Cinco de Mayo- Trumpcare Day

Oh, my, Goodness.  With a sigh of relief, Congress passes “Trumpcare” and puts “The first Nail in the Coffin of Obamacare”.  When I caught the News Alert that the Dems burst out in song, “Nah Nah Nah Nah, Hey Hey, Good Bye” followed by Nancy, “stretch”, Pelosi who scares the American public with fictitiously, POLITICALLY DRIVEN comments like “people are going to die.  People have suffered due to Obamacare, they have.  As a senior female who has chronic illness the past 8 yrs medically has been laden with more obstacles to care than ease or access to affordable care.  Awk!  Those words exited my head to paper!!


In the famous words of Cheri Oteri’s “Nadeen” on SNL, “simmer down, simmer down now, simmer down”. Settle Down Video The over-reaction is breath taking.  I believe it is President Trump’s intent (or prayer) to transparently, or as much as humanly possible, ensure all those enrolled in Obamacare plans are safely placed into plans.   I believe he plans to offer at least the same type of coverage, including more options, which will bring costs down.  Whose responsibility is it for Your healthcare?  YOU!  Awk!


TRUMP, along with every surrogate, continue to use the words:  “Pre-existing conditions will not be an issue for those in Trumpcare”.  It appears the ears of the Dems are simply not open; actually hostile, so again, as “Nadeen would put it:  Simmer down now, simmer down.”


Fact is if you are employed in many states, you are provided with either a HMO or PPO commercial insurance plan.  You pay for it.  Are those ears open to receive a wee bit of education?  Okay now.

Commercial Insurance = purchased insurance product for those under the age of 65 or not considered permanently disabled by a medical physician for over 2 yrs from onset of serious illness, an illness that will not be cured or controlled.

Senior Insurance = purchased insurance called Medicare.  This is the already established health plan for senior.  A person is given “senior” status at the age of 62-72 (age groups eligible for Medicare and those again who are disabled past 2 yrs.  A supplemental plan is usually chosen to administrate the person’s Medicare plan and that supplemental plan occasionally covers a few extra benefits, i.e, travel benefit, exercise programs, etc.

Indigene (or low income) folks are covered by Medicaid for most US states, except Medi-Cal for California residents.  If qualified or eligible, Medicaid covers every aspect of health, but often the major medical facilities might be a distance to travel.  Patient communication to those in need did not appear to be as consistent in many states we travelled on our 8 month RV cross country tour.


Again, if needed, close your eyes, think of Cheri O’Teri on SNL whenever you slip back into negativity about the Trump administration, politics in general:

“Simmer down, Simmer down now”


As a “Kapuna” (wise one here in the Hawaiian Islands), it is somewhat a responsibility to share the wisdom collected along the way.  These words are not meant to incite, but rather, inspire.  I truly have no judgment.  I follow my own path, just ask my husband or my family.  LOL


Take a break from the news now?  Nev…ah!,   Again, never give up, Nev….Her?   Never!  

Tutu A from Maui Chatting….Healthcare, always with Warm Wishes for Warm, Gentle Breezes.



Healthcare Part 2

Folks, both doctors and patients have responsibilities, just like the special “Oaths” taken by medical practitioners & professionals.  Therefore, this blog will be educational, hopefully humorous but not to the point of too much silly…so please receive and accept some things are universally accepted in this industry.  Education is the best armor in life, knowledge is power, right?????  Right?


  • A primary care physician or practitioner has a responsibility to follow each & every patient.
    • From inception, first appointment to the last
    • Perform Continuity of Care *
    • Ensure patient is compliant with medical plans
    • Document every encounter, from phone contact to each visit.  The progress notes must be legible (oh, got stories about practitioners who fought the idea of making “their language translated into “lay person’s” language.  (A “lay person” is someone NOT of the stated field the person reviews or interprets, thereby seeing materials with fresh, new eyes.  Thankfully computer systems have evolved to assist the profession accomplish these requirements much easier & in no way affecting an ego.
  • A patient has many responsibilities:
    • A responsibility to pay attention to the physician’s instructions and if he/she has a language problem, the patient should ask for assistance.  The physician has a responsibility to document the patient’s primary language spoken and what educational material the patient needs is understandable to both patient & caregivers.
    • A responsibility to follow all physician directions and participate in all aspects of care directed by medical professionals.
    • The responsibility to pay co-payments & premiums.
    • A patient has a responsibility to be honest with his/her physicians in order to receive the optimum care.


Enough education for this article.  Onto Trumpcare and Your healthcare.  The Democrats recently displayed what most parental types call BAD BEHAVIOR.  This is why Tutu A was felt motivated to blog.  Teaching onself how to blog is quite an undertaking.    My observation is the senior Democrats gave a ZERO, NADA, ZIP interest in any attempt to meet the GOP half way.  Now is that not what we were taught as children?  To calmly use our words in an attempt to acknowledge, inquire politely, and accept graciously the outcome of those in positions much above “our meager pay grades”.


Senators Chuck Schumer & Elizabeth  Warren, OMGoodness, Congressional Rep from California, Ms. Maxine Waters, and House Minority Leader, Ms. Nancy Pelosi came across every television network that their party will” NEVER, EVER, EVER, EVER, TO INFINITY” work with our newly elected President Trump.  Visions of a 5 yr old stomping his/her feet wanting to get his/her way cannot help but come to mind.


Trump, BTW, really appears to be doing “his” very best under the stressful circumstances he has found himself.  I think he has smartly surrounded himself with some “smart” folks, excluding ousted Flynn, who is still under investigation.  I am optimistic for the first time in 8 years, my 8 years of serious illness & bed rest.  So I have had plenty of time to genuinely reflect on something bigger than myself


Whether you like him or not, we were taught by both parents and school teachers to automatically give those older and hopefully more wise at least a chance to perform.  So why not give Trump that chance?  


“A chance is not the other sides agenda. (period)”  No matter how idealistic I may be, the reality, realitee, realitea (haha) is the media will change ANY word to fit the “agenda” of the person speaking.  It is that simple.  And also, as Mom taught “don’t believe everything you read or hear”.

So there it is folks, are you going to become more active in Your healthcare life????


Tutu A with Warm, Gentle Breezes from Maui

Healthcare Part 3

It is about time WOMEN BAND TOGETHER FOR THE GOOD OF THEMSELVES, OUR COUNTRY & STOP THE ALTERNATE FACTS, MISINFORMATION & HORRIBLE LIES that especially scare senior citizens and young folks.  We have a collective responsibility to follow those very good words of our “parent types” and we continue to instill into each generation that has come up since my coming of age.


Those women marching ‘Against President Trump” has drove me to distraction I was mistakenly about to attend Maui’s 1st Women’s March, 2017.  I inquired and was told by the organizers ALL voices would be heard.  Well, my husband drove me to this event & it was clear MY VOICE WOULD BE DROWN OUT, and I was scared so did not participate.  I was scared.  


So I am starting my own movement:  Tutu’s for Trump.  I know there are haters, and more haters on top of the haters that do not know they will hate my words.  Go on with your own self.  I accept & love you, spiritually man.  I deserve the same amount of time & a forum for MY WORDS, my mentoring for those who are like minded or fence sitting.  You are free to stop here & I am grateful You gave me Your Time & Attention.


Regardless of President Trump’s past and my late acceptance of his win of the GOP primaries to be the Republican candidate, I was taught to always be loyal to the “Office of the President .  We were graded on citizenship.   I respect every President.  I accepted President Obama’s initial “hope”, but found he stole my Social Security with reckless abandon & no apparent care to the losses that would trickle down.  Example:  Like other seniors, I had to ration important life changing medications while in “the gap” (later will explain for those who “say what?”) and had to forgo important pain relieving procedures due to high cost of co-payments.  


At least President George W. Bush passed a law that provides each senior with $2800 initially per year for medications, but for 2017 the initial coverage period will pay $3700 with a $400 deductible and a 25% coinsurance.  (Again, see article in future Tutu D Chats Healthcare: Myths of Prescription Medications.)  Mahalo (thank you) President Bush for that legislation.  Who knew I would need that benefit due to more diagnoses than I have fingers & toes!  Awk!  


Tutu A witnessed Mr. Trump run a stunningly brilliant campaign in an extraordinary manner, breaking rules & “the old established right” (something I did not think would occur in my lifetime, but hey!) opening up the process to show the world “smart money” spent works!  Now I have to give President Trump about a C+ for his immature need to say:  “I told you so.”  Or something similar.  So, how do we proceed?   The world is still spinning on how Trump created an effective communication style that still evolves when it comes to Presidential Politics.  The idea of no “Daily News Briefing” from the President is not a bad idea.  Who really wants the day to day stuff? Are we that thirsty?  Hungry for news?  No folks are “Hangry”…that is hungry & angry at the same time.


We, in the collective sense, are generally slow to accept change.  The Democrats are still so stunned that they did not win, they are frozen still (called Denial) since November 9, 2016.   They have obviously NOT MOVED on, based upon the behavior in Congress when the rendition of “nah, nah, nah,nah,hey, heyo, good bye”, right?  Was that not an immature move?  Yes or No?  Come on parents??!!??  Don’t give out another parable about the GOP, heard them all living in “left minded states”.  Oh well, I accept & embrace both sides.  That is what I thought maturing meant.  Hello?  Anyone there?  LOL


Anyhoo.. example of someone who has NOT moved on:  The recent episodes of Real Housewives of New York City  these past few weeks had the usually calm & soo cool Carole Radziwill absolutely going “stark raving bananas”, “lost her bloody mind”, “went to the Dark side”, AND “drank the Political Koolaid to the point “politics”, “politicking” absorbed her very small stature like the “black ooze” in X-Files”.


We were used to Carole being the voice of reason.  She has had this mysterious romantic life, is single yet not, was a news trail blazer, and a freaking Princess.  Look up her name in the dictionary and “cool” is right there.  Actually through marriage Carole Radziwill is related to the Kennedy’s, but I am not name dropping.  LOL True but she is not braggy about her privileged life style.  But she reveals she is a true blue far left elitist snob who is really NOT in touch with us regular folk.  I don’t think the President of the US will change her bottom line one way or the other.  


Carole, the President’s agenda affects us normal folks.  Like the thousands I lost the minute Obamacare took hold.  The downward spiral has been miraculous.  Obamacare which would have become Hillarycare (and the nightmare of a single payor healthcare system) does not change how Carole Radizwill access healthcare.  She has all the money is the world to obtain ANYTHING SHE WANTS OR NEEDS.  Not so much for us regular folks.   Poor Carole felt such a loss, akin to a death, she experiences the denial of the loss.     


Bethenny Frankel, also from RHONYC tried to save Carole Radziwill, threw her multiple lifelines, including a visit to an Accupuncturist (so New Agey) to help deal with the stress of the campaign leading up to “that tragic day” (her perception of the left).   God came down, or the Russians, LOL LOL, and ripped the very heart out of the Democrats that they simply do not know how to take the next reality step: Don’t you “care about Hillary”.?


No I do not care about Mrs. Clinton, personally.  I think she will be quite fine with all her millions and millions of dollars.  Give me a break.  Sorry Carole, ex-Secretary of State was just “the wrong woman” for the job.  I care about how both parties position their agenda (or “platform”) are going to evolve.  I have been a fiscal conservative with liberal views toward social concerns.  I am also a Pisces where the two fishies seem to be going in opposite directions.  So heck!  I care about my “bottom line” and that of my closest friends and family, my community.  Tutu A’s given name means “noble”, so there you are.


Acknowledge, Always Ask Questions, Accept Outcomes.  Embrace change.  Is that not what we teach?  I believe I am finally a “Grown Up Ass Woman”, as some of my peerage proclaim.   Yikes, again, the song “nah, nah nah nah, hey heyo, Good bye”?  Yikes!. I was embarrassed for these folks, truly & thought, is this really what the folks at home really want… I had to write my first Blog article.


Thank you for reading.  I have more articles near completion and hope you return.  I look forward to questions, concerns & comments.  


With warm breezes & Alooooooooha, Tutu D, always Chatting, duh

Healthcare Part 4

Tutu D Chats spent the week watching & reading about how Trumpcare has shuffled over to the Senate where it appears “they will start over & write their own plan”.  Geezaloo.  Why make that optix?  Each “plan” is a carbon copy with tweeks, additions, revisions & deletions.  Why not say that?  Too many words?  It appears Trumpcare will stall while the alleged “Powers that Be”, not the cool ones in the series ANGEL by “demi-God” Joss Whedon….”I am not worthy, I am not worthy”, LOL LOL LOL


Trump is planning an oversees trip to roll out his “foreign affairs policy & meet the Pope”.  Meanwhile, the usual “News Corp” has been incognito since Sean Spicer fumbled words.  The words get in the way, the old song goes.  This legislation will take much longer than us commoners thought.  The “office” that reviews the cost of things, yuk, always seems to contradict itself to the point Tutu A really does not know who to believe.  Suffice to say, it is my responsibility to take care of myself, not my state or federal government.  Tutu A may take Disability Social Security and Medicare, but Tutu worked 30 years and earned the Social Security and Healthcare benefit, or so we “Believers” thought.


Did you know those reporters and/or many folks on the airwaves oft times get paid by the number of words they speak??  Did you’all know that?  I know you know a great deal more than folks knew 100 years ago.  There has been a great deal of huffing and puffing as the news type folks bicker back & forth, especially when Trump threatens to “stop Daily Briefing” because he does not like “the heat of the pan”. Is that what Trump volunteered and worked very hard to JUMP IN??  Of course it is.  He has “New Head”.  I expected there would be some bumps along the way initially.


We all must try to JUMP IN and try.  The never give up attitude is at least positive.  At least Trump tries and it appears he tries very hard.  


Tutu D recommends all consumers of healthcare call your health care insurance company and ask how things are going to change.  Be informed.  Again, I grew up to not be a “lemming” or a “sheep” or a “victim”.  Educate yourself.  These were my Mother’s words so it kinda makes sense I would end up with these in my vocabulary.  If you are so inclined, email your Congressional and Senatorial representatives with how healthcare affects Your life.  That is what they need to take back in for further legislation.  I began to write my elected officials.  I never received a response but I felt it incumbent to share my expertise.  .


Again, as a “Kapuna”, Tutu A wishes to pass down information gathered along the way, in a generous & humble way.  I spent my life sharing my words, especially while employed.  Since November 2007, yes a decade ago, I became both unemployed & disabled so I have had time.  My blog will hopefully educate, entertain a bit and is readable in a way one would hear the words clearly & not through someone who is impaired, so forgive some of my fumbling about….and I am old.  LOL LOL  I maintain a good sense of humor.  (See my bio for more “deets” to “moi-self”.    It is time to JUMP IN.


Therefore, my “language’ may not have kept up with the time.


Are you ready to receive a wee bit more mentoring/education?  I pray for open minds…..


I routinely speak about Continuity of Care & the changes of Language to today’s Language, Lexicon  Sometimes a person’s “New Head” (see additional description about a 35 yr process) prevents integration of information so I will speak of it again, plus repetition helps solidify known info.


Again, you deserve Continuity of Care from the designated Primary Care Physician/Practitioner. * Continuity of Care is a process where the medical practitioner you chose regularly reviews your medical chart and history (at least annually), including any referral requests made, to ensure all diagnoses, preventative health are addressed timely and appropriately.  The practitioner is responsible to communicate, as appropriate, with the patient what medical processes and/or procedures are required to ensure maximum results and/or outcomes toward your overall health, including preventative care.


All patients deserve an annual physical exam.  If you have insurance and/or have a job, are an independent human, you have a responsibility to make sure you are healthy for that job, for your family, for your future.  There is no age to begin since your parents hopefully began the important process of regular medical and dental (don’t get me going) check-ups.  Both the patient & physician must stay on top of appropriate testing for the age/sex/conditions to ensure, again, Continuity of Care.  Do you need blood work?  A mammogram?  Don’t be squeamish, someone saw your privates way before you became aware, okay?  Suck it up if you have not been in a while and get checked.  No excuses. You know what they say about excuses?  LOL  LOL


It is all of our responsibility to assist our community collectively to promote, encourage and maintain good, healthy lives.  What is your contribution?


The changes to language seems to occur every couple of years.  Each new generation always brings their genre to an ever growing field of words to choose from.  Language eventually became subject  to the Political Correct Police.  You know them right?  Awk, Yikes & oh Crap.


So here a few important acronyms in healthcare that might be healthcare:  In another folder is a list of My Favorite & Not Fav Words, Or Other Words.


PCP is a Primary Care Physician

MD is a Medical Doctor

DO has a Doctorate of Osteopathic Medicine

NO is a Naturopathic Physician (must Fact Check)

OD is an Optometrist

DC is a Chiropractor

NP is a Nurse Practitioner

PA is a Physician’s Assistant

MFT is a Marriage, Family Therapist (each state may have a different version through their State Licensing Agency)

PT is a Physical Therapist

PTA is a Physical Therapist Aid


Alooooooooooooha, with warm Maui breezes, Tutu D Chats & Chatting You Up.



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