I Hate Dialysis Message Board
Welcome, Guest. Please login or register.
November 24, 2024, 02:49:47 PM

Login with username, password and session length
Search:     Advanced search
532606 Posts in 33561 Topics by 12678 Members
Latest Member: astrobridge
* Home Help Search Login Register
+  I Hate Dialysis Message Board
|-+  Dialysis Discussion
| |-+  Dialysis: General Discussion
| | |-+  please help me im scared
0 Members and 7 Guests are viewing this topic. « previous next »
Pages: 1 ... 4 5 [6] 7 Go Down Print
Author Topic: please help me im scared  (Read 68696 times)
gothiclovemonkey
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1659


« Reply #125 on: January 21, 2016, 05:58:01 AM »

ok do me a favor and explain how this particular "yes but" comment is in anyway MY issue? I have asked, they tell me that only one damn woman in the area can train that, its the HH lady... and she only trains one person at a time, apparently. (which is the whole reason i never got to train for HH, if you remember...) I am not joking when I say this clinic is tiny, and ridiculous. And its also way under staffed. our social working is one that visits like 3 other clinics, the HH lady is only there once in a blue moon, i hardly ever see her, and we have 3 rns (one is brand new) and 5 techs (3 of which are new) the secretary and the clinic mtg.  Come to think of it, I dont think they even do button holes here... There are only 2 shifts, maybe 20 chairs...
Logged

"Imagine how important death must be to have a prerequisite such as life" Unknown
HemoDialysis since 2007
TX listed 8/1/11 inactive
LISTED ACTIVE! 11/14/11 !!!
Charlie B53
Elite Member
*****
Offline Offline

Gender: Male
Posts: 3440


« Reply #126 on: January 21, 2016, 06:35:06 AM »

If I may be the small voice of reason.

PD,  please choose your words carefully.  I is possible that it could be interpretted by Administration as an attack on GLM which could be responded to by sanction or locking of this thread.

GLM, one person's opinion is only that person's opinion.  Your choices were to ignore it or to respond. You responded.  You could have NOT responded.  If PD made any further posts, meet them with the same simple 'no response'.  Game over.

There is another way of taking this.  By PD challenging you, he has stirred you up and you are attempting to prove yourself.  Prodded your self-determination such that you are ready once again to fight the good fight.

Follow through on a few things and one day realize how PD HAS help make a difference.

Til then,     Children  Play Nice!

Charlie B53
Moderator



EDITED:  Corrected spelling - she/he
Charlie B53
Moderator
« Last Edit: January 21, 2016, 07:36:51 AM by Charlie B53 » Logged
Simon Dog
Administrator/Owner
Elite Member
*****
Offline Offline

Gender: Male
Posts: 3460


« Reply #127 on: January 21, 2016, 06:49:34 AM »

GLM - the RNs and techs on the floor are not equipped or allowed to teach self cannulation without an MD order.   Talk to your doc about it, and if training is not supported at your clinic, ask about a temporary transfer to another clinic until you have mastered the technique.

Once you learn self canulation, you will always have the same idiot putting in the needles.   :2thumbsup;   The leap to home hemo is smaller and you might find it easier to get into a program.

A benefit is that the skill is totally transferable.   I've dialized in many clinics as a vagrant (er, transient), and I have never received any resistance to self canulation - even at clinics that do not support home programs.   If you use buttonholes, you should always bring your own needles since you can't count on clinics without home programs stocking them.   The staff at the hospital where I had my transplant (hip, not kidney) had no problem letting me self puncture, though they were a bit apprehensive when I violated hospital policy by using my own needles.   The scab picker in the JMS and Medisense needles are different, and I prefer the JMS since the poker is longer and I sometimes have to dig a bit to get out the scab.    Fresenius tends to use JMS and DaVatia seems to use Medisense (NxStage).  Medisense needles are also polarized and packed in pairs - only one has a backeye, and that should go in the arterial.

My doc took a transfer who was denied home treatment as "not a capable candidate" at another clinic.   Last I heard he was succeeding at his home treatments.  I suspect motivation and willingness to learn is more important than anything else when it comes to home hemo success.

Quote
It is your right for the clinic to teach you how to self cannulate.
This may depend on the state.  I know that the DPRM (Massachusetts) has a requirement that any clinic not offering home dialysis have an affiliation agreement with one that does (MA 105 CMR 145.34), as well as a s-load of other requirements (such as having a backup generator and testing it under load quarterly).

The "catch" is the MD has the right to make a medical determination "not a candidate for self cannulation".
« Last Edit: January 21, 2016, 06:59:53 AM by Simon Dog » Logged
PatDowns
Full Member
***
Offline Offline

Gender: Male
Posts: 232


Celebrating 60th B'Day. 12/26/15

« Reply #128 on: January 21, 2016, 06:56:25 AM »



PD,  please choose your words carefully.  I is possible that it could be interpretted by Administration as an attack on GLM which could be responded to by sanction or locking of this thread.

Charlie B53
Moderator


As I stated to Cas, I'm standing by my comments.   Plus,  I don't take to threats very well. So if you, as a moderator, feel my comments are an attack, then do what you must.  NBD. - PatDowns

 (BTW, I'm a male, not female as you referred to me in your post - unless the sexual orientation icon has changed!

Logged

Frank Moiger aka (previously) NoahVale and now PatDowns, the name originally chosen by a good dialysis mate who died in 12/2013.  I started in center hemodialysis as a 22 y.o. in 1978.  Cadaver transplant in 1990 and then back to in center hemodialysis in 2004 (nocturnal shift since 2011) after losing my transplant.  Former Associate  Director/Communications Director of the NKF of Georgia, President of the Atlanta Area AAKP Chapter, and consumer representative to ESRD Network 6.  Self-employed since 1993.

Dialysis prescription:
Sun-Tue-Thur - 6 hours per treatment
Dialysate flow (Qd) - 600 
Blood pump speed(Qb) - 315
Fresenius Optiflux200 NR filter - NO REUSE
Fresenius 2008 K2 dialysis machine
Charlie B53
Elite Member
*****
Offline Offline

Gender: Male
Posts: 3440


« Reply #129 on: January 21, 2016, 07:45:01 AM »


PD, I corrected my error she/he, I never looked at the symbol, my bad.

I wasn't threatening to do anything, merely pointing out that Administration may not take the same view as I do.

What I see by your posting as you are actually attempting to prod GLM into improvement, challenging her to action.  It doesn't matter what your perceived intent is/was.  If it results in favorable action then it can be construed as a good thing.

Some may call it constructive criticism.

If you really didn't care about GLM you never would have posted at all.

'Nuff said.

Charlie B53
Moderator
Logged
PatDowns
Full Member
***
Offline Offline

Gender: Male
Posts: 232


Celebrating 60th B'Day. 12/26/15

« Reply #130 on: January 21, 2016, 07:52:41 AM »



What I see by your posting as you are actually attempting to prod GLM into improvement, challenging her to action.  It doesn't matter what your perceived intent is/was.  If it results in favorable action then it can be construed as a good thing.

Some may call it constructive criticism.

If you really didn't care about GLM you never would have posted at all.

'Nuff said.

Charlie B53
Moderator

Nope, I posted so newbies wouldn't waste their time responding to GLM.  There are many others more deserving and needing support and help that would actually follow up on good advice. I gave up on GLM over 2 years ago.  My continued posting on this thread was only to prove my point.  Now, 'nuff said.
Logged

Frank Moiger aka (previously) NoahVale and now PatDowns, the name originally chosen by a good dialysis mate who died in 12/2013.  I started in center hemodialysis as a 22 y.o. in 1978.  Cadaver transplant in 1990 and then back to in center hemodialysis in 2004 (nocturnal shift since 2011) after losing my transplant.  Former Associate  Director/Communications Director of the NKF of Georgia, President of the Atlanta Area AAKP Chapter, and consumer representative to ESRD Network 6.  Self-employed since 1993.

Dialysis prescription:
Sun-Tue-Thur - 6 hours per treatment
Dialysate flow (Qd) - 600 
Blood pump speed(Qb) - 315
Fresenius Optiflux200 NR filter - NO REUSE
Fresenius 2008 K2 dialysis machine
Simon Dog
Administrator/Owner
Elite Member
*****
Offline Offline

Gender: Male
Posts: 3460


« Reply #131 on: January 21, 2016, 07:55:17 AM »

Pat - GLM made a very critical statement - she would do self cannulate if allowed.

If she is anywhere near the pain in the butt I am, she can take that as a goal and not stop until she gets it.   The key is not taking no for an answer unless there is a medical indication why it is inappropriate.

It does not matter if you give up on her - as long as she does not give up on herself.
Logged
frankswife
Full Member
***
Offline Offline

Gender: Female
Posts: 273


« Reply #132 on: January 21, 2016, 08:29:51 AM »

PatDowns,
No, not 'nuff said. I wasnt going to jump in until you made the "others more deserving" remark. Seriously? Who the hell are you, anyway to judge who is deserving? Admins, if you want to sanction me, go ahead. People like this and the general downhill course of this forum are the reasons I rarely log on anymore, and I am really sad for it. Was this the intention when this forum was created? I think not. Easy to be nasty when you have keyboard muscles.  :(
Logged

"If we all abandon our posts, who then will stand?" St. Augustine
PatDowns
Full Member
***
Offline Offline

Gender: Male
Posts: 232


Celebrating 60th B'Day. 12/26/15

« Reply #133 on: January 21, 2016, 09:43:58 AM »

Pat - GLM made a very critical statement - she would do self cannulate if allowed.

If she is anywhere near the pain in the butt I am, she can take that as a goal and not stop until she gets it.   The key is not taking no for an answer unless there is a medical indication why it is inappropriate.

It does not matter if you give up on her - as long as she does not give up on herself.

Let's see....GLM has been complaining about her clinic for YEARS now- everything from no staff members, including her nephrologist, ever listening to her, to rude treatment and inadequate/dangerous care..  Yet, she stays there!  Is this normal behavior for someone who has a good sense of self  to stay in a bad medical situation?

Yet, according to GLM, the next closest center is an an extra half hour away (but hasn't checked lately to see if any clinics have recently opened that are closer by).   As has been suggested to GLM before, she can transient dialyze at another area clinic to get a feel for the place - CMS allows for this - before deciding to transfer.  To a rational thinking person, wouldn't it be worth the extra 30 minute or so drive to receive better and more compassionate care?  Oh, but I guess you look upon this behavior as "not giving up on herself!"
Logged

Frank Moiger aka (previously) NoahVale and now PatDowns, the name originally chosen by a good dialysis mate who died in 12/2013.  I started in center hemodialysis as a 22 y.o. in 1978.  Cadaver transplant in 1990 and then back to in center hemodialysis in 2004 (nocturnal shift since 2011) after losing my transplant.  Former Associate  Director/Communications Director of the NKF of Georgia, President of the Atlanta Area AAKP Chapter, and consumer representative to ESRD Network 6.  Self-employed since 1993.

Dialysis prescription:
Sun-Tue-Thur - 6 hours per treatment
Dialysate flow (Qd) - 600 
Blood pump speed(Qb) - 315
Fresenius Optiflux200 NR filter - NO REUSE
Fresenius 2008 K2 dialysis machine
PatDowns
Full Member
***
Offline Offline

Gender: Male
Posts: 232


Celebrating 60th B'Day. 12/26/15

« Reply #134 on: January 21, 2016, 10:08:25 AM »

PatDowns,
No, not 'nuff said. I wasnt going to jump in until you made the "others more deserving" remark. Seriously? Who the hell are you, anyway to judge who is deserving? Admins, if you want to sanction me, go ahead. People like this and the general downhill course of this forum are the reasons I rarely log on anymore, and I am really sad for it. Was this the intention when this forum was created? I think not. Easy to be nasty when you have keyboard muscles.  :(

Frankswife - Thank you for jumping in.  I appreciate your input and in no way feel the admin. should "sanction" you! 

And, you are absolutely right about anonymous posting.  Since I've stated twice now that I'm standing by my comments, then I shouldn't be adverse to including my real name.  Unfortunately, I can't change my ID and use my real name like Bill Peckham does.  So, I'll do the next best thing.  Like "Hemodoc," I'll include my name in the signature section of my forum profile.

About my "more deserving" comment.  Maybe "more appreciative" would have better represented my feelings.  I probably would have backed off some if GLM  had responded at some point with something of this nature, "thanks to all who have shown an interest in my situation by taking the time to give me really good advice.   Although my goal is to better take care of myself, I'm just not at a place yet to move forward."     If she would just take responsibility for her situation as opposed to always blaming others.  A true sign victimhood mentality.   

Please continue posting! - PatDowns
« Last Edit: January 21, 2016, 10:20:46 AM by PatDowns » Logged

Frank Moiger aka (previously) NoahVale and now PatDowns, the name originally chosen by a good dialysis mate who died in 12/2013.  I started in center hemodialysis as a 22 y.o. in 1978.  Cadaver transplant in 1990 and then back to in center hemodialysis in 2004 (nocturnal shift since 2011) after losing my transplant.  Former Associate  Director/Communications Director of the NKF of Georgia, President of the Atlanta Area AAKP Chapter, and consumer representative to ESRD Network 6.  Self-employed since 1993.

Dialysis prescription:
Sun-Tue-Thur - 6 hours per treatment
Dialysate flow (Qd) - 600 
Blood pump speed(Qb) - 315
Fresenius Optiflux200 NR filter - NO REUSE
Fresenius 2008 K2 dialysis machine
drawingdami
Newbie
*
Offline Offline

Gender: Female
Posts: 16


« Reply #135 on: January 21, 2016, 10:24:33 AM »

Quote
Let's see....GLM has been complaining about her clinic for YEARS now- everything from no staff members, including her nephrologist, ever listening to her, to rude treatment and inadequate/dangerous care..  Yet, she stays there!  Is this normal behavior for someone who has a good sense of self  to stay in a bad medical situation?

I guess I'm a newbie here because I don't post that often and just lurk. I've actually been a member for 5 years. So yes, I have seen Gothic's previous posts.

Everyone has their own way of coping. What may seem like griping may just be...well, the actual reality for that person. It just is. Or maybe it's not. None of us have any way of knowing what each of us are really going through. Every problem is different, and our ability to deal with it is different day to day, week to week, year to year. Someone else's very best effort might be your version of coasting along in your life. A problem that you could fix in a matter of days might take YEARS for someone else. So many things can get in the way of progress--lack of money, lack of access, lack of education, where you live, who's around you, what's around you--the list goes on and on. But that doesn't mean GLM or anyone of us aren't trying. But no one should feel like they have to justify their situation to anyone.

 I think everyone has the right to use these forums in the way that they need to -- unless it is abusive to others. A lot of times the forums are just a place to vent. To tell someone, anyone, how you really feel, how you perceive your situation, to talk about all that is going wrong with your life. The struggle is real!

That's my  :twocents; .

 Maybe we are here to advise, encourage or kick each others butts, but I think most importantly we are here to listen and bear witness to each others journey.
Logged

Transplant 03/7/97, 15th year coming up, but ol' guy is winding down....
Chest catheter re-inserted 3/27/12 (happy b-day to ME??)
Re-started hemo dialysis 3/31/12
Started NxStage home dialysis training 4/2/12
arm fistula placed 4/4/12
Awaiting cadaver donation since 3/12

-------------------------------------------------------------------------------------------------------
"Beware of Dragons,
 For Ye be Crunchy and Good with Ketchup."
Deanne
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1841


« Reply #136 on: January 21, 2016, 11:13:04 AM »


Let's see....GLM has been complaining about her clinic for YEARS now- everything from no staff members, including her nephrologist, ever listening to her, to rude treatment and inadequate/dangerous care..  Yet, she stays there! 

That's what this site is for! So you're really saying she's using the site as intended. Well done, GLM!

This is the place to come to for venting, complaining, asking for help, encouragement, whatever. Each person here might be here for a different reason. No one comes here to be judged, and I don't think any of us here can know true state of mind, physical condition, life circumstances, or anything else of others here. We only know what is said in just a few paragraphs. We don't see the pain or joy any of us feels when jumping (or crawling) from bed each morning, the smile and love on each other's faces when they look at their children, the laughter at a joke. Without all of this knowledge, we don't *know* each other. For all any of us know, the wrong statement could be the thing that pushes someone into giving up. The right response might help someone try for just one more day.

Maybe Pat Downs lashes out at GLM because he sees something in her that causes him to relive his own pain. It doesn't make it right for him to hurt GLM. Maybe GLM comes here because she has no one to listen to in her day-to-day life. She's had some very sucky things happen to her. It isn't for me, or any of us, to call her a drama queen - that's a judgement, not a fact. Do we know if she's stating only facts? No. Is it better to give her the benefit of the doubt - yes.

Is it that hard to be nice to each other? We each have enough to deal with in "real" life. Why make it difficult here, too?

(edited to fix typos)
« Last Edit: January 21, 2016, 11:16:51 AM by Deanne » Logged

Deanne

1972: Diagnosed with "chronic kidney disease" (no specific diagnosis)
1994: Diagnosed with FSGS
September 2011: On transplant list with 15 - 20% function
September 2013: ~7% function. Started PD dialysis
February 11, 2014: Transplant from deceased donor. Creatinine 0.57 on 2/13/2014
iolaire
Elite Member
*****
Offline Offline

Gender: Male
Posts: 2022


« Reply #137 on: January 21, 2016, 11:15:54 AM »

Maybe we are here to advise, encourage or kick each others butts, but I think most importantly we are here to listen and bear witness to each others journey.
All of your comments here are very valid. 

Its probably best to remember "if you don't have something nice to say don't say it."  Now we completely disregard that when we talk about care providers and our health, but we should try to follow that with other member's lives.
Logged

Transplant July 2017 from out of state deceased donor, waited three weeks the creatine to fall into expected range, dialysis December 2013 - July 2017.

Well on dialysis I traveled a lot and posted about international trips in the Dialysis: Traveling Tips and Stories section.
PrimeTimer
Elite Member
*****
Offline Offline

Gender: Female
Posts: 2401


« Reply #138 on: January 21, 2016, 11:21:27 AM »

 :beer1; When I read all the posts on this thread I am thinking, "Wow. Aside from obvious health issues, it's awful how kidney disease takes it's toll on people".

I wish everyone a brighter and happy day!  :)
Logged

Husband had ESRD with Type I Diabetes -Insulin Dependent.
I was his care-partner for home hemodialysis using Nxstage December 2013-July 2016.
He went back to doing in-center July 2016.
After more than 150 days of being hospitalized with complications from Diabetes, my beloved husband's heart stopped and he passed away 06-08-21. He was only 63.
gothiclovemonkey
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1659


« Reply #139 on: January 21, 2016, 12:00:55 PM »

The only thing i have left to say thats been brought up since I last posted is this

I DO thank people in my threads, for helping me and giving advice. I appreciate all of the people who care enough to post. It means the world to me.
I dont understand why this person assumes I take no advice, either, because I do,and have, on many occassions.

Yea, I am still at the same clinic, and YES I have checked to see if anything new is available. In fact one closed. I cant really see spending that gas to go out of town, PLUS if I did do that, Id also need to pay for child care for my son after school. possibly even before, depending on what time theyd have for me... I absolutely cant afford bthat. It has absolutely nothing to do with my self worth. Or wanting to be drama queen. I just dont have that kind of money. Its hard enough keeping all of my appointments with the cost of gas and most of them being about an hour away. (5 times for this jan that i have to go there! and already 2 for next month)

You DO NOT know what I do with my life, and How DARE you think I have given up. I still go, dont i? If i gave up, I wouldnt go. its quite the opposite actually. and I sure the hell wouldnt waste anyones time asking what they might do in my situation if I had given up! I want to be here for my son, even though my quality of life is considered very poor, due to my OTHER health issues. I still get up every day, I still make breakfast and do some light chores (granted I could do more there HA) and I still get my son to school, get my arse to D or the YMCA on my off days, I stil go to all the appointments, therapy AND group therapy, I still come home and put dinner on the table and help my son, play with him... HOW IS THAT GIVING UP!???!?

I dont know what I did to irk you so badly, Perhaps I didnt thank you enough for your liking?! I really honestly from the bottom of my heart appreciate the USEFUL comments that I have received over the years here at IHD from some truly amazing folks! But to say I dont deserve to have a place to vent or that I dont appreciate it is just plain hurtful.

And just for the record, I am not the only one who thinks this clinic is horrible. But their numbers are good so they can get away with saying they are the best "in the area" (only in the damn area...)
Logged

"Imagine how important death must be to have a prerequisite such as life" Unknown
HemoDialysis since 2007
TX listed 8/1/11 inactive
LISTED ACTIVE! 11/14/11 !!!
gothiclovemonkey
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1659


« Reply #140 on: January 21, 2016, 12:28:11 PM »

:beer1; When I read all the posts on this thread I am thinking, "Wow. Aside from obvious health issues, it's awful how kidney disease takes it's toll on people".

I wish everyone a brighter and happy day!  :)

No doubt!
I know, for me, it saved me in many ways. I used to have a very bitter outlook on life, now I am fairly easy going. Just need to vent it all out occassionally, and I feel loads better.


About my "more deserving" comment.  Maybe "more appreciative" would have better represented my feelings.  I probably would have backed off some if GLM  had responded at some point with something of this nature, "thanks to all who have shown an interest in my situation by taking the time to give me really good advice.   Although my goal is to better take care of myself, I'm just not at a place yet to move forward."     If she would just take responsibility for her situation as opposed to always blaming others.  A true sign victimhood mentality.   

Please continue posting! - PatDowns

I dont understand how you say I dont take responsibilty for my situation and "always blame others" Im not blaming anyone, I am simply stating that my clinic sucks, and this is what i dealt with today... thats it. venting basically!

Because I dont have people I can talk to abot this... not really... not anyone that understands it all. Sure, I can talk to my therapist in the whole 30 mins i see here every other week, but I am also dealing with other issues that need dealt with. and again, she doesnt understand what its like. so I came here.

I dont have a victim mentality. I know, that in the past (when i first started D, for about a year) i WAS a crappy patient, and fully admit that, but its been 8 freakin years, and Ive lost weight, Ive taken the pills, made my treatments, and all that jazz. so im sorry if i dont understand why you would think so poorly of me.

Logged

"Imagine how important death must be to have a prerequisite such as life" Unknown
HemoDialysis since 2007
TX listed 8/1/11 inactive
LISTED ACTIVE! 11/14/11 !!!
PatDowns
Full Member
***
Offline Offline

Gender: Male
Posts: 232


Celebrating 60th B'Day. 12/26/15

« Reply #141 on: January 21, 2016, 01:48:23 PM »


Maybe Pat Downs lashes out at GLM because he sees something in her that causes him to relive his own pain.


And in your mind, what might that be Deanne?

I was 22 when starting dialysis in 1978.  The clinic staff was supportive and gave me good education about how to live well with kidney failure.  After about a year I earned the privilege of being on the evening selfcare shift - the only one in Atlanta at that time (just 13 clinics total in the Atlanta metro area).  During that time I started going out with one of the evening shift techs.  I would stay late after treatment to talk with her.  She was responsible for reprocessing the dialyzers from the shift.  Ever heard of dialyzer reuse?  It was a nasty procedure involving packing the dialyzers in formaldehyde between uses.  That's human pickling juice!  I did research.  Basically, the only reason to reuse was to maximize profits.  So I decided I no longer wished to use reprocessed dialyzers and went to the head nurse/administrator requesting a new one each treatment.  That was my first experience being labeled a troublemaker.

I was immediately taken off the night shift and put on days.  I was told either accept reuse or go somewhere else for treatment.  Remember, this was in 1979 - there weren't dialysis centers on every corner and I was only 23 years old.  In an effort to make sure the other patients would know what happens to "troublemakers,"  the HN/Admin.  came out on the floor while all were dialyzing.  In a loud voice for all to hear, she said to me that until I found another clinic, I would only be dialyzing twice a week, even though my prescription was for 3 times.  Without even a blink I shot back just as loudly, if she tried to unilaterally change my nephrologist's  orders, I would have my lawyer contact her immediately.  I received 3 weekly treatments until leaving a few weeks later.

My new clinic was hospital based and did not reuse.  When I went to visit, the tech I was dating accompanied me.  I wasn't yet sufficiently knowledgeable about what to look for in a clinic.  She was my experienced eyes.  I switched to them.  Even though they offered a 3rd shift, I had to be on the machine by 4:30 pm instead of 6:30 like the other center.  Plus, I lost autonomy because the clinic did not allow for selfcare beyond selfcannulation.  However, it was a choice I was willing to make because not reusing dialyzers was more important to me. 

It was not long after this experience that I became involved in NAPHT, the national kidney patient advocacy organization (now known as AAKP) and the ESRD Network as a patient representative.  About a year after that I became a full time employee of the NKF of Georgia.  For the next 11 years, one year post transplant, I dedicated myself to patient advocacy and helping patients and their families learn how to lead better lives  with renal failure.

When I had to (reluctantly)  go back on dialysis after losing my transplant in 2004, I once again had to watch out for bad care.  I left the first clinic after a year.  I ended up at a DaVita clinic about 30 minutes from home.  Although a good friend, another patient who was more of an advocate than myself, advised me to stay away from this provider.  I thought this clinic would be different because the administrator's background was as a dietitian,  I knew the center's dietitian from 30 years before, and one of the techs from my former center.  Plus, it was new and small.  Unfortunately, the honeymoon lasted less than a year.  Davita let the administrator go due to profit issues.  You see, 99.9% of clinic administrators are RNs.  The reason?  If short staffed, they can go out on the floor and no PRNs needed to be hired.  Not the case with a dietitian admin.  Quality care issues quickly arose for numerous reasons.  A patients spouse and I tried to work within the system to get things changed to no avail.  We even had a meeting with 2  ESRD Network reps, the regional head of CMS, and DaVita's regional VP. 

About 20 patients and family members attended with many of the patients coming in on their day off.  One patient was disabled with a leg amputation and a few others used public transport benefits to get there.  I was so proud of this group  because I understood what it meant to fight the status quo - I wanted to cry.  As I write this a huge lump is in my throat.  Unfortunately, even with the CMS and Network reps there, the only thing the DaVita rep would agree to was get a new cleaning service to make sure the floors are mopped and waiting room chairs cleaned.  Over the next 3 years I had the State come out numerous times and inspect the place.  Administration tried their best to intimidate me.  The medical director even said I was not complying with HIPPA rules!  Patients are not subjected to HIPPA.  However, this med director was either dumb or arrogant enough to honor my request that he put down in writing that I couldn't talk with other patients about what was going on in the clinic. 

Some of what I had to go through

* Caught the clinic forging signatures on a patient education forms.  Remediation - clinic got a fulltime admin. to oversee these activities.
* Found someone elses blood on my set up tubing a few times.  Remediation - I was allowed to begin doing station/chair cleaning and set up from then on.
* Nurse forgot to add calcium packets to my dialysate bath 2 treatments in a row.  Wasn't until the second time that I figured out the problem.  Staff had no clue.  Remediation - going forward I would be responsible for mixing my bath.

Yes, I was taking care of myself, but I still saw and reported horrible things happening to others.  Finally, I could no longer take being in that toxic atmosphere and left for my current clinic.  Been here for 5.5 years now.  It's not perfect, but for the most part staff and my neph listen.

So Deanne, if you consider standing up for my rights or not allowing dialysis staff to run roughshod over me, "reliving my own pain," then guilty as described.  However, I'm 60 years old now and still alive.  If GLM continues on her current path, she won't make it another 5 years.
« Last Edit: January 21, 2016, 02:01:41 PM by PatDowns » Logged

Frank Moiger aka (previously) NoahVale and now PatDowns, the name originally chosen by a good dialysis mate who died in 12/2013.  I started in center hemodialysis as a 22 y.o. in 1978.  Cadaver transplant in 1990 and then back to in center hemodialysis in 2004 (nocturnal shift since 2011) after losing my transplant.  Former Associate  Director/Communications Director of the NKF of Georgia, President of the Atlanta Area AAKP Chapter, and consumer representative to ESRD Network 6.  Self-employed since 1993.

Dialysis prescription:
Sun-Tue-Thur - 6 hours per treatment
Dialysate flow (Qd) - 600 
Blood pump speed(Qb) - 315
Fresenius Optiflux200 NR filter - NO REUSE
Fresenius 2008 K2 dialysis machine
del
Elite Member
*****
Offline Offline

Gender: Female
Posts: 2683


del and willowtreewren meet

« Reply #142 on: January 21, 2016, 02:14:32 PM »

The purpose of this site is too support people not to down them.  It is a site for vending your frustrations and feelings and hopefully getting support. From the looks of it "Gothic" has a lot more health issues besides kidney failure.   
The old saying "If you don't have something nice to say, keep quiet" might apply here.
Logged

Don't take your organs to heaven.  Heaven knows we need them here.
Deanne
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1841


« Reply #143 on: January 21, 2016, 03:01:18 PM »

It sounds like you're saying "I could do it, she can, too." It seems like you're comparing yourself to her. Here's what I see:

You talk a lot about how other people helped you. They were there in-person to be an extra hand for you. You're 60 years old and it sounds like you're well-educated and probably highly intelligent, maybe indicating that you had good family support, and possibly lived most of your life with a good job or another source of regular income. You don't mention other medical or psychological / psychiatric issues. You don't mention extreme financial struggles. You don't mention having been a young single parent to a special needs child. From what I've read of GLM's posts, these are parts of her life. I don't know her and as I said in my earlier message, all we know of people is what we read here, so I am acknowledge making assumptions.

It just doesn't make sense to me that you'd waste the time and energy it requires to come back to repeatedly bash someone, especially someone who has absolutely nothing in common with you. It's nothing to you if she lives for another five years, so what's your agenda? Mine is that I sometimes have a lot of fun figuring people out and arguing with them. I try not to argue too much with my friends. They become un-friends if I do that too often! So here I am, arguing here instead!

One of the things you said is that you've offered GLM advice before and it was disregarded. I had a friend ask me for advice many times in the past and I ended up frustrated and angry because I thought I was giving him great advice and he didn't once do as I suggested. I finally realized that an offer of advice does not equal "ownership" of the problem. Maybe the advice I gave was fine... for someone else. I wasn't  walking in his shoes. I only saw a tiny part of his picture. I bit my tongue when I talked to him and we're still friends. Over time, I came to see that he's a highly anxious person and probably couldn't leave his comfort zone to do anything that I suggested. It's the old adage "You can lead a horse to water, but no matter how much you berate and beat that horse, it doesn't mean it's going to take a drink." If you get upset because that horse doesn't want that water, it's your problem, not the horse's problem.

GLM has a choice to do as you tell her to do or not. You have the choice to keep trying to tell her what to do even though it should be obvious by now that she won't or CAN'T do what you're suggesting. She isn't you. I choose to believe that she, and everyone else here, does the best she can with the resources she has available to her, both physical resources and emotional/psychological resources.

If we (any of us here) can't provide the resources to go along with the advice, then it's possible that the most we can do is listen so she doesn't feel quite so alone in her battles. I can't relate very well to many people here because I've always been one of the lucky ones. I have a great job that offers financial security and insurance benefits. People tell me I'm bright. I have local friends. I'm physically fit. I have good health overall and no psychological issues (don't ask my friends or they might say differently about that!), etc. I think many here struggle with each of these things every day. I'm not going to pretend I know what their lives are like, so I can't usually offer advice about how to deal with their struggles. I don't have the experience needed. What I *can* offer is kindness. I'm just trying to do my part - someday I might need the same from someone else.
Logged

Deanne

1972: Diagnosed with "chronic kidney disease" (no specific diagnosis)
1994: Diagnosed with FSGS
September 2011: On transplant list with 15 - 20% function
September 2013: ~7% function. Started PD dialysis
February 11, 2014: Transplant from deceased donor. Creatinine 0.57 on 2/13/2014
PatDowns
Full Member
***
Offline Offline

Gender: Male
Posts: 232


Celebrating 60th B'Day. 12/26/15

« Reply #144 on: January 21, 2016, 04:12:01 PM »

It sounds like you're saying "I could do it, she can, too." It seems like you're comparing yourself to her. Here's what I see:

You talk a lot about how other people helped you. They were there in-person to be an extra hand for you. You're 60 years old and it sounds like you're well-educated and probably highly intelligent, maybe indicating that you had good family support, and possibly lived most of your life with a good job or another source of regular income. You don't mention other medical or psychological / psychiatric issues. You don't mention extreme financial struggles. You don't mention having been a young single parent to a special needs child. From what I've read of GLM's posts, these are parts of her life. I don't know her and as I said in my earlier message, all we know of people is what we read here, so I am acknowledge making assumptions.

It just doesn't make sense to me that you'd waste the time and energy it requires to come back to repeatedly bash someone, especially someone who has absolutely nothing in common with you. It's nothing to you if she lives for another five years, so what's your agenda? Mine is that I sometimes have a lot of fun figuring people out and arguing with them. I try not to argue too much with my friends. They become un-friends if I do that too often! So here I am, arguing here instead!

One of the things you said is that you've offered GLM advice before and it was disregarded. I had a friend ask me for advice many times in the past and I ended up frustrated and angry because I thought I was giving him great advice and he didn't once do as I suggested. I finally realized that an offer of advice does not equal "ownership" of the problem. Maybe the advice I gave was fine... for someone else. I wasn't  walking in his shoes. I only saw a tiny part of his picture. I bit my tongue when I talked to him and we're still friends. Over time, I came to see that he's a highly anxious person and probably couldn't leave his comfort zone to do anything that I suggested. It's the old adage "You can lead a horse to water, but no matter how much you berate and beat that horse, it doesn't mean it's going to take a drink." If you get upset because that horse doesn't want that water, it's your problem, not the horse's problem.

GLM has a choice to do as you tell her to do or not. You have the choice to keep trying to tell her what to do even though it should be obvious by now that she won't or CAN'T do what you're suggesting. She isn't you. I choose to believe that she, and everyone else here, does the best she can with the resources she has available to her, both physical resources and emotional/psychological resources.

If we (any of us here) can't provide the resources to go along with the advice, then it's possible that the most we can do is listen so she doesn't feel quite so alone in her battles. I can't relate very well to many people here because I've always been one of the lucky ones. I have a great job that offers financial security and insurance benefits. People tell me I'm bright. I have local friends. I'm physically fit. I have good health overall and no psychological issues (don't ask my friends or they might say differently about that!), etc. I think many here struggle with each of these things every day. I'm not going to pretend I know what their lives are like, so I can't usually offer advice about how to deal with their struggles. I don't have the experience needed. What I *can* offer is kindness. I'm just trying to do my part - someday I might need the same from someone else.

No psyche issues?  I lost my father at age 8 from a heart attack, while my mother was in the hospital dealing with breast cancer.  She comes home with a mastectomy and no husband.  My mother died from bone cancer 5 years later - on Valentine's Day - when I was 13.  Now orphaned,  my sister, 14 years my senior, divorced with a young child of her own, became my guardian.  While I was appreciative, our relationship was hardly ideal.  She sold the only home I knew and moved us to the other side of town.  A year later, she shipped me off to boarding school.  Six months after that, we moved to Atlanta.  And then after waiting a dozen years or so for the inevitable, I lost my kidney function.  Talk about abandonment issues!  I started therapy at 16 after trying to commit suicide on a new years eve, then stayed with the therapist for good for 27 years - from age 18 until his retirement when I was 45.   Group therapy was my saving grace from 1993 until about a year ago

"One of the things you said is that you've offered GLM advice before and it was disregarded. " - Not just me, many others from the boards as well.  It's not my position to say who, but I personally know of 4 (women) IHDers who contacted GLM through PMs and offered their help/support.  It didn't take too long for them to become frustrated with her.

"You don't mention extreme financial struggles." - In 2000 my business started heading south and it became a burden to even pay for my transplant meds.  I was living off credit cards, but couldn't get any financial help because I was considered too wealthy if having credit cards to rely on!  At the time I went on home hospice in 2004, I had lost condo and had to declare bankruptcy.  Since then, my lifestyle has changed, but with hard work, while on dialysis, I've built my FICO score back to respectability.   And, BTW, I don't blame our medical system.  It was MY CHOICE to leave a decent job to start my own business.  I knew the rules of the game.

"It sounds like you're saying "I could do it, she can, too." It seems like you're comparing yourself to her. " - not in the least.  Nowhere in my posts over the last couple of days have I stated that.  You are once again projecting.  Read my posts with a little less anger.

"One of the things you said is that you've offered GLM advice before and it was disregarded. I had a friend ask me for advice many times in the past and I ended up frustrated and angry because I thought I was giving him great advice and he didn't once do as I suggested. I finally realized that an offer of advice does not equal "ownership" of the problem. Maybe the advice I gave was fine... for someone else. I wasn't  walking in his shoes. I only saw a tiny part of his picture. I bit my tongue when I talked to him and we're still friends. Over time, I came to see that he's a highly anxious person and probably couldn't leave his comfort zone to do anything that I suggested. It's the old adage "You can lead a horse to water, but no matter how much you berate and beat that horse, it doesn't mean it's going to take a drink." If you get upset because that horse doesn't want that water, it's your problem, not the horse's problem. " - I wrote this in response to Frankswife: I probably would have backed off some if GLM  had responded at some point with something of this nature, "thanks to all who have shown an interest in my situation by taking the time to give me really good advice.   Although my goal is to better take care of myself, I'm just not at a place yet to move forward."     If she would just take responsibility for her situation as opposed to always blaming others. 

When I was president of the Atlanta AAKP chapter, one of the first things I did was move the meeting location from the "rich and lily white"north  side of town, to a well-respected hospital in mid-town Atlanta.  With 65% of esrd patients being black and financially challenged, I wanted to make it easier for them to come to the meetings.  I learned from an older black gentleman who was on the ESRD Network and  a transplant recipient, how to "hear with my eyes" when going into majority black Southern clinics in the 1980s.  He taught this well intentioned, but experience lacking young white boy why black folk address each other as Mr. and Mrs./Miss (not Ms.).  He explained to me the reason why black women, especially those 50+, wore "fancy" hats.  But his greatest lesson was teaching me to understand the concept of "hearing with my eyes."

EDIT:  Forgot to mention, I worked in an addiction treatment center for 5 yers before leaving and starting my own business.  I worked with alcoholics, drug addicts, and both female and male (very under publicized, even to this day) anorexics/bulimics.

And, my only agenda was to call out GLM.  Obviously it's not something easy to do, but....someone had to do it.  Folks can disagree with me and call me mean spirited.  I'm fine with that.  I'm not running for president.   Now, I'm off to dialysis.



« Last Edit: January 21, 2016, 04:27:12 PM by PatDowns » Logged

Frank Moiger aka (previously) NoahVale and now PatDowns, the name originally chosen by a good dialysis mate who died in 12/2013.  I started in center hemodialysis as a 22 y.o. in 1978.  Cadaver transplant in 1990 and then back to in center hemodialysis in 2004 (nocturnal shift since 2011) after losing my transplant.  Former Associate  Director/Communications Director of the NKF of Georgia, President of the Atlanta Area AAKP Chapter, and consumer representative to ESRD Network 6.  Self-employed since 1993.

Dialysis prescription:
Sun-Tue-Thur - 6 hours per treatment
Dialysate flow (Qd) - 600 
Blood pump speed(Qb) - 315
Fresenius Optiflux200 NR filter - NO REUSE
Fresenius 2008 K2 dialysis machine
Bill Peckham
Elite Member
*****
Offline Offline

Gender: Male
Posts: 3057


WWW
« Reply #145 on: January 21, 2016, 05:56:43 PM »


No psyche issues?  I lost my father at age 8 from a heart attack, while my mother was in the hospital dealing with breast cancer.  She comes home with a mastectomy and no husband.  My mother died from bone cancer 5 years later - on Valentine's Day - when I was 13.  Now orphaned,  my sister, 14 years my senior, divorced with a young child of her own, became my guardian.  While I was appreciative, our relationship was hardly ideal.  She sold the only home I knew and moved us to the other side of town.  A year later, she shipped me off to boarding school.  Six months after that, we moved to Atlanta.  And then after waiting a dozen years or so for the inevitable, I lost my kidney function.  Talk about abandonment issues!  I started therapy at 16 after trying to commit suicide on a new years eve, then stayed with the therapist for good for 27 years - from age 18 until his retirement when I was 45.   Group therapy was my saving grace from 1993 until about a year ago

"One of the things you said is that you've offered GLM advice before and it was disregarded. " - Not just me, many others from the boards as well.  It's not my position to say who, but I personally know of 4 (women) IHDers who contacted GLM through PMs and offered their help/support.  It didn't take too long for them to become frustrated with her.

"You don't mention extreme financial struggles." - In 2000 my business started heading south and it became a burden to even pay for my transplant meds.  I was living off credit cards, but couldn't get any financial help because I was considered too wealthy if having credit cards to rely on!  At the time I went on home hospice in 2004, I had lost condo and had to declare bankruptcy.  Since then, my lifestyle has changed, but with hard work, while on dialysis, I've built my FICO score back to respectability.   And, BTW, I don't blame our medical system.  It was MY CHOICE to leave a decent job to start my own business.  I knew the rules of the game.

"It sounds like you're saying "I could do it, she can, too." It seems like you're comparing yourself to her. " - not in the least.  Nowhere in my posts over the last couple of days have I stated that.  You are once again projecting.  Read my posts with a little less anger.

"One of the things you said is that you've offered GLM advice before and it was disregarded. I had a friend ask me for advice many times in the past and I ended up frustrated and angry because I thought I was giving him great advice and he didn't once do as I suggested. I finally realized that an offer of advice does not equal "ownership" of the problem. Maybe the advice I gave was fine... for someone else. I wasn't  walking in his shoes. I only saw a tiny part of his picture. I bit my tongue when I talked to him and we're still friends. Over time, I came to see that he's a highly anxious person and probably couldn't leave his comfort zone to do anything that I suggested. It's the old adage "You can lead a horse to water, but no matter how much you berate and beat that horse, it doesn't mean it's going to take a drink." If you get upset because that horse doesn't want that water, it's your problem, not the horse's problem. " - I wrote this in response to Frankswife: I probably would have backed off some if GLM  had responded at some point with something of this nature, "thanks to all who have shown an interest in my situation by taking the time to give me really good advice.   Although my goal is to better take care of myself, I'm just not at a place yet to move forward."     If she would just take responsibility for her situation as opposed to always blaming others. 

When I was president of the Atlanta AAKP chapter, one of the first things I did was move the meeting location from the "rich and lily white"north  side of town, to a well-respected hospital in mid-town Atlanta.  With 65% of esrd patients being black and financially challenged, I wanted to make it easier for them to come to the meetings.  I learned from an older black gentleman who was on the ESRD Network and  a transplant recipient, how to "hear with my eyes" when going into majority black Southern clinics in the 1980s.  He taught this well intentioned, but experience lacking young white boy why black folk address each other as Mr. and Mrs./Miss (not Ms.).  He explained to me the reason why black women, especially those 50+, wore "fancy" hats.  But his greatest lesson was teaching me to understand the concept of "hearing with my eyes."

EDIT:  Forgot to mention, I worked in an addiction treatment center for 5 yers before leaving and starting my own business.  I worked with alcoholics, drug addicts, and both female and male (very under publicized, even to this day) anorexics/bulimics.

And, my only agenda was to call out GLM.  Obviously it's not something easy to do, but....someone had to do it.  Folks can disagree with me and call me mean spirited.  I'm fine with that.  I'm not running for president.   Now, I'm off to dialysis.


If you decide to rage quit IHD please don't delete all your posts
Logged

http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
Home Hemodialysis: 2001 - Present
NxStage System One Cycler 2007 - Present
        * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
Deanne
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1841


« Reply #146 on: January 21, 2016, 06:32:54 PM »

Thank you PatDowns! It's great to meet you. You've endured awful struggles and came out on top. This is something that I bet GLM can learn a lot from. It isn't specific advice, but a show of strength, endurance, and courage on your part. I suspect many people are glad to call you their friend.
Logged

Deanne

1972: Diagnosed with "chronic kidney disease" (no specific diagnosis)
1994: Diagnosed with FSGS
September 2011: On transplant list with 15 - 20% function
September 2013: ~7% function. Started PD dialysis
February 11, 2014: Transplant from deceased donor. Creatinine 0.57 on 2/13/2014
PrimeTimer
Elite Member
*****
Offline Offline

Gender: Female
Posts: 2401


« Reply #147 on: January 21, 2016, 07:17:07 PM »

A long long time ago I was a national/international track champion. One of my track coaches use to push me so hard, I hated him for it. Eventually I realized that the more he cared for someone, the harder he pushed them to realize their full potential (both on and off the track). But for so long I felt a resentment. My coach pushed me, my parents pushed me, the media pushed me and then out in the world, people, friends and employers pushed me. Everything I did I felt I had to do to perfection or else. Then I had financial issues (been laid off more than once), marriage issues (divorce) and  health issues. I also went thru some over-the-top pretty darn bizarre scary stuff. Stuff you only see in movies or read about in headlines. More pushing...more feeling as tho I have to keep ahead of it all. But darn it, there comes a point when you don't want to be "the strong one" anymore. Just once you want to be weak and be able to say "I've had enough! I can't take it anymore!". And when you say that, everyone freaks out. And then you feel like dirt. I am sick of that. But that's my problem, not theirs.

A doctor once told me that depending on what we go through and the frequency of drama/trauma we go thru and the older we get, the harder it is to sometimes bounce back. And sometimes we don't always bounce back. At least not in the way we use to. But we learn coping skills and put into place mechanisms we hope we can rely on. Sometimes it's just about taking things by the day or literally by the minute. I don't think any of us were meant to be perfect. I don't think we have to be a champion at anything, either. We can "just be" and that's okay. Or it ought to be. When life gets you down or makes you angry or you feel you are being pushed over your limits...it helps to be able to come here and say so. It's also great to try to help someone else if you think you may be able to. Sometimes it's good to push someone, sometimes not. I think we all know what we can/cannot handle and speaking up goes a long ways towards helping ourselves. We each have our strengths and our weaknesses. Our silly side and are serious side. This is who we are and this forum let's us be.   
Logged

Husband had ESRD with Type I Diabetes -Insulin Dependent.
I was his care-partner for home hemodialysis using Nxstage December 2013-July 2016.
He went back to doing in-center July 2016.
After more than 150 days of being hospitalized with complications from Diabetes, my beloved husband's heart stopped and he passed away 06-08-21. He was only 63.
PatDowns
Full Member
***
Offline Offline

Gender: Male
Posts: 232


Celebrating 60th B'Day. 12/26/15

« Reply #148 on: January 21, 2016, 11:57:27 PM »


If you decide to rage quit IHD please don't delete all your posts


Thanks for your advice, Mr. Peckman.  I'll take it with a "pinch" of salt.  LOL
Logged

Frank Moiger aka (previously) NoahVale and now PatDowns, the name originally chosen by a good dialysis mate who died in 12/2013.  I started in center hemodialysis as a 22 y.o. in 1978.  Cadaver transplant in 1990 and then back to in center hemodialysis in 2004 (nocturnal shift since 2011) after losing my transplant.  Former Associate  Director/Communications Director of the NKF of Georgia, President of the Atlanta Area AAKP Chapter, and consumer representative to ESRD Network 6.  Self-employed since 1993.

Dialysis prescription:
Sun-Tue-Thur - 6 hours per treatment
Dialysate flow (Qd) - 600 
Blood pump speed(Qb) - 315
Fresenius Optiflux200 NR filter - NO REUSE
Fresenius 2008 K2 dialysis machine
gothiclovemonkey
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1659


« Reply #149 on: January 22, 2016, 02:39:31 AM »

We all have things that shape us into who we are. I try to look at my life with no regrets. everything ive gone thru shaped me into who i am otday.

Patdowns, I too lost my mother when I was 13. She had multiple health issues. I was late waking up for school, went in to tell her I was going to school, and she was dead. that kind of loss is hard to deal with. I am sorry for your loss and hardships.

I dont know why you keep saying i blame others? You keep accussing me of all these things but then dont tell me what you mean or how you figured? so please do. One cant hardly change if they dont understand what they are doing wrong.

So yall are frustrated because you think i didnt follow anyones advice? but how the hell does anyone know what i did or didnt do? just because I dont post about something doesnt mean it didnt get done.
 
And lastly, as many have stated, maybe I just wanted to vent to people who could understand whats going on. With the exception of talking to my 11 yo son, and medical folk : doctors/therapist/dialysis techs/nurses, I hardly have conversation with anyone offline.
Logged

"Imagine how important death must be to have a prerequisite such as life" Unknown
HemoDialysis since 2007
TX listed 8/1/11 inactive
LISTED ACTIVE! 11/14/11 !!!
Pages: 1 ... 4 5 [6] 7 Go Up Print 
« previous next »
 

Powered by MySQL Powered by PHP SMF 2.0.17 | SMF © 2019, Simple Machines | Terms and Policies Valid XHTML 1.0! Valid CSS!