disabilities Archives - Ramblin' with Roger

Patient Portal should be ADA compliant

508 compliance

My old friend Catbird asked me a question.

Hi Roger— When you need to get information from your medical provider(s), how do you do it? Phone? Email? USPS? Online system?

My only access is through a “patient portal” that is “protected” by Captcha. I can’t use a captcha because I have a visual deficit, and I am trying to find out how widely it’s used to guard medical information (and even access to my provider). The captcha workaround is widely known, so at best, it’s only an illusion of security or privacy. The best I can do is take my own notes and try to remember to ask for a paper copy of any results before I leave a medical visit.

Thanks for any info or perspective.

It wasn’t THAT long ago (was it?) that I could call my primary physician’s office, and usually within two hours, my doctor’s nurse, who knew me by name because we had such a long-term relationship, would call me back.

That’s gone by the boards, as virtually every transaction I have is on my cellphone or the portal. The cell to acknowledge appointments and check-in. Some places don’t want you inside until they text you to avoid overcrowding; COVID accelerated this tremendously. I finally grudgingly embraced the cell phone out of necessity.

Everything else is on the portal. Or portals. I have to access more than one. While most of my providers, for good and for ill, are affiliated with one entity, there are outliers, such as my podiatrist, dermatologist, and allergist, who are not. My computer knows who I am vis-a-vis these gateways; when it inevitably dies, I’m probably screwed.

ADA

It occurred to me that the offices would be subject to the Americans with Disabilities Act. Indeed, per Dreamscape, THE IMPORTANCE OF THE TITLE IV REVISION TO MODERN LIVING: “The Title IV amendment came in 2008. From telephonic communications to the internet, television, and other digital services, it was apparent that Americans with disabilities needed special accommodations. Everyday tasks such as surfing the web or watching television ranged from inconvenient to impossible with hearing, vision, or other physical impairments.

“Thus, Title IV set a new standard for telecommunications. Through it, certain requirements came into effect for digital communications, including closed captioning and guidelines for web accessibility. These guidelines [which are very wonky] include site navigation, alt text for photos, and other information shared through web content or applications.”

There should be accommodations made. For instance, the Equalweb page suggests that “the Visually Impaired profile automatically activates the Screen Reader Adjustment function, the Low and High Saturation and Contrast modes, and the Image Descriptions, Magnifier, Reader Font, Highlight Links, Highlight Headers, and Text Magnifier functions for individuals who live with visual impairments.”

More on point from the AHIMA Foundation: What To Do If Your Patient Portal Is Not Accessible. “In March 2022, the U.S. Department of Justice released guidance under the Americans with Disabilities Act (ADA) on how state and local governments and businesses open to the public (such as hospitals and healthcare organizations) can make sure their websites are accessible to people with disabilities.

“In the context of patient portals, it’s the hospital’s job to ensure their portal is accessible to all patients….

Things to fix

Reasons Why Patient Portals and Other Health Websites Might Not Be Compliant with ADA

Poor color contrast. People with color blindness and other disabilities related to vision ─ such as diabetic retinopathy ─ may have difficulty reading text if the text color is similar to the color of the background.
Lack or poor alternative text in images and graphics. If there is no alternative text, or alt-text, in an image or a graphic, someone who uses a screen reader will not be able to know what information is in the image or graphic.
No captions on videos or transcripts for audio. Someone who is hard of hearing or blind will not be able to know or have difficulty understanding information that is in a video or podcast, for example.
Inaccessible online forms. There need to be clear labels on forms for people who use screen readers. Having clear instructions is always helpful.

Patient Portals and 508 Compliance

“Any hospital or health clinic that receives federal funding also needs to be compliant with Information and Communication Technology (ICT) under Section 508 of the Rehabilitation Act and Section 255 of the Communications Act.

“If a patient portal is inaccessible to you or someone you care for, look for a statement of accessibility on the hospital’s website. Typically, it’s linked at the very bottom and includes a phone number and/or email address where you can report any issues you are experiencing.

“Requesting changes or filing a complaint regarding the inaccessibility of your patient portal should be made directly to your healthcare provider and/or hospital. They may be able to help you and address your concerns more timely than filing with a federal agency.

“Should you not receive a response after contacting your provider and/or hospital, you can file an online ADA Complaint with the Department of Justice, Civil Rights Division.”

I wonder if one reasonable accommodation could be talking to you on the phone and mailing stuff to you if they can’t quickly fix their website. I put it as a short-term solution, not a permanent fix.

One last thing on the topic of medical care. My primary physician used to be in a partnership. Then, the practice was gobbled up by Big Med. Since then, her office has moved FOUR times, including this month. This most recent change means it’ll take me two buses and an hour to get there. [Sigh.]

Christopher Reeve would have been 70

Paralysis Research

Lots of people have mused why Christopher Reeve, born September 25, 1952, was the perfect Superman. Part of it is that perfect early scene:
Supes: Easy miss, I’ve got you
Lois Lane states: You–you’ve got me? Who’s got you?
And it’s that little chuckle that I loved.

But also, he was my favorite Clark Kent. If you don’t accept Clark as distinct, it’s difficult to buy the secret identity of the superhero. I saw the first two films, and even though the second film is a lesser effort, it was not the failure of the actor in the lead. Here was his workout regimen.

I didn’t see him in much else. Remains of the Day (1993) and Noises Off (1992) I liked. Also Somewhere in Time (1980), during which Jane Seymour says she and Christopher Reeve were “falling in love.”

Then, “on May 27, 1995, the actor injured his spinal cord after falling off his horse in an equestrian competition… The blow left him paralyzed from the neck down and forever in a wheelchair. Reeve was only 42 years old. The doctors took away any hope of improvement, assuring him that it was ‘impossible’ to recover movement…

“As The New York Times revealed, if the actor had fallen one centimeter further to the left, he would have died on the spot. If he had done so to the right, he would most likely walk out with less than a concussion.

“Reeve reappeared in public at the 1996 Oscar Awards, a surprise remembered as one of the most exciting moments in the history of the awards.” I’m very sure I got a lot verklempt at that moment. Christopher quipped, “What you may not know is that I left New York in September and just arrived in Los Angeles this morning [March 25, 1996].”

The Foundation

The above paragraphs were from a piece on the Christopher and Dana Reeve Foundation, a nonprofit founded in 1999.

Even before then, both Christopher and Dana were involved with activism. “In the years following his injury, Christopher did more to promote research on spinal cord injury and other neurological disorders than any other person before or since.”

As the AmeriDisability page notes: “Originally created in 1982 in response to the injury of Henry Stifel, the Christopher and Dana Reeve Foundation – first conceived as the Stifel Paralysis Research Foundation, a community-driven nonprofit dedicated to curing spinal cord injury (SCI) – marks its 40th anniversary (2022). Over the last four decades, the Reeve Foundation has evolved to become the premier national, paralysis-focused nonprofit organization working to address a dual care-cure mission – providing free, comprehensive resources to help those impacted by SCI and paralysis as it advances the most promising scientific advances toward cures.”

Check out the Give.org page.

The most recent Charity Navigator listing for the Foundation gives it a “score is 87.31, earning it a 3-Star rating. Donors can ‘Give with Confidence’ to this charity.” Note that “this score represents Form 990 data from 2019, the latest year published by the IRS,” because the agency “is significantly delayed in processing nonprofits’ annual tax filings.”

Passing

In 1998, Reeve produced and starred in Rear Window. It is, of course, a remake of Alfred Hitchcock’s great 1954 film. “He was nominated for a Golden Globe and won a Screen Actors Guild Award for his performance.” Of course, it doesn’t compare with the original. But one scene actually terrified me. When the villain disconnected the Reeve character’s breathing tube, it was impossible for me to separate the role from the guy playing it.

On October 9, 2004, Reeve went into cardiac arrest after receiving an antibiotic for an infection. He fell into a coma and was taken to a hospital in Mount Kisco, New York. He died on October 10 at the age of 52, quite possibly as the result of an adverse reaction to a drug, something he had experienced in the past.

Dana Reeve married Christopher in 1992. Less than a year after his death, Dana announced that she had been diagnosed with lung cancer. “She had never smoked but in her early career often sang in smoky bars and hotel lobbies.” She died on March 6, 2006, at the age of 44, at NYC’s Memorial Sloan Kettering Cancer Center.

But their work lives on.

We should act for Americans with disabilities

30th anniversary of the Americans with Disabilities Act on July 26

The 30th anniversary of Americans With Disabilities Act is coming up on July 26. That is when President George H.W. Bush signed into law the act, “which prohibits discrimination against people with disabilities in employment, transportation, public accommodations, commercial facilities, telecommunications, and state and local government services.”

The law has allowed more people to contribute economically and intellectually to society. In 2019, 19.3 percent of persons with a disability were employed, the U.S. Bureau of Labor Statistics reported.

For whatever reason, this has been one of those issues that I’ve always had an interest in. When I was working as a librarian, I often took the ADA questions. In the main, the need to make “reasonable accommodations” has become easier with technological advances.

We need to be more accommodating

I am sure I’ve complained about how people make it difficult for those with handicapping conditions to get around, including in my neighborhood. The people who park their cars across the sidewalk, or block the crosswalk, for their own convenience tick me off. They make it difficult for people who are blind or are using wheelchairs, canes, or walkers to traverse.

A blind woman I know needed help doing her laundry recently. Usually, there are machines in the building, which she was quite capable of using. But the landlord is switching them out and the delivery of the new washers and dryers were delayed.

So I walked her pretty much kitty-corner from her house to the laundromat. The first thing I noticed was that drivers are not all that considerate of a woman walking across the street using a cane. On both legs of the trip, automobiles got WAY too close to us. She says it happens to her all of the time.

Then we go into the laundromat. I hadn’t been in one in years. back in the day, the washing machines had specific spaces for the quarters, so you can tell how much it cost. The downside happens when the laundromat owner wants to raise prices.

Now they just have slots for the quarters. But how many? The front loaders were $3.25 each, the top loaders $2.25, according to the digital display. But there would be no way for a sightless person to know that. The dryers were 25 cents for seven minutes, and the start button was whether you wanted the temperature to be high or low.

It’s good for me to experience the world in ways that help me understand what others go through.

March rambling #2: We are never Ivory Coast

Rob Ford died of a more respectable disease.

Stolen: We are all France. We are all Belgium. We are never Ivory Coast or Burkina Faso or Tunisia or Mali.

10 Safest Countries If WW3 Breaks Out

There was no wave of compassion when addicts were hooked on crack.

From Scapegoating to Solidarity: 2016 Is the Year to Turn the Immigration Debate Around.

Weekly Sift: My racial blind spots.

An Open Letter to Drumpf Voters from His Top Strategist-Turned-Defector.

What It Means to Be Right-Footed.

I told the truth in my sister’s obituary so that others might choose to live and Amy Biancolli’s The long arms of a story.

The man who turns news into art.

Game Theory for Parents. “Mathematically tested measures to make your kids cooperate—all on their own.”

Something just slammed into Jupiter.

American Bystander is a printed humor magazine that’s about to release its second issue, with the help of a Kickstarter campaign.

I generally have good success, but Chuck Miller reports on the UPS epic fail.

Feck ‘n’ Gruntle.

What does superfetation mean?

Evanier – how things are made: Snickers bars and frozen french fries and
Newman-O’s (an Oreo competitor) and balloons and an automated teller machine, plus a nifty magic trick.

Now I Know: The Secret Life of Honey Buns

Pie-lexa as a treatment for RBF

Cookie Monster bakes — with some help from Siri.

RIP

Patty Duke, 69: Oscar winner was the youngest at the time to receive the award. She went through so much before becoming a mental health advocate. And yes, I watched The Patty Duke Show – she was the youngest actor to have a TV show named for her in the day, and I even remember the theme.

She even had a hit single. Here’s an anecdote from Ken Levine; I’d forgotten she’d been the Screen Actors Guild president. She was the Mystery Guest on What’s My Line (1972).

Ken Howard, 71: he of The White Shadow, 30 Rock, Crossing Jordan, Adam’s Rib and a bunch of other stuff I’ve watched. He was also SAG/AFTRA union president.

Garry Shandling, 66: comedian’s influential career spanned decades. I watched his eponymously-named show regularly. He also gave us the greatest TV show about television; I didn’t see it often, it being on HBO, but I DID see the finale while I was in Boston taping JEOPARDY! Mark Evanier rewrote for Garry.

Larry Drake, 67: from L.A. Law.

Former Toronto mayor Rob Ford, 46: died of a more respectable disease and The Honest Liar.

Music

My Window Faces The South – George Morgan with a young Glen Campbell.

I Ain’t Goin’ Nowhere – Rick Moranis.

Son of a Preacher Man – Tom Goss.

Not Given Lightly – Chris Knox, a New Zealand artist (1989).

Fragile – Sting and Stevie Wonder, from the former’s 60th birthday concert.

Green Onions and Sophia Loren. Loren was in Schenectady giving a talk recently; I didn’t see her, alas.

Google searches (me)

Drawing lots of lines.

Jewish View.

August Rambling II: Smart is sexy and stupid is not

A reference to my piece about David Cassidy made it into the print version of the paper because “it was a good post, and filled with what we like: short, timely and to the point :)”

The New York Times’ prophetic 1983 warning about the NSA, which naturally leads to Glenn Greenwald killed the internet.

My Feelings About the Harriet Tubman Sex Tape in 10 GIFs.

Invisible Disabilities Day is October 24. I have this friend with rather a constant neck pain, but she doesn’t LOOK sick, and therefore feels diminished by those who actually don’t believe her. Conversely, The Complexities of Giving: People with Disabilities as Help Objects.

Photos of the worldly goods of inmates at the Willard Asylum. I backed the Kickstarter for this and wrote about it a couple years ago.

“Each week, TIME Magazine designs covers for four markets: the U.S., Europe, Asia, and the South Pacific.” Often, America’s cover is quite, well – different. I had noticed this before. I don’t know that it’s “stunning,” but it IS telling.

The Peanuts gang meets The Smiths, in which This Charming Charlie masterfully blends Charles Schulz’s comics with lyrics by The Smiths.

Mark Evanier’s Tales of My Father, featuring Tony Orlando. Also, Tales of My Cat.

A friend’s letter from his brother. (Can one read this sans Facebook?)

Yes, smart is sexy and stupidity is not.

Eddie, the Renaissance Geek is cancer-free!

So I have survived my first grown-up move. Moving as an adult, it turns out, is radically different from moving as a student.

John Scalzi: To The Dudebro Who Thinks He’s Insulting Me by Calling Me a Feminist.

Air New Zealand celebrates marriage equality.

Lake Edge United Church of Christ in Madison, WI: “Worship at the Edge” PRIDE Sunday.

My old buddy Matt Haller has a new blog and writes about lies my shampoo bottle tells me about dating.

Arthur challenges his own snap assumptions.

SamuraiFrog writes about the list of best movies that EW had on the list in 1999, but which had fallen off the list by 2013 and also other great films. Re: a comment he made: that will require a blog post from me. He’s been musing on the early Marvel comics, which have all been interesting, and I was glad to play a small part in his understanding of Thor.

21 Jokes Only History Nerds Will Understand.

German, not Swiss, Orson Welles.

Marian McPartland, ‘Piano Jazz’ Host, Has Died. I loved how she way she not only performed but, probably, more importantly, INFORMED about music.

The late Elmore Leonard’ TEN RULES FOR WRITING. His New York Times obit.

David Janower has passed away. He was the choral director of the fine Albany Pro Musica, and I knew and liked him personally, so I am sad. He had surgery a few months back and suffered a stroke from which he never really recovered.

A worthy neologism found by Dustbury.

The God of SNL will see you now.

Dolly Parton’s original recording of “Jolene” slowed down by 25% is surprisingly awesome.

Paul McCartney “In Spite Of All The Danger” & “20 Flight Rock” (Live), the former a cover of first Beatles record. Also, the Beatles’ final photo session, August 22, 1969.

Chuck Miller has posted every day for four years, over 2,000 blog posts on the Times Union site.

Dueling banjos: Steve Martin, Kermit the Frog. Sesame Street does Old Spice parody with Grover.

No ukuleles were harmed in the making of this video.

What did I write about in my Times Union blog this month? That annoying JEOPARDY! Kids Week story and Should ‘citizen initiative and referendum’ come to New York? and The prescient David Cassidy song. Cassidy got arrested locally for felony DWI, and a reference to my piece made it into the print version of the paper because “it was a good post, and filled with what we like: short, timely and to the point :),” FWIW.

If you are an NYS homeowner, read Tax Department Launches Statewide STAR Registration. The Data Detective blog has some other interesting stuff – if I do say so myself – such as On being ‘right’ in science.

Jaquandor answers my questions about the Pittsburgh Pirates baseball team and unfriending.

Spontaneouss goat manure fire.