UPDATE 8/14/15: Kenju's serious take on what I wrote here prompted me to do a search on SADS, an acronym that just happened to come together as I wrote this Skip-A-Day piece. I just now did a Google search and was surprised to learn SADS is an acronym for a seriously legitimate organization dedicated to making people aware of Sudden Arrhythmia Death Syndrome. I was aware of SAD as referring to seasonal affective disorder, but by adding the "S" I concluded I would not be confusing matters with that group. However, I did not know there was an official SADS organization when I originally wrote and posted this Skip-A-Day piece.
I'm acutely aware of the serious nature of the medical diagnosis arrhythmia, but I want to clearly state it was not my intent to infringe on the SADS organization's acronym. If I ever inadvertently create what I think is an original acronym in the future, I will certainly search to see if it may already exist in some other context, or represent an existing real organization I hadn't known about.. Meanwhile, though arrhythmia has absolutely nothing to do with what I intended as a humorous post, I'm providing a link to the real SADS organization. I strongly urge you to click on that link and learn about this arrhythmia syndrome..
Then, re-focus by reading the unrelated topic of my Skip-A-Day and hopefully, have a chuckle or two. You will have to suspend belief since there are arrhythmia disorders in the ICD code listings, but just not Skip-A-Day which was something else entirely in my imagination.
* * *
Skip-A-Day Syndrome (SADS) is not a medical diagnosis you’ll
find in the ICD (International Classification of Diseases -- official listings
of diseases, functioning and disability – nor among specific psychiatric and
psychological disorders.) The ICD is
where coding numbers are assigned to each of the listings – a system that brings
order and chaos to health care -- the latter when getting into the billing for
services provided – but that’s another story.
ICD 10 updates 9
this fall with continuing refinements and improvements, hopefully outweighing
any new system complications. But, medical
science being what it is with new discoveries and research findings, we can be
assured change will continue to affect ICD, as it does most aspects
of the world in which we live. Who
could possibly become bored when change is everywhere -- so much a part of our
lives?
As for SADS, I hardly think ICD inclusion is appropriate,
nor is official or even unofficial consideration being given to the syndrome’s listing. In fact, this SADS account is what the
medical community considers to be strictly anecdotal. I would agree with that. This may even be the first place the
syndrome has ever been identified, much less written about. Who
knows if others have ever experienced or observed SADS behaviors?
I’ve only recently been able to “connect the dots”, so to
speak, tracing back in time to when I experienced what I now recognize as my
first SADS episode. My young children
had started attending school . One week
there was a day when all their classes were cancelled due to special teachers
meetings. Normally, the only time
during the school year they were ever home during the day was on weekends –
Saturdays and Sundays. Of course, if they were ill, or there was a
special holiday, they would be home on a weekday, but there would be pronounced
activity in our home memorably different from “every day” type living. So, SADS episodes never occurred those
weeks. But I discovered …..the week they
were home on one just plain ordinary unmemorable weekday was what had triggered
my SADS!
I lost track of what day it was, because, clearly, it
seemed as though this had been a weekend day or they wouldn’t have been home. Yes, I could have looked at a calendar, but
that doesn’t always help unless you’ve been marking the days off. Besides I was really busy around the house
and with them -- who cared what day it was! My bedside alarm clock featured time
only. We didn’t have computers or smart
phones then, where the day, date and time appear on the screen when the digital
devices are turned on. But directing
ones attention to the specific screen area where that information appears is required.
After that first SADS episode, I realize now, I continued
to have such lapses periodically until my children graduated from high school. Those day disorientation events were infrequent
because the teachers didn’t have too many all day meetings during each school
year, fortunately.
The following years of my life I may have had an
occasional SADS episode, but I don’t recall any of them specifically now. Consequently, I’m unable to connect them to
any one stimulating causal factor, unlike the teachers meeting events.
I had completely forgotten all about such SADS episodes
until the past year when I began to work less, eschew obligatory commitments
and generally revel in engaging in whatever, whenever I felt like doing so – or
even doing nothing. I, truly, could
lose track of time – delighting in not even looking at the written pocket
calendar I prefer to keep vs using one of my digital systems.
None of those latter digital systems are the first thing
I look at each morning. In fact, I may
not look at them until evening, or may even skip a day or two, including reading
my email. After all, this is not a business I’m in and
I’m no longer on call every week day – this is my life, now. (Using the
devices in business is a whole different matter.) Just as long ago, I ceased allowing the
ringing of a phone to command my presence (answering machines helped) -- no
digital device – cell/smart phone, computer – is going to usurp my control.
I’m not completely irresponsible -- a few significant
people are able to text me, so when that signal goes off, I attend to it
immediately, thus I recognize importance where I think it matters.
Sometimes, I don’t even direct my attention to the
day/date/time on my digital device screens.
I don’t deliberately think about not doing so, but just doing so is not
an established habit. Consequently, seems
I might have had an occasional day slip by but “no harm, no foul” as the saying
goes. And then ……..
This is how I became aware of Skip-A-Day Syndrome (SADS)
-- how I searched my memory to discover and conclude this was not an
age-related disorder as some might be quick to ascribe to any such slip-up by
an older person. Am I rationalizing or
deluding myself?
One morning I rolled out of bed, took care of my morning personal
care, dressed, then drove to my early annual eye doctor appointment only ten
minutes away from my home. How strange! I
observed the gates to the office and parking lot were closed, but noticed cars
lining both sides of the street for half-a-block, though no people were in them. I
discovered an open area where I was able to park across the street from the doctor’s
office. I was actually a few minutes
early for what would be the first appointment time of the doctor’s day, so I
waited. He always seemed to have lots
of people in the office booked for the same hour.
No one showed up
outside at the time the office would open.
Oh, I thought, the staff must already be inside….the parking lot is
probably locked to keep cars out because they’re going to resurface it
today. So, I exited my car, walked to the sidewalk
gate, only to discover that it was still locked. Did they forget to unlock it? How would those people from the other cars
have gotten in? Maybe they didn’t go to his office but to
some other location nearby.
Hm-m-m .....I turned and walked back to my car. Using my cell phone, I called his office
number printed on the annual reminder card they always send me. I reached an answering machine – surprised a
live staff member hadn’t answered my call.
I left a short message, thinking they must be busy as usual, would hear
me and call right back saying they’d unlocked the gate. After
a few minutes I decided maybe I better double check the date – after all, it’s
right there on my phone’s screen.
Well, whaddya know! It’s Sunday!
My appointment is for Monday. I
quickly phoned his office again and laughingly left a brief message that gave
them a chuckle to start their Monday morning workday and another chuckle when I
spoke of it the next day at my appointment.
Even my doctor was laughing when he came in the examination room.
That must be my purpose in life – to make everybody feel
good. Laughing releases those healing
endorphins you know!