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Medical Forum / Diseases and Disorders / Diabetes / March 2008

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Another tragedy due to no health insurance

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Michelle C. - 11 Mar 2008 01:05 GMT
http://www.lvrj.com/news/16412386.html

Nevada woman charged in July crash that killed four in California
family

The Associated Press
MINDEN -- A 42-year-old Gardnerville woman has been charged with
reckless endangerment in connection with a July head-on collision that
killed four members of a Torrance, Calif., family.

According to the criminal complaint, Dawn Miley's vehicle crashed on
U.S. Highway 395 south of Gardnerville after she self-medicated her
diabetes without supervision of a physician.

As a result of the self-medication, her level of consciousness was
altered by low blood sugar, causing her to lose control of the
vehicle, the complaint alleges.

Investigators subpoenaed her medical records from two Carson City
doctors who said they warned her of the dangers of failing to monitor
her condition under a physician's supervision.

After moving to the Carson Valley in 2005, Miley said she was unable
to maintain medical insurance, so she decided to treat her diabetes
with over-the-counter drugs, according to court documents.

Miley said she tests her blood sugar and injects herself four times a
day.

Jerome Calvero, 58, his wife, Maria, 52, and their two children,
Bernadette, 23, and Jerome, 15, were killed in the accident.

Miley was southbound when her sport utility vehicle drifted off the
highway and struck a road marker, the Nevada Highway Patrol said. The
vehicle then crossed into oncoming traffic, striking the Calvero
family's pickup.

All four family members were pronounced dead at the scene, authorities
said.

Michelle C., T2
diet & exercise
Lerp - 11 Mar 2008 01:30 GMT
> http://www.lvrj.com/news/16412386.html
>
[quoted text clipped - 38 lines]
> Michelle C., T2
> diet & exercise

The insurance companies still don't care - they will continue to make
their coverage unaffordable to individuals, and they will also
continue declining people with pre-existing conditions...EVEN THOUGH
THEY COULD SAVE INNOCENT LIVES BY COVERING PEOPLE.
guys@consolidated.net - 11 Mar 2008 03:01 GMT
>> http://www.lvrj.com/news/16412386.html
>>
[quoted text clipped - 43 lines]
>continue declining people with pre-existing conditions...EVEN THOUGH
>THEY COULD SAVE INNOCENT LIVES BY COVERING PEOPLE.

This post is away off base.  Many of us acted in a responsible manner
and learn to deal with our diabetes.  There is no other way.

I found the medical profession cold not deal with my diabetes in
the detailed treatment that so many come here to learn.

I had to quit driving around 1990 wen it became obvious I was a risk
on the road.  I drove for years before with the routine treatment.
There was no problem.

When I was missing the brake because of nerve damage and
found out I was having mental lapses on the road,   I turned
over the keys.  IT WAS A HELL OF A Personal Problem.

I do not see any way a ddoctor could help in the posted problem.

I do see how this article in the post can lead to problems for
diabetics that can drive safely.

Similar to the drunk blaming diabetes for their problem when it is the
alcohol.

Or maybe just the neglect in learning to manage a persons diabetes
and observing reasonable rules.

Or maybe the 2 minute office calls for diabetics.

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Andrew B. Chung, MD/PhD - 11 Mar 2008 03:46 GMT
convicted friend Guy (g...@consolidated.net) wrote:

> >> http://www.lvrj.com/news/16412386.html
> >>
[quoted text clipped - 67 lines]
>
> Or maybe the 2 minute office calls for diabetics.

The tragedy here is that this woman had type-2 diabetes, which is
entirely preventable and curable by eating less, down to the right
amount:

http://HeartMDPhD.com/BeSmart

Be hungry... be healthy... be hungrier... be euglycemic:

http://TheWellnessFoundation.com/BeHealthy

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Brethren of the KING of kings and LORD of lords.
http://HeartMDPhD.com/ChristianBrethren
guys@consolidated.net - 11 Mar 2008 04:18 GMT
>The tragedy here is that this woman had type-2 diabetes, which is
>entirely preventable and curable by eating less, down to the right
[quoted text clipped - 9 lines]
>
>Andrew <><

I do not believe that diabetes is one disease.  It
probaby is a symptom of a much more complex
problem.   So far we lack the horsepower to
define the conditions.  Leaves a lot of ground for the
comericial opportunists.

But lmoitred eatng is so simple for so many that
it should be tried first. personally, Uhave developed a fear
of early use of some pills

I see those that require heavy insulin doses and it
indicates the so call insulin resistance.  

Those with normal insulin doses,   I in my unqualfed way
is to suspect a lack of insulin oroduction and the proper
amount of injected insulin seem to be best (for me)

Charles Evans in his last days here told me  he required
over 200 units of insulin.  I think Ted posted that he was requiring
a large insulin dose,  He posted on a new drug which I would
like to hear more about.

I have found in many ways,  You do have to learn and
audit your own care.  Responsible people here have some
obligstion to manintain the flow of diabetic information..  

Any person postmg here as a responsibility for their
misuse  of these groups   It is so simple to post
reliable correct data if a person wants to post.

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Andrew B. Chung, MD/PhD - 11 Mar 2008 11:48 GMT
convicted friend Guy (g...@consolidated.net) wrote:
> Andrew, in the Holy Spirit, boldly wrote:
>
[quoted text clipped - 5 lines]
>
> I do not believe that diabetes is one disease.

Type-2 diabetes is a single clinical diagnosis.

>  It
> probaby is a symptom of a much more complex
> problem.

Type-2 diabetes is not a symptom.

>  So far we lack the horsepower to
> define the conditions.  Leaves a lot of ground for the
> comericial opportunists.

Type-2 diabetes is fairly well-defined as elevated fasting blood
glucose in the setting of insulin resistance.

> But lmoitred eatng is so simple for so many that
> it should be tried first.

It remains smart to eat less, down to the right amount:

http://HeartMDPhD.com/BeSmart

> personally, Uhave developed a fear
> of early use of some pills
>
> I see those that require heavy insulin doses and it
> indicates the so call insulin resistance.

Insulin resistance is real.

> Those with normal insulin doses,   I in my unqualfed way
> is to suspect a lack of insulin oroduction and the proper
> amount of injected insulin seem to be best (for me)

We, who are physicians, look for DKA as evidence of lack of insulin
production.

> Charles Evans in his last days here told me  he required
> over 200 units of insulin.  I think Ted posted that he was requiring
[quoted text clipped - 8 lines]
> misuse  of these groups   It is so simple to post
> reliable correct data if a person wants to post.

It remains my choice to continue to write truthfully.

May we, who are Jesus' brethren, continue to pray for you:

http://HeartMDPhD.com/Convicts/PrayForGuy

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Brethren of the KING of kings and LORD of lords.
http://HeartMDPhD.com/ChristianBrethren
guys@consolidated.net - 11 Mar 2008 18:03 GMT
>convicted friend Guy (g...@consolidated.net) wrote:
>> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 66 lines]
>
>Andrew <><

Doctors are not god.  Medicine is a lot of emperical data.

We spend a lot of money training doctors but I was up close to many
docs and medical students.  I do not have that "worship thing"

I just went through an ordeal that was very miserable.

According to a govermnment survey.  The incidence of hook worms in my
area is abut 25%.  I went through ten doctors and finally an
old 70 year old doc diagnosed them.  He had experiece with them.

All of them collecrted money.

I have been in the diabetres game for over 30 years and I go far
beyond the classroon test book    I do ot think diabtes is well
defined.   The peopole supposed to do the job branch out to many other
areas not related to medicine.

When I work in a technical job, I had to hustle to stay current.
The human body is much more complex than some scientific
instruments.

One doc had his waiting rom loaded ith fiancial
periodicals.  

I do know a few docs that are very busy keeping uo and
developing new things,  They have little time for the internet.

Maybe GOD will look with questions about the behavior of
a few docs.

 

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Andrew B. Chung, MD/PhD - 12 Mar 2008 00:42 GMT
convicted friend Guy (g...@consolidated.net) wrote:
> Andrew, in the Holy Spirit, boldly wrote:
> >convicted friend Guy (g...@consolidated.net) wrote:
[quoted text clipped - 69 lines]
>
> Doctors are not god.

The Great Doctor, LORD Jesus Christ, is GOD.

> Medicine is a lot of emperical data.

Medicine remains an art for those who have been called by GOD to serve
as doctors.

> We spend a lot of money training doctors but I was up close to many
> docs and medical students.  I do not have that "worship thing"

GOD has healed even folks who have not worshipped HIM.

> I just went through an ordeal that was very miserable.
>
[quoted text clipped - 3 lines]
>
> All of them collecrted money.

Professionals are customarily paid for their expertise regardless of
the outcome.

> I have been in the diabetres game for over 30 years and I go far
> beyond the classroon test book    I do ot think diabtes is well
> defined.

Actually, the diagnosis of type-2 diabetes is straightforward.

>  The peopole supposed to do the job branch out to many other
> areas not related to medicine.
[quoted text clipped - 5 lines]
>  One doc had his waiting rom loaded ith fiancial
> periodicals.

The reading material in a waiting room is for the patients to read
while waiting and not for the doctor.

> I do know a few docs that are very busy keeping uo and
> developing new things,  They have little time for the internet.

"With man this is impossible, but with GOD all things are possible."
-- LORD Jesus Christ (Matthew 19:26)

Amen.

GOD is the Source of time and can provide as much as is need for HIS
brethren to do what HE desires for them to do.

Laus Deo ! ! !

http://HeartMDPhD.com/LausDeo

> Maybe GOD will look with questions about the behavior of a few docs.

Wiser to address HIS questions concerning you own soul by repenting
and publicly declaring with your mouth that "Jesus is LORD:"

http://HeartMDPhD.com/HolySpirit/TheWay

May we, we are Jesus' brethren, continue to pray for you, dear Guy:

http://HeartMDPhD.com/Convicts/PrayForGuy

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Brethren of the KING of kings and LORD of lords.
http://HeartMDPhD.com/ChristianBrethren
Cary Kittrell - 11 Mar 2008 18:26 GMT
> convicted friend Guy (g...@consolidated.net) wrote:
> >
[quoted text clipped - 74 lines]
> entirely preventable and curable by eating less, down to the right
> amount:

What ever happened to the "possibly" in "cure the insulin
resistance (IR/Mets) and possibly also the type-2 diabetes"?

-- cary
Andrew B. Chung, MD/PhD - 11 Mar 2008 18:43 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> > convicted friend Guy (g...@consolidated.net) wrote:
[quoted text clipped - 78 lines]
> What ever happened to the "possibly" in "cure the insulin
> resistance (IR/Mets) and possibly also the type-2 diabetes"?

The discerning understand that curing insulin resistance (IR/MetS)
prevents type-2 diabetes and makes the latter curable when already
present.

This does not bode well for your level of cognitive functioning and
simply shows yet again that the Holy Spirit is absolutely right to
convict you:

http://HeartMDPhD.com/Convicts

May we, who have stopped sinning though we remain sinners, continue to
pray for your perishing soul:

http://HeartMDPhD.com/Convicts/PrayForCary

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Brethren of the KING of kings and LORD of lords.
http://HeartMDPhD.com/ChristianBrethren
Cary Kittrell - 11 Mar 2008 18:54 GMT
> > Andrew, in the Holy Spirit, boldly wrote:
> > > convicted friend Guy (g...@consolidated.net) wrote:
[quoted text clipped - 82 lines]
> prevents type-2 diabetes and makes the latter curable when already
> present.

And then why did you once (and more than once) stick a "possibly"
in there?

-- cary

> This does not bode well for your level of cognitive functioning and
> simply shows yet again that the Holy Spirit is absolutely right to
[quoted text clipped - 15 lines]
> Brethren of the KING of kings and LORD of lords.
> http://HeartMDPhD.com/ChristianBrethren
Andrew B. Chung, MD/PhD - 11 Mar 2008 19:09 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> > > Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 86 lines]
> And then why did you once (and more than once) stick a "possibly"
> in there?

When it becomes possible to cure a disease, we, who are are practicing
physicians, call it curable.

Truth is simple.

Bottom line:

Clearly, you lack the capacity for basic understanding.  This does
happen to folks who suffer from the delusion that LORD Jesus Christ is
not GOD.

Your lack of understanding shows yet again that the Holy Spirit is
absolutely right to convict you...

http://HeartMDPhD.com/Convicts

... and that you unwittingly continue to serve well as a beacon to
warn people away from blaspheming against the Holy Spirit:

http://HeartMDPhD.com/Convicts/CaryKittrell

May we, who have stopped sinning though we remain sinners, continue to
pray for your perishing soul:

http://HeartMDPhD.com/Convicts/PrayForCary

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Brethren of the KING of kings and LORD of lords.
http://HeartMDPhD.com/ChristianBrethren
Màck©® - 11 Mar 2008 21:13 GMT
>>> http://www.lvrj.com/news/16412386.html
>>>
[quoted text clipped - 70 lines]
>
>Or maybe the 2 minute office calls for diabetics.

or may be teaching any and all diabetics prone to hypos to test before
driving.  Giving them access to health care so they can detect such
things as autonomic neuropathy and hypo unawareness.

The post was most definitely appropriate.

driving is not a guaranteed or protected right, anywhere.  It is a
privilege that can be revoked at any time.

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Type 1 since 1975
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http://diabetes.niddk.nih.gov/dm/pubs/type1and2/
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ted rosenberg - 11 Mar 2008 14:33 GMT
>  
>> http://www.lvrj.com/news/16412386.html
[quoted text clipped - 46 lines]
> THEY COULD SAVE INNOCENT LIVES BY COVERING PEOPLE.
>  

WHO there - you can't blame it on the insurance compamies.  If they sold
their produce with NO profit at all, thee premiums would be almost the
same, and you sure can;'t expect them to pay for universal health care.  
The problem is the people who HAVE insurance, like congressman, radio
show talk hosts, and physicians, who are so opposed to taxes that they
don't realize that sinle-payor health care costs much less than the US
system, and that the savings WILL be real to them.
Lerp - 11 Mar 2008 23:21 GMT
> >>http://www.lvrj.com/news/16412386.html
>
[quoted text clipped - 45 lines]
>
> WHO there - you can't blame it on the insurance compamies.  

Sounds like you are an insurance company sales rep. Er an insurance
agency. Er a lobbyist for insurance industry.

> If they sold their produce with NO profit at all, thee premiums would be almost the
> same, and you sure can;'t expect them to pay for universal health care.  
> The problem is the people who HAVE insurance, like congressman, radio
> show talk hosts, and physicians, who are so opposed to taxes that they
> don't realize that sinle-payor health care costs much less than the US
> system, and that the savings WILL be real to them.- Hide quoted text -

So, it is better to penalize all americans with higher taxes and give
the insurance companies a free pass to gouge as they like...
Julie Bove - 11 Mar 2008 03:31 GMT
> http://www.lvrj.com/news/16412386.html
>
[quoted text clipped - 35 lines]
> All four family members were pronounced dead at the scene, authorities
> said.

How does insurance figure into this?  She had a hypo and apparently didn't
test.
DarkSentinel - 11 Mar 2008 07:27 GMT
>> http://www.lvrj.com/news/16412386.html
>>
[quoted text clipped - 38 lines]
> How does insurance figure into this?  She had a hypo and apparently didn't
> test.

Not that I am a great fan of insurance companies by any stretch of the
imagination, but this was entirely HER fault. Gardnerville is less than 50
miles from me, and I know all about this story. Lynn and I discussed this
very story in fact. What the story fails to mention is that free clinics are
available here, as they are in many areas. If not there in Douglas County
where Gardnerville is, then most certainly here in Reno which I know there
is for a fact. When you have a disease like this, there is no reason on
earth NOT to check out all resources that are available. The doctors
mentioned in the article would have certainly have directed her towards one
if she lost her coverage. Many doctors will also work with you on finances
as well. More questions here begs to be asked as well. The article states
she injects, and tests. I'm almost certain that insulin requires a
prescription here in Nevada. I know for certain Lantus does. If this is the
case, where is she getting the script? Also pretty sure you can't get strips
OTC here either, but would have to check that out. So where is THAT script
coming from? If she could get these, there is no reason she could not have
gone to a free clinic. This is just another black eye for us diabetics...:(

Signature

T2 - Oct. '96 - Lantus, oral meds, diet
http://www.lockergnome.com/darksentinel
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Nick Cramer - 11 Mar 2008 08:21 GMT
> "Julie Bove" <juliebove@verizon.net> wrote in message
> > "Michelle C." <bookbug2005@gmail.com> wrote in message

> >> http://www.lvrj.com/news/16412386.html
> >>
[quoted text clipped - 57 lines]
> there is no reason she could not have gone to a free clinic. This is just
> another black eye for us diabetics...:(

So this woman self-prescribed, self-determined the treatment and failed to
utilize the free help that was available to her.

This doesn't give diabetics a black eye. Just her and people like her.

BTW I'm a law abiding gun owner. When I hear about nuts or gang-bangers
killing people, I don't feel tarnished, either.

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guys@consolidated.net - 11 Mar 2008 09:41 GMT
>> "Julie Bove" <juliebove@verizon.net> wrote in message
>> > "Michelle C." <bookbug2005@gmail.com> wrote in message
[quoted text clipped - 68 lines]
>BTW I'm a law abiding gun owner. When I hear about nuts or gang-bangers
>killing people, I don't feel tarnished, either.

How many have tried to get free care?

My case of diabetes was a mess anyway and
the production line cannot and does not give
adequate advice to diabetics.

this is very true for people prone to hypos.

Most I know had their first severe hypo
and did not know what was happening.

I was on insulin and glucophage was shoved at me
with no LONG explanation.   My hypos started
at home.   So I did not kill Anyone including
myself.   At that time this drug was not approved for
T1's.
I had a hypo this week in the middle of the night.  
The food input  and meter reading did not indicate i
should have one  My wife treated it at home.
I do not remember it but was totally soaked when I recovered.

Reporters have a way of getting things wrong.

When court actions are underway, we cannot
expect a true story.

I see  the of "proper medical care prevents hypos"

I pay for proper medical care and I see no way
for me to avoid hypos.  So I do not drive.

I am retired and do have to get to a job.

I always carry glucose tablets.

WE do not know what is going on here.

Drunks and dope users do give diabetics a black eye.

Any competent attorney is supposed to use every tool to
serve their clients

Most of my diabetic knowledge was self taught.  Much
of came from these groups.

I quit recommending these groups to people.  I caught
a lot of  "what is going on there"? Embarrassing.

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DarkSentinel - 12 Mar 2008 03:54 GMT
>>> "Julie Bove" <juliebove@verizon.net> wrote in message
>>> > "Michelle C." <bookbug2005@gmail.com> wrote in message
[quoted text clipped - 76 lines]
>
> How many have tried to get free care?

I can only speak for myself, but If I had chronic illness like ours, I would
damn well be finding out what resources were available to me. In fact, I
have BEEN in this position a couple of times, and I DID find out what
treatment was available to me.

> My case of diabetes was a mess anyway and
> the production line cannot and does not give
> adequate advice to diabetics.

Assembly line could be said of any practice. The point I was making is that
there IS help available out there.

> this is very true for people prone to hypos.
>
> Most I know had their first severe hypo
> and did not know what was happening.

Seeing that the article said that she injected and tested, means she KNEW
what to look for. I damn sure know when I am going hypo, and make sure that
were I to go hypo when driving I have something available to help it, or I
pull off the road and get something, OR I call Lynn or someone that I am
having problems.

> I was on insulin and glucophage was shoved at me
> with no LONG explanation.   My hypos started
[quoted text clipped - 5 lines]
> should have one  My wife treated it at home.
> I do not remember it but was totally soaked when I recovered.

Bear in mind as always we are each different. You also need to be assertive
in your care. I will refuse any medication that is not fully explained to
me.

> Reporters have a way of getting things wrong.
>
> When court actions are underway, we cannot
> expect a true story.
>
> I see  the of "proper medical care prevents hypos"

Not denying that reporters get things wrong, but unless they were themselves
diabetic all they have to go on, is what information they can gather.

> I pay for proper medical care and I see no way
> for me to avoid hypos.  So I do not drive.
[quoted text clipped - 4 lines]
>
> WE do not know what is going on here.

Yes we do. It was indicated that she self medicated rather seeing a doctor
regularly. Says she tested and injected. So this means she has been a
diabetic for quite a while. This being the case, she would/should have know
what was going on before she drove.

> Drunks and dope users do give diabetics a black eye.

I'm sure what you mean here, as those groups aren't a majority where we are
concerned.

> Any competent attorney is supposed to use every tool to
> serve their clients

In this case, she's going to jail. The best her attorney can hope to do is
try and plead it down. I don't see this being allowed to happen. He will try
and claim there were mitigating circumstances which might have worked if she
was a brand new diabetic, which has been established she is not. This one
should be pretty cut and dried.

> Most of my diabetic knowledge was self taught.  Much
> of came from these groups.
>
> I quit recommending these groups to people.  I caught
> a lot of  "what is going on there"? Embarrassing.

And why would you do that guy? Do you have something against your fellow
diabetics that you would not want them to have ALL the resources that they
could possible have in the fight against this disease? Like any group made
up of human beings, there will be disagreements from time to time. That is
basic human nature. Or is it because many people take issue with some of the
things you say, and you feel that you are picked on or abused? Even though
there ARE a few here that I take issue with, that does not stop me from
recommending this group. They will find out soon enough to to listen to and
who not to. I would be embarrassed at myself for not trying to help people
any way I could.

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T2 - Oct. '96 - Lantus, oral meds, diet
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Cheri - 11 Mar 2008 16:58 GMT
>BTW I'm a law abiding gun owner. When I hear about nuts or gang-bangers
>killing people, I don't feel tarnished, either.

Heard that.

Cheri
Màck©® - 11 Mar 2008 21:38 GMT
>> "Julie Bove" <juliebove@verizon.net> wrote in message
>> > "Michelle C." <bookbug2005@gmail.com> wrote in message
[quoted text clipped - 68 lines]
>BTW I'm a law abiding gun owner. When I hear about nuts or gang-bangers
>killing people, I don't feel tarnished, either.

he wasn't talking about "shame" being felt by other diabetics.  He was
talking about this case having repercussions down the road for all
diabetics legally and financially.  Cases like this do harm us all.

Compare the NRA to the ADA, see any similarities?

1st not all members of the respective orgs agree with everything they
do and or advocate.

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right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
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        (o ô)  
--ooO-(_)-Ooo--------------------

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half as well as I should like;
and I like less than half of you
half as well as you deserve."
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If you don't know how to ignore a posting, complain to
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.

DarkSentinel - 12 Mar 2008 07:18 GMT
>>> "Julie Bove" <juliebove@verizon.net> wrote in message
>>> > "Michelle C." <bookbug2005@gmail.com> wrote in message
[quoted text clipped - 78 lines]
> talking about this case having repercussions down the road for all
> diabetics legally and financially.  Cases like this do harm us all.

Exactly right Mack. I probably should have clarified it better however.
Blame it on the flu I have...:/

It's not bad enough that we have to make ourselves look as good as everyone
else in the workplace, etc. But now the backlash from this will make it
harder on all the rest of us. Some things in the realm of possibility.
Higher car insurance if you are a diabetic. Not being able to drive if you
are on insulin. Hell, not being able to drive at all since there is always
the possibility that we may go hypo. Just thinking what could come of this
is disturbing. I WILL be keeping a close eye on this case especially since
it is the region where I live.

> Compare the NRA to the ADA, see any similarities?
>
> 1st not all members of the respective orgs agree with everything they
> do and or advocate.

Although I am a staunch gun advocate and a member, some of the things they
do is sheer lunacy. Like I have never felt the need to use an assault weapon
to hunt. I have also never needed a pistol bad enough that I could not wait
for the background check. The only time I have had to actually pull my
weapon in anger for lack of a better term, was when a gang banger pulled a
knife and came towards me. I don't count felony stops, etc as that is
standard operating procedure.

While I am not a member of the ADA, I DO appreciate them for the fact that
they are a source of advocacy for us. But again, like the NRA, some of the
things they do and recommend makes me wonder what the hell they are doing.

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Cheri - 11 Mar 2008 16:58 GMT
>case, where is she getting the script? Also pretty sure you can't get strips
>OTC here either, but would have to check that out. So where is THAT script
>coming from? If she could get these, there is no reason she could not have
>gone to a free clinic. This is just another black eye for us diabetics...:(

Dunno about the insulin in Nevada, but you absolutely can buy the
strips OTC. You probably need the script if your insurance is paying
for it though.

Cheri
Trinkwasser - 11 Mar 2008 21:26 GMT
>>case, where is she getting the script? Also pretty sure you can't get
>strips
[quoted text clipped - 8 lines]
>strips OTC. You probably need the script if your insurance is paying
>for it though.

We can here, but for how much longer?

http://news.bbc.co.uk/1/hi/health/7288150.stm
Priscilla Ballou - 11 Mar 2008 22:10 GMT
> >>case, where is she getting the script? Also pretty sure you can't get
> >strips
[quoted text clipped - 12 lines]
>
> http://news.bbc.co.uk/1/hi/health/7288150.stm

I don't think that relates.  If they were to put strips as prescription
only, wouldn't they be opening themselves to a class action suit, since
they're also forbidding the prescription of strips to type 2s not on
insulin?  Or am I misremembering what someone reported here about not
being allowed a prescription for strips.

Yes, I know you're talking about the UK.

Priscilla
DarkSentinel - 12 Mar 2008 07:25 GMT
>> >>case, where is she getting the script? Also pretty sure you can't get
>> >strips
[quoted text clipped - 20 lines]
>
> Yes, I know you're talking about the UK.

AFAIK, once you have diagnosed diabetic, no matter what type, you can be
prescribed strips. Insulin has nothing to do with it. This has been the case
in every jurisdiction I have lived in since I was DX'd.

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Trinkwasser - 13 Mar 2008 20:10 GMT
>>> >>case, where is she getting the script? Also pretty sure you can't get
>>> >strips
[quoted text clipped - 24 lines]
>prescribed strips. Insulin has nothing to do with it. This has been the case
>in every jurisdiction I have lived in since I was DX'd.

Not in the UK. (I'm not sure but I suspect insulin is prescription
only here). At the moment many items are available OTC, including test
strips, blood pressure meters, some statins . . . but at the same time
there have been attempts to make B vitamins prescription-only. Often
it's cheaper to buy OTC and this is what some doctors recommend for
some drugs.

The NHS here is taking on the worst aspects of your HMOs in
restricting treatments to "save" money, no matter how much it costs.
Strangely they recently reported a massive suplus for last year. Now
they are talking about massively increasing the number of transplants
for which they will need to make organ donation opt-out rather than
opt-in as it is at present.

In order to afford this they will need to further restrict
prescription of such things as test strips and antidepressants both of
which the accountants are targetting.

So it looks like it really is coming true, they save on test strips in
order to afford the increased number of kidney transplants

<sigh>
Nick Cramer - 14 Mar 2008 00:41 GMT
> On Tue, 11 Mar 2008 23:25:09 -0700, "DarkSentinel"
> >"Priscilla Ballou" <vze23t8n@verizon.net> wrote in message
[quoted text clipped - 6 lines]
> it's cheaper to buy OTC and this is what some doctors recommend for
> some drugs. [ . . . ]

My friend in Barnet, Hertfordshire, tells me that when he calls the
dorctor with a problem, the usual reply is, "Take two aspirins and see me
in two months!" ;-D

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ted rosenberg - 14 Mar 2008 04:00 GMT
>  
>> On Tue, 11 Mar 2008 23:25:09 -0700, "DarkSentinel"
[quoted text clipped - 20 lines]
>
>  
Beats the US

My wife was injured at a hospital a few months a go.  ow she has
recovered from surg ery and the doctor sent her for physical therapy.

We contacted Kernan Orthpop[aedic hos[ital, near us and tried to make
arrangements.

FIRST they asked us to sign a guarantee of payment.  We said, "no way,
we told you that this was the responsibility of [other hospital] and to
get what you need from them, did you ?

They said "Ok, where it says 'I guarantee payment of any and all bills'
it really meant 'you can bill...'"  No way.  We complained to the
Hospital; administration, and they got back to us
"Oh, we can evaluate, and send them a report, we can't treat till they
get back to us".  No way.  I know they didn't say that  SO. I called
first hospitals legal department which said "they said the oddest thing,
they said that it was their policy not to treat untlil after they sent
us a report.."

Now, Hospital 1 dearly does not want is th sue them, so they have every
reason to keep on our good side. and they have issued blanket payment
promises t everyone who treated her so far Good KNOWS what Kerrnan's
problem, except that we don't fit nicely in their syste,
Nick Cramer - 14 Mar 2008 04:58 GMT
> >> On Tue, 11 Mar 2008 23:25:09 -0700, "DarkSentinel"
> >>> "Priscilla Ballou" <vze23t8n@verizon.net> wrote in message
[quoted text clipped - 23 lines]
> promises t everyone who treated her so far Good KNOWS what Kerrnan's
> problem, except that we don't fit nicely in their syste,

That purely sucks! I hope you get a rapid and favorable resolution. Have
you told Hospital one to send you to a physical therapist who will take
care of your wife on their dime?

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

ted rosenberg - 14 Mar 2008 04:39 GMT
Nick Cramer wrote:<snip>

> My friend in Barnet, Hertfordshire, tells me that when he calls the
> dorctor with a problem, the usual reply is, "Take two aspirins and see me
> in two months!" ;-D
>
>  

I am listening to "As it Happens" on the radio as I am on the computer

Oregon just established a lottery they are going to take all the
applications for Medical Assistance, and hold a lottery.  10% of those
who qualify will get benefits!  That  is one in ten of those who are
QUALIFIED. and who KNEW TO APPLY.  Lots of those qualified don't know
how to apply.

The clinic manager from Oregon  said that if you dropped in the street,
you would get acute care and the hospital would be stick with the bill
which they couldn't collect so they would raise rates.  However you
would ONLY get acute care, no follow up or ongoing care.  Every day one
person in Oregon dies from lack of health care.
Trinkwasser - 14 Mar 2008 21:03 GMT
>Nick Cramer wrote:<snip>
>>
[quoted text clipped - 17 lines]
>would ONLY get acute care, no follow up or ongoing care.  Every day one
>person in Oregon dies from lack of health care.

Look just be quiet can you, our NHS is reading every word looking for
new policies to put into effect <G>

It would surprise me very little to find the management have done a
cost benefit analysis and discovered that if enough patients die their
costs will come down
Trinkwasser - 14 Mar 2008 20:58 GMT
>> On Tue, 11 Mar 2008 23:25:09 -0700, "DarkSentinel"
>> >"Priscilla Ballou" <vze23t8n@verizon.net> wrote in message
[quoted text clipped - 10 lines]
>dorctor with a problem, the usual reply is, "Take two aspirins and see me
>in two months!" ;-D

I used to have one like that, I wondered where he'd gone.
Trinkwasser - 13 Mar 2008 20:11 GMT
>> >>case, where is she getting the script? Also pretty sure you can't get
>> >strips
[quoted text clipped - 20 lines]
>
>Yes, I know you're talking about the UK.

I wrote in and made that very exact point.

But it wasn't published.
DarkSentinel - 12 Mar 2008 07:21 GMT
>>case, where is she getting the script? Also pretty sure you can't get
> strips
[quoted text clipped - 8 lines]
> strips OTC. You probably need the script if your insurance is paying
> for it though.

Which I why I qualified my statement saying I'd have to check it out..:)

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Michelle C. - 11 Mar 2008 20:10 GMT
On Mar 10, 11:27 pm, "DarkSentinel"
<darkmungesenti...@munge.charter.munge.net> wrote:

> >>http://www.lvrj.com/news/16412386.html
>
[quoted text clipped - 62 lines]
>
> - Show quoted text -

Hi DS,

I'm sure you have more facts about the situation than I do since the
facts I have are what was told in the article.

While I do not disagree that she is ultimately responsible for taking
care of her illness--and hence the accident--I do know that being poor
and uninsured often makes it very difficult to take care of oneself to
the degree necessary to insure the best outcomes in all situations.
We all have heard many people come to ASD stating how hard it is to
afford the testing strips if they are not covered by insurance.  It
would be my guess that she was not testing as often as she should to
determine the appropriate amount of insulin in relation to her food.
Now it could certainly be argued that she may have had all the
interventions necessary to her and would still be irresponsible.  But
we'll never know, will we?

And no, not all types of insulin require a prescription.  Some are
available OTC.  Of course, I do not know if this applies to her
situation.  And yes, you can by a meter and test strips at any Wal-
mart.

Best regards,
Michelle C., T2
diet & exercise
Priscilla Ballou - 11 Mar 2008 22:16 GMT
In article
<e5d2cd24-d288-4f66-b252-6436bbe74477@d21g2000prf.googlegroups.com>,

> And no, not all types of insulin require a prescription.  Some are
> available OTC.  Of course, I do not know if this applies to her
> situation.

Last time I checked it varied from state to state, and delivery
mechanisms like syringes require a prescription in some states, last I
checked.

Priscilla, whose information may well be out of date
DarkSentinel - 12 Mar 2008 07:38 GMT
> On Mar 10, 11:27 pm, "DarkSentinel"
> <darkmungesenti...@munge.charter.munge.net> wrote:
[quoted text clipped - 99 lines]
> situation.  And yes, you can by a meter and test strips at any Wal-
> mart.

Well then, let's look at this from another perspective, since both are
apparently available OTC. You brought them up in your response as a matter
of fact. We are all aware what these cost with out getting a prescription
correct? It would sound plausible to me that she would be saving money in
the long run by spending the money on a doctor, and getting the
prescriptions cheaper. Or getting a lost cost health insurance which I also
know for a fact is available here, since I have investigated it for Lynn,
since her company does not offer health insurance. She (Lynn) also qualifies
for the free clinic here in Reno even though she makes more than the $9000
per year that Ted mentioned in his responses. This just goes back to what I
was saying initially. There is no reason she could not have explored all the
resources available to her in this area. I have only been here since Sept.,
and I have apparently done more homework than she has. What does that tell
you?

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Michelle C. - 12 Mar 2008 20:35 GMT
On Mar 11, 11:38 pm, "DarkSentinel"
<darkmungesenti...@munge.charter.munge.net> wrote:

> > On Mar 10, 11:27 pm, "DarkSentinel"
> > <darkmungesenti...@munge.charter.munge.net> wrote:
[quoted text clipped - 117 lines]
> and I have apparently done more homework than she has. What does that tell
> you?

> --
> T2 - Oct. '96 - Lantus, oral meds, diethttp://www.lockergnome.com/darksentinel
> Undo the munge to reply by email- Hide quoted text -
>
> - Show quoted text -

Hey DS,

You may be right.  Or perhaps she explored all the avenues and didn't
qualify.  As Tim and Ted pointed out, it's tricky.  I don't know in
this particular case--perhaps it will come out at trial.  It's really
easy to say what some poor person should have done until you've walked
in his/her shoes.  I know from some volunteer social work undertaken
last year, that poor people just don't often have all the options
available to them that someone with money does.  I can't believe the
number of times in the year that I volunteered that this couple--
working people, I might add--was faced with decisions with either a
bad alternative or a worse alternative.  There was never any good
answer when something came along that put them on the edge
financially, which occurred every couple of months.  Fortunately,
neither of them were diabetic.  But for example, like Gardenerville is
50 miles from Reno, Vegas is 60 miles from Pahrump, where I live.  If
they'd had to go to Vegas for health care--to a free clinic--half the
time their car wasn't running well enough to make the trip, and the
other half of the time, they didn't have money for gas.  I don't think
many realize how on the edge some people live.

Now, none of these things may apply to this particular case.  However,
I find it really sad when someone can't afford health care.  Whether
it would have made a difference in this particular case, we won't
know.  But like Mack said, maybe if she'd had a thorough education on
hypos and hypo awareness, that family would be alive right now.

Best regards,
Michelle C., T2
diet & exercise
DarkSentinel - 15 Mar 2008 08:31 GMT
> On Mar 11, 11:38 pm, "DarkSentinel"
> <darkmungesenti...@munge.charter.munge.net> wrote:
>> "Michelle C." <bookbug2...@gmail.com> wrote in message
>>
>> >> >> Nevada woman charged in July crash that killed four in California
>> >> >> family

> Snipped for brevity <

>> > Hi DS,
>>
[quoted text clipped - 61 lines]
> other half of the time, they didn't have money for gas.  I don't think
> many realize how on the edge some people live.

As I pointed out to Tim, there ARE alternatives here in the northern part of
the state, if not all over. I HAVE been on the edge, and still managed to be
able to find some way to make sure I had the care I needed. I would beg,
plead, or borrow. Whatever it took.

> Now, none of these things may apply to this particular case.  However,
> I find it really sad when someone can't afford health care.  Whether
> it would have made a difference in this particular case, we won't
> know.  But like Mack said, maybe if she'd had a thorough education on
> hypos and hypo awareness, that family would be alive right now.

As stated previously, there are resources here in the area that she could
have taken advantage of. We shall see if this comes out in the trial. The
prosecutor would be remiss if he didn't present that. And I agree totally
with Mack about the education part. I remember having to dig and find things
out for myself, because the doc that DX'd me was one of those types that
just handed me a bunch of scripts, and said here...take these as directed.

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Tim Shoppa - 12 Mar 2008 04:19 GMT
> >> http://www.lvrj.com/news/16412386.html
> >>
[quoted text clipped - 56 lines]
> coming from? If she could get these, there is no reason she could not have
> gone to a free clinic. This is just another black eye for us diabetics...:(

A couple of corrections:

Insulin is available OTC in all 50 states.

Syringes are available in almost all localities with very few
restrictions.

Test strips are available OTC absolutely everywhere.

The above two facts are the result of careful campaigning by the ADA:
without them, every diabetic who had their health insurance or
prescriptions lapse would end up dead pretty shortly.

You highly exaggerate the accessibility of clinics. It is very very
easy to be employed and making too much money to be eligible for the
clinics. It is also very easy to be employed and making lots of
money... but no doctors will see you without insurance.

I know all the above because I spent several years on the fringe of
the health care system, trying to see docs and being turned away not
because I didn't have cash, but because they only accepted patients
with insurance.

Occasionally a pharmacist would refuse to sell me insulin or more
frequently refuse to sell me syringes. But I believe this is a
violation of the law (at least in the case of the insuin).

Strangely enough, in my particular area the trend is going the other
way; there are docs that will not accept any kind of insurance, only
cash.

All of this has absolutely nothing to do with the incorrectness of the
premise of the original post: in fact whether someone has insurance or
not does not determine whether you get a hypo while driving. Personal
responsibility, and nothing else, prevents hypos while driving. Yeah,
sure, test strips are necessary too... but without the personal
responsibility they don't do the trick.

Plenty of insulin-using diabetics have gone hypo and been in car
accidents even while insured. Every month or two there's a post here
about such an incident. The thought that I might go hypo while driving
my three kids around scares the liviing sh.t out of me.
DarkSentinel - 15 Mar 2008 08:01 GMT
>> >> http://www.lvrj.com/news/16412386.html
>> >>
>> >> Nevada woman charged in July crash that killed four in California
>> >> family

> snipped for brevity <

>> >> All four family members were pronounced dead at the scene, authorities
>> >> said.
[quoted text clipped - 43 lines]
> without them, every diabetic who had their health insurance or
> prescriptions lapse would end up dead pretty shortly.

I spoke to my doctor yesterday and found out that this is true, but read
further...

> You highly exaggerate the accessibility of clinics. It is very very
> easy to be employed and making too much money to be eligible for the
> clinics. It is also very easy to be employed and making lots of
> money... but no doctors will see you without insurance.

Actually I do not. At least not in THIS area, which is what I based my
comments on. After a speaking to my doctor I found out a few things.
Gardnerville is in Douglas County, which also contains Carson City, the
state capital. There ARE clinics here in northern Nevada. In Washoe county
where I live it's called Health Access Washoe County (HAWC). It is
specifically for uninsured residents.

http://www.newsreview.com/reno/Content?oid=oid%3A21618

I would have to investigate Douglas County in greater depth, but throughout
the state this is available...

http://dhhs.nv.gov/PDFs/NV_Strategic_Health_Plan_2007-0223b.pdf

My doctor also says there is a program called "Help Chest" here in the area.
Provides free insulin and other things to uninsured people. She said that
one of her jobs is to provide information to her patients concerning free
and lost cost alternatives for her patients if needed. The point here is
that there ARE resources to be had here. If she knew she was losing her
insurance, a doctor could have provided her with options.

> I know all the above because I spent several years on the fringe of
> the health care system, trying to see docs and being turned away not
> because I didn't have cash, but because they only accepted patients
> with insurance.

While that may be the case in your area, it is not the case here, which
again is what this is all about. There is no reason she could not have
gotten assistance. Like I said, I have only been in this area since
September, and just by asking a couple of questions, and a little research I
found many resources.

> Occasionally a pharmacist would refuse to sell me insulin or more
> frequently refuse to sell me syringes. But I believe this is a
[quoted text clipped - 10 lines]
> sure, test strips are necessary too... but without the personal
> responsibility they don't do the trick.

And that was my original contention. We take responsibility for our own
actions. Some people try and blame it on whatever excuse is convenient.
Placing the blame on anyone or anything but themselves.

> Plenty of insulin-using diabetics have gone hypo and been in car
> accidents even while insured. Every month or two there's a post here
> about such an incident. The thought that I might go hypo while driving
> my three kids around scares the liviing sh.t out of me.

Same here, as I said in another post, if I am even close to going hypo, Lynn
drives or my big a.s stays at home. I carry glucose tabs in the car in case
I feel it coming on when I am out, and/or would stop somewhere if it started
feeling severe. I couldn't live with that kind of thing on my conscious.

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Màck©® - 11 Mar 2008 21:30 GMT
>> http://www.lvrj.com/news/16412386.html
>>
[quoted text clipped - 38 lines]
>How does insurance figure into this?  She had a hypo and apparently didn't
>test.

she also had at least 2 doctors that previously documented warnings to
her not try and treat her diabetes without regular medical care, which
established a pattern of not following medical advice, and that
pattern is going to be used in court against her during her civil
suit.

Was the hypo due to hypo-unawareness?  Without regular medical care
how would she be able to track it's onset and get help correcting it?

Was she taught to test before driving?

Was she displaying any unsafe behaviors that a doctor would question
and possibly restrict or revoke her driving over?

this issue is not a simple, this is the direct cause, and nothing
else.  It is many factors coming into play.  Some of them could happen
to anyone under medical care.  Others may have happened because of a
lack of training and medical care AS well as denial and stupidity on
the part of the diabetic.

However her past medical records are the things that will come back to
bite her.

Just as surely as if she had no proof of medical care.

And yes it is a catch 22.  Can't afford it, can't get the medical
care.  Get the medical and you do not follow doctor's advice and that
will come back on you.

Now recently we have had someone come into the diabetes groups asking
how to self medicate on insulin when they told by their doctor it was
not necessary at this time, and no prior experience with insulin. When
that individual did not get the info they were looking for here they
posted the same irresponsible request in the other diabetes groups.

And a few well meaning morons spoke up and told them which insulins
did not require prescription and then gave advise as to how to use it.
When the majority of insulin users and non-insulin users told that
person to follow their doctor's advise.  What is going to happen when
that individual starts using insulin and gets behind the wheel of a
car or truck?

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Type 1 since 1975
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"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
...Theodore Roosevelt

        (o ô)  
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."
             ....Bilbo Baggins

DISCLAIMER If you find a posting or message from me
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.

Tim Shoppa - 12 Mar 2008 04:29 GMT
M`ack(c)(R) wrote:

> >> http://www.lvrj.com/news/16412386.html
> >>
[quoted text clipped - 44 lines]
> pattern is going to be used in court against her during her civil
> suit.

Doctor's telling diabetics to not control their blood sugar? And
getting sued because she (or you or me) took the initiative to control
our blood sugar?

You are starting to sound like the California School Nurses that
insist that parents are not qualified (because they aren't Registered
Nurses) to administer insulin to their own children.

There's CYA but the thought that we should not control what's in our
power to control, using legally available tools, is just ridiculous.

Maybe you were just paraphrasing Jonathan Swift's _A Modest Proposal_
and I missed the irony marks :-)

> Was the hypo due to hypo-unawareness?  Without regular medical care
> how would she be able to track it's onset and get help correcting it?
[quoted text clipped - 12 lines]
> However her past medical records are the things that will come back to
> bite her.

Any docs that advised her to not control her diabetes (and that's the
words I hear being put into their mouths) are even more liable for
that suggestion. For you or me, Mack, the suggestion that we have to
stop taking insulin because we couldn't afford a doctor must rank up
there with _A Modest Proposal_.

> Just as surely as if she had no proof of medical care.
>
[quoted text clipped - 12 lines]
> When the majority of insulin users and non-insulin users told that
> person to follow their doctor's advise.  What is going to  President, or that we are to stand b
Màck©® - 12 Mar 2008 05:28 GMT
>M`ack(c)(R) wrote:
>>
[quoted text clipped - 50 lines]
>getting sued because she (or you or me) took the initiative to control
>our blood sugar?

and you are intentionally twisting what I said.  when you decide to
have an honest discussion let me know.

Signature

Måck©® Deltec CoZmore Pumper
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
http://diabetes.niddk.nih.gov/dm/pubs/type1and2/
http://www.pandora.com  enter "Jason & Demarco"
http://www.ratbags.com/dechunging/

"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
...Theodore Roosevelt

        (o ô)  
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."
             ....Bilbo Baggins

DISCLAIMER If you find a posting or message from me
offensive, inappropriate, or disruptive, please ignore it.
If you don't know how to ignore a posting, complain to
me and I will be only too happy to demonstrate...
.

>You are starting to sound like the California School Nurses that
>insist that parents are not qualified (because they aren't Registered
[quoted text clipped - 45 lines]
>> When the majority of insulin users and non-insulin users told that
>> person to follow their doctor's advise.  What is going to  President, or that we are to stand b
DarkSentinel - 12 Mar 2008 07:57 GMT
>>> http://www.lvrj.com/news/16412386.html
>>>
[quoted text clipped - 44 lines]
> pattern is going to be used in court against her during her civil
> suit.

Indeed Mack, which is why I commented that this was entirely her fault. I
know damn well that I will NOT drive if I am anywhere near hypo. I have seen
far too many wrecks, and have had to call too many families to have that on
my conscious. Lynn either drives, or my big butt stays home. I am pretty
sure everyone else here would say the same.

> Was the hypo due to hypo-unawareness?  Without regular medical care
> how would she be able to track it's onset and get help correcting it?

Well given that article says as far back as 2005, I would speculate that she
has been a diabetic for a while, and that she is aware of the signs of a
hypo. Given that she has been self-medicating since that time, one would
also assume that she would be able to see these coming as well.

> Was she taught to test before driving?
>
[quoted text clipped - 15 lines]
> care.  Get the medical and you do not follow doctor's advice and that
> will come back on you.

Although not being able get the medical care you may need may not always be
true is some areas, living in this area I know that not to be the case. She
had access, she did not make use of it. So that will also come back and bite
her.

> Now recently we have had someone come into the diabetes groups asking
> how to self medicate on insulin when they told by their doctor it was
[quoted text clipped - 8 lines]
> that individual starts using insulin and gets behind the wheel of a
> car or truck?

I was under a doctor's care, and had this group to fall back on, and I STILL
tanked when I started on the Lantus. If you notice, I did not advise this
person whatsoever, nor would I without them being under a doctor's care. I
just pray the OP has the sense to stay away from a vehicle until he is aware
of what will happen if he starts an insulin regimen. That is if he doesn't
kill himself first.

Signature

T2 - Oct. '96 - Lantus, oral meds, diet
http://www.lockergnome.com/darksentinel
Undo the munge to reply by email

Màck©® - 12 Mar 2008 21:01 GMT
>> Was the hypo due to hypo-unawareness?  Without regular medical care
>> how would she be able to track it's onset and get help correcting it?
[quoted text clipped - 3 lines]
>hypo. Given that she has been self-medicating since that time, one would
>also assume that she would be able to see these coming as well.

At this point we are stepping away from the known data based on that
article:
Hypo-unawareness is a condition that occurs over time in which the
diabetic stops experiencing classic hypo symptoms.  The individual can
go hypo and not feel it in any way until they literally pass out. Or
lose motor/muscle control.  Even if hey maintain relative motor
control, their response time and fine motor skills are shot in much
the same way driver under the influence of alcohol starts to lose fine
motor control and response time.

This does NOT mean that the people around the diabetic experiencing
this typo of hypo would not notice changes in behavior.  However, if
it were joe blow on the street they would not know what they were
seeing and would mistake the behavior for something else.

I have dealt with this problem and it nearly cost me my job and a
couple of times nearly cost me more.  

With help one can relearn how to detect hypos and with help one can
restore some or all of the normal hypo symptoms with proper control
over time.

Most people believe that a hypo is defined by the symptoms not by the
actual BG level.  So if they don't feel hypo they don't test for it.
Many people regardless of type, when they feel hypo will simply eat
until the symptoms go away and not test their BG at all.  So they
don't really know if they were actually hypo or simply experiencing
symptoms because they had a sudden drop in BG from say 200 to 90.  The
person is not actually hypo but the rapid drop triggers the symptoms.
Individuals who have bad testing habits and less than adequately
trained medical personnel who do not encourage testing any more
frequently than once a day or a couple of times a week, are not going
to be testing as they should be.

>> Was she taught to test before driving?
>>
[quoted text clipped - 40 lines]
>of what will happen if he starts an insulin regimen. That is if he doesn't
>kill himself first.

Your situation falls under the category I listed above, can still
happen to a controlled diabetic under medical care.  The difference
being that your doctor can testify on your behalf that 1. you did this
under medical care and this can happen during an initial adjustment
phase. and 2nd that under his/her care you have adjusted your dose to
avoid this in the future.

Now if I were not under medical care and this had happened to me
because of what I was doing on my own and an accident occurred, the
30+ years as a type 1 that I am would not matter one bit in court.

And to anyone who thinks we are blaming those people who literally do
not have access or the funds to get medical care, that is not what is
going on.  Everyone still has to remember that in the USA the legal
burden of getting and maintaining medical care for a chronic illness
that can incapacitate us at any time, and frequently without warning,
is still on the shoulders of the individual.

And as far as the problem or link to the insurance industry here in
the USA, if it were actually affordable this woman and everyone else
would have no excuses.  And yes there are problems with the system in
countries like Canada, Australia and the countries of the EU who
provide a form of universal coverage paid for by taxes, but at least
the majority of people get health care coverage in those countries,
where here in the USA they would probably find themselves without.

Signature

Måck©® Deltec CoZmore Pumper
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
http://diabetes.niddk.nih.gov/dm/pubs/type1and2/
http://www.pandora.com  enter "Jason & Demarco"
http://www.ratbags.com/dechunging/

"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
...Theodore Roosevelt

        (o ô)  
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."
             ....Bilbo Baggins

DISCLAIMER If you find a posting or message from me
offensive, inappropriate, or disruptive, please ignore it.
If you don't know how to ignore a posting, complain to
me and I will be only too happy to demonstrate...
.

guys@consolidated.net - 11 Mar 2008 03:45 GMT
>http://www.lvrj.com/news/16412386.html

>Michelle C., T2
diet & exercise

The existence of MHD was provoked by the need for
diabetes knowledge beyond that was available
from the practioner doctors.

Insurance is only a shared risk and in the end you pay for it in one
way or another. NO santa claus is there.   Whether is is privately or
government run You pay for it. Both system have drawbacks.

The cherry picking system today does not serve all.   Many escape the
cost until they are in trouble, then they make demands.

The government system has problems as illustrated
by the social security disability system.  Diabetes is not
a disability,  even when I saw so many that were totally
unable to get employment because of their problems that
are denied.

As we consider universal insurance I see  a lot of misinformation
on  other countries and I see the hustling to protect  the
current special interests.  I see a mess designed to fail.

Recently I saw a bunch of dog fighting over a road kill.
A fox stood nearby.  When the dogs were busy fainting.
The fox slipped up and stole the carcass.  The buzzards
cleaned up the scraps.  The dogs went hungry.


 

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damien - 11 Mar 2008 14:01 GMT
> http://www.lvrj.com/news/16412386.html
>
[quoted text clipped - 38 lines]
> Michelle C., T2
> diet & exercise

I don't find this has anything to do with the insurance companies.  I have
pretty good insurance and I just forked out $354 for ONE month of meds,
most of which are needed to keep me alive.  There is FREE help out there
one has to take the time to look for it.  The article doesn't state what
type
she is, but all t1's self-medicate.  That isn't the problem.  The problem is
someone who thinks they apparently know how to self-medicate and well
the above is the end result.  Yesterday morning I had a nasty low, was at
35.  Lows happen, but it's up to the diabetic to learn and know why it
happened and what to do to fix it immedately.  Most T1's I know test
before they get behind the wheel of a car.  Should be standard practice
for all diabetics.  Off soap box.
ted rosenberg - 11 Mar 2008 14:56 GMT
>  
>> http://www.lvrj.com/news/16412386.html
[quoted text clipped - 56 lines]
>
>  
Free care ?  and what are YOU smoking ??

There IS some free care some places, but to qualify for Medical
Assistance you need to have income less than $9,000 per year..  Even
then you can have a lot of trouble finding someone to treat you.

We have "sliding scale" here that the health department promotes.  A few
clinics offer visits for as low as $25 per visit [cash in advance]- They
are way overworked and understaffed..  There is a single tiny clinic
which supposedly offers some free care [area population 2,500,000] and
the rest is the almost unavailable Medicaid [medical assistance].  To be
on Medicaid for normal health care, you almost have to be a drug addict,
homeless, fully disabled,, or a child.

Free care is available for special populations such as AIDS, woman's
reproductive health [not men's], STD, Leprosy, TB, RP, and a few
"designer" diseases which are fairly rare,

Then there is the problem of FINDING what resources are available.  If
someone goes to a hospital ER.  They are told that they will be treated
if they can't pay, BUT, they will be hounded by bill collectors within
weeks.  The hospitals will treat you, but they will also work very hard
to collect their bills.  AND, they will tell you please to go away.  I
know someone who was being treated at a hospital clinic, and was unable
to pay an ER bill, so was asked by the clinic to go elsewhere, even
though they hadn't missed paying the clinic.
damien - 11 Mar 2008 20:52 GMT
>>> http://www.lvrj.com/news/16412386.html
>>>
[quoted text clipped - 55 lines]
>>
> Free care ?  and what are YOU smoking ??

You must be a very lonely person. You never have a nice
thing to say to anyone only snide remarks.  Yes, there is
free care out there and no you don't have to have an income
under 9k, most times it's under 20k.  But, because you are
one that thinks they know it all, there is no point in bothering
to even read anything you post further because it will only be
of nasty snide comments. such a shame, oh well.

for the record, I know this information because I did need
free care and I did have to go through all the BS to get qualified.
I didn't have a disabled child. I am disabled, but don't receive
SSA/SSI therefore they didn't consider me disabled. I am married.
What my income was isn't any of your business, but it was very
close to 20k a year and I was qualified. I also had no issues in
finding anyone to treat me.  I took the voucher I was given to the
doctor I found letting my fingers do the walking and they took it
with a smile on their face.  I've also called the county that I have
lived in at various locations and ask them where the 'free clinic'
is at, they tell me the number, I call and if it's not an emergency
then I've never had to wait longer then 3-4 weeks.  which is
about normal anyhow for new patient appointments.  if it's an
emergency, but not life threatening, then I can get in, in a few
days usually.

I'm starting to think it's the way one communicates with others.

d-man

> There IS some free care some places, but to qualify for Medical Assistance
> you need to have income less than $9,000 per year..  Even then you can
> have a lot of trouble finding someone to treat you.
ted rosenberg - 11 Mar 2008 21:05 GMT
>  
>>    
>>> "Michelle C." <
<snip>

you are very lucky if you are in an area with free care - believe me it
is RARE.  INCREDIBLY rare.  Most places have little or no free health
care, and in many places, even if you qualify, you have trouble getting
it.  There are a few exceptions., but they are few and far between.

then there is the problem finding it.  To find resources, and to
navigate the minefields is daunting at best, and often impossible.

I am an expert, yet, I am still battling for information from my
Medicare carrier.  And don't check the website, it is inaccuratre.
 
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