You're Special: ICU

This is the third part in a series. You can read the first part here, and the second here.

They wheeled me right to the ICU from the recovery room after our baby was born.

My experience in ICU is actually the beginning of a very traumatic time. I’ll get to that soon, but first I want to write about seeing a specialist while you’re in a hospital bed.

When you’re conscious and alert, it’s reasonable to shoot for goals like reading cues and writing lists. When you’re wheeled into a room on a stretcher, it’s not.

There isn’t much you can do to control the situation when you don’t know where you are. My situation, being in the ICU, was extreme. Sometimes people don’t ‘know where they are’ even when they literally know where they are.

If you’re so tired/confused/fucked up that you can’t contribute in any meaningful way to your exchanges with your specialists, I have one piece of advice:

Trust them.

For the most part, doctors are competent, caring people. They know the ramifications of their mistakes. They stuck it out in torturous med school because they want help people. They would rather shove their egos into a donkey’s ass, strap that donkey on a rocket and launch it into space on a crash course with the sun, than kill you.

They work long hours trying to figure out what is wrong. They give up time with their families to keep us alive.

Most people are good people; this includes specialists. Unless something in your gut says NO!, trust is a good thing. And good or bad, trust may be your only play when you aren’t conscious.

Just because I had a really bad experience with one of the seven specialists I saw doesn’t mean it’s something everyone should be on the lookout for. It won’t necessarily happen to you.

I learned a lot about the relationship between relaxation and getting healthy in the ICU. Trust starts with letting go, relaxing your fears and erasing those negative mind-tapes. Sometimes it’s easier when you don’t have any other choice.

Of course, I always had an advocate by my side. I was the luckiest girl in the world.

You're Special: Crib Notes

This is the second part in a series.

I collect money all day long. Every once in a while, almost everyone I speak with in a day lies about making a payment. That day was Friday.

First thing in the morning I was bullied mafia-wife-style by a real estate agent who had already lied twice about paying her bill. My next few clients were really mean. And then there was the young woman who had not paid her bill since she had become a client, had already lied about paying it three times, and still wanted her service back.

It went on and on all morning, and it started again after lunch. By mid-afternoon I was tense and grumpy. There was no doubt in my mind that the next client would try to sell me a load of shit, too. Natalie, I think, was the next client. She told me the last guy promised to credit some charges, but didn’t do it.

Yeah right, Natalie, I thought. That’s a common lie. Her account didn’t show that promise, so I assumed she was just another Friday client.

Well, I asked the guy who talked to her last, and it turns out I was wrong. Natalie wasn’t lying.

It took me half a day to throw out my basic philosophy about humans. I’m pretty committed to the fact that people are basically good, and every other day last week solidified that fact. Four hours of shitty people trying to take advantage of the system and get what they want without doing what they should have and I forgot all about the other guys.

Specialists must have heard lies, too. People lie to doctors for all different reasons: guilt, fear, stupidity and ignorance are just a few.

I bet they have days filled with lie after lie. You’d be screwed if you were the first appointment after lunch. But it’s one thing to assume a client is lying about money, something else entirely to assume a patient is lying; the stakes are much different.

So how do you cut through all of the human bullshit that even specialists can’t cure to get the treatment you need?

It’s hit or miss, truthfully. There’s no foolproof way. I know that sucks, considering we may be talking about life or death. There is one thing that may help if you can pull it off when you’re sick and dead tired.

Be prepared, but take his cues. I’ve read articles that insist writing a list of symptoms is the best way to get better. Those articles encourage you to take the list to your appointments. Some even suggest making a copy for the doctor to keep.

Here’s the thing about that approach: it works for some doctors and not for others. A doctor told me that patients who walk through the door with lists are considered hypochondriacs or liars by some.

If you run into that doctor, especially on a bad day, you’re not going to get what you need if you start your relationship by reading from a list. So, write a list, but keep it in your pocket. Concentrate on connecting with the doctor as a human.

Ask your advocate to help you remember the symptoms if you have a bad memory. Only take the list out as a last resort.

You're Special: Advocate

This is the first part in a series.

I’ve had the pleasure of meeting many doctors. To a sickie, doctors are priceless, but they can also be assholes. Don’t bother reading the glib magazine articles about getting the most out of an appointment – I’ll tell you what you really need to know to navigate the tricky terrain of communication and ego. My specialty is specialists.

Take a buddy. Don’t ask your husband/mom/friend/brother/daughter-in-law to join you because you need a second set of ears, because ears are overrated. You need an advocate in that office; a reminder to the doctor that you are a human being who knows a handful of people, and those people care enough about you to take time off work.

It sounds sick, but doctors find it easier to put you in the whacko column if you’re alone, and when you’re in that column, you’re dismissed. Once that happens, even when you sound smart about your symptoms, you’re considered a potential hypochondriac, and when you can’t find the words to describe the fact that the world looks purple today, you’re a pushover.

There might be a reason nobody cares about this whacko, he might think. Going alone to an appointment has cost me. Don’t let it cost you. Find someone to take time off work for you, even if it’s inconvenient. If there’s absolutely nobody who can make it, consider bringing a cut-out of Neil Patrick Harris.

But seriously, the person sitting next to you across from the doctor’s desk sets a tone: this illness is real and it has affected her family. If you’re lucky enough to have a choice of people to bring, pick the smart, empathetic one who knows all of your symptoms and how each one has made your life shit.

Prep this person beforehand, so you present a united front. Give your husband permission to act as your advocate. Tell him it’s okay to interject with symptoms you forget, or with stories about how bad it really is, if you’re one of those people who would rather keep the mood light.

The more chances you give the specialist to see you as a person, not a file, the more likely you’ll get the care you need.