Monday, November 06, 2006

The Zoladex is not working, Blame it on Bob!

So Pace had a conversation with the oncology nurses about the Zoladex not doing it's job and the "blame it on Bob" conversation went like this.

"Your husband did the injection?!" Asked the nurse.
"Yes" Pace replied.
"Well he wouldn't know how to do it properly. Did it hurt?"
"Oh yeah, it hurt." Pace grimaced at the thought of the heavy gage needle.
"Well you're supposed to use a catheter to administer it."
"No one told us that."
"He never should have done it."
"But, he..." Pace started but was interrupted.
"Did he not use the local anesthetic before he injected you?" The nurse inquired.
"There was no local anesthetic prescribed or with the package."
"Are you sure?"
"Yes."
"You should have taken the needle to the CLSC (local community health clinic) or the hospital and they should have done it."
"What? No one told us that."
"Didn't the doctor tell you?"
"No."
"Well you know how busy doctors get. Make sure you get it done by a professional next time and if the Zoladex still doesn't work we'll have to change prescriptions."

I'm angry for a couple of reasons.
  1. The insinuation that I don't know what I'm doing. I had 2 years of practice administering insulin by injection. Albeit it was caninsulin and the subject was Pace's cat Olive, but they were daily sub-cutaneous injections. And I followed the instructions on Pace's package to the letter.
  2. Because of the cost of Zoladex, the hospital won't administer it there, so they transfer the cost to the patient by writing a prescription for you to take home. Better be insured! Then they say that it only should be administered in a government regulated health facility.

From a left brain perspective, this kind of logic loop crashes software programs.

My right brain says the situation reminds me of the bureaucracy demonstrated in the movie Brazil; this is reality imitating art.

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