Tag Archives: urgent care

Non-Urgent Care

I bit my lip when I was eating a pizza slice back in early October. My mouth started bleeding. I tasted blood, and the bite was painful. The pain lasted for a few weeks but went away after a month. The sore didn’t heal. I kept chewing it that whole time out of a nervous, unconscious habit, probably in my sleep, too, when I wasn’t aware of course.

The sore turned white like most mouth sores and blistered up. I looked in the mirror up close at it this week and saw a hole in the middle. It appeared yellow as if it was infected, so I made a mental note to drive to urgent care on Friday.

The drive there was less than a mile from my apartment in the middle of the afternoon. I expected a long wait like every other time at urgent care, but I got there to find myself alone to my surprise. Good. The visit would be quicker than I initially thought. That was the good news.

A nurse opened the door and called my name. I followed him inside with my backpack. He wore navy blue nurse scrubs and a matching face mask when he led me to a patient room.

“You’ll be in room four,” he said.

Oh, room four. I was hoping room three. Oh well.

He let me in and pointed me to a seat, the only seat, in that small exam room as if there were a dozen other seats in there. “You’re going to sit in that seat,” he said.

As opposed to what?

“I’ll take your blood pressure.”

The norm at urgent care. I could’ve gone in with a sprained wrist, and they still would’ve taken my blood pressure.

He stuck a little plastic clamp on my left forefinger and wrapped a velcro sleeve around my left arm before pressing buttons on the blood pressure machine. “So why are you here?” he asked.

I was embarrassed to tell him at a place called urgent care that I was there because of a mouth sore, not like my ears were bleeding.

He typed my answer into a desktop computer across that little room. “What medications are you currently taking?”

I told him which ones, although I struggled to remember all of them since I took a lot.

“What’s your pharmacy?” he asked.

I told him that as well, but he had trouble finding it in his search base at first. “The doctor will be in shortly,” he said. “Stay there.”

Like I was going anywhere.

I expected to sit there and worry for another half hour. But the door opened not five minutes later. Thank God. The bad news was when the doctor stepped in. He was another man in scrubs, my doctor for the day, looking to be in his early thirties. Whatever happened to old doctors like when I was young? All doctors used to wear a white coat and have silver hair with a stethoscope around their necks after so many decades in their fields. This guy looked like a personal trainer who’d snuck into urgent care after spotting someone doing squats at the local gym. All that was missing was a red clown nose and a rubber chicken in his pocket. But his face was gravely serious.

“What can I do for you?” he asked. Didn’t he look at my chart?

“I have a mouth sore that hasn’t gone away.”

He got up close to me. “Let me see,” he said.

I pulled my lower lip down to show him.

He examined it for fewer than five seconds and sat in a chair across the room from me. My hope was waning. He looked at me contemptuously. “How long has it been there?” he asked.

“I lost count of the weeks,” I said. “I bit it like in early October. And I keep biting it because of my anxiety.”

“Well, stop biting it,” he said.

“Okay?”

“It’s not going to heal if you keep biting it.”

Thanks, Doc, for your expertise analysis.

“What do you suggest I do?” I asked.

“Try mouthwash or Chlorhexidine your dentist prescribed, or gargle salt and warm water.”

That was all he told me. He wouldn’t write me up for an antibiotic or anything.

“That’s it?” I said. “What if it’s infected?”

He stood up and got close to me again. “Let me see again?”

Wasn’t the first three-second observation enough? I pulled my lower lip down once more, and he observed closer before he sat back in the chair. “You got to let it heal.”

My hope dropped like a dead pigeon. “What about a biopsy?” I said.

“Wait two or three weeks, and if it doesn’t go away, see an ear, nose, and throat specialist or your dentist.”

An ear, nose, and throat specialist? Where did my mouth figure into that equation?

He opened the door to let me out, and that was that.

I left urgent care without anything accomplished. At least the visit was less than an hour, the only positive takeaway.

Let me reiterate how disappointed I am with the modern medical world, which used to be more caring, more professional. Somewhere along the line, the patients started arriving on conveyor belts, and doctors started ringing them up like Ralph’s cashiers. Now one of the Kennedys might be in charge. I still wasn’t sure if that man was even a doctor.

Speaking of Ralph’s, I drove there and bought Morton’s Natural Sea Salt to take with warm water as directed. Nothing else has helped. I guess I’ll try not to bite my lip to avoid seeing my awful dentist again in hopes this sore will heal up. An urgent care bill will probably appear in my mailbox, charging me eight hundred dollars like the one back in August when I couldn’t feel my hand. The ER doctor didn’t do so much as even touch me, let alone use a machine on me.

Untied

I feel better on this Friday morning after surviving another painful week. This felt like a long one, full of stress and anxiety. My medical bill showed up in my inbox last night, and I wasn’t prepared for the cost. For the first time, a hospital had sent it to my email. I opened it to read VIEW MY BILL, and after I clicked on the link, my vision blurred when I saw the total. Over eight hundred dollars for my visit. The actual total was over fourteen hundred dollars, but my pathetic insurance covered only five hundred something after I’d waited to see a doctor for over two hours on a Monday night in a crowded room with a numb left hand. The doctor didn’t even touch me. Shouldn’t she have at least felt my hand for that much money? The nurses didn’t hook me up to anything. They didn’t use any equipment. She just diagnosed me as having ulnar nerve entrapment and referred me to a specialist who never called me back after a month.

The medical world today is broken. Doctors must be greedy. How else can I explain the cost of seeing one? This doesn’t include my trip to urgent care, where the doctor at least held my hand and asked if I felt anything.

I told him, “Yes, a little.”

“This could be a mini stroke,” he said. “I suggest you go to the hospital and get x-rays.”

…Only for the doctor at the hospital to roll her eyes and say he was wrong. Don’t I get a discount of some sort? And what does my insurance think to where they decide to cover only five hundred dollars of the bill?

I don’t have it as bad as my father. He broke his tooth from chewing on peanuts. Now he has been missing one since last November. He went to the dentist the same week, and the dentist told him he would have to wait for a new one. Where’s the tooth coming from? Singapore? Do they have to ship the new tooth by FedEx?

It’s now September of the next year, and the tooth still hasn’t arrived. The dentist will call him when he’s ready to apply it, and my father will have to pay over ten thousand dollars: the price of a used car. To believe he has gone this long without a tooth is nearly impossible. I would think it’s a medical emergency to miss one because people have to chew their food. And I could only imagine the pain my father was suffering after the tooth fell out. But he seems to be doing fine now without it.

Anyway, like I said, we have to value our health first and foremost, which is why it’s the most expensive cost of all. We work just to pay our medical bills, at least for me who doesn’t make enough already. I’ll have to pay for the bill with my credit card and fall deeper into debt after paying a speeding ticket which I’ll take blame for. My credit card was in such good shape a few months ago. Maybe I should’ve never taken myself to urgent care and left my hand alone. Thank God I can feel it again, and maybe it’s a blessing that the hand specialist will never call me.

A Night in the ER

I lost control of my left hand as I was typing at work. It fell to pieces, and I couldn’t type with it anymore, and I could barely grip a cup of coffee. My hand went as crooked as a tree, and it stayed that way. So after work, I hurried on foot to urgent care to have it looked at.

The waiting room was as crowded as a bar at six o’clock at night. They were closing at eight. I was lucky to find a chair, and I had to fill out one of those daunting medical forms, which asked me about my family history of health of course. I had to draw a checkmark next to stroke, which my grandfather had in his late age. It was something I worried about as my hand was still numb.

When I waited, I googled hand numbness and came up with possibilities such as a mini-stroke, the worst possible scenario. All I could do was wait with a lot of people ahead of me. One of them was a woman with a suitcase. I always wonder about people who bring suitcases to urgent care. She kept asking the receptionists when they would call her name. Then a woman stormed in, bawling, and went straight to the receptionists. She could barely speak because she was dry-heaving and said she needed to see someone right away because she thought she was having a panic attack. They let her in before all of us, and I could keep hearing her bawling, even in the doctor’s office. I figured they would close at eight and tell me to come back tomorrow, but I was lucky because the nurse called me in at about a quarter till.

I sat in the examination room. The nurse checked my vital signs. Everything looked good. I waited some more afterward before the doctor came in: an old man with a plaid dress shirt. “What seems to be the problem” is what every doctor asks. I told him I couldn’t feel my left hand. He asked me if it hurt as he was rubbing it. I told him no.

He rubbed his finger up my left hand. “Can you feel this?”

I told him yes.

“I’m worried it might be ITA,” he said.

A mini-stroke, in other words.

“I suggest you go to emergency.”

All I could think about was waiting longer. I would’ve rather gone home and suffered more than wait another several hours to see a goddamned doctor. I took his suggestion and rode a Lyft to the nearest hospital. The Lyft took all night it seemed to pick me up from urgent care.

When I got to the hospital, there were several people sitting outside in the pickup area. I went right inside to the receptionist. He was a bald man with tattoos and yellow fingernails. I handed him the sheet that the doctor from urgent care had given me, explaining the sudden loss of feeling in my left hand (which I’m experiencing right now). I can’t believe that I’m typing this, to be perfectly honest. I filled out the form and handed it back to the same receptionist.

“Have a seat,” he said.

I was lucky again to find one in the waiting room, where lots of people sat and waited with their babies. I always see babies and little kids in waiting rooms for some reason. I worried I would catch COVID being in the ER without a face mask on–not that face masks would ensure protection. I waited and waited for about two and a half hours. A young man came back out to the waiting room with bandages on both hands. My first suspicion was that he’d slit his wrists. He looked quite annoyed for being there, and I had to agree. There was also someone moaning the whole time behind me. I contemplated walking home because home was about a mile away. I stayed there because I was worried about a stroke.

The receptionist finally called me in a little after ten o’clock. I sat in a chair behind a curtain. A nurse checked my vital signs. Once again he said they were perfect and asked if I drank, smoked, or took illicit drugs.

“No, yes, no,” I said.

“The doctor will see you shortly,” he said.

Nothing is ever shortly at the ER, except when they see me, which usually lasts under five minutes.

She came in about twenty to thirty minutes later, young and blonde, with a surgical mask on her face. I told her what was going on and handed her the sheet that the doctor at urgent care had given me. She felt my left hand. She asked me the same questions that the urgent care doctor had asked and said it could be possible ulnar nerve entrapment. She rolled her eyes after I said the urgent care doctor thought it could’ve been a possible ITA and that I needed an MRI. She said she didn’t think so. Right away, she made me grip a piece of paper with my left hand and told me to try to take it away from her as she pulled it. But I couldn’t hold it. She tried the same thing with my right hand. I was able to hang onto it.

“It definitely could be ulnar nerve entrapment.”

“What the hell is that?”

“It’s the same thing as when you bang your funny bone and your arm goes numb.”

I definitely know what that’s like.

She referred me to a hand specialist and wrote me a note to take time off work. They released me about twenty minutes later.

I took another Lyft ride home and got there around eleven o’clock, glad to be there because I hadn’t eaten all day. I wrote to my boss that I went to the hospital that night and I wouldn’t be able to make it to work the next day.

I ate and went to bed an hour or two later and woke up late at ten o’clock with my left hand still partially numb. I took a shower, wrote my morning pages, and called the hand specialist afterward to set an appointment. They said they would get in touch with me later. Now I wonder how long I’ll be out of work for. I don’t see how I can work with my left hand like this. It might require surgery.