Friday, November 8, 2013

Part 2: Is it Really Heathcare if it Makes you Stressed?




This will not be a rant on Obama-Care, I promise.
 
Many of you know my husband, Rod, had a heart attack in July.  He was up in Illinois visiting me while I did my summer swing of art and craft shows in the Midwest.  He flew into the Milwaukee airport on the Fourth of July in the evening...which was kind of fun being able to see all the various firework displays along Lake Michigan.   On Monday morning, July 8th, he was sitting down to breakfast and he gave me a funny look.  I thought he was mad about the dog bed at the foot of the table that he had to step over.  But, that didn't turn out to be the case.

Once he was sitting, he said something about not feeling good.  He decided to get up and go lay down on the couch.  My Mom, who is a retired RN, turned and looked at him and asked how he was.  She almost immediately picked up the phone and started dialing 9-1-1 with me protesting the whole time.  I could take him to the ER if he didn't feel well.  Then I got up from the table and went to look at him. 

He was white as a sheet.  And, Rod living in Florida and working outside is usually nice and tan.  He had beads of sweat on his face.  And as I scanned his body, he had sweat ALL OVER!  He said he felt indigestion and with a bit of nausea.  Rod asked for an aspirin and I tried to find some in a house full of ibruprofen.  About this time, we heard sirens and somebody was walking up the front sidewalk to the door.  I thought he was maybe the Fire Chief...turns out he was a Sheriff.  A few seconds later, three ambulances were out at the curb!

So, the first crew in started working on him, getting him to sit up.  They needed a towel to dry him off to put the electrodes on him.  They announced after a minute he was "having a heart attack" which I didn't think was the best thing.  Rod, age 59, was so shocked I think it gave him another heart attack!!  About that time the other crews had calls to go to and the room cleared out.  They had him on a gurney and Rod was on the way to the hospital where my Mom had done her nurses training.

So, I grabbed my purse, laptop, our phones and Rod's Kindle.  Mom drove with me to the hospital which was good as she could tell me why the ambulance was just sitting outside and not moving.  I thought that something had gone wrong, she explained they were stabilizing him, putting in IV's and administering medications.  Somehow, even though we left first, they were already there and on the way to the Catherization Lab when we got there.  All this within an hour of our call to 9-1-1!!!

By 10:15 we were notified they had put in a stent to correct a 100% blockage of his left circumflex artery. 
By 10:30 we were sitting with the Cardiologist viewing the procedure on a computer monitor.  By noon we were in a room in the Cardiac ICU.  Whew.  Think zero to 60 in three seconds!  Rod went from having taking a baby aspirin and some vitamins to taking a full strength aspirin, a blood thinner, a beta blocker, an ACE inhibitor and a statin for cholestrol all within a couple hour period. 

The next four days were a blur of dealing with doctors, employers, insurance companies, nurses, physical therapist and luckily a few family members and friends' smiling faces.  The education started right away with nurses lecturing us on medications, diet and exercise.  The physical therapist got us booked for a cardiac rehabilitation program.  Rod's bosses at Disney were there to help with whatever we needed...mainly arranging for Rod to be with us in Illinois--not home alone in Orlando--while he recovered.  Luckily the room was comfy as it had plenty of room for me to stretch out and outlets for the computer.

And then there was the insurance company who worked quickly to get him "guested" on the hospital's medical system so we wouldn't have to pay for out-of-network charges for everything.  But, then they said he would have to find a primary care physician to "refer him to a cardiologist"??!  Well, why?  He was already being treated for a heart attack!    

After Rod was released, he came back to my parent's house where he started his recovery.  After a couple weeks he started a walking program and he started the monitored workouts at the rehab center three times a week.  We met with stress management counselors, dieticians, and pharmacists all to get a handle on what was going on.  But surprisingly, no one could believe Rod went from having normal cholestrol and blood pressure numbers to a heart attack.  We certainly couldn't believe it!

In September we returned to Orlando after my shows were all done.  We met with our new Florida Cardiologist a few days later.  I like him then, Rod didn't.  When the doc asked about alcohol usage, we said he was drinking two beers a day--the top limit that all the medical professionals in Rockford advised.  The new doctor, said alcohol was toxic to the heart and that he would give him three weeks to stop drinking completely.  Rod of course went home and stopped drinking that day!  But this new doctor was also concerned that Rod was still having symptoms. 

So, another catherization was scheduled a couple days later.  The procedure was done by one of the new doc's colleagues.  It went well--no new blockages needed stenting.  BUT, all of the blockages had worsened from 20-30% blocked to 40-50% blocked and there was a new 70% blockage of the distal artery.  WHAT?!!?  How is that possible? 

So, we spent the next week trying to get answers out of the new doctor.  He believed the situation was non-emergent.  WE WANTED ANSWERS!  So we asked him or his colleague to look at both procedures and ascertain if the blockages were indeed worse.  Guess what, they wouldn't until an appointment 30 days later.  Needless to say, those guys are no longer our doctors!

Our new and hopefully last Cardiologist is a young, good looking doctor at the other big practice in town.  He is great.  He answers questions thoughtfully.  When we asked about taking supplements and additional vitamins, he said if Rod was eating a good diet, they weren't necessary.  But then he thought a second and added that if it were him and he had Rod's family history, he would probably be taking everything that might possibly help!

So our big concern was the worsening blockages.  And yes, they were worse.  But how that happened when Rod has been very compliant with his medication, his diet and his exercise we don't know.   We also don't know why he is still having minor symptoms.  But we do know we have a doctor who is on top of things.  He has an echocardiogram scheduled for this month.  He changed up his medications and put him on something for his stomach in case the indigestion feeling was from a non-heart related problem.  He told us that the normal cholestrol recommendations are not appropriate for someone like him--his Dad had a quadruple bypass at age 62.  (But he lived a very strict lifestyle after that and just passed away at age 94)

But, is the bigger question how he had the heart attack in the first place?  His blood pressure never reached the 120/80 level...Rod's was always more in the 100/65 range.  His cholestrol has never been high with all components in the normal or better ranges.  His heart rate is about 60-65 normally.  So, the doctor said he wants Rod's bad cholestrol or LDL level at 70 or below.  If we had been shooting for this level instead of the normal range, could we have avoided the heart attack altogether?  Or does worrying about any of this matter?  Are we creating more stress on top of things??  And really shouldn't I be the one really worrying about my numbers anyway since I am at the top of the normal range.  Good Lord, why can't I stick to a diet?     


Thursday, November 7, 2013

Green Smoothies for Breakfast!


OK, don't laugh at the green smoothie in the beer glass!  It's a miracle, but, I am feeling like getting back to this blog.  I have lots to talk about...but not enough time to put my thoughts into a somewhat coherant form.  So, what brings me back today? 

I am feeling great.  I got all my soap orders packed up and shipped.  I got a couple applications in the mail for the Winter and Spring art and craft shows.  (What's up with the constant price increase, Deerfield Beach???)  And I have my Green Monster Smoothie in hand!  What could be better?

So, what is the Green Monster?  It is my answer to getting more vegetables in my diet early in the day!  Here's the recipe if you want to try. 

Jackie's Green Monster Smoothie
3 cups loose chopped kale
1 c green tea brewed and cooled
1 portion protein (powder, egg, black beans...your choice)
2T apple cider vinegar with mother
1T ground flax seed
1 apple cored
3 large mint leaves
1/2 lemon, juiced
4 shakes cinnamon powder
4 shakes cayenne powder
Ice Cubes--3-5 depending on size
Sweeten if needed--this varies.  I use it some days, some days not. Use sugar, agave, sweetner as per your choice.

Put all contents in blender container.  Pulse to chop up big bits.  Then liquify adding more green tea as needed.  Drink up!  It makes alot, but, drink it all.


Monday, April 22, 2013

A Tribute to an Original Recycler




This was side #1 of Big Rod's Garage.  In a day and a half we pulled out 3,800 pounds of scrap metal and about 7 cans of garbage.  Some of the garbage I did the first half day while I was alone--and I learned over the next day and a half working with my friend Eve that much of it wasn't garbage at all but things that Rod had saved to make or repair something.  Big Rod was definitely a child of the Depression--he saved EVERYTHING.

So, what is left is what the American Picker's guys would call Rusty Gold!  Here is a smattering of what has value...to someone!























Wednesday, March 20, 2013

Winter Park Boat Tour, February 2013

Dad, Mr. Johnson and Mom wait to board

Jackie and Rod

Our neighbor and friend of my parents, Mr. Johnson


Home with sculpture garden

One of the Canals between the lakes




Nice spot for a wedding at a Maitland park


If you ever have an hour to spare and feel like taking an outing in Winter Park, check out the Winter Park Boat Tour located at the east end of Morse Blvd.  You can probably find parking right there or park up on Park Avenue and walk down.  We went on a weekday about 2 p.m. and they had four boats going to get everyone who was waiting a chance to see three lakes in the Winter Park Chain of Lakes.  

It was a gorgeous day and what fun it was to see these stunning homes from the lake side of things.  When we were rounding the shore near Rollins College we saw a group of students sunning out on a pier.  Boy what a nice place to go to school if you have about $30,000 per semester to spare. 

Tuesday, March 19, 2013

Embrace those Wrinkles!

Jackie today at age 50

Jackie aged to 107!  Eek!!

OK, this will make you smile--adding to the likelihood of more of those "smile lines".  I was reading a magazine--when I saw this Merrill Lynch "Face Retirement" link.  Here it is if you are brave enough:   http://faceretirement.merrilledge.com/

My age progression showed me from age 67, my new full retirement age, through age 107.  Yes, that is the scary picture at the bottom.  Actually the top one is kinda scary too!  LOL  They tell you to do it with a straight face, but, honestly if you are lucky enough to make it to 107, you better be smiling.  Just get rid of all the mirrors and embrace those wrinkles!

In the same vein, I also spent an hour nosing around the Social Security Administration's new online site:   www.socialsecurity.gov/mystatement.  You know how we used to receive the statements detailing what our benefits would look like at retirement.  Funny how at 50 that information is so much more relevant than it was at age 25!  Anyway, I got online to check out my statement to make sure all those soap profits are being counted.  Then I got Rod signed up too so we could compare how much we would get if one of us kills the other.  (That may be happening soon if he continues to bug me about "4 more years of Obama!)  If I keep working until I am 70 I may be able to survive without having to resort to canned cat food.

Thursday, January 17, 2013

Fat Reading List: Part 1



I needed to start off my New Year's resolution to lose weight so I turned to my library's audiobooks and came up with Jen Lancaster's book:   Such a Pretty Fat:  One Narcissist's Quest to Discover If Her Life Makes Her Ass Look Big; Or, Why Pie Is Not the Answer.  I have loved Jen's writing style since reading "Bitter is the New Black"  (book) and "If you Were Here" (audio). 

In Pretty Fat, she is funny, says what she thinks and honestly, anyone who is fighting the fat bug is o.k. in my mind. It was sobering however when  she realizes, "Even when I lose 50 pounds, I will still be fat...SHIT!"  So, I love her because we are the same.  Well, I am not a narcissist....you certainly wouldn't have found me in a sorority in college...and none of my t-shirts are designer!  Jen won't be judged by the digits on a scale and neither will I.  LOL



Another book I listened to was Skinny Bitch, by Rory Freedman and Kim Barnouin.  I don't know what I expected (perhaps a bit more laughter and a lot less slaughter house slams) but it did make a point--DO NOT EAT CRAP and while less emphatic but just as important:   do not eat ANYTHING with a face.  It backed it all up with science but the slaughter house visuals just ruined it all for me.  I am a farm girl after all and I loved the movie with Claire Dane's playing Temple Grandin (who revolutionized the design of stockyards making them more humane). Seriously, I think my food police friend, Lynn, must have co-authored this book...it sounds like she does when she talks to me about using sweetners...

     
Finally, I just needed a book to keep me moving on the treadmill and Susannah Charleson's book, Scent of the Missing, fit the bill perfectly.  I loved it!  I laughed, I cried and I almost fell off the treadmill during one particularly descriptive parts.  Her love of animals shines through as she talks about raising a pack of Pomeranians and cats while trying to train a new search and rescue puppy.  Her love of her profession, the team members and their SAR dogs makes it a quick, informative and satisfying read.


Tuesday, January 15, 2013

Is it Really Health Care if it Makes you Stressed???

Just a note to the uninitiated:   I don't have kids, so my Mom told me I lack the "patience gene". 

January 16, 2012

Dr. P. and Staff--

Please see enclosed letter regarding the very unfortunate problem with the referral to Dr. H.  that wasn’t a referral and the resulting incident at the orthopedics’ office that resulted in 75 minutes of my time wasted and no doctor viewing my x-rays (which I got copied for $40 at the chiropractor's office). 

I am sorry to inform you that after 15+ years as a client I will be searching for a new PCP.  Please cancel my appointment for March 11th.

Best Regards,

Jackie Turbot
p.s. I would also like to let you know that I was always uncomfortable with the number of drug reps that I encountered in your office. I swear I have seen more there than at any other doctor’s office I have ever been in--they outnumbered the patients on some days.   I always knew they were drugs reps because they brought you and your staff lunch from swanky restaurants and they drove Lexus sedans.  Perhaps if I would have benefitted from more free samples I would not have seen this as a problem?!

p.p.s. This whole mess has really sickened me and made me realize that the whole health care industry is a precarious house of cards and that I need to be as healthy as possible to avoid being in any
doctor’s offices in the future. So, thank you for that!
p.p.p.s.  You may really want to rethink referring your patients to Dr. H's office.