Sunday, June 28, 2009

HotSpittals

This is one of those odd times when I find myself at a loss for words. Well, I have words. I could talk/write about any number of things that I find fun today. Of course, with the death of the previously demonized/currently sainted Michael Jackson (and that description isn't there to judge the man one way or another; no, it's the fickle fucker that is public sentiment and the way the news just hangs with one big story to the point that you have to search for news of the new variety), we hillbillies in general find ourselves back in the news. Really, I'd thought I'd run out of things that could be blamed on hillbillies that could shock me. The fickle fucker of public sentiment showed me I was wrong.

Why, you might ask? WTF does the death of a man who likely never stepped foot in a single hillbilly wood have to do with hillbillies? Two words: Hillbilly heroin. It's even covered in The Sunday Gazette-Mail. While hillbilly heroin used to refer to OxyContin (which, by the way, is produced by Purdue Pharma, which is based in Stamford, Connecticut, and last I checked there's nothing hillbilly about that), "hillbilly heroin" is shown on different sites also include other painkillers that are abused. I'm not knocking Purdue Pharma, either. When the medicine is used as intended, it takes care of a legitimate problem in a legitimate way. It's that people all over the country (but, a higher concentration in Appalachia) abuse OxyContin and other painkillers. Hell, people abuse all kinds of other things. I just resent like hell having hillbilly anything associated with a problem in a way that bypasses the real problem: the real doctors who over-prescribe such medications. I'm pretty sure that's a low number because I do see stories in the paper every now and then about a doctor facing prosecution for allowing his (or her) practice become a pill-pushery.

Perhaps our aging population increases the likelihood that someone can start swiping meds from Mawmaw's medicine cabinet. I do know of one young man who drove hopped up like he'd been in one of those 60's experimental traveling drug buses from a neighboring northern state all the way into rural southern West Virginia because he knew someone in the family was sick enough to need his favorite drug. He came intending to take what the doctor had given the relative back home with him. He almost took an ass full of buckshot with him instead. I hear you'd be surprised how fast a pillhead can run when they hear the cock of a hunting rifle, but it's not something I've witnessed myself.

There. I guess that's what I want to write about tonight. It was a bad day with Mama Buzzardbilly. The doctor wants to meet with us tomorrow. They assured us it wasn't the "call in the entire family" call, so I assume we'll be talking about the fact that Mama isn't doing well and she probably won't be able to live alone anymore. I'm sure she'll have to go to a skilled facility to do rehab, physical therapy, and get breathing treatments. It's like they find something new wrong every day. On top of that, today we walked in to find her forehead all bruised with a little raised spot from it.

I knew something was up. I kept calling her room and getting no answer. Finally, I called the nurses' desk and they said she was downstairs for an x-ray. They did not say what for. I kept calling later and still got no answer. I was already getting ready to go over there to find out just WTF was going on because the last time I went hours without being able to reach Mama in a hospital it was because she'd had her heart attack and was on a vent in ICU. No one called us. So, I was keyed up going in. Grasshopper called just as I was starting that way to say she was too. Apparently, Mama B got up to use the bathroom in the middle of the night. She didn't call for assistance because she didn't feel like she needed assistance. She made it into the bathroom and she said it was like her knees just gave out on her. She hit her head and her newest robo-knee. And, no one called us. I did some fine communicating with them about that, so hopefully, they'll call if something happens again.

Her knee looks much worse than her forehead. We asked the nurse if her knee doctor (the one who put those knees in) had been called for a consult. Uh, no. We requested a consult, but considering how the request for the renal consult was handled last visit and this, we'll be calling the knee man on Monday ourselves.

Mom will not even hear of someone spending the night in the hospital with her. We had to do the 24/7 shift with Dad when he was out of his mind with infection and could not make decisions for himself. That is what she believes lead to her heart attack in Florida. It would stress her out more to have us there than to not. I don't know, though. It's 3:30 a.m., as I finish this and I honestly think I'd rest easier being there than trusting them to call me if something happens.

And all of this because hospitals are trying to figure every way to shave a dollar from actual care because they're scared to death that Obama is going to make medicine affordable (and hospital executives less rich). Doubt my word there? Ask anyone who works in a hospital, especially if they work around administration or middle management.

12 comments:

kenju said...

I know how stressful that is for you, and I hope it gets resolved soon. I can tell you that rehabs and nursing homes are no much better, and in some instances, they are worse.

Evil Twin's Wife said...

This has been going on for a long, long time. When my mom was in the hospital in 2005, it was like they couldn't wait to release her, even though we knew she couldn't go back home.

I'm sorry you all are going through this - if you need to talk, call me anytime.

MountainLaurel said...

Re: MJ: yesterday when I heard that he had OxyContin in his system, I said, "I'll crack up laughing if the highest grossing musician dies of Hillbilly Heroin." Not that it's funny; it's the irony of it all.

Prayer for MamaBB. Soon I'll be in your neck of the woods. Could you do a 24-7 shift without her knowing it? Say, sleeping in the waiting room or something? Prayers for all of you. I can imagine how difficult it is.

Anne Johnson said...

Oh, BB, I've been where you are right now, and it's such a tough haul. I'll be thinking about you. And yes, I once slept overnight on the floor in the hall of Dad's nursing home so that the doctor could not possibly dodge me by doing his examinations on sleeping patients at 5:00 in the morning. And that's exactly when the f*****er arrived too, 5:00 in the morning.

The best thing to do in this case is to go to personal extremes whether Mama BB wants you to or not, just so you won't feel guilty later.

YELLOWDOG GRANNY said...

I can't imagine what your going thru...saying prayers and lighting candles...

Spike Nesmith said...

hillbilly heroin used to refer to OxyContin (which, by the way, is produced by Purdue Pharma, which is based in Stamford, Connecticut, and last I checked there's nothing hillbilly about that)

I might be wrong, but I gather the origins of Oxycontin being referred to as 'Hillybilly Heroin' was more to do with the people who used it being able to lie/cheat/steal some easily from a doctor or from a friend, because they couldn't find or afford *real* heroin, a drug which is found predominantly in areas of more dense population. I don't think it was anything to do with the makers.

Warped Mind of Ron said...

{{HUGS}} Sorry that things are going the way they are.

Malach the Merciless said...

I hope Mom gets a little better soon, we all hope our relative love out their last years in realitive Peace. I will pray.

MsPulp said...

Sorry you're having such a tough time. Hope you are getting enough sleep, yourself. 2:45am?? Time for a nap!

Buzzardbilly said...

Kenju, Actually the facility she was in after her last robo-knee was quite nice. There will be some facility between hospital and home because she doesn't have the strength to move from room to room.

ETW, They're not pushing to get her out like I thought they were going to be. Turns out there's a breathing thing they want her to wear when she sleeps because her weight is making her oxygen saturation levels very low at times and that causes damage to the heart. She was bucking them. They wanted us to talk her into giving it a shot. Thanks for being there, but it'll be sometime next week at the earliest, hopefully before our damned trip so that we can get her settled. And, yes, this is the beginning of the end and I know it. I see her give up just a little more each day. It reminds me of the first line from Queen's "Somebody to Love": "Each morning I get up; I die a little." But, I guess that's true for all of us no matter the age, huh?

Laura, Dude was sued for owing one pharmacy alone a little over $100,000 in prescriptions in like a year or something. They don't call it "hillbilly herion" because it's cheap. I think it's the ease of access in areas with aging populations and close extended family structures. And, yes, there is an irony to it all.

Thanks for the thoughts on Mom. It's tough. You really don't remember the stories about how yelling at each of my parents during hospital stays was immediately followed by that parent "coding" and having the crash cart used to bring them back. With Dad it was a straight up code. With Mom it was a massive heart attack. While I will do everything I can for her, it would seen the evidence of my lack of bedside skills and the dangers that can lead to far outweighs any possibility that upsetting a woman on the verge of major heart issues would be helpful. I'm good in a crisis like that. People wanna die after I try to get them to do what they need to do. And, just if you were wondering, there are a few folks I'd like to visit in the hospital one day just to see if my special powers could work on them. Perhaps the powers of casting words that make death appealling will strengthen as I age. ;)

Anne, Right now I'm so worn completely out that I am doing the best I can for her and I will feel no guilt. See my answer to Laura for reasons why. ;) But, if she wasn't lucid and able to speak for herself, my ass would be there for sure.

Buzzardbilly said...

Jackie Sue, That is very much appreciated!

Spike, oh, Spike. I will copy your response to me here for ease of access:

hillbilly heroin used to refer to OxyContin (which, by the way, is produced by Purdue Pharma, which is based in Stamford, Connecticut, and last I checked there's nothing hillbilly about that)

I might be wrong, but I gather the origins of Oxycontin being referred to as 'Hillybilly Heroin' was more to do with the people who used it being able to lie/cheat/steal some easily from a doctor or from a friend, because they couldn't find or afford *real* heroin, a drug which is found predominantly in areas of more dense population. I don't think it was anything to do with the makers

*end quote*

The italicized part was only meant as sarcasm and a touch of irony. The rich making sure that the poor have easy access to something highly addictive no matter where they live in this country has made those parts of the country where heroin normally wouldn't be found (though I understand that if you're not doing Keef-fucking-Richards levels of the stuff heroin it isn't as expensive as one might think. How else could one account for junkies on Skid Row?)

But it's this part that I have some problems with "...more to do with the people who used it being able to lie/cheat/steal some easily from a doctor or from a friend, because they couldn't find or afford..." because it feeds into the stereotype of the wily hillbilly who never works and will go to any length you'd care to comically imagine to keep from working. And, the "poor" thing has been a thorn in my side for a long time, not because there aren't poor people (or lying, cheating, stealing, lazy, shiftless bastards in the hills as much as in the cities), but 84% of West Virginia's population (last census I checked) lives above the poverty level so assuming poverty in West Virginia is a logical fallacy of letting the part (less than one-fifth) stand for the whole. Yes, it is one of the highest poverty rates in one of the supposedly wealthiest (guess that's up for debate) countries in the world. I have lived in rural Appalachia. I visit folks there often. It is not like a third-world country. Other than that, excellent response because it made me think a little more about it and, yes, I still feel like we don't have jack to do with Jacko's death. Really.

Please don't feel like I've parted your hair with my wind in that answer. So, in short, my reply would be: a) sarcasm and b) whatchusay?

Ron, Thanks very much.

Malach, Thank you too.

Ms. Pulp, By the time I could relax and sleep, the sun was up and the birds were chirping. I'll sleep tonight. Oh, yes, I will. And thanks.

MountainLaurel said...

Bb, continued prayers for you and your family. In my family, we're the masters of deception. So I would do something like tell my dad I was going home and camp out in the waiting room. He's not mad, I'm not worried, problem solved.

And can I have you try out your special powers on a few folks? I have a list. It's a short one, but it's a list.