Coming to the Clinic - Part 7 - The Weight is Over

  The last few posts in this series have been rather weighty. It’s time to lighten things up.

   Back in March when I started this series on how to be the perfect patient, my plan was to take you step by step through your entire visit. Last time I wrote about that, I believe I still I had you sitting in the waiting room. Well, come on back!

   The first thing I am going to do is stop you at the dreaded scale. I feel bad that the scale always gets such a bad rap. Just like me, the teen-ager in the McDonald’s drive-through and the IRS, that scale is just doing its job. And that job is not to tell you that you are fat; its job is to help your health care provider keep you healthy. You can not blame that scale if it tells you something you don’t want to know. And if you really don’t want to know, don’t look. I’m not going to announce your weight to you or anyone else.  

   But before you even get on that scale, I bet you want to take off your shoes, empty your pockets, empty your bladder, take off your glasses and your baseball cap. And that’s ok, but first I want to ask if you have ever flown on a commercial airplane?

   

   Us seasoned travelers know how to dress when we will be going through airport security. For starters, we wear our airport shoes. Footwear that is comfortable for walking but quick and easy to slip on and off. Few things annoy me more than standing behind someone in line who has to untie and unlace their eight-inch high hiking boots. 

   

   Feeling secure about their footwear, the seasoned traveler already has empty pockets. All they need to carry on their person is their boarding pass and ID; everything else will already be tucked into their carry-on.  

   

   So, when you come to the clinic and you know you will get weighed and you hate to see what the scale will say, plan ahead as if you were on your way to meet with TSA. Set your carry-on on the counter, slip off your airport shoes and step right up. It just makes everyone’s life easier. You don’t waste your time and mine emptying your pockets and shedding extra clothing. You don’t have to worry about putting it all back on your person or leaving it behind. It’s just so much easier.

   

   Which may lead you to ask, “but why do you have to weigh me every time anyway if it is such a hassle for everyone?”

   To be honest, we probably don’t have to weigh every person every time. But sometimes, we won’t know that til after the provider sees you.

   You may have some vague complaints and when we add to the mix that you have lost 10 pounds in the last three weeks without even trying, your doctor may go, “ah-ha!” Or you really hadn’t noticed how swollen your feet and ankles have been, and now that your doctor sees your weight is up significantly since your last visit, he or she will once again go, “ah-ha!”

   The list of medical diagnoses about which your weight is important include hypertension, congestive heart failure, diabetes, thyroid disease, sleep apnea, arthritis, cancer and many more. And it’s not always an increase in weight that we are concerned with; unexplained weight loss is something to look at also.

   One other thing, no matter how few clothes you wear when you stop on our scale, the first thing you are going to think to yourself, or say to me, is “but my scale is five pound lighter”. And I totally believe you, because mine is too, but the scales in your medical clinic are supposed to be calibrated by professionals at least once a year. They are as accurate as they can be; sometimes your weight is just going to fluctuate by a few ounces from the time you walk from the scale in Hall A at your clinic to the one in Hall C.   

  

   I seem to be running a bit long here, so will end by saying, don’t let your weight weigh you down, let your health care professionals do their job and let them tell you what to do or not do about those stray pounds.  

There Will Be Trouble in this Life

 “I have told you these things, so that in me you may have peace. In this world you will have trouble. But take heart! I have overcome the world.”

John 16:33 (New International Version)

I am pretty sure that at every Lifest that Tiffany Thompson has been at, I have heard her speak. This year, the title of her talk was “Where’s the Gift in It?” When things are going badly, when life is handing you too many lemons, when you are sure nothing else can go wrong, and then it does, where are you supposed to turn? How can you see your way through to Jesus?

Tiffany shared a wonderful story, which I won’t retell here, but the gist of it was that as she was going through a trying time, and one thing after another kept going wrong, each thing was followed by a God-moment. An instance or incident where God was clearly fixing things. Where nothing so bad happened that she couldn’t find God in it.

One example. When she was in a distant city dealing with this crisis, she didn’t have a vehicle to drive. Someone she barely knew loaned her their son’s vehicle. And it wasn’t just a 1990’s Buick, it was a fully-loaded, off-road-capable monster Jeep. She showed a picture of it, it was a beast. To me, it was really an example of God’s great sense of humor.  

 Consider it pure joy, my brothers and sisters, whenever you face trials of many kinds, because you know that the testing of your faith produces perseverance.

James 1:2-3 (New International Version)

Yes, in this life you will have trials, but it will come out right in the end, to the glory of God.

Thank You, Lord, for being there for us, for picking up the broken pieces of our lives, for showing us the Light on the cloudiest of days. Amen.

Flashback Friday to this Past Spring

 This almost feels like a Flashback Friday post. It was less than four months ago that I left for my fifth trip to Kenya. Seems like a lifetime ago. With each subsequent trip, I fear I am going to forgot the finer details. I need to find the time to write them all down.

 The morning after my son Nick and I arrived in Kenya, our hosts whisked us away to Maasailand; I've already blogged about that. The drive out there always seems quicker and more painful than the one coming back to civilization.

 On the drive back to Nairobi, after a few hours, we stopped at a café and giftshop for a potty break, where some of the girls befriended this little fella.

 He was really quite the ham. I’m sure he’d learned how best to get some handouts.

 If only we could take him home with us.

 Our next stop was George’s Resort, for lunch, just outside of Mai Mahiu.

 There, we befriended a momma and her kittens.

 You’ll find cats and dogs all over Kenya, but when people barely have enough to feed themselves, they don’t consider them pets. They live on what scraps they can find or what well-meaning mzungus give them.

 It still surprises me to find these kinds of park-like settings in Kenya. I’ve been to many parks in my many travels there, but somehow I can’t get used to it.

  I guess Nick finds it surprising too.

 The whole group we got to know while we were there. More new friends from around the world.

Coming to the Clinic - part 2 of part 6 - get high on life

 Three weeks ago, I shared the objective saga of the prescription drug crisis in America and what is believed to be one of the causes of it. Today, it’s my turn to tell my side of it, the personal side, what I’ve seen in the past and what I see every day at my clinic.

 Thirty years ago, right about this time of year, I was hit in the face with the reality of addiction. Thanks to my first husband, I learned all about twelve step programs, spent an hour every week in an Al-Anon meeting, came to understand what enabling was all about, and fought to accept the fact that this was a disease just like diabetes or cancer. And just like diabetes or cancer, I could get mad at the person with this disease who wasn’t taking care of themselves and getting treatment.

 Everyone’s body and mind react differently to any substance put into it. Most people can give or take alcohol and it’s no big deal, while others can’t put it down. Some of those people could control their alcohol use and some are truly wired to be addicted.

 The same thing goes for street drugs and prescribed drugs. There are factors such as family history and past medical history which can indicate what you are going to do with such drugs, but no system is fail-safe.  

 So, here is the reality I see in the clinic where I work.

 We have patients safely and appropriately taking pain pills like Vicodin and Tramadol, sleeping pills like Ambien, and ADHD meds like Adderall and Vyvanse. These patients are going to sign a contract saying that they will behave and follow our rules; they will give a urine sample when we ask for it; they won’t get early refills and they won’t go to another clinic asking for any other controlled substances.

 Then we have those patients who do not play by any of these rules. They lie to their provider, they lie to their pharmacist, they lie to their families, they manipulate everyone. The medical field has (hopefully) done its best to help these people, but if they aren’t going to help themselves, there is nothing left for us to do except to cut them off.

 The first thing a person learns when they are in AA or any twelve-step program is that they have to admit that they have lost control, that they are powerless over their addiction, that their addiction has taken control of them. The sad part is that if they get to this point, there are fewer and fewer drug addiction centers out there and fewer insurance providers which will cover a 28-day stay in one. If addiction is truly a disease, why aren’t there enough specialists willing to see these people? I think that’s where we are losing this war on the opioid crisis.   

 Of course, the other reality is the world we live in. A society seeking instant gratification, filled with sensory overload, where support systems may be sketchy and tempers are often near the tipping point. I think that people just need to learn to relax, do some meditation, take some deep breaths, turn their lives over to God or whatever healthy higher power they believe in.

 Thirty-four years ago, before I knew any of this, a friend and I were talking about people who smoke marijuana, and he said, “Why get high on drugs? Get high on life instead.”

 Rather corny words, but, oh, how wise. Try it, my friends, look at the good things around you, stop focusing on your pain or your problems, and get high on life.     

Will I Ever Walk in His Ways?

  Follow God’s example, therefore, as dearly loved children and walk in the way of love, just as Christ loved us and gave himself up for us as a fragrant offering and sacrifice to God. (Ephesians 5:1-2 New International Version)

 Wow, it’s only been two weeks since I wrote a Sunday inspirational blog post? Seems like so much longer. Here we are in the last official month of summer and it feels like my brain has gone on vacation without me. Or something like that.

 One month ago, when I was still at Lifest Christian Music Festival in Oshkosh, Bill Yonker was the speaker at Saturday morning worship. (He is the senior pastor at Immanuel Lutheran Church in East Dundee, Illinois, by the way.)  

He used the verse above as the topic of his message. And though I wrote that down in my little notebook that morning, I don’t remember what he all had to say about it.

It’s not too hard, though, to get the message out of this passage. And I feel that this past week I failed miserably in living in.

 “Walk in love, just as Christ loved us.” Did I do that last week? Only some of the time. Will I do that in the coming week? I may try but I will fail miserably, once again. Why? Because I am a sinner. I can try as hard as I can to live a Christ-like life, but I am never going to get it. At the end of the day, or the end of the week, all I can ask is for God’s forgiveness and for the people I have wronged to forgive me as well.

 Lord, God, Heavenly Father, forgive me of the long list of sins I continue to commit day in and day out. Thank You, Dear Lord, for sending Your Son to suffer and die for me so that I need not be a slave to my sin. Send Your Holy Spirit to strengthen me so I can begin to walk in Your ways. Amen   

Just Let Me Sleep

I really thought that by now I would have caught up on life and gotten back to blogging on schedule. Hmm? Hasn’t happened yet. Can’t understand why. . . .

Here is what I remember doing in the last three and a half months.

Left for my fifth trip to Kenya (and first trip with the son) and had a 23 hour layover in Zurich.

Had the usual good time in Kenya, with the usual bag of mixed feelings.

Only a six hour layover in Germany, just enough time to eat lots in the airport.

A good friend’s wedding in June. Oh, and Hubby's retirement party, which I didn't get any pictures of. 

My thirty-plus year dorm reunion.

An overnight to East Troy, where the son lives.

Lifest! How many years has it been again? Eleven, I think I decided.

Camping in the UP.

Wedding at my house.

And coming up in the next three and a half months? So far, a four-day writer’s retreat, four weddings, a few other parties and get-to-gethers, and the family Thanksgiving at my house. Uff-da. No wonder I am tired. 

Hope you have a good last month of Summer. Keep checking in, I will get back on schedule next week. I promise. Just let me sleep first. 

Just a Quick Hello

Wow, the first of August already.

So, today I really wanted to write a continuation of last week’s post on my series about visiting the clinic. After the day I had yesterday, I didn’t think I could write on that subject objectively. Plus, well, I have other things to do this week.

Saturday is the big day. My brother-in-law and his long-time girlfriend are getting married in my backyard. Do you think we can get this yard in shape by then?

Watch for the pictures of how the day develops, on Sunday, though, of course, after it is all over and I get some sleep. I’m sure it will go off without a hitch. Currently, the weather forecast is looking perfect for an outdoor wedding. Check my other blog, writing what I can when I can, for my complete to-do list.