Wednesday, July 18, 2007

Today’s healthcare system makes me sick;

I get heartburn over the way we are treated!

Until recently, I visited my medical practitioner about once a year unless something really bad was going on. I always put them off regarding exams, unless I felt the need, because you know like I know, if they look hard enough they can find something they think needs treatment. I agree to blood work once a year, that’s it. But they still want to look more. They seem to want to peek in every hole in your body; in your ears, up your nose, down your throat and so on even if all you came to see them for was an ingrown toenail. They want to weigh you, take your temperature and blood pressure always looking for that symptom. Hmm… Maybe you need a vaccination, no? Well no matter what it always leads too: “So what seems to be the problem today?” and that’s when the heartburn starts. Because you see the real problem is, most of the time when I am being poked and prodded, weighed and investigated by the over weight nurse in the colorful smock top, (in other words, being prepped to see my doctor) I am there at their request, not mine so why would they ask me what the problem is when they demanded my visit?

98,000 good reasons for not going to the doctor:

By now you should understand I don’t like visiting my local medical clinic and for that I have good reason. Here is a profession, the medical profession, that is made up of doctors, nurses and hospitals and they are responsible for nearly 100,000 (one hundred thousand) deaths per year in just our country! The 1999 Institute of Medicine report To Err is Human estimated that between 44,000 and 98,000 people die annually as a result of medical errors, (which means they killed them) placing health care injury among the top 10 causes of death, more than motor vehicle crashes, breast cancer, and acquired immunodeficiency syndrome (AIDS). You are safer spending one tour in Iraq than going to see the doctor. So, I’m no dummy; I do my best to steer clear of these folks. The odds are too great that looking into a doctor’s eyes in a hospital may be your last act on Earth even though you only came to visit.

So I think everyone can agree; the system is broken.

If my clinic was there to provide healthcare they would care about me, the patient, and what I wanted to do with my life. Instead, it’s about what they want to do with my life because I represent dollars, dollars for the doctor, dollars for the clinic, dollars for the pharmaceutical companies and if I don’t come to them as they determine they need me then they punish me. Literally, they punish me. My clinic has now enacted a policy that if your prescription runs out (no refills left) they will not authorize the pharmacy to refill your prescription until you see the doctor. In other words, until you pay, they withhold your meds. And worse yet, they don’t care which doctor you see (meaning you don’t need to make an appointment with the professional who is familiar with you) you just need to see anyone who can okay the refills. As I said, it’s about dollars and don’t let your healthcare get in the way.

My personal dilemma:

Within the last year I have had to have my blood pressure addressed. It has taken several visits and medicine adjustments to get it to “normal”. But now it is and has been for a few months (3). I went to fill my pill box and found I was nearly out of my prescription, I had two pills left, we called the pharmacy, and they can’t fill the prescription because there are no refills left. I went to the clinic to inquire and found no sympathy for my situation. All I found there was a rude woman who claimed to be over worked and who blamed “BUSH” for the healthcare mess.

Now Bush you can blame for Iraq if you need to blame someone, I’ll accept that, but nearly 100,000 deaths a year attributed to healthcare mistakes, I don’t think you can blame Bush for that one and if you do then you just hate Bush, hey lady?

Eventually, my practitioner called me and tried to scold me for being rude to the employees at the clinic. I’m still not sure how I feel about that scolding because I’m a pretty nice guy but I don’t push well. In fact I immediately push back. So when one of those ladies in the colorful smocks tells me to get on the scale (which I was just on 3 months ago) I say no thank you. They don’t like that because how dare you challenge their directions. And I might refuse having my temperature taken too, it just depends if I think it is necessary after all I’m only there to have my prescription extended. I’m not there because I’m passing blood or I can’t stop vomiting.

What is really going on?

So at this point the question has to be: What’s the difference between getting your drugs from the doctor or the guy selling on the corner?

It appears that the difference is; the guy on the corner doesn’t make you weigh every time you get your drugs.

You know, there was a time when the medical profession was an esteemed profession that everyone held in high regard, including me, so what happened?

I can tell you what happened, the healthcare system, which includes the medical profession, became obsessed with making money.

At the top they feint about being concerned about your health as they direct those on the front lines (the Doctors and Nurses) to treat you like a statistic. In other words you have become just a money generating entity as they assess your body. Everything is factored into your statistics and then you are directed to be treated accordingly. If you are a woman you go to one slot, a man, you fill another, Hispanic, another and so on. Your weight, your height, your age everything becomes a factor in directing you toward the money generating machines. The blood work, the MRIs, the C-T scan, the colonoscopy, the stress test, the bone density test and on and on and on until there are 98,000 dead.

Oh, and let us not forget the pills, the drugs, the very thing that makes you go back and be evaluated again and again and again as they forever look for that symptom. But you are no longer a patient you are a bundle of statistics waiting for them to find the right sequence that adds up to some treatment, that is why I push back. It is my life and I refuse to allow them to manipulate me into their formula. I know someday I will die but I will choose the path that leads me to that end, not some over paid suit sitting in an ivory tower at the corner of Wall and Broad checking corporate earnings.

PS: My experiences have been generally with Adventist Health, Redbud Community Hospital and the Middletown Medical Clinic.

1 Comments:

At July 20, 2007 at 1:15 PM , Anonymous Anonymous said...

My experience with the Middletown Clinc and Redbud is this: I went to my Doctor with history of high Cholesterol, (which I think is a it of a scam in itself) I also advised her that I as having trouble with my feet swelling when I travel. I was given water pills for the trip but a rude comment was made to me that I did not get until later, when a friend told me that my doctor thinks I want them to loose weight. Then at the same appointment I told her I had been having an ache in my neck and would like to be checked for Arthritis. When I asked for an x-ray I was met with resistance. When the x-show showed there was narrowing of the disc, I asked for an MRI. Mind you I was now in so much pain, I was breathing like I was in labor. She got mad at the request for the MRI and told me it was not going to show anything more then the x-ray showed. So when the MRI came back showing that I had two disc in my neck with a large bulg into my spinal cord, her statement was "a picture is worth a million words" I went a month and a half in that condition because of her mistrust in her patients to know their own body. I had fussion of two sites in January and when she saw me last she said " oh so you opt to do the surgery" like I had a choice! Now I have been suffering from Migraines and light, sound and get sick when I drive. What caused my disc to bulg like that? Is it what is causing all these other symptoms? If so is she following up with me? No the answer is No, I have had to fight again with her rude remarks and rolling of her eyes. I went to the pharmacy one day to get Darvocett as I did not need the strong pain pills anymore from post op care. The pharmcist called who ever they turn in addicts and had a loud incrimiating conversation about me for 30 min. While I sat there imbarrassed. Not once did he look around the wall to see that I had a neck collar on and just had a major surgery. I wish I had walked in there with a lawyer and had him hear it for himself. To add insult to injury, my Surgeon put the alloyed plate in my neck at an angle and not straight it also looks like one of the two fussions is not taking. Gee I wonder why?!! I was then sent to the wrong specialist by Middletown Clinic and now they do not want to order another MRI. Are they paying for this? When they take your blood pressure, you need to know that they write it down but unless you point out to them that it was higher then the last visit, they dont even bother looking at it so why bother doing it? During the month and a half of waiting for them to find out what was wrong with my neck, my blood pressure was rising at an alarming rate due to the level of pain I was in. I was the one that pointed it out to them. Give me a break, these guys don't care, they treat us all like drug attics and low lifes. I have private insurance, not that it should matter but still, I am not a bumb by any means. Redbud: My surgeon would not even take any results from Redbud, so I had to go through all the test again at Memorial in Santa Rosa. What does that tell you about Redbud?

 

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