Tag Archives: hospitals

Leave them on the Ice Floe to Die: Post Hospitalization Health Care in the United States

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Friends of Padre Steve’s World

Thank you all for your expressions of support, kind thoughts, positive waves, and prayers over the past few weeks. My wife Judy is doing well, her wound is no longer draining, the sutures are healing and it looks like her staples will come out Monday. She is pretty much able to take care of herself and it looks like she will have a good number of visitors while I am in Gettysburg.

Now this has been an interesting experience. You see when someone leaves the hospital after major surgery insurance companies, even good ones are loath to pay for any in-home care, so everything falls on the family of the person, in our case since we don’t have 19 kids to saddle with the work, that person is me. In fact for most people the work falls on their spouse or their significant other, or possibly a teenage kid.

Now I am lucky, I am a fairly senior military officer and I work in an academic setting where I do not have to deploy and have a command that is very supportive of whatever time I need to care for Judy. I don’t have to worry about my paycheck getting docked ort losing my job. Sadly, a majority of Americans have to worry about that if their family member is sick, or needs post surgery care. I think that is a terrible situation if you ask me; condemn Europeans as socialists who pay too much in taxes, but at least they get something for what they pay, most European countries have effective health care and social service systems that do not let people fall through the crack.

For a nation that considers itself the pinnacle of humanitarianism and which is supposedly “pro-life” the situation is shameful, and frankly I think we should be ashamed. We are not pro-life at all, even the people that call themselves that tend to be pro-birth and the hell with you after that, unless you are rich.

Interestingly enough the Commonwealth Fund, hardly a liberal institution, ranked the United States 11th of 11 developed western countries in terms of health care, including accessibility and outcomes, of course all of those countries are willing to have universal health care, and sorry even Obamacare is not socialized medicine, it is simply a modified version of the Heritage Foundation’s plan that they touted over a decade ago and similar to Romneycare. It still keeps the insurance companies in control of most healthcare decisions. If you want to see where the United States ranks here is the listing:

  1. United Kingdom
  2. Switzerland
  3. Sweden
  4. Australia
  5. Germany & Netherlands (tied)
  6. New Zealand & Norway (tied)
  7. France
  8. Canada
  9. United States

The link to the Forbes Magazine article where you can find the report is here: http://www.forbes.com/sites/danmunro/2014/06/16/u-s-healthcare-ranked-dead-last-compared-to-10-other-countries/

But anyway, I digress. When a person leaves the hospital the family, with very few exceptions is lead to fend for themselves. Post hospital prescriptions may be covered by insurance, ours are, but nothing else is. If you need surgical pads, gauze, bandages, antiseptic wipes or a host of other potential needs, they come out of your pocket, thankfully mine are deep enough to handle these expenses, but think of the person who lives paycheck to paycheck and because they have to take unpaid leave are not getting a paycheck during their loved one’s illness.

When your loved one is recovering you become all the things that the hospital provides while they are an inpatient. You are nursing services, you get to check, clean and dress their wounds, make sure they get their medicines and monitor them for anything that might be going wrong. Now for me this is not a problem, I have a significant amount of medical background as a Medical Service Corps officer in the Army as well as a hospital chaplain working trauma, critical-care and ICUs. Blood, guts, bodily fluids, I can handle them; spot infection, got it; change dressings, and do other things that gross people out, can do. Again, I am lucky; I have training and experience but sadly when most people leave the hospital their untrained and inexperienced relatives get to do this. The family also is the nursing aid, the dietary service, rehab service, housekeeping and laundry service. It is a full time job, which most families are not, trained to deal with and many do not have the resources to do. Let’s say that because they have to pay rent the caregiver has to leave the recovering patient alone, they are hosed unless perhaps a friend or neighbor volunteers to do this, once again at no cost to the insurance company of the health care system.

For those that do not think that nurses earn their money they are sadly mistaken, nursing is hard, it is physical and emotional. I know why nurses only work 3-4 days before they get a break, it is demanding. Judy often tells me from previous experiences with me as her nurse that I graduated from the Leave Them on the Ice Floe to Die School of Nursing. Now with global warming and the ice flows all melting I had no place to put her so I really had to work hard. Actually, I didn’t mind it, I wanted to make sure that there were no complications and that nothing happened to her I really worked hard to care for her, and I wanted to do it. However, that being said that is what our health care system does to people when it puts them out of hospital, it leaves them and their families out on the ice flow and sadly the ice floes are disappearing. We need to really change how we do health care in this country before they are gone.

PearlsBeforeSwine-28Oct2013

 

So anyway, I am now on the way to Gettysburg to lead 20 students as well as some faculty and family members on my third staff ride of the year. Tomorrow and Sunday I will be out and about the battlefield teaching. I’ll post something short tomorrow night.

Again thank you and blessings

Peace

Padre Steve+

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Filed under healthcare, News and current events, Political Commentary

Whirling, transient nodes of thought careening through a cosmic vapor of invention…

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“My mind is aglow with whirling, transient nodes of thought careening through a cosmic vapor of invention…” Headley Lamar (Harvey Korman) Blazing Saddle’s

Blurred Days, Preparing for Death and Medium Rare Diseases : The past 10 days have been a blur.  So much has happened that I have a hard time coming to grips with it all.  First was going out to California to assist my mom and brother in dealing with things concerning my dad’s worsening condition.  It was good to have a couple of visits with him where he was with me at least for a few minutes.  I will treasure those figuring that they may well be the last that I have with him on this green earth.  Yet it was hard.  I had to kind of package away my stuff for a while and hoping to process when I got back.  It seems that the Deity Herself has decided that she needed to build more character in this character than this character thought that he needed.  When I got back we were faced with the first real health crisis in our lives.  Judy contracted Epiglotitis somehow and we spent the majority of the past three days in hospital ER’s or having her admitted to hospital.  Nothing is ever normal for us. Maybe it’s because neither of us are normal.  In fact Judy is Abbess of the Abby Normal (see the link on my blog roll).  So Epiglotitis is very unusual, 10-40 cases in a million.  Most are kids and it is almost unheard of in this country.  The Third Year ENT Resident said that he had never seen it before.  The attending almost missed it until the ER Attending saw the soft tissue X-Ray.   As I said in my last post after I had made the diagnosis which was confirmed by the physicians: “It’s a kid’s disease except when it happens to adults.” It is what probably killed George Washington.  Thankfully even early Monday morning though the ER Attending did not see it he did the right thing in a heavy dose of IV antibiotics and steroids.  This probably arrested the development of the condition.  When it worsened we got Judy into the ER pretty fast and again the right thing was done.  She seems to be doing well now that she has been discharged home and for this I am most grateful that she is not dead  or even the Grateful Dead. However two long nights in ER with little rest following the trip to California have left me worn out.  I do hope that the Deity Herself does not think it necessary to build any more character in this miscreant Priest.  Thankfully my Department Head took my duty today and put me on two days of leave to put myself back together. Sleep has been fitful and my anxiety levels have been rather high.  Thankfully no PTSD meltdowns this time at least not yet.

The Holy Unction of the Baseball: If you remember my post Baseball in Between Life and Death in the ICU I mentioned a dear woman and her husband who were both big baseball fans.  She was in the ICU and seeming to be getting better and I promised her a baseball.  She crashed hard.  The next day when I brought the ball in she was heavily sedated and intubated. She was trying to die on us.  If you recall I placed the baseball in her hand and she gripped it tight. Her husband and sister said that she did not let it go for about 7 or 8 hours.   I prayed for her as I did this.  I went to California and she was still pretty bad off.  By the time that I came back I heard that she was doing a lot better.  I saw her yesterday and had a wonderful visit with her and her husband.  There is a possibility that they may be actually able to do something to help her heart function.  She remembers having the ball in her hand and wondering how it got there even when she was heavily sedated.  Could it be possible that the Deity Herself could have made The Holy Unction of the Baseball a new sub-Sacrament of the Sacrament of Healing?

Don’t Screw Up the Prayer: I did the invocation and benediction at the groundbreaking ceremony for Preventive Medicine unit at Norfolk.  I’ve done hundreds of prayers at military and civil functions.  They are not hard to do.  What you don’t want to be is too memorable because if this is the case you have probably done something to be remembered and not in a good way.  I have seen this done a number of times.  Often the Chaplain has no clue that he stepped all over it.  This can happen by going too long, forgetting the words or trying to be too uppity, sectarian, funny or unique.  Since most of the time the people at these functions have to be there the chaplain cannot presume that they are the show and can do whatever they want.  In the Navy this is really important.  I write these prayers out and have done so for many years now.  Not only do I write them out I read them several times before I ever get in front of a live audience.  Doing this keeps me from doing something stupid, which on occasion even I can do.   I even have a basic format that I put the prayer into: The introduction; specific event/unit/situation that I am asking God to bless, and the closing sentence.  I try to keep it to 30-45 seconds, never more than a minute.  It is not good when they look at their watches when you are praying or yawn. In the public forum you have a place to be a witness, but it is always a delicate balance. The people at the event are not there to see the chaplain.  The chaplain is like the ceremonial first pitch or meeting between the managers of the two baseball teams and the umpires to discuss the ground rules.  Chaplains are not the main event unless it is an actual worship service.  Even memorial services and ceremonies where the chaplain plays a huge role, the chaplain is not the reason everyone is there.  It is no place to try to be Paul Harvey and tell “the rest of the story.” Thus this ministry in the public arena can be one that either provides the chaplain entrance into the community with opportunities to provide great ministry, even evangelical ministry.  Or ensures that they remain an outsider to the community, nipping at the fringe and hoping someone will hear them.   When we were done I had an officer compliment me on my prayer.  He said it wasn’t too long, wasn’t too short and honored what they were doing.  I love it when a plan comes together.

A Tale of Two Burgers: Yesterday I did something that I have not done in years.  I had two hamburgers in a single day. Both were fast food burgers and usually I maybe eat A HAMBURGER every 45-60 days.  Yesterday as you know from reading this was rather hectic.  One the way home I stopped by Sonic to get a Super Sonic Double Cheeseburger with Mayo, Mustard and Ketchup. For fast food this is a hell of a burger.  It is tasty and big.  Sure it’s not the best hamburger in the world but it will work in a pinch.  Early this morning after leaving Judy at the hospital I stopped by a 24 hour McDonald’s.  I was hungry and tired.  Unfortunately they have an exceptionally limited after midnight menu. Two Types of Quarter Pounder, The Big and Tasty Burger, a Southern Chicken Sandwich, Chicken McNuggets and Chicken Strips.  Not much to choose from.  I should have gone with the McNuggets or regular Quarter Pounder but taken in by the name I asked for the Big and Tasty.  This was very possibly the very worst hamburger that I have ever had.  The meat was bland and greasy and topped by a mound of mayonaise that drowned out any other taste.  I could feel my arteries closing as the first bite went down.  I can only say “Never Again.”

Moving to the Front of the International League: My Norfolk Tides are now 26-12 not only atop their division but now has the best record in the International League.  This is a exciting young ball club.  We have not had anything like this in years at Norfolk.  I just hope that the Orioles don’t rape the Tides to fill their roster.  I know that the minors exist to support the big team but right now this is a special team and fun season.  I pray that the Deity will ensure the Orioles success so that we can continue like this the rest of the season.

Getting the call reversed: It looks like our insurance company has decided to agree with us and the body shop and denial the fraudulent claim against Judy.  Sometimes arguing with the umpire nicely gets the call reversed.

As always thank you for your kind words, encouragement, concern and prayers over the past 10 days.  They are appreciated and I know that they are effectual.

Peace, Steve+

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Filed under alzheimer's disease, Baseball, ER's and Trauma, healthcare, Loose thoughts and musings, Military, PTSD