Sdrawkcab Ssa

15 03 2009

There’s finally an end in sight. An opportunity to close the most painful chapter of my life. April 25th. The presumptive day I leave Fort Knox for the second to last time.

My case manager, with the assent of my primary care doc and the deputy hospital commander, pulled some strings. Or better expressed, bent the rules. Not unusual. What distinguishes this bit of Army rule-bending from the others: This time the bending benefits my family and I.

Psych clearance tomorrow. A little back and forth with an educated idiot - to make sure the pain’s in my back, not in my head - to gain the TriCare gods’ approval. Phase 1 and 2 physicals within the next couple weeks. Come April 24th my medical evaluation board is formally initiated. I go home soon after to wait for the result.

Return necessary only to pick up my things and out-process. (I would have to return iff I wanted to challenge the Army’s decision. As the Army’s decision doesn’t really matter, I see no point in challenging it. Regardless of how poorly conceived and defended.) Fort Living Room and my doc’s office are my places of duty. Preferrable, by far, to Knox and Ireland Community.

We’re soon to go non-profit. The foci will be what it has always been: Exposing instances of malpractice and negligence, pressuring those in power to improve, and helping service members and their families in any way possible.



Pressure

6 03 2009

I devoted about three minutes to creating a snappier title. A couple few song titles or lyrics modified to include themes of the past couple days. “I adore, mi Toradol,” for example (yeah, I used to enjoy listening to Color Me Bad, fuck you). “The drugs don’t work (they just make me burp),” another. Why bother?

I went with ‘Pressure,’ not because of my comfort with its Grunge Era feel, or that said era was possibly the only time I’ve been ‘cool’ in my life. Rather, the title fits with this post’s theme. Plus, it’s hard to be creative within the constraints of fact-checking. For example, until recently I thought the Chicago song “Fight for your honor” from Karate Kid Part II lyrics went some-it like, “I am the man who will fight for Yurana…” You know? Cuz the chick was Nihongo-jin/Okinawan? For the longest time I thought Louis Tully (the Ghostbusters’ trial lawyer/bookkeeper) said, “Your Honor, ladies and gentleman of the audience, I don’t think it’s fair to call my clients frauds. Sure, the BLACK GUY was a big problem for everybody. I was trapped in an elevator for two hours and I had to make the whole time. But I don’t blame them. Because one time, I turned into a dog and they helped me. Thank you.” I would laugh hysterically every time, to the chagrin of family and friends. But come on, “The black guy” referring to Ernie Hudson, “was a big problem for everybody.” Comic gold. He actually says, “black out,” but who’s counting? Mine was funnier anyway. I don’t need shit heads writing in to criticize getting minor facts, like lyrics or quotes or whatever, wrong. Blame “Hugh/Gay Sex” and “Stetson.” I do.

Alright, enough of that shit. Bad pain couple weeks. Really bad during a primary care appointment this week. The asshole doing vitals didn’t permit me to rate my pain - she rated my subjective pain level at a 7, which is wrong for a host of reasons. My pain was severe enough to elevate my blood pressure to 170/110. I was given a Toradol push right there in the exam room. Didn’t do much, but I appreciated the effort.

Given new information, I now doubt my candidacy for the spinal nerve implant. I finally managed to squeeze some peer-reviewed lit through the barracks’ firewall. (Spinal implants can cause sexual side effects. The firewall blocks sites containing naughty words, like ’sexual.’ Heaven forbid we catch a glimpse of an internet booby. Or have access to PubMed.) I belong to multiple groups who, according to the longitudinal data, don’t respond well: Complex Regional Pain Syndrome Type II (a/k/a Causalgia), Depression and or Anxiety, >6 months between trauma and treatment, stomach problems regardless of cause, and chronic pain averaging higher than 5 on a 10 point subjective scale. I intend to try it anyway. There aren’t many options left. But it’s possible, maybe probable, the outcome won’t be all it’s been built up to be.



Famine at Ireland

3 03 2009

Accompanied a friend to a medical appointment yesterday. The doc was great. Knowledgeable. Competent. Affable. Honest. Patient-centered. All around a very impressive man.

The information he provided was excellent. Abundant. Easily understood. Factually correct.

Nothing like those treating me at Knox. A very different kind and class. Sad ongoing commentary. Made sadder by light of contrast between what ought to be and what is the state of care and care providers available to my brothers, sisters and I.