Archive for the 'American Health Care System' Category

Bobby Goes On a Trip

Wednesday, April 18th, 2007

Padlock My one-time roommate Bobby led a pointless life—unless you consider taking up space, pissing on the floor, and fouling the atmosphere with a pungent reek worthwhile endeavors. But when his crackwhore sister visited him, their prattling vaguely amused me. That and his comically inept burgling provided marginal worldly value to Bobby’s existence.

Particleboard nightstands stood next to each warehouse bed. (A few years into my stay, the administration tried to buy my testicles with a cheap desk from the basement. Their strategy failed but I thoroughly enjoyed my new furniture.) A hinged latch had been screwed to the top of the nightstand, and fit over a metal hasp protruding from the drawer (as was the case with my desk’s main drawer). The administration sold padlocks. Mr. Gold advised residents to buy and use the locks, store valuables in the secured drawer to thwart thieving staff members and dodgy roommates. more »

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Paratransit Follies — Part 3

Wednesday, April 4th, 2007

Read Part 2
Many warehouse residents were elderly and/or near death. The chintzy bastard administrator, Mr. Gold couldn’t justify paying a trained therapist to work with a resident, only to watch that resident waste any newly learned physical strategies by dying. The warehouse bosses promoted easily manipulated CNA’s who excelled at making beds and emptying bedpans to revered positions as physical therapists, much like teacher’s pets are chosen to clap erasers. Stupendously lazy young residents didn’t care about the administration’s tacit ban on competent therapists; they rationalized that their own lack of ambition demonstrated a mature acceptance of their bodily deficits. Or maybe they realized physical independence meant an end to their mooching. more »

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Paratransit Follies — Part 2

Wednesday, March 28th, 2007

WreckRead Part 1
While staying at the warehouse, I phoned a paratransit company licensed by the city and scheduled a ride to my bank. As the female driver strapped my wheelchair to the floor of the van I noticed a small portable black and white television stationed on the driver’s side of the dashboard. I assumed that during her breaks she parked in a lot somewhere and stared at mindless shows. She glanced at the schedule attached to a clipboard while she absently grabbed my fare. No sooner had she merged into traffic than she switched on the TV; it was tuned to a soap opera.

Three minutes into the journey she complained that she hadn’t eaten breakfast. While the TV blared, the van jerked to a halt in front of a McDonald’s or as she familiarly called the popular fast food chain, Mickey D’s. more »

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Paratransit Follies — Part 1

Wednesday, March 21st, 2007

HomelessBack when I almost languished in the warehouse, paratransit companies expected their drivers to follow stringent rules when serving the infirm and disabled—at least that’s what they wanted everybody to believe. (This may have changed, but I doubt it.) The reality of high employee turnover for an underpaid and largely unskilled position (though many unsophisticated drivers insisted otherwise) forced urban paratransit companies to shitcan reasonable standards when hiring workers.*

Cripplevan companies trained their drivers to assist elderly customers as they shuffled up or down the van’s ramp, and to always back wheelchairs in or out of the vehicle—never to push except on level ground. A driver who followed proper procedure used heavy nylon straps to secure the wheelchair to the van’s floor, then fastened a seat belt around the passenger. (I remember once when I reached for the safety strap; the driver ordered me not to move, to let him do it because “I be a trained p’ofessional.”) more »

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Misguided Decorum

Wednesday, March 14th, 2007

Cripples and retards are not worthy of respect solely by virtue of their deficit(s). They can be just as amazingly stupid, petty, and annoying as able-bodied and sound-minded members of society. For example, gimps acknowledge a silly hierarchy among themselves: A person born disabled enjoys a higher position on the gimp totem pole than a person fucked up by illness or injury. Christopher Reeve’s antics left the self-righteous in-crips reeling with indignity. more »

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In God They Trust

Wednesday, February 14th, 2007

GodImmediately after I entered the hospital, my doctors spewed their quarter-assed diagnosis at my parents who passed it along to my grandmother. She (like most people) regarded the conclusions drawn by white male doctors beyond reproach. News of their—and in fact everyone’s—irresponsible speculation prompted her to write a letter to me, her ill-bred wicked grandson. In it she expressed her hope that enduring this stroke fiasco would somehow “save” me. The correspondence caught me off guard because though she counted herself as a devout Catholic, she had never impressed me as a woman inclined to use what amounted to a popular catchphrase.

* * *
After I’d emerged from the coma, I remember lying on some sort of stationary gurney in the ICU of an urban hospital. more »

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Safety First

Wednesday, February 7th, 2007

SlowThe security people who worked at the warehouse established themselves as two-bit blundering oafs whose previous employers never entrusted them with any genuine responsibility—imagine a small handful of lobotomized Mr. T’s who formerly blew leaves. They wallowed in impotent authority by bullying and browbeating clearly innocuous residents, visitors, and medivan drivers.

I don’t mean the residents Mr. Gold had stationed behind a table in the lobby. The handpicked batshit fossil on duty would motion to a guestbook while politely but sternly ordering residents and visitors to sign in or out. Mr. Gold and an array of visiting psychiatrists had stressed the importance of this “job” to appointed residents and reminded them that people at their age needed to keep busy. more »

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I’m Uncoop’rative

Wednesday, January 17th, 2007

Over-educated liberals who trip over themselves to exhibit political correctness while disregarding reality routinely challenge victim blaming. Ironically, alleged victims are often anxious to find fault with those weaker than themselves, particularly the elderly or infirm—kind of like a linebacker beating up a six-year-old.

Many shitworkers at major urban medical facilities take disproportionate pride in their menial positions. These nano-wits delude themselves that a job requiring a white uniform and the use of bona fide medical gadgets must also demand extraordinary skill, and magically transform them into a “medical professional” worthy of awe and respect. Legions of these simple oafs infested the rehab hospital. more »

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My Testicularly Challenged Doctor

Wednesday, January 10th, 2007

Miles DavisQuestionably skilled but consummately arrogant MD’s descended on the warehouse every couple weeks to examine residents. They depended on the charge nurse behaving like a shameless lickspittle, scampering behind them and juggling charts while they made their rounds. When the duo entered a room, the nurse informed the preoccupied doctor of the occupant’s condition and its progress or deterioration. (There’s nothing quite as pathetic as a wide-eyed simpleton striving to gain the confidence of an uninterested taskmaster.) While the nurse groveled in the background and scribbled notes, the doctor examined the resident and intermittently deadpanned statistics and generic comments. They both usually ignored questions posed by the resident. more »

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But He Can’t Help It

Wednesday, December 20th, 2006

CNA’s indifferently accepted that some residents pissed onto the linoleum floor while lying half asleep in their beds because they were too lazy to get up and baptize the porcelain catchall. It never crossed their pea-brains that such a resident might be wildly ill-bred. Most parents teach their small children appropriate toilet habits; therapists were supposed to teach such skills to absent-minded patients. But the therapists often sloughed the responsibility off on the charge nurse, who delegated it to the CNA’s. The dullwitted CNA’s proved themselves incapable of any action beyond summoning a member of the housekeeping staff and telling them to mop the floor.

To be fair, it was hard to tell at first glance who suffered from physical dysfunction and who chose to conduct themselves like a fucking animal. more »

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