Two hospital visits on the same day

transthoracic echocardiogram

hospitalHow I had two hospital visits on the same day. Well, of a sort.

Monday, October 10: Leslie and I return to Albany, stopping to pick up a lot of Italian food. My wife also wanted us to pick up her prescription pain medication, but it wasn’t there. Her doctor’s office had failed to send the info either that day or the following morning. She increasingly needed pain relief, particularly from the inflammation of her left foot. Finally, it was filled, and I retrieved it.

Moreover, in addition to the infection of her ankle, a blister developed on her left shin. When I think of a blister, I think of a tiny, though irritated, area. This was considerably larger. As my wife later suggested, it was also appropriate for the holiday season because it like as though it was from a zombie.

Leslie and I saw my daughter before she left the next morning with about a third of the food, which was fine.

Tuesday, October 11: We were going to go to a timeshare in the Berkshires, but my wife couldn’t stand the pain of being in the car for an hour. Plan B:  After we put the one cat in the basement, Leslie came over and washed the dishes while I attempted to straighten up the house and tend to my wife.

Wednesday, October 12: Leslie and I went to the rental car place to return the vehicle. She Ubered to the airport, and I took the bus home. I certainly didn’t mind taking care of my wife, but it ate into most of my time for food prep and just helping her to get from one point to another.

The day without end

Thursday, October 13: My wife and I had separate medical visits. I went to the cardio section of St. Peter’s Hospital to get a transthoracic echocardiogram (TTE). What is THAT? It is “a test that uses ultrasound (sound waves) to create images of your heart. TTE can determine how well your heart is functioning and identify causes of cardiac-related symptoms.”

I’m getting this test because of this. I used to get one annually, but then my cardiologist retired, and no one in the office followed up. So I had to get my primary care physician (PCP) to contact another practice in Schenectady, who I had seen a couple of weeks earlier. BTW, the Ellis Hospital main phone line sucks. I was in phone hell for ten minutes before abandoning it, Googling the directish number I needed, and calling that.

Part 2

So after the test, I went home, ate lunch, and watched a recorded episode of JEOPARDY. But before I could finish it, my wife called and said that HER PCP was displeased with the progress of her leg. The antibiotics should have done more. She should go to the emergency room and be admitted. I was to meet there, at St. Peter’s, where I had just come from.

We both arrived around 2:30 p.m.; she’d gotten a ride from the church friend who had taken her to the doctor. After two hours, she was called to the triage office, which involved her using her crutches to hobble there. Yes, the nurse there said my wife should be admitted. She finally got a wheelchair.

Around 6, I went home to take the trash to the curb, feed the cats, and, most importantly, make my wife a sandwich. The selection of graham crackers, saltine crackers, and Lorna Doones has dissipated over time. The bottled water is gone, with just some ginger ale cans.

Finally, my wife gets to go to a bed attached to the ER. I go in about a half hour later as it becomes obvious that she won’t see anyone for a while. At about 11 pm, I go home.

Admitted

Friday, October 14: She tells me that several medical folks saw her overnight, some of which involved doctors waking her in the middle of the night. Around noon, she’s on the fifth floor. But she doesn’t have a room yet. And she hasn’t eaten or even drunk water since 8 pm the night before because the vascular surgeon was supposed to see her.

I arrive on the 5th floor at about 1:45 pm and find my wife, who doesn’t yet have a room. She’s on the floor, with some partitions providing a modicum of privacy. Then I got a call maybe 10 minutes after I arrived. It was my MIL wanting to know how her daughter was doing; I hadn’t spoken to her since we were still in the ER.

Finally, at about 2 pm, my wife gets a room. More importantly, since it was established that the vascular guy WOULDN’T see her that day, she got some food!

I was very distressed by all of this. It was my impression that her PCP could call the hospital and bypass the hours of waiting. I figured it would be like my last ER visit in August. Of course, that was a perceived heart thing in a less busy hospital. One of the medical professionals we spoke with subsequently said that’s just how health care is, especially in the last three years.

Insurance stress: CDPHP, St. Peter’s

health insurance

CDPHPI am experiencing some insurance stress based on two pieces of mail my wife and daughter received the same day last week. If you want to write a blues song after reading this, feel free.

The letter was from St. Peter’s Health Partners. It runs most of the city’s hospitals, clinics, and doctors’ offices that aren’t part of the Albany Medical Center. All of our primary care physicians are part of SPHP.

“Our records show that at the time of your last visit…, you… receive your health through a CDPHP commercial health plan.” CDPHP is the Capital District Community Health Plan. “Please be aware that [SPHP] has engaged in negotiations with CDPHP for a more equitable agreement to ensure we can continue to deliver high-quality, community-based care.”

Didn’t we do this dance a few years ago, which got resolved at the 11th hour?

In bold: “Our current agreement is set to expire effective January 1, 2023; meaning some patients may have increased financial responsibility when seeking care from [SPHP] in 2023 because CDPHP no longer includes the following facilities in its network.” Over a dozen facilities, including St. Peter’s Hospital, Samaritan Hospital, and five Eddy facilities, are on the list. Interestingly, no related mail from CDPHP has arrived.

On the coverage

Meanwhile, my wife and my daughter also received a Benefits Bulletin from my former employer, the Research Foundation for The State University of New York, or SUNY RF. “If you are a retiree or an eligible dependent of a retiree and you are not eligible for Medicare, your current RF benefits will continue for 2023 unless you make changes during open enrollment.” That window is November 1-30.

Just in case we need to make a change, I went to the SUNY RF portal to see if I could find the forms to change their coverage, but none of them seemed appropriate. Some were for the retiree (me), while some were for the retiree and dependents. I am on a different plan for administrative reasons.

So I called the SUNY RF number on Monday and then a different one on Wednesday. I was offered the same form to make changes, even though it didn’t make sense to me. If I change my wife and daughter to a Blue Cross program, I hope SUNY RF does not muck it up.

CVS

Meanwhile, a good friend of mine writes on Facebook: “We’ve…just been notified by [CDPHP] that CVS will no longer take our prescription insurance effective 1/1/2023… This is very upsetting because CVS is very convenient to where we live, has a drive-through, and the closest to our house is one of the only 24-hour pharmacies in the Capital District.” We got no such letter from CDPHP.

I called my local CVS pharmacist. They said that CVS has declined to take the CDPHP price schedule, so it may very well cost more to fill prescriptions there, but they won’t really know until they start filling them next year.

This issue will be a primary concern of mine this month because I can’t wait until the CDPHP/SPHP issue gets resolved in December if, in fact, it does.

Back to the Parlor City

The “new” Route 17

Binghamton, NY, was called the Parlor City. From here: The name “goes back to the 19th century. Binghamton had massive mansions with huge parlors where people would gather and spend time together. There were so many fancy parlors that people started calling Binghamton the ‘Parlor City.'” There was a Parlor City Shoe Store that I recall.

Thursday, October 5: Sister Leslie drove us from Albany. The last time she was in Albany, there were toll booths on the New York State Thruway. The tolls are still applied, but electronically.

There was a lot of road construction. In both directions, one exit was straight ahead while the road continued to the left, and though it was well-marked, the brain was slow to make the translation.

I was going to stay at the spare home of my friend C, while Leslie was going to stay with her friend MJ. However, when Leslie was flying, she got a text from MJ saying she had to go to the hospital. The day we arrived, MJ had surgery. So Leslie stayed at C’s place as well. More Plan B.

Friday, October 6: Leslie drove us all over downtown Binghamton, then to a part of Binghamton I hadn’t been to in over a half-century. Above is a map of the eastern portion of the First Ward in Binghamton. In the lower part of the faded portion, you may see Route 17. This was the “new” 17, which involved tearing down many houses on the north half of Prospect Street, the minor league baseball stadium Johnson Field in nearby Johnson City, and much more.

Lost Horizon

Intellectually, I knew houses were still north of Prospect, as Mygatt Street goes under Route 17. My maternal grandmother’s brother Ed lived up there, somewhere. I’m uncertain where, though he was less than a mile away. Grandma Williams forbade us, and even her adult daughter, my mom, from having anything to do with Ed because he was “living in sin” with a woman named Edna. Also, Leslie had a friend move up there. Though only a mile away, it was like a different world.

So, I haven’t gone up Mygatt and turned right since the walkway to Ely Park entryway came down in the late 1960s.In addition to a golf course, there were some nice houses. What’s most fascinating, though, is that a good chunk feels as though you’re in an undeveloped rural area.
Turning left at the top of Mygatt Street, I had only done once ever, attending a burial at a private cemetery in 2012.

Reunion

BCHS nametag 1972-2022My sister’s reunion was in two parts. The Friday evening “Ice-Breaker” was at The American Legion on Robinson St. I spent a good deal of time talking to the younger siblings of the friends of mine. Though I didn’t know any of them well, I knew them for a very long time and was some connective tissue. Incidentally, the hors-d’oeuvres were great and plentiful; we were encouraged to take food home.

Saturday, October 7

The “Main Event” was at The Relief Pitcher, on Conklin Ave., Binghamton. I had a surprisingly good time at my sister’s reunion, arguably more than my own the year before. The 1972 class badges were much better than the 1971 ones.

Sunday, October 8

Leslie and I went to our old church, Trinity A.M.E. Zion on the corner of Oak and Lydia. I recognized the keyboardist as someone I grew up with. She recognized my sister but not me, probably because of my vitiligo. My father’s cousin Ruth was there too. The in-person congregation was small, fewer than 10. But there were 13 or 14 tuning in on ZOOM, and two of them participated, reading scripture and giving a prayer.

That evening, we took C and her husband out to dinner as thanks for providing us with accommodations plus plenty of food.

Monday, October 9

Leslie and I returned to Albany, and we had the pleasure of seeing my daughter, who had been taking good care of her mother.

Where I live for Sunday Stealing

Nat Geo maps

Albany culturalI didn’t realize the Sunday Stealing questions for Where I Live were only visible if one highlights the page. 

What did you do today?

On Sunday, I went to church, put my wife and her sister-in-law on the prayer list, sang with the choir, attended a Black History Month organizational meeting, changed the dressing on my wife’s leg, and had a ZOOM meeting with my sisters… Is that enough?

5 things about where you live.

1. The #106 CDTA bus goes pretty close to five of the seven branches of the Albany Public Library. 2. Within easy walking distance of my house is a CVS, a movie theater, a grocery store, my bank, a police station, several restaurants, and a branch of my library. 3. It was listed as the best place to live in New York State. 4. Before the Europeans came to Albany, the Mohicans inhabited it. 5. It is the second oldest city and also a state capital in the nation, just after Santa Fe, NM.

What are the must-sees sights around you?

Thatcher Park in Albany County has a great view. We have some nice refurbished vaudeville theaters, notably Proctor’s in Schenectady, which was pretty run down when I worked in the building in 1978, but it is a jewel now. And you should probably see the Egg, which is n the picture.

What’s your favorite restaurant meal?

I like most Indian and Italian. But I like the occasional restaurant (not Mickey D’s) burger.

What was the last thing you cooked or ate?

Lasagna. It was good.

What is something you learned from your grandparents?

Canasta (Grandma Green), gin rummy, and love of Nat Geo maps (Mac Green)

What’s the weather like as you are writing your postcard?

Above freezing, dry.

Baseball

Share an interesting fact you’ve learned that most people are unaware of.

The 2022 World Series is the first one since 1950 with no black US players.

Are there any local events or festivals in your area?

Live at Five in the summer, the Scottish Games, and quite a few other things, actually.

What was the last concert you attended?

The Albany Symphony in February 2022. The last pop concert was Cheap Trick in February 2020.

What is your favorite charitable organization?

The FOCUS Churches. A food pantry, and much more.

Oct. rambling: How I See Humanity

Autumnal music and about Brian Wilson

blackbird
per Uthaclena

John Fugelsang on Christianity

Hank Green: This Math Test Changed How I See Humanity

A History of Nuclear War with Peter Kuznick

American democracy has been in trouble before

Trump’s letter to the House Jan. 6 Select Committee

Inside the S–tshow That Was the Trump-Biden Transition

Understanding History in the Age of the Big Lie

The Odd Pathology of the Politician’s Mind

‘The U.S. and the Holocaust’: A Conversation With Co-Directors Ken Burns and Lynn Novick On Authoritarian Parallels

Weekly Sift Closing Arguments on abortiondemocracy, and Biden’s accomplishments 

What the failure of Liz Truss’s economic agenda in the UK can teach the U.S.

Last Week Tonight with John Oliver: Transgender Rights II and Museums and Crime Reporting; Frank S. Robinson: Crime and Policing 

Plan to Save New York City from Rising Sea Level

It’s Time to Retire BMI as a Clinical Metric

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This past week in healthcare investigations: Fentanyl Hidden in Cocaine; Missed Breast Cancer Diagnoses; Calling Out Racism

Upstate NY Habitat plans 25-unit condo; thought to be a world first

The Rev. Calvin Butts left behind a legacy of prayer and political activism

How Audley Moore Created a Blueprint for Black Reparations

Jules Bass, Producer Behind the ‘Rudolph the Red-Nosed Reindeer’ and ‘Frosty the Snowman’ TV Specials, Dies at 87; Remembering the Rankin-Bass Catalogue

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Now I Know: The Marketing Stunt That Vacuumed Up a Whole Company and The Lady Who Made a Living By Smashing Booze and The Unheard Words of the Star Trek Theme Song and The Odd History (Perhaps?) of the Malaysian National Anthem and The 21-Year-Old Irish Woman That Saved D-Day and The First Curfews and Why Is This Panda Rowing a Giant Pumpkin?

WORDS

NYT: In praise of y’all, the most inclusive pronoun, which I supported 11 years ago

EA Poe, Nature Writer

We have to get rid of “ums” and “uhs” when speaking, right? Not necessarily.

The Birth of the Semicolon

A.Word.A.Day– Overton window – noun: The range of beliefs, attitudes, etc., considered acceptable at any given time.

Twenty Years of Sheila O’Malley

Researchers “Translate” Bat Talk. Turns Out, They Argue—A Lot

Happy Birthday, Jeff Goldblum!

MUSIC

Jerry Lee Lewis, Piano-Bashing Pioneer of Rock ‘N’ Roll, Dies at 87NYT obit. Rock hall

November Steps by Toru Takemitsu

Coverville:  1417 – Red Hot Chili Peppers Cover Story II and 1418 – Cover Stories for The Waterboys and World Party

In Autumn by Edvard Grieg

Toward the Unknown Region – Ralph Vaughan Williams

Alan Menken performed a ten-minute medley of songs to which he contributed the music.

The Isle of the Dead by Sergei Rachmaninoff

Lucy Simon, Tony-Nominated Composer, and Sister of Carly Simon, Dies at 82; Winkin’ Blinkin’ and Nod – the Simon Sisters

Top 15 annoying pianists

The Greatest Adventure from the animated The Hobbit

Ken Levine with author/filmmaker David Leaf, talking about musical genius Brian Wilson:  Part 1 and Part 2

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