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On Shock and Medical Situations

the Emergence Explorer

Questions for the Week of April 10, 2006

these questions were based on the article
"The Conscious, Subconscious, and Unconscious, a New Look at an Old Metaphor."

Emergence Character Type Babies 9-AI-2

This Week's Questions

[posed by John F.]
  • Are insurance company rules inherently shocking?
  • How do you measure a mastectomy patient and not trigger their injuries?
  • How can healthcare professionals connect with patients when the system of payment is shocking?

Do you know?

[Question 1] Are rules inherently shocking? For example, are the insurance criteria for reimbursement of medical procedures, equipment and medicine inherently shocking?
[Answer] Yes. And John, know you have done well to voice this as a blameless question. So yes, many rules, including the insurance criteria for these things, are often inherently shocking. On the other hand, once consciously learned, these very rules become a wonderful way to keep yourself out of shock. How? By using what you know of them to guide yourself in and away from some of the more seemingly difficult to understand parts of these rules.

For instance, picture yourself walking across a lawn where you had no idea there was a rule against doing this. Now picture someone shouting at you, in mid lawn, that you are breaking the rules. Imagine how you would feel. Now picture yourself approaching this same lawn, only this time, you know the rules. How shocking would it be for you to walk by this lawn? Not much at all? How about how much less shocking it would be to even walk across this lawn, even if someone was to tell you to get off.

Shock is disconnection. Disconnection is simply our experience of discontinuous visual rules. Even if these rules only appear discontinuous to us.

As for the second part of your question regarding the rules for medical reimbursement, do these rules shock you? If so, I can certainly understand. However, the more you try to resist these rules, the more you will feel powerless, while the more you find clear options within these rules, the less shocked and the more able to make a difference you will feel.

We do have choices, for instance, voting with your wallet regarding your medical insurance. This, in fact, is a good way to feel more empowered. Unfortunately, we often fail to take these options, as being in shock makes them seem inaccessible to us. Then, because we most times fail to address this shock, we freeze like deer in car headlights and simply accept the rules like children from parents.

Rules which are clear and reasonable actually help us to guide ourselves in life, children and adults alike. Rules which impair or break our connections generally shock us no end. And the rules for which we, ourselves, find choices will make us feel free and empowered.

[Question 2] Is it possible to personally connect to an inanimate object, such as a wheelchair, or are these kinds of things simply tools for us to use?
[Answer] By personifying inanimate objects, we create bridges between us and these objects. If we can then use these bridges by experiencing these objects as "beings," we can then personally connect pretty well to these objects.

For instance, if you look at WWII photos of airplanes and tanks and such, you will frequently see human nick-names or pin-up pictures on the sides of these vehicles. These names and pictures enabled the soldiers who used these vehicles not only to personally connect only to these vehicles but also to stay conscious while in inherently shocking situations.

As for things like wheelchairs, John, I see characterizing these things as being a very good way for people to create personal connections between themselves and their mechanical aids. In fact, I would guess that should name all the wheelchairs you sell, and if you were to create life stories in and around them such as that people were adopting these chairs and giving them a good home, that you would, in many cases, ease peoples' burdens considerably with regard to them having to adapt to being in a wheelchair.

[Question 3] When people are ill or injured, do they become 1’s. Self-centered 2’s?
[Answer] All peoples' character type is fixed by age four at the latest. Thus, illness and injury never changes our character type. It only changes how we experience our character type.

For instance, say we are talking about people who are two's. Let's also say these people incur some type of injury in and around eighteen months old. Later in life then, when these people relive these injuries, they may invert and become self-centered twos, people who are entirely focused on the needs of one other person.

On the other hand, let's say these people are not reliving injuries but rather, are simply sick What then?

Most twos when ill simply feel worried or concerned they may burden others with their illness. Here, their worry is not limited to only one person at a time. Rather it applies to all people, all the time, during the time of this illness.

And if these people; these twos, incur an injury before age one?

John, we relive our injuries at the age they occurred. Thus, even if we are talking about people who are twos, these people can still act like ones at times. When? When they relive an injury which occurred before the age at which they could have become a two. For instance, say these people were to have gotten injured while getting medicine at age six months. As adults then, they will act like ones each time they relive this injury, even though they are normally twos. These people will literally act like difficult babies when taking medicines.

Again, the thing to keep in mind is, we relive our injuries at the source time of these injuries. And when people, including ones, relive an injury, they may become extremely demanding and impatient, regardless of whom they are around.

The thing to remember is, all illness is simply some form of stress, and all stress is simply some form of disconnection. Stressed people frequently invert in character type. For instance, twos can become self-centered twos, and threes can look like fours. With injury, however, we actually can temporarily change in character type if the injury occurred before we could have become our character type. This means it is possible for any character type to become a one when reliving an injury, given this injury occurred before the person could have become a two.

Finally, while both illness and injury cause stress, getting ill does not usually invert our character type, while reliving injury frequently does.

[Question 4] I find connecting to people is easier when there is common ground. I tend to try to create connections then, by pulling an experience similar to this other person from my subconscious into my conscious. Am I using "why logic" to connect in this situation?
[Answer] Actually, not at all. In fact, by doing this, you are using the very best route to building a connection. You are deliberately using your threads of similarity.

Remembering that all threads of similarity are visual in nature will help you to improve your success rate even more. This means, picturing the other person's thread will help you to choose your own wisely.

[Question 5] What is the nature of why of money is exchanged for medicine, or for medical procedures or equipment? It does not seem natural to deny the aforementioned as a result of a lack of money on the part of the patient.
[Answer] John, your statement is a common one for good hearted people. Good hearted people often see spiritual life as being more important than material life. However, to see whether this is true or not, simply imagine you have no money for food. Can you see how your spiritual condition would quickly deteriorate even if you were quite spiritual?

In truth, while charity is indeed a virtue, no one survives on love alone. We need to eat. And sleep. And so on. And we all need material goods and services in order to meet these needs.

Conversely, no one survives on material goods alone either. We all need love and spiritual connections as well. Thus, one of the more important things to ever learn is that we live in a world which is 50% material and 50% spiritual. Honoring both simultaneously then is the real route to happiness.

As to how this plays out in the giving and receiving of money for medical goods and services, certainly charity plays a part. On the other hand, if you were to be as charitable as I would guess your heart is fully capable of, I would guess you'd be out of business in less than a week. Which would mean you would no longer have the means to be charitable to anyone else and in fact, you would probably be in dire need of some charity yourself.

[Question 6] How can healthcare professionals connect with patients when the system of payment via insurance companies is shocking? Insurance company rates often seem inappropriate and their criteria for coverage cookie cutter-like and profit driven.
[Answer] What you are referring to is something very real for all of us. What makes this hard to understand though is the judgment in your words. In fact, while I know it can be hard for healthcare professionals connect with patients when the system of payment via insurance companies is inherently shocking, I also know people can often use a common difficulty to connect to each other. And while this does not make the difficulty go away, it does decrease how shocking these situations are.

[Question 7] I am not sure if this is injury or if it is the bureaucracy in the system which prevents insurance companies from connecting more with patients and with other professionals. For instance, in order to have insurance cover medical equipment, a physician's written order is required. Most of the time, the physician is not ordering the item and has little knowledge of the use or purpose of the device. I typically dictate the content of the order and then follow-up until the order is received. Once the order is received I can then deliver the equipment. The process creates delays and reflects on my quality of service. Additionally, what I dictate is usually what the criteria require and has little to do with the situation that exists. Do I have an injury or is dealing with Layer 2 shit, a bore?
[Answer] You have asked what appears to be a very complex series of questions. Thus, before offering an answer, let me first try to break this question down a bit.

You asked what prevents insurance companies from connecting more with patients and with other professionals. Then you stated that insurance companies make doctors write the orders for medical equipment. Next you stated that these physicians are only responding to the insurance companies' requirements and that the doctors themselves know little about the nature of this medical equipment. Then you said that these requirements cause delays in the delivery of this equipment, delays which reflect on you. Finally, you asked if your feelings about all this come from injury or boredom.

Wow! What a load of questions! Let me begin by addressing the first question; what prevents insurance companies from connecting more with patients and with other professionals? My answer? Start with the idea that as soon as you refer to an institution as a "being," you, yourself, detach from the whole situation, including from the insurance company. What I mean is, rather than to refer to the individuals who work for these insurance companies, you refer to these "insurance companies" as if they are people with motives for what they do to their subscribers. By personalizing them, you, in fact, detach from what you feel about this situation and these companies and in doing so, respond with a Layer 2 strategy.

Here, then, is the first place you might be able to make a change for the better. Stop the Layer 2 stuff and begin to treat each possible personal interaction (insurance claim agents, customer service reps, etc.) as a possible personal connection rather than as a mere interaction with the "insurance company." Do this one call at a time. One case at a time.

Moreover, begin to focus more on these people as human beings rather than only on the companies these people represent. What I believe may happen then is that you may find these reps actually have great leeway in how tightly they must interpret the rules. In other words, if you can personally connect to these people one at a time, you may be surprised at how much they can help you help the people you serve.

Remember also that, like you, these reps also have to deal with the insurance company rules. They have no choice. Like you, they also depend on these companies for their living. As for how you feel about how these companies require doctors to write the scripts for medical equipment, perhaps you might consider developing free seminars aimed at educating these doctors. Perhaps, you might even interest the insurance companies in supporting this through either funding or supplying expert trainers or both.

My point is, here again is a possible place you may be able to make some personal connections, by connecting to the doctors who must write these scripts.

Next, consider a place where you seem to be too personally connected; in seeing the delays as a direct reflection on you. Here again, you have the opportunity to make personal connections, this time, to you clients. How? By offering seminars in your community, for instance, for people who need instruction in how to use wheel chairs. Moreover, during these seminars, you might talk about what people may expect with regard to delays and such. Your sympathy toward them may go a long way towards healing your own difficult feelings.

Finally, with regard to your feelings, you might explore times wherein you experienced delays. These times need not be related to receiving medical equipment. For instance, I have done a lot of work on how angry I sometimes feel when I experience traffic delays. To my surprise, a scene emerged in which I was not even in a car, rather, I was at an aunt's house trying to make it to her table before all the dessert was gone!

You might also explore the feeling of boredom and see where you have felt it before. Why? Because boredom is simply yet another flavor of detachment, an impersonal response to life.

My whole point is, while I do sympathize with you with regard to how difficult it can be to connect to big companies, if you can take advantage of the opportunities you do have to connect, you will find a whole lot of possible ways in which to better enjoy your work.

[Question 8] Is it necessary or possible for me to go into the "injury box" with a patient who has a disease in order to connect? What I mean is, at times, when I try to connect to people in their injured state, I often feel like I am no where at the point at which they are in the process. For instance, sometimes people come to me who have known about their condition for a while. Thus, they are somewhat mellowed about having it while my reaction is severe as, for me, this is all brand new.
[Answer] Each time we attempt to connect, we find similarities and differences in each other. It is always OK to respectfully ask questions when facing something in another which you, yourself, have not faced. The thing to also remember is to let yourself be guided by the other person's willingness to respond. Conscious openness is the sign you are being welcomed. Obvious shock is the sign you should either repeat your question and go very slow or ask whether it would be better to ask your questions another time. Finally, prefacing the whole thing with would it be OK to ask you about your experience is a good way to begin. And keep in mind, the idea is to be guided by your own ability to picture what is being said. Questions asked in order to get a better way to connect feel much different that questions asked out of cold curiosity.

[Question 9] How do you measure a patient surgical devices and not disconnect from them or trigger their injuries? Mastectomy, thighs, waists, amputees etc?
[Answer] Wow, John, you've asked some difficult questions this week. In this case, I'm not even sure I have an answer other than to say, I doubt there is a definite answer. Even so, personally connecting to people is always the best starting point. Moreover, asking people some of the more personally difficult questions before measuring them may help a lot.

For instance, you might ask a woman if she would rather another woman measure her. Here, if she says yes, you might remain present in order to supervise but the actual physical contact could be made woman to woman.

You might also ask the woman if she would rather measure herself. Here, if it is physically possible, you might avoid her discomfort entirely.

You might also ask the woman if she would be willing to help you measure her, by having her hold the tape measure against her more personal areas while you help her to do this. Here, you may be able to make a very good personal connection while at the same time, very much respecting her physical privacy.

Finally, your willingness to consider her feelings would certainly go a long way toward helping you to feel less discomfort as well.

[Question 10] How do you ask a patient their age or weight and not provoke shock or disconnect?
[Answer] I am not sure you can, John. As you know all to well, many people have injuries in and around telling someone else their weight or their age. What I can suggest though is that you begin by asking people if they mind telling you their weight or their age. This would perhaps ease their shock a bit.

It also might put them into shock, however, if you were to preface these requests with an explanation as to exactly why you need to know this information, it might help as well. For instance, say you have to know peoples' weight in order to properly fit them for a walker. You might apologize ahead of time for any discomfort you were about to cause them, then explain how weight affects the proper selection of a walker. Say they then go into shock. You might then ask them to simply write their age down on a piece of paper rather than telling you verbally.

Of course, doing your best to stay connected to them while you ask these questions is also very important. Finally, know that you, yourself, may go more into shock than they just from your worry. Just do your best and the rest will be fine.

One more thing. I am wondering if you ever got injured from a woman being mad at you for asking her weight or age. What I mean is, you, yourself, may be over sensitive to these questions, not only from what others may feel but also from what you expect they may feel. Exploring this in yourself then may help you a lot.

Emergence Character Type Babies