He’s Thirteen – That’s Ninety-One in Internet Years

Big news here at Just a Smidge World Headquarters – Son Number Three is turning thirteen next month, and you know what that means! No, not that.

It means he’s only a few weeks away from computer independence! That makes sense, since under the HIPAA laws, he became medically independent last year at age twelve. It only follows that he would gain his digital independence, also.

I just can’t believe those two things don’t happen on the same birthday. It seems kinda mean to tell him he has full control over his medical records and decisions, but not give him unfettered access to the internet at the same time. I guess logic hasn’t caught up with this branch of our government yet.

Now, I must admit that up until a few weeks ago I wasn’t fully aware of his impending digital freedom. Microsoft was kind enough to send me an email about it:

This 13^th birthday brings some changes. Son Number Three is getting older, so we wanted to give you a heads up about some changes coming to their account. Privacy laws in your region make it so they have more control over different settings on their account, so it’s a good opportunity to talk about what this means for your whole family.

Ahh, privacy laws in my region. That makes sense. We can’t have the thirteen-year-olds around these parts getting online and being dogged by their parents all day. These young adults need the God- and government-given freedom to go explore the dark corners of the internet on their own.

Microsoft went on to explain what my son gets for his thirteenth birthday, besides horribly traumatized, of course:

Stuff that's changing:

Activity reporting

They can turn off your ability to see their activity on Windows 10 and Xbox One devices, or Android devices running Microsoft Launcher.

Oh, excellent. Right off the bat this is sounding super logical. Heaven forbid I would get to see what my child is doing on their computer.

Device health

They can turn off your ability to see their device and check on updates, hard drive usage, or safety settings like firewall and anti-virus protection.

I guess that makes sense. For a year now he has been able to go take care of any human viruses on his own over at the doctor’s office, so why not let him choose whether we let in any computer viruses as well. I’m sure he’ll make good decisions.

Find your child

They can stop sharing their location through their Windows 10 phone or Android device running Microsoft Launcher.

Again, kudos on the logic here. Why would I want to be able to find my own child? I mean, he might have a secret doctor’s appointment and doesn’t want me following him. Makes sense.

Then Microsoft doubled down on all this good thirteen-year-old logic:

Is this birthdate wrong? Have them update it.

Yes, again, good call. If the birthday is wrong, let’s let the young child handle all the fixing.

“Son, the internet thinks you’re older than you are. Can you log onto your Microsoft account real quick and change your birthday to be younger so you don’t get into anything you shouldn’t? Thanks a bunch, buddy!”

At the end of the email, Microsoft provided me with perhaps the most useful suggestions of all:

Help them celebrate

Add money to their Microsoft account

Get a game that they've been checking out in the Microsoft Store

Useful for Microsoft, I mean.

Well, enjoy your unfettered access to the World Wide Web, son. See you at the psychiatrist’s office.

Oh, wait. You’re over twelve. I guess I won’t.

 

See you soon,

-Smidge

 

Copyright © 2021 Marc Schmatjen

 

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HIPAA Critical, Part IV

It has already happened twice at our house, and it still caught me off guard this week. No, not one of our teenagers saying, “I’m full.” Don’t be silly. That never happens. I’m talking about medical independence day.

Yes, that time-honored tradition of becoming completely in charge of all your own medical decisions with no input whatsoever from your parents at the ripe old age of twelve. You guessed it – I got blindsided by HIPAA, yet again.

You’d think I’d learn, but I suffer from a lifelong problem with being logical. Unlike the drooling, booger-eating bureaucrats who authored the HIPAA bill (most likely with crayons), I have met an actual twelve-year-old. As such, it just wouldn’t ever occur to me to put them in charge of what they should have for breakfast, let alone their medical decisions.

Waiter – “Good morning, what can I get you?”

Standard twelve-year-old – “Yes, good morning, I will have a fudge brownie, an empty glass, and a large bottle of syrup, please. And I do not believe I will be getting a tetanus shot this year. Or any other year. Thanks.”

So, there I was Monday morning, making a non-brownie and syrup breakfast for the boys, when my cell phone buzzed a calendar reminder. I glanced over to notice that I had ten minutes before Son Number Three’s doctor’s appointment was scheduled to start. His doctor is twenty minutes away from our house.

Holy crap! GET IN THE CAR!!!

I called the doctor’s office and had a stressful conversation with the appointment desk. They were really cool about it. The only reason the conversation was stressful was because I was having it while going 125 mph and sliding a Suburban sideways through intersections.

After I hung up and narrowly avoided an oncoming cement truck, I started to wonder, how did this happen? Why did I completely forget about this appointment? I obviously had it on my calendar, but why wasn’t I thinking about it. Why didn’t I wake up that morning with getting to the doctor on my mind?

Then I realized the answer. Usually when we have an appointment, I get about six emails and two or three text reminders ahead of time. “You have an upcoming appointment. Please let us know if you’re still able to make it.” “We’re looking forward to seeing you! Please fill out the pre-appointment health survey.” “Please let us know if you’ll need special assistance at your appointment, or an interpreter.” Yadda yadda.

I didn’t get a single communication before this appointment. I put it on my calendar six months ago and never heard from them again.

Well, we slid into the parking lot and ran to the waiting room, stopping only briefly for a nice lady at the front door to shoot our foreheads with the “you obviously don’t have COVID” laser. They saw him right away and I finally relaxed on the little spouse/parent chair in the corner of the exam room.

I apologized to the nurse for being late, thanked her for getting us right in, and then remarked how I had just realized I never received any emails or texts ahead of the visit.

She said simply, “Well, that’s because he turned twelve.”

OH, MY GOODNESS! Of course!! HIPAA!

Why was I even stressing? It wasn’t me that forgot the appointment after all. It was him! My irresponsible, medically-independent twelve-year-old son forgot all about his own appointment. C’mon, bro! Get it together. Why am I here at all, anyway? How come you didn’t set an alarm and jump on your bike at 5:30 A.M. to get yourself over here for your 7:00 appointment? For Pete’s sake, man.

When we were all done the nurse told me we could stop by the front desk on the way out and he could get his new twelve-year-old account all set up.

Hmm…

We set up the other two boys’ “private medical accounts” online, but I think I’ll skip it for Son Number Three.

They have no email address for him, and no phone number. So, whatever internet black hole they sent all the appointment reminders to, I want them to send the bills to the same damn place.

Let’s see how long they want to abide by the HIPAA rules then.

And if anyone out there is working to repeal these idiotic regulations, you can add “causes reckless driving” to the long list of things that are hazardous about letting a twelve-year-old be medically independent.

See you soon,

-Smidge

 

Copyright © 2020 Marc Schmatjen

 

Check out The Smidge Page on Facebook. We like you, now like us back!

Also visit Marc’s Amazon.com Author Page  for all his books. Enjoy!

HIPAA Critical, Part III

Son Number Two turned twelve a few months ago, and you know what that means – yes, that’s right, Medical Independence!

Yes sir, nothing points out the fact that the collective IQ of our governing officials is below room temperature better than HIPAA, which stands for Hypocritical Idiots Pounding Abundant Alcoholic Beverages and Possibly Smoking Crack While Passing Insane Health Insurance Bills They Will Never Be Affected By Because They Don’t Live Under The Same Rules As The Commoners. (They cut out some of the letters because the acronym was getting too cumbersome. By the way, “Cumbersome Acronym” is obviously the name of my next rock band.)

The fully-lobotomized bureaucrats who authored the HIPAA bill, presumable with Crayons and drool, included the fun new law that anyone who has reached the ripe old age of twelve should now be in complete control of their medical decisions.

This was not news to our family, since we’d been through this once already with Son Number One. (He’s now thirteen years old, so under the HIPAA regulations he now has his own apartment and a Volkswagen Jetta.)

One easy way to know if your child has HIPAA’d up at twelve, is that their name will disappear from your list of family members on your medical provider’s website. That’s because, due to their newfound medical independence, you no longer have access to their medical records, even though you will be their legal guardian until they are eighteen, or if you are the parent of a hipster, thirty-five.

Now, sure, my twelve-year-old is probably better prepared to make his own medical decisions than Deklan, the thirty-two-year-old bearded chai-sucking blogger living in his parent’s basement, but that’s not really saying much, is it? Son Number Two is still twelve, after all, so his idea of a good medical decision after, let’s say, experiencing a blow to the head, would be to see if he could eat a whole ten-pound bag of granulated sugar with a spoon.

Captain Independence had gone into the doctor for something right before his magic HIPAA birthday, and a few weeks later when I logged on to attempt to pay the bill for the office visit, he had disappeared.

Under the HIPAA regulations, the doctor’s office is prohibited by law to set up his personal medically-independent online account over the phone. It must be done in person with the medically-independent twelve-year-old. In the meantime, I couldn’t pay his bill online because it simply didn’t exist on the website.

I must be honest. I didn’t lose any sleep over that.

When it came time for his regular checkup a few days ago, we went through the ridiculous charade of having him set up his “own” online medical account with the help of the nurse.

Now, I don’t ever expect anything logical to come out of a bureaucrat’s mouth, and neither should you. These are people who have never held down any real job more complicated than running the sour cream gun at a Taco Bell. Their entire existence revolves around clinging to their government job like a rabid squirrel on a caramel popcorn ball, so none of their decisions make any outward logical sense.

I do, however, expect people with real jobs, such as, let’s say, doctors and nurses, to make logical and reasonable decisions, and say logical and reasonable things. I expect these folks to do so during standard, everyday situations, and also in the face of complete government absurdity.

That being said, there we were in the examination room, with the nurse walking Son Number Two through how to set up his username and password on the in-room computer. “Type your username in here,” she said.

I told him what it should be so I would remember it.

She glanced at me with what appeared to be frustration on her face. Then she turned back to him and said, “OK, now your password.”

Again, I told him what it should be.

As a parent of a twelve-year-old, you can imagine how taken aback I was when the nurse turned to me and actually uttered the words, with a sigh, “Just so you know, this is supposed to be his own private account.”

*sound of a small blood vessel exploding in my brain*

I was so shocked I simply couldn’t help myself. I responded, “Just so YOU know, that’s just about the stupidest thing I’ve ever heard.” (Which is a true statement, and keep in mind, I have a teenager who talks.)

She then began sputtering about regulations and how they technically have to follow them, etc., etc., blah, blah, blah, but I cut her off.

“Never mind the fact that he is incapable of making good homework or personal hygiene decisions, let alone good medical decisions. Forget that part of this nonsense. Did you know that I can’t pay his bill without being able to access his ‘private account’? Do you have any idea what his username and password would be right now if I didn’t tell him what to write?”

“No.”

“Me neither. And do you know who else wouldn’t know? Him, in about fifteen seconds from now. And even if he had ‘remembered’ that he made his password ‘thisPasswordissuperlitty2,’ he would have spelled ‘Password’ wrong in the middle, so it wouldn’t have mattered. So, if you really want it to be his ‘private account,’ I'm actually all for that. Keep sending him the bill, and we’ll keep not paying it, and then you can send his medically-independent ass to collections and see how much money a judge will let you try to squeeze out of a twelve-year-old.”

Thankfully, they were basically done and we were able to leave before any more blood vessels popped in my head. I didn’t want to have to be admitted for treatment of a HIPAA-induced stroke.

I know the nurse was just trying to do her job in the face of governmental idiocracy, and I appreciate that, but c’mon, people! No matter what they tell you to do next, let’s make sure that common sense doesn’t get too uncommon out there!

See you soon,

-Smidge

Copyright © 2018 Marc Schmatjen

Check out The Smidge Page on Facebook. We like you, now like us back!

Also visit Marc’s Amazon.com Author Page  for all his books. Enjoy!

HIPAA Critical, Part II

Does anyone have the number for the idiot or idiots over at HIPAA that I can send my gas receipt to? I just had to drive across town to Son Number One’s pediatrician for a special office visit so that he could get his own health care web access all set up... you know, because he’s twelve now.

When you turn twelve these days, at least in California, you’re medically independent. For everything except the bill, that is. The bill they still send to me, even though I’m not allowed access to his medical records anymore. Funny how those HIPAA folks made a nice loophole for actually collecting the money and all.

Why did I have to drive all the way across town? Well, they want to make it so the twelve-year-old has their own personal user name and password-protected access to your health care plan’s website, but ironically, you can’t set that up on the website. You have to physically go to the doctor’s office and bring the actual twelve-year-old with you, so they can repeatedly ask why they had to come if they’re not having an appointment. Do you know why you, as the parent, have to go, too? Because twelve-year-olds CAN’T DRIVE, that’s why!

As if this galactically stupid monumental waste of our time is not asinine enough, the poor doctor’s assistant, who has approximately two bazillion better things to be doing, has to go through the ridiculous process of showing the twelve-year-old all the fun features of the new website he now has access to. The guy actually tried to show my son how to set up an appointment. My son and I looked at the guy with the exact same blank stare.

My stare meant, “Are you being $#&%’ing serious right now?”

My son’s stare probably meant, “Can I change the background image to a dragon?”

Prior to that, the guy had actually asked my twelve-year-old what he wanted his user name and password to be. Here’s how that would have gone if I hadn’t been in the room:

“What would you like your user name and password to be?”

“Huh?”

“Your user name. Right here. What do you want it to say?”

“I get to choose??”

“Yes.”

“Cool! Make it FlamingNinjaDeathRay.”

“All right. How about a password?”

“I dunno.”

“It has to have at least one number or character.”

“OK. Make it FlamingNinjaDeathRay2000##**##.”

“All right. You’re all set.”

Thirty seconds later

Me – “What happened in there?”

Son – “I got a website.”

“Huh?”

“Yeah, I have a user name and password.”

“OK. What are they?”

“SamuraiDeathFlame, or something.”

“Is that the user name or the password?”

“I dunno. I’m hungry.”

Since I was in the room, we now have a user name and password that one of us will remember. Now my big grown-up twelve-year-old can finally take charge of his health care, as it was always meant to be. I logged on for him when we got home. (Don’t tell HIPAA.)

While I was on his amazing new health care web access portal – which looks exactly like the one I have, just conspicuously without the ‘Bill Pay’ option – I noticed that the doctor’s office had two online forms that they wanted my medically-independent son to fill out, since they sent them to his new account that I’m not allowed to have access to.

The first questionnaire started like this:

Please answer the following questions. It will help your clinicians spend more time discussing those specific issues that concern you.

Please list all medications, vitamins, inhalers or supplements your child is currently taking:

Actual answer – None

What his answer would have been – I don’t understand any of those words.

Please list your child's medication or food allergies, if any:

Actual answer – None

What his answer would have been – Cough syrup, peanuts, cauliflower, mayonnaise, carrots, and celery.

Has your child had any major medical problems since his or her last check up?

Actual answer – No

What his answer would have been – I have a wart on my toe and my dad is freezing it off and it hurts like crazy when he puts the cold thing on it, but I don’t know when my last checkup was and I don’t know when I got the wart and I also skinned my knee really bad playing kickball.

At that point I stopped reading the questionnaire, deleted it, and went ahead and changed his password without telling him.

I’ll bet you folks at HIPAA never saw that one coming. I’ll send you the gas receipt. And just so we’re clear, you can reimburse me, not my son.

See you soon,

-Smidge

Copyright © 2017 Marc Schmatjen

Check out The Smidge Page on Facebook. We like you, now like us back!

Also visit Marc’s Amazon.com Author Page  for all his books. Enjoy!

Whoops, We HIPAA'd your TDaP

I’m confused, California. I just want to make sure I’m perfectly clear on what’s happening here...

I have a son in the sixth grade, attending a public school in our great state of California. Next year, if we’ve paid off the right people, he will go on to the seventh grade. Our public school district, operating in and under the authority of our great state of California just sent me, his parent, a notice about his immunization requirements for school. What?

The letter starts like this:

Whooping cough, also known as pertussis, continues to threaten students in California. To help stop its spread, all incoming 7^th graders are required by law to have proof of a whooping cough booster (TDaP) vaccine, or file an exemption, in order to attend classes this year. Students will not be allowed to attend classes without an immunization or medical exemption signed by a physician.

Then you guys ask me, his parent, to please submit an immunization record for him. You see, this is the part that confuses me. He’s twelve, for goodness sake. You know he’s twelve because you know his birthdate, and you’re in charge of teaching him algebra, so I assume you guys can also do birthday math. So why are you sending this letter to me?

Don’t you remember the letter that your HIPAA folks sent me a few months ago when he turned twelve? Do your HIPAA people and your school district people not talk to each other over there?

How in the world am I supposed to tell you anything about his immunization record? Your HIPAA department just informed me that I don’t have access to his medical records anymore now that he’s all grown up, being twelve and all.

By the way, how old are your HIPAA people over there? I have to assume they’re all over one hundred and fifty years old. Is that why you chose the ripe old age of twelve? Because the people writing these laws are all from the good old days when everyone left the farm at twelve to get a job and needed to prove to their new employers that all their liniments, tonics, and salves against consumption and winter fever were up to date?

Anyway, if you want to know about his immunizations, you’ll obviously need to talk to him. Which leads me to the next thing I’m curious about. Are you just tired of having anyone over the age of twelve attend school?

Students will not be allowed to attend classes without an immunization or medical exemption signed by a physician.

So, in case you’re slow on the uptake, let me recap this for you. You told the twelve-year-olds that their parents aren’t in charge of their medical decisions anymore. Then you told them that they have to do a medical thing or they can’t go to class. So, what you did there was tell twelve-year-olds that they are now in charge of deciding whether to go to school or not.

I would assume you school district folks have met twelve-year-olds before. You must see the problem here. Or do all your old-timey HIPAA people just want them to go get jobs? I can’t figure you guys out.

Speaking of that, there’s one more thing in this letter that I can’t figure out. I don’t mean to get all logical on you or anything, but you started the letter by saying that whooping cough continues to threaten students in California. Then you said to help stop its spread, students are required to have proof of a vaccine, or file an exemption?

So, just so I’m clear, one of the ways you plan to stop the spread of whooping cough is by collecting vaccine exemption letters? Was there even a meeting on this, or does Phil in the back cubicle just write down whatever the hell comes into his head and then sends it out to the parents?

Again, not to get all logical on you, but the only way that makes any sense is if the non-vaccinated kids are required to carry their exemption letters with them at all times to hold in front of their faces when they cough. Since my twelve-year-old regularly forgets to carry anything that isn’t physically attached to him, I don’t see that plan working.

Anyway, good luck getting my son’s vaccination records from him. He doesn’t know the name of his doctor, the name of his doctor’s medical practice, the name of our insurance provider, his insurance plan number, the telephone number to any of the aforementioned offices, the fact that he even has a vaccination record, or the name of his school district.

Basically he knows the name of his school and the exact time of each recess.

But I think everything will work out fine, you know, because he’s twelve now.

See you soon,

-Smidge

Copyright © 2017 Marc Schmatjen

Check out The Smidge Page on Facebook. We like you, now like us back!

Also visit Marc’s Amazon.com Author Page  for all his books. Enjoy!

HIPAA Critical

Son Number One just turned twelve years old. I have a news flash for you. Most eighteen-year-olds are idiots. What do those two things have in common? Health care, obviously.

Eighteen-year-olds are, by definition, still teenagers, and therefore some of the most irrational and irresponsible creatures on the planet. Teenagers are worse than toddlers, actually, because their brains work exactly the same, but teenagers have cars.

Why am I focusing on eighteen-year-olds? Because they shouldn’t be in charge of anything. Whomever decided that eighteen was the age to become an adult probably just couldn’t stand having the kid living in their house any longer and wanted to be legally allowed to evict them.

Since twelve-year-olds are younger than eighteen-year-olds, do you know who else shouldn’t be in charge of anything? Twelve-year-olds, that’s who. Makes sense, right? Well, not to the government, I guess. Those braniacs just put my twelve-year-old son in charge of his own health care decisions.

I was not expecting that to happen, because I am a rational adult human, so it never even occurred to me that something as asinine as that would even be possible until I tried to log into our health insurance website the other day. Son Number One was missing from my list of family members on the plan.

I just figured it was a website maintenance issue, since we had just gotten home from his doctor’s visit. After further investigation I found out that HIPAA decided that twelve was the perfect age for health care independence.

HIPAA apparently stands for HighAndMighty Idiots Parenting AllOurKidsForUs Anonymously. Who comes up with these crazy acronyms, anyway? The folks over at the government health care office have made it illegal for me to have unfettered access to my own child’s medical records.

Hmm... Well, that seems really dumb. I know my sons’ doctor had nothing to do with this, because he is a doctor, so he has an actual, working brain. Unfortunately, it’s his office that gets to deal with the aftermath of this HIPAA stupidity.

My twelve-year-old is now in charge of his own health care decisions. OK, fine. One health care decision is whether or not to pay for your health care. I’ll let you give him a call about billing for that office visit. He doesn’t have a phone, or a credit card, or any money at all, or a clue, so good luck. When you do get a hold of him somehow and ask him for money, he’s going to talk to you about Star Wars, so be ready for that conversation to not go your way. If you try to call me to get payment, I’m afraid I’ll be forced to refer you to the rigid HIPAA guidelines. Sorry.

At our recent office visit, he got the first of his HPV shots. It’s a two shot process, and he needs the next one in a year. Good luck with scheduling that. Like I said, he doesn’t have a phone, but he does have a gmail account for school, so I guess you could try sending him an email. But be warned, if you include the word ‘papilllomavirus’ you’re going to lose him. He’ll just assume it’s a language he doesn’t know and then he’ll go play kickball.

You could keep it simple and say ‘come to the doctor,’ but he has no idea where your office is. Seriously, it could be a block from our house and he still wouldn’t know. He knows where Blaze Pizza and Cold Stone Creamery are, though. Maybe you could meet him at one of those places. I’m afraid I won’t be able to drive him over to your office, because I don’t want to risk being seen as coercing him into anything under the HIPAA guidelines. Your best bet would be to actually send someone over to the middle school with the syringe and corner him at lunch.

Since I’ll need to let him schedule his next appointment, if you guys aren’t willing to track him down, you should see him back at the doctor’s office when he’s about thirty-eight years old. He probably won’t be going to a pediatrician any more by then, so you may have seen the last of him thanks to HIPAA.

Also, I’m just perusing the six-page health care instructional handout you mistakenly handed me during the office visit. I left it for him to read, but it ended up wadded up with his gum stuck to it. I guess he wasn’t all that interested in reading up on his most pressing twelve-year-old health care issues. Perhaps that’s because he’s twelve. Tough to say.

Anyway, most of the immunizations and testing page was illegible due to the Juicy Fruit, but I did notice there were sections on nutrition, screen time, and sleep. Now that my twelve-year-old is in charge of all this stuff, and since he apparently has no interest in reading your helpful tips, you might want to come over and talk to him. He’ll be the one in a twelve-year-old boy-shaped divot on the couch, catatonic in front of the TV, surviving on root beer and pita chip crumbs from the cushions.

Maybe we could get the school nurse to give him some advice. That is, if he decides to go to school at all. Am I allowed to insist that he goes to school anymore, now that he’s all grown up? I guess I should check the governmental regulations on that.

See you soon,

-Smidge

Copyright © 2016 Marc Schmatjen

Check out The Smidge Page on Facebook. We like you, now like us back!

Also visit Marc’s Amazon.com Author Page  for all his books. Enjoy!