Pitiful Home Health Care

The current personal concern is home health care.  Currently it’s pitiful, and Medicare is paying for it.  A nurse is needed to change bandages.  There are a number of them, some in impossible to reach places.  Bandaging a hand with the other hand might be simple enough if all one is doing is applying a Band Aid (even a big one), but what’s at hand is raw skin in assorted places (practically every knuckle, including along the wrists).  The hands have to be used – there’s nobody else to do things – and there’s a remarkable tendency of bandages to slide around unless really professionally done by a capable nurse. 

Well, staff arrives to an extent when they are up to it, busy themselves with things like taking blood pressure and temperature, fill out papers then rather suggest bandages can really be done by the patient.  Blood pressure checks are important, except the patient at hand has a history of normal blood pressure and it seems like if it’s taken once by a nurse there’s little reason for a physical therapist to also take it if he/she arrives on the same or next day.  The idiot thing is, if three people arrive, they’ll come up with three different readings partly because they don’t all pump up the cuff exactly the same.  There are also temperature and oxygen variations. 

Of course, stuff in the hospitals is not all precisely scientific either.  And, in this case there was a forewarning.  A nice man (former resident) had a very sick wife.  Rather than make her move a lot, they wanted home health service.  The government knows it’s cheaper and better for people than nursing homes and is happy with the idea in general.  One day he walked into the lobby amazed that the doctor’s office woke him up at 7:00 a.m. to tell him they would be there in a couple of hours.  He also said.he thought they didn’t know anything.  He finally moved her and him to some kind of an assisted living facility although he was relatively able.  It was sad. 

“Patient” is a correct description. 

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Desire And Opportunity Make Crime

It takes two things for a crime, the police officer said.  That may not be an exact words quote, but that’s about what he said (it was a long time ago).  That one time the local media leaned heavily on the police.  A sergeant (?) gave an off-the-cuff explanation of sorts for crime:   it takes two things, the desire and the opportunity.  We (the police), he said, can’t do anything about the desire – at least not much.  We can cut down on the opportunity.  He meant with things like laws, active neighborhood watch groups and the various other schemes people sometimes dream up including individually.  It can’t really be stopped for certain. 

Well, it might be possible to cut down on the desire somewhat with some emphasis on crime and punishment, law and order in society and even heaven and hell.  That’s probably deterred a lot of criminal activity and kept it at less than a universal level.  As for the opportunity, a great deal of variable factors exist there.  In some cases a few easy or simple things like locking the door is enough.  In other cases more extreme means may fail.  One can put up a barrier of sorts to discourage criminal activity, but if (for instance) someone really wants to get into a place, they’ll do something like cut a hole in a wall (or roof). 

What brought up the thought is not the recent horrible mass killings that happened in the last few months but a local story about the owner of a pizza parlor killed during a robbery recently.  It was in a “nice” neighborhood and people are talking about it as if such things shouldn’t be happening in “nice” neighborhoods.  They really shouldn’t be happening anywhere if one is going to claim it’s a civilized society.  One reason it might happen in a “nice” neighborhood is because things are more lax than in other areas.  Criminals don’t necessarily want to go through a lot of trouble for something as the longer one is involved the greater the chance of getting caught. 

May there be peace for people of good will. 

The Random Killings

Once again the day’s news reports have a story about someone taking a gun (or a bomb) and just randomly killing people who just happen to be in “that” place at that time.  It’s not something new, really, it’s just something that at least for a while didn’t happen quite so often as recent times indicate.  It might be happening more often because there are more people alive.  It might also be happening because weapons (and circumstances) are more sophisticated than they used to be.  There might be economic or social factors underlying it all — on this point the time after the First World War comes to mind as a “wild” time.  Regardless, it’s happening (but not right at hand or exactly underfoot). 

The whole business do indeed make one somewhat fearful of going to ordinary places.  It can make sense to be cautious going certain places, such as a bank, even in the best of times as bank robbers have been known to tackle even big banks in rather well travelled areas such as downtowns.  That’s not the same as wondering if one should go to a park or the library.  And, things like “age bracket” need to be figured into the action.  A young man of twenty might easily escape something that would take down an old man of sixty, although sixty is not so bad as, say, someone having a disability.  Even some packages or clothing can mean something in the equation. 

One doesn’t even have to have a situation where someone is badly injured to have a case where it can be said, “That life is finished.”  The world has continued in whatever direction it would veer even if one is only sitting home and out of it all for two weeks healing from a minor injury.  Anyone or anything dependent on the person is at a loss unless some kind of a replacement is put into play.  It amounts to a breakdown in at least that much of any society.  Just stepping outside of the door these days is a big decision, and trying to do something like creating a suitable law may do little beyond a few instances.  A question to be “mulled over” is, where will it all end? 

There’s a reason for everything….

Welcome? What Clique?

One is not always welcome somewhere one can expect to be welcome.  Places may logically appear to be there for anyone in general (any responsible person) who, say, comes along.  They can also appear to be for people that have certain factors in play (like age).. That doesn’t always mean that a person meeting those “qualifications” is welcome.  One big factor in some cases is whether someone fits into a “clique” that’s present.  Some people, often friends, tend to basically associate exclusively with each other.  They may have like backgrounds or just something in common.  Regardless of what it is that holds them together, they do more or less avoid other people. 

“They don’t like your looks” was what the older generation once declared.  Well, there was nothing wrong with his looks (or hers for that matter – both were a notch or two above average).  If on that basis he ran into problems, anyone less endowed might as well expect even more exclusion.  So, one might be perfectly all right, a thoughtful and generous person and so forth, and still not be welcome.  A simple understanding of that does wonders for a person’s well being.  The rule is, no one has to like some other person.  Doing so is a free choice.  If it doesn’t work both ways and there’s no fair return, one simply goes one’s way to a different soul…. 

Strong cliques can exist anywhere from office space to big apartment houses.   They are common in schools.  They can be quite evident in neighborhoods especially if an active neighborhood association is there.  …And they exist in clubs ostensibly thrown open to all comers, which means the current personal activity is gathering up stuff in such a situation to bid a place a departing wave.  The worst part, of course, is not the time squandered trying to make it work.  The worst part is admitting defeat, but an interesting thing was learned:  cliques can be a few people perpetually fighting with a few other people.  The clique is actually two opposing groups. 

Giving up and moving on can be tiresome.