In the last 24 hours, I've made 3-4 calls to the transplant center to get the show on the road. They've got a lot of secretaries, co-ordinators and other bodies to get the show on the road,and they've got their rituals and protocol, and it isn't going to happen, predictably, fast enough, so I have to act as though its an impossibility, and prepare for dialysis by having an AV fistula placed for anticipated dialysis.
This is not optimal, but I can't deal with other institution's inertia, or whip insurance companies into line. If he gets transplant after a fistula is placed, the surgery is an expensive and unnecessary waste.
I have to remember my role in this complex mechanism, and the limitations of what I can and can't control. I know what good medicine is. I know what patient centered medicine is. And I know what I'm up against.
I'm just pissed off and frustrated.