Tuesday, November 3, 2009

Humility hike

"Don't call anyone, please! I don't have any insurance and can't afford it."

Clutching his chest as he panted and pleaded, the breathless young man knelt before us on the asphalt all-purpose Mill Creek trail -- almost directly behind CadMur Manor.

"I think I'm just having an asthma attack," he said, perhaps not fully believing his own words.

I pulled my phone from my pocket and began to call.

"My chest just hurts like hell, and I don't have my inhaler with me. I've had these before, and I think I'll be okay. I just can't pay for an ambulance or a trip to the hospital, so please don't call 911. I had to get X-rays for my shoulder once and got stuck with a $2,000 bill," he added.

This kid could die because he is afraid of getting socked with a bill he can't afford -- making this a compelling healthcare reform anecdote, I thought to myself -- before returning quickly to the moment, to the person in front of me.

Until now I had ignored his request, dialing the numbers 9-1-1 and pressing "call" as he talked. Now turning to Sophie, my RN wife, for guidance she nodded to hold off a moment while she assessed. I hit "end call."

Only minutes before Sophie and I had just hit the trail with our dogs for a late afternoon stroll. It was late Friday, the day before Halloween, and the temperature hovered at 72 degrees. At the bottom of the hill below the community center, we exchanged greetings with a young couple less than half our age apparently returning from a walk. We discussed our options: left toward Mill Creek Falls or right toward the Garfield Park Nature Center. As we talked, I noticed the man's distressful movements on the ground to our east, toward the nature center, at a distance of about 150 feet.

Racing toward the man to help, I was passed as if running in slow motion by that young couple, also running to the man for assistance. No time for vanity, I thought. The couple had been standing a few feet behind us and saw the young man struggling a split second after I did. Now they arrived before I did. Just for good measure, a neighbor, Kellie, came out of nowhere pushing her baby stroller, bringing the total of would-be saviors to five (six counting Kellie's four-month-old, Daniel, and eight counting our canine companions).

The young asthmatic identified himself as Kyle, 26, a neighbor who lived across Turney Road on one of the side streets. He was en route to his girlfriend's house, taking the trail toward the nature center as a short cut. He was clean cut, with short hair beneath a baseball-style cap -- the type with a flat brim, which he wore slightly to one side.

Now catching his breath and standing steadily, Kyle cautioned us from walking toward the falls.

"There are a bunch of druggies down there smoking dope," he said. "You don't want to go down there."

Kyle underestimated Siegfried and Sheba's protective instincts and ferocity, I thought. (They killed a skunk, dude! You should read this blog.) Nice, though, that Kyle was protecting his would-be rescuers.

Nurse Sophie had made up her mind. We wouldn't call 911 but instead would walk with Kyle toward his girlfriend's to ensure he was okay. Kyle accepted our offer, the young couple turned to go off in the opposite direction and Sophie, Kellie, Daniel, Siegfried, Sheba and I walked with Kyle the half mile or so to Sladden, the side street Kyle headed to.

I liked Kyle, a second-shift worker at a machine shop. He goes to school during the day, he said, hoping one day to become a fire fighter. He has a three-year-old daughter, but apparently doesn't live with her or the girl's mother. But he spoke about spending as much time with her as he could. His job now doesn't provide health insurance, at least not until he has been there awhile longer. Did he say he'd have to be at the same job a full year before being eligible for healthcare benefits? I don't remember now.

As we walked the last few hundred feet before reaching Sladden, Kyle noticed I was wearing a Shaker Heights Police Department sweatshirt, which I acquired during a citizen-police program I was in two years ago.

"Are you a retired police officer?" Kyle asked.

Oh, vanity. Thanks for keeping me humble, Kyle. I wish you a long, healthy and happy life.


Dave Cunix said...

Nothing like rushing to help and having pass you like you're running in sand.
As per the company health insurance, if the business has an insurance policy, full-time employees (25+ hours per week) must be covered by the 91st day.

Donna said...


This story reminds me of something that made me cry for hours.

My sister had a crew of guys come out to remove a large rotting sycamore from her front lawn. One of the guys came crashing down 30 or 40 feet to the ground. He was lying there and got up and tried to hobble around, like a poor injured dog, and he asked his buddies to please not call EMR because he had no insurance.

I didn't know who these people were. I wanted to do something. She had no way for me to contact them easily. I wanted to find that guy and pay for him to go see a doctor. I suppose I might have tried a little harder, if a little voice in my head didn't say, Donna you could end up emptying your bank account if this guy was really, really hurt.

I was upset and angry. Lacking something better to do, I wrote to my old buddy Michael Moore, who is only my buddy to the point that I agree to receive his newsletters.

He didn't write back with any wise advice. But, in all fairness, what wise advice is there?

I hope these sad anecdotes all go away when health care reform passes. Something tells me, though, that there will still be people like Kyle.