Sunday, June 2, 2013

Up and Coming!


Hello Redwood's Fans!

How has your week been? Mine-- busy but fantastic. I think I met my first UBER fan-- Babs. And although I'm thankful for all those who are loving my stories she was a true treat and I think may have nearly had a heart attack when she held my phone. We met for dinner (along with a couple of other FABULOUS ladies) through one of those cosmic turns of events. Her sister posted that I was lucky she got in the right car for the ride home but I think I need a little Babs in my pocket for those hard author days when the words are hard to type-- just for a serious ego boost. I've pictured her below. I'm the one in shades.

Uber-Super Fan Babs V.
How are things going for you?

This week we're going RADIOACTIVE!!

Monday: Principles of radiation exposure. Plus, some great advice on kids and x-rays.

Wednesday: Author Beware!! I haven't done one of these posts in a while but they are important in getting details right. This is where I take a real life example of published material or TV/movie and expose the medical error. This week-- the new NBC series Hannibal.

Friday: Author Question: Radiation Leaks.

Hope your week is glowy and fantastic but without radiation sickness.

Jordyn

Friday, May 31, 2013

Thin Wire: Heroin Addiction

I'm pleased to host author Christine Lewry as she shares from her book that deals with her daughter's struggle with heroin.
Abridged extract from Thin Wire: A mother’s journey through her daughter’s heroin addiction.

Amber’s story: Heroin Withdrawal
Living with Dave, I’ve always had an easy supply of heroin. The thought of what a long, enforced withdrawal might be like flits across my mind. I dismiss it – I’ll be okay and we’ll soon be home. ‘Sleep as much as you can, it’ll help slow the cluck. The more you move around, the more it’ll hurt,’ he says.
The journey to the station doesn’t take long. The police van pulls up into an under-cover, concrete courtyard. A policewoman unlocks the barred door of the van and swings it open. We step down, straight into a frigid, stark cage.
‘Out you come,’ the custody sergeant says as he opens the door from inside the station. He points at me. ‘You first.’ I follow him to his desk. He has a two-page questionnaire to fill in about me. When he reaches the end he says, ‘Do you need to see the doctor?’
I lift my chin. My eyes settle on his face. ‘No. I’m not a drug addict.’
‘Okay,’ he marks it on the paperwork. ‘If you say so.’
In my cell there is no mattress or pillow, only a scratchy old blanket. I pick it up and shake out the dust. It smells of old men and greasy hair, like it’s never been washed. I lay the blanket on the wooden bench and use my coat to cover me.
The mental itch for heroin creeps over me. I close my eyes and try to sleep, turning on my left side and then my right. The fake-fur collar of my coat makes my nose itch so I push it away. I take off my shoes then decide my feet are cold, so I put them back on.
It’s been ages. I ring the bell on the wall of my cell. The empty echo of the policeman walking down the corridor gets closer. He pulls back the slat in the door.
‘What is it?’
‘Can I have a cup of tea?’
‘Only after you’ve been here an hour. I’ve got too much to do.’
‘Well, I’ve been here an hour.’
‘Fifteen minutes actually.’ The slat slams shut.
Fifteen minutes! He’s having a laugh! Panic rises up inside me. I must get a grip of myself, stop the uncontrollable shaking. The itch is getting stronger and I have no idea how long the police can keep me here.
Pacing up and down the small room, I notice the heavy door is scuffed excessively on the inside, as though most of the previous inmates have leant their weight against it and kicked it continuously. One of the walls is painted yellow, the colour of sick, and the other three are brick. The floor is cold concrete and there’s a stainless steel toilet in the corner that smells of bleach. I lie down, telling myself to relax and stay still.
A heavy key turns in the door and someone opens it. A cup of tea is placed inside. My hand shakes as I take a small sip from the white plastic cup. It squashes in and I think it’ll spill over the top. The tea is tepid, not hot, and tastes of metal like it’s come out of a machine, weak with no sugar.
I’ve been walking up and down the limited space in my cell for most of the day. The windowsill has hundreds of messages, names and poems scored into the wood. I read them all, running my fingers over the surface as if it’s Braille. Do I know any of the people who have been here before me? Are they addicts? Dave’s punters?
The pain in my arms and legs is excruciating; I can’t stand it any longer. I’m starving hungry yet sick to my stomach. Freezing cold and shivering, but when I touch my skin it’s burning and wet with sweat. I’d do anything now, anything to stop the unscratchable itch for heroin.
I ring the bell again. ‘I’d like to see the doctor.’
The policeman looks at his watch. ‘Sorry love, too late for the doctor to come out tonight. You’ll have to wait until the morning.’
‘But I can’t wait till then. Please.’ My mind is frantic, searching for some reason I could give him to make the doctor come out.
‘Did the custody sergeant offer you the doctor when he signed you in?’
‘Yes, but you don’t understand …’
‘Then you should have said “yes” when he asked you.’ He shut the slat.
I sit on the cold floor and rest my head between my knees, waiting to see whether I’ll puke. The blood in my ears is roaring. The ache of withdrawal has taken over. I’m exhausted, but my speeding brain prevents me from sleeping. The pain comes like a hard punch, as if I’m a boxer in the ring being beaten, but even a boxer gets a thirty-second break between rounds. I clench my fists and knead them hard into my guts as a wave of agony flows over me. The worst part is knowing that if I just had a little heroin all this pain would go away.

Good news is Christine's daughter beat her heroin addiction and has been clean for almost a decade.
***********************************************************************
Christine Lewry lives in Hampshire, UK with her husband and two youngest children. She worked in the defence industry as a finance director for twenty years before leaving to write full-time. Thin Wire is her first book. For more info: http://www.christinelewry.com/

Wednesday, May 29, 2013

Concierge Medicine

Personally, I didn't have a lot of strong feelings about concierge medicine until my personal physician decided to convert his practice to it.

I do have VERY strong feelings about Obama Care speaking as a pediatric ER nurse. I tend not to get political here but, regardless of how you feel about the law, healthcare is changing in the US and physicians moving to concierge medicine is just one of them.

In the current state, physicians are worried about the feasibility of making a profit and keeping their practice doors open. Reimbursement is low-- particularly from insurance companies-- Medicare and Medicaid are prime examples. A doctor can only care for so many patients. So when money is cut they are required to see more patients to earn the same amount of money.

After a while, it becomes impossible to make the bottom line and provide quality care.

Concierge medicine is where the patient pays the doctor a fee for access or increased access. In my case, this was in addition to what we would pay for our regular medical insurance. What was the physician going to charge in our case? $1,800 per person. Just to see him. That didn't cover other diagnostics like lab and x-ray and likely an office visit fee.

In a letter he sent out, he was decreasing his practice from 2800 people to 400. Where will those other 2400 people go?

Realistically, the average American family is not going to be able to pay this type of money on top of their insurance premiums. What I see developing is a two-tiered medical system. A completely privatized, fee for service side and the government side-- unless changes are made to the current law.

What do you think of concierge medicine? Would you pay extra to see your current physician?

Monday, May 27, 2013

Researching a Doctor's Training

Sometimes the challenge of writing a medical scene is knowing how young or old to make your physician based on their medical training. Some specialties require many years of training and others not so much (as far as specialized fellowships, etc.)

In my current novel, I needed to figure out what type of training my physician needed to go through. He's a pediatric transplant surgeon.

Here were the basics.

College: Four years
Medical School: Four Years
Surgical Residency: Four-Six Years
Cardiothoracic Sugery Fellowship: Two Years
Pediatric Cardiothoracic Fellowhsip: One-Two Years

Why the varied length? One interesting thing I read was that surgeons were required to have a certain number of particular procedures before graduating which makes perfect sense. We can't guarantee when certain types of patients will come in but we'd definitely want a doctor to have a certain number of cases under his belt before hanging a sign on his door.

It was also interesting to learn that some hospitals are going to combined surgical residencies where the specialty they want to do is combined with their surgical residency. So, perhaps the training could be complete in six years versus the nine years above (for the cardiothoracic portion.) 

It's probably easier now than ever before to ferret this out on the internet because doctors generally list their training, where they went and how long it took.

The easiest way to approach this is to Google search the type of physician your character is. For instance, in my case, I did "pediatric heart transplant surgeon". Then looked up a couple of profiles to see what type of training they'd been through.

This could be done with any specialty.

What kind of doctors have you written about?