Indianapolis, IN - STILL not working

Since the doctor only released me to resume work with restrictions, including a 20 pound lifting limit, occupational health cannot clear me to resume work. I'm now left with the choice of going to another doctor or complaining to the physician I've already seen and telling her that I need a referral to someone who can actually get things done. At this point I've been out of work for five weeks, still have shoulder issues, and don't think those issues are likely to get better on their own since they haven't already. About the only thing going for me is that my insurance remains in effect and occupational health pre-approved the maximum twelve weeks of medical leave, which leaves me until the middle of May to get this sorted out and still have a job. If I'm still screwed up after that, I don't know what happens next.

Health Insurance Reform passed?

Despite what they're trying to brand the bill as, this really isn't health care reform. It will, however, do a lot of things to health insurance over the next several years. Somehow a lot of people are still repeating talking points that were debunked months ago, so allow me to try address a few of the complaints I've heard with a somewhat intelligent rebuttal in a form that isn't restricted to 140 characters.

1. Some benefits of this bill kick in this year. There have been several complaints that we have to start paying for things now and see nothing good for years. That's just not true. Effective this year, health insurance companies are prohibited from having lifetime limits on policies and cannot cancel coverage (rescission) just because you get an expensive illness. Young adults can stay on a parent's policy until age 26, not just until they turn 19 or finish college. Seniors will see alleviation for prescription drug costs. Reuters has a pretty thorough timetable of benefits that includes those and a lot more.
2. You will be able to afford health insurance. If you make less than 400% of the federal poverty level (about $43k), you'll qualify for a government subsidy to ensure that insurance won't cost more than 10% of your income. The less you make, the lower the cost to you will drop; if you're making 133% of the poverty line (about $14k) you're eligible to get on Medicaid for free. As such, most of you reading this will likely qualify for a heavy subsidy. Here's more info on those subsidies.
3. You will have to have insurance. If you don't have an income low enough to qualify for Medicaid and still refuse to buy insurance when the mandate takes effect in 2014, you could face a penalty of either $695 per person or 2.5% of your household income, whichever is greater. Odds are, if you make less than $20,000, it will actually end up cheaper to buy subsidized insurance than to pay a penalty. Why are they forcing people to buy insurance? Well, the more healthy people have coverage, the more the cost of covering sick people can be spread out and the lower the costs will become for everyone. Also, many of the people complaining about this are healthy, 20-something males, a group that usually has the lowest premiums on the market already.
4. This bill, flawed as it is, is still better than nothing. If Congress had still failed to pass this, it would probably be at least another 15 years before anyone even attempted to take up health reform in a serious manner again. The current system is unsustainable. This new one is probably unsustainable in the long run, but taking any step to fix it is still an improvement. Hopefully the progress will continue in the coming years and actual improvements in health care will happen this decade.

Irritability

I really don't know what my problem is today, but I've been particularly bitchy today. It hasn't taken much to set me off about anything, I haven't felt like wanting to do much of anything, and the few things I have tried to do have proven to be nothing more than a total waste of time and effort. I would like to get off the computer and do something with someone in real life, but nobody around here seems to be available for anything and - even if someone were around - I can't think of anything specific I want to do.

I can think of a few things that I probably should be doing myself, such as writing stuff, cleaning my room, or even just ensuring I get a good night's sleep as I stayed up far too late last night. But even trying to convince myself to get off my tail and cook a small plate of pasta for dinner has been a lost effort, as I've been home here for over an hour and still haven't even nuked my leftovers from lunch. There are also plenty of other things getting on my nerves, mostly involving the roommates other than Delphi: they have left so much crap in the sink that it's basically unusable and their cat - which violates the lease - just loves getting in my way and clawing at everything.

At this point I almost wish I could get back to work, just to have some time to myself and something productive to be doing. It wouldn't be the greatest idea right now, as I'm still nursing intermittent shoulder pain, but I really should be doing something productive and making some money. At the very least, it would be nice to at least be doing something at all, even if not a particularly profitable venture, just to get out of the apartment for a while - perhaps a couple of days - and be in a quieter, cleaner environment. Having a friend or two around for most of that time would just be a bonus.

Really not sure what else to ramble on about at this point, though this blog post has already been one of the longest non-medical things I've posted in months. Really not sure that I even have anything of particular value to say these days, which is part of why I've been so quiet on here.

Emergency Room visit - Medical mishap

One of the medications I'm on says "take with food" on a plain, white label. It's not one of the scary red warnings, or even a yellow cautionary statement, just a simple white label next to the rest of the prescription information. After getting home from a game night far too late last night and being so completely un-hungry that the thought of food made me a bit queasy, I took the pills with just a cup of tea and went to bed around 4:30 AM.

This was a mistake.

I woke up around 10, well before my alarm was set, with a slight upset stomach. This rose in a steady crescendo to full on "you're throwing up now" nausea, and resulted in the sort of projectile vomit that wouldn't have looked out of place in a zombie horror film. It was reddish, though, which I took as a pretty bad sign; when I've gotten sick before it's always been a neutral color. I also had to use the restroom again. And again. And again. Breathing hurt. I felt extremely weak. I tried eating some mini-wheats and couldn't even eat a dozen of them as swallowing itself made my stomach protest. I lied back down for a while, but that didn't help either. Around 1:15, on the verge of throwing up again, I just told Delphi I needed to go to the hospital.

Upon arriving, I relayed the above information, then got to sit and wait for a while. The hospital was full, somehow, so it took perhaps 15 minutes for them to get me into a bed. I had to wait for some time between various stages of treatment: I had blood drawn, an EKG, an IV with saline drip and two nausea/pain medications, and a long, long wait while those all took effect. I was cold the entire time - my temperature was only 97.5°F when I arrived - and the blankets would not stay on top of me. They ultimately just chalked it up to a reaction to the medication, gave me a prescription for some anti-nausea pills, and told me to call my doctor tomorrow to let her know what happened.

On the way home we stopped by the store and picked up some Powerade, rice, and bananas, all per the doctor's recommendation that I eat really light for the next day or two. I'm supposed to just start with liquids for now and, if that doesn't cause me discomfort, I can eat the bananas and rice. The nausea medication's a fallback option for only about two days; I have just five pills that I can take so I'll probably save them unless there's really no other good choice. For now, I'm just sipping a bit of something and contemplating going to bed in the next hour or so.

Shoulder update - March 1

I never heard back from the doctor's office on Friday, so I decided last night that I'd go up there this morning. I went to bed around 12:30 AM, but I didn't even wake up until almost 11, then spent an hour and a half drifting in and out until I finally had the strength to get out of bed, get my clothing on, and get moving. The nurses at the doctor's office said that my doctor wasn't in on Friday, which is why I hadn't heard back, but I was assured that someone would call me back today, likely before 5 PM. In the meantime, I checked with the company's occupational health department and found out that one of my drugs - meant to alleviate muscle spasms that could trigger more severe pain - is something that I cannot take while driving (it's a narcotic) and that I have to be off it for 24 hours before I can resume work. As such, the earliest that I can go back is Saturday, and that's assuming there are no further issues. If I am cleared,

Of course, I wouldn't even be trying to go to the doctor again if there weren't issues. The pain isn't radiating up my neck like it was before, but it is over most of the area around my right shoulder blade, extending from my shoulder halfway down my back. It's pretty much localized - I could trace the area that hurts with a marker - but it does hurt quite a bit in some circumstances. Shifting gears in my car (e.g. from neutral to drive) was enough to make it uncomfortable. Holding things while using the restroom is probably the most uncomfortable thing I've done and it hurts for several minutes afterward. Trying to stab at my salad wasn't fun either. And, of course, the longer I'm sitting here typing the more it starts to bother me unless I maintain perfect posture. Strangely, playing video games is not making it hurt, which is why I've spent so much time playing Mario Kart and Smash on the Wii over the weekend.

I'll likely update this post when I hear back from the doctor later tonight or, at worst, sometime tomorrow. I don't think I can sit with my arm like this for much longer.

Edit (4 PM EDT): Just heard back from the doctor's office. Turns out that one of the medications does have severe drowsiness as a side effect; they recommended that I cut its dose in half to try counter it, but continue taking the other two as prescribed. I also will be getting referred to a hospital for an MRI; they'll call me to schedule the test. Results should come back within two days after I've been scanned, hopefully less.