How broken is our health care system?

November 16, 2011

It is important for everyone to have doctors they feel comfortable with.  For those of us dealing with chronic conditions, it is especially important that we have a medical team we trust and who respects us.

Sometimes I think about leaving the Boston area (the climate here is horrible for me) and it saddens me to think about leaving my family and friends.  But then I think about having to get new doctors, and that terrifies me.  It took me many years to get doctors I like.  In the past year I have had to find a new PCP twice and that has been a horrible experience.  I can not imagine having to start over with a new rheumatologist, a new endocrinologist, etc.  Still, when/if I move, I know that I will have to build up a new medical team.  But that will be my choice, based on my actions.

What upsets me is being forced to change doctors!  To be clear, this is not happening to me personally, but it may be happening to a lot of people in my community soon, and that is very disturbing.

The current health care system is broken on many levels, in many ways.  I would like to say this is an isolated issue, but sadly, it’s not.  According to this article and other reports, a lot of people may have to find new doctors because of a breakdown of negotiations between an insurance company and a hospital.  Corporate negotiations will force people to get new doctors!  How horrible is that?  Now, to be fair, I’m sure patients will be more than welcome to stay with their current doctors if they pay for the costs themselves, but realistically, how many people can do that?

I’m not saying I have all the answers (though I certainly have a few suggestions), but I do know that the system needs to change so that when negotiations break down, patients aren’t the ones being harmed.  It is hard enough to be sick, then to find good doctors, and to negotiate the maze of insurance rules and medical terms and tests and procedures.  To then have that all taken away and be forced to start over, that is criminal.  The Blue Cross and Tufts Medical negotiators must work this out and they must do it now.  There is simply no excuse.

If any of this sounds familiar, if you can relate, please share it on Facebook and/or Twitter.  This blog is new, and it would be great to share it.

Leave a Comment » | Educating, Expectations, Frustration, Healthcare, Intrusions, Politics, Rants | Permalink
Posted by chronicrants

Where’s the predictability?

November 14, 2011

Life is unpredictable.  I know that.  And to be honest, I tend to handle change fairly well.  Still, too much change at once is difficult.

Autoimmune diseases are tough to handle, but being able to predict certain things about the day can make a huge difference.  Knowing how active I’ll need to be, when and what I’ll eat, and when I’ll be able to rest all make it a whole lot easier.

While I’m not working, I’m making an effort to set plans in advance so that I have reasons to get out of the house and see people.  This is good for me.  I need and want to spend more time with family and friends.  But for some reason, three different people needed to reschedule our times this week, two others needed to set something up last-minute, and I heard from all of them today!  To them, this isn’t a big deal.  Move a lunch, change a date, switch things around…. easy, right?  But this is making me nervous.  It’s a lot to juggle.  I need to make sure I don’t do too many things on the same day, so I need to find a way to do everything and see everyone in a way that makes me happy and not too worn out.

I don’t know yet how I’ll work all of this out, but at least I know one thing for sure: my health comes first.  I’ll do my best to work out everything else, but I will make sure that I feel good at the end of the week.

 

If any of this sounds familiar, if you can relate, please share it on Facebook and/or Twitter.  This blog is new, and it would be great to share it.

Leave a Comment » | Decisions, Expectations, Frustration, Isolation, Limitations, Rants, Symptoms, Unpredictable | Permalink
Posted by chronicrants

Being two people

November 13, 2011

Sometimes the dichotomy amazes me.

I spent the day yesterday indoors.  I read email, watched tv, and did a bunch of other things that at the moment I can’t remember.  I was very aware of the pain I was in.  I was generally unproductive.  I got no exercise (aside from some minor physical therapy.)  It was a gorgeous fall day.  I knew I should have gone outside, but I just didn’t want to.  I suppose I’ve been a bit depressed lately.

Then last night I went to a friend’s party.  I’d been looking forward to this for a long time.  I met some great people and had a lot of fun.  I forgot about the pain.  I wasn’t depressed.  I had a wonderful time and felt great and, aside from avoiding certain foods and being careful how I distributed my weight as I stood, I completely forgot that I had any health issues.  It’s was great.

It was like I was two different people yesterday.  I know that I need to make more of an effort to be that second person.  For starters, I will leave the house before noon every day.  I might just take a walk around the block, but I will get fresh air every morning by leaving my apartment.  I will make more plans with people so that I leave the house.  I will actually do the things on my to do list each day, instead of moving them to the next day (or week.)

That won’t fix everything, but it’s a start.

Leave a Comment » | Decisions, Expectations, Frustration, Isolation, Pain, Rants, Symptoms | Permalink
Posted by chronicrants

Too many disease treatment options

November 10, 2011

Too much information!

I read about a study done recently.  I don’t remember the details, but basically when people have more options available, they have more difficulty choosing an option.  They also feel more stress.  Basically, having a choice of 2 salad dressings is better than having a choice of 15 salad dressings.

This makes perfect sense.  I see it in so many places.  The last time I got a car, I picked a few good brands and looked only at their models.  I didn’t look at the others because it would have been too many options and that’s stressful and difficult.  Today in the grocery store there were too many types of bread.  I’m not kidding; I found myself spending way too long in the bakery section trying to choose the right loaf.  I need to get a gift for someone next week and I have a few ideas, but I just can not seem to decide which they will like best.  I’d rather just have 1 idea.

See the conundrum?  Despite what most of us think, having too many choices is actually a bad thing!

And that brings me to today’s too-many-choices problem: treatment options.  I want to take a new approach to treating my health problems but I don’t know how to go about it.  Which approach should I take?  The answer, of course, is to do research.  The problem is that so many of the alternative treatments are based on anecdotal evidence.  There are a bunch of diets, for example.  One works for some people, another works for other people.  In the meantime, I’ll be spending a lot of time and effort trying to add some things to my diet while removing others, and trying not to aggravate my IBS in the process.  And how should I balance everything?  There are diets for IBS and others for PCOS and others for Hashimoto’s and others for connective tissue diseases and and and….. How do I put these together?  I know my doctors won’t be advising me on this.  I tried going to a nutritionist once and she helped with an IBS diet but didn’t know about the others.  There may be nutritionists who specialize in these autoimmune disease diets but I don’t know who they are or how to find them.

I know I need to pursue this, but it’s so overwhelming.  Having all of these different options makes me want to just bury my head in the sand and wait for it to pass.  The problem is, it won’t pass.  These symptoms aren’t going away.  I need to do something proactive.  I just wish I knew what it was.

 

If any of this sounds familiar, if you can relate, please share it on Facebook and/or Twitter so others know it’s not just them, that they’re not alone.

1 Comment | Decisions, Educating, Expectations, Frustration, Limitations, Medication, Rants, Symptoms, Unpredictable | Permalink
Posted by chronicrants

« Previous Entries
Next Entries »