veterans

What you never read about the V.A. Health Care System.

That Asian-Looking Chick Leave a comment

Yesterday morning, I went to the V.A. medical center, where I’ve spent a lot of time over the last few years… especially over the last few months. I’ve received wonderful care there. I’m a lucky veteran in that I have access to non-V.A. health care, too; I choose the V.A. over non-V.A. as my primary health care resource because I’ve found it to be a better system. In my experience, V.A. health care is superior to non-V.A. health care.

I know why you might be surprised. The media only wants you to know about the bad stuff pertaining to the V.A. health care system. Believe me, if the entire V.A. health care system was BAD, I wouldn’t be going there.

In brief, my experience at the Phoenix V.A. Medical Center has been superb.

In more detail, I prefer the V.A. health care system for the following reasons:

  • The time I have to wait to get in to see the doctor is significantly less.
  • The time I have to spend sitting in the waiting room waiting to be seen for my appointment is also significantly less.
  • The time that I spend sitting with the doctor during my appointment is considerably greater. I get more personal, thorough attention at the V.A. than I’ve ever received at non-V.A. medical facilities.
  • The quality of the care that I receive from doctors (including specialists), nurse practitioners, lab technicians, and administrative staff at the V.A. is better than what I’ve experienced at non-V.A. health care facilities.
  • V.A. doctors order labs and X-rays readily and on the spot. Since the orders are put into the computer system and the labs and radiology are right there under the same roof, I can leave the doctor’s office and go immediately to have the testing done.
  • If other testing needs to be done, the clinic in question contacts me promptly to schedule my appointment.
  • If I prefer an open MRI due to claustrophobia, the V.A. sends me to a non-V.A. clinic that does open-MRIs.
  • Doctors at the V.A. take a precautionary approach; they send orders for in-depth testing if they think there’s even a remote possibility that something of concern is going on.
  • The pharmacy, too, is housed in the same facility. I can procure my new medication in the same visit and go home with it in hand.
  • Lab and radiology test results come back in a fraction of the time it takes to get results and analyses done in non-V.A. clinics.
  • The V.A. has an online portal system that allows vets to access all of their medical records, notes, and lab results. Vets can also contact their doctors and other health care practitioners online via the My Health-E Vet system.
  • The V.A. is merciless in sending appointment reminders in the mail and calling with reminders. (This is a good thing.)
  • If I have to cancel an appointment, the clinic will call to re-schedule – repeatedly, until I’ve been re-scheduled.
  • The V.A. has a seamless phone-in system for pharmacy refills. Refills show up in my mailbox within 8-10 days.
  • The V.A. always asks me whether I’m safe and whether I have a place to live.
  • The V.A. always points me to available resources, should I need them.
  • The V.A. reimburses vets for their travel costs in getting to and from the medical center.
  • The V.A. ensures that vets have the suicide prevention lifeline phone number.

 

 

I could go on with this list, if I had time. I could offer specific personal examples, if I wanted to share details of my medical picture. Suffice it to say that I’m speaking from experience. It’s not just me, either… I don’t know (or know of) any vets using the Phoenix V.A. health care system who have a bad word to say about the health care that they receive within that system.

I’m impressed anew after the outstanding experience I had with my new rheumatologist at the Phoenix V.A. yesterday. (Previously, I’d gone to my former non-V.A. rheumatologist, who’s nevertheless also good.)

Now, at the Phoenix V.A. medical center, I have my primary care physician, my shrink, my doctor at the women’s clinic, and my rheumatologist. They’re all first-rate.

Yes. The best medical care I’ve ever received is at the infamous PHOENIX V.A.

Do non-V.A. health care systems have problems? Yes. Corruption at the highest levels occurs at non-V.A. health care systems, and patients’ risks on the ground can include negligence, poor conditions, poor treatment, scheduling hold-ups and issues, and all manner of malpractice.

I remember a case I’d read about a diabetic man who had the wrong leg amputated. It didn’t happen at the V.A.

I’ve heard about patients contracting varieties of strep and Methicillin-resistant Staphylococcus aureus (MRSA) infections in hospitals to disastrous effect, but all such cases that reached my attention have happened at non-V.A. medical facilities.

The thing is, non-V.A. health care systems aren’t scrutinized under the glaring political spotlights that blow up the V.A. health care system.

That’s actually another good thing about the V.A. health care system, though: since the system IS scrutinized, problems are addressed with highest priority. When corruption is discovered at the V.A., a gigantic national scandal ensues. The V.A. health care system is suddenly the worst thing that ever happened to veterans… mistreated veterans, poorly treated veterans, and veterans who aren’t treated at all. Action is taken.

Whereas non-V.A. health care system corruption and problems can go unnoticed and unresolved for years.

I’m in no way denying, discounting, or trivializing the horrendous or non-existent treatment veterans have suffered at the hands of the V.A. health care system; I’m not trying to detract from the real problems veterans have experienced with the V.A. I’m pointing out the fact that similar problems exist at non-V.A. hospitals, too, and they aren’t magnified x10,000 in the media. We hear about the V.A. because the V.A. is inextricable from politics. But from what I’ve seen, more veterans are pleased with the V.A. care they receive than not.

Speaking of medical matters, I’m happy to report that I had a great workout this morning. Here’s my gratuitous post-workout gym selfie:

 

Post-workout on a good physical day! I’ve been on a roll. I had five good workouts last week, and I hope to get in five more this week.

 

I am so grateful for my health and for the care I’m receiving at the Phoenix V.A. medical center.

Reiterating just to be clear: I’m not disillusioned about the V.A. health care system and its problems. I wanted to write this post so that somewhere, in some minuscule corner of the interwebs, there’s something positive to be found and read about the V.A. health care system, because it really is, despite its shortcomings, an excellent system.

It’s a shame that although there are many positives, only the negatives are reported. The public eye has been blinded to anything that could be positive about the V.A., which is a lot.

Thank you for reading, if you’ve made it this far.

“Do not go gentle into that good night” (Thoughts on trolls, suicide, Robin Williams)

That Asian-Looking Chick 6 Comments

In any given human interaction scenario, there’s that proverbial line. Once you cross the line, you’ve entered the land of excess. You’re beyond. I think that as humans, for the sake of decency, we make efforts to not go there. We don’t want to offend.

Conversely, there’s a sub-species of human who regularly and deliberately crosses the line, a sub-species that evolved out of the masses somewhere in the mid-90’s when the World Wide Web opened for business and ushered us into a new dimension of existence. Suddenly, we could hang out in the ether. No one could see us, but we were there. And we had keyboards. They had keyboards… they of the sub-species whose raison d’être is to go there, into the beyond. Those with a propensity to offend could now do it in the most cowardly fashion: Invisibly. At some point, someone started calling them “trolls.” The name stuck, and the verb form quickly followed. Trolling is now a behavior that’s as common-place online as annoying ad pop-ups you have to “click to close” before you can read what’s on the page.

Trolls are everywhere. It’s just a fact of the internet that nothing is sacred to them. I know this, but still, I was aghast at their comments on articles about Robin Williams’ death (if I may use that event as an example). As a reader, I saw that as crossing the line of all lines. When trolls unleash their misdirected anger in the comments section of an article about someone’s death, they’re so far beyond that I can’t begin to comprehend it.

Maybe it’s naïve of me to expect nothing less from trolls who spend their days seething under the bridges of the interwebs, but really? Robin Williams committed suicide in an apparent state of confusion and despair. He was a fellow human being, an artist who devoted his career to making us laugh and using his acting gifts to enrich our collective human experience with the depth of his dramatic performances.

We now know that Robin Williams suffered with Lewy Body Dementia and a couple of other, related neurological diseases. His depression was likely a by-product of LBD, but what if he didn’t have LBT? What if he was simply, clinically depressed, as everyone assumed at the time of his suicide?

Disdain for those who commit suicide* confounds me.

Within our legal system, we have a mechanism by which murderers are shuttled away from incarceration. We informally call it the “insanity plea,” and those who use it can take up residence in a medical facility instead of in prison… because to be determined to be too mentally unfit to stand trial is to be recognized as suffering with a medical condition.

Given this, I often wonder why the murderer of one’s self doesn’t deserve that same consideration. Why do we judge the deceased who took their own lives? Why does the church refuse to bless a soul that died deliberately? The act of suicide comes from a place of inner chaos, whether from clinical depression or from neurological disorders such as those that Williams experienced. Regardless, to be in this state of despair is to be mentally unfit. If a criminal can escape prison due to being mentally unfit, why can’t a person who committed suicide also be spared? Why can’t we acknowledge the fact of mental illness and let the dead rest in peace?

 

Works of two of my favorite poets (of the many who've committed suicide).

Works of two of my favorite poets (of the many who’ve committed suicide).

 

You can’t explain such concepts to trolls. They can’t be reasoned with, but you can reason with others. You can explain how it’s offensive to speak of the deceased as being selfish, pathetic, immature, “a loser,” etc. Many of us say such things. “Suicide is cowardly and selfish. It’s the easy way out that only hurts those left behind.” In my opinion, if we’re into Political Correctness, we should deem it un-P.C. to speak unkindly of those who commit suicide.

Suicide is only tragic. 22 veterans commit suicide every day, and do we speak of them with disdain? No. For the most part, we understand that P.T.S.D. (whether from military experience or from other traumatic events) and depression go together. We reserve our disdain for civilians… but suicide is suicide. No one who commits suicide is mentally fit at the time of the act.

Trolls who emerge to spew their vitriol in the comments section of article about people who committed suicide – such as Robin Williams – are the worst, as far as I’m concerned. They’re gleeful to have this excuse to rant about politics, religion, etc. They want their hatred to be heard, and they’ll use any occasion to achieve that.

The fact is that trolls are the cowardly ones… not the victims of suicide. (This is not at all to say that those who judge suicide victims are trolls.)

People who commit suicide can no longer avoid “going gently into that good night.” Let’s honor their bravery in fighting it, rather than looking down on them for dying.

 

*****

*Please note that I don’t include extremists in my definition of suicides.