Subscriptions & Donations Absolutely Still Needed
Maggie is doing really well, even better than yesterday.
I have a full report from both the morning, swing, and overnight shifts for Saturday/Sunday morning. Just took the Sunday morning report minutes ago at 5:10 am CT/3:10 am PT. (I'm on PT out here in Seattle.) As of right now, all of Maggie's vital's are fine. Her oxygen is 96% (compared to 92% a day ago.) Her BUN and Creat are also fine. She's peeing (which she wasn't a day ago, or only barely) at about 30ml's an hour v. input of 150ml's IV fluids.
Maggie was VERY dehydrated when she came in. Folks -- including myself -- were perhaps a touch slow in figuring that out, only getting clear about it yesterday in ICU Stepdown. Makes sense however, as her damn bowels were all caught up and strangulated off in the hernias. So no matter what she poured in, only some fraction of it was able to get through to her body, resulting in dehydration. As I said, she'd lost 87 pounds. That should have rung loud bells for all of us but didn't. We were all busy thinking about the surgery and her vitals were inside normal limits. Well, it caught up with us yesterday. NOT to say that her vitals are off; they are not. However she's taking in 150ml of IV fluids an hour and didn't start peeing till swing shift Saturday which is when they increased her to 150ml/hr from where they had her. Before then not only was her input less, but the lack of pee was perhaps justified due to anesthesia. Afterward everyone -- and by everyone I mean the internal medicine/ICU doctor -- woke up and figured out the dehydration, upped her fluid input, and "poof", till she started getting above 30ml/hr which is "acceptable" output. Which means her kidneys are working okay, which is always one of the first big steps after any surgery and for sure after major surgery such as this where the bowel and everything in the abdomen was involved.
Maggie is getting unlimited ice chips for comfort (as the inside of her mouth is still very dehydrated) and will be till she can start drinking. She won't be allowed to drink till the NG tube comes out, and that isn't going to happen till her bowel opens up which hasn't happened yet at all, not even passing any gas. This is normal after surgical shock. I remember after my recent colonoscopy where my colon was completely clean ('cause of all the cleansing stuff I had to drink prior to the procedure) my colon was quiet for at least 24 hours and perhaps as much as two to three days before starting to come back towards normal. And that was after something simple, just a fiber-optic scoping of the bowel, not something where the entire abdominal cavity was opened and the bowel was actual run through the surgeon's fingers and inspected, repaired as needed, and packed back in place with mesh to hold everything where he put it. *smiles* Point being, anyone's bowel would likely be quiet for a few days after such treatment and this is to be expected. I expect to start hearing some bowel action within the next 48 hours.
The abdominal drain is almost done now, very little still coming out and no signs of infection. Her lungs are absolutely clear. She's been sleeping both when I called in during swing shift and on the over-night, which is really super good. The more sleep the better.
The nurses are quite content with her progress and are not worried about anything.
Last on the medical report, Saturday day her GYN/Oncology doctor (whom Maggie used to work for many years ago) came in. He was in the surgery and said, after making crystal clear that it's the biopsy that matters and everything he's saying here ultimately doesn't matter worth a damn if the biopsy comes back with different results. That said however, he reports that during surgery Maggie's uterus and ovaries looked and felt absolutely unremarkable. And, again he emphasized, while that is all good and wonderful, we don't know anything till we have the biopsy results.
My point of view: I agree with him completely about the biopsy ruling everything. That said, in my experience with someone with Maggie's history of LACK of medical care, I suspect we'd have seen gross abnormalities if she had cancer. I guess it's possible she could be just getting cancer but I find it unlikely she could a) get cancer, b) get this abdominal problem and have it get so bad she has to have emergency surgery, and c) both at once while the cancer is not able to be detected visually or by touch in any way. I mean, I guess it could happen. Just don't think it's statistically at all likely. And of course, we'll wait for the biopsy results because as the doc says, the biopsy results truly are everything.
Thus ends the medical report. Shorter me: she's doing great. Really and truly great, and progressing very very well. How she is doing greatly exceeds my wildest expectations for her post-operative course to date. I keep adjusting my expectations upward and she keeps exceeding them. She's doing GREAT.
(Stories to follow. Good ones.)
Financially however she is not yet doing great. Let me be really blunt. She's going to be out of work at least a month, maybe six to eight weeks as she recovers. Yes, we've received some donations, even some very generous donations and both Maggie and I appreciate them more than I can say. However it's not going to be enough. Maggie is going to run out of money two weeks from now, three if she's very lucky. We need to raise thousands and thousands of dollars at least.
We're working to see about Federal aid, but even if we manage it -- which is NOT at all a sure thing -- it will take a while, and it isn't so much for financial aid as I understand it, but to get her a Medicaid card so she can have Health Insurance.
Bottom line: Maggie needs people to subscribe, to make monthly commitments of $200, $100, or $50. If you can't make a monthly commitment then please donate as much as you can afford even if it stretches you. It'll be good for your soul. *smiles* Really, it will be. Do unto others; helping the sick and poor; every spiritual discipline and religion says to take care of the sick, the poor, and has a version of the Golden Rule. And this is Maggie. She needs YOUR help. I don't care if it's $5, $50, or $500. I want everyone to donate something. It's for Maggie. Seriously.
Maggie's in the Step-down ICU with at least five tubes in her. (She's been calling herself "Tube-Girl".) Maggie will be out for at least 4-6 weeks. Like most working poor she has zero reserves. More accurately, WE are her reserves. PLEASE subscribe to Maggie's Ongoing Well-Being (or at least Donate generously.)
Someone asked in comments if they could have Maggie's hospital info so they could send cash. Um, no, sorry. I spoke with Maggie about that specifically today -- she sends you her love and thanks you for your offer. To send Maggie cash please send a Check or Money Order made payable to Group News Blog, to Group News Blog, PO Box 809, Bellevue, WA 98009. In the MEMO field write: Maggie Jochild. Please do NOT make it out to Maggie. She has no way to get to the bank and, for now at least, we're not set up for items made payable directly to Maggie. Stuff for GNB we can transfer via PayPal to Maggie in moments, and then transfer directly to her bank account. (The ideal method is PayPal donation direct to Maggie but whatever works for y'all.) At the moment we're assuming ALL donations to GNB are for Maggie (so even if someone forgets to fill in the memo field it'll still get transferred to her PayPal account.)
Okay, story time and some stuff Maggie asked me to pass on.
First, I've now read to Maggie every post and every comment (through Saturday am) posted at Meta, GNB, and DTWOF. Maggie asked me to tell you very specifically how much she appreciates your comments, she loves you all -- she's talking to you, yes you -- and that she IS hearing what you have to say. From me: she loves, loves, loves hearing from you. It is the highlight of her day. Even if you've already commented two or three times, don't hesitate to comment and to comment multiple times, to leave LONG comments telling how your day is going and what's happening. Talk as if you were sending her an email or writing to her. I will read them to her (depending on how she's doing.) I assure you that y'all are an enormous part of what is having her recover so fast. So comment, comment, comment away.
The night Maggie went into the hospital before she called me (moments before she called 911) she wasn't sure what to do. The pain'd been getting worse and worse for days but, well, she'd been through pain SO many times before and it'd always, eventually, gotten better. This pain however just kept getting worse. The question was, was it bad enough? She didn't know. So we're clear, we're talking pain so bad most people'd call it torture. Or'd be screaming. Or'd be unconscious already 'cause their body simply knocked them out. Maggie on the other hand, was debating if the pain was bad enough to go to the hospital.
THIS is what not having health insurance does to people. Both Maggie and I agree that if she'd had health insurance, if there was health insurance available for her, she'd have been seen and treated eight months ago and none of this would have happened. But I digress.
So there Maggie is last Wednesday night, in pain so brutal that she, a woman who routinely lives with pain so intense it sends her to bed for days, is now, finally, after days of unremitting and ever-increasing pain, is finally considering calling for help.
She does ask for help. She prays.
Maggie prayed and asked her Mamma -- Mary Jo Atkins Barnett (1927-1984) -- "Mamma, what should I do?"
"Instantly", Maggie told me, "instantly, the pain became intense, so intense there was no question at all, none."
"Mamma, you didn't need to shout."
Maggie picked up the phone, called me, called 911, left two weeks food and water for Dinah. Time for a hospital trip.
*smiles*
Two hours later I was talking with her in the hospital; she was telling me how polite and wonderful the paramedics were with her. Go Austin medics go! (I used to be a paramedic in Houston. Back in 1980. Scary damn place to medic.)
For those of you wondering, no, Maggie hasn't written any poetry that I know of since the operation, however contrary to all appearances, I don't always know. I heard her demanding a notebook -- which had gotten misplaced during the migration from her on-Ward bed pre-surgery to her ICU-Stepdown bed and where was her notebook?! Eventually someone brought her a couple of pieces of paper and promptly stuck her ice-chip glass full of slushy water and ice-chips six-inches up above her eyes on a tray over her. She found that completely unacceptable and was not a happy camper at all. All this yesterday in the hours immediately post-op when she was just getting settled in.
Maggie loves the nurses and they adore her. That said, it's worth one's life (or at least health) to tear one out on the nurses in a hospital. They literally hold your life in their hands. (Maggie has my permission to use me whenever she needs to dump an emotional upset.) Making friends with the nurses, telling them how wonderful they are, being genuinely blown-away by who they are... all these are obvious survival strategies (for someone who needs strategy.) For both Maggie and myself -- I say this for future Googlers -- it is plain and simply the truth. We (myself as a former medic) and at the moment, she as a patient, are simply blown away by whom Nurses are. They rock; they roll. They rule hospitals. Doctors breeze in and breeze out and yeah, they work their asses off in a different way. But it's nurses working double shifts while also raising three kids as single parents and supporting the Union and advocating for patient care and trying to get a special program off the ground for this, that, or the other thing. Nurses were two of the four instructors in my paramedic program and ran ALL the critical classes. They are amazing human beings and great people to have in your corner.
So I don't know if Maggie's writing at all. Don't think so. Don't think she has a notebook. She does love her nurses though.
There's this one nurse on the night shift, both Friday and Saturday night. (Night shift goes from 11pm - 7am.) The woman is in her late twenties, early thirties, part Cherokee and all East Texas with this beautiful lilting Texas twang in her voice. She keeps calling Maggie "Baby Doll" and "Baby Girl". Maggie LOVES it; cracks her UP. Every time I talk with either this nurse or Maggie now I'm dropping into my own southern accent from the seven years I lived in the South. Cracks me up also.
*laughs*
We be having a GOOD time.
That's it for now. We do need your subscriptions/donations to Maggie's financial well-being, really and truly we do.
That said, Maggie's good. Her health is on track. The nurses are great and cracking Maggie up. We be having a GOOD time.
*hugs* to all and please COMMENT, comment, comment for Maggie.
Thanks, y'all.
Cross-posted at Meta Watershed and Group News Blog.
Sunday, October 18, 2009
Maggie Jochild Sunday Weekend Update
Friday, October 16, 2009
Maggie's Doing Great
Just talked with the Recovery Room Nurse... Maggie's doing GREAT.
She came through surgery like a champ. She's already talking. I should be speaking with her in another few hours.
Everything went well. Got out the hernias; fixed everything that needed fixing.
Looks to me to be about a five hour surgery, which is really flying. *smiles* Good for the entire team. Well done. And Hot Damn.
I'm so happy. Can't seem to stop smiling. Now Maggie has a decent shot at getting adequately older. *smiles* What a wonderful, beautiful gift.
Cross-posted at Meta Watershed and Group News Blog.
Update Fri 10/16/09 11:00 pm PT:
Just finished a 20-30 minute talk with both Maggie and her swing-shift nurse.
Maggie is doing really, really well. Her oxygen level is in the low 90s, her other vital signs are all good. She's not peeing very much yet but it's only about 12 hours after surgery yet so that's fine. The drainage from the the surgical drain looks good (no sign of infection at all) and there's precisely the right amount of drainage (not too much, not too little.) Her mood is good, she's fully present and oriented, for a woman in her early 50s twelve hours after major fracking (emergency) abdominal surgery, Maggie is in such good condition one might think she's a) 30 years younger, b) 200 pounds lighter, c) being watched over and protected by her (deceased) mother as well as other beings beyond our understanding (and in which many people do not believe), d) pick and choose any or all of the above plus more and similar possibilities, and/or e) the best surgical hospital, the best surgical team, best anesthesiology, OR nursing and OR team in Austin, has done some truly remarkable work.
However you want to attribute this. From the ER at University being on diversion so Maggie ended up here, to Maggie shifting her entire public identity by putting in her own NG tube, to the best surgical team deciding this would be an "interesting" case for them to take on, to the best anesthesiology team working with the best surgical team and then Maggie scaring the living hell out of them with her story of the anoxia she suffered in anesthesia in her last surgery, meaning that this time a BUNCH of the best anesthesiologists watched her like hawks all through surgery, all through the recovery room (where normally it's just Recovery Room nurses) and all the way into the ICU step-down unit till she was CLEARLY herself and fine. Plus the nurses hearing all over the place about the NG Tube to the point that it's this BFD (big fracking deal.)
Listen campers... I got on the phone today to talk with Maggie for the first time after her surgery, got her nurse in the ICU step-down, a lovely young woman. After I identified myself (there's a code involved which they verify against the chart; not just anyone can call up and crash the system) I asked for a report. She gave it to me and then, SHE told me about how Maggie put in her own NG tube Thursday. She told me that. Out of nowhere. Then she said, "When I grow up, I want to be like Maggie."
*grins*
That, my dears, is shifting one's public identity powerfully. No longer the poor fat broad, but the woman who is pure guts and courage to do whatever it takes while being wonderful to the people around her. That... that is Maggie. And these young women in their twenties and thirties are now so clear about who Maggie IS that the fat broad identity is invisible to them (except medically) that all they can see is a hero to live up to, someone who leaves people around them in better shape after every interaction. Which is the canonical definition of Nurse.
We talked till she got tired. We'll talk again in the morning.
A few hundred dollars came in today. We really need a few THOUSAND dollars (at least) in order to meet rent, electric, water, cat food, and other bills. PLEASE please please donate if you haven't yet done so. Subscribing (committing to a monthly $200, $100, or $50) is even better. That way Maggie is assured as she recovers of having her bills paid. This is going to be a slow, long recovery. Maggie's not great at asking for money, and while I have no problem with doing so, I'd like to just have enough coming in that it's done. Please subscribe to Maggie's well-being. If we can get Two Grand in monthly subscriptions we'd be in wonderful shape.
She wasn't quite in shape today for me to read her your various notes. I did make certain she knew how much people are writing to her and how much people love her. She got it COMPLETELY. She wants y'all to know she loves you right back. Really and truly she does. She was very moved and wanted to make certain I made sure you knew how much she loves you. So get it, dammit. *smiles* Tomorrow, depending on her condition, I'll take a shot at reading her specific comments and emails (we shall see) depending on how she's doing.
That's it for tonight. Keep your comments coming, as well as your donations. Even better, take out a Subscription on Maggie's Well-being. *grins* Give her the gift of six months or a year of recovery.
*hugs* to all. Goodnight.
Maggie Jochild to have Surgery Today
Donations Still Needed
Maggie's surgery is scheduled for 7:30 am Central Time today (Friday.) It will last quite some time. I will likely speak with her for a minute or so, about 5:30 am just before she's taken to pre-op. If not, we talked at length Thursday.
For those of you new to the story, here is when Maggie was admitted to the hospital.
I hold Maggie's medical power-of-attorney, and also am acting as her attorney-in-fact. So first, before I get into reporting to y'all, I encourage everyone who has not yet made a donation or made a monthly subscription to Maggie, to please, please, PLEASE click on either the Donate button or a Subscribe button. If you're reading this on GNB, they're at the bottom of the post. If you're reading this at Meta Watershed, they're in the top right-corner of the page.
Maggie was in great shape on the phone. She's very much at peace with the surgery, very content that this is what is needed in her life right now. I am THRILLED at the hospital, the anesthesiology team in particular, and think the surgeon is probably pretty damn good, perhaps almost close to being as good as he thinks he is. *laughs* Mostly I'm glad she's in this hospital and not University hospital, as these folks are treating her like a real person and not like poor trash. What a gift it was to have University on ER diversion a few nights ago. Of such things lives are saved, no kidding.
One piece of really good news is due to the bowel being strangulated by the hernia, Maggie's accidentally lost a BUNCH of weight (87 pounds I think was the number) without noticing and is at her lowest weight in years; the bowel simply didn't absorb nutrition properly so its been having much the same impact as if she'd had one of those weight-loss bowel shortening procedures. Hot damn. The lower weight will make the surgery MUCH easier in oh so many many ways, from less need for blood, to faster surgical times (and thus less time under anesthesia), to faster healing times as there was (literally) less stomach to cut through, to making it easier for the surgeons to see the surgical field. Plus the less one weighs in general, the better one's vital signs and other critical internal health values are, both during and post-operatively. Shorter me: this is a good, good "bad" thing. Which obviously needs to be corrected as part of the surgery. But the weight loss is good for our team.
A doctor Maggie really likes and who likes her, whom she used to work for will be in the OR with her, will do a biopsy to make sure there's no cancer (we're not expecting any, but the doc is going to check.) The anesthesia folks will be watching like crazy, especially in the recovery room and the ICU -- she put the fear of God into them; she said his eyes got HUGE when she explained what happened last time with the anoxia -- so hopefully that'll go fine. I expect her to stay in the ICU for several days. She and I talked about what that is like, so she should be as prepared as one can be for that environment. *shudders* I don't like ICUs; the lights are always on, noise, lights and bells and buzzers. It's impossible to rest, however they are important and they do save lives. After she's done there she'll go to surgical step-down unit for another three to four days (I'm guessing) and then back to the surgical ward for another few days before being discharged. Again, the timing of all this is a guess and depends on how she does and how that hospital does stuff.
Mid-afternoon Thursday the nurse tried to put a NG tube -- that's a naso-gastric tube for those of you whom have never had one; it goes through your nose and into your stomach. You take it by quite literally swallowing the tube into your stomach, after it's through your nose, liberally lubricated. NOT fun and assured to trigger every bit of your gag reflex. I know this personally as part of paramedic training is practice inserting these through the nose and into each other's stomach, then inserting a big bolus of normal saline with a syringe down the tube into your classmate's stomach, then drawing it back out again, then removing the tube. And of course, having this done to you. As your classmate tells you "swallow, swallow, swallow, swallow" and shoves a fucking tube the size of the Lincoln Tunnel through your nose and down your throat. -- down into Maggie's stomach. "Swallow, swallow, swallow." Problem is, Maggie doesn't have a swallow reflex precisely. The nurse tried till the one nostril was all bloody. Then, check this, Maggie smiled, took the NG tube all lubed up, and put it down her own other nostril and right into her stomach. The nurse, Maggie reports, her jaw fell to the floor. By now Maggie's reputation on the surgical ward has magically changed from the fat broad to the women who put in her own NG tube. She says all afternoon long people were sticking their head in just to get a look at her, with awe on their expression. She says EVERYONE on the nursing staff is now in her corner. *grins*
Furthermore, the NG tube drained over 2 liters of bile and other gross stuff from her stomach, leaving her feeling really herself for the first time in perhaps a week. What with the hernia having strangled her bowel, everything was blocked all the way back up to her stomach, so anything that went in was just churning around and growing rancid. No wonder she was in so much pain. But now with all that crap out of there, and with the narcotics really taking hold, she's back to her normal self.
I and Maggie are both optimistic in a clear-headed way. That said, this is major abdominal surgery. It will go how it goes. Maggie is clear about that as am I. I am not saying prepare yourself for the worst, because I don't think that will happen, but at least take a moment and know that all outcomes are possible here both during and after surgery. Then breathe and expect that all will go well. That is what I believe, while knowing it is surgery and anything can happen. Life goes how it goes and we are not in control of anything. *breathes*
I will likely speak to Maggie just before she goes in to surgery and then not again till she's either in Recovery or the ICU. (It's possible I may not speak to her for a day or so depending on how she is doing.)
I will put up a new post as soon as I have word, even if it's just a flash update I send from my telephone. Meta Watershed readers: I am not set up to do a telephone update for you; I need to be on a computer and tomorrow I'll be out and about late afternoon Pacific Time. GNB is likely to have the first word, possibly by up to several hours if the word comes when I'm at my own doctor's visit late in the day. If word comes earlier then there won't be any difference and both sites will post more or less at the same time.
This procedure is what needs to happen now and it's happening in the best possible hospital in Austin with a brilliant medical team. I am content, and so is Maggie.
Finally, thank you to everyone whom has donated so far. Please... Maggie is going to be out of work at least two weeks, perhaps more. We need donations or if you will, subscriptions. Please... give generously.
Thank you everyone,
Jesse
Use PayPal or credit card:
Subscribe - Mix and Match:
$200
$100
$50
$20
$10
$5
Support Maggie with food, rent, electricity, and medicine.
Thank you.
Cross-posted at Meta Watershed and Group News Blog. There's more...
Wednesday, October 14, 2009
Maggie Jochild in Hospital for Major Abdominal Surgery
Donations Needed
Maggie called me two minutes after midnight this morning my time, 2:02 am in Austin, Texas. She was in more pain than I've ever heard her.
Said she'd not been able to eat, drink for two days and was calling 911.
By grace, University Hospital -- a great hospital for emergency care, it's true, however it's the Medical School hospital and thus where all indigents go -- was on diversion for emergencies. Maggie was sent elsewhere, to what I consider a fine, really first-rate hospital, one where someone without health insurance would not normally have a chance of getting inside (unless they were visiting.)
They're treating her wonderfully.
Maggie has a MASSIVE hernia which has managed to wrap itself around ALL her various abdominal organs. Not only does this cause lots (and lots and lots) of pain, but it has clamped off part of her bowel thus impeding digestion. And done other damage.
There is no choice but for a highly skilled surgeon to go in, remove the hernia, repair any damage to the bowel (and other organs), and move everything back into place (the hernia having pushed the organs all around, as well as having caused damage.) While they're in there, they plan on taking out the appendix to prevent being required to do so at some later date.
The date and time of the surgery has not yet been set. I think Friday morning would be a good day to operate but it's purely a guess. If they don't operate Friday, they may well wait till Monday rather than operate over the weekend. Or not. *shrugs* That isn't a shrug of who cares. It's a shrug of not being able to predict the surgical team.
This is a major, major procedure which will take a while and require serious planning by the surgical team. Lots of things could go wrong.
If things do go well Maggie will be in the hospital for probably a week or a bit more, post op. I don't know yet if she'll be able to go home after that or if she'll need to go to a step-down facility. You'll know shortly after I know.
What I do know right now is this... Maggie's income is split between donations from readers of Meta Watershed & Group News Blog, and her work as a Medical Transcriptionist. She's on short-term medical leave of absence from her job, that is, while she won't get paid at all, she'll have a job to come back to. But she's not earning anything and she has bills she MUST pay.
Any donations people can make, either one-off or recurring, would be greatly appreciated.
Commentators: If I don't answer your comments right away it isn't that I'm ignoring you; it's that there's only one of me and I have a day job plus taking care of Maggie, plus I'm not well myself and must conserve what energy I have for my own work, doctor's appointments, and taking care of my family (which includes taking care of Maggie.) I'll reply to y'all when I have time.
The single biggest need right now is for cash, money, dough, coin. Maggie will be out (again, I'm guessing) at least several weeks and maybe more, perhaps much more. She has rent to pay, electric bills, phone bills, all of the various bills which still must be paid even though she's in the hospital. Please donate generously.
Oh... her cat is doing fine, and has a generous supply of food and water.
I'll update you more by sometime Friday, or in any event if there's a major condition change or if she has surgery.
Thank you in advance for your donations to Maggie, and for your love, care and concern for her. Please give generously.
Thank you. (Keep breathing y'all. Keep breathing.)
Jesse
Use PayPal or credit card:
Subscribe - Mix and Match:
$200
$100
$50
$20
$10
$5
Support Maggie with food, rent, electricity, and medicine.
Thank you.
Cross-posted at Meta Watershed and Group News Blog. There's more...
More Dead Americans
The Republicans in their ever present wisdom, and before the ink is on the paper for the merged senate and house health care bill are already saying that they want a longer and longer debate time. More delays more wing-nut-townhall-teabagger style politics, ultimately more dead Americans.
according to rollcall
Democratic negotiations to merge two competing Senate health care bills got under way Wednesday, with Republicans characterizing the talks as backroom dealing and demanding two months of floor time to debate the final legislation...
Harry Reid's comment to this was
I believe that the Republican leader and all of his colleagues, with the exception of couple there — one of whom is Sen. [Olympia] Snowe and there are a couple others — want to do anything that they can do not to have a bill,” Reid said. “The length of the debate is going to be one where there will be sufficient time.
So via the report cited by Congressman Alan Grayson- that means that rather than the one month of debate and deliberation the GOP wants another 30 days or another 3,666 Americans without health care or with insufficient health care to die. Almost 4,000 peoples lives mean little or nothing to them. More than died in the twin towers.
no.more.delays.
get this bill done, get it voted on, and it BETTER have a robust public option.
cross post from FL There's more...
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