Mundane Monday #156

Welcome to Mundane Monday #156: our theme today is serendipitous light. Does serendipitous light contradict mundane? I don’t think so. We were walking on the beach in the evening and as the angle of the light changed, Marrowstone Island lit up under the lowering clouds. I stopped taking pictures of the flock of brant and took pictures of the land and sky instead.

What picture do you have of serendipitous or accidental or fortuitous light? Link and I will post them next Monday.

Last Mundane Monday #155, the theme was close color.

The Wishing Well sends this: https://bedressed.wordpress.com/2018/04/12/photo-challenge-yesterdays-mundane-capture/.

And K. L.Allendorfer: https://klallendoerfer.wordpress.com/2018/04/09/mundane-monday-embassy-suites/.

Happy Monday and I hope that your sky and horizon light up more than once this week.

There, I managed to mess up links to #155 at least three times….learning.

 

one of these things

For the Daily Prompt: deplete.

Holy cats, am I feeling depleted! Since I got back from vacation, have worked every day including both days last weekend! Neck hurt this morning, all stiff, I need a day off! No medicine today…

And what repletes you? Walking outside and taking photographs repletes me: and wondering. The gull is hanging out with the whole flock of brant geese. They don’t seem to mind. Nice! Black and white together! And I think of Sesame Street: “One of these things is not like the other.” Really, when you get down to it, the brant each have their own individual characters too, right? Grouped by species or not.

And music and dance and singing replete me: here is a fabulous hour of boogie-woogie piano music with Daryl Davis and others. I danced to Daryl Davis in Maryland back in the 1980s! Go Daryl!!

Keen kindly kites

A day late, but my theme remains happy things.

Oh, for yesterday the happy things are keen kindly kites and alphabet poems. The kites are from my own alphabet poem alphabeasts. I was thinking of the birds when I wrote it. I have not seen a kite yet. The brant above flying are caught by my cell phone, after my big camera ran out of batteries. They all spooked and leapt into the air. We did not figure out what spooked them.

I love other alphabet poems. Dr. Suess’s ABC, the wonderful creepy Edward Gorey poems, I have my childhood copy of Tasha Tudor’s A is for Annebelle, grandmother’s doll. Edward Lear’s alphabet poems and peculiar drawings always fascinate me. The children’s illustrated alphabets are beloved as well: Graeham Base’s endlessly detailed paintings for Animalia. We could make up whole stories about them! Max Grover’s deliciously strange The Accidental Zucchini with wonderful bright color paintings. What is your favorite?

K

 

 

hipaa, health insurance, and health information

Blogging from A to Z, my theme is happy things. Letter H is for HIPAA and health insurance and health information.

H is for hipaa: the Health Information Portability and Accountability Act, from 1996. I’ve been thinking about HIPAA and I have a question: if the patient handouts are supposed to be written at the fifth grade reading level for patients, why doesn’t Congress have to write laws at the fifth grade reading level?

Ignorance of the law is no excuse, right? Everyone in the US is supposed to follow the laws. Have you read them? I am supposed to follow HIPAA, right? I am supposed to follow the Affordable Care Act, (also nicknamed ObamaCare). It is 3600 pages long. It is written by Congress and attorneys.

What about health insurance? Have you read your health insurance policy? It’s a contract. If multiple US citizens have difficulty reading, why isn’t health insurance written at a fifth grade level?

CMS too and triwest and medicaid. I do not have time as a physician to learn the language of their websites.  I run my own small practice. It is infuriating to try to read, understand and follow medicare, medicaid and Veterans Choice rules and they change every year. We ask why health care costs so much, and then there are over 800 different insurance companies, each with multiple insurance plans, and more and more people are hired to try to navigate and understand the rules. It’s ridiculous. We need a single payer system so there is ONE set of rules. Everybody in, nobody out.

At the UW Telepain telemedicine, I said that I show chronic pain patients the link to the Washington State Law about opioids and pain medicine.

One of the faculty said, “Patients can’t understand that.”

I said, “Well, I’m supposed to follow that law and I am not an attorney. ”

My patients are all smart in something. Some of them can’t read well. I have had two recently that I recognized a reading issue in the clinic room when I gave them a survey tool to fill out. I promptly said, “Let’s do this together.” I read them the questions and the answers. They are not stupid, but I am not sure that their reading skills were up to the form.

I am not using the American Academy of Family Practice patient handouts much because I think they are too dumb. I use the Mayo Clinic much more. I direct patients to the CDC, to NIH, to the Mayo Clinic website. Sometimes my patients may not be able to read at that level, but I think everyone appreciates being treated with respect. I am also happy to go over and explain more about a topic. I also warn them that there are loads of crappy medical sites and pseudo scientific sites and misinformation on the internet. If they want to look something up, I want them on a decent site.

Now how are these happy things to think about? It makes me happy to question my own behavior and my own assumptions. It makes me wonder how our country can insist that medical information has to be at a fifth grade level but lets Congress write laws that I find nearly unreadable.

Now I am warning my patients that a federal law may go into effect in January 2019, about opioids, and that it will be different and override the state law. Change will keep coming.

H

The photograph is from the beach last night: brant. What would the flock think about our health insurance?