Friday, August 28, 2009

No urinalysis anymore because kidneys are so cheap?

Is a life less valuable because it's not your own?

I told an Osteopath today that she would not work out. Her hallmark phrase was: "I'm just not going there." Having taken over an Infectious Disease Doctor's practice as an osteopath, she is wears out the phrase while I gawked. She doesn't read and doesn't plan to. M.E. she says, is what doctors diagnose when they don't know what to diagnose.  I
wouldn't want such a Doctor, and no such Doctor diagnosed me.

I talked to someone working with Infectious Disease patients in the same area my former non-doctor serves. Many of us have similar tales to tell. My friend thought there was something odd about her when he sat down in her examination room and she announced "You're depressed."  Actually he has Prostate Cancer, a second surgery left him weak from radiation and he's never fully regained his strength. He has always worked in clubs and has, in the last year, decided to teach our neighbor his arrangements--and his band is finally getting the band back together, a few days a week. He is rearing grandchildren, one only seven, at 70--paying back child support he was unable to give to his daughter when
his musical star was just beginning to peek over the horizon.

Since he's taking the ant-sex shots I wonder whether she thinks all male Cancer patients have primary depression. This fine practitioner does not even read charts.  My goals and life purpose have been stable through the last 28 years,
My grandmother on the Utah side liked to say "I can't is a sluggard too lazy to try."
I have been sometimes brutally criticized for my singleness of purpose and application
of will. At some time I went from walking on the level to climbing sand dunes. Often it is one step forward and then the slide backwards, never knowing how far the slide would/will be. Akhie, Wizard of the lonely Dunes, now eight, helps me.

Kindness creates some stability. This doctor seems to take her power over her patients for granted--that is the difference between a "wellness" practice and an infectious disease practice. She has no power over Myalgic Encephalitis.

"Strange news flies up and down, strange news is carried." My body is under the arbitrary influence of fate and malefaction. There is a blogger in the Puerto Rican community who knows quite a bit about Cornelius Rhodes. His intentions toward that people were frankly genocidal and he conducted Cancer experimentation on them where all but a few of the patients died.  He worked without the complications of conscience via his conviction of the inferiority of everyone to himself. A burden of genius without conscience.

So we come to the kidney discussion. This clinic does not give urinalysis, even in the presence of blood. I was in the hospital on IV antibiotics for two months. But for the grace of God I would have died. I don't believe that the Grace of God is any substitute for a competent physician. After I developed massive abscesses, one on my kidney that burst taking my kidney with it, the Infectious disease Doctor began to check my urine more often.

How many urinalyses would my operations and protracted acute care have paid for?
You may do the math.  Life is cheap to such petty autocrats. But she did it--maintaining a professional manner, my Osteopath said that kidney disease was not what it used to be now that kidneys and transplant organs were so much less expensive than they used to be.

(There was a rumor of big Chinese vans on the streets of Tehran. And of empty graves, some without markers, in the main Muslim cemetery.) There is no limit to how inexpensive organs could be made.

I don't want to go down that road and that is where this HMO is going. The country needs to catch up--true prevention does not cost as much as acute hospital care, but the Hospitals need to pay for their equipment and they get their money like the schools do--from keeping their chairs/beds full.