Sunday, September 30, 2007

Spirituality & Adversity with a Healthcare Emphasis: III


I expect to catch up on comments to the previous thread by Tuesday...

Our health insurance corporations don’t have to deal with the aftermath of denying health care to people they’ve never met that’s been ordered by their physicians – in my particular case, by leading experts in their field of medicine. The aftermath can include incapacitation or death, as with the couple who spoke to the New Hampshire State Legislature just ahead of me who’d lost their four year old son after their insurance fought them on the meds he needed. By the time he got them it was too late.

I’m “lucky” in a way to be able to give the account that follows. There’s no way of knowing, but my guess is that patients and families who go through something like this are usually too devastated and overwhelmed by dealing with their adverse circumstances to bring their situations to light, especially since the “legal remedies” often touted by the industry as making health care reform unnecessary – “patients always have the right to sue” – turns out to be another example of misinformation propagated by American Healthcare Inc. to preserve their numerous opportunities for enhancing their bottom line at the expense of those patients who, in market terms, are more trouble than they’re worth.

Currently I’m going through other problems with the system that are as outrageous as anything I’m describing in these posts. But it’s tough enough to live with them. I can’t write about them at the same time because it brings almost all my time under their domination. I find it less oppressive to write about what’s already been done.

Forced Experimentation: Watching my condition rapidly deteriorate without treatment and unable to afford what had been prescribed, I took half of what remained of my life savings and spent it on an unconventional, similar sounding but less expensive treatment not covered by my policy because it was considered experimental. It sure was; I was permanently injured by it. Cost: $5,500 dollars for three weeks that produced permanent contractures in my left paraspinals.

Partially Unglued: Anxiety and helplessness over my health and finances created major problems with insomnia. I had spent several years at tremendous personal effort and expense making what appeared to be a slow recovery. Watching myself backslide and the years of work come undone, I felt abandoned. For months I slept two to four hours a night – sometimes five or six, sometimes zero. Twice I blacked out behind the wheel of my car and had to figure out where I was when I came to. I developed significant short term memory problems and became incoherent over the phone to the point that a family member came to stay with me.

When I was in grad school for my counseling degree I’d read about “panic attacks”. They’re not well understood; as I recall a genetic predisposition is thought to be involved. They’re genuine physiological attacks and not to be confused with feeling emotionally “panicky.” They come on abruptly and include symptoms such as rapid heart rate, dizziness, and trembling to the point where people often think they’re having a heart attack.

I’d never had one nor had anyone in my family. But it turned out that this level of sleep deprivation and stress brought them on. I was barely able to continue working.

Insurance Refugee: After getting a grip on the sleep with the aid of a minor tranquilizer that finally worked for me, I had to launch an all-out job hunt to obtain new insurance if I ever wanted treatment again. It turned out that my employer's insurance also covered all the related employers in my area. I was forced to seek work out of state and relocate in declining health, uncertain that I would be able to make the transition in these circumstances.

Have you or anyone you’ve known ever become “partially unglued” from major health problems combined with no access to care or other forms of severe adversity? How did you get through? Ironically, mental health care is one of the areas where insurance coverage is typically skimpy to non existent.

For further info on our health care situation generally and more on my story in particular see
http://www.hmoappeals.com/.

18 Comments:

Blogger Oceanshaman said...
I am saddened by this post, which speaks to yet another manifestation in our society of profit-minded entities and individual putting the pursuit of profit over the needs of people . . .
12:12 PM  

Blogger Zareba said...
Check your email.

Blessings on your Journey and your cause.

...Z
4:59 PM  

Blogger Paul said...
OCEANSHAMAN: I think that's exactly the problem. It's unwise to have an essentially self regulating industry that directly impacts people's health.

We don't tolerate that with meat inspection, workplace safety standards, retirement - although it is true, I suppose, that some would like to abolish "socialized security" and trust that all elderly people will have managed to enter old age with the funds to provide for their own safety net.

But I don't think most people feel this way.

ZAREBA: Thank you, I appreciate it - and I am very behind in my email. Will definitely get to it, but being flat on my back and unable to raise my arms most of the day means that if I'm going to get any work done on the book/blogging, I'm unfortunately forced to marshall most of my resources around that.
11:07 AM  

Blogger Historical Wit said...
Wow, my man you have some serious inner strength. I found your blog not to long ago and reading it rings a bell of urgency in my head.

I am glad to hear you are getting sleep, it is always needed. I never knew the effects of sleep deprivation until I was exposed to that in the Army. Being on drugs or drunk = not sleeping for 36 hours.

I used to be a community support advocate for kids at risk. If they got to me and the program I worked for, they had real issues. The hardest part of the job was getting the insurance straight. It was unreal how things like attempted suicide were not enough to get enrollment. I left work shaking my head more than once.
1:29 PM  

Blogger mistipurple said...
hi paul, i am a veteran at handling panic attacks. had agarophobia for years. there are exercises. mainly slow breathing, no hyperventilating, and active or passive relaxation process. and you'll be as good as new, or almost. but good enough eh? HUGS!
2:01 PM  

Blogger Paul said...
HW: The way it turned out for me on strength was that I only discovered how much I have - or that some aspect of me has - as the result of steady disease progression and dealing with a health care system that has frankly given repeated indications that at best it doesn't care if I live or die.

So I have the feeling that a lot of us, most of us, have that strength dimension too. Happily we don't all have to draw on it so heavily.

I hear you on the mental health. That's one of those major neglected areas. This was also often frustrating to me in my work trying to connect kids and families to servicess as an elementary school counselor.

MISTI-P: Sounds like good advice. For me personally, panic attacks happen not to have been a problem before or since that brief period. Apparently some people only get them with extreme sleep deprivation and stress. And I'd forgotten about that agoraphobia connections that's often present - I didn't have that feature either. For me they'd hit at night. The first one was kind of classic in the sense that I woke up thinking I had a heart problem - it was pounding like crazy against my mattress, as if I'd been working out instead of sleeping!
4:08 PM  

Blogger SusieQ said...
Paul, this is such a sad account of your dealings with the system.
Certainly we need reform so that legitimate treatment can be had by those who need it. It appears that your treatment was legitimate. I don't understand why it was not covered under your plan.

I have heard it said that a company is a company is a company....meaning that the primary purpose of any business is to make money. It is hard for us to deal with that fact.
10:04 PM  

Blogger mistipurple said...
yes, i get what you mean. i cannot sleep when i get totally sleep deprived. the body doesn't allow somewhat. the irony.

anyway, symptoms get labelled. sometimes a good thing, most times bad. the key is to be able to cope in the best possible way, with the least destruction upon oneself.
it is good to recognise them early before the symptoms takes a life of its own and becomes a problem in itself.
my tool to panic attack:
look down, if in crowded places. breathe normally, and do the relaxation exercise. it will pass.
(since your episodes are at night, this may not apply, but breathing slowly is always a good thing to get into sync.)
5:33 AM  

Blogger Lucy Stern said...
Oh Paul, you have gone thru a tremendous amount of adversity. I had no idea it was tht bad... An aquaintance of my husband, had skin cancer. The insurance company paid for quiet a bit of the services that he got, but his cancer did not clear up, it grew to stage four. He wanted to do an experimental procedure, but the insurance company wouldn't pay for it because it was experimental. It was in the contract that they did NOT pay for experimental procedures. He tried to sue the company but that did not help. As of today, he is still alive but barely. He won't check out alternative/homopathic treatments because he calls them all quacks. I think that, at this point, I would have given them a try.

I pray that nothing like this ever happens to me, and my heart goes out to you for all you have had to endure....Keep praying Paul.
7:48 AM  

Blogger Paul said...
SUSIEQ and LUCY: Sometimes you’ve approached topics I bring up with a somewhat different perspective – but always discuss things in a civilized manner. More than civilized – genuinely respectful and empathetic. I really respect each of you for that, especially in an era where true discussion is hard to come by. I’m going to leave it at that for now because you’ve just given me material for my next post!

MISTIPURPLE, but I don’t get panic attacks, lol! See my previous comment to you. Still, that does sound like good advice for dealing with them and for dealing with anxiety in general.
10:54 AM  

Anonymous Amy said...
First of all, I am glad you find my blog interesting. :) I am intrigued by yours as well and look forward to your book.
Second, I emphasize at least on some level with your medical mystery. Although I have a diagnosis its rare and I have an atypical presentation (for starters I am 2 ft taller than everyone else who has it) Here's to keeping them guessing.
Third, I am appalled as always to hear about your insurance experiences. It is a sad testimony of our society that people who need healing and care the most (aka people who have pre-existing conditions that keep them from working and thus having insurance) are the ones who can't actually get it through our system.
In medical school we constantly talk about under-served groups...and we almost always focus on racial or ethnic minorities. So far they have not discussed folks with chronic illnesses or disabilities and our struggles with health care access. This frustrates me.
11:44 AM  

Anonymous Mark said...
Paul,
Thanks for sharing and bringing to light these important issues. We must continue to lobby for a fair solution. What we have now is unaccepatble.
12:13 PM  

Blogger SusieQ said...
Well, Paul, YOU are always civil and patient with your readers. You are always careful to word your responses in a way that is amiable. You set the tone.

I know what you mean about true discussion being hard to come by these days. I do wish that more people could have a meeting of the minds without butting heads.
5:23 PM  

Blogger Keshi said...
The system suxx...even over here.

Keshi.
9:05 PM  

Blogger Paul said...
AMY, thanks. It’s great to know that someone with your perspective is in med school.

MARK, that’s really my main point.

SUSIEQ: True – but it’s still pretty rare for people who may come at certain issues from a different angle to be interested in continued discussion, so I really appreciate it when people help me maintain that tone on this blog.

“Meeting of the minds without butting heads,” lol… yeah, that would be the tone. Produces less ringing in the ears!

KESHI: Sorry to hear that. Unfortunately, I’m completely uninformed about Australia’s health care system - have not caught any reporting on that topic.
10:45 PM  

Blogger iamnasra said...
Dear Paul..Hope all is well with you ..as always Im in other world...Insurance Im lucky now that a bit of things with medical care would be at ease for me... I never hd health inusrance before and I dont have one..but I had hell with car insurance though..well, how funny I complain of this as I have seen documentary on health insurance and bout Katrina and felt so sad, some of us dont know how blessed we are ..keep your spirit high ...how is your book going
5:45 PM  

Blogger iamnasra said...
By the way just updated LIP after long long time
5:46 PM  

Blogger Paul said...
IAMNASRA: Still aiming for the book to come out before the end of the year. Thanks for the heads up, I'll check out your LIP site next time I "head your way" -
8:19 PM  

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