Did you miss me?

It wasn’t because I was lazy, although I am; I didn’t know what to write until I could tell you the outcome of this story. I’m not the same person I was a week ago. I have been changed forever, transformed.

While I was having such a good time in New York something else was happening to me, something that happened before but only briefly and with weeks between episodes. On Tuesday night, returning from the lovely visit with my friends, my heart started beating very hard and fast: palpitations, then several occurrences I had trouble describing: not vertigo, not lightheadedness, not really feeling faint, but feeling like the world tilted for a couple of seconds. One of the times this happened previously was just before I had a doctor’s appointment. The doctor gave me some instructions about it, but didn’t seem concerned—intermittent palpitations being hard to diagnose. The Tuesday night episode seemed a little worse than previously, but I decided to ignore it.

Most of my life when I’ve had something wrong, it’s gone away by itself, or it wasn’t very important—obviously all were aggravations I could live with. This time, although I wasn’t ready to acknowledge it, was different. Saturday morning I met City Mary. The plan was to see Indiana Jones, which could be the subject for a different post, go to lunch, then walk across the Brooklyn Bridge, that weekend being the 125th anniversary of its opening.

The palpitations began at lunch. Being in denial and convinced of my omnipotence, I didn’t say anything. We walked to the subway, down three flights of stairs to the express trains where I experienced a really bad world tilt, then up to Brooklyn Bridge Park where I told Mary the whole story. She had never walked across the bridge. The walkway was crowded; the bridge had gotten lots of publicity on this anniversary. I walked part way up, found a bench and waited for Mary to go to the actual bridge part. She did not go across, but came back to help me. This time I was really in bad shape, still in denial. We went back toward the apartment and I began to feel better. I considered going to an emergency room but decided it wasn’t a great place to be on a holiday weekend alone. I spent Sunday evening and all day Monday being quiet and very careful of what I ate. I wanted to get back to Pittsburgh before I saw a doctor.

Tuesday morning I took a taxi to the train station and finally called my doctor’s office to try to get in there first thing Wednesday. They advised me to go to an emergency room in NY, and if not, to go right to the emergency room when I got off the train. I opted for the train and spent most of the nine hours contemplating my mortality, thinking about how my life would change, all the things I would have to change–not easy. Of course, I still didn’t know what was wrong or what would happen.

The emergency room was a zoo, but they take people with chest pains very quickly. And are you thinking, she never said anything about chest pains? My chest did feel very heavy all day Monday, so let’s call that chest pains. I felt fine Tuesday, all Tuesday night and early Wednesday morning. I was beginning to wonder why I was there when, about 10:15 am, my heart started racing. The nurse came over and quickly took an EKG. About 10:30 the terrible tilt sensation came again, longer and worse than before. They told me afterward, my heart had stopped for about 8 seconds. Not too much later I was told I would be getting a pacemaker.

I’m writing this on Friday morning, pacemaker implanted, almost ready to go home. I think I will be able to resume most of my usual activities, although I don’t think I’ll be going to Chicago next week as planned. The worst part of it is that I am now a captive of the pharmaceutical industry for the rest of my life, something I’ve been trying to avoid.

Ronni Bennett wrote a post about elder adaptability; essentially how we all adapt to the changes in our bodies and our circumstances. I certainly think I have done that. I no longer run to catch buses, I know that my reflexes have slowed and take that into consideration when I drive. I’ve made a lot of adaptations for my poor vision. I could go on and on. The one thing I wasn’t willing to consider was poor health. My mother was a world-class hypochondriac and wasn’t willing to think about anyone else’s ailments. When I was sick I was doing it to her. Early on I learned to stay healthy, a habit I maintained until last week. So it really took me by surprise. I don’t go to doctors easily. This is the first time I’ve ever been to an emergency room for me. I don’t really know what constitutes an emergency or illness serious enough to go for immediate help. This whole thing has been a learning experience, but I don’t know if it will apply the next time.

Long day–Bad and Good

Before I went to Japan last fall my dentist told me I should have a root canal. Since I had no pain, I decided to ignore it. Last weekend I began having little twinges. By Tuesday afternoon the twinges had become more persistent. At 9:30 this morning I was in the chair. Until about 1 pm my mouth was held open with amazing amounts of stuff in it, but happily I felt nothing. Happier still, I finally got out of the chair, amazed I could still walk, and with a numb jaw went to my afternoon class.

I missed my Pittsburgh geology class, which is too bad; I’ll probably never learn that stuff. The afternoon class is my favorite, this semester: Travel writing from the Margins. I told you about it here. Today we discussed readings by Edward Said, Salman Rushdie and Andrew Lam. All three readings were about returning "home." I enjoyed the Lam and Rushdie, but the Said was too negative. I know you can’t go home again, but you ought to be able to find something positive in the changes.

By the time the class ended the novocaine had worn off and I got something to eat. Maybe I ought to get novocaine all the time. It seems to be the only time I don’t feel like eating even if I’m hungry.

At four I went to a lecture and at six I went to the Japanese Art History class. It’s been a long day.

Complaints

Usually I wake up before my radio turns on at seven every morning. This morning it woke me; the announcer said it was 9F out; I went back to sleep and did not get out of bed until after Morning Edition ended at nine. I don’t remember much of what they said either. I think I slept through it all. I don’t know why the outside weather affects me so much. I keep my apartment at 68F during the day and let it drop to 58F at night. I like sleeping in the cold. But when it gets this cold out my body knows it and sends all kinds of nasty messages. I obviously have arthritis in my left hip. Mostly, it only bothers me when I’ve been walking all day. In this weather, it bothers me at night, and I wake up in great pain. How do my bones know it’s 9F outside?

I don’t like to make it warmer in the apartment because I suffer from the lack of humidity, even with three humidifiers going. Sometimes I feel like I spend all winter schlepping water. In fact, I have to stop now: I’m feeling the need for moisturizer on my hands and face.

Unexpected benefit

I lost about 10 pounds while I was trekking around Japan, something of a miracle. Now I’m trying to figure out how to keep it off. I’m certain I lost the weight because of all the walking and climbing I was doing, diet was not a factor. I just don’t have the same opportunities, or interest in doing that kind of walking, here in Pittsburgh. Most of my pursuits are sedentary.

Yesterday, as I waited for my bus to go back to the Chinese art class, I had this very strong feeling I didn’t want to go back to the same old, same old. I don’t know why I thought this trip should have changed things, but I felt it very strongly. I just haven’t figured out what to do about it.

I was supposed to go walking with Mary and Phyllis this morning, but it snowed. I got dressed and went to the health club where I worked out for an hour and a half, 40 minutes more than I ever did in the past. Maybe that will help, but it’s not nearly as interesting as walking around Kyoto.

Tenth day and holding

I’m still seeing friends and going to museums, but I took time out for an important appointment. Since this is my second year in Pittsburgh I decided I ought to have all of my health needs met in Pittsburgh. Giving up most of my New Jersey doctors was easy; I’d been doing that every other year, anyway. But my eyes were another matter, since they are the most important part of my body and the most problematic.

My New York eye doctor gave me a good recommendation in Pittsburgh; I’m very satisfied. The only person I hadn’t transitioned (love that word) was my contact lens practitioner. I love the doctor I’ve been seeing here in New York. She has spent many hours getting the lenses just right. But, I decided I ought to have someone in Pittsburgh, so I got a recommendation, went to the appointment and left with my gut feeling  that I should go back to New York. This all occurred in May; I made the New York appointment almost immediately after, and this was the day. I’m still happy with her and it’s a wonderful excuse to get back to New York at least once a year.

I met Laura for lunch after the appointment. We followed our long lunch with a visit to the natural history museum to see an exhibit about mythical animals. It was a great exhibit with a lot of interesting art, particularly from China and Japan. Although they gave wonderful explanations for how some of these creatures came to inhabit our imaginations, I sometimes wonder if, at least some of them might have really existed, and we just haven’t yet found any trace of them.

My Asian art class looked at a picture of a unicorn  created around 5000 years ago. Although very tiny, it was wonderfully detailed and comparable to an equally detailed picture of a rhinoceros. Why do we presume one is real and the other mythical?

I feel that way about dragons, also. They are so pervasive in Asian culture; why couldn’t they have been real at one time. Shirley Sun said the dragon was a creature of the mind. Unlike some of the discussions we have, there was nothing ambiguous about her statement. Too bad!


Are you angry yet?

The next
time you pay a deductible or co-pay, or you have to make a choice
between food and a prescription, or you hear of someone going through a
medical bankruptcy, think about the huge compensation CEOs of insurance
and pharmaceutical companies are getting while you struggle to pay for
your healthcare.

I’m quoting from a new healthcare site put up by Pennsylvanians who want a better healthcare system. Taking their information from the Forbes list they detail how much money some of the CEO’s of healthcare organizations have collected. I am appalled when I think of most CEO pay, after all, they are only human, but this makes me angry and appalled. I don’t understand why anyone is entitled to make money for what I see is a non-service, or worse, an impediment. They are not my doctor, or nurse or anyone else whose services benefit me.

Medical Mishigas

I got a bill from a medical management company for $1.79. Subsequently, I got a notice from Medicare and another notice from my medigap insurer that I would be billed $1.79. I don’t know what it cost to send out these notices. Some years ago I remember the figure was $2.32 for each letter. In any case, those three letters had to cost more than $1.79, but I sent off a check.

At the same time I received a threatening letter saying, in 8 pt. type that I put off reading until the last possible moment, if I did not pay a $70.44 bill within 10 days they would send the bill out for collection. I keep a spread sheet about what I owe and what I’ve already paid for medical care. It showed I had already paid the bill at the end of April using a credit card. So I called the medical office and said I would have to check my credit card statements. They assured me I had not paid the bill and offered me a 20% discount if I would pay it immediately. I did it, figuring I could always argue later.

So how is it that one office is willing to give me $14 off my bill while the other one insists, at great cost, on collecting $1.79?

Tai Chi, again

This class is the biggest challenge I face these days. It’s right up there with learning how to swim when I was 47. Unfortunately this challenge has no easily discernible goal post, not like being able to swim a half mile or a mile. And the challenge isn’t because it is physically demanding; it’s not. The challenge comes in making all four of my appendages move in the proper direction at the same time. When both hands are doing the same thing, and the feet are still, there’s no problem. But my brain doesn’t want to deal with moving everything at once while playing follow the leader. I don’t think this is a function of old age. I was always a klutz and never had a strong determination to do any challenging motions. I did learn ballroom dancing, with some difficulty, when I was younger, but usually only your feet move. So I figure the Tai Chi is exercising both body and brain.

The class is diverse: a few youngsters, some people older than me. It’s interesting watching everyone do what they think they are supposed to be doing. Many people don’t quite make it, but have a characteristic stance that takes over, no matter what. I’m glad I can’t see myself.

Health fears

I am obviously not busy enough. I’ve been reading some trashy mysteries and watching too much television. The mysteries don’t bother me, and I’m getting bored with them. It’s the drug commercials on television that really frighten me. I think I could easily become a hypochondriac watching those things. I’m sure the drug companies benefit by, not only pushing their stuff for people that need it, but probably convincing healthy people they need this stuff. I’m not much prone to hypochondria, but they certainly keep me worrying.

Healthcare should not be a profit-making venture

The time for single-payer, universal healthcare may be coming. Sunday afternoon there was a hearing about it here in Pittsburgh. A number of people testified about their problems with our current system and Rep. John Conyers from Michigan and several of our local pols, including Rep. Mike Doyle,  spoke. Conyers has introduced a bill in committee, HR 676, which would create a national healthcare system for everyone, similar to Medicare. Our Congressman, Mike Doyle has signed on to the bill along with 68 other Democrats. Republicans are evidently universally on the side of the insurance companies. Because this really is a fight that pits patients and health care providers against those insurance companies, pharmaceutical companies and for-profit hospitals. And the profits are amazing: 20 to 30 percent of our healthcare dollars go to the shareholders and executives of those companies who are providing nothing but aggravation for the rest of us.

Equally interesting, Jim Ferlo, one of our Pennsylvania state representatives has introduced a bill, PA SB 1085, creating a universal healthcare, single-payer system for the state of Pennsylvania, which unlike the one passed in Massachusetts, removes insurance companies from the healthcare system.

I’m very excited about these initiatives. Even though I am on Medicare, and theoretically, have nothing to worry about, I think our healthcare system is awful. I have few dealings with doctors, but each encounter, usually for preventative services, leaves me angry and unhappy. I don’t think a single-payer system is necessarily a cure-all, but it would free up doctors and nurses to practice medicine instead of worrying about insurance red tape.

www.healthcare-now.org has information on their website along with a petition you can send to your representative.

Our current healthcare system is not only bad for our health it is deleterious to the health of our entire economy.

  • Business cannot plan ahead because they don’t know how much their healthcare costs will rise from one year to the next.
  • Unemployment rates increase because employers want each worker to work longer hours, even where they have to pay time and a half, so they won’t have to pay benefits to additional people. Or they keep people on a contractor or part-time basis.
  • People are forced to remain in unwanted jobs in order to maintain their health insurance.
  • Entrepreneurs are unable to start new business because they can’t get health insurance.
  • Trained medical personnel find it easier and more profitable to become insurance plan administrators than to continue providing needed services.

On June 7, 06-07-06, from noon to one o’clock, there will be rallies around the country. Here in Pittsburgh meet at Highmark, 120 Fifth Ave. It’s time to stand up and be counted.