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Opinion The Last Word

Doctors and Dollars

This past Wednesday, I experienced a parenting milestone that I’ve been dreading ever since I became pregnant: my child’s first emergency room visit.

All things considered, it could have been a lot worse. My son came out of the hospital the same night he went in (well, technically the next morning, at 1 a.m.). He didn’t have to be admitted, his life wasn’t at risk, there were no broken bones. Every single staff member we encountered at Le Bonheur Children’s Hospital treated us with compassion and care. But I’m still left shaken at the thought that he is old enough now to most likely remember the whole thing. After all, some of my earliest memories are from the emergency room.

My first tryst with the emergency room occurred after I tripped over a crack in the sidewalk outside of Snowden Elementary and went face-first down some concrete stairs. Every childhood picture from the immediate years after that little tumble caused my older brother to remark, “You look like a hockey player.” He’s not wrong.

But the trip to the hospital that keeps coming to mind since last Wednesday night happened later that same year. Like my son, I was four years old. Also like him, I went because of an ear infection that had morphed into a more serious issue. The similarities end there. My son’s ear infection was coupled with a virus. Mine caused my eardrum to rupture. “Explode” is the word the doctors used, and that always stuck with me, probably because of the dramatic flair.

What I remember from that night is that my dad didn’t take me to the hospital right away. Four-year-old me begged to go as we walked together through the house, my dad holding me and humming, desperate to alleviate my pain, but hesitant to make the 30-minute drive to the emergency room in the middle of the night. It was about 4 a.m. when he finally called my grandmother to accompany us. He was new to the area and needed directions (this was before the internet, MapQuest, or GPS).

Growing up, I never truly understood my dad’s reluctance until I became a parent myself. The sheer logistical nightmare of taking a child even to their own pediatrician is enough to make you want to be certain. I can’t tell you how many times my son and I have gone to his doctor’s office only to find out that he essentially had a cold. It’s hard to know what to do when your kid is too young to articulate what’s wrong.

There’s another reason I can now sympathize with my dad’s plight. Every time I’ve been to the emergency room as an adult, it has been preceded by a drawn-out attempt to avoid the ordeal at all costs. At all costs. Every time, that’s what makes me stall, despite the pain (I’ve been to ER three times for kidney stones. The pain is no joke.). I know friends and family members who have done the same. The cost of an emergency room visit, even with health insurance, has made me delay even when in the worst pain of my life. My child’s trip to Le Bonheur was the first time I didn’t hesitate when faced with going to the hospital.

While I will be forever grateful for the wonderful care my son received from every doctor and nurse involved in his stay, the reality has been brought home to me, for the millionth time since becoming a mother: Good health is a privilege. The stark reality is that money is deeply entwined with my son’s, and every child’s, healthcare.

He needed blood work, a urinalysis, and an IV. I am highly aware that for many parents, these things would be beyond their budgetary capabilities. Heck, if it weren’t for my ex-husband’s great insurance, they all would have been beyond my budgetary capabilities. It is almost impossible to articulate the mixed feelings of deep relief that my son was provided for and the unrelenting guilt that so many children are left by the wayside.

It is almost impossible to articulate the deep confusion and crushing sadness that so many people can write off universal healthcare where children are involved. Even without my own personal experiences weighing medical cost vs. medical need, I have never understood this sort of thinking. I don’t think I ever will.

Coco June is a Memphian, mother, and the Flyer’s theater columnist.

Categories
Calling the Bluff Music

New Documentary Showcases Musical Impact on Le Bonheur Patients

A bedridden Le Bonheur patient receives a live performance in ‘Melodic Medicine.’

There’s an old saying that music can soothe the soul. And research shows it can serve as a form of therapy — boosting the ability to reduce stress, depression, muscle tension, and other physical and psychological issues.

A new documentary highlights the positive impact music has on youth at Le Bonheur Children’s Hospital. Entitled Melodic Medicine, the 12-minute film profiles local artists interacting with patients and providing them with intimate performances, along with a few smiles.

“We always complain about our daily lives — stuff we have going on,” said a member of Chinese Connection Dub Embassy during the documentary. “We don’t take the consideration to look toward others who have it a little worse than [we] do. We have to be thankful.”

Other artists who appear in the documentary are Cimberly Rene, William Charles, Danny Cosby, Vanessa Winter, and Frankie Hollie.

All of the aforementioned artists are involved with the Musicians for Le Bonheur project, a movement launched in 2010 by Memphian Justin Jaggers. Since its establishment, around 40 artists have come together annually to raise money for and awareness of Le Bonheur through a compilation album, as well as live performances. All of the proceeds raised from the endeavors go toward supporting Le Bonheur’s efforts in pediatric medicine. Thus far, the project has raised around $10,000 for Le Bonheur.

Since the 1950s, Le Bonheur has served Memphis children, and those throughout the Mid-South, refusing to turn away a patient no matter their financial status.

Melodic Medicine was created as part of this year’s Musicians for Le Bonheur project. The film is narrated by WMC-TV Action News 5 morning reporter Amy Speropoulos and directed by Jaggers.

“I love coming down here and playing my guitar, and you can’t beat a smile of a kid,” said Frank Hollie in the documentary. “And when a kid smiles at you for playing something that they know or something that they like, it’s just very heart-touching.”

Check out Melodic Medicine below. 

New Documentary Showcases Musical Impact on Le Bonheur Patients

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Categories
News The Fly-By

Program Helps Lower Infant and Maternal Mortality

For the past two decades, a program has paired low-income, first-time mothers with nurse mentors through their childrens’ second birthdays. Now a study of that program is showing a reduction in preventable deaths of both the mothers and their kids.

The study followed more than 1,100 African-American mothers living in disadvantaged areas of Memphis. Conducted by Nurse-Family Partnership (NFP), the program paired the first-time moms with a nurse who provided home visits throughout pregnancy until the child turned 2 years old.

The NFP program study revealed that infant mortality and preventable deaths among low-income mothers, such as suicide, homicide, and drug overdoses, were less likely to occur with families paired with nurses versus households assigned to a control group that didn’t receive visits. Results of the program were delivered last week at Le Bonheur Children’s Hospital.

Shassidy Paige said receiving nurse home visits strengthened her parenting skills. Paige enrolled in the NFP program 14 weeks into her pregnancy. She, her husband, and their now-10-month-old son Steven receive visits from nurse Jill Lewis every two weeks.

“[During the] times when I wanted to give up and was just so stressed out from having a small infant, Nurse Jill and the program were so supportive and just pushed me to keep going,” Paige said.Every tip, handout, and pamphlet I use, because it really helps me. I’m a first-time mom, so there was a lot of stuff that I didn’t know how to do. I have the support of mom, grandmom, and everybody, but just having someone there [who is] medically inclined is great.”

Through the program, nurses guide women with improving their prenatal health, creating safe sleep environments for their babies, and helping them communicate more effectively with their child.

After following mothers from 1990 to 2011, the study revealed that mothers from the control group who didn’t receive nurse visits were eight times more likely to die from preventable causes like suicide, drug overdose, unintentional injuries, and homicide than nurse-visited mothers.

According to the study, children in the control group who didn’t receive nurse visits had a mortality rate of 1.6 percent for preventable child deaths (such as homicide), sudden infant death syndrome, and unintentional injuries.

David Olds, lead investigator for the study, said improving children’s health and development and first-time mothers’ personal health and economic sub-sufficiency are key goals of the initiative.

“Serving women having their first pregnancies is a unique period in human development where we can help them do this job really well and learn how to care for themselves and their babies,” said Olds, a University of Colorado professor of pediatrics.

According to the study, nurse-visited mothers had better prenatal health, reduced rates of closely spaced subsequent pregnancies, and decreased use of welfare, Medicaid, and food stamps. Nurse-visited mothers also had both fewer behavioral impairments due to substance use and attitudes that predisposed them to abuse their children.

Nurse-visited children were less likely to be hospitalized with injuries, have behavioral problems at school, and suffer from depression, anxiety, and substance use as young adolescents than children assigned to the control group.

Paige said the program has helped her reenroll in college. And her son Steven is already walking and up to date on his baby care and immunizations.

“I refer the program to first-time moms all across Memphis,” Paige said. “I brag on the program all the time, because it has really helped me, and I know it can help someone else who isn’t really sure about how to correctly raise a child.”