Tag: Medicine

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It has come to this. A woman in Florida was in labor. Her doctor advised her that their might be a problem if she decided to have her baby vaginally. They advised a C-section. She wanted to continue with vaginal delivery. In a normal world, the doctors and the woman would make a decision based on the medical circumstances involved. This is far from a normal world and Florida is being pretty much at the center of the weirdness that now revolves around pregnant woman delivering a baby. The woman, while in labor, had to discuss her delivery choices with a judge who then made a decision on how she could proceed.

This type of decision is, even in the days before Roe versus Wade, a medical decision. No ruling from a judge is needed. The woman and the doctor would work it out based on the woman’s circumstances. Why does a judge have to be involved at all?

Well, because now, the fetus, in Florida, has protected rights. In the past, there was an assumption that since the woman wanted the baby and the doctors wanted to deliver a health baby, then everyone involved was working together for this same happy ending. But, because Florida’s abortion laws are so restrictive, doctors now are worried that if something were to go wrong with the delivery, they may be held liable if the baby were to die in the process. Hence a judgement from the courts was required before the doctors would proceed.

This is worrisome for a number of reasons:

  1. The law was intended to protect fetuses from abortion not delivery. This case does not involve abortion in any way, yet the courts were dragged into it because the anti-abortion laws make any tricky delivery suspect. Did the baby die in delivery or was the doctor sneaking in a late-term abortion? If a doctor wants to cover her ass, she will make sure that a judge knows what she is doing and she goes on record with the courts what she is trying to do. Hopefully this will prevent any busybody from claiming otherwise later thus protecting the doctor from future legal hassles but also delaying medical attention to the woman in labor.
  2. Delivering a baby involves a woman’s health. It needs to happen when it needs to happen. Waiting for a court to make a decision on the best way to proceed is ridiculous here. Delaying medical procedures in order to get this decision is criminally stupid because both the mother and the baby are at risk. In this case, the judge decided for the woman with the caveat that the doctors could perform a C section if the vaginal delivery became difficult. This is how the doctor and the patient wanted to proceed in the first place. What possible wisdom did the judge add here that the doctor and the patient hadn’t already discussed?
  3. The doctors were over reacting you say. This should never have happened. Florida’s draconian abortion laws have nothing to do with this case and it was unnecessary for a judge to be notified. Well, probably, but try telling that to doctors who are trying to avoid going to court over their handling of women going through childbirth. Any state with such restrictive laws will have this problem. Better to go to court to check that you are right, then to go to prison if you are wrong.

The irony here is that laws instituted to protect the fetus from abortion are now causing delays in health care that both endangers the mother and the baby. It is also making it more difficult for medical professionals to advise women how to proceed during a difficult delivery. What if the judge makes a decision that the doctor’s and the patient disagrees with? How will the doctors proceed? A certain amount of good faith needs to be given doctors trying to navigate on how to proceed in a difficult situation. Florida’s abortion laws have only created confusion not better health care for pregnant women.

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Eating fruits and vegetables has been linked to lung cancer.

Well, fuck it. I mean this is it. There is a link to cancer in absolutely everything we do. Might as well eat all the chocolate chip cookies I can get my grubby little paws on then.

What I find irritating about this is I think we humans have deluded ourselves into thinking there is some magic formula that will get us around sickness and death. And Mother Nature, like Lucy holding the football for Charlie Brown to kick, keeps coming back with her irrefutable answer — fooled you yet again.

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I think if you want to get plastic surgery and it makes you happy, by all means, get it.

I won’t. Mostly because it won’t make me happy. I just don’t have the time or the energy or the money to keep working on my looks. It is, after a certain age, a losing battle.

No matter how much plastic surgery I get, I am still 68 years old. A 21 year old guy, even just a regular old 21 year old guy, not some super good looking movie star/model type of guy, walks into the room and then I walk into the room. The half way good looking 21 year old guy has me beat. By a mile. By 10 miles. By 100 miles. If I get talked about at all, which, let’s face it, is a very big if, it won’t be about my good looks but on how he has had work done.

Then there is the cost. People who I know investigated plastic surgery are talking thousands of dollars and, with my luck, it will turn out making me look worse. I know some people who have had excellent plastic surgery. I also know people who were disappointed with their surgery (see awful plastic surgery). It is a roll of the dice and if I am rolling the dice, I would much rather be rolling the dice in Las Vegas than rolling it on surgery.

Besides, I am that age where I need procedures and surgeries just to stay healthy. If I were to also get plastic surgery with the other surgeries I need, I might never leave the hospital. I just don’t want to take up residence in a hospital, at least not yet.

At this point in my life, I would rather fall back on my vast supply of charm and joie de vivre than attempt to alter my looks any further.

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Talking to a doctor’s office, not the doctor, but just the fucking doctor’s office has become nearly impossible.

In late September, I talked with my primary doctor about a skin problem I was having. He advised me to see a dermatologist and referred me to one. I called the dermatologist for an appointment where I was strongly advised to leave a message and that someone from the doctor’s office would call me back. I get an email that very same day saying that someone would investigate (I am assuming whether they take my insurance and they will pay for it) and get back with me. So far, things are going swimmingly.

But then no return phone call for a week. As I was going out of town, I put it on hold, thinking foolishly, that eventually someone would contact me with an appointment. When I returned to San Diego, still having not received a response from the doctor, I called the office to inquire about my appointment. I talked to a nice woman who apologized profusely about the failed response and booked an appointment for me. Success.

A day or so later, I received a phone call from the nice woman telling me that while they took my insurance this year, they weren’t taking it next year. Since it is now mid-October and the soonest they can get me an appointment for was mid-November, they didn’t want to start seeing me as a patient in cases their services were needed into 2026. All vaguely rational sounding, so I went back to my primary physician.

The assistant at my primary physician’s office, who has always been helpful, couldn’t understand why they just didn’t keep the appointment and, if I needed further treatment, refer me another dermatologist in 2026. She said I had a legitimate concern about a growth on my hand and they could, at least, get the ball rolling.

She told me she would take care of it. A day later she calls me back saying that they don’t want me as a patient and she find another dermatologist to look at my hand. She added it might take a little time because she now has to investigate which doctors will take my insurance in both 2025 and 2026. Towards the end October, she finds one.

I got swept up with other events in my life but was finally able to contact the new dermatologist at the beginning of November. A very unhelpful phone tree took the call. The recorded message kept advising me to use the on-line scheduling system. My experience with on-line scheduling has been horrendous. There is no response to my request or a continual back and forth about a suitable date for the appointment.

I opted to stay on the phone line where every so often I was encourage again to use the on line system or leave a message on the recorder and someone would call me back that very same day. My experience with this is I rarely get a call back and, if I do, it is never on the same day. I chose to stay on the line. Fifteen minutes into my wait, I was disconnected. Or I think I was disconnected. I stopped getting the annoying messages about using the on line system and my phone stopped timing how long the phone was. There was just silence which I deduced was a hang up.

I called again but this time I decided to look at the on line system. I completed the form as best I could knowing that there would be a back and forth about the actual appointment. I sent the form in while waiting because what the Hell, I was on hold any way, it was something to fill the time, I got some lunch and, after a half hour on hold, I surrendered. I would just have to trust that the on line system would work.

Later that day, I received a response from their on line system telling me that they were working on scheduling my appointment and I they would confirm an appointment soon. I don’t like the sounds of soon. Soon. That could be any time frame they choose.

So it is approaching the middle of November and I still do not have a scheduled date for someone to look at the growth on my hand. Think about that. A month and half just trying to get a fucking appointment.

Thank God I don’t live in a country with socialized medicine who knows how long I would be waiting for an appointment.

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I like my doctor and his staff (all of one person). It is a small office and whenever I call the doctor’s assistant either answers the phone or she responds to my messages in a timely manner. So my complaint here isn’t a general one, it is about the big doctor’s office which increasingly run medical offices in the USA. I understand that sharing resources, like switchboards, is cost effective way for doctors to handle their office overhead overall but I have yet to encounter one that delivers good service.

The most annoying aspect is they all have an automated phone tree. You know press 1 for billing, press 2 for appointments, press 3 for etc. etc. The phone tree is a great idea gone bad. They are usually too long for me. I have drifted off thinking about something completely unrelated to my phone call by the time the message ends and I haven’t heard or have missed the department I needed so I have to repeat the message and hope I can focus long enough to get my department.

Then, while waiting for the operator to answer, there is the annoying reminder that I really should be consulting the website. Why are you calling when you can consult the website and get all of your answers there. You are just waiting for who knows how long when you could be looking at the website or leaving a message. Why are you still holding, you fucking idiot, go to the website. If I could get the answer from the website, I wouldn’t be calling the office. I always consult the website first because, even at grand old age of 68, I know you are supposed to consult the website first. One reminder would be sufficient, the constant reminders are irritating so much so that if I do get lucky and actually am connected to person, I am usually livid when they answer. It isn’t pretty.

I would take the phone tree up on the option to leave a message if the office would in fact, return my phone call. My experience with phone tree messages is rarely, if ever, do I get a return phone call. Which is odd. If I leave a message on an actual person’s recorder, I usually get an answer. If I have waited for a half hour and reached the point where I realize nobody is going to answer my phone call and I leave a message on the office’s general phone line — I almost never get a response. And I do mean never.

Then there is the baffling experience when the phone forces me to leave a message even after I have committed to staying on the line no matter what. The call gets switched to an answering machine that says — please leave a message at the beep. I am usually so stunned when this happen that I can’t leave a coherent message. I was all right with waiting. Why can’t I wait anymore but you have heard the beep, the phone tree has made it’s decision and you force to leave a message I know will never be answered.

Phone trees might make sense to the budget conscious medicine business complex but it is wretched customer service particularly when a great many of the callers are older and less adept in dealing with automation period. It is frustrating and confusing instead.

I do want to share one secret that works most of the time for me. Press the button for billing. Billing almost always answer the phone and they can usually connect you with the person you need.