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Healthcare Photography Writing

Listen to our bodies

Recovered from the Wayback Machine.

After my cleaning frenzy last week, I woke up the next morning with hands that hurt so much I couldn’t use them. I then realized that by increasing measure, I’ve had aches and pains in my hands, my wrists, my feet, and recently my back and even my shoulders. Downing Tylenol and Advil and increasing my nightly drinking did not seem to be an effective way to deal with this problem.

The new doctor I have was very good about getting me in right away. When I met with her, I pointed out the possibility that the increasing pain in various parts of my body could be due to the tick bites I’ve suffered the last couple of years. Though Lyme Disease is rare here, there are Missouri-based variants that exhibit similar symptoms.

My doctor, a lovely young woman originally from India, gave me a gentle smile and nodded as I talked, no doubt thinking all the while about how the Internet is more trouble than it’s worth at times. She asked me several questions about other aspects of my health, took a close look in particular at my hands and wrists and then asked me if there was a history of arthritis in the family.

Well, my Dad has arthritis but that came with age as he got older. She asked if there was any rheumatoid arthritis in the family, and I told her not that I know of. I am familiar with rheumatoid arthritis because the uncle of my first husband suffered from an advanced case of it; his hands were very distorted and he could only wear slippers.

She had me undergo tests, yes even for tick diseases, but told me that from my po’me tale (not her words, my own editorial addition), and the appearance of my hands that I am most likely suffering from rheumatoid arthritis.

Well, in a way it’s nice to know that I’m not a hypochondriac assuming much with each slight pain, but I’m not sure how happy I was to give up my exotic illness. After all, it’s much more interesting to write about a disease picked up from treks through the wild woods of Missouri, then to write about a disease that happens because life dealt me the short straw in this instance.

She gave me some anti-inflammatory medicine to use, which does help, but only to a point. In addition to medicine and applying cold and warmth and wrapping the wrists and even fingers at times, she also told me that I will have to cut back on the amount of time on the keyboard.

Now, for a writer, this is a problem. I spend on an average 10-12 hours a day at the keyboard, either on my books or articles, or writing to this weblog. If I cut back, I’m going to have to restrict most of my keyboard time to work that brings in income, which means less time to the weblog. This was something I had to think about, give myself time to wrap my mind around the idea.

Ultimately, though, I think this is going to be a healthy thing for me. I do need to spend less time on the computer and more time ‘out there’. And my body has just decided to enforce this decision. However, this will mean changes.

For one thing, I won’t be able to sit at my computer and program for hours, like I used to a few years back. This might restrict some of the things I’ve been wanting to try, but I haven’t been in the mood to tech tweak for the longest time anyway, as demonstrated by the still non-existent Poetry Finder. (As noted in comments attached to Loren’s lovely post referencing Emily Dickinson’s use of the robin in her poetry. No worries about being reminded of the Poetry Finder, Loren. BTW, when did that ‘Vote for Bush” sticker start showing up on your weblog pages?)

I will be writing less online, but there are numerous advantages to writing less. One that springs instantly to mind is that I’ll have more time to think about what I’m writing, which means I probably won’t get into as much trouble. Perhaps “Burningbird” will become “Simmering Bird”. Maybe even “Thoughtful Bird”.

Additionally, there are alternatives to writing through a keyboard that I have been wanting to try for some time, such as using a recording device to record my thoughts while I’m out an about. With the new speeech recording software, the recordings can be converted into text and I can use this to help me create my weblog posts, or even to do my books. No reason I can’t use it to help write my books.

Even more interesting, I don’t have to convert the recording to text. Though sound files aren’t effective for all the devices people seem to use to read weblogs, and can be unfriendly to modems, still they are an alternative technique to typing into the computer. In fact, I recorded my first audio blog using the built-in mic on my computer, and shareware software I downloaded from the Internet. The post was a lark, just a ramble, and ended up being truncated at 3 minutes, but I had fun doing it. I just need to figure out how one can talk like one writes. There is no textual varation for pausals such as ‘uhm’. I’ve also found, with myself at least, that writing imposes form, which leads to coherency. I am concerned that all my audio posts will end up being blather.

On the bright side, though, I can actually record the sounds to go with the pictures I take.

Speaking of pictures, I’m also going to have to restrict my film camera photography because the cameras are heavy enough to cause a great deal of strain. Still, that removes the guilt from spending time with my digital camera–my lovely lightweight digital camera–even though the photos I take can’t be sold. Who cares if I can’t sell them, they’re fun.

Eventually, along with my audio recording device I’ll pick up a a digital SLR camera that’s lighter than my film cameras, and can take publication quality photos. But for now, I can write metaphorically through sound and sight. My only concern is for those who have audio impairments, but hopefully they have sound-to-text conversion software they can use. And I’ll still write. Have to shoot me to get to stop completely.

In the meantime, more flower photos from the Orchid Show currently happening at the Missouri Botanical Gardens, in St. Louis. You can see one posting with all the photos here.

orchid11.jpg

orchid13.jpg

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orchid12.jpg

orchid16.jpg

Categories
Healthcare

Surgery Redux

I’ve decided to really get my money’s worth out of my various insurances, because I spent the morning in oral surgery and still a bit foggy from the gas and sedatives, and pain pills.

There must be an unwritten contract for surgeons in St. Louis, because the oral surgeon was just as nice as the surgeon that removed my gall bladder. However, I think I’ve about had a surfeit of nice surgeons, as well as lab x-rays and broken bones, surgery, pain pills and various other things.

Life, just because I now have insurance, doesn’t mean you you have to dump all those things you’ve been saving up on me all at once.

Still, everything that’s been treated is taken care of, never to return. My health is great, my blood pressure has never been better. Damme, kick my tires, I got miles to go, babies.

Categories
Healthcare

Irony sweet blissful irony

After writing the post about Jeneane and her COBRA going up and then heading off to the doctor, I came and found a letter from the company who I have COBRA through – my medical and dental insurance premiums have also increased.

More, they’ve changed the dental provider effective December 1. So the deductible that I paid today will no longer work for the new company. When I go in next week for work, I’ll have to pay a new deductible.

Let’s try something new, shall we? Instead of all of us saying why we’re not voting for Bush next year, someone come in and give a reason why they would. I’d say a good reason, but that song won’t play in my neighborhood.

Categories
Healthcare

Being healthy or rich

Being an independent today is not too viable an option, primarily because of corporate malfeasance, but also, indirectly, because the government in this country doesn’t support it.

For instance, most companies won’t hire an self-employed person because of the infamous IRS Twenty Question bias, which basically boils down companies forcing people who should be employees into being contractors so that you don’t have to pay benefits, but then the contractors don’t pay their tax and the government gets stiffed. The government invented the Twenty Questions to be able to go after the companies when this happens.

The side effect of this is that a lot of companies won’t touch independents, and you have to incorporate. Believe me, who has incorporated in not one but four states, that’s not a great option, either.

If you do get gigs, a new corporate ploy lately, called the Wal-Mart gambit is to basically not pay your contractors. You hold on to the money and you hold and you hold and you hold, because the longer you have it, the more interest you get. Smaller sub-contractors don’t have the resources to force a payment, and most don’t want to antagonize the bigger company. Years ago, there used to be a level of trust between businesses and their sub-contractors, but no longer. In today’s corporate world, all that matters is bottom line. Quarterly profits, and bonuses to chief executives.

Jeneane is facing this with a company, most likely a major, well known company, not paying her in a prompt manner. Of course, she’s independent now because she way laid off from her company, so she didn’t have years to accumulate the funds to tide her over through the ‘corporate asshole’ payment system.

To add fear to the uncertainty, though, she also found out her COBRA payments are being increased to $1300.00 for coverage for her, her husband, and her daughter. That’s 1300.00 a month. Not a lot of people in this country can pay $1300.00 a month for insurance. But not a lot of people can afford to take the risk not to have the insurance.

You see, it’s a catch 22 situation – the laws and the business climate in this country force people into becoming employees, at about the same time that companies are fudging their profits by using contractors, or offshorting their work. No matter which way you turn here, well, you’re fucked.

Of course, Congress, outside of some Democrats, care little about this, as demonstrated by passing the only major medical initiative the President would tolerate – a Medicare ‘reform’ bill that basically gives subsidies to HMOs for people that can afford to subscribe. Doesn’t help Jeneane though. Doesn’t help the millions in this country who don’t have insurance, or have to pay rates they can’t afford.

I, myself, just came home from the oral surgeon today with not good news, not good news at all, and I have some dental insurance. I go to the doctor this afternoon because my foot I injured earlier this year, when I didn’t have medical insurance to get it checked, has lost feeling in some of the toes, and one is starting to turn a not very good color and to look a bit odd. But at least I now have medical insurance. As long as I keep paying that $203.00 a month, I can afford to get sick.

Today comes the good news that the economy is just blistering, it’s doing so well. Now this could be that the economy is doing better, and this is good. Or it could be because companies are making a profit using their lessons learned from Wal-Mart; while unemployment is driven lower because less people are being counted because their unemployment insurance has run out.

Or there are people like Jeneane, who took a chance to go independent when she was laid off – only to feel her heart in her throat everytime the postal worker delivers the mail, because she has to pay a $1300.00 health insurance bill, and she can’t get paid for her work.

Categories
Healthcare

The new class system

Last week my cheek started swelling, and sure enough, I have an abcsessed tooth. I went to the dentist on Friday and got some antibiotics, as well as a referral to the specialist. Luckily I have dental as well as medical insurance. An embarrassment of riches.

Class in this country used to be based on race, or ethnic background, or what you owned and where your kids went school. It was a complicated formula, and no guarantees that depending on what you were and how much money you had, you’d be in one class or another.

It’s a lot less complicated today. Today’s class system is based almost exclusively on one factor: what type of health insurance you have.

Now you can have no health insurance and you’ll either be the working poor, or you’ll be rich enough not to need it. Being completely poor, and I mean on the street homeless, you’ll not need it either because you use the emergency rooms for all your medical needs.

The middle class has health insurance, but the degree of coverage and cost defines your status now. Try going into a dentist office or doctor without health insurance, and see how you’re treated compared to when you have insurance. Then, see how you’re treated depending on what type of coverage you have, and who the carrier is.

Health insurance is also the new corporate American chains to bind the working class in this country. People are less likely to make a change in employment now because they’re worried about what will happen with their health insurance. The recent grocery strike across the country? That was almost completely having to do with health insurance.

Still, even if you have insurance, there’s no guarantee how you’ll be treated. When I called the specialist and said that yes, I had insurance, I was welcomed. But when asked if I had a job and replied that I was self-employed, I was told that I would have to pay upfront and then bill my insurance company myself.

I wonder what it would be like to be in a country where when you’re sick, all you have to worry about is getting better? In this country, the first thing you think of, is “How do I pay for this?”

(Of course, other countries like Iraq worry more about whether there’s even a doctor to see, and if you’ll get shot on the way to the office, much less how to pay for them, so I guess things could be worse.)

Hmm. Just one of those things going through my mind now. Excuse me, as I go call around to find a specialist who won’t demand payment upfront.