Showing posts with label Sarcoidosis. Show all posts
Showing posts with label Sarcoidosis. Show all posts

Monday, June 24, 2024

Pneumonia and my Socialized Healthcare


I will share my experience of getting healthcare in ways most people do not believe possible.  I can't share my experience without mentioning the reality of our United States Healthcare system.  Many people with my condition do not have access to the best care. 

Imagine a world where we can get medical care without worrying about how to pay for it.  That's my world.  I have received world-class care navigating the VA and Medicare healthcare systems.    

What if everyone got the care they need? People with chronic illnesses and anyone else who needed care could live better lives, but of course, someone always has to say, "But communism."

Socialized programs like the military, Veterans' healthcare, and subsidized programs like Medicare and Medicaid help people. 

If we have billionaires, we can afford to take care of everyone, but instead of trying to make something work, we favor large corporations that make billions in profits.  We're a capitalist country, and shareholders need to be able to write off their yachts.  

On the other hand, I get to hear how doctors make all the money by doing unnecessary tests.  That doctors and nurses are greedy.  The truth is that American healthcare is governed by insurance companies, and because of it, people are living in misery unnecessarily and dying earlier than they should.  

For as long as I can remember, access to American Healthcare has been a maze of bullshit and dead ends. It improved with Obama Care, especially after removing the existing condition loophole. They can't deny care, but medications and tests can be rejected, which impedes proper care and exacerbates symptoms due to cost.  It happens all the time. But Obama Care can be improved. That's how laws work.  We pass them, then improve them as we get more information. These things don't happen overnight.  

I've had thirty years of veterans healthcare, private insurance doctors called "golden insurance," and Medicare. They all have problems, but I have gotten the best care with veterans' healthcare. 

For example, I have had pneumonia since mid-February. I have worked with the same doctors, nurses, techs, and specialists since 2014. I work with my VA team, which works with one of the greatest scleroderma doctors on earth. That's not my opinion. He took on scleroderma research and treatment in the 1970s and teaches doctors worldwide. He doesn't work at the VA, but VA doctors are his colleagues at UCLA Healthcare. He is a faculty at UCLA and medical schools around the world.  

VA Hospitals are teaching hospitals. In the early days of my diagnosis of scleroderma, I dealt with doctors who dismissed my symptoms as hysterical, called prevention of disease progression as "prolonging the inevitable," or fighting me and specialists on a drug formulary. For every doctor asshole who did those things, there were always three or four interns, fellows, and medical students who took the time to talk to me about scleroderma. 

This ongoing episode of pneumonia was first diagnosed in the ED by x-ray.   When emergency room doctors saw more fluid in my lungs where there was fibrosis and scar tissue, they consulted with the pulmonologist and rheumatologist on call.   I was sent home with a round of antibiotics. 

It seemed to get better at first, but when symptoms remained, I went back to the ED. I was immediately x-rayed and given a CT scan. I stayed in the ED until three in the morning. I saw two pulmonologists, a rheumatologist, and three other ED docs. My blood was drawn and put into many tubes. Nothing out of the ordinary. I was given a broader spectrum of an antibiotic and sent home. Unfortunately, I didn't get better.  

On my next trip to the ED, I knew everyone there. The nurses took my vitals, and I saw a doctor's lickety-split. This time, I was being admitted to the hospital. I never went upstairs to a room. I had a room in the ED. It was weird, but it was the best way to get me in front of specialists immediately instead of during rounds the next day.  

Two pulmonologists weighed the risk of bronchoscopy and began planning the procedure first thing in the morning. My blood was taken every six hours; there were at least fifteen tubes, with some weird ones ordered by infectious disease specialists. Luckily, I brought snacks. One of the resident rheumatologists stopped in with two medical students. It happens a lot anytime I get treatment. I will teach anyone listening to my experience and ways to improve patient care. ED docs were in and out of my room. That night, I saw two pulmonologists, two rheumatologists, two infectious disease residents, and a partridge in a pear tree.  Nurses checked on me and made sure I had warm blankets. After mountains of tests, a repeat X-ray, and finally, a visit from two infectious disease residents who cleared me to go. It wasn't quite yet daylight.  

I was sent home without antibiotics because, at this point, it was determined to be viral. I was told to come back if anything got even just slightly worse. I did it in a few days; it was a shorter version. My progress had plateaued, and I was told to rest and drink lots of fluids.    

You just read about four separate visits to the Emergency Department of my local veterans hospital.  I received all the tests ordered by four groups of specialists, I did not pay a single dollar, and I went home knowing that I could pop into the ED for a listen to my lungs to determine if I was getting worse. If so, the diagnostic dance with bloodwork, x-ray, and what was needed to give me a better chance of surviving pneumonia with pulmonary fibrosis.   

Can you imagine getting all the medical treatment you need and not going broke?  

I wish there was a way to get everyone the healthcare they need, but we can't, because money.  




Saturday, June 12, 2021

Healthcare vs Heath Care

 Hi, The Mighty Turtle is back and saltier than ever!  

    A lot has changed since I first launched The Mighty Turtle in 2009.  I began as a blogger and now I'm on my eighth year in stand-up comedy.  I'll be performing locally in California until around the fall.  You can also catch me on my monthly Zoom show, "Live! And Still Here Comedy Hour" on the 3rd Saturday of each month at 4:30 Pacific Time and my forthcoming podcast, "Yes, I'm Still Here". 

    I grew tired of WordPress's weird-ass glitches, so I simplified my life by joining Blogspot.  Thanks for following me here. Yes, I did wipe the original blog out of existence because the things that helped me in 2009 are outdated and I'm a much better writer.   I have saved posts and will be reposting them in an updated version.  No one should have to filter through that crap to get helpful information.  

    The subject matter of "The Mighty Turtle",  has always been about my adventures through healthcare with private insurance and veterans healthcare, and now it's new and improved.  I hope you find my work helpful, stress-relieving, and funny.  My motto is, "Laugh at What Scares Me".  

    I'd like to clarify the use of the terms, "health care" and "healthcare".  You may already know this, but I didn't the difference between the uses.  

Healthcare:  (noun or adjective) The system of services.   

Health Care: (noun) The actions of a person getting healthcare.  

    Which has the feel of this quote, "In the dictionary under redundant it says, "see redundant." - Robin Williams "Live at the Met".

    Scleroderma and sarcoidosis will be discussed, cussed at, and joked about.   Both are progressive, degenerative diseases that kill people.  I've been living with both for 27 years. I have an entire stand-up bit about how bad the name scleroderma is for marketing. 

    Now that we've got our technical jargon figured out, let's get to my disclaimer.  

In no way do I intend to minimize the horror of any stage of illnesses.  

    Humor is a great way to get people to relax and remember what's being said and I have used it as a tool for the past 27 years to teach doctors, nurses, and caregivers about what I have experienced.  I do not say that I have taught patients - they already know.  But I do hope to give patients of any chronic illness hope that they can survive.  

    When I was a kid and I had problems, I would think about the next day and how much it would be better.  Eventually, I used it to envision my future.  It didn't make my illness any easier, but it helped my brain cope along with mountains of antidepressants and decades of therapy.  

    People with rare illnesses feel isolated, but we are not alone.  After my diagnosis of sarcoidosis, I discovered that people with other diagnoses have similar symptoms and every one of us experiences the stages of grief.  In fact, when it's chronic, we cycle through these stages as one complication is managed and another one appears.  So if you do not have what I have, you'll most likely relate to some of my experiences.  When that happens, just replace what I have with what you have, and then it will feel more like we are in this together- because we are.  

    My secret to surviving?  Your guess is as good as mine, unless somehow crossing my fingers and repeating the mantra, "Don't die, don't die", is a big secret.  In no way do I wish to minimize the actual horror people experience.  I'm just here to make you laugh at what scares me.  


Thanks for reading!

Karen

Follow Karen Vasquez @itskarenvasquez
on
Instagram, Facebook, and Twitter




Friday, November 5, 2010

Does My Butt Make My Butt Look Big?

So, I stepped on the scale yesterday and the digital screen must be broken or something. It said I weighed 142 lbs. That’s not bad, but for a 5’1 ½” me, it’s a bit on the chunky side.

I can’t diet. No, let me rephrase that, I won’t diet. My esophagus is so damaged and with the progression of my disease, I don’t cut anything out of my diet unless it causes me harm, such as alcohol and jalapenos. So, I’ve got to get moving. With hand and foot contractures, not to mention zero fat pads on my feet, high impact exercises such as running is out. I’d like to get back o swimming, but with the cold weather, I risk a Raynaud’s attack so I’m going to challenge myself to 120 days of yoga.

So, here I go. Would today be Day 120 or Day1? I will go with Day 120 because I like to count backwards. So, here I go. I give it 7 days. Maybe we could get a pool going?

I also added this blog to Open Salon. It has a built in audience and maybe we could raise some awarenss there. If you are already a member and would like to follow me there, just type Karen Vasquez into the search box. My first blog will be an introduction to Scleroderma and Sarcoidosis for new readers. After that, posts will be identical.

So here I go, Day 120. I'll keep you all posted. Have a great day everyone!
For more Reading"

"Exercise Can Help" By Jane Brandenstein, P.T., University of Pittsburgh Medical Center (originally published in "Scleroderma Foundation Newsline," vol. 2, no. 3, Summer/Fall 1999)

Friday, August 20, 2010

Normal Mom

Happy Friday Everyone:-)

First, I want to apologize to those with Sarcoidosis for not mentioning I have it in the following story about my son. Scleroderma is more noticable in me and this is the true story. I'm not sure if mentioning one disease to my son at a time is the right idea, but 2 seems a lot for a 6 year old to handle. I haven't quite figured out how to tell him that part of it. I will keep you posted. Really, I think Scleroderma would be interchangable with any disease in my story. One disease isn't worse than the other. They ALL suck.

I posted a picture on Face Book of myself holding my son. The reason- I always felt self conscious when holding him the way I had to because of the condition of my fingers. I’m still self conscious, but I’ve come to a place where it no longer bothers me. The self consciousness is more like- stare if you want, I’m busy.

Before I had my son, I had stopped touching other people except for handshakes. I’m completely the opposite about handshakes. I love sticking my hand out just to watch someone’s reaction. Cheap entertainment for me, but I digress. My interest in touching stopped sometime in the 90’s. I’m not sure when, but one day I just stopped touching people. I shake hands when I meet people, but anything close or intimate- not so much. Simple things like putting a hand on the shoulder of a friend when she was crying or upset felt useless or fake to me. I was much better with hugs.

I didn’t really notice my aversion to touching others until the first time I held my son. I picked him up so awkwardly, I was afraid I was going to drop him. I touched him, and my heart broke when I realized I could touch him with my knuckles, not my fingertips. There are ways I could touch him with my fingertips, but to pick him up or hold him, I had to use my knuckles. I never missed touching anything until then. I became worried I wouldn't be able to do the things a normal mom could do. I became depressed about it and didn't even realize my behavior had changed. I was told constantly by friends, family, my son's pediatrician, and my shrink how good a job I was doing at being a mom but I just wouldn't buy it.

Now that my son is 6, I look back and here's what I do know and I want every mom to know, disabled or not. There is no such thing as a normal mom. I thought my son was adapting to my disabilities, but the truth is he didn't have to adapt to anything because I'm the only mom he knows. There was so much I put into my head about what I couldn't do, I forgot that there was so much I could do, especially in public. I made myself feel like a freak show and would miss out on simple activities so I wouldn’t draw attention to myself.

Kids don't judge. My son never thought anything was wrong with me. I allowed my mind to make a bigger deal out of things than they were. Every parent has something different about them. It could be hard to spot or in plain sight, but there's always something. Sure, disabled parents have personal obstacles and for most, those obstacles were there before they were parents. And really, parents who aren’t disabled have their obstacles too- so right there, the playing field becomes level. Disabled or not- parenting is challenging, frustrating, painful, smelly and will scare you right out of your shoes(Wow, I really had to work to clean up that last one. Thank you, Dr. Seuss.) Wanda Sykes used to talk about what parents told her about having kids, "yeah... but there worth it." She had no children at the time and called it a conspiracy by parents to recruit more parents. She was right. I think if all parents knew exactly how tough it was to be a parent, the human race would've been extinct a long time ago.


Now, I'd be making a huge omission if I did not mention my son noticed my hands were different at a very young age. I think it was before he could talk. He would take one of my hands and try to straighten them. Sometimes he would catch me off guard and it would hurt like hell. I would gently loosen his grip and tell him, "Mommy's hands don't work that way." His curiosity was satisfied with such a simple answer he would move on to something else. As he got older, he started asking questions. The answers started out simply "That's just the way Mommy's hands are" then became, "Mommy has Scleroderma.", followed by a simple explaination. Once he had that 75 cent word in his vocabulary, the questions became more complex, but at weird times. It was actually kind of funny watching him wrap his head around it. This was a typical conversation,

"I need to sit on the couch, this floor is not very comfortable."

He'd ask, "Mommy, is it because you have Scleroderma?"

"No Honey, it's because the floor is cold and hard."

About Scleroderma, I kept my answers simple and honest. I did not want to worry or lie to him, but simple worked well and still works today. That short attention span kids have really comes in handy sometimes.

When he was 5, I laid it all out for him. I sat him down and explained Scleroderma the best that I could and made sure he knew I was going to be okay, no matter what. It took him a while to process it, but I think he understood then and understands it now as best as any 6 year old can.

Short story long, I posted the picture because a person with finger contractures holding their kid with no make up on (Warning) is rarely seen. So there you go. Check it out. Parenting

Thanks for reading.
For more reading:
Parenting and Disability: Disabled Parents' Experiences of Raising Children
(I haven't read this yet, I just found it on Amazon. If anyone has read it, leave a comment about it. Thanks)
Foundation for Sarcoid Research
Scleroderma Foundation
Scleroderma Research Foundation

Thursday, July 15, 2010

Can I Do This?

That's the question I asked myself Wednesday morning after waking up tired. Before I woke up, I was dreaming I was getting ready to go to sleep after a long night helping my best friend from high school rescue her child from a werewolf kidnapper. It turns out he only wanted to celebrate Christmas with us. I don’t really care what that dream means. I just wish I would remember those insightful dreams that leave me with thought provoking solutions that I usually forget 30 seconds after I’m awake. I know I'm supposed to write these down, but that would be WORK.

Speaking of work... (Call me Queen Segue) I started a part time job doing bookkeeping services for a local business. I haven't worked steadily for 2 years. I had grown accustomed to showering late mornings after my coffee and work out. Since July 1st, It's get up, shower, get dressed, have breakfast and get to work. I am enjoying my new job. The people are great and I am learning so much related to bookkeeping.

On the surface, it's great, but I have a concern lurking in my mind regarding my commitment to my new responsibility. It is only part time. My employer is very willing to be flexible with my schedule regarding doctor's appointments. He must be very willing to work with me because on my 3rd day I had to call in sick. Two years ago, I practically worked myself to death, but I did own my own business and have a failing marriage. Now I'm working part time for someone else and have a very happy and fulfilling personal life. My goal is to find balance. Changing my thinking of finding balance instead of just, "Can I do this?" reminded me quitting is not the answer. If I don't try, I've already failed. So I'm giving it a go.

So far, I have been pretty tired. Fatigue has been hitting me hard. I don't want to give up yet because it is still early and maybe my body needs to adjust. I will be working 4 days. I am thinking of changing my day off to Thursday, so I can take it easy and finish off the week with enough energy to enjoy my weekend. Plus, with the extra income I will be able to afford regular massages and pedicures. Massages and pedicures may sound a bit indulgent, but I have found a great deal of pain relief with regular visits to my massage therapist. A pedicure once a month helps my circulation and the massage also helps with foot pain. The more I think about it, the more I feel I’m making the right decision. Again, it is early and I need to give myself time to balance between my health and work. I know balance is possible and necessary to succeed; I just need to find it.

Recommended reading:

Pedicure Safety
Inner Peace for Busy People
Foundation for Sarcoidosis Research
Scleroderma Foundation

Wednesday, April 14, 2010

A Thing or Two About High Risk Pregnancy

Nebraska- Forget about prenatal care and the born, because we only want to protect the fetus. Once the fetus is out though, you're on your own.-

If you're going to stop women from having an abortion (a legitimate medical procedure that is always a last resort), you can't say you are Pro-Life if you cut prenatal care. That doesn't sound very Pro-Life to me. For individuals who want less government, they appear a little too excited about the government interfering with a personal family matter.

One problem with this is the reason they stopped the prenatal care bill was because it would cover illegal immigrants. They are here illegally, but they are human beings. If you are Pro-Life, isn't that supposed to be Pro-Human? Most Pro-Life advocates call themselves Christians, but there is nothing Christian about turning down medical care to ANYONE. What would Jesus do? I think he would be pissed. It appears to me to be another example of a group who wishes to push an agenda by cherry picking facts when in truth they are using Christianity to justify their bigotry. I don't belive this applies to all Christians. Just those who say they are Pro-Life because of their Christianity but want to cut off health care to other humans.

What does this have to do with Scleroderma, Sarcoidosis and Box Wine you ask? Anyone who has had a high risk pregnancy knows things can go very wrong. Sometimes the choice is, there is no choice. The only example I can give is my own personal experience.

I have a healthy six year old son with ADHD who is a little short for his age group. He runs on the small side because he was born 8 weeks early. Because of my Scleroderma, I was considered a high risk pregnancy. I went twice a week for fetal monitoring and once a week for ultra sounds. In my 28th week, my blood pressure skyrocketed. I was in and out of the hospital for the next two weeks. The last time I was discharged from a hospital before my son was born, I got home and realized I forgot to mention to my doctor I was seeing orange spots. I called my doctor at 11:00pm and he ordered me back to the hospital. The next morning I could not see out of my right eye. I felt fine, except for being blind in one eye. That was my only symptom. My doctor was puzzled and sent me to two different optomologists. During my visit with the second optamologist, I over heard him talking to my OB on the phone, "We may not be able to let her go. She may be pre eclamptic. This hospital is not equipped for that."
When he got off the phone he wrote out directions to Mary Birch Hospital. When I got there I was checked in immediately. My son was born two days later. They took him by c-section after pumping me full of steroids as long as they could. My organs were failing and they could wait no longer.

My son spent 28 days in the NICU. The doctors and staff were amazing. It was awful to leave the hospital without him, but the parenting training the nurses gave me and my ex-husband was priceless. I left the hospital after 9 days. My sight had returned, my blood pressure was stable.

I met with my doctor a week later. He told me and my ex-husband to never forget how close I came to dying that day. Never forget that fear. Because if i were to get pregnant again, their was a 35% chance the same thing would happen sooner in my pregnancy and faster. Most likely resulting in my death and the death of my unborn baby, if I was lucky. My doctor told us I had what is called HELLP Syndrome. Hemolysis, Elevated Liver enzymes, Low blood Platelets. In short, first your liver goes, then you go into a coma you will never wake up from as your organs shut down resulting in death. The only cure is to stop the pregnancy. Do the math.

Because of the increased risk of blood clots and high blood pressure, I cannot use any form of oral birth control. My ex decided he did not want a vasectomy because well, he didn't feel like it. To his credit we are getting a divorce and his girlfriend is a great candidate to procreate with. She's really great- I don't know what she's doing with him, but I really like her. Anyway, my next option for birth control would be an iud, but I'm allergic to copper so that's out. The plastic one has a hormone and that's out so my only option is sterilization. Right now my doctors are considering tying my tubes but because of their lack of experience with Scleroderma and the complications surgery brings, they keep researching while I wait. Condoms are great, but they can break. The morning after pill does the job, but nothing is 100%. So if I get pregnant after all I do to prevent it, I fall into that category of making a choice. That choice for me is: Do I risk orphaning the child I have to carry another child that most likely will not make it to term? If pregnant I would probably wait until symptoms come up, but 35% is very high for risks. To put some perspective on risk, the risk of side effects from most prescription drugs is .02%.

So there it is. Do the math.

Tomlearn about Scleroderma, for to scleroderma.org
or
sfcure.org

To learn about Sarcoidosis, check out clevelandclinic.com

Blazing Flare-Ups