Let's face it...I'm used to the medical system in the U.S.A. Admittedly, it's not the best in the world, but it is what I'm accustomed to. So, for better or worse, I wade through the Dominican health care system.
Several months ago, I noticed that my legs were swelling. I would notice it at the end the day when I took my socks off. There would be an indentation around my leg at the top of where my sock was. I thought this was odd, but because I wasn't in any physical pain, I ignored it. Eight weeks later, I went home to the USA for my grandmother's funeral. My brother Andrew noticed this one night and recommended I go to the doctor to get it checked out. Here is a summary of that journey:
Visit #1 -
I went to a trusted doctor in Jarabacoa. She recommended doing some blood/urine analysis. The following day I went and peed/bled/waited for results.
Visit #2 -
We reviewed the results. Cholesterol and triglyceride levels were high. They also found trace elements of blood in my urine in the microscopic exam. Combined with the blood pressure reading of 130/88, she recommended an ultrasound on my kidneys.
Visit #3 -
Went to get the ultrasound that afternoon. Found out I wasn't supposed to eat beforehand. Told to come back tomorrow.
Visit #4 -
Went again for the ultrasound. Found I had large kidneys (enlarged, the doctor said).
Visit #5 -
Follow up visit with the original doctor. Referred to a kidney specialist in Santiago.
Visit #6 -
First visit with kidney doctor. More bloodwork, urine sample, another ultrasound. One of the more exciting aspects of this visit was the up coming 24 hour urine sample (more on that later).
**24 hours of pee**
Basically I had a gallon jug given to me by the lab in Santiago. I was to pee in this everytime I had to go for 24 hours. It was to remain cold, thus it stayed in our fridge in between. Two ways my life was changed by this experience: 1) I've never had urine in my own fridge, sitting next to the OJ, etc. 2) I've never had to plan daily events around my pee schedule.
Visit #7 -
Brought the sample back to Santiago - in a cooler on ice. Went over other test results with doctor. Kidneys are normal size, cholesterol/triglycerides elevated, low protein in blood.
**In the meantime**
Test results came back for the 24 urine sample. In the DR when you get lab work done you:
1. Get a referral for the tests
2. Pay in advance for the work
3. Have the tests done
4. Wait 24-48 hours for the results
5. Go to the lab yourself, pick up the results (in an envelope), bring them to the doctor
6. Doctor hand copies them into her hand-written file for you (despite having a laptop on her desk)
Visit #8 -
Doctor had recommended biopsy. I called the Mayo clinic in Rochester (#2 kidney place in the USA, have relatives that work there), Mayo told me the doctor needed to make the referral. Doctor didn't want to make the referral call without me in the office, and oh - I needed to bring some phone cards so the doctor could call. So we came down to Santiago again. Waited for several hours, went in and made the call. They barely spoke to the doctor and spent most time getting my info.
*In the meantime up to present time*
We are waiting for the Mayo doctors to look at the results. Odds are I'll need a biopsy and will be flying back to the USA soon. Keep us in your prayers! God has been good to us throughout this ordeal, in spite of my hatred of doctor visits.
Thursday, June 28, 2007
Tuesday, June 19, 2007
kidneys, cold jelly, and paper work.
kidneys...
so my legs have been retaining liquid (edema, I believe it's called). I'm one of those "if it doesn't hurt I don't go to the Dr." kind of guys, but my brother who is a nurse talked me into it. One check up led to another...and another. First checkups said my blood pressure was high (130/88) and my kidneys were enlarged (found in a sonogram.) Also, my cholesterol is 222 and my triglyceride level is 270 (both high). Plus the fact that I'm about 40 lb. over my "ideal" weight...anyways the Doctor thought it was kidney stones (wasn't, as revealed by the sonogram), so she referred me to a kidney-ologist in Santiago.
Well you may or may not know...I *love* going to the Doctor's office. In my opinion, it's about as fun as cavities, paying taxes, and shopping for insurance. Nonetheless off we went for a fun-filled day at Union Medico in Santiago. We waited...and waited...and waited some more. All the while without eating, mind you, as I was going to get lab work done. The Doctor wanted further lab tests done (about 20 things in blood/urine).
Thankfully, this visit revealed several things: #1, my blood pressure is perfectly normal (120/80)
cold jelly...
after the lab work, we went to the sonografista's office. One thing I really, truly love (no sarcasm here...really) about this country is the price of medical care. A sonogram (ultrasound) is about 15 bucks. but, the jelly they put on your belly, is cold! I've been in many a time (7) for Julie to get ultrasounds of Lara, but never experienced it myself...so this week I had the honor of receiving two! Turns out, my kidneys are not enlarged as the jarabacoa doctor says...he's just comparing them to the average Dominican (who is, admittedly, much smaller than I).
paper work...
above all, I love bureaucracy, paper work, and waiting. I got my share of this preparing Lara's paper work. One would think having a child overseas would be easy. well, *having* the child is easy but making her an American is a bit more difficult. copy this, don't sign this (or this) yet., get the in extensa this, report all times out of country. prove you were in country, prove you are the father, prove you are the husband. et cetera, et cetera.
well, I dotted my i's and crossed my t's (twice) and, lo/behold, I did it right! (yay!) Lara'a paperwork was accepted, and we have an interview on September 28 to get her officially "American-made."
Keep that in prayer. In other news, Julie's paper work is trudging forward. We received some good news today, she only needs a police certificate from one place rather than three. other good news, she really isn't a criminal! her paperwork came back clean. :)
we'd love to hear from you. feel free to: comment! e-mail! call!
so my legs have been retaining liquid (edema, I believe it's called). I'm one of those "if it doesn't hurt I don't go to the Dr." kind of guys, but my brother who is a nurse talked me into it. One check up led to another...and another. First checkups said my blood pressure was high (130/88) and my kidneys were enlarged (found in a sonogram.) Also, my cholesterol is 222 and my triglyceride level is 270 (both high). Plus the fact that I'm about 40 lb. over my "ideal" weight...anyways the Doctor thought it was kidney stones (wasn't, as revealed by the sonogram), so she referred me to a kidney-ologist in Santiago.
Well you may or may not know...I *love* going to the Doctor's office. In my opinion, it's about as fun as cavities, paying taxes, and shopping for insurance. Nonetheless off we went for a fun-filled day at Union Medico in Santiago. We waited...and waited...and waited some more. All the while without eating, mind you, as I was going to get lab work done. The Doctor wanted further lab tests done (about 20 things in blood/urine).
Thankfully, this visit revealed several things: #1, my blood pressure is perfectly normal (120/80)
cold jelly...
after the lab work, we went to the sonografista's office. One thing I really, truly love (no sarcasm here...really) about this country is the price of medical care. A sonogram (ultrasound) is about 15 bucks. but, the jelly they put on your belly, is cold! I've been in many a time (7) for Julie to get ultrasounds of Lara, but never experienced it myself...so this week I had the honor of receiving two! Turns out, my kidneys are not enlarged as the jarabacoa doctor says...he's just comparing them to the average Dominican (who is, admittedly, much smaller than I).
paper work...
above all, I love bureaucracy, paper work, and waiting. I got my share of this preparing Lara's paper work. One would think having a child overseas would be easy. well, *having* the child is easy but making her an American is a bit more difficult. copy this, don't sign this (or this) yet., get the in extensa this, report all times out of country. prove you were in country, prove you are the father, prove you are the husband. et cetera, et cetera.
well, I dotted my i's and crossed my t's (twice) and, lo/behold, I did it right! (yay!) Lara'a paperwork was accepted, and we have an interview on September 28 to get her officially "American-made."
Keep that in prayer. In other news, Julie's paper work is trudging forward. We received some good news today, she only needs a police certificate from one place rather than three. other good news, she really isn't a criminal! her paperwork came back clean. :)
we'd love to hear from you. feel free to: comment! e-mail! call!
Tuesday, June 12, 2007
Immigration Reform
*sigh* My wife has been waiting for over a year, and we are only in the middle of the visa process. She has been unable to see my hometown, missed my grandmother's funeral, and continues to miss out on family gatherings and the opportunity to see things and people that mean so much to me.
I ask that you take a moment and send a revised copy of this letter to your senators and representatives, on my behalf, and on behalf of all those American citizens who are stuck waiting for permission to bring their spouse home. Please send this letter on to those that you know so they can send a copy too. Let's bring this issue to the forefront of American politics!
To contact your senator, go to this page: http://www.senate.gov/general/contact_information/senators_cfm.cfm
--
Honorable Senator:
I am writing this letter to call to your attention the issue of immigration reform for American citizens who marry foreigners. This process is marred with inefficient procedures, a severe shortage of staff, and a large backlog of cases. It is my hopes that after reading this letter you will take the appropriate action, and raise this issue to the forefront on behalf of all the American citizens you serve.
Consider the example of Peter and Julie Schott (NVC Reference #: SDO2006705033):
Their paperwork arrived at the National Visa Center in August. They had to then wait six to eight weeks for the paperwork to arrive. Much of this information was redundant, and had already been given to the US government on previous paperwork. Several months after the NVC received the paperwork, Peter and Julie were notified that they required more information. The NVC would not tell them what this information was over the phone, fax, or e-mail! They were required to wait another six weeks to receive this information package!
Senator, the way American citizens and their foreign spouses are treated by this system is disgraceful. It disgusts me to think that American citizens should be required to wait several years before his/her spouse can travel to the USA. Recent attention has been given to countless Americans whose travel plans have been affected by the new passport requirements. However, Peter's wife recently missed his grandmother's funeral because she was unable to travel. Many of Peter's friends and family have yet to meet their newborn child, because his wife cannot travel to the USA.
Senator, I ask you to consider this for a moment. Imagine your wife was not able to leave her home state because she was waiting over a year for permission. Put yourself in those shoes and ask yourself if you would be outraged, and what you would do about it. Then I beg you to take those same actions on behalf of myself, the countless other American citizens who are wading through this hopeless and degrading system. Take this issue to the forefront, call for action in the following areas:
1. Improvement in the application process.
2. Decreased waiting times for completion.
3. Increased staffing levels to end the case backlog.
I appreciate your work as my state Senator. Your record reflects a commitment to the values of our state and a listening ear to its residents. Thank you for your attention to this letter.
Sincerely,
I ask that you take a moment and send a revised copy of this letter to your senators and representatives, on my behalf, and on behalf of all those American citizens who are stuck waiting for permission to bring their spouse home. Please send this letter on to those that you know so they can send a copy too. Let's bring this issue to the forefront of American politics!
To contact your senator, go to this page: http://www.senate.gov/general/contact_information/senators_cfm.cfm
--
Honorable Senator
I am writing this letter to call to your attention the issue of immigration reform for American citizens who marry foreigners. This process is marred with inefficient procedures, a severe shortage of staff, and a large backlog of cases. It is my hopes that after reading this letter you will take the appropriate action, and raise this issue to the forefront on behalf of all the American citizens you serve.
Consider the example of Peter and Julie Schott (NVC Reference #: SDO2006705033):
Their paperwork arrived at the National Visa Center in August. They had to then wait six to eight weeks for the paperwork to arrive. Much of this information was redundant, and had already been given to the US government on previous paperwork. Several months after the NVC received the paperwork, Peter and Julie were notified that they required more information. The NVC would not tell them what this information was over the phone, fax, or e-mail! They were required to wait another six weeks to receive this information package!
Senator, the way American citizens and their foreign spouses are treated by this system is disgraceful. It disgusts me to think that American citizens should be required to wait several years before his/her spouse can travel to the USA. Recent attention has been given to countless Americans whose travel plans have been affected by the new passport requirements. However, Peter's wife recently missed his grandmother's funeral because she was unable to travel. Many of Peter's friends and family have yet to meet their newborn child, because his wife cannot travel to the USA.
Senator, I ask you to consider this for a moment. Imagine your wife was not able to leave her home state because she was waiting over a year for permission. Put yourself in those shoes and ask yourself if you would be outraged, and what you would do about it. Then I beg you to take those same actions on behalf of myself, the countless other American citizens who are wading through this hopeless and degrading system. Take this issue to the forefront, call for action in the following areas:
1. Improvement in the application process.
2. Decreased waiting times for completion.
3. Increased staffing levels to end the case backlog.
I appreciate your work as my state Senator. Your record reflects a commitment to the values of our state and a listening ear to its residents. Thank you for your attention to this letter.
Sincerely,
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