Saturday, February 16, 2019

Calm mind, no price not even an arm koan


Towards the latter part of December, I found a long-term patient in the day room. He had been tied into his wheelchair with the hem part of his t-shirt hooked over the brakes and hand grips in back of the chair. It was by chance that I saw him. The tied patient was not in his usual seat, which piqued my attention and part of his belly was exposed. I found that odd. He is always so neatly dressed.  A table was placed in front of him too. So, he was behind the table with his back to the wall and windows which overlook the park. The whole picture of him sitting there was just wrong. I went over to him and saw the shirt wrapped around each handle on the right and left side behind his chair. I immediately without hesitation undid the shirt. But I knew the table would be too heavy for me. Then I walked over to the nurse’s aid and quickly and quietly told her that it is illegal to tie up patients. Then I told the nurse and a maintenance person standing in the doorway. Then I told a speech pathologist when we were downstairs doing paperwork, then I told my director, who told the director of the facility, then they asked for my written statement, and last week the New York State Department of Health interviewed me. There are some details for brevity and that I have left out just so we can experience some points.
Some of the points are that if I had not undone the tie, I could not have a moment of peace. I would not have a calm mind, that laws exist to protect innocent people and bring justice. And there should be consequences for wrong actions, unethical behavior and violence. I had to make quick decisions, and choices in that time frame. I had to tell the aide it was against the law. Obviously pleading with her that it was wrong and inhumane would not get the point across but breaking a law did. That is a large point in a very thorny situation. 
As for peace of mind, it exists as a thing that brings no accolades but a quiet resilience. No one can give me peace of mind, because it is not theirs to give even though insurance companies, investment advisors, all the money in the bank and full pantries give that illusion along with gurus, teachers, bosses, spouses, and friends sometimes give relief. It is temporary.
Oh, and there was a camera on in the day room. What if I had ignored my reality and that man? Forever on film I would be a star of the macabre. What if his wife had found him like that? What if another patient or their families had seen him restrained? What if someone else saw that? Maybe they did and then did nothing. But my mind is clear enough to be able to see into the big panorama of dharma. If only for a few seconds, or minutes.

Saturday, February 9, 2019

Public Health Care 101 Coverage


2/9/19
The smell of diesel fuel seeped through the open window. It mixed with the cold air and although we were eleven stories up staring at the wall as the compactor truck crunched metal from the never-ending construction at Houston and Broadway. I was sick from the smell and the noise inside my head and outside of our building. This is the way we sit meditation with everything going on at once. In the city there are no peaceful mountains.
I think about it all. My patients, my breath the other person’s heavy stuffy nose breathing. I hope I don’t get her cold. People are pigs. Oink it is the year of the Pig. People put their dirty hands into the snacks and walk around the table munching. That makes me slightly sick too. If they only knew biology or public health realities. Some of them would be the first to argue or comment on who should pay or how expensive health insurance is. Others sit on the side lines watching, others gingerly select without touching what they don’t want. Leaving nothing behind. Nothing left behind like germs. Cough, cough.
My job is to care for people. I know that Health care coverage is a big topic. I have heard it called Universal Coverage, Medicare for All and a host of other hybrid names. The 2020 election will revolve around this.  I urge myself not to get caught up in the side shows that will take us away from the every day reality of what it costs to get medical care.
I am a clinician among other things in life. I study human relationships in health, body, mind, self, living and dying ad nauseum. Remember the petrol fumes? As a clinician it is like being in the fumes of the living and dying cells, of self and others. Put on your mask and get up and go.
Now I must do that and urge others to go out there and get those votes and voters signed up to charter the things that will help us all. The first is to be able and healthy enough to lighten the load of suffering for those who are ill and put all our shoulders together to do it.
Get ready. Get up and go. Do something and even though we all have our favorite social projects, vote and keep your senses open and your mind clear from the offense of chatter that poisons the well in wellness. Because it is an offense, a move to distract and destroy. Sitting on the side lines is not an option for those who want to live. There is a hierarchy in the needs of humans. The first one is to be taken care of or we will not survive. Or as I like to call it, Public Health Care 101.

Diana Ji Fu Lakis