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Part I of IV
02/27/12
To my most very, very dearest friends, and ever-constant, loyal readers,<Please know that your "wellness is always very much on my mind, and I would rather you feel good, than feel horrible; and while I know that, for many of us, our conditions are chronic, established, and often treated off-handedly by our so-called, concerned Providers, many of you ( myself included) have often complained that our disease-process intervention is often both ineffective, and dies not-in fact-attend to the lasting effects of our illnesses, I would very much like to share with you a topic fond to my heart.
In doing so-as illustration-I shall be using one of my neighbors, ‘Grace'* ( not her real name), who-at seventy-nine years old-- is too often quite careless in the matter of her ( or her eighty-three year old husband's ) health care; and, occasionally, quite dangerously so.
And it is this which I would wish to address to you, today, in hopes you will avoid the same mistakes.
I have since lost count of the number of times that Grace has come over to the house, with some actually startling complaints and conditions that should have had immediate attention.
1) She was the one who had lined up her pill bottles on the pass-through, from her kitchen to her dining room, and who would take them one at a time, picking up each bottle in turn, taking a pill, swallowing it, setting the bottle down, and moving to the next bottle of medicine to take.
And while I do not know the exact number of prescriptions that she had, any slight interruption, caused her to miss sequence, so that she could not remember whether she might have missed a pill or not.
I gave her a twenty-eight (or four times a day, for seven days ), plastic pill case she could load up a week's worth of medication at a time. I told her to go slowly, with NO interruptions, to lessen the likelihood that she would miss a medication; and an ‘old trick', to turn her pill bottles either upside down, or right side up, upon filling up a week's medications, so that should she be distracted, she would still know where in her bottle line-up she was. Further, that in in thus handling her medications, she would better know when it might be time to refill them.
In doing so-as illustration-I shall be using one of my neighbors, ‘Grace'* ( not her real name), who-at seventy-nine years old-- is too often quite careless in the matter of her ( or her eighty-three year old husband's ) health care; and, occasionally, quite dangerously so.
And it is this which I would wish to address to you, today, in hopes you will avoid the same mistakes.
I have since lost count of the number of times that Grace has come over to the house, with some actually startling complaints and conditions that should have had immediate attention.
1) She was the one who had lined up her pill bottles on the pass-through, from her kitchen to her dining room, and who would take them one at a time, picking up each bottle in turn, taking a pill, swallowing it, setting the bottle down, and moving to the next bottle of medicine to take.
And while I do not know the exact number of prescriptions that she had, any slight interruption, caused her to miss sequence, so that she could not remember whether she might have missed a pill or not.
I gave her a twenty-eight (or four times a day, for seven days ), plastic pill case she could load up a week's worth of medication at a time. I told her to go slowly, with NO interruptions, to lessen the likelihood that she would miss a medication; and an ‘old trick', to turn her pill bottles either upside down, or right side up, upon filling up a week's medications, so that should she be distracted, she would still know where in her bottle line-up she was. Further, that in in thus handling her medications, she would better know when it might be time to refill them.
2) She once came to the house, complaining of severe, upper leg pain, and mentioned that she had a cyst with an apparent ‘core', that had grown so much ( raised and swollen almost six inches higher than on her other leg ), that it actually upset her being able to sit upright. Just the mere stretching out of the skin caused pain; my advice to her was to have her husband take her to the Emergency room, to have it lanced, and the infection drained, as-by now-it had progressed beyond out-patient treatment at her Primary's.
And when finally she did go to the hospital, where the cyst was lanced, the built-up pressure caused the site to literally explode, and the gurney she was in, as well as the cubicle she had been placed in looked like a major crime scene, as you may well-imagine.
By now, there had been established a demonstrable infection, with lots of subsequent draining, which her husband had to clean, and dress, applying antibacterial ointment, as she, herself, took antibiotics; and since the area of infection and selling was very close to her rectum, great care had to be taken so that she would not inadvertently soil the bandaged area. And since it had been allowed to go untreated for such a long time, treatment, and healing took even more time.
3) I also discovered-quite by accident-that neither Grace nor her husband knew how to properly read a glass thermometer. For them, I recommended they purchase a small, digital, battery-run, thermometer, for its ease of use, and accuracy.
4) Usually, both of them would wait until their normal visiting day to their Primary, often presenting her with a specific complaint ( in addition to their regular medical issues ); the Primary would then whip up a diagnoses, out-of-the-clouds, prescribing medications that Grace could not remember what they were for, could not pronounce them, and knew nothing of their potential side-effects.
And this phenomenon is more common than one might think.
And when finally she did go to the hospital, where the cyst was lanced, the built-up pressure caused the site to literally explode, and the gurney she was in, as well as the cubicle she had been placed in looked like a major crime scene, as you may well-imagine.
By now, there had been established a demonstrable infection, with lots of subsequent draining, which her husband had to clean, and dress, applying antibacterial ointment, as she, herself, took antibiotics; and since the area of infection and selling was very close to her rectum, great care had to be taken so that she would not inadvertently soil the bandaged area. And since it had been allowed to go untreated for such a long time, treatment, and healing took even more time.
3) I also discovered-quite by accident-that neither Grace nor her husband knew how to properly read a glass thermometer. For them, I recommended they purchase a small, digital, battery-run, thermometer, for its ease of use, and accuracy.
4) Usually, both of them would wait until their normal visiting day to their Primary, often presenting her with a specific complaint ( in addition to their regular medical issues ); the Primary would then whip up a diagnoses, out-of-the-clouds, prescribing medications that Grace could not remember what they were for, could not pronounce them, and knew nothing of their potential side-effects.
And this phenomenon is more common than one might think.
This is but an excellent example of ‘Reactive' health-care on the part of the patient; it is a most dangerous posture to adopt, yet, how many of us are guilty of the same things?
End of Part I of IV; Part II of IV To Follow.
As always
I love you dearly,
'Zahc/Charles