Sam's New Arm

A few weeks ago, I received a call from EW (a great Karen case manager from a local refugee service agency). One of his clients had an issue and wanted to know if we could help. A state agency was assisting a Kayah man in obtaining an arm prosthesis. So far, so good.



The catch?

The agency requires a physician's prescription.

Why? I'm not real sure.....I don't think it takes an advanced degree to realize the man is missing an arm. And that his life would be improved by having a prosthesis.

SIDE NOTE: A great example of one of our frequent frustrations in refugee outreach work and working within bureaucracy........ the rules are the rules. No room to question the rule. Just follow it.

Anyways, a prescription is easy.....if you have insurance, a primary care provider, an understanding of the US health care system, a good grasp of the English language, etc., etc.,

Obviously, for this gentleman, this was not the case. He had none of this. We could have signed him up for the local safety net hospital. We could gather the necessary paperwork. Make an appointment for an eligibility determination. Then, if he does qualify to be seen at the hospital clinic, be put on a waiting list (at the time of this post....8 weeks). After an 8 week wait, start calling every morning until you get an appointment (several new patient appointments open up every morning...be sure to start calling at 8 am).

So.....this was not the most efficient plan to get this man a prosthesis.

Here's where we can assist, we went by this man's apartment. And found out a little more information. Sam (for the purpose of this post), is a 40 something year old Kayah man with a wife and 2 children. With his limited English and his disability, he has found it difficult to secure employment. He lost his arm while in Thailand, from a condition called Sarcoma.

So...now we have the information we need....now to get a physician's prescription.

Luckily, a great young family practice resident (Dr. A.) is empathetic to the struggle of the refugee community helped us out. His empathy and compassion come from a very real place. While a young child, Dr. A. and his family came to this country as refugees from Laos. Dr. A's family is an inspiring story.....his parents both worked at a factory, printing shirts. Dr A. is now a family practice resident while his sister is an Internal Medicine resident. (The refugees from Burma one day? Which of these children will turn out to be Dr. A?)

Dr. A. wrote a prescription. It was delivered to Sam, who turned it in to the swift wheels of bureaucracy. Not surprisingly, no prosthesis yet....but a little closer.

A few more barriers reduced.
A little more compassion and mercy provided to a man who has lived with so much injustice.