8 knitting days until Christmas…


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That is a cat. Really. Four Knitted Cats by Kath Dalmeny
I lost interest when it got to the seaming part. For a weaver I surely do hate sewing. BUT. It MUST BE DONE by 9am Christmas Eve, so I can wrap it, because it is being given later in the morning!

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Gratuitous photo of Shetland singles for weaving. Not enough to make anything but a scarf, so it shall sit in my stash until I buy another Shetland fleece and spin more. I read in a Starmore book that Shetland is too fragile for weaving; I plan to challenge that statement and report back.

ETA: click on the photos for a better look.

No pictures but progress


I have made two hats, two pairs of mittens, and am about 2/3 of the way through a knitted toy, one of two that I will make this year. A hand made book, a couple of quick other things (can’t do a reveal in case they read the blog!) and our gifting for 2014 will be complete!

I’m hoping not to give gifts on Advent this year…on time is much better.

*sigh*


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Handspun lovely rose grey squishy soft baby alpaca?  Check.  Knitting needles?  Check.  Pattern to go with the yarn?  Nope.

I’ve started two sweaters in the past three days (one is still on the needles in the photo) and both need to be frogged which is knitter speak for ripping out.  It turns out that my hand spun alpaca is not, as I thought, a sport weight, it’s most definitely either a heavy DK weight or a light worsted weight.  AND.  Alpaca, it turns out, has no memory.  So the sweaters I started, will not keep their shape.  They will grow.  Which will be bad.

The first sweater I started had a lovely drape, which would have taken into account the stretch factor, but I’m not going to spin and ply 1800 yards of this stuff before it’s due to be given!  And the body of the sweater was quite drapey but the sleeves looked distressingly tight on the models which concerned me enough that I ripped it out.

The second sweater was working up nicely in the ribbed section at the waist, but when I started on the body I realized there was no way a light weight 2 ply was going to work with a sweater designed for a heavy worsted 10 ply yarn.  Nope.  Knitting you can see through just doesn’t work unless you’re knitting lace.

So, back to square one.  Another two hours wasted surfing patterns at Ravelry yielded exactly nothing that I thought my intended recipient would care for.  Lots I would wear, but this time of year I can’t possibly knit for myself.  I have custom knitting for pay, gift knitting for loved ones and no time to knit for myself, not even socks.

Then I remembered a pattern I had purchased last year.  I searched Ravelry for this pattern made with alpaca.  And found a quite lovely example that proved it could work.  So.

Enter Hitofude.  Lacey, light, drapey and yet slim and stylish, perfect for alpaca.  Win.

Now I’d better get ripping so I can get knitting!  Oh, and find my size 4 circulars….

 

 

Obamacare just might be going away after all.


http://www.motherjones.com/politics/2014/11/supreme-court-just-took-case-could-gut-obamacare-heres-how-states-can-save-it

So there you have it folks – it’s from a liberal perspective, so they’re all about saving it, but facts are facts.

How do you feel, if you live in a ‘red’  state, about having/not having this?

I’m concerned from the perspective that people won’t just go back on what they had before, if they had Medicaid or in Arizona’s case, AHCCCS (pronounced access).  They won’t have anything at all.  And I can tell you, from dealing with Obamacare in residents who were on AHCCCS and are now on ACA, it’s a poorer insurance with fewer choices, higher costs, and less coverage.  This is fine for those who should really be having some skin in the game, but for the elderly who were on some form of state sponsored long term insurance under medicare/medicaid, it’s really pretty paltry, and denies them access to the medicines they need unless they want to spend far more than half their monthly income on insurance premiums and medications.

I agree in principle that ACA must go.  It’s an insurance company bailout, and a gift to the pharmaceutical and hospital industries, nothing more.  But we really need to be having discussions about what will take its place.  When I get my license, I can provide visits for a quite reasonable fee, or barter for things we both benefit from, but that doesn’t help when the person needs to be hospitalized, or if the medicine they really need costs $249 per month.  By the time they’re at a place where they need a medicine that expensive, there are not many herbs I can prescribe that will do nearly so good a job of controlling symptoms.

Once again, we really need to be having discussions about alternative ways of care delivery.  And about medication costs.  And about hospital costs.  And about the elderly’s idea that medicare should be free for them.  And about the younger people’s idea that Obamacare should be free for them.  We STILL don’t have insurance.  Why?  Because it was too expensive even with the subsidies.  For a $12,700 deductible, we’ll just take our chances.   The penalty is significantly cheaper than buying the insurance would have been.

The system is broken.  We need to look at alternatives.  When can we begin this conversation?  Without having to talk about concierge care type systems that only benefit the wealthy, or subscription systems that still don’t address medications or acute care, or the idea that some should just go without or die?

I hate living at the twilight of empire sometimes.  Hobson’s choice indeed.

Ebola.


I have been very busy with real life recently; my oldest son and his wife whom I haven’t seen in two years came to visit and to be present at my middle son’s wedding. But of course the topics in the news came up during our conversations.

My son lives in a town with a genuine Level 4 containment facility. But here’s the problem: even the staff that are assigned to that area state that they aren’t adequately trained to work in it! Why? Because it costs money, a lot of money, to have the supplies ready to use in doing the training necessary to keep people not just minimally competent but proficient at such a methodologically demanding task.

It’s something similar to Magnet status for hospitals — they all like to promote that they have magnet status, but most of them don’t live by the ethics and level of staffing a magnet status requires — they just up the staffing for the original certification and the recertifying. In between? Just like everywhere else, overworked and under staffed. I know, I used to work for a magnet hospital. And having a level 4 containment facility gets them extra government money just like magnet status does, but they don’t spend the extra money toward what it’s supposed to go toward: maintaining appropriate staff levels and training to back up those special status items.

Dear oldest son said he thinks hospitals are going to have to make a decision on whether they will care for Ebola patients or care for the community; he thinks any hospital that admits an Ebola patient is going to become ‘toxic’ to the rest of the community, especially if other patients get infected from exposure at the hospital, and they will either have to close to the public to care for Ebola patients or they will have to turn them away to Level 4 facilities if they want to take care of the rest of the revenue generating patients they would normally see.  I think he may be right.

I made a comment on another site I visit every so often on a post about Ebola. I said something to the effect that, if it did in fact become an epidemic in the US, that nursing staff were going to begin refusing to care for those patients. Or even refusing en masse to even come to work.  While I haven’t gotten any real negative feedback and plenty of “likes” for the comment, I did get a response that ended with the statement “ebolaf@#kyou I ain’t afraid.” Or something to that effect.  I am, quite frankly, much too lazy to go and actually look up the comment; it wasn’t phrased in an insulting way.

I took that to mean the author of the response thought I was afraid of Ebola, or that nurses were, and that fear is a bad thing. So I crafted this response:

I have been in medical services since 1994. First as an EMS person then as a nurse. I am used to putting my life on the line in service to others. I used to be the one who ran into the burning house you all ran out of. I’ve fallen through floors, been in flashovers, broken bones from collapsing gear, been puked on by contagious patients, been stuck by contaminated broken glass, had exposures to tuberculosis, meningitis and hepatitis among other things. It is part of the job. You just keep working, whiners need not apply. HOWEVER.

I was trained in how to deal with all of the above, and I was given the tools to do my job properly and safely. My supervisors took my safety seriously. I was trained to recognize the symptoms/signs of danger in the situations I faced and encouraged – required even – to take appropriate action to minimize the dangers to myself and my crew.

This is not the case when it comes to Ebola. Hospitals aren’t capable of handling this, just ask any nurse or doctor in a facility near you – off the record, of course. There is no training and no real plans for training. No facility is going to waste the money to purchase the gear and then waste a lot of it in training staff how to safely don and doff it, unlike the training offered to me in HazMat, fire fighting, and EMS training. It’s just not going to happen.

You want people to not be afraid? Then they need to be trained to recognize early symptoms, to be ready to err on the side of safety, and to be aggressive about taking defensive actions. Nurses in particular are held up as these Florence Nightingales with lanterns sacrificing their lives in service to unwashed humanity (even the male nurses among us).

Do you really think, when health care has become a multimillion dollar business, that image is going to be the reality? When what the WHO and the CDC say about transmissibility differs in not insignificant and potentially deadly ways? When Sanjay Gupta can’t doff protective gear without contaminating himself on live TV?

My husband also works in the health care field and had a conversation with a doctor about Ebola. The doctor said straight up that if it became an epidemic he wasn’t going to be bothering to come to work, he was going to be home caring for the safety and health of his family where he belonged. That’s the reality. It’s not pretty, it’s not what the public wants to hear, but reality is a harsh mistress.

I’m not afraid, at least not blindly so. I think one must take precautions, and protect oneself, and be able to assess risk. I have a lot more chance of getting a Norwalk type virus than I do of getting Ebola, thankfully, because one involves 3 days of wishing I were dead and one involves the likely possibility I will in fact die. It’s all in assessing risk.

This whole idea that nurses are, and should be, held to a “higher standard” than the likes of the rest of the great unwashed humanity…?  Bunk.  We’re people just like the rest of you.  Nurses are obese, smokers, diabetics, drug abusers, alcoholics, codependent, crazy, in possibly much greater numbers than the rest of the population as a whole.  As I said in my original comment, I have a license and a calling, not a death wish.

Enough said.

Wool has to be soft…?


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This is hand spun, hand dyed wool from local sheep. It’s reasonably soft, being a Jacob/Merino mix, but not the softest thing I’ve ever felt by a long shot. Who cares, right?

Well, this yarn is for sale on consignment at a local yarn shop. When I was last in there, several women were feeling it and commenting that it wasn’t very soft. Then they asked me why the alpaca yarn was so much softer. I never got the chance to answer, because then they realized it *was* alpaca.

Now, I’m not a fan of really scratchy wool. I don’t know anyone who is, except perhaps people who weave carpets. But because I buy raw fleece from a variety of breeds, and process it myself or send it to my friend Rita at Arizona Fiber Mill, it is not processed by using chemicals to burn the vegetable matter out of the fleece. This preserves the inherent softness. It gets plain old soap and really hot water, just as it’s basically been done for hundreds – thousands – of years. Though to be fair in some regions urine was boiled to wash the wool. Urine actually is a pretty powerful antimicrobial cleaner, believe it or not. The active ingredient is ammonia.

But back to the title of the post.

As a hand spinner, I spend a lot of time with fiber. I want my finished product to be beautiful, functional, and above all durable. There are many types of sheep who produce many types of wool. ALL of these sheep were developed for specific purposes. And until recently, those purposes had to include not only meat, but fiber as well.

Want a durable carpet? Don’t use merino wool! Use the outer coat of an Icelandic, or Lincoln, or a primitive fat tailed sheep variety such as is found in carpet producing regions like Pakistan or Turkey, or Iran.

Want great long lasting socks that stay up? Again, don’t use merino! Use Dorset down, which in my opinion is far and away the springiest and most resilient wool and excellent for socks.

Want a blanket or a jacket? Use Cotswold. Spun worsted, it makes the ideal weaving yarn.

Want a really soft yarn for a scarf or a hat? OK, now use merino. But be aware that it probably won’t last for years and years, not if it’s spun to current standards. Industrially spun yarns are not very tightly spun nor plied. It give a softer hand to the yarn, but it will pill and make your hard work look quite bad in not a very long time. It’s even worse in a sweater unless it’s spun with something like silk.

I’m not anti-merino. It’s a wonderful type of crimpy fleece that is pleasurable to spin. BUT. Because I can spin my own, I choose to spin a slightly ‘harder’ yarn with more twist than you will see in commercial yarns. This is because I want my yarn to pill less and last longer in good condition.

The above Jacob/merino cross is a perfect example of what people don’t understand about wool yarn now days, because our mass produced industrial society encourages overconsumption and throw away items. This apparently includes hand knit items, because the only thing most knitters I know who don’t spin look for is “soft wool.” OOH, it’s so soft!! When I hear how soft a yarn is I automatically picture the product pilling and being discarded after a year or two. This yarn pictured is actually pretty reasonably soft, because the wool itself is medium soft and because it’s spun to preserve a reasonable portion of the ‘soft’ factor.

ETA: after I re-read the above paragraph this morning I realized I should include how it’s spun to clear up the apparent discrepancy between saying I spin a ‘harder’ yarn and spinning to preserve its softness. I spun this particular yarn in a semi-woolen manner. Meaning, I spun it using a modified long draw (picture my arm drawing way back like I’m going to pitch a ball, only I have wool in my hand and a twisted single going into the spinning wheel as I draw back. When I bring my arm forward, that single gets taken up onto the bobbin). This is what gives the fluffy and soft aspect of the yarn. I spin from carded pin drafted roving when I do this which gives the semi-part of the semi-woolen. It’s not quite full worsted (firm and durable) and not quite true woolen (really fluffy and soft, not durable at all). As I said, my yarns have more twist in the singles to start with than a lot of commercial yarns do, so even my softer stuff will hold up better than an equivalent commercial yarn.

In older times, people weren’t so concerned about “soft” because they knew they were sacrificing durability for softness. If they put a wool item on as a warm layer, they usually had something like linen underneath. No one had time to reknit something just because they wanted another one. Things got worn until they were past mending any more. As a hand spinner, my outlook is much more closely aligned with my ancestors’ than with current standards. I want soft, yes. But in small quantities for specific uses. Otherwise, I want durability over soft.

It takes me about a week to wash and comb enough fleece to begin spinning yarn for socks. I make a 3 ply yarn when I make sock yarn, so I spin up 3 four ounce bobbins worth of singles. Then I ply them all together to make my 3 ply yarn. I lose a bit in length by doing a 3 ply because they are circling around themselves in a larger diameter than in a 2 ply, but I also get much better resistance to wear by doing so. A round yarn wears better than a flat one. You want this for socks. It takes me approximately 5 hours to spin 4 ounces of singles at the thin diameter appropriate for making a nice thin sock yarn. Before I’ve even begun to ply I’m already at 15 hours of time at the spinning wheel. Plying takes another 3-4 hours. Then I have to wash it and set the twist.

If I’m going to dye it now is the time, which takes another day for dyeing and drying. I’m now approximately 40 hours into these socks, and I haven’t even begun knitting yet!

I can knit a regular crew length sock in approximately 5 hours. So it takes me 10 hours to knit a pair for myself. 50 hours worth of work is a lot of time to invest in an item! From my 12 ounces I can knit 3 pairs of socks for myself, 2 pairs for a man, or 1 pair of kilt hose. And this is why I won’t use merino for hand spun socks. Not only does it tend to pill, but it felts VERY easily. Which is something you do NOT want in a pair of socks, because felting shrinks them too. Dorset doesn’t felt very well in my experience, at least when it’s spun true worsted (all the fibers aligned in the long ways direction).

It’s a similar process for a sweater. The average sweater requires a pound of wool. And for a woman, approximately 1200 yards of yarn. That’s only if it’s color work or plain knit. If you are doing a lot of cables like an Aran sweater, you need closer to 3 pounds of wool, and 1600 yards of yarn. Regardless of what you may have read about Aran sweaters being a traditional garment, the plain fact is that they weren’t in common use until well after the industrial revolution and most women were no longer spinning their own yarn. No one is going to invest that much time into spinning the yarn for that kind of sweater when they are knitting for their entire family.

So soft…? Only sometimes. Mostly I prefer to sacrifice a little softness in favor of durability. But then, I’m a very practical person. What about you?

NEJM editor: “No longer possible to believe much of clinical research published”


thetinfoilhatsociety:

The former editor of the New England Journal of Medicine even says medical studies cannot be trusted. This is BIG NEWS that is being completely glossed over. A Story of Corruption

Originally posted on The Ethical Nag:

NEJM posterHarvard Medical School’s Dr. Marcia Angellis the author of The Truth About the Drug Companies: How They Deceive Us and What to Do About It. But more to the point, she’s also the former Editor-in-Chief at the New England Journal of Medicine, arguably one of the most respected medical journals on earth. But after reading her article in the New York Review of Books called Drug Companies & Doctors: A Story of Corruption, one wonders if any medical journal on earth is worth anybody’s respect anymore.

“It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of The New England Journal of Medicine.”

Dr. Angell cites the case of Dr. Joseph…

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Erased by a Birth Certificate


thetinfoilhatsociety:

Cogent points. I should point out that I’m not anti-vax. I AM common sense vax. Diptheria – good vaccine. Polio – good vaccine. Flu vaccine for children – why? Varicella vaccine – why? My mother asked me not to vaccinate my children with MMR until they were ready for school. I did as she asked. She said there was suspicion that it could cause autism especially in boys. So there was suspicion even in the 80’s. I wasn’t able to download the study done by Dr. Hooker but I DID copy and paste the entire text including tables and references into a Word document.

Originally posted on Gianelloni Family:

In light of the recent events surrounding the CDC whistleblower.
Guest post by Bobby Dee
________________

Have you seen the headlines screaming about the CDC vaccine researcher leaking documents that show the CDC knew in 2002 that the MMR vaccine was causing autism 3.36 times more often in African American toddlers who received it prior to the age of 3?

Yeah, me neither.  Welcome to the media black-out.

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In the event you need to be brought up to speed on the fraud perpetrated by the CDC on the American people for the past decade, start here, here, here and here.  Here’s the speedy version:

Dr. Bill Thomspon co-authored the CDC study of school children in Atlanta that investigated whether the age at which children were vaccinated with the MMR correlated with an autism diagnosis.  The answer, for black children at least, was a resounding…

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The failure of healthcare hits close to home


thetinfoilhatsociety:

I wrote this in 2010; it’s worth re-reading and I have more to add.
1. I recently heard of a pain management center that is refusing ACA (Obamacare) insurance plans. Reason: they pay so little as to be not worth dealing with.

2. More and more Medicare patients are simply paying cash to see their doctor. My FIL is one of those. He pays over $200 every time he goes to see his pulmonologist, AND the staff also bill his Medicare plans.

3. Medications are becoming ever more expensive and out of reach: the cost for Advair and Spiriva, a combination of drugs that keep the advance of COPD under control, approaches $450 per month. One must be solidly middle class with a hefty savings account to continue to afford medications in one’s retirement.

Originally posted on The Tin Foil Hat Society:

Several months ago I linked to an article in one of my state’s newspapers which outlined the difficulty retirees and people on Medicare are having getting doctors to accept Medicare assignments; patients are traveling as many as 100 miles to go to the doctor down in Phoenix because they can’t get seen by a doctor locally.

Well, there’s of course more to that story.  Realistically, none of those doctors has violated any law; they have simply begun telling patients that they will be happy to continue to see them — if they pay up front and deal with getting reimbursed from Medicare themselves.  Which of course patients are NOT willing to do.  I really think most people think Medicare is free  for them and that somehow mentally translates into meaning that the care is given for free.  Which of course is not true; health care is one of the biggest…

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The perversion of pain.


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In the late 80’s some brilliant (sarcasm in use here people) doctor, who I assume later took a position with one of the companies who manufacture hard core narcotic pain medications, or at least was paid a significant ‘renumeration’ by them, decided that “pain is whatever the patient SAYS it is” and if patients were in pain, then medical and nursing staff were not doing their jobs properly.  This, regardless of whether the patient got better, or even had a medical problem that necessitated pain medication.

Once upon a time, drugs like oxycontin were reserved for patients who were dying of cancer, or in some other profound end-of-life type of pain.  Never used for maintenance.

And now, 30 years later, we have a positive epidemic of patients who are in chronic pain – it even has official diagnosis codes:  338.2 – chronic pain (can’t get paid for diagnosing this one though), 338.4   – chronic pain Syndrome ( whoo baby you can get paid for this one!), 338.29 – other chronic pain (you can get paid for this one too).  Whenever medical ‘science’ (I use this term loosely because a lot of the science is based on getting paid by someone for something) defines a syndrome, what that actually means is a cluster of symptoms that usually go together.  They are NOT a disease.  They are just a bunch of symptoms that go together.

A good example of a syndrome that can be covered under “other chronic pain” or “chronic pain syndrome” is fibromyalgia.  This is a syndrome, not a disease. It probably has an ICD 9 code of its own, but I don’t plan to ever diagnose this so I don’t have any interest in learning it.  Fibromyalgia means literally pain in fibers – muscle fibers.  People who have fibromyalgia are usually (but not always) overweight, sedentary, eat a lot of simple carbohydrates, watch a lot of TV, are depressed, don’t get out much, and don’t sleep well though they usually spend a lot of day time napping and feel fatigued most of the time.  Because of their fatigue and depression, they often feel mentally cloudy.  They hurt all over, even when there is no obvious medical pathology. This is the cluster of symptoms.  The treatment consists of:  1.  Education on what the problem(s) are and why they are affecting the patient.  2.  NSAIDs – ibuprofen, naproxen, toradol.   3.  Exercise – the muscles hurt because the human body was designed to MOVE and if you don’t move, they not only waste away, they hurt while doing so.  4.  A combination drug that both helps with pain and depression such as Cymbalta or Lyrica.  5.  Cognitive Behavior Therapy – you have to come to grips with why you are doing this to yourself in order to make changes to how you avoid or do things.  CBT can be very helpful with this.  It has nothing to do with your childhood or that sort of therapy.  It’s purely to help you change your responses to situations in order to help you take control of your own life.  Note that I didn’t include narcotics AT ALL.  Yet I see people all the time whose only diagnosis is fibromyalgia and they are on MASSIVE quantities of oxycontin, oxycodone, or even morphine pills which they take multiple times a day.  Why?  It does absolutely nothing to help the patient, and isn’t even recommended as an effective treatment.  So why are so many patients prescribed narcotics for this?

The place where I am doing clinicals has a lot of patients who come there for nothing but narcotics, because the provider will prescribe for them.  Many if not most of them have been discharged from one or multiple pain management centers for non-compliance:  they also smoked pot, or they have alcohol in their system while taking narcotics, or they don’t have any narcotics in their system at all – every pain management patient gets urine drug screens every time they go in for an appointment to get their drugs.  Why you would be STUPID enough to smoke pot right before going to get your drugs I don’t know.  I guess you can’t cure stupid.  Why you would drink while taking sedatives I also don’t know.  Perhaps in addition to being stupid you have a death wish.  Can’t cure that either.  And those that sell their narcotics while pretending to have a chronic pain problem deserve to go to jail.  Have fun there.  And good luck with getting narcotics while in there even if you DO happen to need them for a legitimate reason like a tooth extraction.

A patient came in recently who originally complained of low back pain.  Yet when the tests were done in the office to assess his pain, they were negative.  The patient did not realize these tests were to assess low back pain, I should point out.  Otherwise they would have been ragingly positive.  And in fact were ragingly positive when repeated on him while telling him they were to assess his pain.  He was unable to get disability for his ‘chronic back pain’…wonder why??  This patient now complains of headaches.  He was told there was in fact something that showed up on the MRI he was sent for.  He states he doesn’t want to see a neurologist for this though, because he’s trying to get disability and if the neurologist can fix it he can’t get disability.  That seems to be the mentality of the average pain patient we see.  Malingerer.  If this guy spent as much time working as he did trying to get disability he would probably be solidly middle class, instead of ‘working’ poor.

Another patient came in with slurred speech and the inability to complete a sentence – she would flit from thought to thought without ever completing an entire thought through to the end point.  She said she didn’t want to go back to the pain management center she had been going to.  She was in the office to get Valium, a sedative.  She said she had gotten a month’s supply of oxycontin, oxycodone, and morphine from the pain management center and didn’t need any of those.  As it turns out, she had been discharged from not one, but SIX pain management places.  For having alcohol in her urine.  And for consistently running out of her pain medications well before the time for renewal.  Unbelievably, the doctor actually gave her a prescription for a  60 day supply of Valium.

Third patient:  came into the office complaining of low back pain, a ‘chronic’ problem.  Got a prescription for 30 days worth of Percocet with 2 refills.  Her room mate called the office later that day to say that he just wanted the office staff to know that she sold the entire bottle to a drug dealer named Don as soon as she got home.

These are entirely typical.  I am very frustrated and I refuse to bother doing any more assessments on these people because I don’t learn anything and I have no patience for these sorts of ‘patients.’

I hurt my back when I was still fighting fire.  At my original emergency room visit, I was asked if I wanted narcotics and I refused.  I did ask for a muscle relaxant that wouldn’t make me sleepy so I could function at work and at home.  The xray didn’t show anything (which it wouldn’t if it was a herniated disc).  And, while I have had some level of pain nearly every day since then yoga keeps it under control.  That injury though, and the pain it brought with it, was the impetus to change careers.  I was entirely too young to become an invalid, and it scared me to think of becoming one.  I have never pursued further testing because even if I did have a herniated disc I would not consider surgery.   I cannot imagine being unable to walk when I want, to run, to stretch, to garden.  I also have a torn rotator cuff, suffered while working as a firefighter.  That actually causes me more pain on a regular basis than my back, and eventually I WILL have to have surgery, but until then I continue to do strengthening exercises and keep it as mobile as possible.  I cannot IMAGINE living my life under the cloud of narcotics and being in the twilight of consciousness every day of my life.  What a horrible way to live.  I think the fact that I’ve suffered injuries that caused permanent pain in myself makes me even less sympathetic to those who come in wanting, not physical therapy, not surgery, but disability and a lifetime of narcotics.  As my parents used to tell me, if you’re not puking or dying you get up and go to work/school.   I would add to that list also if you don’t have explosive diarrhea.  Everybody hurts.  Deal with it and move on.

The largest group of users of narcotic prescriptions, if I remember correctly, are Medicaid patients.  Meaning they don’t pay, we the taxpayers do.  If even a small portion of the people who receive disability are anything like those I have seen in the ER when I was working there, or in clinicals, we could probably halve the national debt simply by kicking them off and making them work.  Maybe being a brick layer isn’t a good career choice for them, but surely they could answer phones, or sit at a cashier stand, or walk dogs or something.  Once again, it comes down to ‘sick care’ versus health care.  And lining the pockets of the pharmaceutical companies instead of investing in the real health of our population.  Of course, we have no economy to speak of anymore, so I guess disability takes the place of unemployment.  The irony is that those with real issues, with real medical problems, get overlooked because the system is overwhelmed with those who don’t pay for their access and so use a lot more of it.

++++++++++++

Pain tells us we are alive.  Pain tells us something is wrong which we need to address.  Using narcotics to mask pain, unless it’s for an end of life issue, prevents us from making changes to improve our lives.  Why would you want to do that?