Showing posts with label doctors. Show all posts
Showing posts with label doctors. Show all posts

Wednesday, July 19, 2023

Who Needs a Doctor?

It’s that time of year again at Casa de Smidge, when we get new health insurance cards along with a warm, heartfelt letter from Sutter Health, welcoming us into their community of doctors, nurses, and happy patients, as if we haven’t been with Sutter Health for the past twenty years.

All three of our kids were born at Sutter, yet somehow, they see fit to welcome us in every year. Son Number One is going off to college in a month, for goodness sake. We’ve been with you for a while now!

Anyhow, my wife and I share (or shared) a PCP, which is insider medical lingo for Pretty Cool Physician, if I’m not mistaken. I say “shared” because we just found out she is retiring, or just leaving Sutter, or possibly both. I don’t remember.

So, along with our annual welcome letter, we need to find a new doctor (or doctors if we can’t agree again). I was happy to see that the boys’ pediatrician was still the same. Dr. Wong is the best! However, sitting at my desk, seeing his name on their health insurance cards got me thinking.

Not only is Son Number One eighteen years old now, but he’s also heading off to Nevada for college. Eighteen seems like the logical age to stop seeing a pediatrician, because “pediatrician” is literally Latin for “pediatric physician.” Also, I don’t think Dr. Wong makes house or dorm calls in other states.

That got me thinking, how do I go about finding a new doctor for my son in another state? And that got me thinking about when I went off to college, hundreds of miles away from my former pediatrician. Who was my doctor? I couldn’t remember.

And then it finally dawned on me why I couldn’t remember. Because I went off to college and never went to another doctor for an annual physical until I was thirty-five. Sure, I went to the hospital emergency room a few times, but who didn’t, am I right? But I never had an actual doctor.

Generally, men ages eighteen to thirty-ish never even think about the doctor. Or checkups. Or health. Or much of anything, actually. We’re just sort of there, participating in the moment’s current activity and otherwise not having a whole ton of deep thoughts or planning.

When I finally realized that, I relaxed a little and decided I didn’t need to worry about Son Number One. I stood up from my desk and stretched, and was immediately reminded of my real priority.

The stretch reminded me that I tweaked my back a little last night.

Coughing.

I’m fifty-one and I literally hurt my back coughing. So, yeah, I’m worrying about the wrong Schmatjen male here. Son Number One will be just fine, but I need to find a new doctor, stat.

See you soon,

-Smidge

 

Copyright © 2023 Marc Schmatjen

 

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Wednesday, June 7, 2023

There's Now a Colon in D-Day

Have you ever chugged a whole bottle of grape cough syrup? If your answer is yes, please seek help immediately.

I haven’t ever downed an entire bottle of Robitussin, but I’ve recently done something very similar. Twice.

My six-ounce bottle of sodium, potassium, and magnesium sulfates was the same consistency as cough syrup, and had that same “grape” taste that leaves you wondering if anyone involved has ever eaten an actual grape.

I was instructed to mix it with ten ounces of water, and drink the entire sixteen-ounce mixture. The water did not help.

I did that once on Monday night and again yesterday morning. Why would someone drink a sixteen-ounce mixture of various sulfates, you ask? I found myself asking that same question about thirty minutes after I drank the first one.

Holy wow.

Allow me to explain. Yesterday was D-Day. On June 6th, 1944, after softening of targets by air support, Allied forces landed on the beaches of Normandy, penetrating deep into France after heavy resistance.

And yesterday, on June 6th, 2023, after sudden, severe, and overwhelming softening of the target area from heavy sulfate solutions, Sutter Roseville physician, Dr. Bul, met me in Procedure Room 3 with his colonoscope, and... well, you get the picture. (He also got a few.)

I obviously wasn’t at Normandy, but on Monday night after the first weaponized grape cough syrup kicked in, I might have chosen the hostile beach landing given the option.

Unpleasant colonoscopy bowel preparation aside, the procedure itself was fairly boring. This was my first one, so I didn’t know exactly what to expect, but it mainly consisted of laying on my rolling bed in a curtained-off waiting area ahead of time, bored out of my mind because my phone was with my clothes in the plastic bag that I couldn’t reach.

They had originally told me I would be semi-conscious, in and out of it, but very comfortable and not feeling anything. They were going to accomplish this by giving me a mixture of fentanyl and something else. I was understandably concerned by their drug choice, but the male nurse assured me it was “the good stuff.” Hmm…

A little later into my incredibly boring waiting period, they came back through my curtain and told me they had an anesthesiologist who could stay for the whole procedure, so they could give me the even better stuff that knocks me completely out and wears off faster. It was an easy sell.

Whatever he put in my IV definitely did the trick, because he said, “Off you go,” and I woke up about two minutes later and they were all done. As I was coming back around, someone in the room said something funny, and I came back with possibly the wittiest retort ever uttered in that procedure room to date.

“What were my demands?” I said, expecting the room to erupt in laughter.

The general reply was, “Huh?”

Um, OK, either I’m slurring really badly, or that was only funny in my head. What was the joke again?

Wow, what the hell was in my IV?

I don’t really remember the bed ride back to my private curtained waiting area, but after two of the best apple juices I’ve ever had in my life, Son Number One showed up to shuttle me home.

Easy peasy. So, remember gentlemen, there’s nothing to fear. And they’ve recently lowered the initial screening age down to 45 years old, so don’t wait.

And if you happen to find yourself needing to storm a heavily fortified beach for some reason, I’d highly recommend bringing along a supply of sodium, potassium, and magnesium sulfates to slip into your enemy’s water supply first.

Talk about softening up your target. It’s basically a gastrointestinal hand grenade.

Holy wow.

See you soon,

-Smidge

 

Copyright © 2023 Marc Schmatjen

 

Your new favorite book is from SmidgeBooks

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Wednesday, April 19, 2023

We Interrupt This Column...

We interrupt this column for some very important medicinal appointments. You see, the boys and I ran the annual Run Rocklin 5K on Sunday, and even though they’ve been running it for years with me, and they are getting older and stronger, they all sucked this year. Well, actually Son Number Three did OK-ish, but the other two sucked. I also sucked. It was basically a suck-fest.

This has me very concerned about the health of our legs and lungs. Rocklin is only a few hundred feet above sea level, so there should have been no shortage of oxygen for us to use, but I for one couldn’t find nearly as much as I needed. The boys seemed to be having the same issue as me, albeit in a quieter and less obvious way. But their finishing times told the tale – Not enough oxygen and weak legs.

It was obviously time to take us all for a series of tests.

This leads us to the reason we are interrupting today’s column. Son Number Two happens to turn seventeen years old today, and he doesn’t have any tests scheduled at school. His two brothers don’t have any scheduled classroom tests either.

All this great lack of school test timing happened to coincide perfectly with the fact that it snowed about eight to ten inches in the Sierras yesterday, so we have the perfect storm, so to speak. Which brings us to the reason we have to interrupt this column today – namely, I’m not here.

I mean, we really had no choice but to get all three boys and me up to a high-altitude testing ground, where we’re able to run our legs through a long series of rigorous tests in a low-oxygen environment. And since it’s a low-temperature day, we’re also able to visually monitor our lung functions.

Look, I don’t like them missing school any more than they do for these kinds of medicinal appointments, but gosh darn it, the health of our children will always come first.

Do I care too much? Perhaps. But we will stay up here and run these tests until our legs can’t stand it anymore.

We’ll get to the bottom of things. And we’ll probably get there pretty fast.

See you soon,

-Smidge

 

Copyright © 2023 Marc Schmatjen

 

Your new favorite book is from SmidgeBooks

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Wednesday, July 13, 2022

An Open Letter to the Postmaster General

Dear Postmaster General,

For starters, I have absolutely no idea what your title means. I assume I’m writing to the person in charge, but maybe yours is an honorary title and you’re reading this from your yacht in the Caribbean while the actual CEO of the post office does all the work? (If that is the case, please have your yacht captain forward this to the CEO.)

If you are the one in charge, I have some questions about the title. “Postmaster” seems fairly self explanatory. You’re the master of all things postal. I get that. It’s the “General” that I’m confused about. Is that General as in encompassing all things, or is yours a formal military position?

If you are, in fact, part of the military, could I make a request that you change your staffing immediately. The civil servants delivering the mail now are, shall we say, a tad on the apathetic side. We could really turn that around by replacing them with Army Rangers.

Every kid in America, and probably most of the adults, would be thrilled to see the Blackhawk touch down in the middle of the cul-de-sac and the Rangers pour out from both sides to do a coordinated strike on the mailbox cluster. Costs may increase slightly, but efficiency will go through the roof. Something to think about.

Anyhow, I’m writing today on a postal matter that obviously needs your attention. I recently turned fifty, and out of nowhere my doctor’s office sent me a specimen collection kit in the mail.

The sending of the specimen kit to me is not the postal issue. The specimen kit, as of now, is harmless. However, if I follow their instructions, it won’t be harmless for long.

They want me to mail them my poop.

Now look, I don’t know if this is a prank or not, but the kit and the paperwork look fairly official. Apparently fifty is the age I need to start worrying about my colon. Add that to the long list of body parts I need to worry about, I guess. If the kit is bogus, it certainly is elaborate, so I’m treating it like it’s real. That being the case, this is obviously something you should be aware of.

Did you know about this? If this is real, I can’t imagine this is the first time this mail-order poop request has gone out. Again, I have no idea what your job entails, but I would rank preventing mailing of poop as probably a pretty high priority for your office.

The instructions are detailed and clear, and the poop collection stick and containment bottle seem well made, but let’s face facts. They want me to send my poop through the mail. That’s crazy.

How did something like that ever get approved by your office? Are you trying to tell me in all the years this has probably been taking place that not one less than desirable situation ever occurred with a poop mailing? I find that hard to believe.

You know FedEx and UPS would just be a hard no. How is the USPS allowing this? Are you asleep at the wheel? Just bad at your job? Or are you being paid off by the poop specimen lab lobbyists? That’s it, isn’t it!? You’ve used your powerful position for personal gain at the expense of the poor poop-toting mailmen. That’s how you can afford that gigantic yacht!

On second thought, you might not want to get the Army Rangers involved. I’m starting to understand the apathy I’m seeing in the civil servants you currently employ. If the Rangers ever found out they were transporting cardboard envelopes of poop, you might end up with a Blackhawk full of disgruntled soldiers landing on your shiny yacht.

I wonder if they’d land it on the poop deck, just for emphasis?

Probably best not to think about it.

Disappointedly,

-Smidge

 

Copyright © 2022 Marc Schmatjen

 

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Wednesday, November 3, 2021

An Open Letter to the Medical Insurance Industry

Dear Medical Insurance Folks,

Do you guys remember a couple years ago when I took all three of our boys in for their annual “wellness visits?” Those visits that are supposed to be free under your plan in an attempt to make us think that you care about us getting regular check-ups and staying healthy?

Remember when the doctor noticed a wart on Son Number Two’s foot and offered to freeze it off real quick? I was there, so I remember. He grabbed a spray can of freon (or something else really cold) out of the cabinet on the wall and sprayed the wart. The entire process, including asking if he wanted it done, took less than fifteen seconds.

Do you guys remember that the visit then became a “surgery” in your insanely whacked out system, and you charged me $450 for his free annual wellness visit, instead of the customary zero dollars?

Yeah, that was fun. Good times.

I thought your system was broken back then, but Monday you proved to me that I hadn’t seen anything yet.

Monday was annual wellness visit day, and their doctor confirmed medically what my wife and I had suspected – their feet are huge! He was also able to confirm that Son Number One has a very mild case of regular old teenage acne. While he was checking him out, he wrote him a prescription for some acne cream that is a little stronger than the over-the-counter stuff, hoping to just completely clear him up.

When he examined Son Number Two, he noted that he had an even milder case of teenage acne than his older brother, but asked me if I wanted him to prescribe the same thing.

“Sure,” I said, naively, not believing that even your malfunctioning system could screw something as simple as this up. Ha! I went to the pharmacy later that day to get my dose of reality slapped across my face.

“I have two prescriptions to pick up for my sons. They are both the same thing.”

“OK, yes, we have them right here. This one will be $10, and this one is $147.53.”

I am not making this up.

“Huh?”

“Yeah, that’s weird,” said the pharmacist, frowning at the computer screen. “They are the same exact thing. What happened there? Do you have individual deductibles?”

“Yes, but neither of them have racked anything up this year. We haven’t been to the doctor at all.”

“Weird! Let me run it again… nope, came up the same.”

“OK, well, I think I’ll just take the $10 one and they can just share.”

The nice pharmacist promised that she would keep looking into why the prices were so whacked out, but she hasn’t gotten back to me yet. Do you know why I think that is? Because she can’t figure out your insane system either.

Two boys on the exact same insurance plan get prescribed the exact same medicine on the exact same office visit, and Son Number One’s bill is $10, and Number Two’s is $150. How on God’s green earth can you look me in the eye and tell me this system is working?

The only possible explanation I can come up with is you think the acne cream is some sort of follow-up treatment for his wart “surgery.”

Your system is completely and utterly broken.

I’d ask you to fix it, but I have a strong hunch that “broken” is exactly the way you want it.

Kindly bite me,

-Smidge

 

Copyright © 2021 Marc Schmatjen

 

Your new favorite T-shirt is at SmidgeTees

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Wednesday, November 4, 2020

Exam Questions

Few things are more impressive in their function than the combination of medicine and technology. In most cases, it’s impressively good, like laser eye surgery, MRI’s, and cyborgs.

In some cases, it’s impressively bad, like when our three sons became “medically independent” at the age of twelve under the idiotic HIPAA rules and now they all have their own user names and passwords to access their secret medical records that I am not supposed to know anything about and I’m not supposed to have access to their accounts except for the fact that if you let a twelve-year-old set up their own medical user name and password, no one, including the twelve-year-old, will ever know what they are, and also I am not allowed to know anything about their medical records or activities right up until it comes time to pay for them and then all of a sudden I am allowed to be involved and no one can seem to see why that is the dumbest thing in the world.

But I digress.

One of the lesser but nonetheless impressively good features of modern technology and medicine is the ability to log into your medical account and see all your files and notes that they take during your doctor’s visits.

I had a yearly physical appointment the other day, and just for kicks I read the notes afterward. While the technology is cool, I do have a few questions about the notes themselves that have me wondering just how precise this whole “physical exam” system is.

For starters, my body mass index was listed as 29.27, which really meant nothing to me until I read further and saw that I was in the 25-30 = Overweight category. I would generally agree that I’m overweight, especially after my impressive Halloween candy intake this year, but a closer look at the numbers had me questioning the data.

Noting that I was on the high end of Overweight, I found a BMI chart that told me I was only two pounds (or six Snickers, in Halloween math) away from being Obese. It’s not just that “obese” for me is unrealistic, but that the chart wants me to lose 40 pounds just to get out of Overweight and into Optimal. And I can lose as much as 80 pounds and still be in the Optimal category.

Now, you may not know me personally, but let me assure you, if I lost 80 pounds, I would look like I was just freed from a two-year stint in a POW camp. I’m not putting a lot of weight in the BMI chart. (See what I did there?)

Under GENERAL in the notes, I was listed as “well developed, well nourished, in no distress, and alert.” I will take all of that as a compliment.

However, under HEAD, they wrote, “skull is normal in size and shape.” Nothing could be further from the truth. My head is abnormally large and dented and scarred from years of poor timing and/or decision making. I think my doctor may have just been trying to be nice, but facts are key here.

EYES: “normal in appearance.” I would agree with that, but would also like to add “kind, bright, and wise.”

EARS: “external ear normal.” Again, they are rather large and I think she was just being nice. Same situation with my nose.

LUNGS: “normal chest excursion.” I have no idea if that was a typo, but if not, then I don’t know anything about how my lungs work.

HEART: “regular rate and rhythm.” Maybe here in this office, but you should feel it when I try to take my 29.27 BMI's on a run!

Under MUSCULOSKELETAL and EXTREMITIES, I am proud to report that I have a normal spine ROM, no cyanosis, no clubbing, and no edema, assuming all of that is good, since I have no idea what any of it means.

MOTOR FUNCTION has me a little confused. They noted “grossly normal strength.” On the one hand, “grossly” would suggest that I am super buff. On the other hand, “normal” is not a word associated with an excess of anything. I am either offended by this, or pleased with my workout efforts. I’m not sure which.

As confusing and questionable as all that was, the note that really had me wondering was under CORTICAL FUNCTION. My doctor listed me as having “normal intellectual function, normal memory, and good judgement.”

C’mon! These are the notes on me, right? It’s as if they got my file mixed up with someone who can keep a thought in their head for more than ten seconds, can remember what they had for breakfast, and doesn’t have an impressively long list of bad decisions that haunt them to this very day.

Technology is great and all, but having notes available online is only helpful if the notes are true. Trying to be nice about it isn’t helping anyone.

Now if you’ll excuse me, I think I need to go eat a salad.

See you soon,

-Smidge

 

Copyright © 2020 Marc Schmatjen

 

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Wednesday, October 7, 2020

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!

Wednesday, September 26, 2018

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!

Wednesday, September 12, 2018

Release of Sanity

My grandfather left home to go out on his own at fourteen years old. Those were obviously different times, but now that I’m a father, I think that was very considerate of him. Son Number One will turn fourteen in a couple months, and he shows absolutely no signs of wanting to move out. Rude!

And it doesn’t end there. I just know that if he hangs around, his two younger brothers will follow his lead, continuing to live here and eat our food throughout high school.

Do you know what that means? Do you even realize the implications?

It means I have at least eight more years of filling out liability and medical release forms!

Over the past thirteen-plus years, I have filled out approximately two bazillion forms related to our three boys, and almost six-fifths of them were liability and medical release forms.

Can we just talk about liability release forms for a minute? I’m really hoping that after this discussion we can just be done with them, OK America? Great!

Liability release forms are useless. When I bring my kids to your trampoline fun park, you insist that I sign a document saying that anything that happens to my child under your roof, in your parking lot, or in greater North America is not your fault. I scoff at that idea, but I sign that document anyway, because if I don’t, I can’t leave my kids at your trampoline fun park and sneak away to have twenty stinkin’ minutes with no one yelling to me about how much of a giant butthole their brother is.

You and I both know that document means absolutely nothing if my child gets hurt because of, let’s say, your lack of trampoline maintenance and poor decision making with regard to reptile enclosure placement.

“Your honor, it’s simply not our fault that this man’s son was mauled when our obviously well-past-the-end-of-its-useful-life trampoline ripped and he fell through into our pet alligator’s tank that we placed underneath the trampoline so it would be out of everyone’s way. I mean, they signed the liability release, for crying out loud!”

If I brought my own form stating that you would hold us harmless if my son intentionally burned down your trampoline fun park because he loves barbecued alligator, would you sign it? Of course not. The only reason we parents sign these things is because we all know they won’t hold up in court if your business does something stupid, and we can’t get away from our children unless you take them.

And don’t even get me started on medical release forms. I mean, at least they serve an actual purpose – to communicate any medical concerns to the folks who will be watching our children – but they are still annoying, and here’s why: We are constantly filling out medical release forms for every single activity that our children do, but every organization’s form is “unique,” and they all ask the same exact set of idiotic questions.

We should be able to provide any child caregiver with our own pre-printed medical release form. Ours would be a business card that read:
This is Son Number Three. He is allergic to nothing. You already have my name and phone number or I wouldn’t have given you my kid.

Instead, roughly half my existence on this planet has consisted of filling out the same information on each special medical release form that I am given:

Doctor’s Name:
Doctor’s Address:
Doctor’s Phone Number:
Health Insurance Provider:
Health Insurance Plan Number:

Literally no one within a ten-mile radius of this field trip will ever use any of that information. I have never once been able to actually speak to my sons’ doctor on the phone, yet you want his number? And what on earth are you planning to do with his insurance information?

“Oh, no! That boy has fallen and seems to have broken his arm and he’s bleeding from his ears. Get me his medical release form so we can schedule his next six-month wellness check and hopefully get a flu shot in the same visit.”

It’s time to stop the madness, America. If we all band together and stay strong, we can do it. From now on, when we fill out the medical release forms, over the entire doctor and insurance information section, we’ll just write three numbers with a big black Sharpie marker – 911.

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!

Wednesday, February 8, 2017

Mrs. Magoo

I wanted to take this opportunity to do a small but vital PSA for the medical professionals out there – specifically all you doctors. I realize you spend an inordinate amount of time and money on medical school, and when you graduate and start practicing medicine, you’re all wicked smaht, as they say in Boston. But there seems to be one thing they’re not teaching you in medical school, and I wanted to share that with you today.

It seems like it would be obvious to everyone, but apparently not. The thing that some of you doctors are missing is the fact that almost all of your patients didn’t go to medical school like you did. That should make sense now, if you think back on it, because your classes were regular size, and didn’t include all the rest of the people in the world.

The end result of that fact is that you might need to explain the things going on in your head out loud to your patients, because your patients might not inherently know what a high blood CRP level means, for instance. Or what “wow,” means when you stick that cold thing in their ear and shine the light in there.

You might also want to take a second to put yourself in your patient’s gown, as it were, when prescribing medicine or advising on treatment, and think about some of the challenges your suggested course of action might present. Let me give you an example...

My wife was recently diagnosed with iritis, which is an irritation and inflammation of the irises (which, after I Googled it, turn out to be the colored parts of your eyeballs). We had to go to the ophthalmologist to get that diagnosis, because she had another issue going on with one of her eyes.

Besides being very bloodshot, her iris was stuck to the lens behind it, so her pupil wasn’t opening and closing properly, causing it to be almost rectangular instead of round. One eye looked normal and the other looked like a cat with a severe hangover. She’d been to the optometrist the day before for a routine visit, so she went back to have them look at the new problem.

They saw the funny shaped pupil and immediately opted for the worst possible diagnosis, guessing she had an eye-threatening condition that would likely leave her homeless, wearing a second-hand eye patch, with no friends and a bad case of mange.

(That might not have been exactly what the optometrist said, but it was something like that.)

The second opinion from the ophthalmologist was a little more upbeat. You get to keep your eye and your home and your friends. We just need to keep both your eyes dilated for a week while we put steroid drops in them to cure the iritis. Dilating your eyes will also un-stick the iris from the lens.

Hmm... Well, that does sound better than the mange scenario, but I have to keep my eyes dilated for a whole week? That’s going to make seeing a lot harder. OK, well, let’s do it.

I don’t know if you’ve ever had your eyes dilated, but it’s not very fun. You can’t drive, light hurts your eyes, and everything is fuzzy. My wife is a high school teacher, so keeping her eyes permanently dilated for a week was interesting. I needed to drive her to and from work., and she wasn’t able to see anything that she, or anyone else, was writing on the board or on their papers, which made teaching much more exciting.

Her district didn’t have an extra Braille computer lying around, so reading her emails was a challenge at best. She could just start to see a little as the drops were wearing off, so she basically had a half-hour window right before her next scheduled dilation to get six hours of grading and computer work done.

It was a rather frustrating, tiring, headache-y, and overall non-productive week for her. Back at the ophthalmologist’s office for the follow-up visit and he tells her she needs to keep up the dilating for another week. After a very heavy sigh, she turned to me and said something about emails, or not being able to read some other thing.

“Well, you just need to get stronger readers. Then you’ll be able to see.”

I’m sorry, what?

“Yeah, you just need a stronger magnification on your glasses when your eyes are dilated, then you can see again. Just buy the strongest ones they have at the drugstore.”

You see, doctors of the world, this is what I’m talking about. We out here with non-doctor jobs have absolutely no idea how the eye works. We never studied it at the medical school we didn’t go to. You just assuming we would know something like that is really unhelpful. That was an offhand comment that really would have helped out a great deal... A WEEK AGO!

So, off to the Dollar Store we went. I found her a sweet pair of Mrs. Magoo glasses with a classy zebra print on the sides. She put them on and shouted, “Holy crap! I can see!” Since we were at the Dollar Store, no one even noticed.

We splurged and got her two pairs of zebra print glasses, just in case she took one of them off and couldn’t find them again in the blur.

Mrs. Magoo sure is a lot more pleasant to be around now that she can see! Thanks, Doc.

Is there anything else you want to tell me?

See you soon,

-Smidge


Copyright © 2017 Marc Schmatjen


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

Wednesday, January 25, 2017

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


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

Wednesday, December 7, 2016

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


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

Wednesday, November 16, 2016

My Nerves Have Expired

Attention young people: You’re screwed.

No, this is not another column about the election. No one wants that. This is about getting old. No one wants that either, but like this last election, apparently we can’t avoid it.

Depending on your age, you may hear “getting old” and think about mortgages, or having loud, snot-covered children, or being forced to drive a minivan. There must be some sort of federal law or something requiring it, right? Why else would people drive minivans? No one would do that voluntarily, right?

You have a point about the minivans, but those things are not what I’m talking about. I’m talking about joints. No, not that kind of joint, California voters. I told you this wasn’t about the election. Try to focus, you bunch of stoners. I’m talking about knees and shoulders.

If you are still in your twenties or early thirties you never think about your joints, because you are still made of rubber and steel. If you are in the vicinity of forty, you know exactly what I’m talking about.

Forty years old is the exact warranty expiration date on the human body. Things just give up. Things just quit working. Some parts can be fixed with a tiny pill, but those little Advils don’t work on everything. Wait... what did you think I was talking about? Oh, you! Never mind that, I want to talk about shoulders.

A few months ago while coaching baseball, my forty-four-year-old arm threw a ball high into the air to a waiting little-leaguer in the outfield. Unfortunately, it was the first baseball I had thrown that day. That was a huge mistake. When your arm is past its expiration date like mine is, you are required to swing it around a little and stretch it for anywhere from a couple of minutes to a day and a half before trying something crazy like throwing a ball.

I immediately felt a twinge in my shoulder and heard the distinct ‘pop’ of physics colliding with old age in my rotator cuff. I did not find it the least bit humerus.

Now, if I were a forty-four-year-old woman, I would have simply stopped throwing baseballs. But since I am a forty-four-year-old man, I said to myself, “No problem, I’ll just swing my arm around a few times before I throw fifty more baseballs to these kids.”    

I spent the next month not being able to throw a baseball at all while my expired tendons and muscles, bathed in two hundred thousand milligrams of ibuprofen, struggled to repair themselves. When I was in college I could have broken my leg in the morning and it would have healed by dinnertime.

Since I knew exactly what caused the injury, I never bothered to see a doctor or do any research. I just washed some more Advil down with a beer that I opened left-handed. Eventually it healed up and I was once again in prime shape. Fast forward to this past Thursday when I woke up with the same shoulder aching.

Thursday morning: Ouch. My shoulder aches.
Thursday afternoon: Man, this is getting worse.
Thursday evening: I can no longer use my right arm for anything useful.
Thursday night: I’m going to take a thousand milligrams of Advil and try to sleep.
Late Thursday night/Early Friday morning: [awake] Ow!
Friday morning: I can’t do anything except hold my arm against my body. Someone please soap me.

What did I do to my arm? I can’t for the life of me remember any baseball throwing, aggressive gardening, making a bed, grocery bag lifting, or any of the other diabolical activities that take down us old people. I didn’t do anything! Why does my arm hurt so bad?!?

There was only one thing to do. What every old person with an unexplained pain and a computer does - go to WebMD.

Oh, great. Frozen Shoulder. Starts from under use or over use. I’ve done both. Comes on after an injury. Check. Due to scar tissue. I’m sure I have some of that.

The really good news - Takes a year to heal. Super, I’m going to need to hire an assistant to wipe my butt. How much do you have to pay that person per hour? Try not to think about it.

Friday afternoon: My left arm is stuck in the steering wheel trying to get the keys in the ignition.
Friday night: I yearn for the sweet release of death.
Late Friday night/Early Saturday morning: [awake] Ow!
Saturday morning: Hmm... I think the beer and Advil are working. Feels slightly better this morning.
Saturday afternoon: The pain is going away really fast. It almost feels good now.
Saturday evening: It’s like it never happened. My arm is perfect.

I have completely conquered frozen shoulder! One year, my patootie. Try one DAY! I’m like Superman!

Hmm... Superman might be a stretch. Maybe I should check back on WebMD. Hmm... Pinched Nerve. That’s a new one. Symptoms sure do line right up, though.

So, I pinched a nerve in my shoulder Wednesday night. That’s just great. Superman apparently hurt himself while sleeping.

I’m telling you, young people, you’re screwed. My advice to you – buy stock in Advil. And enjoy your bodies while they still work!

I would say enjoy your joints, but I don’t want you California voters to get the wrong idea.

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!

Wednesday, February 11, 2015

The Hospital Agreement

I drove a good friend of mine to the hospital yesterday for a minor medical procedure that required me to hang around and drive him home. (For those of you under thirty, "minor medical procedures" for us over-forty crowd can be anything from a hernia to a heart bypass.) I will spare you the details, but my friend was having a procedure that involves sticking scopes and tools up an opening that is normally devoted to one-way operations. You don't want to know any more, and neither do I.

When we arrived, the admittance nurse had him sign a Hospital Conditions of Admission form, and then she very thoughtfully told him to give me his wallet. I guess we know who’s buying me lunch! After he had been whisked through the big swinging double doors, I sat down and assessed my cash situation in his wallet. Not bad. Then I actually read the form he had just signed.


1. Consent to Medical Care
The undersigned hereby consents to the procedures that may be performed during this hospitalization, including emergency services, which may include but are not limited to laboratory procedures, X-ray examinations, nursing care, medical or surgical treatment or procedures, anesthesia, or other hospital services rendered under the general and special instructions of my physicians.


This first one seems a little silly. We wouldn’t have driven here if he didn’t consent to medical care. And I would hope that the procedures performed here today include medical and nursing care. This is a hospital, after all. We didn't come here to get the oil changed in his car. (At least, not literally.) I think for his sake he is really hoping today's procedures involve the anesthesia you mentioned, also.


2. Educational Consent
The hospital is an educational facility participating in the training of physicians, medical students, student nurses, and other health care personnel, and they may participate in the patient's care to the extent deemed appropriate by the Medical Staff or hospital personnel.


Whoa, whoa, whoa! I understand that people need to learn their jobs, but why does this say "Medical Staff" and "hospital personnel," and not "doctors." If Skippy the freshman med student is going to be operating any tools near or in me, it damn-well better have been a doctor that OK'd it, and not just "hospital personnel." It’s not OK for Janet in human resources to send Skippy down the hall to the O.R. to practice whatever he wants.


3. Personal Valuables
It is understood and agreed that the hospital maintains a fireproof safe for the safekeeping of money and valuables, and the hospital staff shall not be liable for the loss or damage to any money, jewelry, glasses, dentures, documents, furs, or other articles of unusual value and small size unless placed in the safe.


So unless I put my dentures and fur coats in the safe, you guys are just washing your hands of the whole thing, huh? And I'm not sure I fully understand your lawyerish here with "other articles of unusual value and small size..." So if I have something that is crazy-expensive and really big, like my life-size cashmere inflatable elephant, or something small that is expensive but of standard price, such as a diamond-encrusted Rolex with Brazilian platypus-leather band that I bought at market value, you're saying you ARE liable for that?


4. Discharge Agreement
Hospital Discharge Hour is 11 A.M. In order to permit the hospital to properly prepare the bed and room for another patient, the undersigned agrees that the patient will vacate the room by the Discharge Hour.


Did your lawyer used to work for Marriott or Hilton? I didn't realize hospitals had check-out times. I always assumed they just told you to leave whenever you were better. What if 11 A.M. rolls around and he’s not out of the O.R. yet? What if they don’t finish until 2 P.M.? Can we get an extended checkout, or will he be charged for another night’s stay? What about the complimentary continental breakfast? More importantly, is there a minibar?


5. Consent to Photos
I consent to the taking of photographs, videotapes, digital or other images of my medical or surgical condition or treatment, and the use of images, for purposes of my diagnosis or treatment or for the hospital's operations, including peer review and education or training programs.


Yeah, right... "peer review." Don't you mean, “the surgeon's Instagram account?” And you can't fool me with "education and training." Let's call it what it really is: The surgery blooper reel at the hospital Christmas party. All I can say is, I'd better not see anything end up on the hospital's Facebook page.


6. Consent to Telehealth
I consent to the use of telehealth for the delivery of health care services. Telehealth includes telemedicine, and involves the use of audio, video, or other electronic communications to interact with you, consult with health care providers, and/or review your medical information for the purposes of diagnosis, therapy, follow-up, and/or education.


Was this written in 1952? Are you planning on interfacing with me via telex or possibly that new-fangled invention, the fax machine? Will you send my diagnosis and/or therapy over the telegraph wires? Should I head down to the Western Union office when I'm discharged and await your electrical correspondence? I'm thinking here in 2015 we can probably update number six to read: “We will email you.”


I stopped reading after that, because my brain was starting to ache. Items seven through ten could have included a release to sell his vital organs on the black market, or an agreement to be liable for the surgeon's ex-wife's Visa bill. I just didn't care anymore.

There are probably a number of good reasons why signing that document might not be advisable, but his biggest mistake of the day, by far, was handing me his wallet. That steak and lobster combo I had for lunch was phenomenal. I hope they gave him enough anesthesia for me to drop him off at home before he thinks to check his wallet.

See you soon,

-Smidge


Copyright © 2015 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!

Wednesday, April 23, 2014

The Home Health Exam

As I told you back in March, I have a Google Alert on the phrase “Tree of Death” in an effort to keep tabs on my book. This has inadvertently kept me up to date on all the horrifying news from around the globe of the interesting and bizarre way people die at the hands (limbs?) of trees on a daily basis. Since we own six full-size trees, I decided to update our life insurance, for obvious possible tree-related reasons.

One of the fun parts about buying life insurance, besides the phone interview, is the home health exam. A highlight of this exam is when you get to bring an open-top container of your own urine to your dining room table for someone to scrutinize. We’ll get back to that.

My wife and I had our home medical examinations scheduled for 8:00 A.M. on a Saturday. The nurse showed up conveniently at 7:30 A.M.

She may have been early because I’m guessing breakfast at the nursing home is around 5:00 A.M. or so. I’m not saying she works at the nursing home, I’m guessing she lives there. Now, I don’t want to insult Edna, the travelling R.N., by calling her old, but let’s just say when she used to work at the hospital in her younger days, it very well could have been the first hospital.

The directives for the home health exam were no food or drink except water twelve hours before the exam, and be prepared to give a blood and urine sample. The blood is no problem, since I always carry it with me, but trying to “be ready to pee” is a different thing. I had to pee at 7:00 A.M., but decided to hold it, just in case. I was actually relieved that she was a half-hour early.

Trying to be a gentleman, I let my wife go first. Actually, she just told me she was going first because she really needed to pee. I am not a gentleman; I was just too stupid to argue. That was a mistake. I realized, as I hopped around in the other room, that I was well past the point of no return regarding urination. I should have gone at seven o’clock. I could have drank enough water to be ready again by the time it was my turn. Now Edna was already here. If I peed now, there was no way I could re-fill the tank in time. Not with just water. Beer, maybe, but not water. Dammit!

When it was finally my turn, I danced into the dining room and sat down with Edna. She had a certain order that she needed to fill out the parchment forms with her inkwell and her feather quill, so I was forced to try and sit still while her arthritic hands worked their magic. Fortunately, urine was third on the to-do list and not all the way at the bottom near John Hancock’s signature.

I am 6’-1” tall, and have been that tall ever since I stopped growing taller. Edna, on the other hand, has no doubt been shrinking over the years. I would put her at about 5’ even. After she wrote down all my pertinent information in calligraphy, (two score and one years aged), she tried to measure my height by reaching up to put a ruler on my head and measuring up to the ruler with a small, flimsy metal tape measure.

“I have you at six-foot-five.”
“Hmm. Sounds a bit high. I’m usually six-one.”
“OK, we’ll go with that. I don’t like to get up on chairs anymore.”
“I understand.”

This got me thinking two things. The first was, “Holy cow, I have to pee.” The second was, “What would the life insurance implications be if Edna had written down 6’-5”?”

What if they did an autopsy on me when I died and found out I was a full four inches shorter than shown on the policy? He lied about his height! Probably to get his height-to-weight ratio more in line with our actuarial tables. This tub of lard was probably fishing for a lower rate! Fraud!!! Sorry lady, payment denied!

Finally, after Edna had used her abacus to convert feet and inches into cubits and scrawled her findings on the parchment, it was time to pee. Yes!

This is where things started to go wrong for me. I blame some of my poor judgment on my urgent need to urinate, but mostly on Edna’s incredibly poor instructions. Still, truth be told, I should have figured it out.

She handed me two small stoppered glass vials, about the size of my pinky finger, and a little open-top plastic cup, roughly 1/4-cup in size (or, in deference to Edna’s more familiar measurement systems, about 0.0002 hogshead, or 0.001 firkins).

“Fill these two vials, and fill this cup up just past the little temperature gauge on the side. Don’t fill it up too much or it will spill. Be careful with the vials, because they fill up fast.”

Now, looking back on the situation with non-yellow-eyed clarity, what she should have said was, “Pee into this plastic cup, and fill it up all the way. Then, when you are finished emptying the contents of your bladder, and have the luxury of using both of your hands again, use this handy little pour spout here on the side to fill the two glass vials, and just make sure not to pour out the rest until I have read the temperature gauge on the side of the cup here.”

Those instructions would have been a whole lot better. As it was, I grabbed the three containers, ran for the bathroom, and followed her instructed order of events.

Filling the first vial took about a half a second… Now what? I can’t put the stopper in this thing one-handed, and I can’t set it down without the stopper in it… Must think fast…

Now, I won’t go into all the details of what happened in that bathroom, but suffice it to say, I managed to fill all three containers, and let’s just leave it at that.

It was only when I was walking back into the dining room that I noticed the cup had a little pour spout.

“OHHHH…”
“What was that, dear?”
“Nothing. Never mind. Here’s my urine. Please don’t set it on the table.”

Edna read the temperature and handed the cup back to me. “You can throw this away now.”
“Gladly.”

After we had both washed our hands (again) she took my blood, surprisingly with a needle and not leeches, and then we were done. She packed up her bag and pulled out her iPhone to check the time.

“Oh, good. I’ll be early to my next appointment. I have a full day, but hopefully I can make it back to Shady Acres for the late dinner serving at three o’clock.”
“Good luck with that, Edna. I’ll be here cleaning the bathroom.”
“What was that, dear?”
“Never mind.”

See you soon,

-Smidge


Copyright © 2014 Marc Schmatjen


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