It was back last
October, I believe it was, when I got notice I needed to renew my Commercial
Driver’s License medical certificate. On
October 26, I got a three-month extension instead of the usual two-year
certificate. High blood pressure, the
examiner said, 150 something over 80 something.
In November, I
called on the family physician. He said
three things about my blood pressure: these pills will lower it, get a blood
pressure duff and check your pressure often.
Don’t take the pills unless you need to.
“And, I’m sending you for a sleep apnea test.”
“What?” I protested. “I took one of those years back. They told me I didn’t have it, that I
breathed through my nose all night.
People who breathe through their nose don’t have sleep apnea.”
Not necessarily true,
he assured me. There have been some
changes since last I took it. I had
visions of packing an overnight kit, being wired up like a Howdy Doody and
trying to sleep in a strange bed. Before
I could voice any further objections, he told me I didn’t have to visit a sleep
lab, that now I would just take a small machine home with me, hook myself up,
and sleep in my own bed, and return the machine the following morning.
That sounded
better, but still not good. “Why am I
taking this test? Does sleep apnea cause
high blood pressure?” Very definitely,
he said.
The sleep study people were slow, as the
doctor warned me. It was nearly a month
before I heard from them, even though I called them a week after my visit with
the doctor, as instructed. It was
December when I reported to the sleep study office and got my “in-service” on
how to use the machine.
It was pretty
easy—put on a head strap that held small square sensor between my eyebrows and
two small probes in my nostrils. The
sensor tracked brain activity and the probes my breathing. I returned the machine to the office the next
morning. Ten days later, I got a call
from my doctor’s office informing me I had severe sleep apnea.
The consultant
asked me how many times I woke up during my sleep test. I said four or five. He showed me a graph that showed me waking up
48 times an hour. He said I would feel
like a new man after using a CPAP machine for a while.
How about trying
a mouthpiece instead, I asked. He said
that would get me into the moderate area at best, still below normal sleep
patterns. Once again I gave in and
scheduled a date to pick up and learn how to use a CPAP machine.
October 26 + 3 months = January 26.
My three-month
extension was drawing near. The first
week of January, I scheduled a January 20 appointment with the CDL examiner who
had given me the original CDOT physical.
It took three phone calls to make the appointment. Did I have to retake the entire physical? No, just a follow up. The charge?
A normal office call.
My job was to
show up with my blood pressure in control.
That was the plan. When I got
there, the person who had administered the physical wasn’t “in” on that
day. What!? I called three weeks ago. It took three phone calls, but I thought we had it all set up.
The person who
actually visited with me wouldn’t sign off on my physical, this time because of
my eye. But I gave them the phone number
of my ophthalmologist at the first exam.
Did they call? No record that
they did, the first examiner never recorded any notes to that effect. By now, my blood pressure had risen quite a
bit. My 120-mile trip was for naught. I would be charged for an office call for a perfectly
useless visit.
I protested
vehemently, to no avail. I could see the
original examiner on Monday or Tuesday.
I was already scheduled elsewhere for Monday and Tuesday. Well, Wednesday then. Wednesday was January 25. Cutting it close.
On Tuesday January
24, the clinic office called to say the original examiner person was out, sick,
would be out for at least two days.
The hand writing on
the wall, the one I had been glancing at (and ignoring?) for three months,
began to switch from cursive to print, from Hebrew to English, in bolder font.
Instead of a road
trip, January 25 found me on the phone, first with DVM CDL physical branch. My medical and license would expire on
January 26. I would have a ten-day grace
period to get my physical up to date, however.
I called a clinic
about thirty miles distant that did nothing but CDL physicals. Blood pressure? I had to be below 140 on the high end. (Mine was right at 140 at home, probably
higher in a clinical setting.) Sleep
apnea? You have to bring a read-out from
the CPAP machine. I didn’t even get to
Myasthenia Gravis. The voice on the phone asked where I lived,
then referred me to a Loveland clinic, a competitor. Do I know when I am getting the brush-off?
January 26 was
fully scheduled for us, a therapist appointment in Greeley for the Goodwife, an
appointment with the taxman for me.
Then, to Denver to pick up Duke the dog.
No time to deal with an expiring CDL.
Friday, January
27 arrived. My wallet did not get
destroyed by an exploding CDL at the stroke of midnight. It did find me dealing with another section
of the bureaucracy, the Driver’s License Examiner’s office.
“Take a book,”
the Goodwife advised. I didn’t get past
the front desk. “What can I do for you?”
“I need to trade
my CDL in for a regular license.”
“Giving up
driving?”
“Can’t pass the
physical.”
“Let’s see your
license.” I handed it over. She studied it a few seconds. “What’s
your address?”
“Oh, I need to
change that.” It had the farm address on
it. Slap, whap, a sheet of paper on the
counter topped by my invalid CDL.
“You need to have
two documents to prove your address, like utility bill or credit card
statement. Refer to the list on this paper,”
indicating the paper beneath my CDL.
Off I went. Well, they won again, I reflected as I headed
home for the required documents. I had
to make two trips, at least, to get my business done.
When I returned
with bank statement and utility bill in hand, the greeter was perfectly
friendly and happy. Why not? She had fulfilled her duty, the duty of every
bureaucrat, to make sure the “customer” (victim?) has to return at least once
to get the business done.
To give the devil
his dues, the rest of the visit went smoothly.
I didn’t have time to read anything.
The lady who processed me informed me I had till January 26, 2018 to
pass my physical and reinstate my CDL without going through the arduous
test. The photograph lady even made a
joke.
In Charles Dickens’
Little Dorrit, he spends a lot of
time detailing what he terms “The Office of Circumlocution”. It is an official government bureaucracy
through which all new businesses must go before they can legally go into business. Its number one priority is to keep itself
alive and well, its operators and their families employed and well paid. Slowing or stopping all progress, all new and
productive enterprises from happening is its next priority.
Some things don’t
change very much.
I guess I should
be glad I took the physical and addressed the blood pressure issue. I have some evidence that I might feel better
having spent a few nights with my new bed partner. (The Goodwife approves my new partner since I
haven’t snored once since she (it?) moved in.)
I have three hundred and sixty-three days to retake and pass the CDOT
physical.
I probably won’t
do it. Why would I subject myself to
another bruising session with the office of circumlocution?