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.

Concerned vets or Koch Brother chicanery?

The GOP Debate on Fox News is on until I can find something more entertaining.

In the meantime, I came across an interesting fact. It seems a Koch Brothers-funded front group called Concerned Veterans for Americans (CVA) is making various anti-working proposals that will attack veterans health care.

While they wave the flag and make everything a misleading headline, some of the CVA’s proposals are just unsubstantiated bullshit. Take this for example:

 “With 88 percent of veterans saying that it is ‘extremely’ or ‘very’ important to increase health care choices for veterans, it’s time for the VA to stop pretending there is no demand for increasing options, even if veterans choose to seek care outside the VA. Veterans deserve the freedom to choose a provider who suits their needs, not one dictated by a government bureaucrat and a set of rigid guidelines,” says one of CVA ‘s propaganda releases.

There are percentages that may or may not be true or may or may not be taken out of context. I’ve not had time to check it. That really belies the remainder of the statement. I also don’t know how many veterans receive outside health care. However, I’ve had a “Veterans Choice” card for quite some time. This card allows me to see private providers who are too far from a local VA facility as well as seeing providers for specialized care that the VA cannot provide. I’ve had a sleep study to determine why my CPAP machine no longer helps control my sleep apnea as it should. This was with a local private provider. The study led to another VA study last month because the findings from the two studies turned out to not give information that a memory card in machine displayed. I came home from the VA hospital yesterday with a new CPAP. I also have an appointment with local physical therapists to see if they can give me PT or whether it will help. This is because driving to Houston, about 150 miles round-trip, three times a week is not an option for me.

Yes, these are just a couple of examples for this year. Before that time I only saw a local hospital ER that I had to fight with because the VA was too slow in paying the bills. These two visits were after a VA nurse on the Houston “Telecare” line told me I needed to go to my closest hospital.

I have been pissed off at the VA a number of times. I raised a little hell during my visit yesterday. But the VA is the only systems that specialize in veterans either by directly treating them or having local providers do so. The VA is much improved than when I started using the system’s health care more than 20 years ago. They’re not perfect. But neither is the private medical system by itself.

To paraphrase the old joke, you know when the Koch Brothers are lying whenever they (or their minions) move their lips (or send out press releases.)

Diagnosis: Mass murder fatigue

Too many thoughts are racing back and forth. I am not “depressed” though I do suffer from depression. One Veterans Affairs nurse practitioner — not a psychologist — wrote into my record a diagnosis of “narcissistic personality disorder.” No, I don’t have any of that today. That is, as far as I can tell.

No I think many in our land suffer from what is wrong with me. Perhaps it hasn’t been officially declared by the “Diagnostic And Statistical Manual of Mental Disorders.” That is the “bible” of psychiatry. If the disorder hasn’t been categorized and named here is a suggestion: “Mass Murder Fatigue.”

I am aware that might sound narcissistic. Perhaps it is even flippant-sounding. But I am more or less serious.

The theater shooting last night in Lafayette, La., about 125 miles east straight down Interstate 10 from where I sit, is troubling in many ways. Thankfully, the Lafayette — I was there on business last week — shooting is less complicated and not likely wrapped up into Jihadism as was the mass killing in Chattanooga, Tenn. It was only a week ago that four Marines and a Navy petty officer died from that mass shooting. This time the venue was a recruiting office and a Navy and Marines reserve center. Muhammad Abdulazeez was the shooter in that assault. Abdulazeez died after one of the slain Marines and the center’s commanding officer returned fire, according to today’s Navy Times.

It seems this shooting last night was apparently a typical instance of severe mental illness, whether psychotic or overly narcissistic or just a crackpot. Whatever you call it. Sadly, I don’t really seem to care.

Not even the glasses and wigs found in the Motel 8 room in which the mass shooter stayed interested me. Motels have such a bad rap by the way. I could write a book.

It isn’t that I don’t care though about those two young women, known as bright and lovely, who lost their lives while watching a movie. Nor am I callous toward those who were injured in the carnage. But I am not very intrigued by the Lafayette shooter, a man who supposedly graduated from law school but was a perpetual crank, according to lawmen.

I would sound like a very bad person to say I don’t care about these mass shootings. Those killings seem to click like dominoes one after another. So no, it isn’t I don’t care. Me, who was almost blown away with a shotgun as a toddler, not caring? No, I think I care too much.

I care that our society has become so murderous. I care that the only cure our politicians, fed by the NRA-Koch money machine, can come up with is meeting these mass killings with more guns.

“Oh my neighbor’s tree is hanging over our fence.”

“Buy a gun.”

“My toe hurts.’

“Get a gun”

“Ain’t this heat something?”

“Get a gun?”

No, it’s that I care too much that I am left adrift in a world where people with intense personal problems think they can cure their ills by shooting as many people as possible. Then, they either kill themselves or force police to shoot them. Some would say, why not skip the killing and shoot yourself first? That is ridiculous. It is ridiculous as all the killings week after week. We have mentally ill people who need more help than having some shrink handing out the anti-depressive du jour.

Fatigue, that’s what I got. I need to go out in the woods and listen to the wind through the pines to clear my head. I like shooting targets. I don’t think that would be very therapeutic.

This crap of murder and mayhem is wearing me down. I have fatigue. Our society needs to get a grip. And that grip is not at the butt of a gun.

What do vets say about Trump or McCain? There is more than one opinion.

Anyone who has ever read the newspaper or watched television should know Donald Trump — despite his ability to make millions — is generally a buffoon who loves hearing himself speak.

The attack on Sen. John McCain, R-Ariz., in which Trump questions the long-time senator’s heroism, seems to do nothing insofar as advancing the race for the Republican nomination for president. With the exception of raising the geographically-inspired debate on immigration, one must wonder what in the hell does McCain have to do with this presidential race?

This is not to say genuine questions might be raised in the discussion of McCain and his past. During the period of time, as well as after, in which McCain was imprisoned in Vietnam he broke the military’s Code of Conduct. That Code, introduced by President Eisenhower in 1955, acts as a guide of obligations and responsibilities of U.S. service members who are in “harm’s way:”

U.S. Military Code of Conduct

I

I am an American, fighting in the forces which guard my country and our way of life. I am prepared to give my life in their defense.

II
I will never surrender of my own free will. If in command, I will never surrender the members of my command while they still have the means to resist.

III
If I am captured I will continue to resist by all means available. I will make every effort to escape and aid others to escape. I will accept neither parole nor special favors from the enemy.

IV
If I become a prisoner of war, I will keep faith with my fellow prisoners. I will give no information or take part in any action which might be harmful to my comrades. If I am senior, I will take command. If not, I will obey the lawful orders of those appointed over me and will back them up in every way.

V
When questioned, should I become a prisoner of war, I am required to give name, rank, service number and date of birth. I will evade answering further questions to the utmost of my ability. I will make no oral or written statements disloyal to my country and its allies or harmful to their cause.

VI
I will never forget that I am an American, fighting for freedom, responsible for my actions, and dedicated to the principles which made my country free. I will trust in my God and in the United States of America.

Those tenets are not military law but rather a code of ethics that would no doubt cause fellow troops to cast aspersions if an American service member strays too far from these six guidelines.

During the five and a half years McCain was a prisoner of war he would break this code due to reasons including physical torture. Though names were redacted, this paper McCain wrote during study at the National War College in Washington, D.C. in 1974 after repatriation. Some of the reasons for straying from the Code as well as praise for the same are spelled out in his paper.

Some World War II veterans held Vietnam vets in contempt. The reasons run from breaches of the Code of Conduct to one-year tours. Some of those resentments are still harbored by those surviving WWII vets. Likewise Vietnam vets sometime resent the government that sent them to war and seemingly forgot about them afterwards.

Perhaps “some” is not a grammatically-correct or an inaccurate measure of participants. But no doubt, the word serves as a true measure when it comes to veterans, of any era, and what feelings they may harbor.

Last week I wrote a local TV news reporter and complained about a story she did. The local reaction piece was on what veterans felt about arming recruiters and other “soft” military facilities in the wake of the Chattanooga shootings that resulted in four dead Marines and a dead Navy logistics specialist. The two veterans in the news piece were a retired sergeant major and retired captain who just happened to meet each morning for coffee. Being retired from the military and from  Southeast Texas, it was no big surprise to hear they believed the soft targets required hardening — with guns.

My complaint was there were two lifers who have met for years each morning for coffee. Does it seem that some veterans might disagree? Or the same for some civilians?

Perhaps the one redeeming quality of Trump and his McCain bashing is to show the American public that military veterans are not homogeneous. Most should already have that figured out, but not in this old world will the logical become the norm.