Meet The Firewall [David’s blog on saturday morning smack-dab]

I’ve decided that I am stuck in the past. I used to call my doctor when I needed immediate doctoring, when I had the flu or, like this week, a suspicious bug bite that slowly started to take over my body. I admit to being a slow-study. It’s taken more than a few experiences to learn that when I need some medical attention from my “primary care physician” I will always – always – be met with a firewall called “the next available appointment”. Sometime in 2027.

A relevant side note: please keep in mind Master Marsh’s wise insight: “Customer service is a firewall against serving the customer.” I’ve discovered the same might be said of doctoring in these un-United States. My relationship with my primary care physician is, in fact, a firewall against primary care.

I’ve finally learned my lesson. As a first step, from this day forward, I will always go to urgent care. Or, I will join the legion of people clogging the arteries of the ER for non-emergency but very costly services. But I will never-ever call my doctor. I’ve learned at last that PCP stands for Periodic Care Physician.

In truth, I feel badly for my PCP. During my last visit for an annual physical he raced in and out with his rolling computer cart to maximize the seven minutes he was allowed to spend with me before he rolled on to his next seven minute patient encounter. He was moving so fast that he “mis-coded” my annual physical as a “welcome visit” so, apparently, in his mind, we sipped scotch and took a tour of the property. Sad. He barely had time to listen to my heart and has no time to listen to his own heart. I’m certain he went to medical school to help people but has found himself doing factory work and we-the-patients are his assembly-line-widgets.

I doubt that this was the career he imagined. It’s an unimaginable system that is designed for excessive billing and, therefore, is fantastically profitable – our healthcare system costs seven times more than any other developed nation – but has little or nothing to do with health or with care.

(Hey. Wait a minute! A spider bite was how Spiderman got started! I’ll keep you posted if I find that I am suddenly able to scale walls or swing through the city from self-generated webbing).

read Kerri’s blogpost about HEALTHCARE

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5 Responses

  1. David-David-David. What the hell? Eh, it is not you to blame for wanting to be Spiderman. It is the wonderful For-Profit piracy of American capitalism in all facets of our lives – especially in the healthcare industry. And what an industry! I should have graduated from the Wharton School of Business many years ago. I’d have been an oligarch right now. However, we do wish you the very best with this latest crisis! Please let keep us informed, Spidey! -cris

    • I’m so glad you missed your opportunity to become an oligarch! You have lived a life with heart and an oligarch path would have robbed you of the greater life. As for me, I fear my aging body will not show well in a tight Spidey-suit. I may swing with ease from buildings but I will almost certainly make the gorge rise in the startled masses. Ah, well. Thank you for your good wishes! Spidey xoxo

  2. Hi David I just want to suggest the possibility that your bug bite is actually a tick bite. If you have something that looks like a rash and is getting bigger it may very well be **** **** Ha ha I just said a tick and it filled in those asterisks. If you should develop symptoms like headache exhaustion fever Then I would go immediately to urgent care and have them prescribe antibiotics.

    Lydia

    • Thank you, Lydia! I so appreciate that you are out there in this world looking out for me. Truly. Lyme is/was my concern as well since I already carry it (sickest I have ever been) and why I was so put-off when my PCP told me, “I should have someone look at it”. We went to urgent care and, since Lyme is already in my blood, I have to wait-and-see if other symptoms arise. The good news is that all swelling is gone and the acre of red-patch is also disappearing. I hope no symptoms arise and it remains a fading mystery.

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