Text 19125, 135 rader
Skriven 2014-11-09 05:04:00 av MICHAEL LOO (1:123/140)
     Kommentar till en text av NANCY BACKUS
Ärende: health 236
==================
 ML> I am sure that the more ticklish procedures are left to
 ML> the experts, but more and more is becoming routinized.
 NB> Probably true.  :)

It's a way to stretch resources and perhaps not coincidentally
to deprofessionalize activities that once required advanced
training and some discretion.

 ML> Despite my opportunities to compare various aspects of
 ML> the workings of a hospital, I never got a feeling for who
 ML> was or was not capable or authorized to do these things.
 NB> It may well depend on the hospital itself.  Also, a lot of my being
 NB> able to observe hospital procedure etc has been not from the bed, but
 NB> from the chair...  ;)  And with various people that seemed to have a
 NB> hard time staying out of such places... ;>  One learns the uniforms
 NB> color code, the badges, etc, after long exposure...  :)

I can't figure that kind of thing out in general despite
discovering that peach color means volunteer. It seems that
otherwise, the lighter the color the more prestigious,
except in the OR everyone wears the same green or maybe blue.

 ML> that calculates the bladder contents to determine whether
 ML> there's a blockage. Pretty weird stuff.
 NB> Ah, yes, I've encountered that one, with neighbor Gwen... that seems
 NB> to be a urology "toy"...  I've only seen it in use in the urologist's
 NB> office, and once it was the doc that did it, and the other time(s) it
 NB> was the nurse...  It also determines if one has an issue with emptying
 NB> the bladder fully.  Lots of specialized scanners... :)

Emptying the bladder ofttimes has issues relating to
blockage, either that or rigidity of muscles. Why the
problem is so common that they have to have a specialized
tool for it I don't know.

 ML> I was outside the Canal Zone, of course, but there should
 ML> have been quite a bit of slopover into the general population,
 ML> because both the big cities are quite close to the zone's
 ML> (former) boundaries.
 NB> Of course, maybe they just won't admit to speaking a lick of
 NB> English... but I can conceive of a few scenarios where not much English
 NB> would make it to the common folk... most involving a lack of interest
 NB> in dealing with any but one's own group... 

But I was dealing largely with people in the hospitality
industry, where both customer and staff were acutely aware
that the language barrier made interaction less pleasant
and less efficient, and I'm pretty sure the people wished
they had more English (and I wished to have more Spanish).

=
 ML> That was some issue. I must have reported on my battle with
 ML> the children doctors about switching to orals; well, as soon
 ML> as I won, they sprung me. Maybe I would have been released if
 ML> I had fussed earlier! 
 NB> Maybe... maybe not...  they might have just tried to figure out some
 NB> sort of alternative to the IV... like a port...  ;0

The issue was already coming up when my old girlfriend, who
doubles as my sometimes legal counsel, suggested a line be
put in, and they said, no, that's for people way sicker than
he is ... but the next day they put in an A-line, rather to
my chagrin. As things got more peculiar the IV team started
talking about a central catheter (meaning another week at
least in stir), and that's when I started getting pushy
about getting out of the joint.

 ML> Anyhow, now I've been sent away with no
 ML> antibiotics at all. I asked the discharge nurse just to make
 ML> sure, and that's the way it is.
 NB> That sounds like they may have decided the antibiotics were causing
 NB> some of the problem....?

The surgery department never admits anything.

 ML> of the situation. After all, I rated my pain as 4-5 with waves
 ML> of 6-7 for a phenomenon where most patients report 8-10.
 NB> I have ongoing issues with their 10-score pain scale

I've never, knock wood, had unendurable physical pain, which
I'd define 10 to be. Excruciating, yes, but that makes maybe
8 or 9. Medicatable, 5 or 6.

 ML> The Ian trip in spring '15 might make me think a bit about it.
 NB> Especially if it's likely to act up again...  sounds like other issues
 NB> there as well, though...  

If I can have the thing removed after Singapore and before
the spring, that would be ideal.
 
 ML> Fibrillation means heartbeat of over 100, whereas flutter
 ML> means over 200.
 NB> Fibrillation also has an aspect of irregularity to it

They may go together, but the arrhythmia would go under a
different name.

 NB> Afib is back... he had a second cardioversion, which worked right off,
 NB> but then only lasted about 24 hours..  But the heartbeat isn't fast,
 NB> just irregular, so for the nonce, we are just keeping an eye on it. 

Built-in unit? They tried to convince me to have one installed,
but the discomfort and inconvenience prevented me from letting
them do so.

                             Tomatillo Salsa

Recipe By     : rec.food.cooking - Stephanie da Silva
Serving Size  : 4    Preparation Time :0:00
Categories    : Mexican                          Salsa

  Amount  Measure       Ingredient -- Preparation Method
--------  ------------  --------------------------------
   1 1/4  Pounds        tomatillos -- husks removed
     1/3  Cup           fresh cilantro -- chopped
   1                    jalapeno or serrano chile -- stemmed
  34      Up            chicken broth
  13      Up            lime juice
                        salt -- (optional)

Rinse tomatillos; arrange in a single layer on a baking sheet and roast in
a 500 oven until slightly singed (about 15 min).  Let cool.  In a
blender or food processor, whirl tomatillos with cilantro and chile.  Stir
in broth and lime juice; season to taste with salt, if desired. Makes 3
cups. From: arielle@taronga.com (Stephanie da Silva)

                   - - - - - - - - - - - - - - - - - -

NOTES : Mastercook formatted by Garry Howard, Cambridge, MA
        garhow@hpubmaa.esr.hp.com or garhow@aol.com


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