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A Health Information Management professional, I survived a life-threatening emergency with information that only a person of my professional experience would know. And I’m sharing it!

Showing posts with label Rivaroxaban. Show all posts
Showing posts with label Rivaroxaban. Show all posts

Friday, October 24, 2014



B'SD

29/30 Tishrei, 5775

My schedule's been a bit unpredictable this week, and full of interesting happenings. Last night I was part of the security detail at a city-wide event. While patrolling the perimeter, a participant called out to me (in Hebrew) "We need an ambulance!"

Someone in the crowd had passed out while standing up and chatting with her friends. 

The pre-arranged and on-site ambulance crew took care of her, and I'm pleased to have been part of the effort. Part of the patient's problem seems to have been dehydration despite our cool weather. Be sure to sip water throughout your day, no matter the temperature. The human body needs fluids 365 days of the year!


***
 I'm ending the work-week with the 5th and final part of the "Talk About Your Medicines" month blogpost.

You're invited to comment about any of the blogposts. I tend to respond quickly and I look forward to interacting with you.

Here's an FYI about the sponsor of this week's blogpost series:

The American Recall Center, which promotes the Talk About Your Medicines month blogging effort, is concerned about the drug Xarelto. Click the link to learn about that medication.

OK, here's the wrap-up for this week (the highlighted text focuses on medication specifically), another excerpt from the EMPOWER Yourself to Cope with a Medical Challenge book:


Organization

Doctors appointments, insurance papers, calls to make, child care issues, nosy neighbors, relatives who just don’t "Get it," have you seen the baby, meals to prepare, pills and potions to swallow or shots to inject, omigawd we need a really BIG bank account, where are my keys, did anyone see the remote and why is the dog making noise like that?

Ever feel as if your inner PC and its memory banks just went and shut down on you? Read on and find some solutions to the problem.

Many people facing medical crises have so much to remember that their inner filing cabinets overflow. They reach a point where they wonder if they’re losing their minds! Know the feeling? You forget almost everything? Even how old you are?

As you read earlier, I experienced no less than five benign brain tumors and their surgical removal. A human head does not have much space for tolerating all that intrusion and banging around upon soft brains. People who’ve experienced brain injury often suffer memory problems. So can anyone facing any type medical crisis. Stress hurts. And medical intervention messes up the insides of your body even more! I lost some memorization ability after my treatments. I benefited from a rehabilitation program for the brain injured. Students of every age in my program learned many tips for vastly improving our memory power. Here are a few tips I'll share with you:

Keep a reasonably sized notebook or day-planner with you all the time. Record upcoming: appointments, social events, PTA meetings and other important scheduled stuff as soon as you commit to it or even hear of it.

Keep repeating a person's name in the conversation as normally as possible when you first meet.

Collect business cards when offered to you. On the back, make notes of where you met and what they look like, your 1st impressions of the person, anything remarkable they said, e.g., Redhead, skinny, laughs a lot. Met at Joe's celebration dinner

Put your stuff away in the same place all the time. NO LAZY SHORTCUTS! Shoes and clothes go in closets, not in chairs, the wrong room or atop doors.

Kitchenware gets washed, dried and immediately put away. When you're cooking, ALWAYS use a timer to alert you to shut off the heat.

Me, I keep my keys in the front door once I lock it from inside. I wear them on a cloth strap, a key strip around my neck, when I leave home. I never lose keys anymore.

Ever seen the funky new chains for holding your glasses around your neck? Use the one of your affordable choice. No need to feel like a moth-eaten relic. The new styles are super-trendy. And you won't lose your glasses.

Using the above techniques jogs the memory cells. Watch. You'll end up teaching folks who never had tumors, brain injuries or any sort of medical stress how improve THEIR memories!

The human body is full of quirky surprises. Some of them are quite interesting and not life-threatening. Follow the suggestions above and good advice from your therapists and medical team. Not every forgotten thought is a danger sign. Now, on to some techniques for straightening out that mother lode of medical and insurance paperwork…

As you make your way through your medical crisis or that of your loved one, the pile of papers with important phone numbers, addresses and other information will grow. If you fail to organize it, the mess can make a wreck of your get-well efforts.

If you're the sort of person who hasn't yet succeeded at organizing your life, I offer sweet solace with simple advice:

“Habit is habit, and not to be flung out the window but coaxed downstairs one step at a time.” – Mark Twain

Here's my Five-Step Plan to Organization: Some simple suggestions for keeping your papers and yourself organized:

STEP ONE: First: Sort out the papers that you have. Place test results in one pile, with newer results on top and older results at the bottom.

Do this for every health care provider organization and insurance company, prescription, referral, medical payment approval etc. with newer paper work on top and older results at the bottom (I highly recommend photocopying each medical payment, insurance or medical approval and prescription. Do this before a medical or insurance person takes it from you when you receive the relevant medical service or buy your medication).

Second: Separate anything written by your Primary Care Physician from the pile of health care provider organization stuff.

Set aside all papers from the hospital.

Keep all discs of MRIs, CT scans and other tests in a pile of their own.

Third: If you do not own a day-planner, buy one with ample space for recording upcoming appointments, tasks to be accomplished, questions for your doctors, and a contact information area (names, addresses, phone and Fax numbers, E-mail addresses, medical specialty). I recommend filling in each day's updates in pencil rather than in pen. Appointments change and scratch-outs make the pages harder to read. Cleanly erased obsolete notes are a big improvement over jagged lines crossing out stuff you no longer need to remember.

IMPORTANT: Select a blank page in your day planner on which you can record all the medicines you take, how often you take them and WHY. Many people forget (especially when they feel stressed) why they take some pills or potions. De-stress your life with good record keeping. And do take time to list all the questions that you want your doctors to answer. I like to note those questions in the blank space under noted appointments or on a page designated for that purpose.

Decide where it will be smartest for you to record new symptoms that you want to discuss with medical professionals. That way, you won't slap your head and ask out loud to nobody in particular "Oh #@@!, why didn't I bring that up during my appointment with Dr. So and So?"

Your preparations can improve the chances that you will select the right doctor to treat you. You will be prepared to ask relevant questions. Focused discussions will reveal if a particular medical professional A) treats your concerns seriously and 2) has the expertise to deal with your medical situation.







Have you enjoyed this series of informative blogposts?

Imagine what the rest of the book is like, as it addresses moods, self-esteem, packing for hospital stays, how to deal with rude medical professionals, in-laws and outlaws.

Click the title in this sentence, or the book cover above, to buy the E-book or print edition of EMPOWER Yourself to Cope with a Medical Challenge

Face Your Medical Problems with Dignity. Face Your Future with Optimism. 

Feel better again, even if you have an on-going medical or mental health issue.


 

Tuesday, October 21, 2014

“Talk About Your Medicines” month - Part 2!

B'SD

26 Tishrei, 5775

As promised, Part 2 (I highlighted the part about medicine if you want to focus on it fast):

Boredom!

It is boring to get better. I mean it. Doctors, friends, family and your conscience will tell you (repeatedly) to go at a slow pace, not to overdo things, to take it easy and ... oh, anything you can think of that means dull, uninteresting and crawling up the walls because you have nothing fun or worthwhile to do. And how much fun can it be to count the dust bunnies under your bed or spider webs on the ceiling, or to wait for your next enema or chemo session?

The good news is that the advice is meant to be good for you. Your body is adjusting to a new and stressful reality with its medical challenge or crisis.

Frustration and pain are part of the picture, alright. Waiting for life to get better is maddening. So is waiting for doctors to keep their appointments or for traffic to speed up.  Yearning to be able to go outside and to live your life another way is a BIG frustration. Being stuck indoors is not what many songs are made of. You can find some nifty solutions to boredom below. They’re effective. Psychotherapists kid with me about how their patients don’t call so much after they read this section.

Even though your brain thinks as it always has, your body is not being what is used to be. And when a medically challenged person makes too much demand of a weakened body, then the only defense your poor physique has is to arrest you! Yep, your muscles, bones, blood levels, energy waves and everything else will be so desperate for a chance to heal, you task driver you, that the whole system will up and quit so it can TAKE A REST!

Somebody else will have to do the laundry, drive the car pool, meet a deadline or mow the lawn. Your disappointment is the size of Texas, and we'll deal with that in a bit. First, let's focus on a recess from your busy schedule.

Take a BIG breath, let it out slowly and repeat that exercise until you feel the muscles in your neck, back, stomach, and legs relax. Do some creative visualization if that helps: imagine that you are in a deck chair on a softly rocking cruise ship, sunning yourself on a lovely beach or surrendering to a cozy hammock with a good book, some great music and the snack of your dreams.

Purposely remember how much money people happily pay to be able to do these things on vacation. Then sneak a grin. Smile because you know you are acting like a vacationing hotshot as you select the CDs, tapes and radio stations you're going to listen to as you ease yourself into a dreamy, healing mood in an easy chair, bed or divan/sofa. Gather some good books or some tapes with readings of good books. Famous actors and other mellifluous readers make them for your pleasure. Comedians make recordings of their funniest material on DVD, CD or tape (tape is becoming antique, but if you can get celluloid recordings and play them, by all means do so!).

Give your maxed out muscles and bones something to laugh about when you play these materials for your inner alternative healer. Think of the real life hero in the biography Tuesdays with Morrie. Morrie loved his new, sedentary life and his admiring visitors so much that people flocked to his side though he could no longer teach sociology or do anything to help himself. He accepted massages, assistance with toileting, a good joke and so much more because he gave himself permission to enjoy his new lifestyle. He loved the love lavished on him even though he preferred to have been up and about. You can make the same choice: choose to accept the state of affairs you're in, study the blessings around you and welcome them to your life. When you mold a flexible reality around you, your mind and body will be able to cope in predictable and surprising ways. The delight of it all will ease whatever boredom remains, if any remains, now that you are socializing, intellectualizing, laughing and breathing more easily than before.

Being sick, making a recovery or coping as best you can is not entirely up to surgery, medicine and doctor appointments. Much of it is up to your attitude. Create a pleasant one by filling the time-slots of your post-diagnosis life with a new form of fulfilling things to do.

This workbook is one of the results of my post-operative recovery period. Trust me, as a reporter, novelist and teacher, I found slow, bed-bound and painful physical recovery to be draining my brain cells very dramatically. My cure for the problem was to dictate notes when I could not see, to type when I could see, and to chuckle whenever someone noticed my typos due to my double vision. The productive distraction lowered my pain levels so much I forgot to take painkillers and did not realize it for a while!

And when those inevitable times come and you absolutely must have a nap or rest quietly as you look around you, think over this adorably comforting thought:

"Think what a better world it would be if we all,
the whole world, had cookies and milk about three
o'clock every afternoon and then lay down on our
blankets for a nap."


-Robert Fulghum, American author




Click on the title to buy the E-book or print edition of EMPOWER Yourself to Cope with a Medical Challenge.  

Face Your Medical Problems with Dignity. Face Your Future with Optimism. 

Feeling better, yet?




Be sure to read this TAYM blogpost, too. 
http://www.recallcenter.com/problematic-findings-in-new-xarelto-study/
It can protect the health of anyone 
taking the drug addressed in the message.