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Posts Tagged ‘emergency medicine’

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As you already know, we had a Bris this weekend for our new grandson. He was named after his Great Grandmother Ada’s Father, Sam Pinkofsky, who was the first to immigrate to this country with a few scheckels in his pocket from Russia. Sam taught my honey, his Grandson Bob, to love digging in the earth, and to go through life looking on the bright side of things. “Better it Couldn’t Be” was his motto. And this baby boy was blessed with Sam’s Hebrew name, Sholom, which means “Peace” – a a very chill, peaceful baby he truly is!

The Greats flew to our Simcha – a Yiddish word that means a joyful celebration. Grandma Ada, Grandpa Hudson, and Great Uncle Jeff all came from NJ. Friends from Nashville came bearing flowers, beer and gifts galore. And we not only had a delightful, young woman Rabbi, we also had a sweet and talented woman Cantor to accompany this age-old ritual procedure, the circumcision of a son on his his 8th day of life. Our Mohel was a pediatrician from Vanderbilt; the house was chock full of doctors! And though everyone thought it might be his Nana (me) who might hit the floor and pass out, it was actually Great Grandpa Hudson who went very pale and said,

“I don’t feel so good….”

So Hudson hitched a ride by ambulance to the Bride’s hospital. One of their friends went with him, and the baby naming went on as usual. Because in Judaism, life always trumps death, and anyway, Hudson was fine and being a Vet, he was discharged immediately. As most ER docs will tell you, Vets pretty much have to be unconscious before you can admit them to a hospital.

PopBob got back in his plane and flew home to the Blue Ridge, and the Greats all went back North. But I’ll stick around a few more days just to help keep the chickens out of the kitchen.  IMG_1644

 

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This is my 500th post as MountainMornings. I did start out in 2010 under a different pseudonym, trying to make sense of the wedding industry and how it would apply to my family. I wanted to stay in touch with friends I’d left behind when we moved South. There was a snarky edge to my writing.

And then I took a different course, and here we are. More than weddings, and more than 500 subscribers later, I’m not famous for food or mommy blogging; I lost my camera and take pictures with my phone; in fact I’m not famous period. I haven’t monetized myself or even considered branding, in fact, I’m pretty sure any babyboomer/emptynester/grandmother brand would fall far short of anyone’s ideal business plan.

Bob tells me whenever people ask what I write about, he says, “Anything that’s on her mind.”  And like most writers, it just feels good to sit down and type away. I can’t wait for inspiration, I learned that lesson writing for a newspaper (remember those?) with a deadline. But lucky me a little perspiration always pays off. Very rarely will I sit and look at a blank screen, and that never lasts long. The world is always throwing zingers my way, and my mind is always trying to connect the dots…connect my family and friends… and now you, my “followers.”

Thank you from the bottom of my heart.

This is what’s bothering me today – the news out of the CDC and Doctor’s Without Borders that the Ebola virus is not being contained – did anybody else hear this news or are we all worried about nudie pictures in the Cloud? Here is the headline that is one day old already:

“Global Bio-Disaster Response Urgently Needed in Ebola Fight” http://www.doctorswithoutborders.org/news-stories/press-release/global-bio-disaster-response-urgently-needed-ebola-fight

Yesterday I watched a PBS short of a man with Ebola dressed in a red shirt escaping his clinic, running around a town while men in Ebola protected spacesuits were trying to capture him. It seems the clinic had no food or water for its patients so he made a run for it.

Six months into the worst Ebola epidemic in history, the world is losing the battle to contain it,” said Dr. Liu. “Leaders are failing to come to grips with this transnational threat. The WHO announcement on August 8 that epidemic constituted a ‘public health emergency of international concern’ has not led to decisive action, and states have essentially joined a global coalition of inaction http://www.doctorswithoutborders.org/news-stories/press-release/global-bio-disaster-response-urgently-needed-ebola-fight

We are a part of the coalition of inaction. We are leaving this crisis to the NGOs with church affiliations to trust in the Lord and pray that everything will turn out for the best. Well maybe praying will help, but it was that special serum and a ride back to Atlanta that saved Dr Kent Brantly and his colleague. And now another missionary doctor has the disease in Liberia. Are we going to wait for another “miracle?”

Both Bob and the Bride have received instructions on identifying the Ebola virus, containing it and reporting it should the virus show up in the US, in their hospital, and yes the new ER has 4 of those infectious disease rooms that can be sealed off with the air only going one way.

I used to worry about the threat of HIV/AIDS from needle sticks when Bob and I were first married. Often he would be called in to draw blood or start a line on these emaciated patients in the 80s because techs were either afraid or couldn’t stick a vein. It seems so naive now.

Here is another wedding picture of the Bride and Groom, with Grandpa Hudson, their officiant. He was once a medical missionary in Ghana.  J&M  0622

 

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Sad to say “So long” to summer, but happy news awaits! This morning the daughter of a Big Chill friend has gone into labor with their very first grandchild. They are the last of our little group to become grandparents, congratulations to Al and MJ. Your hearts will melt the first time you see her; we can’t wait to meet your new grandbaby girl!

Tomorrow Bob’s hospital will open its brand new ER wing, more than doubling its current space. Big kudos to my husband for managing to secure the approval and helping to design this brand new department at a time when many hospitals are closing. The ribbon cutting will have to wait until the old ER is rehabbed and they break through the outside walls to join together with the new.

So much to be grateful for in our little neck of the woods. Ninety degree weather in September, just kidding. It’s times like these I really miss New England weather. Bringing their own heat wave along with them, the Rocker’s Parlor Mob shows have been selling out. You can still catch up with their shows if you’re fast in Philly Sept 4 at the Theatre of the Living Arts, New York Sept 11 at the Gramercy and Cambridge, MA Sept 18 at TT the Bear’s! http://www.ticketmaster.com/The-Parlor-Mob-tickets/artist/1098748

In more musical news, it seems Taylor Swift has dropped out of fashion in the music city. This was strange to hear, but it’s A) because she’s not on Spotify; and 2) because she’s a POP singer and not country anymore. I don’t know, I love her anyway! Music is a very large umbrella, and a gal who wants to A) make some money in the industry and 2) grow and change, is alright with me. Haters gonna hate baby! ps to view the Youtube video of Taylor’s new song “Shake it Off”  you need to click through to my blog on the WordPress site.

Since the solar vortex is on, I thought I’d put on some new “perspectacles” and share another bit of “cool” news. I’ve talked about how the music industry is changing and people are totally bypassing record labels to produce their own albums etc – funding everything with some major help from their fans right? I thought it was fascinating that the biggest Kickstarter campaign so far in the history of crowd funding was to build a new and improved cooler. This inventor raised 12 Million dollars…12M. “Created by Ryan Grepper of Portland, Ore., the Coolest includes features like a blender, waterproof bluetooth speaker, USB charger, cutting board and bottle opener.” http://money.cnn.com/2014/08/27/smallbusiness/coolest-kickstarter-record/index.html

I’m just a little worried about what that says about our civilization. And now for some heat, the multi-talented Rocker at the keyboards in Asbury Park.   10410653_10152844488464316_8897750829827491983_n

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Before we moved into our NJ home on a tributary of the Shrewsbury River, we naturally had to do some a lot of renovating. This was our modus operendi – take whatever style we get and transform it into our own; you give me a Jetson, mid-century modern house, and I give you a touch of French Country home. But unlike scraping a tacky, Roman wallpaper mural off a dining room wall, this job surprised us since it had been hidden during each inspection. Underneath (or above) every ceiling were wires that stretched into infinity.

The wires belonged to some intricate, ancient security system the previous owner felt moved to install for some inexplicable reason. There was a moment of deliberation. Should we try and retain or revamp this system? I wanted to keep the 60s doorbell after all, and Bob drew the line at the front door. The faux-Chinese door with its handle in the middle was going to stay! But the wires had to go. While the contractor was wrestling with its tendrils, Bob said to me, “Honey, the best defense is a dog!”

At the time we had a pair of dogs our Vet called “The beautiful and the sublime,” or was it “The ridiculous and the sublime?” Bones was our proud, old German Shepherd, our first married dog. He slept under the Bride’s crib and kept her safe at all costs. He also kept UPS and other invaders at bay. Then there was the ridiculously young Tootsie Roll, a Cardigan Welsh Corgi, the Bride’s first dog. She picked her out amidst other Corgis without tails insisting that a dog needed a tail! If Bones’ bark didn’t keep a home intruder out, Toots would chomp on their heels and drive them into the river for sure.

So you see we didn’t have security systems, we didn’t hunt deer or shoot skeet, and so we had no need to hide firearms in our dashboard or keep handguns in our nightside table or rifles under our bed. We felt pretty secure living in our little hamlet with our dogs. Certainly Bob had pulled many a bullet out of a patient on the wrong end of a gun over his years as an Emergency Physician. He even pulled nail gun nails out of a poor guy, and stitched up many a knife wound. But guns were by far the worst offenders. And I know lots of Americans who own guns just love them.

They clean them well and keep them locked up and stored away so their kids can’t fiddle with them. They even teach these kids how to handle them properly, which is fine when you live in a rural environment and part of what your family eats is actually game meat. I don’t want to change your culture, even if sometimes a child might accidentally shoot his best friend while playing around with a firearm.

The Safest Home

Just please don’t call up all your gun carrying buddies and decide to open-carry your guns around Target…or Starbucks or any university, or any public place really. Because the rest of us, the other 50% or maybe more of Americans don’t want to see your legal rifles slung over your shoulders while we’re buying diapers, or coffee. And we certainly don’t want to see a posse of gun toting white guys sashaying around the next corner. In fact I’m surprised the Supreme Court hasn’t taken up this issue, cause it’s kind of like yelling fire in a crowded building isn’t it. “Look at me, I could blow you all away with one little squeeze of my finger!”

So if you feel the same way I do, about shopping with people who are openly carrying firearms, please let Target and your legislators know cause it’s a state’s rights thing of course. Even the NRA said these guys are nutso. But then, they backed down, admitting it was a mistake to call them “attention-hungry and weird.” http://www.washingtontimes.com/news/2014/jun/4/nra-backs-down-admits-it-was-a-mistake-to-shame-op/ I hope Target gets the message, #OffTarget

PETITION: http://every.tw/offtarget
TWITTER: @Target #OffTarget
PHONE: 612-304-6073; press 1 for guest relations
EMAIL: http://tinyurl.com/kd49bte
FAST TWEET: http://momsdemandaction.org/offtarget/

Buddha guarding Cait

 

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This is gonna hurt! You see I accidentally tripped over a big soft mat at a “Bounce House” the other day and managed to break my pinky finger…so…no worries though, the Love Bug was fine. Nana’s “Ouchie” is turning pretty shades of blue, and according to 3 Emergency Physician consultations – one in real time, one by email, and one by phone – there’s nothing to be done. “Ice, Advil, and Rest.” Which one forgot I’m caring for a toddler? We had to bake cookies!

My daughter has been sending me glowing reports about the West Coast. The weather, the people, the coastline! The Groom has a conference to attend and they are both visiting transplanted friends in LA. Then I turn on CNN this morning, while I’m listening for a few wake-up chirps from the nursery, and you’d think the whole of California is ablaze in wildfires and Santa Anna winds!

Of course my wisecrack comeback to her Cali salutations was to remark about earthquakes maybe being better than tornadoes. I can’t help it when a little Woody Allenesque just comes out. The truth is I love San Francisco, but haven’t seen the rest of the state. Would I miss the humidity? The Mountains? Would I have to get Botox? At some point I think we all get too old to move. Every house we owned I swore would be the last. But ER physicians like to roam, it’s part of their DNA, they carry their skills with them.

It’s almost been like being a military wife. Some people look at moving like it’s a thrilling wonderful adventure, and then there’s me. It was great for awhile, but at some point you wonder if you’re leaving your best friends behind you. The ones who know where the spoons are in your kitchen.

The Rocker and Ms Cait have been talking about a move out west. And the Groom will finish his fellowship soon and be looking for an academic position. If both my children and the Bug and future grandchildren end up out there would we pack it up again? It’s the Irish in me that loves to put down roots, to stay connected to family and friends. Still.

It would have to come with conditions; like moving to the Blue Ridge meant having a view, and building a house. If we do cross the country in the next couple of years there will be no more Bounce Housing! And only looking at earthquake-proof houses that are no where near a mudslide. Maybe we’d find a pony for the Bug, and name her Wildfire.         IMG_0520

 

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The Bride in the Berkshires

The Bride in the Berkshires

The Love Bug broke her arm over the weekend. She was jumping on the couch, apparently practicing her basketball skills after seeing her first live, basketball game. The doctors did what they always do, they discussed it among themselves and then I got to hear about it, in the best possible light. It’s only a little “buckle” fracture, she’ll probably only need a splint, what’s for dinner?

The Groom is a man after my own heart. Instead of letting his Bride take their tumbling toddler into the ER and splint her – why is it all emergencies happen on the weekend? – he insisted they take her to “another doctor who is not the parent” for treatment. When mine were little, I’d let Bob look into their ears on occasion, but they saw our pediatrician for most things. What is that saying; “Physician heal thyself, or don’t even try and heal your family members or whatever?”

The Bride broke her arm the night before the first day of First Grade. I remember coming home to my little family trying to get out the door with her arm wrapped in magazines, a temporary Boy Scout-like splint. It’s one thing for your children to catch cold, but it’s an entire other thing when we parents realize that we sometimes have absolutely no control over our child at all times. For me it was finding out that the Bride needed to wear glasses at the age of 2!

How could that happen? I didn’t wear glasses and neither did Bob, we had 20/20 vision. But I’d been noticing my little girl’s eyes were asymmetrical. I thought she had an ocular muscle problem and brought her to see an Ophthalmologist. It turns out she was squinting in one eye because she had a severe astigmatism, in other words the world looked like a Dali painting on one side of her brain and normal on the other. If we hadn’t caught it as such a young age, she would have been that pirate Kindergartener wearing a patch with glasses to encourage her eye to see normally.

As it was, she wore a tiny pair of glasses with a band around the back of her curly blonde head for a year, until her cornea grew to correct the astigmatism. And like it or not, I felt like I had failed as a mother, if only my uterus held her in the upright position, maybe I shouldn’t have played racquetball? It felt like some part of my gene pool had failed me. Now I realize we are none of us perfect. That thinking we have a tabula rosa on our hands with a brand spanking new baby is idiotic, because that baby has all the genetic material of her parents, and her parents’ parents, and back through the ages.

Temperament is ingrained. They will or will not develop allergies; they might confuse letters. They will or will not jump into the water, they will or will not climb that tree and fall out. Some children hesitate, and some take on the world like a mini Evil Knievel. Some, like the Rocker, will run straight into the ocean or take the ski lift to the top of a mountain, and leave his family in his wake. And I must admit, the Love Bug seems to have a bit of her Uncle’s daredevil streak; what others may call stubborn, I see as determination and persistence. When they are stopped in Nashville city traffic now, the Bug will yell, “GO! GO! GO!” from her tiny car seat! Remember we called her mother, “The Girl Who Stands With Hands on Hips.”

It’s all in the perspective.                           photo

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Had a short talk with Bob yesterday about Philip Seymour Hoffman. And we both thought it’s a shame, but not for all the general reasons everyone’s been talking about, like his life and character and talent. Because ever since some 19th Century chemist decided he could change morphine into heroin –  thereby making it much more euphoric, easier to administer, lasting longer and with lower dosages – people have been overdosing on this drug. A drug that is still used medicinally in the UK…because for really sick, terminally ill people, there is literally nothing like it. It is the opiate on steroids! For many years people, I mean ordinary brothers and sisters, mothers and fathers, black, white and brown, have been dying for/on heroin for over a century.

What’s different is that now another celebrity has died of addiction. But really, what’s different? A bag of heroin costs about $10 and an oxycodon pill costs $40, so that’s different. PSH had the money to go out and buy a week’s supply of heroin, he didn’t have to perform a sex act on the street to get high, so that’s different.

Doctors are encouraged to “Treat Pain,” nurses have us rank our pain on a scale of 1 to 10, in fact in some states if a doctor or NP doesn’t “treat our pain” he/she can be sued. There are whole buildings being built to deal with pain management in health centers across America. So in the same way we’ve become aware of the dangers over overprescribing antibiotics, doctors need to become more aware of the addictive powers of pain killers. Because for some of us, as Jim Carrey said of PSH: “For the most sensitive among us the noise can be too much.” 

I might say after knee surgery, “That pill makes me feel funny,” so I stop taking it. But the addict, probably 10% of the population, has a part of the brain that recognizes that narcotic in a primal center of their neural cortex, the addict says, “More please.”  Someone I knew well once said, “There are no 50 year old junkies.”

But here is a conversation we need to start in DC. Why not make Naloxone (aka Narcan) available over the counter? This is a miracle drug which can bring a dying, overdosed person back to life, and instead of waiting until an EMT or ER doc is available to administer it, which is often too late, why can’t families and friends of addicts purchase the drug as a nasal spray to keep in their home? Well they can in a program in MA, oh God I love that state! I knew it when they went for McGovern!

The problem has become more urgent: Heroin overdose deaths in the U.S. nearly doubled over the last decade, from 1,725 in 1999 to 3,278 in 2009, according to the Centers for Disease Control and Prevention. During the same period, deadly overdoses from opiate-like drugs, including painkillers, have nearly quadrupled, from 4,030 to 15,597. Naloxone works by blocking certain drug receptors in the brain. It has no effect on alcohol or cocaine overdoses but can be used against such painkillers as OxyContin, Percocet and Vicodin. http://www.huffingtonpost.com/2012/04/26/naloxone-drug-overdose-antidote_n_1456531.html

There was no one with PSH at the time of his overdose, so having Naloxone nearby may not have helped him. But once the rest of the country follows MA’s lead, we may get the chance to save more lives, because I believe recovery is possible. One day at a time. read more: http://healthland.time.com/2012/04/13/naloxone-debate-fda-hears-testimony-about-making-an-overdose-antidote-nonprescription/

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This morning I devoured my first cup of coffee with the Love Bug on my iPhone. Oh Facetime, how wonderful you are! She kissed me and carried me around with her while she cruised the living room, demonstrating her superior walking technique. I wish they could return to the Blue Ridge this weekend for our next wedding, but the Groom is on call every other night in the MICU. Great Grandma Ada and Great Grandpa Hudson are coming South to see a Big Chill daughter tie the knot in Richmond. Her fiancee was is a Marine, “…once a Marine always a Marine. There are no former Marines”

Who doesn’t love men in white gloves and dress uniforms holding an arch of swords? Unfortunately, we’re not sure if that arch will be there due to the government shutdown. We also had planned to take Hudson, who is a woodcarver and an ex-Baptist minister who officiated in 2010 at the Bride’s wedding, J&M  0622to the National WWII Monument in DC after the wedding. Gpa Hudson is an 86 year old WWII vet and has wanted to see the memorial since it first opened. We may have to storm the barricades next week if the Park Police are still guarding the gate. Listen for my Tweets people, if I’m arrested with Ada and Hudson get us a wheelchair and a lawyer!

It’s bad enough that Ted Cruz and his ideologic idiots have been holding our government hostage over their ever-moving concerns about affordable health care and debt ceilings, but it becomes meteorically worse when they try to claim this memorial as their own and blame our President for its closure…it almost made me sick in fact. It’s not only sightseeing that has been curtailed for 14 days, this shutdown has left “…vital drug trials on hold, which is a matter of life and death for some patients.”

Yes, life and death, real people who cannot participate in life-saving treatments because the NIH has stopped accepting new patients. 75% of their staff are sitting at home while 15% of their patients who cannot start a treatment protocol are children. The GOP can make up fictional scenarios like “death panels,” but they are so much better at creating real tragedies for the 99% of us.

Under normal circumstances, 200 patients at NIH enroll in clinical trials each week, 30 of whom are children. While 12 exceptions have been made for the most critical cases, this still leaves hundreds of sick patients and families stuck waiting until Congress can settle its differences. http://www.bbc.co.uk/news/world-us-canada-24525913

So that comes out to about 400 people so far, who may not have a month or two to wait…two weeks after giving birth a young mother diagnosed with stage 4 sarcoma had her application for a clinical trial delayed. Michelle Langbehn has started an online petition on Change.org in order to pressure Congress and has over 140,000 signatures:  “I speak for everyone battling cancer when I say we don’t have time to wait.”  http://www.change.org/petitions/help-me-fight-cancer-and-stop-the-shutdown

Crossed swords it seems are the least of our problems. We need to vote the old guard out, get money out of politics and organize policy makers who will speak to the wide breadth of our country, with common sense and dignity for all. I can’t wait to see the new documentary “Inequality for All.” http://inequalityforall.com I’m usually pretty optimistic about life, I like to think we can take our country back, from the fringe GOP. Fingers crossed.

 

 

 

 

 

 

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This morning it’s overcast and calm. Only the first ridge of mountain is poking up between the clouds. Not like yesterday, when we woke to a clear day and another mass shooting, this time closer to home at the DC Naval Yard.  And if you happened to miss the physician, Janis Orlowski, who treated some of the survivors make her heartfelt plea to end gun violence, here it is:

“There’s something evil in our society that we as Americans have to work to try and eradicate,” she said, adding that “I would like you to put my trauma center out of business. I really would. I would like to not be an expert on gunshots.” She added: “Let’s get rid of this. This is not America.” http://www.theatlanticwire.com/national/2013/09/watch-dr-janis-orlowskis-moving-plea-against-gun-violence-after-navy-yard-shootings/69471/

If you don’t work in  a trauma center, if you’re not an ER doctor or nurse, you may have watched or listened to the incident unfold with a cynical eye. It’s just another crazy person; didn’t they have to go through a metal detector?; how did the shooter obtain clearance to enter a secure DOD facility? But if you’ve actually seen what a bullet can do to a body, if you’ve had to race against time to save a life, if you’ve had the heartbreaking job of telling someone’s family that your patient, their loved one, has died, well then you understand the problem.

And the problem is GUNS. The epidemic is gun violence. Because that is what’s evil in our society, it isn’t the mentally ill person who believes that a voice is telling him to shoot up a school or a movie theatre. Mental illness affects many of our families and friends, that is inevitable, it’s been around since time began, or Cain and Abel if you prefer. People who suffer from mood disorders through those with paranoid schizophrenia can seek treatment, they can live a normal life. We are the Prozac nation after all.

What we cannot escape is guns – they are sold in parking lots, and online, as if they are candy. They are glorified in film and on TV. I’ve said this before, I don’t need to know why some one entered a Naval facility with a rifle and picked off his victims from an upper landing in a beautiful atrium – the motive really does not matter. Let’s ask ourselves why our legislators could not get a simple background check law passed. Because as we saw yesterday, having more guns inside a facility isn’t the answer.

Yesterday we were a nation in shock again. When I walked out to my car I saw this. photoHow could this happen? Was it another angry bird that flew into my car’s window, a hunter’s gun shot, a deer antler? I live in the woods, nothing was taken, so Bob and I picked up thousands of pieces of shattered green glass. And I thought about the survivors of the Naval Yard shooting, the people who saw the carnage up close and personal.

Today I’ll have my window replaced, but I wonder how long it will take the survivors to put the pieces of their lives back together. And when our nation will stop electing puppets of the gun lobby. Or are we immune now to this, even after small children are massacred in their classrooms, have we become habituated to shock?

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This is a morality tale. It’s about trust and medicine and more.

This morning I was trying to figure out what’s happening with Morning Joe? Mika looks mad all the time, and Joe is always elsewhere, thankfully in a split screen from time to time with his audio turned off. When I heard this health writer talk about the rule of 7. He heard a drug rep say that it usually takes 7 visits, face to face, with a doctor in his/her office, before said doctor will trust them…in other words they need to be able to talk about their kids’ soccer games so that the rep can pitch his reasons for prescribing their high priced drug over another. At least that was what I inferred from his use of the word “trust.”

This was an aside, they were talking about the low polling numbers for Obamacare at the moment, but of course Joe had to complain about doctors in general on their iPhones while dealing with patients. About not listening to their patients, about young doctors not looking them in the eyes. Fear and loathing in medicine, that’s the GOP war cry. But let’s extrapolate. If you need to see someone 7 times before they can trust you, maybe a patient also needs to see their doctor 7 times before the patient can trust the doctor?

I didn’t want to write about this, but my MIL Ada thinks I should. She is a lively, active octogenarian. She is still working as a marriage counselor, and traveling the world, but she’s been feeling tired lately, getting leg cramps, and hates to complain. Let it be said, when Ada visits us it’s a whirlwind of activity and her home is usually teeming with friends “dropping by.” So her base level for “tired” may mean she only had one big event this weekend so she decided to clean the refrigerator and invite people over for a pool party. But a recent doctor visit had her worried, her liver enzymes looked high.

So Ada gathered all her drugs in a basket, and went to her pharmacist for a look-see. It turns out, she was double-dosing on a cholesterol medicine. Her internist had taken her off the name brand Lipitor, and prescribed a generic, only Lipitor kept getting refilled right alongside the same exact drug in its generic name!

This, her trusty second opinion doctor/son Bob told her, accounts for the liver problem and her tiredness. And, Bob told her, he sees this ALL THE TIME in the ER. Elderly patients on a cornucopia of drugs complaining of symptoms that to a trained acute care specialist look like drug interactions…and so in ERs all across the country, doctors and nurses are sifting through a patient’s drug record right alongside caring for trauma and stroke and heart attack patients.

I’ve learned that doctors rarely “write” prescriptions anymore – they are emailed to a pharmacy. So where did this system fail my Mother-in-Law? Was Lipitor taken off the doctor’s list of drugs, or did the pharmacist, or pharmacy tech who read the new email Rx just add the generic without thinking? How many other patients are suffering?

Technology is supposed to add fail-safe measures to health care, but how do you build “trust” with a machine? Maybe, just maybe talking and listening to a patient is more important. Here is Great Grandmother Ada, with her “little” doctor.

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