Tag: medical

My month (or so) of medicine

Echo

My month (or so) of medicine explores why September, leading to October, seemed so darn complicated this year. It doesn’t USUALLY land so many events in such a narrow timeframe.

ITEM: I received a telephone call from CVS, a real, live person(!), asking me if I wanted a flu shot. Sure! The next day, I got an electronic message. Do I want the COVID shot too? Why not?

On September 2, I went to my nearest store. Oh, they haven’t RECEIVED the shipment for the COVID shot yet. It wouldn’t arrive until Labor Day. (This was true; my daughter got both shots that day.) Then the text I received indicated that I had DECLINED the COVID shot! What? Anyway, I got one on September 16.

ITEM: I went to my podiatrist on September 11. The office recently switched to a new computer system, so paying the $8.66 balance I owed required going back into the old system, which the new receptionist didn’t know how to access. It took a while. So it goes.

ITEM: I had been seeing someone to remove excessive earwax every three months; yeah, I could PROBABLY try to do it myself, but whatever. The problem is that I was supposed to see my person in July, but their system said they weren’t available until late September.  Then I got these tantalizing texts saying there was an earlier opening, always at a time I couldn’t make.  Finally, I got in on September 14, and the impaction, which wouldn’t have taken place if I’d been treated on schedule, had created an irritation that required prescription eardrops. I didn’t get them because they cost $170. 

I gotta have heart!

ITEM: I was supposed to get a tooth implant, but I couldn’t remember the date. September 21 at 9:30 a.m. Fine.

Then I got a message from St. Peter’s Hospital portal saying my procedure would be fully covered. What procedure?   It turned out to be my TRANSTHORACIC ECHOCARDIOGRAM (TTE) W/COLOR FLOW & DOPPLER (CONTRAST/BUBBLE/3D PRN). And this one was scheduled for the morning of September 21. They didn’t ask me; they just informed me. At least Medicare fully covers it. 

So, I had to reschedule the tooth implant to mid-October.

I’m guessing my cardiologist’s office will contact me to set up an appointment to interpret my echo results.

ITEM: Teeth cleaning in late September; no issue.

ITEM: I had a follow-up for my cataract surgery from two years ago. But the doctor had to reschedule until later in the month. C’est la vie.

ITEM: The annual physical is in early October. My Primary Care Physician is retiring at the end of the year; I am sad. I was her patient when she worked in a two-doctor office. Her practice, like so many others, was taken over by St. Peter’s/Trinity Health. I have followed her to several locations; the current one is the most inconvenient. If I don’t get a ride from my wife, I have to take a bus to the Rensselaer train station, then an Uber.

But she’s been a great doc to me for over two decades: direct, opinionated, thorough, occasionally quite funny. I’m not looking forward to breaking in a new PCP.

The fair; the niece; the funeral

A Shade of Jade

In a five-day period last week, I had three medical appointments, went to the county fair, saw my eldest niece sing, and sang at a funeral.

Tues, Aug 15: I went to the dentist for a crown at around 10:20 a.m. This treatment was delayed twice, once by the dentist’s office in March or April because of a dentist leaving the practice.  Then I postponed it because I realized it was five days before going to France, and I would likely have mouth pain.

While waiting in the office – they were running late -I received a phone call from my gastroenterologist’s office, telling me there was an opening for a follow-up appointment today at 3 pm, so I took it.

I hate talking on the phone in public, as it feels rude. So I was speaking so softly that the GI office caller couldn’t hear me.

Because I have had a root canal where the crown is being put on, the novocaine injection didn’t hurt much. I had to remember to only eat on my left side. And by Friday, the pain required OTC pain medicine and Orajel.

I went downtown to the library talk, which was interesting but long, and the subject of its own post.

Among other things, my gastroenterologist’s office took a blood sample. This later revealed that my iron count was fine and good enough to donate blood, but my hemoglobin count was slightly low. More spinach!

After dinner, my wife and I went to the movies, which is its own story.

Le deluge

Wed, Aug 16: It was a lovely morning as my wife and I sat on the porch of a fellow choir member who would be speaking at Gladys’ funeral.

We went to the Altamont Fair, the county fair for Albany, Schenectady, and Greene Counties. It’s free on Wednesdays for seniors like me.

As we approached one Farm Equipment building, it began to rain. Then it began to pour. For about 20 minutes, we stayed in the building, listening to the torrent struck the metal roof. The operators in that building closed three of the four doors because the wind was bringing the water inside.

I’ve been attending events at the Fairground for over 40 years, and never have I seen the infield turned into such a sea of mud. There were six feet wide streams in some parts for a time and even more severe flooding elsewhere. Water got inside some structures. The equestrian events were canceled.

Still, we saw much of the event. I learned how to make lip balm: two parts beeswax to one part coconut oil, and one part shea butter. (BTW, Congrats, Chuck Miller.)

Salt City

Thurs, Aug 17: I went to my podiatrist while my wife had breakfast with former work colleagues.

Then my wife, daughter, and I traveled to Syracuse the attend the final Jazz in the City event. We go to the hotel of the performer, named Rebecca Jade, who I may have mentioned on these pages. We went to eat at the Salt City Market, a marvelous concept of several small food vendors under one roof. After dropping off RJ, we checked into a nearby hotel.

We drove the short distance to the lovely Thornden Park. Jazz in the City is a series of free public health events, so the vendors did blood pressure screenings, gave away COVID tests, dental products, etc. The opening act involved women dancing to funky tunes for their health.

Then Rebecca hit the stage. She was singing with a pickup band (keyboard, guitar, bass, drums, and occasional sax) she had met only the day before. The two 50-minute sets combined cover songs with original songs from her latest album, A Shade of Jade.

It would be perceived as avuncular bias if I were to gush about how good and professional she was. I will note she sold some albums to people who were NOT related to her.

We bought Jazz in the City T-shirts because Rebecca’s name and visage appeared thereon.

Afterward, she, a couple of organizers, and one of the musicians went to the bar of RJ’s hotel for a drink, and Rebecca also ate. One of the folks was taking her back to the airport for her 6:15 a.m. flight to San Diego via Charlotte. (Coincidentally, she’ll perform in the Queen City on September 22.)

Going home

Fri, Aug 18: My family went home. The day before, the eastbound traffic was at a standstill in two locations on the Thruway, but it was smooth traveling this day except for the mouth pain from visiting the dentist three days earlier.

Sat, Aug 19: I went to church to sing at the funeral of Gladys Crowder. There were 30 in the choir; 10 were former choir members who came back, one driving from Auburn, NY, 173 miles (248 km) to be there. Three current choir members had never sung with Gladys, but they were there because that’s just what choir people do. Everyone said the music was great,  and the service was lovely.

Afterward, I talked with folks I knew from Trinity, the former church of Gladys, Tim, my wife, and me, as well as current and former First Pres folk.

My wife and I went home and took naps.

 

Cash: don’t carry; you need your phone

rejected

moneyMy oldest college friend complained on Facebook. “It is almost impossible to use cash in the airport. You’re SUPPOSED to use a QR code to download a Health/Travelers form because there’s No Paper, but you need to sign up for an ACCOUNT to do it!!”

Yes, that was worth at least two exclamation points!!

There are a number of places where cash is no longer king. Getting food on an Amtrak train, for instance. A lot of retailers at markets seem greenback-averse. My running joke at a store register is “Do you still take cash?” Apparently, you CAN accept cash and checks with the service Square. Are businesses required by law to accept cash? It depends on where they are

What countries are going cashless? China’s society is, its central bank is pushing back.  Sweden and Zimbabwe, for two, are also getting resistance.

Also, increasingly, I NEED to have a cellphone. When I’m making a medical appointment, I get notices on my phone. When I get there, some places require that I check in via the device. And the photo of my vaccine card is stored therein.

Not covered

Speaking of medical things, I had gone to my doctor in September to get two shots during my annual physical. In October, I received a bill for $125 for services not covered. My physician’s office seemed to think it was because I had received both the flu shot AND the tetanus shot at the same time. But that wasn’t it.

Medicare had rejected the tetanus shot, the representative told me. Now, they would have covered it if I had been bitten by an animal or stepped on a rusty nail, or had another medical necessity. But since I was ONLY getting it because physicians believe I should get one once a decade, Medicare didn’t cover it. And since Medicare rejected it, my Medicare supplement carrier ALSO rejected it.

I’ll have to remember to step on a rusty nail in the fall of 2031.

Remembering three items; drawing a clock face

Next year, I’m told, the test at my doctor’s office will be tougher.

three thingsA couple weeks ago, I went for my annual physical at my primary physician’s new venue. The Physician’s Assistant, who was previously unknown to me, asked me to put the numbers on an analog clock face. Then I was to indicate ten minutes after eleven on said drawing. I succeeded!

We agreed that, a generation from now, this might not be a very useful exercise. Maybe sooner.

There were three words I was given to remember. Even that evening, retelling this to my wife, I couldn’t recall the first word. It may have started with S. It surely WASN’T Tequila because the second word was Sunrise.

The third word I feigned forgetting, lightly pounding the arm of the chair I was sitting in. Finally, I gave the correct answer: Chair.

I’m not sure how much this proves; I’m notoriously bad at remembering names. But good at numbers; I was asked to recall my weight, which I did. But that also had the visual cue.

Having to have this test administered really ticks off my primary care physician. It’s apparently a mandate of some sort for those who are eligible for Medicare; I do have Part A.

If the test HAD shown some developmental loss, it might well be at a point when it’s far too late to be of any use.

Of course, the “rule of three” is “a writing principle that suggests that things that come in threes are inherently funnier, more satisfying, or more effective than other numbers or things. The reader or audience of this form of text is also more likely to consume information.”

That’s SO true. When my wife asks me to remember three items to pick up at the store, I’m good. Add a fourth item, and out comes the pencil and paper. Some are even worse off: Fred Allen said: “I always have trouble remembering three things: faces, names, and – I can’t remember what the third thing is.”

Next year, I’m told, the test at my doctor’s office will be tougher. I’d start studying now but I don’t know what’s going to be on the quiz.

Family health report, July 2017: hammer toes

You start to feel better and you inevitably overdo.

The big story this summer is that the wife had surgery on the three middle toes on July 5. She had hammer toes. She didn’t have to do it now, but eventually, without being corrected, it might impact her mobility as she gets older.

The surgery was very successful. Her response, in terms of limited swelling, et al, was very good, her doctor told her at every followup visit.

One of the things we have both discovered, with my hernia surgery a couple years ago and her recent surgery, is that the cycle of pain is quite fascinating. Right after the surgery, when you get home, you feel really great. The anesthetic has not yet worn off.

Then the pain starts to creep in, and you better start taking that opiod right way, because if you decide to tough it out, it will take longer to get relief. But the prescription lasts only a couple days. It’s less than what you want, and you start taking the over-the-counter stuff, and for longer that you think, hopefully without ruining your liver.

You start to feel better and you inevitably overdo. The Wife is even worse in this regard than I. When she walked too much, and didn’t put her foot up, she is surprised how much it still hurts three or four weeks on.

Meanwhile, I chipped a tooth, for which I’m getting a filling on August 13. More significantly, both in terms of time, pain, and money, I’m getting a crown on September 13.

The Daughter noticed a mark in the whites of my right eye at the end of the month. It was a vertical red line that looks as though someone had drawn it with a Sharpie. The very next day, I went to my ophthalmologist, who said it was a broken blood vessel, and that it would resolve itself. It looked much worse than it felt.