Tuesday, June 28, 2011

Oakland City and Unions Agree, Oakland Greens Fume Over Budget

Just got an interesting email from Don Macleay, last year's Oakland Mayoral Candidate, who is urging Oaklanders to come to Tuesday night's Oakland City Council Meeting. But before we get to his, and the Oakland Greens, issues, a comment.

The City of Oakland must agree on a budget plan by July 1st, and that day is this Friday. There has been a lot of focus on and discussion over a process that, long ago, this blogger knew was insular, and because the public doesn't have all of the past budget information, and because the arguments about the budget are within the margins and not about how to extend the margins.

What do I mean by extend the margins?

One problem is that of each property tax dollar collected, the City of Oakland gets to keep just 26 percent of it.

The other problem is much of Oakland's revenue-producing land is controlled by the Redevelopment Agency, which is a good thing, because that's the only way Oakland itself can collect 100 percent of the taxes the city produces. The final problem is that overall, Oakland's property tax revenue, like that for the state, has dropped like a rock, and the question not answered to this point is, how much more will it fall?

Well, before I go to far there, let's look at what Don Macleay sent over. This is the email he sent, re-posted with his permission:

don@oaklandgreens.org to GreenNews

show details 1:28 AM (12 hours ago)

It is very hard to sum up how bad the proposed budget is and how limited and short term the council's counter proposals are in an email and still expect anyone to read it.
On the other hand, if ever there was a time to join the public at an Oakland City Council meeting, it would be this Tuesday evening. Please take a moment to stand up and be counted at this time.
Let council know that you do not appreciate their pressure tactics, the out of public eye debate and the budget crisis overall. It is also clear that we need to change the budget process and reform the whole account ledger. Council should use the short reprieve that their amended budgets offer us to call a budget convention and bring a new plan to the voters for approval before this becomes a crisis again.
I will try to at least sum up the last few episodes of this soap opera.
Our mayor proposed a budget two months ago that had three speeds:
A - With the money we got and without concessions from the unions
B - with concessions from the unions
C - with concessions from the unions and a parcel tax
For whatever reason, she included in this proposed budget, version A, the near total shutdown ofour library system. Some say that was to pressure the unions for concessions, other say it was to pressure the voters for a parcel tax and I say it was poor leadership if either is true. Even if neither is true it is not great leadership.

Option A will open up as a pdf file and can be accessed at this link:

http://www2.oaklandnet.com/oakca/groups/cityadministrator/documents/report/oak028937.pdf

For the same two months our City Council has not been forthcoming about their counter proposals.

The few sessions they held in public there were no amendments proposed or debated on in public by them. The public organized a save the libraries, save the film office, save whatever campaign and people spoke out against the cuts.

When asked about why they were not coming up with something else we were told that the Brown Act kept them from working in private with more than 4 of them at once. Nothing about the Brown Act keeps them from debating the budget in public in open session, but no version of that ever happened.

Now we have a 4 member, a 3 member and a 1 council member counter-proposals made public only a few days before the final deadline to vote in a new budget.

Counter proposals are:

1) Reid-Brooks-Brunner
2) Schaaf-Kaplan-Nadel-Kernighan
3) De La Fuente

All three can be accessed at this link (recommend copy - paste):

http://oakland.legistar.com/LegislationDetail.aspx?ID=909242&GUID=8F89FA9A-0A70-4FE4-9941-6A9ECBCA5
93D&Options=&Search=>

The Council convenes in open session at 5:30 p.m., Tuesday, June 28, 2011, at City Hall Council Chambers.

The schedule details can be found here:

http://oakland.legistar.com/MeetingDetail.aspx?ID=149612&GUID=049171A5-56F1-4EAA-ABC7-412E02B8501C&Options=info|&Search

If necessary, a second meeting will convene at 5:30 p.m., Thursday, June 30, 2011, at City Hall Council Chambers.

To sign up for a speaker's card see

http://www.oaklandnet.com/cityclerk/speakerupdate.asp
http://www.oaklandnet.com/cityclerk/speakerupdate.asp

A budget must be passed by the 30th.

Writing for myself, but with the agreement of many other Oakland Greens, I have to say that all the big issues of our local government's endless budget instability have not been fixed in any way shape or form. We need to raise more taxes and raise those taxes in a more simple and fair way.

There is nothing in this budget to look at the Port as a revenue contributor, deal with the crazy taxes and fines that are hurting local employment, counterbalance the distortions that Prop 13 give us in the real estate market and so on. In the next Council Elections we should talk more about this by putting up challengers to the incumbents willing to change the way we collect taxes.

On the spending side we are not finding a balance between real estate development, police and fire and everything else. The pension formulas do not work and council has kicked that can down the road in a way that will both cost a lot and still not offer most of our public employees a secure retirement income. (that is a lose-lose deal).

Our hands are tied every which way with gimmicks inside the different important propositions we have voted. We have Prop Y but still no commitment
to the core community policing and we have Prop Q, but the Mayor can still offer to shut it down and close 14 out of 18 libraries.

Both of those propositions have some triggers in them and obligations in them that do not make any sense, except for keeping political friends. One could go on. We Greens should make these points come next election time. A progressive agenda for Oakland is one that will give us stable reliable government with stable reliable funding.

Let's keep in mind that the Redevelopment Budget is larger than our General Fund. Some Redevelopment funds have been spent to prop up the general fund in some pretty contrived manners only a lawyer could love. The Redevelopment Funds cause the state to “backfill” the county because it does not have enough income to meet the School Board allocations.

These Redevelopment Funds are somehow so sacrosanct that one is not allowed to question funding speculative real-estate projects to local developers at a time when we cannot keep all our libraries open or our community policing staffed. Because we do nothing to advocate a plan B, we may just lose Redevelopment Funds without much ado as a dictate of the State Budget. I do not know if we have a balanced City Budget if that happens.

But remember that City Council is also the Redevelopment Committee without a mayor or any other check, balance or serious oversight. So we have a council that has this kind of power on the side and just accepts the Redevelopment Rules whether they are good for Oakland or not.

If the Redevelopment Committee still exists by next election, we should consider what we really want to do with that money and how we want it governed and monitored.

A real council seat candidate debate will have the Redevelopment Committee affairs as major issues. We also have a council that just accepts some of the bad deals that the state and county hand down to us without a squeak of protest. By this I mean the way sales taxes are collected and distributed for an income example.

For an unfunded mandate example we have the state prison and parole systems which are either the worst in the nation or second worst. That system returns
offenders into our community without any reform and little help to integrate. We could probably save money and misery by reopening our own city jail and offering to keep these offenders here.

One can go on a long time on this subject and next election we plan to bring it up in a big way. In many countries the budget is what defines the government; lose a budge vote, lose the government.

How would this budget define us? Well, we love our police, fire and land developers a lot and we put our parks, libraries and public spaces on the low priority side of things.

A budget crisis like this one would cause other governments to resign.

Ours probably should, but I don't think that they will.

So we will have to vote them out by voting something better in.

Don Macleay

Oakland Green Party

Don also included this post from Sanjiv Handa, dated June 24, 2011:

----- Original Message -----
Sent: Fri, Jun 24, 2011 10:25 pm
Subject: Budget Proposals Restore Libraries and NSCs
FYI from Sanjiv Handa, East Bay News Service

There was quite a bit of excitement Friday, when City Council members finally released three separate budget proposals. They were one day too late for the normal agenda process, forcing the City Clerk's staff to stay late on Friday to make the proposals available online.

The clerk's staff often must stay until 2 a.m. or later Thursday night into Friday morning to finish agenda preparations, and then return to work as early as 8 a.m. the next morning to complete agenda distribution by noon.

City Hall was a ghost town by 4 p.m., but the clerk's staff was not alone. Desley Brooks, Libby Schaaf, Mayor Jean Quan, and half a dozen legislative aides were still working away past 6 p.m.

Council members had already sent proposals into cyberspace before they were delivered to the city clerk at 1:17 and 1:18 p.m.

There were two "gangs of four" Council members developing budgets in private. Ultimately, Ignacio De La Fuente went out on his own. Larry Reid, Desley Brooks, and Jane Brunner issued a joint proposal. Libby Schaaf, Rebecca Kaplan, Nancy Nadel, and Pat Kernighan delivered a different plan..

In essence, all three proposals accept the bulk of Quan's $887 million plan ($387 million general fund; about $500 million in other funds, give or take a few million, depending on whom you believe).

There will be a Council meeting Tuesday, June 28, 5:30 p.m. to try and hammer out a consensus. If unsuccessful, another meeting has already been scheduled for Thursday, June 30, @ 5:30 p.m.

Labor negotiations are the biggest question mark. Closed sessions of the City Council will be held 9 a.m. to Noon on Tuesday, June 28, and again on Thursday, June 30, at Noon.

A deal has been reached with the firefighters union that has been pegged at saving the city $3.5 to $9 million a year, depending on what numbers you accept. Quan's proposal to close four fire stations has been rejected. However, the fire union has agreed to rotating closures of two fire stations each day for the next two years. Minimum staffing levels of four firefighters per fire truck and three per engine (the big hook-and-ladder) would stay in place until June 30, 2017.

All proposals call for keeping all branch libraries open. The Schaaf, et al, version even restores funding to keep the Main Library open between Christmas and New Year's.

All proposals save the jobs of nine Neighborhood Services Coordinators. However, they call for elimination of the job held by Claudia Albano, head of the division.

All proposals reject Quan's dismissal of Parking Director Noel Pinto and breaking up the division.

Council members also want to eliminate the communications director for the City Attorney's Office, held by Alex Katz.

The Film Office would be retained, along with Amy Zins' job, which would be transferred to redevelopment. But her assistant's position would be eliminated.


Recent Dove, Lotte Choco Caramel With Mango Ads, Show Racist Attacks On Black Women

For all of the claims of a more advanced, enlightened, diverse, and color-blind society, we have good-old, mainstream corporate advertising to thank for reminding us that old-fashioned racism is alive and well.

Sadly, Dove and Lotte Choco Caramel With Mango are the most recent examples, and Dove - which was the champion, I thought, of the normal woman, regardless of color - should be particularly ashamed.

What Dove did was authorize the production of an ad that reads "before" on the left, and "after" on the right, with an obviously black woman posing on the "before" side, and an obviously "white" woman on the "after" side.

Who's in the middle? A woman who's skin color is between the two extremes.

The photo and the words imply that if you use Dove in the shower, you will turn white.

There's no other way to read that ad.

To this time period, Dove is still using the ad and it appears on the website for Dove Close Up, which you can see here.

What's equally disturbing is that the mainstream media, including columnists, have ignored the Dove issue, leaving bloggers to comment, and the noise hasn't been very loud at all.

But the ad is an obvious attack on black women, and it comes on the heels of a Psychology Today article that was an obvious, and down right sick, attack on black women.

And as if that weren't enough, a brand I never heard of called Lotte Choco Caramel With Mango, out of India, ran an ad photo that look like, well, Hamilton Nolan of Gawker put it pretty well...


In this ad out of India (click to enlarge) for Lotte Choco Caramel With Mango Inside, the choco-caramel-colored pregnant maid represents the Choco Caramel With Mango Inside. The happily leering mango is pleased that his mango sperm has been "inside" the choco caramel, and will be again soon, by the looks of it. Probably via rape. This scenario makes people want to purchase the candy in question.


I don't know what's going on, but this is one issue news media editors should take up their opinion columns on, and get to work. The ultimate shame is this strategy of attention-getting by racism is allowed to go without significant attack.

Why not sue Dove and Lotte Choco Caramel With Mango for defamation, and throw in Psychology Today to make the "burn the fields" legal strategy complete?

It's clear the fields do need to be burned.

Something must be done to stop this crap.
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Katy Perry Last Friday Night (T.G.I.F) Music Video - John Hughes, Yes; 80s, No



The video for Katy Perry's Last Friday Night (T.G.I.F) is reported to be an “80s” theme, but really there are several elements that were not from the 80s, but the 21st Century.

It's very much one tribute to the John Hughes movie Pretty In Pink, starring Molly Ringwald and members of The Brat Pack. All of whom are about the same age as this blogger. 

The video starts with Katy using a laptop and getting on the internet to check her profile page - that's so not 80s.  In the 80s, we didn't have laptops and the Internet.   We had big, heavy clunky personal computers, that cost thousands of dollars to buy.  My Apple Macintoch II cost over $7,000 back in 1989. 

Internet access?   That wasn't even in the conversation. 

Katy Perry also uses the “rock on” symbol. The "rock on" symbol is not at all 80s, and it's used far more in the late 90s and really started in wide use in the 2000s. 

 The high school setting is as much today as the 80s.  For it to be an 80s video, it needed scenes of boys and girls dancing together, and wearing watches.  In the video, boys and girls are largely separate and dance in space - that's not an 80s habit.  There's just one scene where a boy and girl dance together.

If the video reflected the 80s, it would have been as much in the style of Dick Clark's American Bandstand or Don Cornelius Soul Train, as anything else.  The part where the dancers hop up and down  and watch while Katy Perry is dancing and the other cast members dance in the middle should have been done in the form of a "Soul Train" line - that's very 80s. 

But with all that, one thing's for sure: Katy Perry's legs are timeless.

Stay tuned. 

Monday, June 27, 2011

The Oakland Mayor's Office Must Clear-Up Its Communications Process

This blog post comes as an advisory to the Oakland Mayor's Office, and it's done not for malicious intent, but to bring a stop to a growing problem that's reared its head twice in five days.

To cut to the chase, the Oakland Mayor's Office needs to determine what it's going to sent out in a communication to this blogger, and then make sure that message is consistently delivered, and without potential for misunderstanding, or appearance of subterfuge.

First, I must take time to thank the Oakland Mayor's Office under Jean Quan for at least trying to communicate with the public - it's a far cry from the previous administration. But, Mayor Quan's approach still appears as if it's confused and all too reactive to what's written in the press, well, OK, what's blogged by this blogger.

After trying to deal with this behind the scenes, I've just plain had it.

The first episode started when I received an email from Susan Piper, Mayor Quan's Special Assistant, who played a key role in Quan's successful candidacy. I like Susan, so this doesn't come from a point of dislike, but one of extreme disappointment, so deep that this blog post is the best, last resort.

It appears Piper, the Mayor herself, and the City of Oakland's Communications Office are on a different page at times. Take the issue of the announcement that the City was prepared to make former San Jose Deputy City Manager Deanna Santana, City Administrator.

I received two emails on this subject: one from the City of Oakland's Communications Office, the other from Oakland Mayor Jean Quan, via her newsletter.

Both emails had misinformation that P. Lamont Ewell was Oakland's City Manager, rather than Assistant City Manager, thus effectively removing former Oakland City Manager Craig Kocian from the city's history. The first email contained a press release attached and dated June 21st which called Ewell "Oakland City Manager."

Then, the second email, which contained Quan's Newsletter, had not just the same reference to Ewell as Oakland's City Manager in 1995 (when it was Kocian) but also called Deanna Santana the Deputy Mayor of San Jose.

I called out the Mayor's Office for the mistake and reminded anyone, regardless of whether they were paying attention, that Kocian was City Manager. (Momentary aside here: I blog to strategically seed the Internet for revenue gain, message control and real estate development, not to gain attention. Only a lobotomized knave would think other wise.)

Piper contacted me via email demanding to know where I got the information that the Mayor's Office said Ewell was City Manager in 1995. I sent the evidence to Piper along with a request for a bottle of wine. Piper admitted I was correct, but did not apologize for the error, just told me to have a virtual glass of wine.

That was on Thursday, and I was willing to overlook that issue. After all, I made my point and there's now a clear Internet record to counter all of the incorrect press content created because of the Mayor's Office's mistake. (Well, I hope it was a mistake. Again, to communicate to the media that one person was City Manager, when someone else really was, is a pretty big error to make.)

So, I was done with it, it was behind the scenes, and in the past. Fine.

But this week, it happened again - and it's a young week. Today's Tuesday.

On Monday, I made a blog post of two events the Mayor was set to attend this week, and did so completely based on another press release I was sent. The blog post called "Oakland Mayor Jean Quan Announces Plans For Week," came from a note called "News from: The Office of Mayor Jean Quan" and was in no way communicated to me as a non-public document with privileged information.

So, I shared it with the public. After all it was called "news," right?

Piper pipes up with an email that was just plain, down-right, ill-advised. She wrote that "Zenie- the About Oakland is not a "public" document. It is a media advisory for the press so that they know where they can catch up with the Mayor. We would appreciate it if you would not repost the content to your blog.

My email reply consisted of one word:

WHAT?!

After this, I've had enough. Alex Katz, who served as former Oakland City Attorney John Russo's press aide, has never in something like three years, made that mistake. Any press contact knows that as the representative of a high profile elected official, you don't send an email out to a blogger regarding events the official's expected to attend and think the blogger's not going to post the information or mention it.

That's...Well, a number of choice words I'm not going to print.

The Oakland Mayor's Office under Jean Quan has to stop playing games. They're bothered by the idea that, unlike the standard press, they can't control me (Which has always been Oakland's problem with me, come to think of it.)

During the election, Quan wanted to know who my boss was and who gave me assignments. She couldn't wrap it around her mind that I was self-motivated. And now, I see what the game is from them: try and say that I'm consistently making errors, by issuing denials of my reporting of what they sent out.

That's a dangerous game to play if the Mayor's Office is not even reporting the right information to start with. I hope the Mayor's Office can see now, that it won't work.

But let's say they're not doing that. Let's say that Quan doesn't want information on, as Piper put it, her "whereabouts" out there for this week?

Given that there were just two items noted, the City Team Ministries Breakfast of Champions (9-11 am Tuesday) and the Ribbon Cutting of the new East Oakland Sports Center, maybe Mayor Quan doesn't want to go to one of them for some reason?

Wow.

Well, either way it's spun, it doesn't look good at all.

Wow. It gets deeper.

Well, either way it's spun, it doesn't look good at all. After all, the Mayor has more to do than just those two events.

What To Do?

The best solution is, first, to craft a full media strategy that starts with one word: reputation. And it should consistently as the question "Is what I'm sending out something that I will not have to recall?" And care should be taken to be as open with information and its dissemination as possible.

I work with some of the most powerful communications people in Hollywood and in the Tech Industry. The people I know would never make a mistake like that; the Oakland Mayor's Office should study how they operate.

Stay tuned.

Rod Blagojevich Verdict - President Obama Must Be Smiling



In the last video on the subject of former Illinois Governor Rob Blagojevich, I said he was lucky to get away on no charge, but one charge; this time, the Government got Govt. Blagojevich on 17 counts, and he's reportedly stunned.

If Blagojevich is shocked, he has a weird sense of history. There are tapes of the Governor openly trying to sell the Senate seat that was once held by now - President Barack Obama, saying that it's "fuckin" golden. Moreover, then-Governor Blagojevich was all-but openly hostle to the former Illinois Senator, and just as that person, Mr. Obama. Barack. Was taking his place as the most powerful representative of the free World.

Blagojevich should have said "Whatever you want me to do, Mr. President, I'll do it," and left it at that.

Instead, perhaps because he didn't have respect for Obama because he was familiar with him. Or maybe that Blagojevich wasn't used to being in a position below, not at, a politician who happened to be black. Whatever the reason, Blagojevich pissed off President Obama, and set in motion the wheels of justice that find him where he's at now: starring at doing some jail time.

Blagojevich was lucky last year. Not this time.

Obama got him. And while it's not on the level of Osama Bin Laden, for Barack Obama, it constitutes the ultimate pay back.

Revenge is a dish best served cold.

Stay tuned.

British PM Cameron's Joke Brings Down House Of Commons



In this video posted today at itNews on YouTube, British Prime Minister David Cameron issues a joke about it being his duty to "give pleasure" to a constituent who was pleased at England would not get involved in the bailout of Greece. It's a hilarious blast that brought the "house" down - literally.

It's good to see a PM with a sense of humor. Remains to be seen how England't decision, or his joke, will impact its relationship with Greece.

Still, even if England and other nations took action, the Bank of England governor warned that it would not stop the European Debt Crisis.

Stay tuned.

Sunday, June 26, 2011

The Black Holes of Healthcare, Lemonade,...And My Plan!

HI Your Fit Day Friends:

I hope you're all enjoying the spring weather. Here in the Bay Area we've had some pretty picture-perfect days. And the days are still getting longer.

Hey! You know what that means, don't you? More daylight hours... for... ex-er-cising! So no excuses; at least for the next 6 months, anyway.

Go enjoy the great outdoors and make fitness fun. Grab your kids-or someone else's-and Go Go Go. Visit your National parks, (hurry, while you still time, since many are set to close in September). Play on the swing-sets. Bike the trails, and run in them thar hills!!

Hey! Speaking of running...that's something I won't be able to do for a while, and I wanted to give you an update on your trainer's life.

My Hippy News

In my Part I of Key to Pain Free I mentioned seeing a second surgeon after I was 'misdiagnosed' by the first. The first surgeon, let's call him Dr. Compassion (not!), advised Motrin daily; told me to come back in six months if I was still in pain; and, without even looking at an X ray or MRI, told me I was too young for any type of surgery and to come back when I was closer to age 60, and sent me packing.

Huh? I see. At my HMO it's obviously all about patient care!

Let me give you a brief synopsis of our email conversations:

Dr. Compassion: (no x-ray to look at, but moves my leg around, taking all of 1 minute) "Yup, just as I thought, you have arthritis."

Debby: "Gee doc, everyone my age and even younger has a little bit of arthritis. I'm in a lot of pain. It came on suddenly. I had a weight training injury in June of 2010, I train a lot. I really think we should think about stress fracture of hip and/or possible labral tear, seeing that I have been quite an avid runner all my life, as well as a myriad of other sports."

Dr. C.: "Nope. Even I have it.(he's sitting back down at his computer now) It's arthritis. Do you get pain in here?" He says, talking to his computer screen and pointing to his lower back. I'm assuming the statement is directed towards me, but with no eye contact it's kind of hard to tell. He keeps scrolling back and forth, up and down looking for something, obviously not my X-ray. I just keep wondering... 'what's so much more important than his live patient in front of him?'

Debby: "Huh? No, I don't. It' in my hip, the top of my butt. I can't squat right", as I get up off the table and hobble two steps over to the door, the only free space in the room.

"Look, watch me squat; look at my right leg, how it doesn't rotate out like the left. It's stuck. This makes it hard to work. And look at my hips. I'm like a tea kettle when poured, off kilter. Something isn't right. I can feel it, look Dr. _...", I'm pleading. He turns his head around for a split second as I'm squatting, then quickly turns back to the computer screen. What on earth is on that screen? What is so much more interesting to evaluate than his live deformed patient, standing sqautting right in front of him?

Dr. C.: "Yah, arthritis, like I said. That happens."

Wha..?

Debby: "Listen, I know my body and something is going on here more than a little arthritis. I need this fixed. I need to be able to do my job, teach my boot camp style class that I just licensed, and build out my new fitness website with my workout videos for online training. I need to be able to move without pain, be nimble...you know, be in good form for presenting great content to my viewers, who depend on me for their workouts. This is my job."

Dr. C.: "Well, my advice to you is to change your lifestyle. You can stand on the sidelines like the football coaches who yell at the players, and do just like they do. And I'm not going to give you surgery so you can do some You Tube videos and teach a 'boot camp'. My suggestion is to start thinking about your lifestyle and change it. Do yoga, swim, walk. Now, go home, take Motrin. Then, stretch it when you don't feel pain, and keep stretching farther and farther, and maybe some of that flexibility will come back."

Huh? Did he just tell me what I think he did? Stretching is his answer? Stand around and yell? Don't they have a reality show for that?

Debby: "Listen Dr. C. I've been in the fitness industry my entire life. I'm young, strong and extremely athletic. I have many more years. I'm not here to talk about career changes. I'm here to rule out the possibility of a stress fracture or labral tear that could be casuing this malfunctioning hip. [OK?] I need resolution. And even if I were to take Motrin-which I will not-how long am I supposed to take it for? What's your plan? Do you even have a plan?"

Do HMO's have a plan for patients anyway, or is all the bottom line for the HMO? This is NOT a trick question.

Dr. C.: "I would say come back in six months. And if it's still the same or worse then we can do an MRI, maybe. But I want to see the X-ray first. And if it's arthritis, like I'm sure it is, then we wouldn't fix a labral tear anyway."

Debby: "Well, I don't want to take Motrin indefinitely if you have no game plan, and you won't give me an MRI. That's ridiculous. I need to know NOW what this is. And if the X-ray doesn't show a stress fracture then I want an MRI; I am entitled to one."

Dr. C.: "Get the X-ray. I'm sure I am right. Oh, and don't bother making another appointment. You can just email me and we can discuss your options online. Save your co-pay . Now, I have to get going I'm late."

And he slid out the door trying to make a getaway.

Late? I waited for over an hour, he spends 15 minutes with me, max, and he's late? This is my hip.This is my life. 'I'm in pain here Doc', I was screaming inside.(I had just started with M.A.T. again)

I shoved all my stuff into my backpack, slung it over my shoulder, half open, and I rushed after him down the hall.

Debby: "Wait, what do you mean I can just email you? What about patient/doctor relationships? Why are you so concerned with my co-pay?" And he was through.

In the big picture, when you want a resolution, that co-pay is insignificant. And emailing your provider at my HMO only allows 1000 characters per email. Now, assuming you've been reading my blogs that's hardly a conversation for this blogger.

I want one-to-one interaction; I'm entitled to one-to-one interaction with my provider; And, hey! I pay my HMO membership!

Well, I didn't wait for him to email me, nor did I set up that one to one with him. I high tailed it online to my former shoulder surgeon, and in under 1000 characters she was able to find me a wonderful, compassionate, caring female orthopedic surgeon who happened to be a competitive runner, skier, swimmer herself, and was privy to my pleas for help. Let's call her Dr. Yours Truly Compassionate.

But I wasn't going to see Dr. Yours Truly until I made sure I had my MRI. And getting that was like finding water on Mars.

The Expansion Of Black Holes

Sometimes, trying to get through the HMO system is like falling into a black hole. And once you get stuck in their vortex you have to be pretty strong to pull yourself out to get something done, and in a timely manner.

Well, since I was stuck in the HMO vortex, for now, I had to resort to their emailing system. And since I could only write 1000 characters at a time, I was usually cut off mid sentence, even half word. So it took me quite a few emails to finally get through to that first doc and get my MRI.

Here's how that conversation went:

Debby: "O.K. Dr.C., so you say I have moderate arthritis. But I am entitled to an MRI, and I'm entitled to a second opinion. And I'd like to have the MRI first. I need to see exactly what is going on inside my body so I can move forward, make a plan, and visualize the healing and get on with the process."

Doc: "Like I said, take the Motrin and if that doesn't work then we can go in a different direction. There is nothing you can do about the arthritis. Change your lifestyle. You may have to give up some things"

Debby: " I'm telling you, something is wrong with the structure of my body. I can tell. And I can't move forward if I don't know what's wrong. I can't start my group exercise camps. At least if I have an MRI we can rule out what it's not. I use my body to make my income. People are depending on me to provide workouts on my website. I depend on my body like you do on your hands for surgery. Please, I want my MRI."

Am I actually begging my HMO?!

Doc: " I am 100% sure that it is only arthritis as we see it in the X-ray. And it's moderate arthritis at that. You are not a candidate for surgery with moderate arthritis. There is no reason for an MRI. "

Debby: "Listen, nobody is 100% sure unless they are God!. Just please order the MRI. Look at it this way, if there is nothing in the MRI then you can pat yourself on the back, and you were right. But if something else shows up then we will all be happy, and we can move forward and fix the problem. But I can't wait 6 months to find out. And you should not make me wait six months. Well, if you don't order the MRI now, then I might have to hold my HMO accountable for anything that happens to my body from the day that I saw you."

You've Got Mail

Man getting mail
Almost as slow as Snail Mail

Well, the next day I had, in my HMO Patient Inbox, a referral to the NMRI department. (The N stands for Nuclear, by the way). I finally got my MRI. Then I had a second opinion from the compassionate female orthopedist. Just for the record I'll rate her a 10 on the scale of 1-5!. Well, that was the visit where the Dr. yours Truly read the MRI.

And folks, it doesn't look good. I'd include the actual MRI but it's a bit too graphic for this G-rated blog. But here's what the X-ray looked like:

DebbyK hip arthrogram
What do YOU see?

Cool, Huh?

Now, if you're like me you have no idea what you're looking at.

What's not so cool is that I don't have many options, and not a lot of time to decide, given my age and progression of the osteoarthritis. and the pain and lack freedom it causes me.

Options:

  1. Do nothing and become a cripple
  2. Learn how to hop on one leg. Great for training but not very convenient in the real world day to day existence.
  3. Get the top of my femur chopped off and replaced with ceramic total hip replacement, THR, which is great for the avid golfer but not the active multi sport fitness gu-ress and trainer like moi.
  4. Go with the new innovative technology of hip resurfacing,HR, which saves most of your bone, the head of your femur and allows for full activities after a year of rehab (Weight training, running, skiing, martial arts, surfing, splits, and all other sports).I can basically do everything except skydiving. Note to self: Set up sky dive session before surgery.

What would you do? This is NOT another trick question.:)

It's kind of a no brainer, wouldn't ya think?

Although the HR is a more complicated, it saves most of the bone so there is more to work with in case of a revision down the road (ie. chop off the head of my femur, lots of thigh bone, and replace it with total hip). However, if the HR is done with precision, and by the right surgeon, who has logged 1000's of procedures, and uses the correct prosthesis best suited for women, especially on small framed women such as your princess of fitness here, the chance for the best possible outcome is optimal.

Just My Luck

Well, not only did my HMO 'mis diagnose' me as having just some arthritis, they didn't even notice in the MRI that I had congenital hip displasia-or they forgot to tell me-which of course changes the playing field when considering what device to place in my hip, not to mention the experience of the surgeon placing it.

So before even consulting with a possible surgeon-who is NO. 3 below-I logged about 60 hours online researching procedures, prostheses, and the top surgeons around the world who had performed thousands of hip resurfacing, with a high percentage of them on female patients like me.

And when I finally talked to Surgeon No. 3 , I came prepared with a file busting at the seems with documentation on the pros and cons of the two most commonly used devices: the BHR and the Conserve Plus. The research for the Conserve Plus shows that it is better suited for small women with hip displasia cases; it comes in many size increments; and there is less potential for rubbing and leaking ions.

The research shows that the BHR is suited for larger men; or women who are 5ft 8 inches and heavy boned. I am 5ft, 6 inches, if that.

And I am small boned. The BHR is large and bulky and does not have as many of the smaller sized options suited for women my size.

There is also documentation showing a higher number of cases of ions being created when the particular metals that are used in the manufacturing of the BHR ball and socket are rubbed together. These ions would leak into my bloodstream. They can never be cleared.

My life's work is about keeping the body toxin free and creating a life free of disease for others as well as myself; not creating a potential breeding ground for cancer, or...whatever else.

Compared to the Conserve Plus device, the BHR has also been documented to show more groin pain after full recovery from surgery, limiting activities. The point of the hip resurfacing is to restore my lifestyle back to a fully active one... pain free!.

These potential problems, as well as ions streaming through my body, is not my idea of fixing the problem.

And based on a report written by Dr. Koen De Smet, who is one of the top-five leading hip resurfacing surgeons in the world, (and speaking with him through extensive emails, where, by the way, I was allowed as many characters as I could possibly write), I am NOT a candidate for the BHR.

Guess what folks?

My HMO only uses the BHR.

Synopsis:

I saw three doctors. The first told me to go home. The second told me I had to have surgery, but did not perform that particular type. The third looked at my X ray, told me I hip resurfacing was difficult on women, that he had not done manywomen out of his 300 surgeries, and after looking at my MRI forgot to mention I had a congenital hip displasia. On top of that, even though I had shown him the report comparing the two devices and the how the Conserve Plus had a better track record for women he could only use the BHR.

It's quite obvious that it's not in the best interest of my only right hip, and my future as a fitness professional, to use my HMO's one option, or even their surgeons.

What would you do?

Make Lemons out of Lemonade

Well, that's what Dr. Koen De Smet, the surgeon who wrote the comparison report, and the doctor who I have picked to do my surgery, can apparently do. Make the lemons whole again. Kind of like putting Humpty back together again!


Who doesn't like Lemonade?!

As for me, I'll stick to making lemonade out of lemons and take this as an opportunity to find a silver lining.

I have spent thirty plus years of honing my body and mind and, well... I was born with my spirit! So now, I must take on another great challenge in this life of mine. (If you know me personally you know the others).

But I think of it like this: I will take it on like any other challenging leg day sat the gym; attack it with a plan and put in max effort.

And while I am still fairly mobile and can control the pain I'll prepare for the battle and have the best positive experience that I can doing it.

Yup! You heard me right. Stay positive. Look towards the future. Make lemonade. And here's how...

The Plan

Anyone going into battle has to have a plan. And this woman warrior is no different. So from May until September's surgery I will work on getting into the best PREHAB shape of my life, given the limitations with my hip and the pain, of course.

Since I'm a girl who likes to lift heavy objects with my legs, and since that is no longer an option I am learning new methods of training for my lower body.

(And NOTE to all the ladies out there: lifting weights does help keep body fat off your body).

I am also finding alternatives to running too. Plus, this will be a good time to explore other new ways to keep my body and mind strong and centered.

Eating healthy whole foods and maintaining my 23 years of an unprocessed and sugar free diet to fuel my body is a no brainer!

The Team

Back to the lemonade!

I decided to compile a team of experts who could help me get into the best shape of my life pre surgery, as well as post rehab conditioning.

And here's where the new experiences come into play!

It's obvious that I am limited in my mobility now, and I will not be able to go to the gym right after surgery. But it's paramount that I be able to stay in shape and do progressive athletic prehab and rehab. So setting up a system that I can use at home, or even in my backyard, or anywhere for that matter, is really important.

So to date, with the help from sponsorships by TRX,

TRX Suspension Training Pro Pack
TRX Suspension Training Pro Pack





Kangoo Jumps
Kangoo Jumps

and Kangoojumps, as well as pre and post rehab conditioning programs from Josh Henkin of Ultimate Sandbag Systems, and Ed Le Cara of Sports Plus, I'll be ready for battle.

What You Get!

Remember, this is a team effort and you are part of it. If I don't win, you don't win. So, I will be chronicling my experience through this blog and You Tube channel Your Fit Day , pre and post surgery. All of the workouts I do with the Ninja equipment will be workouts that YOU, too, can do. Right now. At home. Anywhere. No excuses!!

So I want all of you to workout along with me. I plan to incorporate all of the prehab and post rehab exercises into exciting kick-butt workouts, show you knew techniques, and post periodic updates and videos...all to help you get in and stay in the best shape of your life.

And as I bring you along on my journey I hope to be an inspiration to all of you out there who may have limiting beliefs around getting into the best shape of your life. You can do it. Trust me. But you may have to dig down a little deeper this time.

Remember, I'll be working out as hard as I can to stay in shape. I'm not going to let hip surgery steer me off course. Not for a minute. I'll just be working smart, and around the pain of my hip.

But I will never give up what I have achieved and I don't want you to give up on reaching your fitness goals either. We can do this together.

What It's All About

Although I'm a super fit chick, remember this: I still have to work hard at it every day. It doesn't come easy. I live and breathe health and fitness every day. Every minute!

But know this too: being in the best shape of my life every day will make it easier both physically and mentally to get through this challenge and bounce back.

And that is why it is so important for you to get in and stay in the best shape of your life, every day. Nobody has a crystal ball, and you don't know what curve balls life will bring.

Be prepared. Be Strong. Both physically and mentally. Be ready to play ball.

And that is what this blog is all about: To inspire YOU to stay on a path that will lead you to a lifestyle of health and fitness where you will never give up on yourself in becoming the best YOU.

You Give Me Inspiration

And while I'm rehabbing, I want you to inspire me.

Tell me about your workouts and your accomplishments and how YOU feel. I'll be here to cheer you on in your quest for your bad ass bod.

Tell me, what is your greatest challenge right now?

Leave a comment below.