Christmas for Children

For the Ragtag Daily Prompt: shop.

The main thing I am going to shop for today is a little tag that I got at my Sunrise Rotary yesterday. This is a gift request for a child, part of Christmas for Children, run by our local Kiwanis. Here: Port Townsend Kiwanis.

Applications for gifts for children are here: https://www.christmas4children.com/.

This year, Christmas for Children is not only handling Port Townsend requests, but Chimacum and Port Hadlock and Quilcene.

A friend just remarried and he says that they are comparing stuff. They have two of many many things! Kitchen items, house items. Maybe as a wedding gift we should all offer to go choose between two of the things and take one away to donate to someone in need! All those decisions!

 

At the fair!

I had fair duty yesterday at the Jefferson County Fair. Two hours in the Port Townsend Sunrise Rotary booth. We’re in the new Commercial Building. The day started out with a fabulous band parade. I got a few photographs, next post. The fair booth is to tell about our Sunrise Rotary and what we do in the community and the world! The list is the banner on the right, everything from picture dictionaries for every 3rd grader in the county, to exchange students learning about the world, to Polio Plus and Shelterbox and big and small projects in our county and other countries. Hooray for teamwork and for all the people who donate their time and energy and fellowship and money.

The booth is still up today. We are already selling tickets for our “Running of the Balls” fundraiser. We roll numbered golf balls down Monroe Street before the Rhody Parade and the winner and 2nd and 3rd get cash! $2000.00 to the winning golf ball!

If you buy five tickets for $20.00 at the fair, you go into a drawing to get 50 more numbered golf balls in the race. Stop by!

And for the golfers, we need more golf balls. We don’t have enough for next year. Some get away, darn it. Contact me or another Sunrise Rotarian to get rid of the old golf balls.

 

 

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? 

 

neighbors

I took this during the Wooden Boat Festival this year. I am in the Sunrise Rotary. We sell hotdogs, beef and veggie and virtual (for your avatar) to raise money for all sorts of projects: incoming and outgoing exchange students, a shelter box or two to go to disasters, grant money for our local domestic violence and trauma shelter, dictionaries for every 3rd grader in the county, money to a project in Rwanda to support grandmothers taking in orphaned children that they are not even related to….

hot 2

Many thanks to everyone who helps. Some people don’t eat hotdogs, beef or veggie, but donate anyhow. Since it’s Wooden Boat, I dress as a very unrealistic pirate. I just like the hat and lace!

For the Daily Prompt: neighbors.

Work place

Mostly I post photographs from outdoors, but this is clinic Friday afternoon. Mordecai took off her feather boa, wig and headdress and came into the exam room to add to a visual discussion about the sacroiliac joints. Mordecai is a plastic skeleton and her sacroiliac joints are attached incorrectly but conveniently for the sellers. After all, her bones don’t have the weight of a real skeleton nor does she have tendons or muscles or skin to connect everything. She is sitting beside my Netter Atlas of Human Anatomy, which I use in clinic every day. To show the knee ligaments and menisci, to show the back muscles, to show the connections of the psoas muscle….

Many thanks to Dr. Netter’s brilliant paintings and also to Mordecai for their help!