More health care fun in Västmanland (and nationally)

I have Lyme disease/borrelia so I went to the doctor for an antibiotic. Because I’m allergic to penicillin, the doctor prescribed something else. That’s when a new round of Swedish health care fun and games began.

I decided to pick up the prescription in the afternoon when I was town. When I arrived at the pharmacy, the pharmacist checked her computer: “Hmmm…we don’t have that medication in stock. That’s funny because we usually do. If you hurry, you can check with the pharmacy down the street before it closes.”

I ran to the second pharmacy. That pharmacist checked her computer: “Hmmm…that medication is not available. It only comes in quantities of 100 tablets and must be ordered. I suggest you call Health Care Information (Sjukvårdsrådgivningen) for advice.” It was now after 5:00 p.m. on a Friday, and my clinic was closed for the weekend.

When I got home, I called Health Care Information for Västmanland County where we live. They recommended a new doctor appointment to get a new prescription. But when they heard the name of the medication, they checked their computer and said that it actually should be available – I just had to find a pharmacy that had it in stock, which meant I would have to systematically call all pharmacies in the area.

The next morning, my husband double-checked this information. (I was too frustrated to make any calls myself.) He called Apotek Information (Apoteksupplysningen), the only pharmacy chain with weekend phone service. They told him the medication was not available and that I needed a new prescription. They also told him the medication has not been available in tablet form for many months and that information provided by Health Care Information is often not up-to-date.

He then called Health Care Information again, this time in Sörmland, a county adjacent to Västmanland with which Västmanland has begun cooperating on health care and whose clinics are geographically closer to us, to schedule a doctor appointment at the after-hours clinic. (You cannot schedule an appointment at the after-hours clinic without going through Health Care Information.) Health Care Information called the doctor on duty at the clinic to see if we could get a new prescription. The doctor at first agreed to write one but then declined because she could not access my health care record: Sörmland’s computer system is not compatible with that of Västmanland. They then suggested we contact Health Care Information in Västmanland. (No one tried calling the original prescribing doctor at home on a Saturday to get a new prescription even though the doctor has a publicly listed home number and, I assume, a number on record with Health Care Information for “emergency” situations.)

So my husband called Heath Care Information in Västmanland again to see if I could get another prescription. But we learned that because our local clinic is privately administered, patient records are not available to publicly administered clinics and hospitals. (What happens if I have to go to the county hospital emergency room when my clinic is closed?)  They said a doctor might write a prescription without seeing me, but they couldn’t promise anything. The doctor on duty would check the phone log at midday so we wouldn’t know before then. But it was not likely the doctor would prescribe anything, in which case the earliest appointment would probably be some time in the afternoon. Fed up with the situation, we tried ourselves to call the prescribing doctor at home, but there was no answer.

After literally hours of phone calls, we were back at square one so we made an appointment for late morning at the clinic in Sörmland. (By the way, the after-hours patient co-payment is about twice that of the regular clinic. The after-hours doctor also told me that not counting the medication we had been trying to get, and which, apparently is unavailable, there’s only one antibiotic available in Sweden for people allergic to penicillin.)

The upshot? After a number of recent national and county health care reforms, more medications are available, but they’re not. Counties cooperate, but they don’t. Patient information is shared, but it isn’t, even within the same county. And the classic health care adage still applies: don’t get sick at night or on weekends. Plan your illness for Monday through Friday, preferably between 9:00 a.m. and 5:00 p.m.

At the beach at Lake Nokomis

It’s summer, and the weather is hot and sticky. As I walked past my daughter sunbathing in the yard, I recalled hot summer days of my own childhood.

We lived in what would today be called an exurb. It was the 1960s, and air conditioning was still a novelty. So on those extra shimmery days, there was not much to do except sweat and pray for a thunder storm to cool things down. We didn’t have a pool, and there were no lakes nearby except rural, weedy Lake Alimagnet.

But occasionally for a treat, we’d pile into the car and my father would take us to Lake Nokomis in the city. It was a grand lake with lots of people and big sandy beaches. It even had swings and a snack bar!

But most of all, I was impressed by the teenagers lounging on the float just beyond the roped area for little kids. I’d stare at the girls in their filled-out bikinis and the boys with their baby abs as they lay completely motionless in the sun listening to WDGY on transistor radios. They were so mysterious, and so grown-up! How I longed to be older and join them! I once tried to swim out the float but when I could no longer feel the bottom of the lake under my feet, I got scared and turned back.

Years later I took my own kids to Lake Nokomis. As I splashed near the shore with my youngest while anxiously scanning deeper water for my eldest, I spotted a couple teens lying idly on the float. They looked so relaxed and carefree! I so wanted to join them! I stared for a moment then turned back to my youngest.

Cross it off!

A couple years ago, I developed arthritis in my left knee and for the last 15 months have been using a knee brace that I call the “Forrest Gump” model. (Or as my loving children say to me, "Run, Mom, run!") While the brace was being fitted, I foolishly asked the orthopedic technician if there was anything else I could do to forestall surgery. Yes, he replied, lose weight (yeah, well…) and strengthen your knee muscles (what – exercise?!). Not the kind of thing a couch potato like me wants to hear.

But after nine months of false promises and self-delusion, I finally bought an elliptical, or cross-trainer, in December. I’ve been using it religiously ever since.

I started slowly adding 3-5 minutes every two weeks. I’m now up to 35 minutes a day. At the end of each workout, I check my heart rate. I hit a milestone a few days ago when my results went from “very poor” to just “poor.” This has happened only twice, but I’ll take what I can get! And although after five months I haven’t lost an ounce of weight (this gut is going nowhere), my overall stamina is a little better. I also know I’m making progress because I sweat like a pig. Just recently when my daughter saw me after a workout, she exclaimed, “Mom, you’re all wet! ... Is that sweat? Ewwwww! Stay away from me!”

Most amazingly, however, after years of turning up my nose at even the thought of jogging or a gym, I’ve found myself almost enjoying it! It happens when I hit my stride – that smooth, easy rhythm that makes you feel like you could go all day. Too bad it takes 25 minutes of huffing and puffing to reach those magical ten. Ahhh, endorphins!

But even better, I’ve found my mind settling. I do my best thinking on the toilet, in the shower, and now, on the cross-trainer. I won’t go so far as to say it gives me peace of mind, but, shall we say, equilibrium?

How long will I be able to keep this up? I don’t know. But this momentary balance of head and heart is not half bad.