Tag Archives: injury

Apr 3 2024

When All Bleeding Stops—a brief review

All Bleeding Stops is a mostly autobiographical book written by an experienced trauma surgeon, Stephen M. Cohn. During the course of the book, the reader learns how a trauma surgeon differs from other surgeons, how being a military doctor influenced the author, and quite a bit about the different ways that people end up in an emergency room. Chapter titles include “What Exactly is a Trauma Surgeon” and “Dealing with the Worst Injuries” which are the main focus of the book, but the author also has chapters on “Preventing Injuries” and “Managing the Public” which includes the author being involved in a high profile case.

I chose this title, in part, due to a mishap wherein I ended up in an ER and had orthopedic surgery. As Dr. Cohn says, patients choose elective surgeons and develop a bit of a relationship prior to their procedure, but in an emergency, whoever is on call becomes the doctor. I certainly didn’t choose the guy who rebuilt my shoulder, as I certainly didn’t plan to break it into four pieces! Anyway, I identified with some of the patients described in this book.

While I’d like to say this is a five star read, the not-so-linear organization takes it down a notch for me. That said, I really enjoyed this book, as it provides many anecdotal stories about trauma surgery, not only those performed by the author, but also those he heard about from colleagues. Many of the cases described survive, but there are those who don’t make it, and there is a certain dispassionate tone in this narrative. That’s not intended as criticism, but an acknowledgement that doctors who deal with trauma must maintain some distance in order to remain sane.

Again, I enjoyed reading this book, and for those who want to know more about how lives are saved and people put back together after terrible trauma, this book is quite enlightening.

Jul 23 2022

Why Medicare Advantage Plans are Bad by David W. Bynon

Right after my last post, I was injured, quite badly, in a fall. While I had read the title above, hubby had convinced me that Medicare Advantage was the way to go, because “we are healthy.” And, I was, until I broke my shoulder and damaged the nerves which traverse the Brachial Plexus. Within a month of my fall, I tested Medicare Advantage and soon found that I wish I had opted for traditional Medicare.

In Why Medicare Advantage Plans are Bad the author begins by explaining Medicare and Medicare Advantage. Even the name sounds good, right? They call it Medicare Advantage because there are certain perks, which vary depending on which insurance company provides coverage. For instance, mine has vision benefits, which I have used, and gym benefits, which I have not. This book also has a chapter explaining why the government actually prefers that people choose Medicare Advantage.

For those about to reach the age to file, this book, especially the opening chapters, would be most helpful. Also very helpful now (although I wasn’t concerned prior to my accident) is the 6th Chapter, which explains the downside of Medicare Advantage plans for those with chronic illness. The answer is quite simple: co-pays. As a holder of Medicare Advantage, I have to pay $25 (or more) every time I visit a healthcare facility. Right now I am seeing multiple therapists every week. Some days I pay $25 to the hand therapist, then walk to another therapist in the same complex and pay $25 again. Then I do it again a couple of days later. Medicare requires that medically necessary therapy be covered for unlimited visits. Medicare would not require those co-pays, however.

Perhaps I will get “better” although I have pretty much given up on being “well.” But, with multiple providers for everything from therapy to tests, this journey will be expensive. I wish I had read Bynon’s book before I signed up for Medicare Advantage. And, although I read this book, I probably wouldn’t have reviewed it if I had not become a victim of what a nurse in the ER described as a “life changing” event. I started out quite healthy, but that can change, and quickly.

For those who are just going down this path, this book is certainly worth reading.