Health Care Advocacy Skills — Carpal Tunnel and Lea

Gave Lea a ride to Harborview this morning to a hand-surgeon about her carpal tunnel in both wrists.  Handicapped parking at Harborview is always tight in the late mornings.  After exploring the entire garage in the new-ish 9th & Jefferson building, we finally found a parking spot near the exit. 

Up on the sixth floor, the two person line to check-in took as long as the rest of the wait.  It was not too bad for being towards the end of the morning clinic sessions.  Sometimes they can run really late.  Long waits seem to be mostly a thing of the past with better scheduling technology.

The surgeon gave her a shot of cortisone in her right wrist last month.  Within a day, the carpal tunnel symptoms were greatly reduced.  After 3-4 weeks, the pain came back although maybe not as bad as it was a month ago.  Today he gave her a shot in the left wrist.

Between being on Medicare and going to the public health clinic & pharmacy, Lea has problems getting her prescriptions filled.  She gets a new doctor about every month.  What kind of doctor works in a clinic for a month or two?  Continuity of care is as likely as seeing a Unicorn.  Now she is out of all her medications for depression, anxiety and problems sleeping.  While I have not actually seen narcolepsy, her falling asleep 5-10 per hour for a few minutes has to be some sort of sleep disorder.  60 seconds of Wikipedia research suggests hypersomnia of some sort.

She is not a good advocate for herself when dealing with health care professionals.  She is a great candidate for a permanent surgical solution to her carpal tunnel in her right wrist.  Between being barely conscious, off her meds and lack of advocacy skills, she would have been passed-over for surgery had I not briefly advocated for her.  Lea definitely did not interpret the clinic appointment interaction the same way I saw it.  If she can keep making her appointments, she might have surgery by the end of the year.


I am grateful for my health care advocacy skills, for being able to help someone less fortunate and for another nice swim this afternoon.

No comments:

Post a Comment