Thursday, June 21, 2012

Peninsula Daily News Column 6-21-12 "Little to do to make long life doable"

            I talk to a lot of doctors, surgeons, nurses, ARNP’s, physician assistants, therapists, health care administrators, etc – Some of them even talk back!
            So, on the rare occasion that one of these interludes degenerates into an actual conversation, we often end up talking about…Right! Health care! How much it costs, why, where to get it, how to know if you’ve found it, why so many people need so much of it in the first place, how to avoid it – Yes, how to avoid it.
            Well, wouldn’t you rather avoid “needing health care” if you could? I mean, “needing health care” often means that something is, or certainly could be, wrong, and most of us would prefer to avoid having something be “wrong.”
            I would.
            I think a lot of us see health care as something that’s done TO us: Something is, or seems to be, wrong, so we have to go there to get that something fixed; well, OK, maybe it’s here AND there, then back to THERE three or four times, before we’re sent to hither, and soon to yon – And in all these places there are highly trained and (presumably) highly paid professionals who are doing things TO us. Oh, sure, as we’re being shuttled out of a door, someone might tell us to go home and do this-or-that, or stop doing this-or-that, or a little more of THIS and a LOT less of THAT, or whatever, but those bits of homework are afterthoughts – Little things that are thrown out to us after health care has been delivered TO us.
            Then, we go home.
            So, as I’m having these little highly condensed, conversational tidbits with Pro’s, in which I listen a lot, after a few years even I can’t help but notice that I’m hearing the same things over and over and over from them: I’m hearing the things we ought to do (and could do) to avoid needing health care, and it’s the same stuff, with diet and exercise topping the list.
            I know: Many of you just groaned – I get that. You’re thinking, “Oh, great! Here we go with this again. I’m heading for the crossword puzzle!”
            WAIT! I said, “I get that,” and I really do. Most of us are just trying to get from one day to the next, trying to wring some joy out of this 2012 life-thing, and we’ve done the best we could with what we have for a whole lot of years, now everybody wants to make us into…
            Uh-huh, everybody wants to make us into one of the pictures we see in our minds: Maybe it’s Jack LaLane, or somebody a lot like him. Or maybe it’s one of those pencil-thin women who only eat green stuff, drive Subaru’s and run 11 miles every morning before yoga. Or a weight-lifter or a food alien or…Those pictures aren’t usually pretty, and since most of us will never be I’m-so-skinny-that-I-don’t-even-have-a-shadow marathon runners, we just do nothing.
            And changing how we live is a lot of work! I have to go from being what I am (well, OK, who I am) to being something or somebody else! I have to change everything completely! I have to give up everything I love, start eating everything I hate and start doing things that hurt, and I hate, so I can live longer! – Who wants to live longer if it’s just full of eating things and doing things I hate???
            See? I told you I get it. Here’s my “thing,” that you’ve heard before: Most of us aren’t looking to live forever – We just want to live until it’s time to do something else. Live – As in, have a life, and it’s a lot harder to do that when a lot of your life is spent ricocheting from here to there, being on the receiving end of health care.
            Toward the end of last year, Medicare added coverage for preventive services to reduce obesity, which means no cost-sharing. I’m not going to get all into the insurance details of that coverage, because I think I’ve got you sideways enough for one day, but the bottom-line is that you can talk to your Doc (or whomever you see) about getting some help with the “weight thing,” and she or he and provide some counseling and some recommendations and some referrals and some encouragement AND actually get paid for doing it.
            This is doable.
            And here’s something else you’ll discover: Most health care professionals aren’t wild-eyed fanatics who are going to try to turn you into somebody you’re not – Most of them are pretty realistic and pretty down-to-Earth, because that’s where they live, too.
            So, forget about diet, forget about exercise and forget about those pictures you see in your head when somebody talks about this stuff, and just think about your life. Would you like to have more of it?
            You’d be surprised how little you have to do to do that, and this is doable.
           
              

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