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Wednesday, February 29, 2012

http://www.snapixel.com/portfolio/Waybe
Site where many photos of mine can be seen.

http://www.baffledbabyboomer.wordpress.com
Site similar to this one, but with several different articles, photos, etc.

At Twitter.com    SweetiePieCat

Thursday, February 2, 2012

GOOD SONGS GONE BAD

 
NICE SONGS GONE BAD


Just imagine if the same songwriter(s) of “MY BOYFRIEND'S BACK” (aka “My Boyfriend's Out On Parole”, “Oops, There I Go Again Getting Involved with an Ex-Con”, “My Psychotic Boyfriend Has Found Me”, “I Told a Little Lie To Make My Boyfriend Jealous”) had written the playful little tune “Santa's Coming to Town” in their same dark, twisted view of the world. Strangely enough, it would need very few changes except near the end.

You better watch out
You better not cry
Better not pout
I'm telling you why
Santa Claus is coming to town.
(Like I mentioned, these original lyrics could stay the same since it makes Santa sound like one bad dude coming back to the old hood.)

He's making a list
(What kind of list? People that ratted him out to the cops or owe him money?)
And checking it twice
(He's being very methodical this time around. No loose ends.)
Gonna find out who's naughty or nice
(You best be on his naughty list since he ain't in the business of being nice. If you've been naughty, then you've been making him money while he was away in the joint.)
Santa Claus is coming to town.
(The threat speaks for itself.)

He sees you when you're sleeping
(Crazy dude just breaks into your house, stands there, watching you)
He knows when you're a fake
(Keeping double books don't fool him)
He knows if you've been ripping him off
So don't go messing with his take
(Clear enough)

O! You better watch out!
You better not snitch!
Better not cry,
Like a little (radio edit)
Santa Claus is coming to town! (Now the background singers kick in)
Chorus: And he's packin' heat.
Santa Claus is coming to town!
Chorus: And you're dead meat.
Santa Claus is coming to TOWN!
Chorus: Wait and See!


PLEASE HOLD (aka "Get Lost", You're Screwed", "F.U.")


This article is about how attempting to have your phone bill corrected guarantees you either getting an aneurysm or committing hara-kiri.

I recently changed my cell phone carrier, naively thinking that with one telephone call, I could stop services for my cell phone number as well as my land-line number I had with my present carrier (in this case, AT&T.) It all seemed much too easy. Too good to be true. However, these are modern times and everything is done by applications, software, and computers. (People? Get with the times, grandpa – People are obsolete.) I was assured by the person that I would receive one more bill for both the land-line and cell phone numbers. She then said, I may even get some money refunded, before she quickly covered the mouthpiece so I would not hear the belly laughs of herself and the other troglodytes sitting near her. No fool like an old fool, I stupidly smiled as I hung up the phone.

Within a month I received two bills claiming I owed over fifty dollars. Admittedly a paranoid schizophrenic, I still firmly believe that all the telecommunication carriers make these billing “mistakes” (always in their favor) counting on the fact that the large majority of customers won't check their phone bill and even if they did, they wouldn't have the basic math skills to figure out the amount was incorrect. Of course, for those who do follow-up, their private hell awaits. But ignorance and stubbornness are two traits I wear proudly, so I made the call thinking, this shouldn't take long.

Now, this wasn't my first time at the rodeo. I've learned to push the number that brings you to the “adding new services dept.” because these calls get answered quicker than billing questions. What an optimistic, gullible moron I was to think they hadn't figured that old trick out by now. This is the new AT&T. Not the old one that was broken up for being a monopoly back in the day when any domestic long distance call would cost you an arm or a leg – they would give you the choice.

Having the survival instincts of a lemming, I dialed and that is when I entered Dante's seventh circle of hell. I got the dreaded automated voice asking me my number, last 4 digits of my social security, and several other identity stealing questions. The “voice” finally acknowledged my persistent screaming of “Operator!” by informing me wait time for an available operator was two minutes...and then the Beelzebub Philharmonic Orchestra began it's unending loop of muzak. This form of torture (which makes “water-boarding” feel like a day at the beach) is the carrier's third line of defense, knowing that only people with the patience of Job or a death wish will remain holding. And there is always their final line of defense that is the meely-mouthed double talk of the customer representative that accidentally takes your call off hold.
“Hello. My name is “Bill” (instructed to always give a different fake name.) “How may I help you?”
Ahh, the friendly voice of the customer service representative trained by the carrier to assist you down the road to insanity. I knew that I could not let them sense fear, so I took a deep breath and then slowly explained how the billing amount was incorrect, since I had stopped service exactly at the end of their last billing cycle. A smile appeared on my face. I had run the proverbial gauntlet, proven my case, and had survived. But they were not throwing in the towel...not yet. The only thing more dangerous than a wounded mother animal protecting its young is a telephone carrier protecting its profits.

The customer service rep proceeded, without ever taking a breath, to explain how my calculations were wrong because I didn't take into consideration the following factors. To paraphrase the rep, “Sir, your calculation would be correct if it were not for the differing billing cycles of your land-line and your wireless numbers. Therefore, you still owe for some days of use of your wireless phone. In addition, if you would please refer to the line on your May and April bills saying Credits/Adjustments/Other charges, you'll see you were billed for services that are non-existent, but still, legally binding. Also there is the extra charge of you being brazen enough to think you could take on an organization that has been ripping of its customers way before you were even born. Nothing can stop the powers that be from getting their seven figure bonuses, especially a bottom feeding lowlife such as yourself. However...(said in a friendly tone) I could credit you for three days at the end of May which would lower your bill by twelve dollars and three cents. Before you answer please remember that this call is being taped and we know where you live. Shall I have your bill recalculated and sent out to you or would you prefer to speak to my supervisor?”

These may not be the exact words said, but they were certainly implied. I got their message. And I knew better than to be put on hold to wait for an indefinite period of time for the next cadaver that showed any signs of reanimation to speak to me claiming to be a supervisor, only to have this generous offer of twelve dollars and three cents rescinded.

“I'll take it”, my weak, frightened voice said into the phone. “Fine,” the rep replied.. “You'll receive the new correct bill in three to five days. Is there anything else I can help you with today?” As I laid in the fetal position on the wood floor in the corner of my room, I managed to raise my head high enough to see through my window my hefty neighbor in her apartment playing the piano and singing. I put the phone to my lips and softly answered, “No...And thank you for your help.”





MY BOYFRIEND IS OUT ON PAROLE


MY BOYFRIEND'S BACK” (aka “My Boyfriend's Out On Parole”)

Only time I really listen to music on the radio anymore is when I'm driving my car. I don't have a long commute to work (since I'm unemployed), however, I do live in Los Angeles where even a drive down the block can take anywhere from 5 minutes to an hour, depending on traffic. I was “station surfing” (channel surfing except with a radio – this is Southern Cal, dude – any excuse to surf, especially for a middle-aged man like myself originally from New Jersey.) It was an “oldies” station. You know, playing those classics of yesteryear when there were no problems in the world (let's just forget about that little missile incident in Cuba in '62 for now ) and the songs represented those times with titles like “Earth Angel”, “One Fine Day”, “Peggy Sue”.

However, after the DJ finished spouting his nonsensical gibberish, the next song he played reminded me that not everything was peaches and cream (pre Peaches and Herb) back in the “good ole days.” The song is called “My Boyfriend's Back” and was recorded several times. I am not sure which version I heard or who the original writers are, but this singer was a young lady (older than “Sweet 16”, perhaps “Psychotic 17”) and the tune was playful and optimistic. But then I started listening closely to the lyrics. I must mention the lyrics I am quoting for this article are by memory, so I'm not 100% certain they are correct, nor am I 100% certain I took my medication today. I should also mention that when I refer to the singer's intent, I am actually referring to the songwriters' intent (male or female, I don't know.)

Let's just take a look at some of the lyrics in the song. The theme is right there in the opening line (or shall I say, opening threat) that is sung: “My boyfriend's back and you're gonna be in trouble.” Next line after chorus, “If you see him come, better cut out on the double.” Well, it rhymes.

Look out now, cause he's coming after you.” That should certainly help cure the aspiring Casanova of his insomnia.

You're gonna be sorry you were ever born.” Now that is just cruel to say to a teenager or any young person. This regret of being born should happen naturally, like when the person is middle-aged and working at a thankless dead-end job because he has a wife gaining pounds by the second and several snot-nosed know-it-all kids depending on him for food and shelter.

Cause he's kinda big and he's awful strong.” Could very well be describing a gorilla at this point. But it's a cop-out. The last word should really rhyme with “born.” The writer(s) must have been a little hungry or tired at this point of venting. I mean, I can easily think up some alternative rhymes for the word “born.” How about “corn, thorn, horn, mourn, porn, torn, worn,?” Let's try it out: “You're gonna be sorry you were ever born,” “Cause he's awful horny and running out of porn.” or “Cause his favorite stuffed bear is worn and torn.” or “Cause his friends told him 'bout how I blew your horn.” I'm just saying, there are alternatives.

The song continues, “Now you're gonna get a beatin'.” When someone says, “Beatin'” and swallows the “g” on the end, you know it's not good news. It most certainly means they didn't pronounce the “t” in the word. There is a direct corallary between the lack of enunciation with the viciousness of the promised “beatin'” If you don't believe me, just spend some time in certain neighborhoods of Brooklyn, Bronx, and New Jersey.

You're a big man now, but he'll cut you down to size.” I see nothing positive to take from this line. It's almost a promise, there will be some type weapon involved in the assault. And this is the only time the background singers follow with three simple words, “Wait and see!”

If I were you, I'd take a permanent vacation.” Well, at least it's a positive suggestion. Maybe this threatening hussy is singing another tune now. “I can see he's coming, now you better start a running.” No, she's still singing the same tune of violent vengeance. Plus, she's now adding words like “a”. Unless she meant it as a sarcastic suggestion like “You better start, uh....running.” Another mystery of these lyrics that will be taken to the grave.

As I pulled into my driveway, the next song had begun. It was Lesley Gore's “Judy's Turn to Cry.” I shut off the ignition before Judy even had a chance to whimper. But before I opened the car door, I did take a long look from my driveway to the front door. You know, a permanent vacation is not a bad idea. I could use the rest.

Wednesday, February 1, 2012

PERCENTAGE OF DOCTORS WHO DONATED ORGANS


Answer: Unknown      My Guess: Very few 
 
If transplant surgeons truly believe that living organ donations are of “minimal risk” as they claim, I would be curious to know how many actually have stepped up and offered their own organs to deserving patients. Now that would be an interesting survey...

I was a living liver donor in October, 2002, at one of the top hospitals in Manhattan. my surgeon will be known as Dr. K. I donated my liver to my mother; her surgeon – and the department head – will be referred to as Dr. A.

I want to make it clear, I am not against living organ donor operations. Who wouldn't want a chance to try and save a loved one?
My goals in this letter are the following: to ensure that potential living organ donors are apprised of the very real risks (some long-term) involved in these procedures; and to create awareness of the need for a “safety net” for the organ donor if things go wrong.
The potential living donor must be told the realistic facts and/or percentages of the possible negative effects that may happen. Not once, before or after the my operations (the original donor operation and two incisional hernia operations I had within the following 8 months, the last operation a 10” mesh was implanted) was there talk about ill effects from scar tissue. Every operation (especially in the abdomen) creates scar tissue. This scar tissue can cause many different types of problems such as trapping a nerve (neuroma) or interfering with your intestines causing other problems. I was told by pain specialists in New York and Los Angeles these are the reasons for my pain today. Unfortunately, I was also told by top surgeons at Cedar Sinai, UCLA and Montefiore (I was seeking a surgeon to operate and fix my condition) that no responsible surgeon would operate on me in my current state with a mesh. It would be too difficult to fix and an operation may only cause more problems and certainly more scar tissue. Only in a life threatening situation such as a full bowel obstruction, will anyone operate. However, that would mean that I (or any other patient in this predicament) would be at the mercy of whatever surgeon was on duty at the emergency room of whatever hospital was closest. There would be no time to set an appointment for an operation with any specialist in that area (dealing with reconstructive surgery, meshes, adhesions, organs, hernias, transplants, etc.)

There are presently studies about long-term effects on living donors. AtoAll is one study and, in fact, Dr. A is associated with that study. I wonder why I was not included since I was told many times by the staff of the Transplant Department, that I was the only liver donor at that hospital to date, who has experienced longterm complications. I would think it would be difficult to overlook me. 
 
Secondly, there has to be more of a “safety net” for any living donor. This includes the cost of any follow up operations due to the original donor operation. My Transplant Hospital did cover my expenses for the next two operations, except Dr. K's office charged my health coverage in the second hernia operation for over $10,000. When I pointed this out to him, he answered something in this tone; “My office made a mistake. You have a million dollar limit on your policy. Nothing to worry about.” Unfortunately, it is a concern due to how health companies will perceive you as a risk.

There must be a guarantee that the donor will not lose or be without health insurance due to the health insurance companies classifying you as having an pre-existing condition. That is my situation now. In countries with socialized medicine, such as Canada, that is not a problem for donors. However, the U.S must fix their health insurance situation.. That is why it is imperative that you send a letter or call your congressman or senator. Only by public (and media) pressure will the government “eventually” make a change. And only by having these changes made, will future potential donors feel secure and confident enough to decide to donate an organ and help save someone's life (maybe yours.)

As I mentioned above, I am not against living organ donor operations. Who wouldn't want a chance to try and save their child, sibling, parent, friend (and in some amazing cases, donors do it for strangers), etc? However, they should be informed of the real possibilities of longterm effects and should have a safety net for them. If I knew all these facts before I had donated, I don't think I would have changed my mind. I was determined to save my mom's life. However, I am certain my mother wouldn't have allowed me to take the chance if she knew all the facts. We would have been forced to take a chance with the very disorganized and inefficient cadaver organ distribution system in place. I was told by the doctors that my mother would never receive a cadaver liver in time, so I really had no choice unless I was willing to watch her die a painful death.

I'd like to end this portion of my letter with a prayer for all of you who have a loved one who is sick and for all of you who have participated in the organ donor process, whether as a living donor or a recipient.

MY PERSONAL EXPERIENCE AND OTHER PROBLEMS WITH THE ORGAN DONATION PROCESS

This second part of my letter will deal with more specific issues and situations that I experienced with hospitals and doctors. It is more a cathartic exercise for me to finally speak out about some if these issues. We must first realize that we are dealing with an industry that has over 100,000 admitted accidental deaths a year (almost twenty times the number of U.S. Military deaths in the entire Iraq and Afghanistan wars combined to date as of this writing.) This is not counting the number of mistakes where people do not die, but still suffer. No other industry could or should continue to exist with these many mistakes without addressing them.

As I have mentioned, I was a living liver donor for my mother in 2002. She was dying from cirrhosis of her liver due to hepatitis C which she had contracted from a blood transfusion in a previous surgery many years before. The transplant operation went fine and the right lobe of my liver was doing well in my mom. Unfortunately, she never got well enough to be released from the hospital and ended up dying five weeks later from a brain hemorrhage. The hospital health care worker who was supposed to be in the room at all times watching my mother, had “stepped out for a moment.” I tried to get her medical records, but the hospital makes it very difficult. They said only a lawyer representing her will could order it, not her sons or daughter. Even to get my records was difficult, only to discover the records were shockingly incomplete in recording the events that actually happened to me.

First, I would like to say that all the pre-operation medical procedures (MRI, Cat Scan, sonagram, X-rays, blood tests, etc.) are very limited in the information they give to the surgeons. Not until the surgeons open you up, do they really know what your liver looks like. I underwent all those pre-operation procedures and the doctors still didn't know that I had two veins that went into the right lobe of my liver until they operated. My brother and sister were informed this was the reason my operation was taking longer (approximately 2 hours longer.)

Afterwards, I asked Dr. K why he didn't know about the anatomy of my liver. His answer was the pre-operative medical procedures are never conclusive. I accepted that fact until later when I was complaining about pain. They did a sonagram on me and said they found nothing wrong, that I was fine and should continue all normal activities. So apparently, the medical tests are conclusive or inconclusive at the convenience of the doctors. I've met used car salesmen that talk out of both sides of their mouths, but these are surgeons we trust with our lives and the lives of our loved ones.

I was told before my surgery that there was a five to 15% chance of morbidity. Small things that were easily fixed, nothing longterm. So when I had water retention due to my liver's response (30 pounds over my pre-operation weight), I fell into that category. Studies now show that morbidity rate can be well over 50% and there is a chance of longterm effects. Dr. K asked me after 6 days if I was feeling well enough to go home. My feet, legs, abdomen and testicles were still holding over 25 pounds of water (not a pretty site.) Even that used car salesman I mentioned would know better than to send me home. That was the first time I started to question Dr. K's judgement. When Dr. A (top surgeon of the transplant team) looked at me, he immediately said that I wasn't going anywhere in that condition. (Dr. A's bedside manner and judgement were always excellent.) Why did Dr. K want me to go home in that condition? I would hate to think he was concerned with health insurance issues and how it affected the profit margins of the almost half a million dollar operations (mine and my mother's combined.)

After I was released and went home, I told my sister (who was going to visit our mom in the hospital) to tell Dr. K that my wound was looking discolored. Without seeing me (a pattern with this doctor and some others) Dr. K told my sister there was nothing to worry about. When I came to see him for a scheduled appointment several days later, he literally yelled at me in front of my brother, saying “What have you been doing?” when he saw my incision was infected and he had to squeeze the puss out of it.

Another important topic is how the doctors and their staff treat you once they have finished taking your donated organ. The short answer -- they don't want to deal with you after a certain point. They will responsibly set up several follow up appointments with you, but easily get tired if your needs exceed that time. The hubris of the doctor/surgeons and nurses can be shocking. They will say (sometimes over the phone without seeing you) that you are fine and anything such as pain is probably in your head. This was told to me several times by Dr. K., the nurse coordinator and Dr. H (the organ transplant team psychiatrist.) However, none of them apologized and admitted they made a mistake after I had two more surgeries. You would think they would listen to patients' more seriously, especially me since they were wrong twice and I needed two additional operations. My last phone message left for Dr. H was in 2004. I asked if she could call back and tell me if “adhesions or scar tissue” have been a problem for any donors. She never returned my call.

Even after an in person checkup by Dr. K, he told me I was fine and to do all physical activities I would normally do. However, two months later after Dr. K and Dr. M (an associate of his from a previous hospital) finished implanting a 10” mesh in my abdomen due to multiple hernias and weak spots in my fascia, does he ask me, “Wayne, what have you been doing?” Again, the inference was I was to blame when all I had been doing was listening to his advice and trying to live my life normally. Dr. K needs to operate on himself to remove that foot from his mouth.

I must mention Dr. M's inability to listen to patients and to learn from her mistakes. I warn the squeamish to stop reading here. I informed Dr. M that a catheter should remain in my penis after the operation since I had needed a catheter in my previous seven abdominal operations to void. She agreed. However, when I awoke there was no catheter in place. When I couldn't urinate (what a surprise) and they had to insert a catheter, there were specific instructions from Dr. M to only insert a catheter if needed until I voided, then to immediately remove it. That was her second mistake. When the nurse incorrectly tried to open the second catheter inside me, she had not inserted it far enough and it ruptured my penis. The combination of my blood and my screams made a resident run into the room and take that one out and replace it later since I still couldn't void. When I confronted Dr. M about this, she said her experience was that a catheter would not be needed. Did she admit she was obviously wrong or apologize – Never. I worry about a surgeon who is too stubborn or arrogant to learn from her mistakes and thus, exposes future patients to harm.

There is too much to say in one letter, so I will end here. The main thing is, the system has to be changed for donors. Secondly, some doctors/surgeons need a refresher course in “bedside manner.” I will conclude with one last Dr. K statement. On the phone after I told him of my constant pain after every meal and after every normal physical activity, he quickly asked, “Wayne, it sounds like you regret ever donating your liver to your mother.” Not wanting to curse, I remained quiet. However my answer to his question was and still remains, “Yes, I do regret having the operation. But only because you, Dr. K, were my doctor.”