Tag: systems

Re: Clearance

Sometimes medical tests take a while to schedule in the province where I live so I felt like I had won the lottery recently, when I got my lab booking sooner than anticipated. It reminded me of the pleasure that can be felt when you approach some congestion on the roadway and an authoritative person is there to wave you through.

If you’ve had to wait for your plane to take off then you’ll know that getting clearance is a delight. In kindergarten we are all taught about lining up and waiting our turn. It comes easy for those with good manners to be patient yet when I get sped through a line I feel so very special. That day at the hospital diagnostic centre everything seemed so streamlined: I arrived on time, my credentials were acknowledged, my appointment was confirmed, I was ushered to the correct wing, my medical technician knew what she was doing, the machines were fully functional, all tests were performed without hiccup, and done. I was cleared to leave.

I’ve enjoyed the feeling of hiking through deep woods. After stepping over fallen trunks and thrashing through tangles of underbrush it is an awesome experience to reach a clearing. Your walking pace can become more even, your balance is more assured, your weight seems lighter, your way is unimpeded and your view is uncluttered. It must feel liberating like this when you have had to be in court, your case has been examined from both sides and the judgement is that you are cleared of all charges. Imagine the relief! You are truly out of the woods and can now go about your life.

When I was a kid, I could see my parents tighten up whenever we approached the border separating Canada from the United States. Guards peered from their tiny huts with serious looks. Questions were asked and answered. The moment our car was waved through the check point, everyone exhaled. I’m no different as an adult when approaching a port of entry. As I surrender my passport I tense, hoping my documentation will measure up. My bride and I have been on many adventures to other countries. In every case I have shown gratitude along with nervousness to those who are authorized to provide clearance.

The other day I saw a vehicle marked with red licence plates being led by a police escort. I wonder what it feels like to have that level of access to the roadway? Or to anything for that matter. I can’t imagine a diplomat or any high level decision maker being troubled if they needed something ASAP.  Fortune 500 folk send their people to get stuff and price is no obstacle. Heck, I don’t normally go shopping unless there is a clearance sale that removes my inhibitions. I need the enticement of ‘the lowest price of the season’ before I feel good to go.

Giving myself permission is the first gateway I must pass through before making my way in this world. It sure is nice to find helpful people at intersections.

Re: Doctor

“Is there a doctor in the house!” Now that’s a phrase I’ve heard might be called out in a medical emergency by someone in a theatre. I’ve never witnessed that happening in the many plays I’ve attended. I’ve never been involved in a doctor intervention while being a passenger of an airplane either. This is another high drama location, that probably requires a mid-flight turn to get a patient to a hospital. Doctors to the rescue!

Canada is thought by many to be the home of ‘free’ health care. It is comforting to know that in a crisis situation citizens have access to hospital care without the added stress on their personal bank account. However for those of us without a Family Doctor our view of the tax funded, government sponsored/administered health system is not as seamless as it would appear to outsiders. Doctors retire. They move. Medical Centres close. Patients who have seen their doctor as just a phone call away may suddenly find themselves building confidence with a new physician at best, or stuck playing musical chairs in a clinic at worst.

Recently all these things have happened to me. To complicate things I had to spend an extended period of time away from my home province. To complicate things even further I had a heart incident that required intervention and follow-up treatment. Since health care is a provincial responsibility my health card was questioned. I had prescription drug needs that kept everything ticking (literally). Without my records I had to relate familiar stories about my medical history way too many times. When I returned home I joined thousands of others without a GP or Primary Care Physician and therefore have had slower than normal access to the specialists I need for my condition.

“What’s up Doc?” is a question that comes to mind in my lighter moments of feeling. I don’t want to skip the line for appropriate care. Sometimes I just want to know where I am in the line. I’ve questioned the notion of the word Care. I don’t like to point fingers in blame. Every doctor who has ever looked after me has done just that. In an emergency and over time, when I’ve come in need the questions have been answered in full. I would wish the same for everyone. Trouble is, there aren’t enough doctors for everyone in Canada right now.

I counted eight professionals around my bed when I was admitted to the emergency ward for my rapid heart arrhythmia. That’s a healthy amount of care for sure. Doctors are all about saving a life. It’s in their Hippocratic Oath. I count doctors, nurses and teachers as being the most important professionals in an advanced society. I fully recognize as an educated adult that I am primarily responsible for my health. I’m also smart enough to know that I can’t meet all of my own health needs. A solid health care system must make ease of access a key component for all in Canada and around the world.