The VA is raining down health care.

How many among us have heard the expression: “When it rains, it pours?” Everyone, even those in Botswana I would think, has heard it. One might be excused for asking: “When it rains, what pours?” Or perhaps others might wonder “When what rains, what pours?”

I could guess with a fair amount of certainty that the adage didn’t originate with Morton Salt’s PR team around the time World War I began to break out. I must confess the Morton Salt girl always flashed some pretty legs. Of course, one must think that one who goes ga ga over inanimate girls’ legs must be a true perv.

Regardless of where, why and when the “When it rains, it pours,” expression originated most would agree the adage generally strays from the subject of water.

Many use the expression that whenever something bad happens, it may often lead to bad occurrences times two or three or 44. The saying could mean those who experience drought will find a drought-ender that wipes out entire valleys with flash flooding. And there are times when something good happens, one may receive too much of a good thing.

Now, I didn’t have to spend 180 words for an introduction. But I did. And I hope it might help illustrate how something good may lead to something too good.

She got legs. She knows how to use them. She walks on them.
She’s got legs. She knows how to use them. She walks on them. — Aussie Waldo Miller (1954-1998)

 

 

During the mid-1990s I began using the Department of Veterans Affairs for health care. Then and on into the 21st century I had insurance and had no copay to see a doctor and only $4 per prescription copay,

When my last cervical spine and fusion surgery took place in 2001 I was very fortunate that many of my pre-op tests and doctors’ visits were handled at no charge by the VA. I only paid some $1,000 out of pocket due to reaching coinsurance levels. The surgery itself had a pretty hefty price for the three hours on the table. A piece of hip was harvested and was used in the fusion that also employed a titanium strip.  I spent about four days total in the hospital due to a bladder infection. I should have been released the day after the surgery.

I now believe the extra hospital stay was caused by some nurses trying to jam a catheter into Russell the Love Muscle one too many times. The guy who became my urologist was called to the hospital. That physician confirmed my suspicions as to what caused the unwanted and unneeded malady. When I confronted the hospital on the procedure, the doctor denied his previous statement. The prick! No pun intended.

But let’s back up just a little. I had a non-VA neurosurgeon do my operation. He was very talented. He stopped my hand from becoming numb and the surgery held off the pain for about five years.

Yesterday, an attractive physical therapist speaking with what sounded like some European accent expressed amazement at the surgeon’s handiwork. An incision of less than an inch in a fold of the front neck was made for the procedure. The physical therapist could not find the 14-year-old incision site. The scar made from a cervical laminectomy in the early 90s is still visible. That scar runs from the bottom of my neck, downward about four inches.

On an odd note, even though I could give my neurosurgeon high marks for his work in my 2001 operation, his office staff were all pretty much bitches. I may have to revise that latter opinion, however. I had read that the doctor who did such great neurosurgery was sued by a staff member due to his alleged sexual overtures. I try to give people a fair shake.

The reason I went to a non-VA neurosurgeon was because I was told it would take six months before I would see a VA neurosurgeon. And as luck would have it, I was called by the VA and was told there was an early opening to see their guy. It was scheduled for Aug. 8, 2001. That was the day I underwent Anterior Cervical Disc with Fusion surgery with a civilian neurosurgeon.

It was only until the last couple of years that I started seeing specialists at the VA without having lengthy waiting periods.

It seems I have some specialist appointment every month or so. This afternoon I was called by the pulmonary department of the Michael E. DeBakey VA Medical Center in Houston to see if I needed oxygen during the day. This is only after having to change two appointments scheduled within a week of each other with the Sleep Lab. One of those is to fit me with an oxygen appliance for my CPAP machine to help me stave off sleep apnea. I will go to the first appointment but not the second one because I haven’t taken a vacation in two or three years. It has been so long I can’t remember.

The physical therapy I am going through is at a local non-VA center that the VA will pay for. Other than liking this nice lady’s hands on my neck yesterday, not much has helped me now in the two weeks I have spent in physical therapy. I am given 40 visits. I don’t know how that clinic will take to the fact that in late October I am taking a week off. I am going somewhere. Just where yet I don’t know. I do have two places in mind. If one falls through, I will try the other. Both are with old friends, one who lives about 800 miles whom I have seen every now and then in the past 30 years. The other, who lives about 350 miles I haven’t seen in about 35 years. I keep up with him now on Facebook. I call the other friend probably once every month or so.

I am glad the VA is finally making more specialists and specialized care available to vets, even if the provider is outside the VA system. If we could see actual specialist each time, without having to specifically ask for them, the situation would be much better.

So often I will go to a specialty clinic and see a resident, or a specialist in training. I don’t mind it depending on the reason for my visit. But if I want to see a specialist in particular I don’t want to see a newby MD or DO who is working his or her ass off trying to become a specialist. Most residents with whom I tell understand. The others, well, they aren’t in my wheelhouse.

Oh, I’ve already made this meme much longer than I had planned. But last night I started having bright spots in my left eye once I turned off the lights. And I began having floaters in my eye, they remain today. I called the VA Tele-nurse, who is one of the really bright spots (pun intended) in my socialized care. The floaters may be something associated with age and eyes. Or the floaters and the bright spots which I noticed after turning my neck to the left, might be something more. Time, and, oh yes, another medical visit, will tell. Hopefully.

When it rains, it certainly pours. But we’re not talking water.

Physical therapy, damn it!

Just Monday I started physical therapy. I didn”t plan it. I suppose one never plans it. The VA is paying for my therapy through its Veterans Choice program which allows veterans, in certain cases, to receive non-Veterans Affairs providers. In most instances the program might allow vets to be seen where VA facilities are too great a distance. In my case, the therapy was set up here because it would cause too much of challenge physically and professionally to attend physical therapy several times a week some 85 miles away in Houston.

I think this is maybe the fifth time I have had physical therapy. I’ve had it mostly for my cervical disc problems. Last year I had therapy for a month after arthroscopic surgery to repair a meniscus tear in my knee.

I have to say that I have never had successful physical therapy. It may make me feel better as I walk out the door or maybe for an hour or so. In my case over the first two visits so far, I have felt much worse than I originally felt. I am receiving treatment for my neck pain after two neck surgeries over the past 20 years. I also am getting treatment for a back pain that may or may not be caused by an inflammation of a spinal membrane called arachnoiditis. And as I have to repeatedly say, “No, it isn’t something caused by a spider bite.”

A physical therapist who, did something or other to me yesterday, said a muscle in my back is causing my problem. That may be but that is now three diagnoses for my lower back pain and the first by a non-doctor who is forbidden by law to diagnose medical conditions.

I had a visit with my podiatrist today at the Houston VA, some four months after I had hammertoe surgery. All is well there at least. I told Doc that I was a reluctant patient in physical therapy. He told me to give it a shot. That is what I am doing.

But as I told my DPM, I have to weigh the pain I have from physical therapy with the pain I have been having in my neck and back. Right now, the pain increase I have from physical therapy is outweighing the original pain. That cannot go on for too long, no matter how generously I am being treated by the VA.

Oh, if you don’t see my writing here very much in the next few weeks, it will be due to someone deciding to “improve” my health and well-being.

Hyper plus, says new doc

Just a note before the weekend. I have been using my tablet in lieu of the laptop I normally use. It is a pain in the ass to be honest.

I went to the new VA doc today. She graduated from medical school in Central America, according to the Texas Medical Board website. The doc seems like a nice lady. I appreciated her calling me after I left with lab results which had not made it to her when I saw her this morning. I was a bit shocked when she told me my A1C results. I kind of knew it would be high this time. I had eaten terribly over the last three months. I didn’t know it would be as high. I have work to do which is to eat better.

The doctor is putting me on a second kind of diabetes meds. I am glad no insulin is in my immediate future. Seem I will have to do the rest.

SCOTUS dreams

The Week That Changed The World.” That was a headline I saw a couple of times today. That might be a bit of exaggeration when you think globally. Although if you are considering change perhaps semi-globally then maybe you are on the right track.

SCOTUS, the acronym used for the U.S. Supreme Court, made the bulk of that news. The Court yesterday upheld key provisions to the Affordable Care Act, a.k.a.,”Obamacare,” though Justice Antonin Scalia writing the minority dissent stated: “We should start calling this law SCOTUScare.” The majority for the 6-3 opinion was written Chief Justice John Roberts, who was appointed by President George W. Bush.

This morning perhaps an equally if not more surprising decision came down from on high which ruled that same-sex marriage is legal in all 50 states.

Meanwhile, President Obama became the nation’s old-time “Holy Rolling preacher in chief.” He even tenuously led mourners for victims in the Charleston, S.C., shootings last week, in the our national spiritual-emeritus “Amazing Grace.” It was a coming together in U.S. civil rights with the specter of perhaps more than 150 years of disunity disappearing with discussions of ridding states of the former Confederate States of America battle flags flying outside statehouses.

And one more story on the news during the past three weeks partially wrapping with escaped New York state prisoner Richard Matt being shot and killed in an intense manhunt. NY state troopers and other police remain “in hot pursuit” of convicted cop-killer-escapee David Sweat.

So here we are a few hours later, the cops say they “are on top of him.” Whatever the f*** that means.

But, hey, it is very seldom the cops don’t get their man (or woman.) Perhaps that is because the police spend so much chasing people. Oh well, let’s hope the coppers get their man.

As for all the action that has been making these interesting news days this week maybe when I awake in the morning:

  • Pot will be legal across the U.S.
  • China will declare peace and non aggression and free Chinese food.
  • Democracy will be the law of Russia. Vladimir Putin has decided to tour with WWE.

I will then wake up and say: “Whoo, what a dream!”

 

They say it’s our birthday. Well, just missed it.

Our fair blog quietly celebrated 10 years of existence on Tuesday, April 21. Happy B-day!

All this, meaning eightfeetdeep, started as something to entertain myself as well as a daily writing exercise. This was while I was on unemployment from my last full-time job. I had worked as a newspaper reporter, columnist and editor for the previous 15 years at five different Texas newspapers (One doesn’t count.) I had kind of tentatively planned to try my hand at freelancing by the time I was 50 years old. As it turned out I was about six months ahead of schedule.

I have kept up with turning out a daily blog for most of the past 10 years. However, I also have worked a decent-paying part-time job for about seven of those years. During the last year or so as I was given a steady dose of 32-hours a week, as well as serving free now for a few years as a regional vice president of my union local. Consequently, my output slowed down. The same can be said of my paying freelance jobs.

For a couple of years I made money as a freelance journalist. When I say “I made” money, I don’t mean I came out ahead. Neither did I “make” money, as in printing up my own $20-bills. Now what made me think of that? Uh, nothing Secret Service Special Agent Whatshisname.

All of the previous happened as I have become older and developed a few health problems, diabetes the most serious one. I really have improved my health as for Type II diabetes, my A1C falling on a downward trend to 7.1. I also had surgery on my toe Tuesday that was spurred by my diabetes. I developed a ulcer on my left second toe and it never healed completely. So my podiatrist suggested about a month ago that he do hammertoe surgery on that toe in order to keep from striking the injured toe and in doing so allowing my toe to “all hang out” so to speak.

I have a bandage on my foot that I was told to stay off of except for going to the bathroom or kitchen. I have had to do a bit more than that, though carefully, because I am a (confirmed or unconfirmed, I’m not quite sure which one) bachelor.

So, I don’t know what my toe is doing, if anything, and will not know until Doc unwraps it on Monday.

I have tried mostly through using my blog name as my identity to, not shield it, but to not necessarily expose it. I certainly am fooling nobody because so many of my stories have been spread among folks I know, who at the very least, can put two plus two together gets something between three and five.

This past decade has exposed me to some very interesting experiences. Some — like Hurricanes Rita and Ike — were exciting. Others, like living in my truck for about a month at one time, and losing two brothers last year were sad. Those hurricanes were a source of income for awhile, as I freelanced for a major metropolitan newspaper. I freelanced in suburbia for about six months as well while staying in the Dallas area with a friend.

I am in the beginning stages of gathering then culling some of my favorite posts over the last 10 years and, most likely, adding to them for a book. Whether it will be hardcover, e-book, or body art, I don’t know. I need a publisher. If you are a publisher and are not trying to scam me — I will check you out scrupulously — send me an e-mail to the address on the blog.

Looking at my Statcounter stats, I am pleased to see I still get an average of 20 page views per day. Only one or two are return visits, but that is understandable due to my recent lack of output. Most recently, those page views came from the United States and 20 other countries including Iran, Russia, Mexico, Vietnam and, oh, Canada.

By the way, the name, “eightfeetdeep,” yes, it did come in part from the HBO series “Six Feet Under.” I decided not to go along with convention by saying why six feet when you can go eightfeetdeep?

I have thought at times trying to make money through a blog, not especially this one. I do still take donations. But I don’t know what’s to come in the future. I certainly never planned on blogging for 10 years.