a license to practice psychology. I have never been unemployed for more than 1 month since the age of 14 until I decided to be a stay-at-home mom to my now nearly four year old son. Even then I promptly purchased private insurance; which despite costing over $300/month only partially covered major medical expenses. I guess what I’m getting at is that those of you who stand in your very fragile and precarious ivory tower must have led a charmed life to have no sympathy for those who need the security and assurance that health care provides.
I appeal to your baser instincts in that the waste and inefficiency is costing you money. Those uninsured end up in the ER over and over and over (those of you in the medical field know this is true) and those of us paying our bills and taxes end up paying for that in one way or another anyway.
Why has being a humanitarian and stretching our dollars in different directions now become a concept that is so threatening to people?
Thursday, September 3, 2009
This is personal...
…I had a miscarriage in January. This last month has been really hard for me because of that. We would have been bringing our new baby home in early August. Before this happened to me I thought that if you already had a child, a miscarriage, while sad, would not feel as painful as it does for people who don’t have any children. I’m certain there is some truth to that too. However, I think it also leads to different kinds of pain.
Of course I am sad that our family hasn’t been expanded with a new and unique personality. I yearn for the soft little head to cradle in my hands and kiss and nurture and love. What I did not completely expect was the pain I feel when I see other children with their siblings. I feel pangs of loss for my son and the relationship he doesn’t have … and may never have. I somehow feel like I have deprived him of something he deserves in life.
It seems strange how much of my energy now is completely invested in the happiness and success of someone else. I know all of the advice and wisdom out there on how you need to maintain your own identity and priorities in the face of motherhood but the deeper I get into this thing (motherhood) the more I’m not certain that is possible. Don’t get me wrong, I still have things I do, I enjoy and pursue…but it’s not the same…and it probably never will be. There will always be a part of me, as long as I am alive, who is living for my child. This recent loss reminds of that, and in some ways brings to the forefront another mourning in my life; the one for my old self. The one when it was “just me.” The one who went to movies at midnight and slept in on the weekends and planned vacations that did not include “kid friendly accommodations.” The me who went to graduate school and believed that I had time and resources (not money) to do whatever I wanted in life. I miss her.
Wednesday, July 22, 2009
Ok...I am so tired of this nonsense...
Thursday, July 9, 2009
I moved...
Monday, March 30, 2009
My use of electronic communication might be ruining my life...
Now, being one who subscribes to the tenant that the unexamined life isn’t worth living, I spent some time pondering this. I hadn’t been wasting most of the day, I don’t even spend a majority of my days engaging in those aforementioned computer-based activities. What was it about those things that made me anxious and discontent? Initially I theorized that it was the pressure of keeping up with all of those things, being current, that left me feeling anxious and spent. There is some truth to that but I think there’s more. My hypothesis is that those mediums prevent me not only from living in the moment, but more importantly they prevent me from living in MY moment. With most of those things the initial premise for interacting with them is about me (connecting with my friends, educating myself on current evetents, etc.) but, the end result isn’t. Even when I’m sharing my personal activities through facebook updates and tweets it’s really about someone else reading them rather than about my experience of them.
Basically what I’m saying is that I think a little selfishness and self-focus goes a long way towards being happy. Notice I did say a little. We can’t be all that way and happy can we?
Saturday, February 14, 2009
Baggage
I realize this sounds complicated. I realize many of you may not have interest in delving into this subject. But it may be worth your time. People change, really they do. Despite the fact that you may believe and feel and act in some of the same ways you did days, weeks and years ago, you’re not the same person you were then. This means you have to make understanding yourself and those around you an ongoing process. This means that sometimes you let go of that baggage you hold onto about yourself and others. It also means you may be disappointed sometimes. They and you may do exactly what they and you did before, but maybe not. Unless you give yourself and others the room, faith, hope and possibility of being different no one never will be, at least not for you in the reality you create.
I’m sure you’ve heard the saying, “If you always do what you’ve always done, you’ll always get what you’ve always got.” It’s true. If you want something different from yourself or someone else YOU have to do something different too. Maybe it’s time we packed up those suitcases with what we’ve always done and incinerate them or something.
One boy's Valentine's Day festivities...
Tuesday, February 10, 2009
When will I stop being so naive?
- I believed the promises they made to me and my family.
- I assumed their interest in me and my family was genuine.
- I gave them the benefit of the doubt when their actions and choices were questionable.
- I failed to heed the warnings their reputations denoted.
- I believed the feelings and energy we had invested in their lives and well-being would be valued.
I'm left with other questions though: when will I stop feeling so hurt, betrayed, angry and frustrated over how I was treated? When will I no longer wake up in the night having imaginary conversations with them trying to help them see how little integrity they have and what a sad existence they have carved out for themselves? When will I look back on this blog post with a sense of peace? When? Anyone have any answers?
