so, had what they call an ?exacerbation? last night — asthma, that is. gave up on trying to be asleep around fiveish, tried various ways of dealing with it, finally around sixthirtyish, i woke chris up and said, gotta go.
good thing about asthma is you never, ever have to wait in the waiting room.
i go to the county hospital because the people there are nicer, and it’s right up the street, and it’s a UCLA teaching hospital. just like it there. anyway i get there and they’re talking chest x-rays, IVs, blah, blah, blood work, admit, blah, and then he glances at the chart and says, you have Medi-Cal? and i say no, i have sucky HMO. and suddenly he’s talking other options — well, you can go the conservative route, … and i realize, oh my god, he’s talking about money. i had MediCal for ages, you keep coverage until you’re earning a living wage, and you get used to that, whatever health care your doctor sees fit, within reason. you forget about the money. the copayments and deductibles and shit like that. suddenly i’m looking at each health care person as they come into my little area, watching to see what supplies they might be using that are going to show up on my bill. that tissue — how much for that? they sure change gloves a lot, do i have to pay for each glove, i wonder? i watch for the little stickers – everything that has a little sticker, is money.
well, good news is, i have about four times the airspace in my lungs now than i did when i went in. the bad news is, i’m so wired it hurts. in other news, i’m thinking i should just go to work, because, well, i spent a bunch of money this morning. however, i haven’t had real asthma medicine in a long time, i’d forgotten how much better i feel.
and i’m too wired to really think about this in any depth right now, but the difference between Medi-Cal care (maximum everything, almost wasteful) and HMO care (minimal, stingy) is huge. if i’d been on Medi-Cal they’d have prescribed one inhaler like a carrot on a stick and told me to see my doctor for more. on the HMO they prescribe like a year’s worth, right out of the ER, because they know you don’t want to be going to the doctor if you don’t have to.
so, i feel great, and i’ve changed my mind about work, i’m going to see if i can finagle some working from home. yeah. even if i end up doing it over the weekend or something. i think i’ve just given myself the day off.