People Watching in the Waiting Room

One thing that ties people together is time spent in a doctor's waiting room. The setting is familiar no matter what kind of doctor. There are the stiff, upright chairs, bright overhead lights, people behind glass panes, and often, an elevator that dings in the background.

Attendants in scrubs call out patient names while each new arrival is questioned about birthdate, insurance and changes since the last visit. They're told to take a seat and wait.

Last week's journey took me to the Eye Institute Surgical Center where folks of a certain age gathered, hopeful for improvement in their eyesight. Arrival time was nine am with instructions to be upstairs by that time after a night of fasting and no coffee or liquids of any kind. Most sat stiffly, bringing along a solid case of anxiety. To have someone cut on your eyes is scary. A couple of dozen other people and I waited to hear our names with little to do besides fidget and observe.

My driver and I chose seats in a tight corner across from a trio of women, two staring at their phones while a third sat, stony-faced, waiting her turn. Once she'd been called to the back, her companions left in search of food. They were replaced by a man who sought a chair to fit his linebacker girth. The tiny chairs were no match and as he lowered himself into it, the chair emitted a painful squeal.

It was a good time to study traffic patterns from the 4th story view of Central Expressway, busy any time, day or night. Cars sped by, coming and going to important places, their occupants unaware of our room full of tense, clean-scrubbed, lotion-less patients praying for a miracle.

Names were called to come to the room where forms were to be signed absolving the facility of responsibility for injury or death at their hand. A photo was taken to confirm our identity and add to our permanent record. Time ticked by at a snail's pace.

We maintained social distances, adorned with itchy face masks enhancing our discomfort. It was impossible not to stare as one frail woman dozed off in her wheelchair, bent forward, head down, those nearby praying she didn't nose-dive off onto the spotless tile floor. She woke with a start, and in near-blindness, demanded to know her whereabouts. Her son had "dropped me off here without a word." His booming voice, like a beacon in the cold silence echoed from the tiny registration room where her wheelchair wouldn't fit.

Finally, around 11:00 am, my name was called and I trudged back to the frigid pre-op room, changed into a gown and hair net, was hooked up to an IV and oxygen and drifted off into the land of the oblivious. Thirty minutes later I was in the post-op area drinking apple juice and waiting for my ride home; home sweet home. The cataract surgery was a success and now I await scheduling for the other eye.

5 Things to Make a Trip to the Emergency Room Easier

When the phone rang at ten pm on a Sunday night, a quavery voice said, "We've had a little accident over here." These few words can send the adrenaline pumping. The first time we got that call, we rushed over to check on Mom who said she'd fallen. She'd crawled from her living room to the bedroom to use the only working phone. The other one broke with her fall. We wondered if we should call an ambulance or just drive her to the hospital to get checked out. We made the wrong decision.

We learned the hard way that it's dangerous to move or transport an injured person. Worse, when we arrived at the emergency room there was a long wait behind others who either looked worse or had arrived by medical transport. She spent a couple of uncomfortable hours on a hard xray table before the doctor arrived at the small town hospital. Mom was admitted with a broken hip.

Another call came on the morning of New Year's Eve before seven am. Mom asked for help getting a shower explaining that she had fallen during the night. She lay on the bathroom floor until morning. The tone of her voice indicated something was very wrong. I should have called an ambulance immediately. Instead, we bundled her up against the January cold and drove her to the emergency room. Again, bad move. The hospital was operating with a skeleton crew due to the holiday. We waited in the ER eight long hours surrounded by patients who were coughing, sneezing or vomiting.

During that time, the staff would not allow Mom to have even an ice chip until the doctor examined her. When her name was finally called, the doctor launched into a lecture about the patient being seriously dehydrated and running a fever. Imagine our response.

When the time comes to go to the hospital, the arriving paramedics will ask about the patient's  medications, their allergies, and medical history before the current emergency. 

Emergency Go Bag

Ambulance drivers want to take the patient's insurance and identification cards with them on the way to the hospital. Giving them a photocopy can avoid the loss of the patient's original cards. Gathering copies of all this info in one place ahead of time can help reduce some of the stress. 

1. Make a copy of the patient's Medical Insurance Card, front and back. It has the phone number, policy and member's identification number. Put the copy into a Go Bag dedicated for emergencies.
2. While at the doctor before an emergency grab two of their business cards; one for your wallet and one for the Go Bag.
3. Create a list of other important phone numbers in case your cell phone battery dies during the wait. You'll want the numbers for their doctors, their minister, out-of-town relatives, friends and neighbors who might be concerned.
4. Make a list of prescription medications showing the exact dosages and the frequency taken. 
5. Add a list of known allergies or reactions to medication taken in the past and a list of over-the-counter medicines taken routinely.

When my husband went to the hospital for surgery, he was taking a lot of prescription medications. Rather than try to remember them, we made a list of each medication, its exact strength and dosage frequency. Several printed copies of this list went into the Go Bag. The admissions staff, nurses and doctors were grateful not to have to write it all down by hand. For example:

It's often necessary to provide info about previous hospital stays and the outcome, and whether the patient was admitted, along with a list of all surgeries the patient has undergone.

• Prepare a List of previous surgeries, the types and the dates, such as,  Appendectomy - 1975; Left Hip, Replacement Surgery - 1991

It's a good idea to ask the patient for this information ahead of time. If they're confused or possibly unconscious you'll have the list available.

Most of the following items are optional for the Go Bag, but they're handy and easy to pick up at the dollar store.

1. A small tablet for notes and instructions once the doctor arrives.
2. A good book for long waits at the hospital and to avoid the germ laden, out-of-date magazines in the waiting room.
3. Bottled water and packaged crackers or cookies. When your wait is long you'll be glad you have this. It never fails, if you leave the room for a minute to go to the cafeteria, that's when a medical person comes in with an update.
4. Cup of instant soup or protein bars.
5. Wet wipes and travel size hand sanitizer.
6. Tissues for tears or runny noses.
7. A new toothbrush and travel size toothpaste. This is for you.
8. Packets of sugar or artificial sweetener, salt, pepper, and plastic spoons. Sometimes a vending machine has food but there are no utensils or condiments available.
9. A clean pair of cotton socks to wear in those cold waiting rooms at the hospital.

If you drive your friend to the hospital, bring along any medical equipment they use. When Dad became critically ill after chemo, he refused to go in the ambulance. We drove him to the emergency room and in our haste, left his portable oxygen at home. The ER was overflowing and he had a dreadfully long wait before they finally admitted him to intensive care. Every gasping breath without his oxygen was a nightmare.

If your friend is admitted and you want to talk with the attending doctor,  sometimes they make their rounds near midnight so you could be waiting a while. Once you've invested hours waiting for X-rays, blood work and other stuff, you'll want to know what's going on.

In the hopeful possibility that your senior is not admitted, you'll want to bring their walker or wheelchair when you follow the ambulance to the hospital. They'll need these when they're released. One final tip just in case you lose the ambulance you're following. Ask the paramedics where they're taking the patient so you'll arrive at the right hospital.

Taking a few moments to assemble a few items into a Go Bag can reduce some of the anxiety that goes with any trip to the hospital. The best hope is that you won't ever need to use it.

The Skinny on Weight Loss and Diets

Aunt Inez and friend, 1925

Dropping a few pounds is tough, even for skinny girls.

Recently I discovered, to my dismay, that fifteen pounds found their way onto my normally thin frame. In terms of weight gain, I couldn't believe I put on over ten percent of my body weight.

Anyone who has lost a substantial amount of weight, like my BFF who has taken off nearly one hundred pounds, can tell you it is no easy task. However, I had no idea just how hard it was to shed even a few pounds of unwanted weight.

Since April of this year I've been trying a variety of ways to get rid of the baggage: cutting out sweets, ice cream and desserts; eating two rather than three meals; eliminating the sugar from my one cup of coffee in the morning. This didn't solve the issue.

So, I tried eating mostly salads. What could be better for me than a hearty, healthy diet of vegetables?

Well, I may be healthier, but I still have those extra pounds of muffin top blubber. Gasp! I haven't carried this much weight since I was in Flight Attendant Training and there was a free buffet for breakfast, lunch and dinner.

My classmates and me right before graduation.

Three days before we were to graduate when we were called in for a weight check, the impossible numbers on the scale told me the bad news: If I didn't lose three pounds in the next two days, I would fail to complete the course.

Naturally, that was unacceptable after six weeks of intense training and studying. Besides, it had been my life's ambition to fly the friendly skies.

I literally starved myself while walking practically non-stop during every free minute during those two days. Someone suggested I take a laxative, which I did, and try spitting rather than swallowing. These methods, although crude, seemed to do the trick and I barely squeezed past the guidelines of weight restrictions.

These four decades later, I discovered the real key to taking off a couple of pounds. If you've struggled with this at all, you know that those last few pounds are the toughest to lose.

I began scrutinizing every little thing that passed between my lips, from a glass of juice, to a fast-food meal. Everything has more calories than you can imagine. I reduced my caloric intake in the most obvious ways:

• Eating only from a plate
• Carefully measuring the portions
• Limiting condiments
• Drinking lots of water
• Writing down everything I ate

I was shocked to find out that the Ranch dressing that I loved to glop on my healthy salad had one hundred and thirty calories per two tablespoons! (130 calories per two TBSP). That may not seem like a lot unless you drown your salad in it like I do.

The beauty of a salad is the low caloric count on the greens. Looking at the bag of prepared Iceberg salad mix, I discovered that one and a half cups of greens were only about fifteen calories! (1.5 cups of lettuce mix equals 15 calories). A huge salad of three cups was only thirty calories until I added half a cup of Ranch dressing which added about six hundred calories.

With 6 TBSP of low fat ranch dressing 240 calories plus salad (without ham) 30 calories.

My solution was switching to Fat Free Italian dressing which is only fifteen calories per two tablespoons. (15 calories per 2 TBSP) and cutting out all the added olives, ham, turkey, boiled eggs and extras I was putting on it. "I only had a SALAD!" I used to say...Slowly, over the past two weeks I've taken off two, then three, now five pounds. HOORAY!

With 6 TBSP of fat free Italian dressing 45 calories plus salad 30 calories.

The Importance of Monitoring Blood Pressure

Yesterday was another example of the importance of monitoring Blood Pressure Readings for those folks taking blood pressure medication. I feel really lucky that Mom has only a couple of prescription medications to take regularly. For someone who is 85 plus years old, she's in an enviable position to most seniors whose daily pill regime is complex and confusing.

Mom takes 5 mg of Amlodipine (substituted for Norvasc) to help control her hypertension, or high blood pressure. It's only been in the past few years that she's needed this medication. But it comes with its own lengthy script on cautions, side effects and warnings. I've become to a small degree skilled in reading the "normal" ranges and what to worry about when the readings rise or fall.

http://hubpages.com/_PC2/hub/Measuring-Blood-Pressure-Between-Doctor-Visits

So when Mom called me at 8am last week and said she'd been monitoring her blood pressure since 5am and it was "high" my first question was "How high?" She told me it had been at 184/96 which is ALARMINGLY high when it's supposed to be controlled with the medication.  I went across the street and took my own wrist cuff monitor to be sure it wasn't a problem with the equipment or the batteries. A couple of hours later and about 10 repeated readings on all three of our monitors showed her readings to be nearly normal.

We went to our family doctor yesterday and the Nurse Assistant took the reading which I immediately repeated with Mom's wrist cuff device to compare the results. The nurse got 114/60 (which is good!) and I got 140/64 which is a tad bit high on the systolic (upper reading). Normal BP should fall in the 90-120 range. So I immediately thought that our machine was off. Not so.

When Doctor Hussey retook the reading moments later, the systolic was around 150 which is Not Good. He sent us home with some samples of a new prescription which combines Mom's previous Amlodipine with another added ingredient to help stabilize the pressure. In two weeks she needs to go back for a Potassium evaluation (draw blood) since this Rx sometimes affects Potassium negatively. Oh boy. So now, we wait and see how she does on the new meds.