Friday, August 23, 2019

VSOs GET OVER YOURSELVES


You Veterans Service Organizations (VSOs) need to GET OVER YOURSELVES! I’m sick of ALL of y’all’s whining and gossiping and acting like YOUR organization is the ONLY one that helps veterans or that matters… IMMEDIATELY after you tell me what all you CAN’T do, because THIS veteran isn’t a member of YOUR VSO, or THAT veteran never deployed overseas, or that veteran over there already has a wheelchair, so YOU can’t help him with his truck payment until he gets all these casts off his arms and legs so he can get back on a ladder he fell off in the first place to break his bones and be able to work again. Or that veteran was in the wrong service (she isn’t Army, or is’n't a Marine etc.) so you can’t help her out with food or rent or school supplies so her kids can start school.  

And my absolute favorite ridiculous thing: "The _(insert  any  VSO)_ is already helping him by paying his water bill.  GGGRRRRR!!!

Conversely, I’m SICK TO DEATH of everybody duplicating everyone else’s effort and acting like you are the ONLY VALID organization doing anything. Everybody ELSE’s program is invalid or, as I was told by someone today, “is causing trouble”, but can't tell me what KIND of trouble. EVERYONE is on the 22 a Day train, and everyone thinks THEY and THEY ALONE have the solution to THAT problem… like every veteran who ever served somehow is in the exact same dark place for the same reason.  Didn’t it ever occur to you that veterans, like ALL HUMAN BEINGS IN THE WORLD do NOT come from the exact same cookie cutter???

Take Christianity for example (something everyone understands to some degree), some Christians are Baptists and some are Methodists and some are Presbyterian. So some veterans are Navy, some are Army, etc. and they all have different military experiences and different other experiences that can send them to that dark desperate despondency. Some are “combat vets”, but most veterans served in duties OTHER than infantry. There is supply, food service, communications, instructors, drill sergeants, base operations, airplane and helicopter mechanics, and on and on and on! So it isn’t just carrying a rifle or driving a tank that causes veterans to later kill themselves. Nor is it divorce or unemployment or foreclosures. It is MUCH more complicated than that. And everyone is DIFFERENT.

While I’m ranting, let me tell you about some statistics that aren’t advertised very much. First, it is TRUE that the vast majority (like 17 out of 22) of veterans who commit suicide every day are NOT enrolled in the V.A. System. You can continue to cast aspersions on the V.A., but they ARE saving lives. Here’s another fact: The majority of veteran suicide prevention programs focus on OEF/OIF veterans. Well, the fact that goes with THAT is that 69% of veterans who kill themselves are over age 50. OLD MEN. Senior citizens! The ink isn't still wet on their DD-214s. GGGRRRR AGAIN! 

"CAN'T WE ALL JUST GET ALONG????" Apparently not.

Now, that said, I must be fair. I MUST mention a couple of VSOs that do NOT get involved in these controversies at all, at least not locally. (In my experience, most of the others DO have conditions and gossips and jealousies and RULES enough to make me PUKE.)

Locally, AMVETS will help ANY veteran file for benefits, for FREE, and will even go to Montgomery with him and represent him if there is a hitch at the State level. That's their main job, and they do it very well.

The DAV (locally) does that too. Help ANY veteran file for benefits, for FREE, and they are also experts at it. But they will also give ANY VETERAN who shows up and requests it, a box of food. Good food. They don’t ask how much your income is, what branch you were in, or were you deployed overseas. Just ONE question: How many people are in your household?

Alabama Veteran isn’t a VSO, but EVERY veteran is welcome to come to their events for camaraderie, and they don’t care how old you are, or what your gender or race is. They don't care what your income is. They have a large, statewide database. If you are a veteran who needs a job, they will reach out to their database and try to find you something to do. If you just are homebound, ask them and they will usually find someone to just come visit you and talk. If you aren’t homebound, they will invite you to their gatherings. Just come and be with other veterans. No membership fee. No conditions.

If the flag on your front porch is ragged and too high for you to reach to change it, ask them. They will usually find someone who will come out to change it for you.  If you are a 90 year old veteran and can no longer walk behind your lawn mower, they will probably find someone who will come out to cut your grass. They are not bound by rules about who is or isn’t a member, who served where or for how long, or what branch. 

Their Facebook page always has veterans events, job fairs, etc. listed. And it is current. Alabama Veteran is REALLY and TRULY “Veterans Helping Veterans”!

Rant over, until something else sets me off.

Tuesday, March 19, 2019

The Placebo Effect


One of my favorite MASH episodes involves the 4077th requesting morphine, but getting  a shipment of placebos instead. Lacking alternatives, they prescribe the little white pills for everything from pain relief, to making Klinger non-susceptible to the oppressive Korean heat.  Amazingly, with a little suggestion, the sugar pills worked about 80% of the time.

While MASH isn’t a REAL hospital, the placebo effect works – both in 1977 and in 2019. Today I saw a commercial for a pharmacy that will give people Vitamin B12 injections. They have a “standing order” from a physician that allows them to inject anyone who requests it, and they suggest a dose once a month.  Interesting that I saw the MASH episode rerun and this commercial in the same week.

Most people get more than enough B12 from the food they eat.  Vegans sometimes don’t, because B12 comes exclusively from animal foods. So those people might need supplemental B12.  I won’t go into all the details, but aside from vegans, few people have a B12 deficiency. (The actual statistic is about 90% of people with Vitamin B12 deficiency are vegans/vegetarians.)

Simply stated, the problem with B12 usually occurs not specifically with a deficiency, but with the body’s inability to utilize B12. Some people do not produce “intrinsic factor”, which binds with B12 and carries it to the body’s cells. This condition is “Pernicious Anemia”, and taking oral B12 still won’t produce intrinsic factor to utilize the B12. These people need B12 injections to bypass the stomach and hence absorb the vitamin directly into the blood. 

Sometimes people with bypass surgery or Crohn’s Disease, or other issues with the digestive system need B12 injections.  Also, it has been shown that the ability to absorb B12 decreases with age, so the elderly might benefit from B12 injections.  I say MIGHT because B12 is stored in the liver for a long, long time, so an actual deficiency can take years to develop.

“Recently, vitamin B12 injections have become popular among healthy people who don’t appear to have a deficiency. Advocates of this approach claim that regular injections can boost energy levels and help with weight loss and mood. However, there is little to no evidence to support these claims.” Helen West, RD.

The Vitamin B12 injection thing is the placebo effect at its finest, but it isn’t actually a “recent” phenomenon. It has been going on for years and years. Even back in 1966, when I started nursing school, we knew about it. Our instructors laughed, while our mothers were traipsing to the doctor every month to get their B12 energy shots. My very FIRST job, in a doctor’s office, involved giving B12 injections to mostly young women, who believed it would work a miracle for their energy.  So it did. It didn’t matter whether the injection was actually B12 or saline (like happened one week when we ran out of B12). The doctor said it didn’t matter, as long as the patients THOUGHT it was B12.  He was right.

But there is GOOD news.  Vitamin B12 injections are very safe. There are almost no side effects from B12, and only rare local allergic reactions at the injection site, so you won’t see a list of all the possible side effects. There is no chance of breathing difficulty, brain damage, heart failure, seizures, nausea, diarrhea, swelling in your hands or feet, blurred vision, impotence or death from your B12 injection.  But the BEST news is for the provider. The cost to the pharmacy or doctor of a single dose is about $1.75, so it is one of the most cost effective medications he or she can stock.  Oops! The BAD news is that you will be charged from $20 to over $50 for your single dose injection.

So here is a bargain for you: I will stick you with a needle and give you a drink of water for only $10. Also no side effects. The proceeds from this endeavor will help fund paying off my house this year.

Sunday, January 20, 2019

Women's Issue


I thought I might enter a contest wherein I write an essay about a “women’s issue”. Being a woman myself, I thought this might be a fairly easy essay to write… until I really thought about it. Frankly, I couldn’t think of a single “issue” I have that most men I know don’t have also.

Well, there used to be issues I guess. Men don’t have to deal with the inconvenience of monthly-well-you-know. But I’m way past menopausal, so that “issue” doesn’t exist for me anymore. Of course, men don’t have to deal with pregnancy and childbirth either, although nowadays many of them think they do, because they go to prenatal classes and learn to put a diaper on a baby, and learn to “coach” the mother through childbirth. I won’t EVEN go there…

Many companies give new fathers Family Medical Leave so they can spend quality time with their newborn and bond with him, so even THAT isn’t a women’s issue. By the way, nobody gets Family Medical Leave when the kid is 3 or 4 or 5 years old and needs someone to read to him, teach her the alphabet, colors and numbers. That is generally left to Day Care Workers (predominantly female). The mother MIGHT be able to take a sick day if her child is sick, but the daddy usually doesn’t have that same option. Oops. Maybe I should write about men’s issues. Is there a contest for that?

So aside from obvious physical differences and the “issues” they spawn, what are the other issues that are particular to WOMEN? I admit I couldn’t think of any, so I asked a friend, who happens to be an almost militant supporter of women’s rights, and who has actually marched for women’s rights, “What were the rights you were marching for?”

“You know. WOMEN’S rights.”

Oh. “Can you give me an example?”

Looking at me like I was a dimwit, she said, “You know. Like equal PAY.”

Oh. “OK. You’re a nurse. I’m a nurse. I don’t know when any male nurse was paid more than I was for the same job, and for the same time in the job. Do you?”

She didn’t believe that. “Male nurses are ALWAYS paid more.”

That ended that conversation, because pretty much universally in the USA, male nurses are paid on the same pay scale as female nurses in whatever hospital or clinic they work. There is not a separate male and female nurse pay scale. I’m guessing the same goes for teachers, data entry and IT personnel, police officers, food service workers (wait staff), pizza delivery workers, bartenders, cashiers, and just about every other job I can think of.

I know there was a time when some jobs paid men more than women. When I worked for the telephone company as an operator (always females back then), we were paid less than the men who went out and climbed the poles, and back then, women didn’t work the pole-climbing jobs. But that was 1965. Times have changed.

So anyway, I looked it up. I need a CURRENT issue.

According to the Huffington Post, “Men dominate many of the most esteemed professional fields – and get paid more for their work.” So I stand corrected, I guess. I was thinking of women in general, not the small percentage of women who could afford medical school or law school. But the Huffington Post goes on to say, “ It is a fact that women … (doctors, lawyers, architects, etc.) are neither met with the same confidence as their male colleagues, nor receive equal remuneration.” Well THAT’S an issue I guess. For the upper 2 percent of the economic strata. “In 2004, only 16.8 percent of large law-firm partners were women.” Considering that by 2004, almost half of law students were female, that’s an issue I can write about!

Or thought I could, until I read the second Huffington fact: “Work stress disproportionately impacts women. … to succeed in the workplace, women generally do so at the expense of their physical and psychical well-being…”

So in essence, women are smart enough to graduate from law school, but are not always physically or psychologically equipped to handle the stress of being a large firm partner? Could THAT be the reason more of them aren’t large firm partners, rather than the fact that they have ovaries instead of testicles? Oh… I sure can’t write about that. I would be LYNCHED by the NOW, even though I used to personally have two ovaries of my own.

Even in the still male-dominated military, pay is based on rank and time in grade. A female Staff Sergeant with 12 years service and 2 years of it as a Staff Sergeant is paid the same as a male with the same years. Ditto for officers. And this is regardless of branch of service, or incidentally, their ability or inability to handle the stress of the job.

Just so you know, the other 2 women’s issues the Huffington Post claim haven’t changed “since 1911” are:  “The ‘freedom’ the workplace supposedly offers women sometimes doesn’t feel so free at all” whatever that means, and “Women are doubling up on work at home and outside the home”. That means they work a job, and then have housework when they get home. 

Well… uhm… what can I say? There are approximately 13.7 million single parents in the US, and 82% of them are female. I’m guessing the 18% that are male have the same housework to do when they get home from work too, so even THAT isn’t a women’s issue as much as It’s a single parent issue.

So I’m trying very hard to come up with a REAL women’s issue, not just a parroting of some slogan or poster.  Can anyone help me? Can anyone tell me a real, legitimate CURRENT woman’s “issue”?

Saturday, January 5, 2019

Home for the Holidays


The Christmas shopping season is over, and I’ve had time to think about this. Well, I think about it every year, because it happens EVERY year. That is the controversy over whether stores should be open on Thanksgiving Day. You’ve probably voiced some opinion of your own. Usually the discussion starts with something like, “The sales clerks should be able to enjoy Thanksgiving with their families.”  Fair enough. And often I hear, “I’m not going shopping after lunch on Thanksgiving because I’m protesting the sales clerks working on Thanksgiving.”

Just to give you perspective, let me assure you that most of those sales clerks were home with their families  part of Thanksgiving – either before or after their shift at the store, and incidentally, they DID make some Christmas money. But virtually ALL of them were home on Christmas Day. What they weren’t able to do was travel to other cities to be with distant family on Thanksgiving. 

For those who did NOT work on a holiday, and who DID visit distant family, the gas station clerks were at work day and night, so people could travel – buy fuel for the car, and fuel or coffee for the body. So far I haven’t heard anyone who said they weren’t traveling on Thanksgiving because they were protesting  the convenience store clerks working on Thanksgiving.

Or Christmas. Did you hear anyone say, “I’m going to wait until December 26 to buy batteries for that toy because I think the 7-11 clerks should be home with their families on Christmas.”?

Sometimes we get bogged down with little protests (and I know this is probably not politically correct), but  please think about all the people who are REQUIRED to work on holidays … and weekends … and all night.  

At my church (Avondale UMC) we DO think about these people, because at the Christmas Eve service, we are asked to take a “Cup of Cheer”, provided by the church, to someone who has to work that night. Some of us take our cup to the hospital and give it to a nurse in the Emergency Room, to thank her for being there, providing care for people who have a medical emergency. Nobody said that hospitals should close on Christmas because the nurses should be home with their kids on Christmas Eve.  But there were hundreds of staff in that hospital working Christmas Eve and Christmas Day, while their children and families were home singing Christmas songs, opening gifts, and eating turkey dinner.

Some of us took our Cup to the Police Department, to thank the guys in blue for working all night, keeping our streets and neighborhoods safe.  Again, nobody said, “The Police Department should be closed on Christmas, so those guys can be home with their families.”

The first year we did the “Cup of Cheer”, I took my cup to the Fire Department. (Ditto the “home on Thanksgiving/Christmas” statement.) I had only one cup, and there were 6 firemen on duty. I felt so bad, that the next year and the year after that, my family and I prepared 12 Cups of Cheer, and took them to both the Fire Department and the Police Department, co-located in Cahaba Heights, so all of them had a cup. We thanked them all for working for us, so we could spend Christmas with our family. (“Thank you for your SERVICE!”)

This year, though, I had a new thought. All those people working a shift went home at the end of their shifts. Most of them didn’t give work another thought until time to go to work for another shift.

But who works all week, and then is  “on call” 24 hours a day, 7 days a week, (that means holidays, weekends, day, night), and is ready to leave their family at a moment’s notice, if needed? Who do we KNOW will always be there for us, regardless of the time or day? Your PASTOR.  Her “shift” never ends. He NEVER doesn’t think about his work, and all the people who depend on him, day, night, holidays. She is always on call. (Gender neutral. I don’t know how to do that in words).

To my pastor and all the pastors out there who begin 2019 exhausted, but still on duty:

THANK YOU FOR YOUR LOVE FOR US AND YOUR SERVICE TO US!

And all God’s children said … “AMEN!”