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| Right foot start near big toefoot swelling |
Tuesday, April 7, 2015
Thursday, September 5, 2013
Medical emergency
the Last night I heard from the guy across the table that his b/g is elevated to 300 or more. I learned this morning that he went to the med place and it was 500. He had come in because he felt faint. The FD was on there on another later call and checked him out it the bg was 560. They recommended that he go to hospital emergency which he did. There they gave him an insulin IV and it finally got his b/g down.
The way it works is that the people at the Assisted Living facility can make no changes or additions in the doctors v matter how dire the emergency is. Which is no doubt necessary but what if the doctor is off on a vacation somewhere ad something like this comes us? Even the personnel can not call 911 for the patient is not convinced of the seriousness of their condition the care giver can not call it for them. If the patient is not competent the care giver can at that time. But as far as diabetes is concerned there is absolutely no diabetes education and as a result what the patient knows or what he thinks he knows may be all wrong. . He will probably make the wrong
decision.
In any case my table partner is back and about normal.
You tend to get all kinds of advice at an assisted living facility because of the poor training and poor standards. In house training is given for insulin injection, pill distribution and other actions where the state does not require a RN.
The way it works is that the people at the Assisted Living facility can make no changes or additions in the doctors v matter how dire the emergency is. Which is no doubt necessary but what if the doctor is off on a vacation somewhere ad something like this comes us? Even the personnel can not call 911 for the patient is not convinced of the seriousness of their condition the care giver can not call it for them. If the patient is not competent the care giver can at that time. But as far as diabetes is concerned there is absolutely no diabetes education and as a result what the patient knows or what he thinks he knows may be all wrong. . He will probably make the wrong
decision.
In any case my table partner is back and about normal.
You tend to get all kinds of advice at an assisted living facility because of the poor training and poor standards. In house training is given for insulin injection, pill distribution and other actions where the state does not require a RN.
Sunday, September 23, 2012
Assisted Livig. Assisted Dying.
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story
-----------------------------------------------------
My less heroic accomplishments at
Big battle between me and the managers of my medical management here. They have the authority to handle the dispensation of what ever the doctor has prescribed. I will go along with that. When I came here they took all my medicine and equipment. From then on what ever the doctor has prescribed for my health maintenance is done by nurses or other people "qualified" to do these things. I cant argue with that. When I came here to make it easy here I just said to make their doctor who comes in periodically to talk personally with any patient. He does nothing even carry a stethescope with him. He just reads the record of what the staff has been getting from the tests he has ordered to be done and talks to you. This system is very inflexible besides it subjects you to numerous actions by the staff to carry out what he considers necessary to get what information he needs to doctor what ails you. The result you are subjected to a lot of things by the staff to provide him the needed information. Like in a hospital. You have to be at the testing station without fail, take what medications he has prescribed, checks during the night like in a hospital. Woken up, up to 4 times a night. The doctor is not above making major changes in your medicine or procedure without even telling you he is going to do it. They seem to get the impression what you think means nothing. He is god and by god we will do what is best for you. Now this is ok with most people because a lot have not the vaguest notion of what is going on in their bodies. But if you know a little more than that uninterested technician who has been marginally trained person knows about your condition there may be room for conflict. One of them actually told me that he learned this when he was training 25 years ago. Forgot I guess, that there might be something new in the past 25 years he missed. One day I asked the person who gave out the pills the name of the pills she had on her list that I was taking. She said she could not pronounce them which indicated to me she had not been in the job very long or had much schooling. More than that her English might not have been very good either. Don't know how to break down a word? I was able to talk to one of them about how much training each job requires. Not much. I don't know yet at which level they need outside schooling to qualify for the job. Some qualigy with on the job training. There is a person who gives you the insulin injection and one who gives the eyedrops, the one who gives you the pills. Of course the doctor prescribes the pills. they seem to come prepackaged from their pharmacy in little plastic bags that the person dispensing them into the little plastic cups common in hospitals when they give them to you. .I guess that is the reason an untrained person can dispense the pills.
.
Tuesday, Sept 3
I have made an appointment to go to a Dr. at Multicare close to Tacoma General about 5 blocks away. going to an outside doctor will not be a bigger problem just because I eleminate the local doctor. Because all doctors I go to are outside the facility anyway. The only thing is I have to go to a doctor outside the building but I go less so the net result is not all that much different. In some ways it is much easier as I should not have to meet all those appointments inhouse because I will not have them. Only an occasional visit to the primary care dr at Multicare. Even there I control the frequency. That is the plan and I really hope it works. I really hope it works because I am sick of going to the med room 4 times a day to get them to check my b/g. This way I should avoid getting nnecessary things done by the staff that is under the direcion of the new primary care doctor.
Yesterday the med tech refused to give me a second opinion with his finger stick of my b/g. I wanted it because if the reading is under 100 he is not permitted to give me insulin for my breakfast That means that my b/g will go up. That is how your body works. If you are not diabetic it will not go up except a very little unless you ate a lot of fast acting carbohydrates. Then your body returns to normal levels much faster. It either burns up the calories or stores them as fat and also sending the sugar out the kidneys into the uren stream. Greg the black med tech refused to do a second test to verity the first test. These testers in use are only guaranteed to be within 20 percent accurate. So if you are within a few points of what you want a second test may be just that. But this med tech refused to do a second test so I did not get my insulin. He deliberately wanted my b/g to go high. On the other hand the second test might have been worse than the first one.
I ran into one of the administrators and he thought so much of my diabetes knowledge that he asked me if I could help him learn more about diabetes management. I used this opportunity to introduc him to Bernsteins Diabetes solution. After my doctor visit at Multicare tomorrow I promised to give it go him to study. A real breakthrough.
I have been saying that these places are not jails. But they sure seem like that at times. I want to get a volunteer to take me and Kay out for a donut or something. The activities director here said because of insurance rest restrictions it mght not be permitted.
Tom does it for us all the time but I don't know if it is permitted or not but I don't care one way or other. If I can find one I will arrange it. I will just not do it through this outfit. Insurance runs these institutions. Patient interests are secondary. I know it is permitteed however because they even allow patients to go out for days or at least over night with relatives.
eniorobserver.blogspot.com at seniorobserver.blogspot.com
Big battle between me and the managers of my medical management here. They have the authority to handle the dispensation of what ever the doctor has prescribed. I will go along with that. When I came here they took all my medicine and equipment. From then on what ever the doctor has prescribed for my health maintenance is done by nurses or other people "qualified" to do these things. I cant argue with that. When I came here to make it easy here I just said to make their doctor who comes in periodically to talk personally with any patient. He does nothing even carry a stethescope with him. He just reads the record of what the staff has been getting from the tests he has ordered to be done and talks to you. This system is very inflexible besides it subjects you to numerous actions by the staff to carry out what he considers necessary to get what information he needs to doctor what ails you. The result you are subjected to a lot of things by the staff to provide him the needed information. Like in a hospital. You have to be at the testing station without fail, take what medications he has prescribed, checks during the night like in a hospital. Woken up, up to 4 times a night. The doctor is not above making major changes in your medicine or procedure without even telling you he is going to do it. They seem to get the impression what you think means nothing. He is god and by god we will do what is best for you. Now this is ok with most people because a lot have not the vaguest notion of what is going on in their bodies. But if you know a little more than that uninterested technician who has been marginally trained person knows about your condition there may be room for conflict. One of them actually told me that he learned this when he was training 25 years ago. Forgot I guess, that there might be something new in the past 25 years he missed. One day I asked the person who gave out the pills the name of the pills she had on her list that I was taking. She said she could not pronounce them which indicated to me she had not been in the job very long or had much schooling. More than that her English might not have been very good either. Don't know how to break down a word? I was able to talk to one of them about how much training each job requires. Not much. I don't know yet at which level they need outside schooling to qualify for the job. Some qualigy with on the job training. There is a person who gives you the insulin injection and one who gives the eyedrops, the one who gives you the pills. Of course the doctor prescribes the pills. they seem to come prepackaged from their pharmacy in little plastic bags that the person dispensing them into the little plastic cups common in hospitals when they give them to you. .I guess that is the reason an untrained person can dispense the pills.
.
Tuesday, Sept 3
I have made an appointment to go to a Dr. at Multicare close to Tacoma General about 5 blocks away. going to an outside doctor will not be a bigger problem just because I eleminate the local doctor. Because all doctors I go to are outside the facility anyway. The only thing is I have to go to a doctor outside the building but I go less so the net result is not all that much different. In some ways it is much easier as I should not have to meet all those appointments inhouse because I will not have them. Only an occasional visit to the primary care dr at Multicare. Even there I control the frequency. That is the plan and I really hope it works. I really hope it works because I am sick of going to the med room 4 times a day to get them to check my b/g. This way I should avoid getting nnecessary things done by the staff that is under the direcion of the new primary care doctor.
Yesterday the med tech refused to give me a second opinion with his finger stick of my b/g. I wanted it because if the reading is under 100 he is not permitted to give me insulin for my breakfast That means that my b/g will go up. That is how your body works. If you are not diabetic it will not go up except a very little unless you ate a lot of fast acting carbohydrates. Then your body returns to normal levels much faster. It either burns up the calories or stores them as fat and also sending the sugar out the kidneys into the uren stream. Greg the black med tech refused to do a second test to verity the first test. These testers in use are only guaranteed to be within 20 percent accurate. So if you are within a few points of what you want a second test may be just that. But this med tech refused to do a second test so I did not get my insulin. He deliberately wanted my b/g to go high. On the other hand the second test might have been worse than the first one.
I ran into one of the administrators and he thought so much of my diabetes knowledge that he asked me if I could help him learn more about diabetes management. I used this opportunity to introduc him to Bernsteins Diabetes solution. After my doctor visit at Multicare tomorrow I promised to give it go him to study. A real breakthrough.
I have been saying that these places are not jails. But they sure seem like that at times. I want to get a volunteer to take me and Kay out for a donut or something. The activities director here said because of insurance rest restrictions it mght not be permitted.
Tom does it for us all the time but I don't know if it is permitted or not but I don't care one way or other. If I can find one I will arrange it. I will just not do it through this outfit. Insurance runs these institutions. Patient interests are secondary. I know it is permitteed however because they even allow patients to go out for days or at least over night with relatives.
eniorobserver.blogspot.com at seniorobserver.blogspot.com
Wednesday, September 19, 2012
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story
-----------------------------------------------------
My less heroic accomplishments at seniorobserver.blogspot.com
at seniorobserver.blogspot.com
pictures that may be yours. Where your movies are I don't know
pictures that may be yours. Where your movies are I don't know
Saturday, July 14, 2012
Statue in a Munich museum. Picture taken early 1946
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Monday, April 30, 2012
Flintridge Black Contessa 8 place dinner setting
go to my home page.
8 place Flintridge Black Contessa dinner setting $400.00
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Sunday, April 15, 2012
crosswalk at 269th and 171 pl SE
Friday, March 16, 2012
Leslie Foss
Tow boat Leslie Foss going thorough Ballard Locks about 1950
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Wednesday, March 14, 2012
Beer Check
Thursday, January 19, 2012
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Friday, December 9, 2011
Some Favorite Wall :Photos
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
What is next.
Following is a picture of me at Ft. Sill Sept 1944
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Doyal Gudgel
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Friday, November 11, 2011
World war pictures
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| Berlin 1945 |
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| Darmstadt 1945 |
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| Berlin 1945 |
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| Marburg near Replacement depot 1946 |
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| Two girls at Salzburg 1945 June |
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| Emil Ludwig Kasserne Darmstadt 1945 |
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| The move from Salzburg Austria to Kassel Germany |
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| Tommy Begley Killed on the Saratoga 1945 |
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| Brother Floyd (Rusty) Gudgel. On the USS carrier Lexington 1943. Sunk at the Battle of The Coral Sea. 23 out of the 25 in his gun crew were killed |
I went back to Darmstadt in about 1984 and the Kasserne was still occupied by the US Army. It was an AA Missile battalion then. Divarty when I was there
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Friday, October 21, 2011
Berlin 1945
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Saturday, October 1, 2011
Andrews Cabin
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. His pictures and story ----------------------------------------------------- My less heroic accomplishments at seniorobserver.blogspot.com at seniorobserver.blogspot.com
Thursday, September 22, 2011
Chowchilla CA
Chowchilla CA
One minute Aerial view of the farmlands around Chowchilla
http://www.youtube.com/watch?v=Z8y-aX6A7KE&feature=youtube_gdata
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. billswar2.blogspot.com His pictures and story-----------------------------------------------------Check out my much less heroic accomplishments at seniorobserver.blogspot.com
Saturday, September 10, 2011
Monday, July 11, 2011
odd picture in picasa
Some pages are almost all the kind that are just a tiny bit of a larger picture
Obviously it is taking a section out of a real picture. However double clicking on the picture does not give you a normal picture but just a big picture of the thumbnail. It doesn't seem to distinguish between pictures with faces and pictures with no faces. That seems to be the problem. I can do further research if you tell me what to look for
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. billswar2.blogspot.com His pictures and story ----------------------------------------------------- Check out my much less heroic war accomplishments at seniorobserver.blogspot.com
Thursday, May 26, 2011
Eyes
- To see a large picture click on any of these thumbnails.
When you go to a big picture by clicking on it if you happen to use gmail you can enlarge the picture to a huge deminsion by clicking the + sign in the cursor.
Second day. For a real ugly picture click on this thumbnail for a big close up
Third day
5th Day May 30
Day 6
Day 11 coming up
Excessive redness due to too much color and contrast.
Bill Sheldon. Four years with the 3rd Infantry Division in World War Two. billswar2.blogspot.com His pictures and story ----------------------------------------------------- Check out my much less war accomplishments at seniorobserver.blogspot.com
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