Tag: injury

Where the Field Ends and the Cat Begins

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It takes a peculiar vision to be able to detect
Precisely where

The field grasses brushed by blowing
Stars and the odor of spring
In the breath of sweet clover buds
And the star-mingled calls of the toads
In the threading grasses and the paws
Of the clover brushing through the field
Of stars and the star-shaped crickets
In the ears of the sweet grasses
And the tail of the night flicking
Through the calls of the clover and the spring
Stars slinking past the eyes of midnight
And the hour of the field mouse passing
Through the claws of the stars and the brushing
Haunches of the weeds and starry grasses
Threading through the eyes of the mouse
And the buds of the stars calling
With the sweet breath of the field

End
And the cat begins.
~Pattiann Rogers “Finding the Cat in a Spring Field at Midnight”

The knock on the door seemed urgent: – “did we know we have an injured cat?” –
the pest control serviceman was spraying the perimeter of our house for carpenter ants and saw our young calico farm cat crawling along the ground in the bushes, unable to use her hind legs.

I grabbed my jacket and a towel to wrap her in, preparing for a quick trip to the vet clinic, but she had vanished by the time I got outside. I searched for an hour in all the likely places Nala typically hangs out but she was no where. I kept an eye out for her every day, calling her, but I never saw her or heard her distinctive voice.

Nine days later, she was on the front porch, thin and weak and hungry, meowing for a meal. She was walking but with still-weakened hind legs and two healing wounds on either side of her lower spine. Something very traumatic had certainly happened, but she had survived, using up several of her nine lives.

As I inspected the wounds, I began to surmise what may have happened:
We have nesting bald eagles who spend time in the high trees around our farm house, watching for wild rabbits or other small prey. This cat is smallish, with plenty of white fur to be easily seen in the tall grass with sharp eagle vision. I suspect she was picked up by eagle talons as a tempting meal, pierced on either side of her spine to carry her away up to a treetop, but feisty as she is, she would have been more trouble than she was worth, so dropped from a significant height, causing a spinal cord contusion and temporary lower leg paralysis.

Little Nala has since recovered completely except for the bald patch scars on either side of her spine. She is a noisy communicator, insistent and bold. I think her loud voice and attitude saved her from becoming a raptor’s lunch.

Not many more lives to go, dear feisty Nala. Spend them well.

photo by Nate Gibson

A book of beauty in words and photography available to order here:

A Prescription for Maggots

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You can’t say you haven’t been warned: there are creepy crawlies in this post

Things I will never like:
1. Drying off with a cold, damp towel.
2. The feeling of seaweed wrapping around my legs.
3. Anything that was popular in the 70’s.
4. Licorice, yam, or raisins.
5. That high-pitched screech that babies make.
6. Writhing maggots.
~Bill Watterson from It’s A Magical World: A Calvin and Hobbes Collection

A fly maggot photo from a recent Atlantic article on maggot therapy found here

A few weeks ago, I had a bit of home-made potato corn chowder left over that I added to our compost bin in our barnyard. It isn’t often that much animal protein makes its way into the bin so when I checked on the compost a few days later, I was amazed to see it teeming with fly maggots in the midst of their Thanksgiving feast. Ordinarily pictures and videos of maggots would not find their way to this blog. People might be looking at this blog while eating their breakfast or lunch and writhing maggots are not something you are expecting to see. My apologies in advance and now is the time to delete delete delete.

Therefore: a trigger warning. Don’t scroll down further if you would rather avoid seeing (and hearing) creepy crawly things.

My first medical exposure to maggots came while examining the leg and foot wounds of the homeless folks I helped care for when training in an inner city emergency room. Peeling off old ragged stockings and socks would often reveal more than dirty feet – in fact, the maggots may have been somewhat beneficial in those cases yet we were quick to dispose of them.

Maggots are, in fact, fascinating creatures with potential therapeutic value, notwithstanding their gross-out factor. This week in a brief Atlantic article found here, there is a summary of a recent study in France comparing typical surgical debridement of venous ulcers of the skin with maggot therapy. Maggots were faster in cleaning the wounds but didn’t enhance eventual healing any more than traditional surgical care. There wasn’t a difference in the discomfort level as long as the patient didn’t know which therapy was being used. For those who had been randomly assigned to maggot therapy in one study, an astounding 89% said they would opt for the insects over surgeons if faced with needing wound care in the future.

I’m not sure what that says about surgeons, but it is a great compliment to maggot larvae!

Here is a formal cross-referenced evidence-based summary from UptoDate.com about wound treatment with biologic methods:

Biologic — An additional method of wound debridement uses the larvae of the Australian sheep blow fly (Lucilia [Phaenicia] cuprina) or green bottle fly (Lucilia [Phaenicia] sericata, Medical Maggots) [42,43]. Maggot therapy can be used as a bridge between debridement procedures, or for debridement of chronic wounds when surgical debridement is not available or cannot be performed [44]. Maggot therapy may also reduce the duration of antibiotic therapy in some patients [16].

Maggot therapy has been used in the treatment of pressure ulcers [45,46], chronic venous ulceration [47-50], diabetic ulcers [42,51], and other acute and chronic wounds [52]. The larvae secrete proteolytic enzymes that liquefy necrotic tissue, which is subsequently ingested while leaving healthy tissue intact. Basic and clinical research suggests that maggot therapy has additional benefits, including antimicrobial action and stimulation of wound healing [43,47,53,54]. However, randomized trials have not found consistent reductions in the time to wound healing compared with standard wound therapy (eg, debridement, hydrogel, moist dressings) [55,56]. Maggot therapy appears to be at least equivalent to hydrogel in terms of cost [56,57].

Dressing changes include the application of a perimeter dressing and a cover dressing of mesh (chiffon) that helps direct the larvae into the wound and limits their migration (movie 1). Larvae are generally changed every 48 to 72 hours. One study that evaluated maggot therapy in chronic venous wounds found no advantage to continuing maggot therapy beyond one week [48]. Patients were randomly assigned to maggot therapy (n = 58) or conventional treatment (n = 61). The difference in the slough percentage was significantly increased in the maggot therapy group compared with the control groups at day 8 (67 versus 55 percent), but not at 15 or 30 days.

The larvae can also be applied within a prefabricated “biobag”, commercially available outside the United States, that facilitates application and dressing change [58-61]. Randomized trials comparing “free range” with “biobag”-contained larvae in the debridement of wounds have not been performed.

A main disadvantage of maggot therapy relates to negative perceptions about its use by patients and staff. One concern among patients is the possibility that the larvae can escape the dressing, although this rarely occurs. Although one study identified that approximately 50 percent of patients indicated they would prefer conventional wound therapy over maggot therapy, 89 percent of the patients randomly assigned to maggot therapy said they would undergo larval treatment again [62]. Perceived pain or discomfort with the dressings associated with maggot therapy may limit its use in approximately 20 percent of patients.

Biobag of maggots on a wound from http://www.uptodate.com

The STARZ show Outlander (a show and series of books by scientist Diana Gabaldon I thoroughly enjoy) used real maggots in the fifth season of the show when in 18th century America, wife (and surgeon) Claire successfully treats her husband Jamie’s snakebite wound with the larvae. Actress Caitriona Balfe describes her co-starring maggots in this brief video:

image from Starz – Outlander Season 5 Episode 9
image from Starz – Outlander Season 5 Episode 9

So there are still things to learn about medical therapies we used in the past which have been sidelined or forgotten in our push for modern treatment modalities. The days of leeches and maggots may not be over after all.

And now for video, complete with little maggotty sound effects — scroll down

Maggots in our compost bin – enjoying corn and potato chowder leftovers

A new book from Barnstorming is available to order here

(no maggot pictures in this book, I promise!)

Life Steps Almost Straight

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We grow accustomed to the Dark —
When Light is put away —
As when the Neighbor holds the Lamp
To witness her Good bye —

A Moment — We Uncertain step
For newness of the night —
Then — fit our Vision to the Dark —
And meet the Road — erect —

And so of larger — Darknesses —
Those Evenings of the Brain —
When not a Moon disclose a sign —
Or Star — come out — within —

The Bravest — grope a little —
And sometimes hit a Tree
Directly in the Forehead —
But as they learn to see —

Either the Darkness alters —
Or something in the sight
Adjusts itself to Midnight —
And Life steps almost straight.
~Emily Dickinson

So few grains of happiness
measured against all the dark
and still the scales balance.

The world asks of us
only the strength we have and we give it.
Then it asks more, and we give it.
~Jane Hirschfield from “The Weighing”

A true revolution of values will soon cause us to question
the fairness and justice of many of our past and present policies.
On the one hand, we are called to play the good Samaritan
on life’s roadside;
but that will be only an initial act.
One day the whole Jericho road must be transformed
so that men and women will not be beaten and robbed
as they make their journey through life.
True compassion is more than flinging a coin to a beggar;
it understands that an edifice that produces beggars needs restructuring.
America, the richest and most powerful nation in the world,
can well lead the way in this revolution of values.
There is nothing, except a tragic death wish,
to prevent us from reordering our priorities…
~Martin Luther King, Jr. from a speech April 4, 1967

We live in a time where the groaning need
and dividedness of humankind
is especially to be felt and recognized.
Countless people are subjected to hatred,
violence and oppression which go unchecked.
The injustice and corruption which exist today
are causing many voices to be raised to protest
and cry out that something be done.
Many men and women are being moved to sacrifice much
in the struggle for justice, freedom, and peace.
There is a movement afoot in our time,
a movement which is growing, awakening.

We must recognize that we as individuals are to blame
for every social injustice, every oppression,
the downgrading of others
and the injury that man does to man,
whether personal or on a broader plane.…
God must intervene with his spirit and his justice and his truth.
The present misery, need, and decay must pass away
and the new day of the Son of Man must dawn.
This is the advent of God’s coming.
~Dwight Blough from the introduction to When the Time was Fulfilled (1965)

I weep to see such bitter divisions still exist in our country,
an echo of over fifty years ago
as we fail again and again to learn from past errors.

Here we are, groaning divided once more,
walking this Jericho Road together.
We cannot pass by our brother, our sister, our child~
anyone who lies dying in the ditch.
We must stop and help.

The world asks only for the strength we have
and so we give it,
but then we are asked to give more
and so we will.

We must illuminate the advance of darkness
even when, blinded as we are,
we run forehead-first into the Tree
which has always been there
and always will be
because of who we are and Who loves us.

It could be you or me bleeding, beaten, abandoned, dying
until Someone takes our place
so we can get up, free and forgiven,
and walk Home.

Maranatha.

Kitten Who Lost Her Way

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I sometimes think the PussyWillows grey
Are Angel Kittens who have lost their way,
And every Bulrush on the river bank
A Cat-Tail from some lovely Cat astray.
~Oliver Herford, from The Rubaiyat of a Persian Kitten

Our little calico Nala has the bravado of a cat many times her size and age. She climbs the tallest trees, dangles over the house roof eaves to stare eyeball-to-eyeball with the birds picking at seeds in the feeders. She takes no guff from the dogs or from her bigger brother Simba.

One day last summer, a visitor to our farm knocked early in the morning on our front door to say our kitty was struggling to walk, dragging her hind legs behind her. I hurriedly dressed to go find her, thinking I needed to somehow gather her up in a blanket to take to the vet, but she was no where to be found. I looked everywhere in the bushes and the hidden-away spots I knew she enjoyed, but she had vanished. I put out bowls of food to entice her but no luck – after three days, I figured she had crawled away to die alone, as cats are wont to do. Even her brother didn’t seem to know where she had gone as I followed him on his farm excursions.

I tried to theorize what might had happened – had she fallen from a roof or tree and become paralyzed? Surely she could not survive such a devastating injury.

Nine days later, long after I assumed she had died of her injuries or starvation, she appeared on the front porch when I opened the door. She was thin, weak, with her hind legs moving and holding up her weight. She was hungry and extremely vocal and not just a little perturbed that there was an empty cat food bowl on the porch.

On closer inspection, she had healing wounds along either side of her spine, matching closely with what I assume were eagle talon marks that had grasped her, if only briefly, as a raptor tried to carry her away. I suspect, feisty as she was, she fought her predator so fiercely that she was dropped from a bit of a height, bruising her spine. For an eagle, in this land of plenty of prey, dining on a calico is never worth such aggravation and hassle.

What a cat – now minus at least one, if not more lives. Only eight to go.

She is indeed resurrected; completely healed up, her spine is working fine and the only marks left on her back are white patches of new hair growth over her former wounds.

We thought she was lost forever, but she had not lost her way back to us, only way-laid for a bit. Our angel kitten is now resident on the front porch and back to her farm life climbing trees and torturing little birds.

Beware any big raptor who tries to take her on.

We Cannot Find Peace

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…deeds are done which appear so evil to us
and people suffer such terrible evils
that it does not seem as though any good will ever come of them;
and we consider this, sorrowing and grieving over it 

so that we cannot find peace in the blessed contemplation of God as we should do; 
and this is why:

our reasoning powers are so blind now, so humble and so simple, 
that we cannot know the high, marvelous wisdom, the might 
and the goodness of the Holy Trinity.

And this is what he means where he says, 
“You shall see for yourself that all manner of things shall be well”, 
as if he said, “Pay attention to this now, faithfully and confidently, 
and at the end of time you will truly see it in the fullness of joy.

~Julian of Norwich from Revelations of Divine Love

 

rainyrose49917

 

Today in the newspaper a whole page is devoted to the photos, names and ages of those cut down a week ago in the latest mass shooting, all victims of an unexplainable evil.

I cannot find peace in their deaths.  If I were their family member, there could be no peace for me in the ongoing anguish and despair of untimely senseless loss.  Only the intervention of the Holy Spirit can possibly change anger and grief to the fullness of joy. It can come as slow and imperceptibly as the still small voice.

I pray that those who have been hurt, who may never fully recover from their physical and emotional injury,  may come to understand how such evil may be used for good.  It is the hardest of all for our simple blind human reasoning to accept.

All manner of things shall be well – even as we weep until we are dry.

 

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Strengthen Your Feeble Arms

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from “Feats of Strength” by Tom Otterness at Western Washington University

 

In those days, we finally chose to walk like giants
and hold the world
in arms grown strong with love.
And there may be many things we forget
in the days to come,
but this will not be one of them.
~Brian Andreas

 

 

Now that I’m essentially one-armed for three months due to my broken “wing”, I’m learning that patience and letting go takes far more strength than holding on and pushing through.  I’m having to make choices about what is not as important as I thought, and letting things lapse for the time being.  I’m discovering how to ask for help because I’m in need when I’ve always been the helper before.

Others are watching me carefully to see if I’ll quietly go stir-crazy with my new temporary limitations or whether I’ll find new ways to live fully as a partially-abled person.  The jury is out on that but I already know I am seeing the world in a different light: that which I can do on my own and that which is impossible without assistance and I need to rely on others. For a stubborn person who thrives on self-sufficiency, this is a humbling reminder of my brokenness and frailty.

May the Lord have mercy on all those with broken wings who still endeavor to lift up the weight of the world and fly as high as ever.  May we find our strength is in Him, not in our feeble arms.

 

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No discipline seems pleasant at the time, but painful. Later on, however, it produces a harvest of righteousness and peace for those who have been trained by it.

Therefore, strengthen your feeble arms and weak knees.
Hebrews 12:11-12

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She sets about her work vigorously;
her arms are strong for her tasks.
~Proverbs 31:17

 

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I know what it is to be in need, and I know what it is to have plenty. I have learned the secret of being content in any and every situation, whether well fed or hungry, whether living in plenty or in want. I can do all this through him who gives me strength.
~Philippians 4: 12-13

 

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Some of us think holding on makes us strong;
but sometimes it is letting go.
~Hermann Hesse

 

 

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Take My Waking Slow

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morning823171

I wake to sleep, and take my waking slow.   
I feel my fate in what I cannot fear.   
I learn by going where I have to go.
We think by feeling. What is there to know?   
I hear my being dance from ear to ear.  
I wake to sleep, and take my waking slow.
Of those so close beside me, which are you?   
God bless the Ground!   I shall walk softly there,   
And learn by going where I have to go.
Light takes the Tree; but who can tell us how?   
The lowly worm climbs up a winding stair;   
I wake to sleep, and take my waking slow.
Great Nature has another thing to do   
To you and me; so take the lively air,   
And, lovely, learn by going where to go.
This shaking keeps me steady. I should know.   
What falls away is always. And is near.   
I wake to sleep, and take my waking slow.   
I learn by going where I have to go.
~Theodore Roetke “TheWaking”

 

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tennant20171

 

In my rush to get from there to here
I missed some things.  The solitary song
of the chickadee; the play of winter light
on kitchen walls; the smell of fresh-raked leaves;
the summer days of childhood, stretched slow
from dawn to dusk, no need to know the date
or time, only the sound of a silver swung bell
to call me in for supper.

Could I re-learn to navigate by phases
of the moon, the ebb and flow of tides,
the rhodies budding out today before
the fall’s first snow?  Could I re-learn
to take my waking slow?
~Ted McMahon, M.D. “Slow Season”

 

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eveningrun

I took an unscheduled landing while wheelbarrowing hay to our horses in the field yesterday morning.

In my rush to get from there to here I missed some things.

I stumbled on uneven ground and fell hard, badly injuring my elbow.  Finishing chores afterward was a challenge and a necessity, wrapping my broken wing up tight in my jacket, doing what was needed before my husband came home to take me to the ER where good people who know me took great care of me.

Of those so close beside me, which are you?   
God bless the Ground!   I shall walk softly there,   
And learn by going where I have to go.

Even though no bones were broken, it was dislocated, so my elbow (and I) needed to be put back together.  The miracle of “conscious sedation” IV medication let my body “think” I was awake – I was surrounded by a swirling round of voices telling me to take deep breaths and constantly reassuring me–while the ER doctor and nurse put traction on my arm and shoulder, then twisting and turning my elbow back into proper position with a “clunk”.  I was blissfully unaware of the tugging and torque, paying attention only to the swirling sounds in my head, then waking slow to find my arm splinted and wrapped from mid-humerus to fingers — all fixed but now typing is also slow.

This shaking keeps me steady. I should know.   
What falls away is always. And is near.   
I’m walking more carefully now, paying attention to exactly where my feet land and what is around me.
The ground is near yet still can be a hard and abrupt landing;
I celebrate the good clinicians who put broken people back together again.
Great Nature has another thing to do   
To you and me; so take the lively air,   
And, lovely, learn by going where to go.
tammingasunset

 

 

The Helpless Prayer

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Faye Jubilee with her sister Merry
Faye Jubilee with her sister Merry

I pray because I can’t help myself.
I pray because I’m helpless.
I pray because the need flows out of me all the time — waking and sleeping.
It doesn’t change God — it changes me.
~C.S. Lewis

Almost four weeks ago I wrote about our little neighbor, two year old Faye Jubilee, sickened by E.Coli 0157 infection/toxin to the point of becoming critically ill with Hemolytic Uremic Syndrome (plummeting cell counts and renal failure).  My post is found here:

https://briarcroft.wordpress.com/2015/05/01/may-god-have-my-jewel-in-his-keeping/

At the worst point of her illness, when the doctors were sounding very worried on her behalf, Faye’s mother Danyale wrote to our Wiser Lake Chapel Pastor Bert Hitchcock with a plea for prayers from the church in the midst of her helplessness:

Here is how he responded:

“I understand that Faye  (and everyone dealing with her) is fighting for her life. And that’s the way I am praying: that God in his merciful power, would deliver her, even if her condition looks hopeless.

If you were able to be in church this morning, you might hear my sense of urgency, for I have chosen this benediction, with which to close the service — and I give it to you right now, from the mouth of our Lord:
Jesus said: “Do not be afraid, Danyale!
I am the First and the Last.
I am the Living One.
I died, but look – I am alive forever and ever!
And I hold the keys of death and the grave.

Neither you nor I know how this will turn out — the possibilities are terrifying. But we do know who holds the keys of life and health and death; He is the Life-giver, who heals all our diseases — nothing can rip our lives (or little Faye’s life) out of His hands. And, when He does allow these bodies to give out, He promises to give us glorious new life, safe forever in His presence. These are not pious platitudes; these are the rock-hard promises of the one who loves us more than life, and who is absolutely in control of what is happening today.

Safe in the arms of Jesus,
Safe on His gentle breast;
There by His love o’ershaded,
Sweetly my soul shall rest.

I’m praying for you all; and the Chapel Family will be praying this morning, as we gather in the Lord’s presence.

Love you, and yours, Danyale,

Pastor Bert Hitchcock

 

And now Faye is home, with normal kidney function and improving cell counts,  having also survived a bout with pneumonia.
Thanks to you all for your prayers lifted around the world on her behalf.   Here is a summary from her mother:

 

Dear Friends and readers of Barnstorming,

Some of you we know, but so many of you we do not. Whichever the case, Emily tells me you have prayed for our little girl, Faye, throughout her sickness and into her recovery. What can parents say when people–many of whom we may never be privileged to meet in this life–have come alongside us to beseech the Lord for our daughter’s life and pray for her healing? Thank you. Thank you!

Faye is doing so well; stronger every day, more and more herself! It is wonderful to see.

This week we head back down to Seattle Children’s for a check up–we’ll get to say hello to the good folks who saw her through her sickness. A special stop will be made on the dialysis unit to see Nurse Kathy, a favorite of Faye’s. We anticipate a good report!

Thanks again for your love and support, far and wide. Truly astounding.
Danyale and Jesse Tamminga, for Faye, too

 

Faye at church this past Sunday, looking very much like herself again
Faye at church this past Sunday, looking very much like herself again

 

Our prayers of helplessness to God continue for the healing and strengthening of Towa Aoyagi, the fourteen year old son of Pastor Seima and Naoko in Tokyo, Japan, who remains paralyzed following a neck injury four weeks ago today.   He is currently in rehab in Tokyo, trying to stabilize enough to come to the United States for state-of-the-art spinal cord injury treatment to learn how to live and thrive in his changed body.

May God have our jewels this day in His keeping.

May God Have My Jewel In His Keeping

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God keep my jewel this day from danger;
From tinker and pooka and black-hearted stranger.
From harm of the water, from hurt of the fire.
From the horns of the cows going home to the byre.
From the sight of the fairies that maybe might change her.
From teasing the ass when he’s tied to the manger.
From stones that would bruise her, from thorns of the briar.
From evil red berries that wake her desire.
From hunting the gander and vexing the goat.
From the depths o’ sea water by Danny’s old boat.
From cut and from tumble, from sickness and weeping;
May God have my jewel this day in his keeping.
~Winifred Lett (1882-1973) Prayer for a Child

This prayer has hung in our home for almost three decades, purchased when I was pregnant with our first child.  When I first saw it with its drawing of the praying mother watching her toddler leave the safety of the home to explore the wide world, I knew it addressed most of my worries as a new mother, in language that helped me smile at my often irrational fears.  I would glance at it dozens of time a day, and it would remind me of God’s care for our children through every scary thing, real or imagined.

When our eight year old daughter was hospitalized with a life threatening E.Coli 0157 infection, this prayer comforted me when she was so sick, as I knew only God’s care and keeping would make the difference in a condition where there was no proven medical treatment other than watching and waiting with intravenous fluids to prevent dehydration.

And now this poem is in my mind once again, prayed fervently for two children separated by a vast ocean, but united through God’s church family.  One is our little neighbor Faye, turning two in three days, who also has E.Coli 0157 infection and is at Children’s Hospital in Seattle.  Her life and her family are incredibly precious to us at Wiser Lake Chapel.  Please pray with us that God will protect her through this awful illness, and give her parents endurance through long days and nights and an extra strength of faith and assurance of His love.

In Tokyo, Japan, we pray with our sister church Grace Harbor for their pastor’s son, Towa, age fourteen, who this week sustained a serious neck injury causing paralysis of his arms and legs.  His healing and recovery will take much time and his long term outcome uncertain.  He and his family too are having to depend on God’s power to help heal his body, and to prepare their hearts and minds for the unknowns and potential of life long challenges.

In addition to the two whose names we know, there are so many thousands of children hurting now in Nepal and other parts of the world, whose names we do not know, but who desperately need this prayer:

From cut and from tumble, from sickness and weeping;
May God have my jewel this day in his keeping….

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Faye

When the Wind Blows Hard

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photo by Starla Smit
photo by Starla Smit

Let us not be surprised when we have to face difficulties.
When the wind blows hard on a tree,
the roots stretch and grow the stronger,
Let it be so with us.
Let us not be weaklings,
yielding to every wind that blows,
but strong in spirit to resist.
~Amy Carmichael

And so the government and its people are at an impasse–the winds of change are pummeling us all and everyone has entrenched more deeply in order to stay upright.

As a U.S. health care provider who has worked for over 30 years as a salaried physician, in non-fee-for-service health care settings providing patient care that meets the need when need arises without profit motive, I am flummoxed by this impasse.  Policy makers could not come up with a more simplistic solution than what is contained in 2000+ pages of complex regulations that are already creating bureaucratic havoc in all health care settings, distracting health care providers with electronic and telephone paperwork that pulls us away from the bedside. The patient and the provider no longer partner together without a dozen other entities dictating the choreography of their dance.

A potential solution to the problem of affordable access to all who need it already exists in the form of the Public Health Service Commissioned Corps with incentive scholarships for medical and nursing training in exchange for work in under-served areas.   An expansion of such a system, requiring funding at a much lower cost than the billions of dollars required by the current health care reform act,  would address the challenges of the uninsured and the uninsurable.

As a medical student in training, I  spent many months providing patient care in Seattle’s exemplary Public Health Hospital and its associated clinics.  Patients traveled hundreds of miles to see the specialists who worked there; the best and the brightest clinicians saw the poorest of the poor inside those walls, but there were a number of physicians and their families I knew who received their care there as well because they knew the people who worked there were devoted to the patient, not to profit.

When the Executive, Judicial and Legislative branches of government refuse themselves to participate in a health care system they have constructed for the people, then it is not created of the people, by the people, for the people for they are people who get sick and injured just like the rest of us.  What is best for them must be best for us all.

All citizens, and non-citizens inside our borders for whatever reason, should have easy access to affordable health care.   All health care providers should have opportunity to work off the costs of their training to keep the debt load from crushing them for decades to come.

I am grieved that health care has come to this impasse, with government now in a take-no-prisoners mode that clear-cuts us all down to the bare roots.
We need to lean in together for support and quit the fighting that only creates more injury.

We need look no farther than our own commissioned corps of health care officers.  It is an idea whose time has come.

darkhedgesantique

rhodiecontrast