Why Responsibility Is So Important — Steve Rose, PhD

With all of the recent social distancing measures, we have been repeatedly told by public health officials that it is our responsibility to stay home and flatten the curve. You are not responsible for the problem, but you now find yourself responsible for part of the solution. It can be frustrating, it can be isolating,…

Why Responsibility Is So Important — Steve Rose, PhD

When Your Doctor Joins a New Practice – Consumer Reports

For most people, including fellow military retirees, veterans and their families, healthcare is second only to our income, in importance. While this blog has offered insight into military retirement (pay) issues, there are questions a beneficiary or family member may have about healthcare. The Reserve or Guard member, and family may be covered by one plan, if still serving in the military, another once that member reaches “gray-area retiree” status, and a third option once the member reaches 60 years of age. And then, at full retirement (Social Security/ Medicare-eligible) age, yet another healthcare transition occurs. For many who are employed after military service, they likely have a private -or public (government) employer offering a subsidized healthcare option. Often the most straightforward approach is to visit a website, which may then require a call to the physician’s office, which may be directed to the health group switchboard, and then to a department versed in many questions a beneficiary might have. At times, that approach may not be satisfactorily answered, so second website visit (https://tricare.mil), which may then lead to a call to the Tricare manager, which for West Coast residents is https//www.tricare-west.com (Humana Federal services) .

With all the changes nationally to healthcare in the last dozen years, it is prudent to be aware of how your healthcare may change. What, if anything, may interrupt your health maintenance, prescriptions, treatments or attending physicians when your doctor joins a new practice? This is my first question of the year, as my “primary care manager” went from private practice, to a new group practice. Read here about questions you should have for your physician and insurer, and be prepared for any, or more likely inevitable, interruption in your care plan.

The information in the linked post, was published by Orly Avitzur, M.D., in the February 10, 2017 online Consumer Reports

Ask the Chief: getting help with substance abuse

As a veteran, retired Navy Senior Chief, parent, and member of my church community, I have seen friends, shipmates, comrades-in-arms, and family members struggle with mental illness and substance abuse. While the social ignorance and stigma Post-Traumatic Stress sufferers once faced is fading, the number of veterans suffering PTSD, TBI (Traumatic Brain Injury), and ailments from exposure to toxics in the combat theater is a huge problem. In addition, every other condition that veterans encounter from financial issues, divorce, job losses and health problems exacerbated by their service, can compound depression, feelings of isolation and a tendency to substance abuse. Even with a support network of friends, pastoral counseling, and veterans community organizations, professional help in the form of treatment centers and follow-up care, is available for those who are ready to be helped.

One potential source of professional help is found in south Florida. The Recovery Village (844-359-9732) offers a full range of behavioral health treatment and support, for veterans as well as the civilian community. From their website, the following are their core beliefs:

  1. Anyone can recover from addiction
  2. Each client deserves respect and compassion
  3. Addiction is a disease that deserves evidence-based care backed by research
  4. The physical and mental causes of addiction should be addressed simultaneously
  5. Recovery is a lifelong journey that requires daily commitment

Additional information on addiction, substance abuse, questions and help a veteran’s friends and family may wish to provide can be found here.

NOTE: This information is provided without regard to the suitability or efficacy of the programs offered through Advanced Recovery Systems, floridarehab.com or drugrehab.com. No compensation was offered nor sought in providing these resources to veterans or the public through this blog.

“Golden years” or “Fools Gold”?

The idea of outliving my money scares the hell out of me. But worse, would be to have a chronic health problem, and being unable to get the help needed to maintain a “quality of life”.

Unless the United States becomes insolvent, a military retiree or a combat veteran will not go without some social or health services. Being eligible to obtain certain benefits or services, however, is not a guarantee of actually receiving aid. If the person seeking benefits does not have an advocate- either a relative or some knowledgeable case worker – the system may never actually connect the need with the claimant. In recent months, a veteran who had been eligible, for decades, for a benefit – and had not received it – was compensated by the Veterans Administration with back pay. This was a significant boost in that veteran’s access to healthcare and standard of living. In another case, a combat veteran, with a heart condition, received lifesaving surgery, and when his deplorable living conditions were investigated, received a stipend and moved to suitable housing.

Recent requests for aid from an elderly family member, not a veteran, living thousands of miles away, highlighted a similar dilemma. Care is available, but several conditions including a debilitating nerve disease, a passive nature, and the anonymity of living in a huge city complicate matters. Yet, with services and people available to render support, a mentally-competent person, elderly civilian or veteran, has to voluntarily accept assistance. In this instance the relative refused it.

As a veteran, a retiree, and having a close network of family, friends, social and civic organizations, I will unlikely face the prospect of outliving aid. For many though, without “connection” and proper planning during a person’s working life, post-retirement “golden years” can be disappointing “fools gold”.

Photo by Monica Silvestre on Pexels.com

laughing matters

“It’s good to be here. I’m just trying to go through life without looking stupid. It’s not working out too well. ”
Brian Regan

https://www.goodreads.com/author/quotes/98398.Brian_Regan

Laughing at oneself is a skill only a few can make into a successful career. And doing so, consistently and without throwing in “F-bombs”, sexual humor, or biting political satire in the mix is more rare. Brian Regan is one such successful “clean” comedian. After years of working in mentally-challenging careers, me, with rapidly-changing priorities, technical challenges to resolve, and demanding schedules, and my spouse performing management and ‘crisis’ counseling of staff, students, and the bureaucracy of an educational institution, we are exhausted. With family drama in one spouse’s family, or the other, or our own for more than a decade, we have relied on laughter to help one another. Laughter is really the best medicine. Next to exercise and improving our diet.

Not “Switzerland”

In a war everybody always knows all about Switzerland, in peace times it is just Switzerland but in war time it is the only country that everybody has confidence in, everybody.

Gertrude Stein; https://www.brainyquote.com

When my sons and I now debate the polarizing topics of the day, we still can see the others’ point of view though we disagree on positions, evidence, and interpretation of those differing opinions. My spouse, who deals with conflict in her job has on numerous occasions stated to us and to others that she is “Switzerland” when we all try to bring her to our side.

But there are times when the family rallies around one another. Nobody takes a position of non-intervention or turns a blind eye to family crises. Politics, gender, religion, age, birth-order, and sports are not discussed when a family member is hospitalized. Berating individuals about life choices and mental fitness are banned, delayed or withheld, in order to support the suffering member.

Perhaps we are fortunate. Or that we have a unique perspective. But I do not think so. Our family has six adults, one by marriage, and a grandchild. Our “empty nest” has been re-nested with the same suffering family member recently. Our family has been touched by illness, substance abuse, divorce, step-parenting, military service, job loss, overwork, financial issues, car accidents, and even a fire in our home. Everything from hospitalized parent (the author’s and his wife’s), online stalking, high school shootings, and even a student suicide have touched the life experience of members of this family.

Photo by Pixabay on Pexels.com

In the end what holds us together as family is more permanent than what makes us individual. In the world, the concept of “family” means different things to different people. But in ours, there is no room for anyone to sit on the sidelines.

hot water

An experienced mariner knows most basic principle of seamanship: keep the water outside the skin of the ship. But what if you want water, for your health and convenience, inside a ship? Before modern systems aboard ship made potable water from seawater, sailors had to carry sufficient drinking water with them. Sailors rarely bathed. In the later years of sailing ships, mariners learned that cold water bathing, and clean clothes would prevent communicable disease, and foul odors (germs). Modern systems on larger vessels supply clean water for everything from cooling equipment to supplying sailors with drinking water and for food preparation. As an added personal benefit: hot water for showers.

Living ashore since retiring from the sea service, I have not had to go without clean clothes, nor without hot water for ages. This week our home water heater failed and for two days we were braving cool showers. Calling out a plumbing company – one who installed my unit happened to be a former Navy HT – was a smart move. I would have been out of my depth (pardon the pun) there.

With an older home, lots of unforeseen costs for safety systems raised the price and the complexity of the job. My wife and I opted for a better, “greener”, and only a little more expensive longer-term solution. A tankless system instead of an old technology- and shorter lived one. With other required modifications for federal, state, and local regulations, the cost had us briefly thinking, is cold water really all that horrible? But with my restless dreams about work in recent weeks, I never want to have nightmares about flooding -while at work – soothed by cold water showers!