Yeah, it’s a rant.

This is the second time, third really, that I’ve had a major procedure. After each surgery, I don’t ruminate on the privilege of working with surgeons at the top of the field. I don’t recall the awesome nurses that took such good care of me. I don’t think about the kind porters, who cheerfully do the shittiest job in the hospital.

All of that is completely overshadowed by the paperwork.

I remember the minefield of forms, faxes, and printed information that contradicts itself. I remember I go through this every time. I remember that I got a ton of forms, many of which I don’t understand. (And this is while I’m pained, permanently nauseated, and throwing up (among other things) several times a day.

I remember that even though all my doctors are affiliated with the same hospital, the left hand doesn’t know what the right is doing. I remember the surgeon assistant’s extremely irritated tone of voice and sudden coldness when I called a second time because I still didn’t understand something.

I thought we were friendly with each other. I didn’t bother to remind her that I’m on the spectrum (which is on my chart), easily overwhelmed, sometimes don’t understand things as other people do, and am on major painkillers.

I should not need seven (or more) piles of forms to deal with that all go to different places, some faxed, some emailed, one thing has to be done before one date and then another thing has to be done after another date, etc. A few of them go to people that I don’t even know who they are or what they do. And of course, I’m filling in all these forms with exactly the same information they have right in front of them on my charts & the portal.

O

What would I do if were not a reasonably intelligent, tenacious person who will go through every single detail (several times) making sure everything’s done and checked off and understood? (I can be downright pugnacious and aggressive when I’m not getting answers.) I can’t imagine the trouble an elderly widow who’s by herself, or someone who speaks a foreign language would have.

I also don’t much care for the (always) bold, UNNECESSARY CAPITALIZED, yellow highlighted passive-aggressive language repeatedly telling me I need to do this or that or they’ll cancel my surgery. As for the actual documents, they are poorly put together … and ugly. One looks like it was literally cut and paste. Like, with scissors and tape. You’d think someone would be embarrassed that these are coming out of a major teaching hospital.

O

And we are still using hand-writing to fill in these scans of hard-used copy machine copies, with me faxing them or running all over the place dropping them off. Welcome to 1986.

And then, I get a very politely worded email saying that we may need to pay a deposit for my surgery. Never had that happen before. We have to call some lady who I guess decides whether we’re risky or not. Or something? What is she going to do? Question our insurance? Run a credit check? Swab for my DNA?

Our country’s doctors and our up-to-the-minute facilities are the best in the world. Envied by most of the planet. But behind the masks and professional photos, I can assure you, it’s a dumpster fire.