I fell down and went boom yet again…

Back on September 22, a day before I was supposed to leave to go to Reykjavík in Iceland I fell down and went boom on the streets of London, yet again!

At the time I was staying in the Kensington neighborhood directly adjacent to Harrods (a world famous department store, now owned by the family of the guy that Princess Diana was in the car with when she died) and had been spending the morning walking around and exploring the museum district where the Victoria and Albert Museum is, while listening to an audible recording of a book. Yes I was very distracted and putting a lot of stress on my brain, which was still dealing with post concussive syndrome. I had already become aware of the fact that I was starting to mentally fatigue and had contemplated staying in place and finding a cab to take me home, but had rejected the notion thinking I shouldn’t be such a ninny, my body was still fine and I needed the exercise.

Suffice it to say that was the wrong decision.

One of the problems I’ve had ever since the major concussion (back in Australia about two years ago) is that when I start to tire the balls of my feet begin to drag.  this is a problem that I’m still dealing with today. Initially they had been doing it all the time, so that it felt like the sidewalk was reaching up to grab my feet as I walked; but after identifying the problem and some self implemented physical therapy — who knew that my childhood ballet lessons would ever serve some sort of practical use in adulthood; I basically made a practice (for a few months) of focusing my attention on what my feet were doing, and that solved the problem by 95%. That said, anytime my brain starts to fatigue my feet go right back to dragging.

Anyway I suddenly caught my foot on a not completely level piece of sidewalk, tripped and started to fall … But I guess because I was mentally fatigued my hands didn’t do what they’re supposed to do, which is to Jut-out in front of me to break the impact and keep my head from hitting the ground. As a result I landed pretty much square on my forehead.

The picture in the upper left-hand corner is what I looked like shortly after hitting the ground. I lay there immobile in a state of shock, but some very nice girls whose names I didn’t get stopped and helped me. Once they gotten me up off the ground they escorted me down the street to a local pharmacy which turned out to not be a real pharmacy. They then took me from there even further down the street to a branch of the Boots pharmacy chain, where there was a minute clinic type set up. 

The pharmacist was busy talking to some other customers when I waddled up and asked for help, with blood trickling down my face. First she said “please stand in line and wait your turn.”, and then looked up at me and said, “apparently you take priority!” The people she’s been talking to were not particularly thrilled with this until they turned around and took one look at me and agreed that in fact I did. She took me into the clinic area and cleaned up my forehead and put a bandage on it and then took me out to the street and put me into a cab and directed it towards the nearest hospital with an emergency room, namely the Chelsea and Westminster hospital.

I then got to experience yet another example of how by comparison to other industrialized countries the US health system is seriously fucked up. I went into the waiting room, had to wait for more serious patients to go ahead of me – – keep in mind my forehead had already been cleaned up and bandaged by the woman at the pharmacy. When they finally saw me — The room has been pretty full when I arrived and I had a wait of maybe an hour, they cleaned my wond up a little bit more and put surgical super glue over the cuts to help them heal (and keep more blood from escaping– as we all know head wounds are heavy bleeder’s). when I asked how much it was going to cost me, this visit to the emergency room … keep in mind that in the United States if I even step foot into an emergency room I am hit with a bill for $1000, and that’s before seeing the doctor. When I was in Australia they charged me $134 to walk into the room, $134 to see the doctor, $134 for the CAT scan, etc.… So at the very least I was expecting some sort of fee of a few hundred dollars. To my shock and awe they informed me I owed them NOTHING!!!

The second picture on the upper left top row is what I look like when I woke up the next morning. The day started out with a small black eye swelling in my inner tear ducts adjacent to my nose, and progressed rapidly over the course of the day, most of which was spent at the airport or on a plane heading to Reykjavík. The third picture starting from the left in the second row is what I look like the next morning waking up in Reykjavík, and from that point on every photograph was taken once a day over the ensuing days. By the time I left Reykjavík the bottom right picture all I had left were lines that made me look like a football player.

What was kind of funny is that in spite of the fact that my eyes were deep purple almost nobody said anything to me about them, other than my best friend who flew in from Chicago to spend that week with me. There was one exception, one elderly man who I met in the waiting area for the flight to Reykjavík said to me, “I have a bet with my wife, she thinks you’re just doing some sort of weird make up thing, but I said that you had fallen and hit your forehead and that you have black eyes as a result.” Apparently the same thing that happened to him as a kid.

What I was most impressed by, and my Best friend felt the same, was just how impressively balanced the swelling was. It really did look like eyeshadow I had applied to my eyes, So I can’t fault people for thinking that that was what it was.

Continue reading “I fell down and went boom yet again…”

I fell down and went boom: my experience with the Australian health care system

Well yesterday did NOT go as planned…

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I just spent a good six hours in the emergency room and my travel plans for the next month or so may be royally screwed up (or at the very least some rescheduling may be required).

So, yesterday in Australia was a national holiday called “Australia Day,” which commemorated the landing of the first boatload of convicts on the shores of what is now Sydney; it is Australia’s equivalent of American’s 4th of July & Columbus Day combined, only it would be like our celebrating the landing at Jamestown, which we don’t do.

My friend that I’m currently traveling with is a first generation Australian, and he wanted to start the day attending an event in support of the Aboriginals. which began with a rally, followed by a march, which ended at a park across the street from some government building (where families with grievances presented them to the powers that be). In the park there were actives, performances, political speeches, and myriad of booths selling or advocating things that would be of interest to the folks who participated in the rally and march.

It was a very hot day, we had gotten up unusually, and in-spite of wearing a hat, and having done a fairly decent job of staying hydrated, I was tired. After, as we were walking around the park, we stopped at this one booth that was selling T-shirts with pro-aboriginal/political “stuff” on them, and at one point I took a step backwards; too late I realized I had just unwittingly stepped backwards off of a lawn and over a curb to a slightly sunken street … backwards… so that right away I was put off balance; and THEN … just to put a cherry on an already bad situation, I spotted the baby carriage that had hooked itself under RIGHT under my foot JUST as I had stepped back to ensure that I would have NO chance to catch myself. My friend described it as a slow motion “arse over tits” moment; he saw what was about to happen but couldn’t stop it…

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About three weeks later my friend spotted this safety advertisement and said, “I’m afraid this poster gives me flashbacks to your accident a couple of weeks ago. The moment when you were in pretty much this position was frozen into my memory. And I felt as helpless as the guy on the escalator.”, it’s so perfect that I’m adding it to this post.

Apparently he was not alone in this, he said that a bunch of people were like, “oh shit”… while my body was airborne, and before my head hit the ground/pavement with an incredible THUNK (before my body had finished the trip — see above).

Don’t be horrified for the baby, it was fine; the pram was of the sort where the wheels jet out in front of the carriage, so tipped over them without upsetting the baby… it wasn’t hurt. In fact I have been calling then incident a “hit and run by a baby carriage” because the mother didn’t stick around more than the amount of time it took her to make sure her baby was fine. According to my friend she stayed around only for a few minutes after that and then she took off … probably afraid of being blamed.

That said… I lay there for all of a moment in shock, and then began to cry out and curled into the fetal position; my head began to throb and I checked the back of my head for blood (there was a HUGE lump from a acute subdural hematoma, but the skin had not broken, so no blood gushing out of me… but as soon as I turned my head a little to get access to the lump the world began to spin sickeningly. My benign positional vertigo, which had for the most part left me alone these past two year was back with a WILL. Before I was aware of much, a woman was by my side proclaiming herself to be a professional nurse and folks were yelling for help; and not too long after that the emergency staff for the event joined her, took over, checked me, declared no blood, and that they were happy that I hadn’t passed out. (Turns out I’d fallen only a few steps away from their tent, and they’d just been complaining about how bored they were because no one had needed them).

The medical personnel in the course of checking my condition asked me to open my mouth and close it… and right away there was a massive CLICK sound; the force of the impact had essentially “sprained” the tendons that hold the jaw to the rest of the head, and my jaw was dislocating when I opened it. Not good!  Then they asked me a series of questions about my preexisting conditions which I rattled off as best I could (I was having a bit of trouble answering them)…  then after a bit I remembered to tell them that I have a history of herniated disks in my neck which I have had extensive physical therapy for (in my car I even carry around a Saunders Cervical HomeTrac Traction Device, just in case). As such, they weren’t taking any chances, and put me in a head brace and then told me to straighten my legs and not move.

[My friend, who (and I did not know this before the trip) has been an active member of the New South Wales State Emergency Service (NSW SES) ever since he was in high school (and continues to be, checking in with them whenever he’s in the country) … was absolutely great! He held my hand to sooth me when he could and knew when to stay out of the professionals’ way when he couldn’t (all of which makes him doubly useful as a travel companion). That said, at a certain point he began to feel useless and a bit helpless … but remembering how I like to document everything, he started taking pictures to show me later. This made me very happy.]

So… from my perspective the next thing I knew was they were crossing my arms and rolling me on my side in order to put something hard under me (my world began to spin sickeningly) … and then lifted me on to some sort of conveyance, at which point they moved me, telling folks to get out of the way.

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To quote my friend, I got the fancy police escort through the event to where the ambulance was parked, at which point they transferred me off the jeep, and then essentially tipped me off of the hard plastic orange stretcher and onto the ambulance’s white wheeled one. If you look closely at my face you’ll see I a was NOT enjoying myself… the whole world was spinning sickeningly and at various speeds depending on if they had just tipped me or not, not to mention that my head hurt.

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Then they took me to the hospital for a CT scan again tipping me to transfer me between beds… It was NOT a happy time. (Having my friend there with me the whole time, holding my hands and making sure none of my stuff got lost in the fray — he held on to my hat, my cell phone, etc., was all a huge help and a major stress reducer.) … Once they’d finished testing me the good news was no visible brain bleeds and they released me … the bad news was that my positional vertigo was back with a will… really horrible spinning that actually had me dry barfing into a bag just from being repositioned from reclining to sitting (again my friend seeing my distress grabbed me and held me till the spinning stopped, which was a mercy)… They had kept me for 6 hours in a neck restraint; I was not even allowed to bend my knees to try to get comfortable, and let me just say that peeing while laying down is a bitch.

Once we finally home, in order to keep me in a elevated position as I slept, my friend (on my instruction) put a couch cushion on the bed, and I used his travel pillow to support my head … putting the pillows that would normally be under my head under my knees. I know from pervious experience that I’ll be needing to sleep like this for the next few days (it keeps the head steady, because the spinning that would happen as the head normally moves around during sleep could result in my barfing while still asleep — VERY Dangerous — and even if you don’t barf it keeps you from sleep well, which slows down the healing.

As of today the dizzy was so bad I can barely walk… so as to my trip, we’ll see what happens… but we may need to completely redo our plans if my brain doesn’t adjust to the new normal quickly enough ….

That said, the ER visitbecause I’m not an Australian citizen and do not qualify for their national insurance policy, has so far only cost me $138 AU (112.07 US) out of pocket (Jaw drop… ) for having seen the doctor, and while they haven’t charged my card yet, they said because of the CT scan and two other tests, there would be 3 more charges of that amount… so $552 AUD total (or … $432.23 USD!!!)

Seriously, this is the information they handed me about the fees I would have to pay:

From the Hospital’s Medicare ineligible patient fees list (Basically everyone from an overseas country that does not have socialized medicine and a reciprocal agreement with Australia):

Everyone pays a consultation fee of $138.00 AUD  (or 108.06 USD!!!)

Then, for tests:
Pathology test, $138AUD
ECG $138AUD
X-ray $138AUD
etc., (I was assured my CT was the same amount)
Inpatient accommodation for one day (had I needed it would have been): $2,214 AUD
ICU accommodation for one day: $5,616 AUD

Now, let’s keep in mind that in the USA the average cost of an ER visit is about $1,233 USD ($1,574.41 AUD)
… that’s JUST the visit, and maybe a blood test or something…
Then you have to add the AVERAGE cost of a C.T. scan, which is around another $1,200… so about $2,500 for my visit if I’m lucky …. and while based on Obamacare my insurance would have had to pay for it, because of the size of my deductible… which is a whopping 7K — I’d still be paying out of packet … so… other than that amount being applied to my maximum out of pocket, which is also 7k (seriously)… if I were healthy the rest of the year my insurance would essentially pay nothing.

The big unanswered question is how much the the ambulance will cost me. According to my friends THAT is the really expensive charge in Australia, but according to the hospital staffer, he thought it might be only another $200 over that because of how close we were to the hospital, and the fact that I fell down at an insured event (they would according to him pay the lions share of the charge).

but those bills to my card have yet to process — but if what they said holds true my out of pocket in the US WITH insurance covering parts would still run me a heck of a lot more than this will have … and if it that’s the case I’m not even going to bother dealing with the international travel insurance for reimbursement … going to save it for when I need something a hell of beans more expensive.