Earlier this week, I wrote about my wife’s summer-long ordeal with her bored general practictioner, who spent his COVID Vacation searching through her medical file to find shit to tamper with. I also touched on tipping your servers and hookers. Well, not tipping your hooker, but the economics of prostitution. Although you should probably tip your hooker. And no, not “just the tip.”
Regardless, after living through Wife’s own medical-solution-in-search-or-a-problem, I probably should’ve been more on guard when my own doctor asked to set up a phone call. To be fair, although I’d like to be a writer, a chronicler of the human condition, I’ve never claimed to be all that observant.
Doc wanted to talk to me about cholesterol medicine. Doc’s been wanting to talk to me about cholesterol medicine for quite some time. A few years ago, I went in for something, probably gout, and he pulled a “Hey, I don’t give a flying fuck about what you came to me for, your cholesterol’s a smidge high, so let’s randomly prescribe you some statins.”
Sure. Why not? He sent me over to the pharmacy and I left with the drugs that very day. On the way home, Wife told me I miiiiight want to look up some of the side effects of statins. Umm, okay. I’m sure I’m not the only person who approaches the medical profession with confused acquiescence.
Okay, here’s what my robot overlord, Google, tells me are some statin side effects:
They might spike blood sugar. Hmm, I’ve been prediabetic for five years.
Liver damage. Hmm, I’m a borderline alcoholic.
Kidney problems. Well, at least it won’t make my gout worse.
At least I’m at Kaiser. One of the reasons I chose the Kaiser, aside from my love of old-tyme handlebar mustaches and pickelhaube helmets, is that you can see your test results online. Back when I was on a different plan, my doctor would tell me something in my blood was “a little elevated,” which could mean just about anything.
“So it turns out there’s some extra lead in your system.”
“Yeah, Doc, I came to you for a gunshot wound.”
But at Kaiser, I can see precisely where I am and, even better, what the standard range. When I got home from the “quick, take these drugs before you ask your wife about it” appointment, I looked more closely at my last blood test. The standard range for cholesterol is listed as anything under 239. My horrible, sky-high cholesterol that needed drugs right the fuck now was a whopping… 219.
Except, you see, it’s not just a matter of overall cholesterol. You’ve got to look at the good cholesterol versus the bad. Your HDL, or good cholesterol has to be over 40 or else you’re unhealthy, and mine was only at a measly 52. Oh, and that LDL, it’s the bad cholesterol and we should really look for a way to get it under 159. So maybe some drugs will improve my reading of… 150.
I’m not saying I’m the picture of health. But if all of my cholesterol readings are within the range that’s deemed “normal,” it doesn’t seem to be something I should be pumping my body full of side effects for. Sorry, Kaiser Wilhelm, if you don’t want me making uninformed decisions, then maybe you need to not let me see the information.
Why are they giving me pills to fix something that ain’t broke, especially if there’s a good chance it’ll break something else? I mean, if I take these pills to drop my cholesterol from an “on the high end” 219 down to an, I don’t know, 200? While at the same time spiking my blood sugar and losing both my vision and my feet to diabetes, I wouldn’t necessarily call that a “win-win.”
So I came home with the prescription but never used it. That worked for a while. Doctor got his kickback from the pharmaceutical company and I kept my liver. Actually, the next two times I got tested, my cholesterol went down, first to 199 then to 189, despite never touching the statins. Maybe I’m so magical that just convincing myself I needed to lower my cholesterol was enough to do it. It’s some Jedi magic.
Or else maybe my cholesterol fluctuates inside the normal range. There’s a reason it’s called a range, right?
But eventually they caught onto my duplicity. Not because my cholesterol changed, but because I never refilled the prescription for something I’m supposed to be taking every day. Or maybe they were onto me because my blood sugar didn’t spike enough. “People who take our drugs can’t be as healthy as you are.”
After a year or so, doctor sent me a nastigram that I better take my fucking medicine like a good fucking boy. I ignored him, so he referred me to the big boss. I started getting emails from some random dude, inside Kaiser, listed as “Pharm.” That might stand for pharmacist, but I assume he works for Big Pharm, which is where this entire push must be coming from. My doctor needs to get a new Porsche or something, and the gout medicine people just ain’t willing to cup his balls the way he likes on the reach-around. I mean, if there ain’t kickback going all the way up the wazoo, then why the hell are we not only prescribing cholesterol medicine to people who don’t need it, but actually following up to ensure that said individual is taking said unnecessary drugs.
By contrast, I also have asthma (hurray, mid-forties!) but I’m really bad about using my inhaler. Not the emergency inhaler. I use that one often. But there’s an inhaler I’m supposed to use every day that will prevent the need for the emergency inhaler. Problem is that when I’m breathing fine, I forget. So that’s another prescription I’m supposed to fill every six months or so but regularly go two years between refills. And not a single email from doctor nor pharmacist nor Pfizer lobbyist. Because if you can’t breathe, meh. But if your cholesterol is normal, well then that’s a problem we need to solve!
So there I was, foolishly accepting the call from a doctor with way too much time on his hands, knowing full well that he had some drug kingpin breathing down his neck to make sure he gets all his little cretins hooked, and wouldn’t you know it, he doesn’t want to ask me how my breathing’s going with all of the fires going on, like the snazzy new “Glass Fire,” proving that I’m a fucking Nostradamus who nobody heeds. Nope, what he really wants to talk to me about is how important it is that I get my normal cholesterol under control.
This time, however, I was prepared for the statin conversation. I asked for clarification, like why the fuck am I supposed to risk making some of my medical conditions worse in order to fix a problem I don’t have. It turns out that cholesterol medicine ain’t got shit to do with controlling cholesterol. Studies have shown that prescribing statins to people who don’t need them severely lessens the likelihood of, I don’t know, heart attacks and stroke and scurvy or something.
Honestly! Why, the drug company who has the patent for this drug has run bazillions of tests and, wouldn’t you know it, they all came back proving that their product rivals only the flush toilet and electricity in the advancement of the human race. And the proof is that, when they prescribed it to people who didn’t need it, those people ended up STILL not needing it. It’s kind of like saying that stitches help people who’ve been stabbed by a sword, but our tests show that unstabbed people who were given stitches ALSO didn’t exhibit signs of sword punctures. Stitches greatly reduce your chances of bleeding out in a medieval dungeon.
My doctor assures me that the DHS has signed off on this whole cholesterol-medicine-for-non-cholesterol-purposes thing. And boy howdy, if COVID has taught us anything, it’s that government agencies devoted to our health always know what they’re talking about. Like when the virus was airborne for, like, an hour before the CDC took it off their website because the president complained. A week later, it was airborne again. Hopefully you weren’t breathing in deeply for that week that the virus was noncommittal.
And yeah, I know that the Department of Health Services ain’t the same as the Center for Disease Control, but the only reason we’re focused on the latter is because they’ve kept us hostage all year and we’re suffering from Stockholm Syndrome. Even if the DHS whims can’t keep me chained to my refrigerator for the next fortnight, my eyebrow’s still rising over them suggesting what we really need in this world is more random, never-ending prescriptions. Those bacteria ain’t gonna develop antibiotic immunity by themselves, y’all! For all I know, the Orange One has a bunch of stock in the statin company and that’s why they’re now suggested for everything from hemorrhoids to gunshot wounds.
Then again, I’m just now realizing that the DHS is the British single-payer system. Shit, is my doctor running my blood tests in metric? Maybe that’s why my numbers don’t match what he’s saying.
Or maybe he’s talking about the other DHS, the American one that likes to look at your browser history. In which case I better get me some statins, because unlike some mamby-pamby doctors and pharmacists, you DEFINITELY don’t want to ignore the suggestions of the water-boarders.
Then again, if it’s the Department of Homeland Security, then they need to update their sales pitch.
Lower your cholesterol! Avoid heart attacks! Now with fewer anal probes at the airport!!!