Sorry I Shortchanged You Last Week--

An attempt to make up for it by being early this week. Warning: this will take a while to read so you can either read half now or come back when you have more time. I'd guess it will take at least 10 minutes. (I will attempt to maintain anonymity for the individuals and the facility since I have learned a few lessons along the way. You must know, however, that the main characters are me and my husband, aka Pete.))

The whole darn saga started with a scheduled back surgery for a problem which has developed through the years. Three verterbrae were deteriorating and pressing on the nerves around them resulting in extreme pain. There comes a time when something must be done. And you go in knowing that you have probably not experienced comparable pain before.

The story of the hospitalization is a chapter in itself and can wait. This mostly concerns the Rehab facility which is like a nursing home but involves physical problems rather than medical problems. The first few days in the hospital were relatively routine so the move to Rehab was made on the 5th day. We soon found that there were no instructions for continuing pain management from the surgeon and we had to start from scratch. Our first decision became the opportunity to "stay with your primary care physician or go with the house doctor." No further description of the differences was forthcoming so we elected our own Doc who knows Pete very well as opposed to a complete stranger. First decision, first mistake.

After 2-3 days of limited pain control our doctor did prescribe drugs to make him more comfortable and the following day a drug to help control edema - probably the partial result from inactivity. Since I had to make the request from our doctor, we could see that there was little involvement from the facility and this would be an untenable situation so on advice from our doc we changed to the in house doctor.

We are now coming up on the weekend and another problem has developed. Some years previously Pete had surgery on his right knee due to damage from our 130# dog who gave him what you guys call a cross body block. And, about 2 years ago, he had spoken to the orthopedic surgeon about developing problems. Naturally? the perfect storm occurred at this time. The rehab for back is walking and more walking. The knee simply failed and that pain eclipsed the back pain for a couple of days. At that time I had to threaten to move him back to the hospital if they did not at least order an x-ray so we could eliminate the kind of thing that may have been evident through that first step. They finally did this and I'm not sure whether it was with or without a doctor's order. (The in house doc had rec'd notice Friday at noon that he had a new patient.) It wasn't until Tuesday that a Physicians' Asst. popped her head in his door, introduced herself and was gone.

I had learned by Saturday evening that the radiologist had diagnosed "degenerative joint disease." This told us what we already knew so we waited and waited on Monday for the doc to talk to us about what should be done next. Catch 22. No walking, no back healing. Resting the knee, no walking. I stalked the PA, stole 3 minutes of her time and determined that nothing was in the offing as far as medical care was concerned.

My next move on Wednesday was to ask the ortho surgeon for some advice and assistance as to what we should be doing next. On Tuesday I had written a description of our problems to the Administrator of the facility who was apparently surprised that we had not had the usual family conference with the Social Worker, Lead RN, Activities Director, Asst to and the Rehab Director. As it turns out, there is a government regulation requiring that to happen within 5 days of entrance to the facility. We were then 8 days in. On the 9th day we had what I can only call an adversarial conference.

The opening salvo was fired by the Rehab Dir who said that Pete was being non-compliant and twisting his body which caused the pain in his upper thigh and knee. Of course Pete was upset by this and I knew it wasn't true having spent the better part of each day at the facility. (I double checked my observations with 2 adult kids who had visited as well.) It was downhill from there. Later in the conversation the Rehab Dir indicated that she knew the history of the knee (previous surgery, etc.) but had not included it in any of her reports due to "lack of space" on her forms. No way. When we had tried to tell anyone at all, we were given the brush off. They simply were not interested.

I then had a problem with the Social worker about follow up on the ortho thing. On Wednesday I just went ahead and was able to get an appt for 1:50 that afternoon at which time he rec'd a cortisone shot so he could start moving around and after the back thing is finished he will have to go to work on the knee. Incidentally, FYI, Pete is 83 if you're curious. His improvement has been almost instantaneous.

The RN tried to stress their dedication to pain management which as you already know I had to institute with our family doc and the fact that the in house doctors were on call 24/7. You have got to be kidding. She also said we really didn't have a complaint since it is only required that a patient see a doctor within a week after admittance. One week of simply being in pain with no recourse? I stopped the recorder, the meeting was over and we returned to his room. A half hour investment in nothing more than confirmation that inept is the most kind word I can think of.

The whole thing was a nightmare. The last straw was when I had time to reflect on the x-ray. The ortho doc took an x-ray that even I could look at and see the problem. I'm now thinking, what in the world was going through the minds of the Rehab gal, the PA and the in house doc when they looked at that x-ray and didn't understand the consequences? When I asked, I was told that they had never seen it. They rely only on the radiologist's diagnosis. This is incredible and dangerous. Even if he could have stood and put weight on it, it would only have made a bad situation worse. The deterioration could have been anything between 5% and 95%--who could know?

I tried to get him transported to a nearby facility but there was no room at their inn so we backed off and he is still in the original facility.

During the 3 hours generally spent in church on Good Friday I took some down time for prayer and reflection which resulted in my writing an apology to the administrator (partly because I didn't want them taking out their frustrations on Pete.) However, the other reason for doing so was to try to give them an out by pointing to the fact that undoubtedly the government regulations which govern much of their behavior has only resulted in giving the lowest common denominator of service. Call it human nature, but if they don't have to see a family for 5 days, are they going to break their necks doing it earlier? If they are allowed not to see a patient for a week, will they really try to see them earlier unless the RNs are screaming because the patient is screaming?

End result is that the apology made me slow down, the Administrator moved Pete to the window bed that had been vacated the day before and they changed out the mattress that he had requested, and the Rehab has improved immeasurably. (The climate in the Rehab had been frosty for a couple of days but has now totally improved.)

We can finally see the light at the end of the tunnel, Easter is tomorrow and I'm off to Bible Study with three of the kids expected for a visit by noon today. My Parish Commission committee is responsible for the Easter Egg hunt and we have a big pink bunny arriving at 11:30. I think the nightmare is over. (I'll come back later to proof this thing.)

God bless....

Caught in a Nightmare

So sorry there is nothing for you--

I feel as though I'm one of the characters in an episode of "the operation was a success but the patient died." The operation was a success, but the aftermath has been pure hell. I feel really sorry for elderly folks who have no one with them to battle the powers that be in hospitals and rehab centers. And all the while my husband has to bear the pain and frustration.

After this is all over I have a feeling I will be on a mission of trying to be a voice for those who have no voice.

Will get back to you as soon as I can.

In the meantime, have a Happy Easter!

God bless....

FULL FAITH AND CREDIT???????

That phrase and its true meaning has evaporated over the years with the activities of all the administrations since Lyndon Baines Johnson and their accompanying Congressional bodies.

It is one thing to call Social Security a Ponzi scheme. It is quite another to define the term: Everyone of those legislators who voted to use excess funds as though it were a piggy bank for their fun and games plus every President who signed on to their spending sprees is a CROOK! They have stolen, without any plan for pay back, funds that belong to the American citizens.

Today they are chasing their tails looking for ways to cover up their shenanigans and placing the blame any where it might stick. Disgraceful! I've always hated to hear a certain segment of the population who has opined "They are all crooks!" But they have been right all along, haven't they?

Does a debt of over $14 trillion bother you? It should, but what if the real numbers were included? It would be close to $23 trillion if the same level of unfunded liabilities would be included. (I just extrapolated the numbers from 2004 which were $9 trillion debt plus $6 trillion unfunded liabilities as proportionally as I could.) Anyway, you get the picture.

Double sets of books, NON-transparency at its best. If you don't like the looks of the bottom line, just take off a portion so the public can't see it.

Now we have a group of new "young Turks" who truly see the problem and want to get a start on fixing it. But what can they do with a President who not only won't try to decrease our spending but actually wants to increase it??? And along with that, wants to increase taxes on those who actually make jobs for others?

Until next week when I'll try to give you the highlights, one of my daughters-in-law shared with me a WSJ editorial by Stephen Moore from April 1 (which may still be in the stack I had saved when I was away for a few days) entitled "We've Become a Nation of Takers, Not Makers." If it's still in the archives it is a good read. Thanks, Jen. Remember Greece last year? When the nation's debt either comes close to or exceeds the GNP it spells disaster with a capital D. The next step toward our downfall is when the vote is 51% of those on government programs vs. the givers.

Sorry to sound so pessimistic.
God bless....

Added Thursday morning: Passing by a gas station this morning it occurred to me that it's either ironic or a major scam by the "green energy at any cost" folks (read Obama) to have to pay to subsidize the manufacture of ethanol and then to pay for the increased cost of the gasoline that is now 10% ethanol no matter whether or not you want or asked for it. How gullible are we?

When is a Vacation NOT a Vacation?

When the time available only gives you more time to think of the miserable state of what's going on in the world and in Washington or wherever Obama is at the moment.

Example: Had I been busy at home would I have considered that when the Prez said that he goes to bed at night and wakes up in the morning thinking about jobs--With the next thought being: Gee, that sounds like the equivalent of Clinton's euphemistic "I feel your pain."

And when the buzz-phrase of one day last week was "if the Republicans mess with the health care bill 70,000 children will die due to lack of medical care" it occurs that as far as we've heard, there is no place in that monstrous bill that says hospitals will no longer be obligated to serve anyone who appears in the ER. Not only that, but since when have Democrats been concerned about the health of children when they think it's perfectly OK to kill off 1.5 million per year through abortion?
Big whoop choice?

Since when did reading words from a teleprompter define "great communicator?"

Not sure if it had anything to do with being on the East coast, but the number of foreign cars actually built in foreign countries appeared to be far larger than those of the Midwest. It would certainly be interesting to check out the correlation between those numbers and economic demographics...

In fact, I've always wondered what the proportion of foreign cars in domestic auto manufacturing parking lots would show up on the bottom line of their employers...

Glad to be home--
God bless...

Warning About Pain Killers

Have you heard about Nsaids? I have no clue what that stands for, but apparently is an umbrella term for certain types of pain killers such as Motrin and Aleve. I learned of this first a couple of years ago after taking prescribed ibuprofin to help me through a bout of sciatica. Through ordinary tests done in connection with my yearly physical I was directed to stop using it immediately. It had done damage to my kidneys which are now getting back to a normal range.

Just last week my husband who had been taking Aleve for back pain also found that product had done kidney damage and we'll be working on that problem now.

So, I feel that our experience is enough for me to tell you to be absolutely sure you don't use more than the labels direct, but also be sure that even that isn't too much for you. Please be tested if you've been using those products for any length of time.

Next, I had in mind that we might have a problem in Jackson's Special Education area of the schools. I am relieved to tell you that it was a false alarm, but it needs to be publicly clarified.

I was concerned that when Jackson Public schools announced pink slips for a number of special ed administrators and staff for a savings in the $600,000 range and a couple of days later there was a piece in the paper about the upcoming ISD millage request for Special Ed that it seemed a bit fishy. After talking with the ISD Director I learned that this is the last year of the old way of funding the programs.

Apparently the schools in the program turn their expenses in to the ISD who then distribute according to a formula making the actual funds of about $200,000 available to Jackson Public and others are something like pro rated. This is the last year for that system. Next year and after the ISD will be paying all salaries making it more efficient and looking at the big picture. ISD will be able to hold down the costs for all.

Now, if I have made any mistake in this explanation I apologize, but the article in the paper made it sound like Jackson was going to lay off people and keep the $630,000 while ISD was going to pick up the expense for the future. Sounded like a shell game to me so I asked and am glad to report that I made a mistake and hopefully the paper will clarify.

Last, I'm back on Soros again. After learning that most of the rigs that were in the Gulf are now being used off the Brazil coast so that even if Obama really meant to give the go ahead to drilling again and Gee, maybe giving back some jobs in the United States, there won't be any rigs available. Hmmm. And then I hear that Mr. Soros has authority to put in one of the largest storage facilities ever in the Gulf. If that thing ever develops a leak it would make the BP accident look minuscule.

I'm just thinking: rather than be concerned about Obama's birth certificate, shouldn't we be wondering why (I'm assuming he is a naturalized citizen) we aren't looking into how some Hungarian with some smarts has come into our country, as have so many others to make his fortune, is at the same time making investments which are devastating our job market, not to mention the political scene. This is way past coincidence cause and effect. What is the real motive?

Going off for a few days for what I hope is well deserved R&R. See you next week.

God bless...

Psssst! I've Got a Secret!!

And it's in Victoria's Secret closet... A friend sent me a note about the raunchy commercials Victoria's Secret airs on television and told me she sent them an email suggesting that they were more than suggestive, they were motivational. She then gave me the website address since I hadn't seen them.

Well, the website is enough. In light of our conversation, I could not help thinking that it wouldn't take much for this to be the next popular court room defense: the Victoria's Secret Defense which would go something like "but Judge, it's not my fault, Victoria's Secret made me do it."

Have I really passed into the old age part of my life where I just don't relate to what is going on with anyone 20 years younger than I? Or could it possibly be that there really is no working moral compass giving direction to the future generations? I just don't know, but I find it more than a little bit scary. How about you?

Gut Check Time. #1-I just have a feeling that when we think about the entire world situation and how nations relate to each other we have just come to that fork in the road that Yogi Berra did when he said "Take it." We perhaps need to face up to the fact that the Mideast countries are looking around at themselves and each other and realize that they all would like to be free rather than to have dictators directing them in all things. They must have realized that all of their neighboring countries have somewhat the same problems and it just won't do to have them as they are now - some free, some enslaved. And they see that it also includes gender. Plus, we don't get to tell them what they should be doing. And, at this point, we know that this is not the time to sit back and watch while some dictator wipes out a good share of the population in any country.

#2-Our country's friends aka allies which would include most of Europe, parts of Latin and South America, Russia, India, Japan and maybe a couple of African nations have also come to a late realization. The U.S. may still be a major power, but we made the mistake of putting an immature kid in a position of leadership before he had mastered the skills necessary to do the job. So, it's not his fault, but they should, instead of waiting for him to display leadership just live with the facts and go ahead without him. They will be kind and bring him along the path of any mentor or parent and hope for the best while he learns his lessons. Hopefully none of those missed lessons will be disastrous life experiences for him or for us.

This evening brings Lincoln Day in Jackson with Gov. Snyder. If anything new breaks, I'll check in tomorrow---

God bless...

Teachers Unions explained

I am loving this!