Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

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

Your new favorite humor columnist is on Facebook Just a Smidge

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, September 1, 2021

The Hot Dog Diet Plan

From time to time, I try to provide a public service with this column, since you receive basically zero useful information from me for a vast majority of the year. I’m here today to tell you I have solved the mystery of weight loss once and for all. You’re welcome.

Like almost every guy over forty, I am constantly waging a half-assed attempt at losing a little weight. Deep in the back of my brain, I know exactly what I need to do to shed unwanted pounds, but pizza and chocolate covered almonds exist, and that’s where the problems arise. My portion controls usually revolve around how big my plate is, and if there are seconds available.

There was one specific time in my life when I actually needed to lose weight in order to be allowed to go on vacation. We were scheduled to ride the mules down into the Grand Canyon, which is a thrilling, spine-chilling, hair-raising, intensely painful, once-in-a-lifetime adventure that I would highly recommend to anyone with a large life insurance policy.

You had to be under 200 pounds in order to ride, which was a bit of a challenge for me, to say the least. I came up with a diet plan that worked, mustered the willpower to pull it off over many months, and climbed the little step ladder onto Lucy the Gigantic Mule’s back at 196 pounds.

That was five years ago, and back then I lost the weight by cutting out excess sugar and eating a Mule Salad for lunch every day. If you are unfamiliar, and Mule Salad is a large bowl of lettuce topped with lite Italian dressing and despair.

I have since searched the burger joints of North America and found all that weight I lost, re-lost some of it, and re-found most of it again. This last month, however, has been a different story. I have cracked the code on efficient, no-nonsense weight loss, and thankfully for all of us, the Mule Salad is not in the equation. I have replaced it with a pastrami-wrapped hot dog covered in cheese.

You heard me. I have invented the pastrami cheese dog diet, and it works like a charm. You still have to cut out excess sugar, unfortunately, but you get to eat hot dogs instead of salad! Like I said, you’re welcome.

Here’s the entire diet plan, free of charge, that helped me drop more than ten pounds in the month of August:

 

Breakfast: Fruit smoothie and maybe some sourdough toast with butter and jam if you’re in the mood.

Daily Hydration: Coffee and LaCroix

Lunch: Nathan’s bun-length hot dog, wrapped in pastrami, with melted cheddar cheese, sliced dill pickle, ketchup, and mustard on a standard-length regular hot dog bun.

Afternoon snack: Nuts (not coated in chocolate) or a piece of fruit, if required.

Dinner: Whatever is for dinner, in a sensible portion.

COVID: Eighteen days of COVID, insane cough, crazy fatigue, becoming a completely worthless heap on the couch, sleeping all the time, not eating anything for a week and then only soup for five days, lots of Gatorade.

Dessert: Only on special occasions, no more than twice a week.

 

There you have it, folks. It’s a simple diet plan with amazing results. The only problem is, I’m not sure I would wish it on my worst enemy.

Except for the pastrami cheese dogs, that is. Those come with my highest recommendation.

See you soon,

-Smidge

 

Copyright © 2021 Marc Schmatjen

 

Your new favorite T-shirt is at SmidgeTees

Your new favorite book is from SmidgeBooks

Your new favorite humor columnist is on Facebook Just a Smidge

Wednesday, March 10, 2021

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 13th 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

 

Your new favorite T-shirt is at SmidgeTees

Your new favorite book is from SmidgeBooks

Your new favorite humor columnist is on Facebook Just a Smidge

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

 

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, 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, March 11, 2020

Ask Smidge - The Viral Edition


As you know, America, and dare I say, the entire civilized world, is currently panicking about the coronavirus. Trustworthy answers are scarce, so naturally many of you have turned to the only truly trusted source for information left – the Ask Smidge advice column.

Our asksmidge@gmail.com inbox has been overflowing with questions from concerned citizens, like yourselves, who just want straight answers about the dangers we face from this hideous, devastating, completely unique in every way, threat to our very existence.

You ask, we answer! (As always in a fact-based and completely non-controversial manner.)


Smidge,
What is the name of this thing? Is it the Corona virus, the coronavirus, the novel coronavirus, or COVID-19?
Curious in Coeur d’Alene

Dear Curious,
It’s all of them. It actually started as four different viruses that were all ganging up to take over the world. When they meet, they form a totally new strain. There are actually six million different strains now, they’re just not telling us. And speaking of names, Coeur d’Alene translates to “heart of an awl.” Love your city, but that name is kinda dumb.



Smidge,
Why are they calling it the “novel coronavirus?”
Confused in Carson City

Dear Confused,
They call it that because each day someone sends you a novel on how to wash your hands. They are considering renaming it the J. R. R. Tolkienvirus.



Smidge,
Why are people hoarding toilet paper? I don’t understand the connection between the flu and toilet paper.
Shopping in Sheboygan

Dear Shopping,
There is no connection. These people are also buying and hoarding paste as well as toilet paper. They are making large toilet paper forts inside their homes, then they sit in the forts and eat paste. And their boogers.



Smidge,
I have been to five stores and can’t find any toilet paper. What is the matter with people? And where can I get some TP?
Frustrated in Fargo

Dear Frustrated,
I feel your pain. The stores are all sold out, but the good news is that the CDC and the WHO (the band, not the health people) both recently endorsed looting and pillaging at this time, as long as proper “social distancing” rules are observed. Stay safe out there!



Smidge,
Why are stores sold out of soap? Shouldn’t this coronavirus thing maybe account for a small increase in soap purchases? Didn’t people wash their hands before this?
Soapless in Seattle

Dear Soapless,
No, most people are gross. This situation is many people’s first encounter with soap. Case in point, they tested a bunch of McDonald’s order touchscreens and every one of them tested positive for fecal bacteria. And boogers. If you see someone hoarding toilet paper and soap, you can have some fun by telling them that you heard peeing on an electric fence is the best way to become immune to the coronavirus. Enjoy!



Smidge,
I’m getting conflicting information at my local bar. Does the Corona virus come from Corona beer?
Switching to Pacifico in Pacifica

Dear Switching,
No, Corona beer does not carry the virus. Not the beer itself. The bartender who handed you the beer after eating at McDonald’s carries the virus.



Smidge,
Are the people who want their Instagram posts to go “viral” the same people who can’t understand why politicians can’t stop the coronavirus?
Wondering in Waikiki

Dear Wondering,
Yes. They are toilet paper fort-building booger eaters.



Smidge,
My stock portfolio is taking a major hit with this whole thing. What can I do?
Worried in Wichita

Dear Worried,
Sell everything and dump it all into any company that makes toilet paper, hand sanitizer, or soap. Hurry.



Smidge,
Should we continue to shake hands with each other? I want to be careful, but I don’t want to be rude.
Cordial in Cambridge

Dear Cordial,
No, stop shaking hands immediately. But not because of the coronavirus. Because half of the country is out of toilet paper and soap.



Smidge,
They just canceled school for an entire district near us, and our school district just canceled every non-classroom event, including outdoor sports. This is madness. What on earth are we doing? What has happened to common sense?
Frustrated in Fairfield

Dear Frustrated,
Don’t worry. We’re planning on holding a mandatory meeting of all school district administrators soon. We’re holding the meeting on a cruise ship.



Smidge,
What ever happened with the swine flu, the bird flu, SARS, MERS, that Zika virus, and acid rain?
Questioning in Queens

Dear Questioning,
What a great question.


Stay safe out there, folks. Wash your hands as often as you can with rum, tequila, or lighter fluid, and stock up on coffee filters and fast food napkins. (Just not the ones from McDonald’s!)

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


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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, January 11, 2017

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 7th 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


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

Wednesday, September 4, 2013

Health Care?

Have you ever applied for health insurance on your own? If not, let me suggest you never do. The application process is enough to give you a health condition.

I am applying for a health insurance plan for my whole family, and there are five of us. That meant that when I filled out the 28 page online form, I filled it out five times. I can’t even do that math, but I know it’s a lot of pages. Lord help you if you answer yes to any of the questions, because down drops another page with 56 follow-up questions.

There was all sorts of stuff that made no sense to me, like the height and weight questions. I understand asking about the adults’ dimensions, but the form was the same for the kids.
Son Number One - 8 years old - height and weight?
There was no button for “standard.”
I don’t know how tall he is, he’s 8. He’s short on me, but the same as every kid in his third grade class. Weight? Too heavy to carry, still light enough to knock over easily.

They wanted actual numbers, so I had to leave my computer and round up the boys.
“Get my tape measure from the garage and meet me at the bathroom scale.”
Son Number One – 8 years old – 4’-5” tall, 70 pounds. Like those numbers mean anything to anyone.

After I had gone through each family member’s complete medical history, explaining every cough and sneeze we’ve had in the last 5-10 years, they asked, “Has any person on this application, for any reason, seen a physician in the last 5 years? If so, please explain.”
There was no button to click for “see above,” so off I went again down medical memory lane. Multiple hours, and all my medical records later, I hit send, only to get an email a few days later asking me to call them to answer a few additional questions.

I innocently dialed the number thinking, this should only take a minute, since I answered 6000 pages of questions online. What more could they possibly ask me?

“Thank you for calling. My name is Nancy and I am a doctor. The underwriters have a few follow-up questions regarding your health, as well as that of your sons.”

“OK, shoot.”

“Please state your address, including city and ZIP code.”

What does my address have to do with my health?

“Has your weight fluctuated by more than 10 pounds in the last two years?”

I’m a 6’-1”, 210-pound man. My weight fluctuates more than 10 pounds if I forget to eat breakfast.

“Are you currently expecting a child with anyone besides your wife?”

If I am, you’re going to need to sell me life insurance, not health insurance.

“So, the last time you were at the doctor was October of 2012, for a chest cold, is that correct?”

“Yes.”

“What was your blood pressure at that visit?”

“I have no idea.”

“Was it normal or abnormal?”

“Uhhh… normal I guess. No one said anything.”

“And did the symptoms clear up?”

“Of my blood pressure?”

“No, the chest cold.”

Are you asking if I still have the chest cold I had a year ago? I thought you said you were a doctor?

“Has your health situation changed in any way since you completed this application?”

You mean, besides my blood pressure during this call?

“Let’s move on to Son Number One. Please state his address, including city and ZIP code.”

“The same as mine.”

“I need you to state it for the record.”

I just did. Same as mine. He’s 8 years old. He lives with us. He doesn’t have his own apartment.

“You say that Son Number One takes Flonase, is that correct?”

“Yes, for seasonal allergies.”

“What is he allergic to?”

“Spring.”

“I mean, is it grasses, pollen, pets, dust, or mold?”

“Whatever comes out in spring. Grasses and pollen, I guess.”

“How often does he have symptoms?”

“Every spring.”

“No, I mean how often in the spring?”

“Once, then we give him the Flonase.”

“OK. Has Son Number One, in the last 12 months, used tobacco or nicotine patches or any kind of nicotine substitute? And I apologize for that question, since I know he’s 8 years old.”

If you know he’s 8 years old, why are you asking the question? If any of your underwriters are parents, I’m calling Child Protective Services.

“Let’s move on to Son Number Two. Please state his address, including city and ZIP code.”

Grumble

“Does he live with you?”

You just made me say the entire address again. It’s the same as the last two times. If you would just accept “the same as mine” as an answer, you wouldn’t have to ask the stupid follow-up question. Yes, he’s my 7-year-old son, so we keep him here at the house.

“You stated that his last doctor’s visit was in 2012 for a flu shot. Was everything normal at that time?”

“Yes, it seemed like a pretty normal flu shot.”

“OK. Has his weight fluctuated more than 10 pounds in the last year?”

“Uh… maybe. He might have gained 10 pounds in the last year, but he’s 7 years old. I don’t know how much he weighed when he was 6.”

“OK, let’s move on to Son Number Three. Please state his address, including city and ZIP code.”

Grumble

“Son Number Three broke his right femur in October of 2011, correct?”

“Yes.”

“We have a claim for an office visit with the orthopedic surgeon in 2012. If he broke his leg in 2011, why were you visiting his doctor in 2012?”

“Because he broke his leg in October. His cast came off at the end of November. The year 2012 was only a month later.”

“So this was a follow up visit?”

Yes, I guess the orthopedic surgeon figured he might not be doing his job if he just sawed the cast off our 3-year-old and said, “Good luck!”

“There were x-rays at that same time. Were those also for the follow-up visit?”

Yes, the way I understand it, the doctor has a hard time seeing the bone without them.

“OK, thank you, Mr. Schmatjen. You should hear something back in 10 to 15 days.”

That seems like a reasonable amount of time to look up the proper weight for the average 8-year-old, cross-match all our addresses, and do the math on the 2011-2012 broken femur time discrepancy.

“Thanks.”

Strangely, the underwriters did not have a single question regarding the lady who gave birth to these three children. I guess they figure if she’s still alive, she’s plenty tough enough.

See you soon,

-Smidge


Copyright © 2013 Marc Schmatjen


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