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  • Math Geek Mom: Scary Stories and Scary Choices

    By Rosemarie Emanuele August 27, 2009 8:36 pm

    When I returned from a campus visit for what became my first academic job, highway construction forced us to get to the airport by detouring through the downtown. Along the way, the man who would become my department chair pointed out important sites. Somewhere between another university and a revitalized downtown area was the Cleveland Clinic. He told me that the Cleveland Clinic was a world-class hospital, on par with the Mayo Clinic. I listened politely, but could not imagine that I, a healthy 27 year old, would need to know much about a big hospital.

    When I turned 25 as a graduate student, I lost the ability to be carried on my parent’s health plan, and therefore became one of the millions (42 million at the time, I believe) who had no health insurance. For an occasional sore throat or ear infection I simply went to a walk-in clinic to obtain a prescription, and otherwise was fine. I didn’t think much about the head aches that were frequent occurrences in my life, or the fact that I had lost my sense of smell, balance and my ability to take tests under pressure all at about the same time. I was basically healthy, and therefore bought the minimal coverage required of graduate students, paying about $15 for a policy that I am sure was worth every penny I paid for it.

    When I woke up on the first day of my first tenure track job and didn’t know where I was, I called my parents several states away. I was told by my sister, whom I had probably just woken up, that I was in Cleveland; “where do you think you are?” I then proceeded to get sick to my stomach and go back to sleep.

    I soon felt better, so I continued on with settling into my new job. After about two days, I realized that I just didn’t feel quite right, and that maybe I should visit one of those walk-in clinics. This, however, did not prove to be directly useful. The doctor saw a young woman walk in with strange symptoms that included, among others, getting sick to her stomach early one morning. Rather than listen to what I had to tell him, he focused on me getting sick and kept asking me “what test do you want me to run?” I didn’t grasp what he was asking me, because I could have told him that I was definitely not pregnant, but instead sat there confused, saying “I don’t know.” Finally, when he offered to send me to a psychiatrist, I realized that he was dismissing my physical symptoms and left his office, forgetting to sign my credit card receipt. This was August 30, 1990.

    When I got home, I called my parents and told them that “there is something wrong with me, and I don’t know what it is.” My sister had taken a college class in neurology and therefore knew the description of a seizure when she heard one. She told me that I needed to get to a neurologist quickly, and the next day I made an appointment. The first time they could get me in was after the Labor Day weekend, on September 4th. The long weekend included the date of September 1st, when my own health insurance plan became effective.

    At that appointment, a CT scan showed that I had a tumor the size of an orange growing in my head. Suddenly the presence of the Cleveland Clinic was of particular importance in my life, and, within one day, I was a patient there, waiting for an operating room to open. I soon learned that the Cleveland Clinic was one of the best places in the world to be treated for a brain tumor. Thanks to that doctor’s mistake, I was able to pay for world-class care without (too much) worry.

    I thought of my story recently, and was filled with more than a little “survivor’s guilt” as I learned of the death of Senator Edward Kenned from a brain tumor. It is fitting that he was a strong supporter of health care reform, as anyone in need of serious health care is only too aware of the ways in which our current system is not always adequate. What exactly the optimal health care delivery system is, I don’t know, but I suspect that we could go a long way towards helping policy makers find one by sharing our own stories of ways in which we have found our current system to be inadequate. Therefore, in memory of Senator Kennedy, I am suggesting we open up this blog column today for discussion addressing the question of what we have found good or lacking in our current system. In what ways has it helped you? (I know that I was able to obtain cutting edge care when I needed it.) What difficult decisions have you had to make regarding health care? How has it affected your health and the health of your family? What would you need to have happen to feel safer negotiating the world of health care?

    Indeed, as I propose this question, I may just have found an answer to a question I proposed several weeks ago. Perhaps a more fitting name for these postings, rather than “blogs”, would “web discussion board”, with our entries being the point of origin for open discussions. Can anyone come up with a good acronym to describe that?

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Comments on Math Geek Mom: Scary Stories and Scary Choices

  • Posted by DoveArrow on August 28, 2009 at 12:15pm EDT
  • In what ways has the current healthcare system helped you?

    I think it's difficult to answer this question, because it really depends on what healthcare plan I'm talking about. Under Kaiser, I like the fact that if I want to see a doctor today, I can pick up the phone and make an appointment. Under Blue Cross or Blue Shield, I like that if I want to set up a recurring appointment with a psychologist, I can do that. Both of these have helped me get the care I need.

    What difficult decisions have you had to make regarding health care?

    When my wife and I first got married, neither of us had jobs with healthcare plans. As a result, we had to pay for our healthcare entirely out of our own pockets. Unfortunately, we didn't make enough to cover both of us, so we had to choose which one of us would be covered.

    Ultimately, we chose me because I made the most money out of the two of us and it was important that I stay healthy. Unfortunately, it meant putting off getting my wife new glasses for almost a year.

    How has it affected your health and the health of your family?

    I had a bad case of exema on my arm. The doctor prescribed a cream to get rid of it. The cream worked, but as soon as I ran out of it, the exema came back. I went to the doctor again, and they prescribed the same cream. Again, it worked, but again, it came back as soon as I ran out.

    I went to several doctors about this, even telling a few about the cream I received before. They would always ask me the same questions (have you recently changed laundry detergents), and no matter what I told them, they always prescribed the exact same thing. Eventually, the cream started to lose some of its efficacy, and I started looking for answers elsewhere. Eventually, I learned that from a nurse friend of mine that taking showers every day was probably the thing causing my exema. (Apparently, the water dries out the skin and leaves it vulnerable to infection). I now take a shower every other day, and the exema is now manageable.

    Reflecting back on it, the problem I think I faced was that none of the doctors talked to one another. They prescribed things to me as if I were coming in for the first time, and they talked to me as if I first noticed the problem last week. If they had taken a step back, and asked me some questions about overall lifestyle factors, they probably would have realized that I suffer from extremely dry skin, and they might have recommended that I take fewer showers in order to prevent skin irritation.

    What would you need to have happen to feel safer negotiating the world of health care?

    I don't want to feel afraid to leave my current job because I'm afraid of losing my health insurance. I don't want to have to make decisions about my next job based on whether or not that employer has a health insurance plan. I want to be able to afford health insurance, even if I can't get it through my employer. I want my doctors to understand my full medical history, and not treat me as if I'm coming in for the first time.

  • My experiences with health care as a current undergrad
  • Posted by Mike on August 29, 2009 at 6:45am EDT
  • First, I'd like to thank the author, Dr. Emanuele, for her thoughts on this topic. I'd like to quickly respond to her last question before moving on to my health care commentary: One idea for a name for the collective of the first "blog" post and the readers' comments might be "forum". Outside the web, the word is most often meant to mean a collective discussion of important and/or intellectual ideas. Unfortunately, on the web, it's rather synonymous with bullitin boards/message boards, most of which discuss anything other than important and/or intellectual ideas.

    Anyways, on to my experiences. I'm a current undergrad, and I need the help of several different forms of federal finanial aid to be able to afford to go to school-- especially since my father was unemployed for a period of about four months earlier this year, and I pay out-of-state tuition.

    During the spring quarter of last year, I suffered a bit of a mental/psychological breakdown, resulting in the failure of each of my classes. (My GPA prior to that quarter was around 3.4.) I was able to withdraw from each class after the quarter was over due to my mental health issues, but the classes still counted as "attempted" credit hours. Now, students receiving federal financial aid must pass 70% of attempted credit hours and maintain a 2.0 GPA to continue receiving that aid. My withdrawl from those classes meant that I was at 66% for the year.

    Why is that a problem related to healthcare, you might ask? Well, the doctors and specialists I would need to see to help me with my particular issues were very expensive-- too expensive to afford without health care-- and I could only stay on my parents' health care plan as a full-time student.

    The idea behind college students being able to stay on their parents' health care plans is that if they need treatment of any kind, they'll be able to receive it. Obviously, as students, they aren't part of the professional workforce yet, so they can't pay for expensive treatments on their own yet. But because the mental health issues beyond my control affected my academic work, I was going to lose access to the treatment I needed, because I could no longer afford to be a full-time student. What kind of sense does that make? The illnesses bad enough to affect my academic work to that degree are the same ones I most need health care for!

    As it turned out, because my GPA remained above a 2.0-- meaning I met one of the two qualifications to receive finanial aid-- I would basically end up being put on financial aid probation. As long as I get back above that 70% mark by the end of next quarter, I'm fine. And since I had the coverage necessary to afford those doctors and specialists, I should have everything under control from here on out, both personally and academically.

    But what about students whose illnesses would take longer than one probationary quarter to recover from? (I'm sure readers of my comment can think of many examples of such illnesses, so I'll refrain from providing any, for fear of bringing unpleasant thoughts to the fronts of their minds.) What are those students to do? Many will lose their ability to attend college OR stay on their parents' health care plans, all because of situations beyond their control.