Diabetes Self-Management Blog

Sorry about no blog yesterday. My days have been a blur lately; I’d barely started this week’s blog, and was just plain ol’ wiped out! Try as I might, I just couldn’t wake up enough to write.

On top of that, I had appointments all afternoon. My grandson had an appointment with the ophthalmologist and I (wait for it) got my new leg. One big surprise was the design. I had worn my very first pair of Birkenstock sandals to my initial meeting with the prosthetist and he looked at them — well, it, since I only had one foot — and said, “Tornado.”

It was an odd greeting, but he isn’t a native of this country so I mentally brushed it aside and said, “Hello” instead of reciprocating. I didn’t know how to respond to “tornado” anyway. “Hurricane,” maybe? As it turned out, it was the name of a design available to be applied to the part of a prosthesis that your stump, or residual limb, goes into. It’s a malevolent-looking swirl of blue, green, red, yellow, orange, and who knows what else. There’s not a lot of room for the design on sandals.

I was thinking about something along the lines of hearts or butterflies, but when Mike (the prosthetist) told me the design would just be a little bit along the top, I went for Tornado.

And, boy, did I get Tornado. I got Tornado all the heck over that part of the leg.

“I thought you said it would just be a little strip!” I said when the leg arrived in the room.

“I changed my mind,” Mike said with a grin.

What can I say? With a matching leg and Birkies, I’ll be stylin’ for sure!

I stood up on two legs for a while for the first time since mid-November. It hurt, but I had been told to expect that. Today, I go for my first therapy session. It isn’t inpatient, but I do get to go to a place I’ve been to before, with the therapist who worked with me on my impinged shoulders a decade ago. This next step in my life is looking to be very exciting.

Now, the blog I had begun didn’t have anything to do with a new leg. Primarily, it’s about something that happened to Mom, a retired Spanish teacher who taught well into her 70s. She’s 82 now.

One day last week, she was whisked to the hospital, sirens screaming, lights flashing, after collapsing at the grocery store. She’d had a little “spell” earlier, so she faithfully applied her very first ever nitroglycerin patch.

Er, make that patches. Turns out she looked at a diagram that showed where on the body patches could be placed. She then proceeded to place one patch on each of the six spots. “Leave it to a teacher to not read the instructions,” she told me the next day. “I just looked at the pictures.”

So she made an “oopsie.” I suspect we’ve all done that. Heck, I’d rather look at the pictures, too. And there was no harm done to her physically. But what her doctor and the folks at the hospital did to her mentally was, in my mind, inexcusable.

They said they were sending her home and she needed to get her affairs in order. Luckily, I have two brothers and sisters-in-law near her in South Carolina who advocated for her. The hospital let her stay overnight, but one of my sisters-in-law said Mom looked like she’d aged 20 years overnight.

It seemed to me that they were giving up on her. Why? Because she’s 82? Because they believed she wasn’t worth keeping around if she did something as stupid as apply a week’s worth of nitroglycerin at one time?

Maybe they didn’t know that, in November, she drove to an airport 70 miles away, flew to Indiana, took care of me and my house, which included cooking, cleaning, taking her great-grandchildren places, and more, flew back to South Carolina, and drove back home. Or they didn’t know that when my Florida brother visited in December she ran HIM ragged.

All of that but, by January, she was ready to be tossed on the trash heap?

I was telling a friend about Mom over lunch one day and was a bit startled when she said, “That’s us, not too much farther down the road.” I hadn’t thought of that; that we’re losing more and more of our autonomy when it comes to health care.

I’ve seen a bit of it recently. I wanted inpatient rehab, but the place wouldn’t even call my insurance company to get certification. Why? The hospital followed Medicare guidelines, which say you can’t be readmitted under the same code. I had been in for rehab after surgery. I had no complications. My code would not change. Therefore, I could not come back for inpatient.

“But I’m not even ON Medicare,” I said. “I have private insurance.”

Didn’t matter whether my insurance allowed it or not (and I called to check — seems they probably did). The hospital followed Medicare guidelines. Period.

I don’t have any answers. And the problem is that, with diabetes, we’re more apt than most to have medical problems. Does that also mean that, since we’re more of a drain on medical resources, we’re a liability?

The only thing I can figure out to do is to choose doctors who care about me as a person. I don’t believe Mom’s doctor has those feelings about her. Otherwise, he would have been in there fighting for her, telling people that he knows this woman, she’s still very active and isn’t ready to stop living yet.

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Living With Diabetes
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