Tag Archive for 'socialized medicine'

unmedicated

August 5th, 2006: I am pretty happy with life in general.

August 6th, 2006: Upset to be leaving to Iraq for a year, but sure the trek will make me stronger, better.

August 6th, 2007: 365 days in Iraq; nearly 60 days to go - my confidence wanes.  I am unhappy.

September 26th, 2007: My feet are back on the ground in Hawaii, and I am happy to be home.

April 22nd, 2008: After dealing with serious emotional issues for several months, I succumb to the reality I may need medication.

April 23rd, 2008: I visit the Soldier Assistance Center and ask to see my provider to discuss medication options.  I am told walk-in hours are at 7:30 AM. Won’t you please come back tomorrow?

April 24th, 2008: It is 7:15 AM and I wait for the doors to open.  They do, and I am told all questions regarding medication must be addressed in their daily walk-in medication briefings, held at 1:30 PM.  Won’t you please come back this afternoon?

April 28th, 2008: Unable to return for Thursday’s walk-in, and again unable to enjoy the weekend, I take time out of my day off to travel to work and attend the medication briefing.  I am told those briefings are held at 10:30 AM on Mondays. Won’t you please come back tomorrow?

Tomorrow I have a dental appointment at 10:30, and bigR’s soccer practice at 5.  It is highly unlikely I will be given the liberty to disappear from work three times in one day.  Won’t you please try again Wednesday?

At this point I am certain I would have more success seeking “medication” from random strangers on the streets of Wahiawa.

the post wherein the author begins to travel the road to vasectomy part ii

Most of this has already come out in Tweets, but here’s the rundown on my latest vasectical news:

March 3rd: Initial vasectomy consult / Q&A with Family Practice
March 10th: Vasectomy not performed at Family Practice, consult placed for Urology clinic
March 31st: Initial consult with Urology clinic (this was when the Doc told me I had “thick scrotal skin” and “large testicular cord muscles”
April 24th: Vasectomy “class” - attendance required for performance of procedure
April 28th: Assuming I pass my “class”, today I can schedule the procedure
May/June ??th: Second attempt to isolate my vas deferens amid the forest of testicular muscles

Quick poll; should I include some sort of title code or category assignment for posts dealing with my privates? (No answer required. I just polled myself, and you have decided against such a notification system.)

halfsectomy: the whole story

It was a warm Monday afternoon, and I was fifteen minutes early to for my vasectomy appointment. I swallowed my single Valium just as we arrived on the second floor, and I checked in. I filled out a few forms, kissed Nervous Wife and the kiddos, and had a seat in the waiting room. Ten minutes passed before the receptionist approached and timidly informed me the doctor was running “about thirty minutes behind”.

“No problem,” I assured her, Valium haze just beginning to gloss over my eyes.

I utilized the next few minutes to go over the handout I had been given after my initial consult a few weeks prior (something I probably should have done before coming to my appointment). Let’s see, pre-game todo: bring an athletic supporter - nope; shave downtown- nope. Two strikes, no balls. Weird how every male genitalia diagram I’ve ever seen has the balls hanging lower than the penis. It’d be hilarious to see just one poster of a dude hanging way down, making everyone who looks at it feel inferior. Damned Valium … stop making me think about penis.

One of the few benefits of the military health care system is the amount of time we are afforded to sit and people-watch as we wait for doctors who have difficulty keeping to their schedules (I’m looking at you, Dr. Kim!) (some names have been changed - it’s up to you to guess which ones). Wow, look at this guy, I thought to myself. Nice high and tight, and awesome moustache, dude. Oh shit he’s coming to talk to me.

“Excuse me, Mr. Terry?” he asked.

“Yessir?”

“Hi, I’m Dr. Ferguson. I’ll be working on you today. This may seem like a strange request but … the doctor who initially did your consult didn’t leave me any notes (that’s YOU again, Dr. Kim!) so … I’d like to check you out myself. Do you mind?”

“Not at all,” I told him. “My business is your business.”

Dr. Ferguson escorted me to the exam room and told me to rest easy: despite being behind schedule, I was the last appointment for the day, and was assured there was no pressure for him to rush.

“Well once you finish with me, you get to go home, so …”

“Trust me,” he again insisted me, “I am not in any hurry.”

With the door closed, the gloves on, and my pants around my ankles, Dr. Ferguson made a half-hearted attempt at small talk. NOTE to any doctors reading this: talking about how you just returned from three months in the Philippines does not put a patient at ease - at least not this patient!

After he had satisfied himself with the feel of my testicles, he tossed a gown at me and had me strip down, lay back, and wait for the nurse who would come “prep” me. (I resisted the urge to equate “prep” with “fluff”, thinking this a poor circumstance for an erection.) A male nurse entered the room, followed by a female nurse, both in their early 50s. Training day in Family Practice! Fortunately, the only prepping to be done was cleaning and disinfecting my junk. And flopping my penis against my stomach and taping it down. Least sexy thing ever.

Cleaned, taped, drugged and ready for action. But … wait, who is she? Just as the two nurses left the room, an attractive young Army Specialist came into the room, shuffled a few papers around, and took a seat in the corner, purposefully averting her eyes. I see you, I thought, I’m just not sure why you’re here. Family Practice Secretary? Recording the minutes of this week’s session? Ya just like to watch? Whatever, makes no difference to me. I’m not here for a date.

At long last, the doctor re-entered the room, Higher-Ranking Doctor in tow.

In order to distract me from what was going on, Dr. Ferguson again began making small talk. Again with the Philippines. Turns out he worked with a good friend of mine from Fort Bragg while he was out the–OUCH! What the hell, dude?!

“Sorry about that. The lidocaine is the worst part, I promise.”

Whatever, man. A little warning would have been nice.

I’d heard rumors of peer procedures involving mashing and flicking and poking. All I got were two shots of lidocaine, which took effect surprisingly quickly. Everything else, which certainly could have been mashing and flicking and poking, was just a sensation - an awareness - but certainly not painful.

The poking and tugging continued for over an hour while both doctors discussed different “approach techniques”. (By this time, Cute Young Specialist is no longer trying to avoid looking - she is full on staring now.)

“See,” Dr. Ferguson explained, “sometimes if you have large veins, it’s easy to get them confused with the vas deferens. If you make a mistake and cut a vein instead, you’re going to have a problem. There’s going to be a lot of bleeding, and it could be very bad.”

“Uh huh,” I replied.

“Chris, you want to try for a few minutes?” Dr. F asked. “I can’t isolate it.”

“[Long, audible sigh] Sure,” Higher Ranking Cranky Doctor responded.

It took another twenty minutes or so before I was given a decision to make:

1) continue mashing around for another hour and possibly not getting it
2) continue mashing and get it, but possibly cutting the wrong piece
3) giving up and letting urology give it a go another day

Door number three had a much shinier knocker, so I went with that one.

To his credit, Dr. Ferguson appeared genuinely disconcerted he couldn’t help me. In the end I appreciated his ability to mark his own lack of experience and pass me on to a more fully-equipped, surgical clinic.

Testicles: 1
Army: 0

Ugh, I have to wait *four* wee…

Ugh, I have to wait *four* weeks to go to *another* vasectomy class before I can re-schedule. Damn socialized medicine!

the obligatory vasectomy pre-story

It hasn’t happened yet - fortyish hours and counting - but I had my vasectomy “pre-screening” / Q&A session last Monday. Highlights include my stifling a laugh when the doc said “balls” and Gross Wife’s suggestion we store a sample in a plastic baggie in our own freezer. Gross.

We’ve discussed our decision pretty thoroughly and are satisfied with our wanting to 1) be able to continue to afford having children and 2) keep our carbon footprint just the size it is now.

So Monday afternoon, we do the deed. My mother is visiting next week as well, so it’s a good enough time to wrangle a few free days off work for us to lounge around the house.

// This post can also be viewed on theDaddyProject.org

Neurology consult, audiology f…

Neurology consult, audiology follow-up, and vasectomy scheduled. Now just gotta work on that ortho surgery …