Fri 27 Feb 2009
Small Town Struggles
Posted by Heidi under Home, life, myself
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I started to write this on Monday but got sidetracked so I’m just now getting around to it.
I knew that moving back to Small Town, WV would pose inconveniences. I just didn’t realize how hard some things would be. There’s the little stuff, like having to shop at Walmart because there are literally no other stores here. Now, I’m big on my Target love – so this is…disappointing. I’ll go off on a little tangent here to talk about the shopping situation – but that’s not the main point of this entry. Anyway, Walmart moved into town at least 15 years ago or so. There were actually two in the area; one is about fifteen miles in a neighboring county of Maryland, the other is about 18 miles in the opposite direction in West Virginia. The one in West Virginia was built as a Super Walmart, and is in a part of my county that actually has a couple supermarkets, restaurants and some specialty stores. It’s also close to the community college and is the county seat. It just happens to be kind of out of the way from where I live – although the distance is comparable, you have to drive either over a mountain pass or around a mountain on a local road. The other Walmart is in a considerably larger town and is a much easier drive. There’s an actual interstate *gasp* that you can take for part of the trip, and a newly constructed parkway that bypasses stoplights and speed traps (there are a few neighborhoods here that make most of their money from speedtraps – one goes from a speed limit of 50mph on a road cut out of the side of a mountain, then at the very edge of the mountain road it switches down to 25mph. Police regularly sit at the side of the mountain where the change is posted, sometimes even hiding in people’s driveways.)
So anyway, there were already two Walmart stores in the area. There was one mall, about a mile away from the existing Walmart in Maryland. The mall is literally on a hill overlooking the old Walmart plaza. Now, considering this is a rural part of the country, the mall here was pretty small to begin with. There were maybe 80 or 90 stores originally (including all the kiosks in the middle of the mall.) Well, a few years ago, Walmart decided to buy out part of the mall to create a new Super Walmart. It took over roughly half of the old mall, leaving a giant Walmart and maybe 50 stores. So now there’s practically nowhere to shop. And, being a fat chick myself – this severely limits my options for actually buying clothes. Although some of the department stores have a plus sized section, they are akin to old lady clothes. Seriously – you can’t find cute stuff at Sears. These are the kinds of things you don’t ever think of as limitations because of where you live.
Another problem is the lack of bookstores. I think it’s pretty well known that I love books. Some of my favorite evenings in Tampa were spent going to Borders or Barnes and Noble, getting a coffee and grabbing piles of books to look through. I’ve probably spent a small fortune on my book collection, and wouldn’t change that for the world. I love books. I often went to the big chains out of convenience, but adore going to independent bookstores. Or, better yet, used bookstores. There used to be a great one here called Paperback Exchange, but it apparently closed down after I moved to Tampa. It had a pretty good system, you took in your old books and got credit towards getting more books. They also carried newer books, but they were mostly ones about spirituality and new age stuff. It was one of those stores where you could pick up a sticker that said “My other car is a broom.”
So, let’s see – bookstores are few and far between in rural WV. I guess you could insert a joke about the illiterate rednecks here somewhere. Shopping is difficult unless you’re okay with buying everything from Walmart. Which, I’m not. One of the biggest problems I have with Walmart is that they severely limit your selection. Sure, you can get cat food, mascara, hemorrhoid cream, toe socks, knitting needles, a vacuum and some cupcakes all in the same place – but you have to buy one of the brands the Walmart wants you to purchase. My dad and I have often commented on this. They must do trial runs with certain items, decide which sell best then discontinue the rest. I have problems with allergies and my sinuses and use a lot of cold products. There are a few things that I’ve bought from Walmart in the past (and that I can buy from other stores) but are no longer carried. Like Theraflu quick melt strips. Or Celestial Seasonings Lemon Honey throat drops. You can buy other Theraflu crap, or other Celestial Seasonings cough drops – just not the ones that actually work for me. I would understand if these items sold poorly and the manufacturer discontinued them – but that’s not the case. They sell well enough for CVS (or whomever) to keep them on the shelves. Anyway, that’s just a tangent of a tangent of a tangent.
The real point of this entry is the problem with healthcare here. Not only are there very few doctors to choose from, but it seems like they make it harder on the patient to get the care they need. I’ve mentioned before that I take some pretty heavy duty painkillers because of the car accident I had this past summer. I also have had a lot of problems with anxiety and whatnot, and have been taking medicine for that also. I’ve always gone to specialists – a pain management clinic and a psychiatrist, along with regularly going to my primary care doctor. Well, most of the medicine I take can only be prescribed one month at a time. Which was never a big deal in Tampa. I just made another appointment each month, paid my co-pay (or paid out of pocket when my insurance ran out.) Each and every doctor knew what meds I was taking, and I did all the things they asked of me. I’ve gone through months and months of physical therapy for my back, gone to a therapist, had tests out the wazoo…all that jazz. I thought that I was doing the things I should be doing to take care of my health.
Apparently, I’m not allowed to do those things here. When I moved, I tried making an appointment with the ONLY pain management clinic in the tri-state area. This was back during the first week of February. They tell me that they require a referral from a physician’s office – not just a written referral, but their office has to call to make the appointment for me. And, even if they did make an appointment, the earliest one available would be in late April. So I call my own doctor here to get an appointment, in hopes that he will prescribe my medication while I wait to get in to the pain management clinic. Well, my doctor flipped the fuck out. He first refused to prescribe ANYTHING for me. It took much convincing for him to finally agree to give me a one month supply. He would only give it if I signed paperwork stating that I would never again ask him for a refill of any controlled substance. One of the main things behind this was because my brother tried to get him and other doctors to prescribe painkillers multiple times in the same month. And then he took my mom’s painkillers. Which at the time led to this doctor asking her to bring her prescription to the office to be counted. Because my mom is crazy, she flipped out and said some off the wall things to this doctor. Basically leading to me having a doctor who doesn’t trust my family (which he shouldn’t trust Jeremy, but the rest of us shouldn’t suffer) and who now refuses to treat me.
So, anyway, we go through all this. He says that he’ll have his office contact a pain management doctor in town. The pain management clinic apparently doesn’t actually prescribe painkillers. Who knew. I went to the doctor on Monday – as of today (Friday) I still do not have an appointment with this other doctor. In just over three weeks I will need a refill on my prescriptions. Since my doctor refuses, and his staff is clearly incompetent, it looks like I am going to have to FLY TO TAMPA to get my prescription refilled. Tell me where this makes sense, please.
This is apparently the same case for my anxiety meds. My doctor here doesn’t agree with what I’ve been prescribed. Even though some of the stuff I take is what HE prescribed me last year. I had actually been taking different sleeping pills last spring. My psychiatrist in Tampa didn’t like what I was taking, felt they would have some bad interactions, so he prescribed more controlled substances. And, you know, one thing that really gets me is that my doctor here asked why I was taking the things I take. As if I had twisted someone’s arm into prescribing them for me. I take them because the specialists I saw felt they were the right medicines for me to take. Forcing me into a situation where I have to stop them suddenly isn’t just unrealistic – it’s unsafe.
Anyway, even after I managed to get a prescription for everything – I had a huge problem actually getting the painkillers filled. I went to SEVEN separate pharmacies looking for this one prescription before a kind pharmacy tech offered to call around to other places looking for it. That’s ridiculous!
You know, I wouldn’t take any of this if I didn’t actually need it. Without Ambien, I do not sleep. Which then makes me get migraines. And once I have a migraine, I have to do something to sleep it off. Prior to taking prescription sleeping pills, I was taking up to a handful of Unisom a night. Of course back in the beginning two or three pills was plenty to help me fall asleep and stay asleep most of the night. After a couple of months, I started only being able to sleep two or three hours before waking up. Knowing that the main ingredient is just Benedryl, which is safe in much higher doses than the amount in Unisom, I started taking more to get myself to sleep. Then more. And more. And more. Five years later, I would go through a few bottles of OTC sleeping pills a week. There were times that I would take what I thought was enough for the night, it being the rest of the bottle. Then, around 2 or 3 am I would wake up and have to drive to the closest CVS or Walgreens to buy more sleeping pills, just so I would be okay enough to work the next morning. Each weekend I would sleep the “healthy, natural” way – without any pills. Just so I could kind of reset myself in hopes that the next week I could start with a smaller dose. It was a horrible, vicious cycle of overdoing the sleeping pills during the work week then doing the zombie shuffle through the weekend on little to no sleep.
This story is pretty much the same thing for all of my other scary, scary prescriptions. Just replace lack of sleep with panic attacks, paralyzing fears, overwhelming inability to face difficult situations and pain so severe it’s difficult to get out of bed to walk to the bathroom (especially now that I have to climb a flight of stairs to get to the nearest restroom.) I still have to use a cane to walk sometimes. I supplement all these prescriptions with homeopathic remedies, exercises at home (now that I’m not going to my chiropractor daily and doing physical therapy there) and basically doing what I can to help myself heal. I have an unfortunate combination of injuries and illnesses right now, and it’s upsetting that the person who should be helping me is actually just hindering my care. I think that it’s ridiculous that my care should be compromised by things that my brother did. And, this isn’t just in my head – the doctor actually brought up his actions last year during my appointment. This is taking the small town “everyone knows everyone’s business” to the extreme.
But to think that I may have to actually travel over 1000 miles to a doctor who is willing to continue the treatments I’ve had for the past 9 months, well…that just boggles my mind. If I weren’t unemployed, it wouldn’t be possible to take a few days out of the month to fly down – see a doctor – then fly back. But, since I am unemployed, the few hundred dollars I’ll have to waste to do it are going to really hurt. That’s a car payment for me. Or an insurance copay (I now have to pay the entire out of pocket cost for continued coverage for insurance, equaling nearly $400 a month.)
I guess this is just so upsetting to me because I feel like I am doing all the things that I should be doing. I’m not out buying pills on the street (like I used to) – I go to a doctor. I get the MRIs, the nerve conduction studies, I get the alternative treatments like steroid injections in my back. I’ve had accupuncture, massage therapy, chiropractic adjustments, physical therapy. I do every single thing I’ve been asked to do. But I’m treated like an addict in the end. Aside from one jerktastic doctor when I was hospitalized, I was never treated like this in Tampa. It’s almost like being followed in a store because the workers assume you’re only there to steal stuff.
I don’t like being treated this way; I don’t like the way it makes me feel. And the truly sad thing is that there are very, very few doctors that I could switch to here. And, if I would, it would take many months to get an appointment. This just further instills my desire to move back to a city. Rural life is not for me. It’s more than just a lack of Starbucks here, I honestly think that my health is being compromised by the hoops I’m forced to jump through.

