This document is intended to be read only by Kaylin Reeve, ARNP or James Watson, MD (or both). If you are neither of them, do not continue to read--this is not for you. If I find anyone else has read this document, I will investigate whether that action violates the Health Insurance Portability and Accountability Act.

If you are not Reeve or Watson, stop now

.

..

...

....

.....

....

...

..

.

 

I would rather be a nice guy, but I keep being dumped on, so it's time to stop that, and be a hard ass.

Every time I have had to reschedule, I've been given new information I had no clue I didn't know. Frankly, I've been mushroomed - - - I've been kept in the dark and had (manure) thrown on me.

I will not tolerate that any more. Seriously, I have accepted being told so little, on the assumption you all are dedicated to my interests. This latest **** says that the promise I would have all preliminaries dealt with in one day, has been inexplicably but entirely violated. I will not tolerate that any more. Seriously, I have accepted what little I've been told, on the assumption you all are dedicated to my interests. This make me doubt that everyone is acting in my best interests.

Thus, I have canceled the latest appointment. Further, I have a large number of questions that I insist on being answered. NB: "I don't know" is an answer.

Which prodecure do I need to fast for? Why do you need me to fast?

VERY IMPORTANT NOTE!!: Other than the preceeding questions, I have been given enough info on the mechanics; what I need to know is the human side of things; i.e. what it feels like, what should (and might) I experience, what is the interaction between human and machine like? I need and human aspect answers. What is the physical experience? I accept you cannot predict my mental and emotional responses, but what are you able to say about the experiential side?

DO NOT COPY/PASTE FROM A STANDARD DOCUMENT. Since I am a human being, I insist on human-oriented replies. Boiler-plate "bedbug letters" won't do.

Why not communicate by EMAIL? This sideways BS is a pain - - - I get an email that tells me I have to take X number of steps to get to "MyPortal"'s clumsy, grotesque PITA "message" idiocy. Such a waste of time!

When I do go in for the preliminary proceedure, is there anything I should, or shouldn't wear? Is there anything I should, or shouldn't carry or have with me? Especially food/snacks? Is there anything. in such a situation, I should or shouldn't do? NOTE!!: don't tell me about fasting; I already know enough about that.

If the catheter is a small camera, how is radiation concerned? If it isn't, what is it? In any event, how is it used, why is it used, what does it feel like?

Who does the catheter? Who is the surgeon keep, vaguely, referring to? What does he/she actually do? What does Avila actually do? What does Watson actually do? How do they communicate with each other? Who makes which decision? Who is in charge? If not Dr. Watson, what is his position and job? Ditto for Dr. Avila.

Who else may be involved? Nurses, orderlies, staff, etc.?

What order do things happen in? Especially if I get all the stuff done on one day.

Why can't you keep the promise I was given that all the preliminaries would be done on one day? I'm 72, I'm too old to fret about medical radiation. Why not all on one day??
Or is the problem kidney related? Or is the problem neither of the reasons I've been given?

How long will everything take?

If I arrange transportation with WXYZ, will they take me from home to Overlake and from Overlake home? Will they be willing to deal with "whenever it's done" or will they insist on an exact time?
Please note that it would take FOUR busses to get from home to Overlake (home to North Bend park&ride, to Issaquah "Transit Center", to Bellevue "Transit Center", to Overlake). Ditto to get home.

Please describe, fully, step-by-step, what is supposed to happen. Do this in terms of what I will experience --- NOT the medical technological side of things, but the human side of things.
I accept it might not go 100% as "normal", but tell me what "normal" should be, and what "not normal" is likely to be. Especially, tell me what it will feel like.

If I decline the operation per se, how long may I expect to live?
What treatments/pills/herbs/life changes/etc. will help slow down the "progress" of this condition?

How can I contact Dr. Avila (or his "team") directly? How about Dr. Watson?

If I put up with having the CT and the consultations on another day from the day of the catheter, what time of day would that start and when would it be over?

Again - - - my questions are about the human-level experiences and actions and situations. PLEASE, do not bother with medicotechnological matters. I want to know --- I insist on knowing -- what I can expect to deal with as a human being. And again, I accept you cannot guarantee precisely what I'll experience, what I count on you doing is giving me is a run-down on "normal" and "not unusual" and "well, perhaps", or to admit you do not know.

What questions have I not asked, that you would expect someone in my position to ask?
Of all the things people in my situation are suprised by, what are the most common surprises mentioned? What are the most shocking or upsetting?

Of all those who wish they hadn't gone through with the catheter, or CT, what are the reasons they give for wishing so?

Don't mushroom me, don't keep me in the dark and throw (manure) on me.