Only two platelet transfusions this week, I’ve now went two weeks without red blood cells—-the longest since this started on June 29.

Two quick stories from last week.

After looking over the tests I had last week I noticed my liver enzymes were high, really high. Shortly after the discovery, the doctor walked in for our visit. I had decided not to mention the liver enzymes to the doctor, rather I would wait to see what she had to say. After listening to my lungs and asking me how I was feeling, she headed for the door;a $50 co-pay to see a specialist gets you three minutes, maybe. Just as her foot stepped out I said, “Wait, one more thing, did you notice my liver enzymes?”

She made the mistake of not bringing my chart into the room, and had no clue. I informed her they were high, showed the doctor the the test results I was holding in my hand. She agreed, the H, signifying high, next to the enzyme value was a dead giveaway. The doctor promptly adjusted one of my medications. Three days later the enzymes had fallen to a close to normal level. I’m happy they are lower, I’m pissed that if I hadn’t noticed they would still be through the roof and probably climbing higher. I know these stories are probably getting old to read, but they are increasingly infuriating every time a mistake is made or a number is overlooked.What happens to the people who don’t look at their test results, the ones who depend on the doctor they pay to catch these things? Elevated liver enzymes wouldn’t kill me, but the point is that they were worth addressing. A system where the patient needs to alert the physician of abnormal test results is not optimal.

Second story. I spent some time this week on the phone with my insurance company. One of the representatives I spoke with explained the co-insurance requirement in my policy, not only was it explained incorrectly but at one point the rep stopped what she was saying, took an exasperated breath and said, ” I really don’t like this plan you have, it may be my least favorite we offer.” Have to love an employee who stands by their company’s product.

Below is this week’s installment of www.mypiccline.com’s ongoing photography exhibition:

the green

photograph by D. McCarthy

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