Swine Flu B.S.

(* I found this pic on the internet. LOL)

I have had the sniffles and a sore throat for the past couple of days. I am obviously not feeling well, and as I cruise the halls of the the hospital while working, and encounter other healthcare professionals, I have heard nothing but the following: "You don't have the pig flu, do you?"

No. I do not have swine flu. Stop asking me. But I do have a patient whom we suspect does, and I will go no further than that. But let's talk about the pig flu, shall we? It has, thus far, caused no abnormal symptoms, save for the standard flu symptoms. And while the global death rate for influenza of which we are accustomed climbs into the thousands and thousands, at last check, swine flu has only caused a couple of hundred deaths worldwide. So why are we freaking out?

Well, this marks one of the first instances where we can catch an illness that has morphed from animals. (Not the first. Remember avian flu???) But everyone is in a dither about this. Everywhere I go on campus, there are signs posted on doors, windows, walls, about prevention of the swine flu. Seriously. Even my husband is not exempt. I mentioned that we had a suspected case, and he practically wanted to red-bag my clothes and burn them when I got home. I wanted them off as soon as possible just because I was dealing with influenza, and I have a child and husband at home who have not had the wealth of vaccines I have had due to my position in healthcare.

Maybe it is just me. I don't get worked up about MRSA or TB or influenza. I use precautions when dealing with these patients because I want to protect my other patients and my family by not becoming a vessel of illness. But most of this stuff is just common sense. Wash your hands, especially after touching something that a gazillion others touch, like door knobs, light switches...Make your loved ones and friends throw away their dirty tissues instead of laying them around. Sneeze or cough into a sleeve of tissue, then wash your hands anyway. Stay away from hospitals if you can. We try really hard, but hospitals are full of sick people. Those of us in their employ have someone in infection control to ensure we are protected. We try to protect visitors and patients too, but some people just do not listen. (Case in point: the suspected TB patient who SNUCK out of her room for a smoke!) Do not, by any means, be the idiot who has your 2 year old cruising the halls barefooted. No doubt, they are treading on c. diff and MRSA and VRSA and streptococci and anything else you can think of that settles to the floor of a busy ER.

So why am I not scared, other than reasons I just mentioned? There is not one single part of me that does not believe that I do not have MRSA all over me. If I were to get sick enough that they were to test me, I am sure I am completely colonized with it. I have had my flu vaccine, and I wash my hands before entering a room and before leaving. (That's a lot, for those of you who do not realize what it is that I do.) And in between those frequent washes, I sanitize. When someone is going to be coughing in my face, which is pretty much all of the time, I wear a mask. If I am going to get something on me, I wear a gown. When I get something on me when it was not anticipated, I bag my laundry, and either turn it in to the disinfecting gurus at the hospital or I wash it seperately with peroxide, then wash it again, by itself. And I wear gloves pretty much all of the time. My son and husband do not come to visit me at work. Common Sense, really. All of it.

Quit freaking out over swine flu. Because each year, as we get vaccines for new stuff, there will be other new stuff to emerge from which we are not protected. Viruses and bacteria are a clever sort. The morph and evolve too. Are we going to panic about every single one of them? Really? Calm down, says the Respiratory Therapist soon to have a degree in Molecular Biology. It'll really be okay.

Warning: Rant!

I do not like this man. I cannot put my finger on it, and in our day of prejudices and stereotypes, I have been very careful to make sure it is not for an impure reason. I am all for a minority to be in the White House. I think our country may need it. We have to move forward and grow, and the next step is someone other than a white male moving into the White House. Yay for progress and diversity!

But this man? He is too slick, too polished. He gives rousing and heartfelt speeches and has the ability to say all of the things the American people are wanting to hear. But where is the evidence backing of all of these la-ti-da plans for change? Who is going to pay for all of the programs he is wanting to institute? Middle class people. Me! I am going to pay for it.

Well here is what I have to say about it: People, if you cannot get health insurance, go out and find a job that provides it to you. If your skiils/ education level do not allow this, then change them. It sucks out there, and I had to do what my family needed me to do. We were poor. We had no way to move up. I sucked it up and took 24 credit hours per semester while helping my husband through school, raising a kid and running a household in order to get a job and credentials that would ensure my ability to have the things I need, and to provide my son and husband with the things they need.

We live in the United States. There are so many programs and resources to pay for vocational training or higher education that you can literally get paid to go to school. So suck it up and do it. If for some reason, you are disabled and cannot work or obtain the education to better yourself, than taxpayers like me will be glad to continue to foot the bill for your medical needs to be met. We have been for years. If for some reason you lost your job, as I did recently, we will continue to provide you with federal programs to get food. But to completely reform the government to provide handouts is unnecessary. I say give people a hand up and the tools they need to provide for themselves down the road. We do not need to create more sponges.

And medicine? Yep, we medical people are sheer evil. We want nothing more than to take your money. We will let you die if you don't have the coverage. No, WRONG! I am on the code team at work. I make decisions in the blink of an eye how I am going to help a patient in crisis. The patient is not wearing a gown with "Uninsured" stenciled across the chest. And honestly the only time I have ever looked at a patient's insurance information is to provide them with the best care. For example, the patient has insurance x and needs a test, and insurance x requires a specific diagnosis or criteria to pay for the test, and the patient does not meet the requirements...the test is thousands of dollars. What would you do? Well patients have the right to refuse or accept any procedure. So you let the patient know "Hey, you need this test for x reason, but your insurance will not cover it. Do you still want the test?" It is a courtesy, not a refusal to treat. Other than that, I do not give two shits about my patient's insurance information.

So are we now gonna talk about the costs of healthcare? Pharmaceuticals take a fortune to develop. So, yes, they are expensive. Healthcare professionals themselves are expensive. Look at me, for example. I had to attend college, to the tune of thousands of dollars. I had to take credentialing exams to the tune of thousands of dollars. I have to obtain licensure in every state in which I touch a patient. That is expensive. I have to attend classes and maintain competencies in my field each year. That is not only expensive, but time consuming. So while I would love to do my job for free, I have a family to support, and it takes time and effort to maintain my legal ability to do my job. So I do not come at minimum wage. They have to pay me to compensate for that. Now consider that my hospital employs over 50,000 people, most of which have some sort of credential associated with their name. Do that math. Then consider the equipment they need to allow us to do our jobs. The stethoscope I use to listen to your breath sounds was $300. The ventilator I run costs more than most houses. And we run several of them at a time, so do that math. Then think of all of the little things we use, and all of the disposable equipment we have to use in the name of sanitation. And the upkeep on the high ticket items. And this is just my department of the hospital. So I guess my point is that healthcare is expensive. There is no way to avoid that. We cannot just go revamping the healthcare system in an effort to change that. It will not work unless we all want to live in poverty to absorb the cost of a publicly-run healthcare system. Because someone is going to have to pay for it. And besides, do you really want a disgruntled governement employee to determine if your child gets the surgery he or she needs? I don't.