Tag: BCG wash

Tuesday’s Theme Music — Here we go

Ashland, southern Oregon — Tuesday, October 27, 2026.

Here we go, another rainy autumn day, snow on higher elevations further north, shifting quickly from fall toward winter. Light blue splashes between white clouds smeared with gray. Rain rushes down and moves away. Another wave comes and goes.

It’s 42 F. Been 42 F since I got out of bed hours ago. High is supposed to be 48 F.

We’re all welcoming the rain. Lovely witnessing brown fields become green again.

Today’s music is “The Walker” by Fitz and the Tantrums. Came out in 2003. It entered my morning mental music stream today after I made my colonoscopy appointment. November 3 and 10 were offered first. But those are the Tuesdays after my next two BCG washes, so no thanks. The colonoscopy calls for a limited diet for the four days before the surgery, and the BCG can afford mood, energy, so on.

“The Walker” also fit my mood (and The Neurons’ thinking) because we’re closing on the national 2026 midterm elections. It’s like, here we go, just next Tuesday. Trump is already stumping that anytime someone he endorses loses, it’s a fake or stolen election — or ‘something smells’. Never offers any evidence, because there isn’t any. Now Donald Trump is offering money for reporting voter fraud.

Trump offers $1M rewards for reporting voter fraud in midterms

It’s another Trump stunt, another facet of Operation Epic LOOK — SQUIRREL!

In effect, Trump is begging voters, “Please don’t judge me on my record. Don’t judge me on the desultory Iran war I began. Don’t judge me for not releasing the Epstein files. Please, please, don’t judge me on the affordability crisis and rising prices. And don’t judge me on the many lies I’ve made or the money my family and I made while in office. Don’t judge me for the pardons and the pay to play that’s going on.”

Trump was especially upset by how much better former President Barack Obama is polling compared to Donald Trump. Former President Obama is so much more popular than Trump! Showing how hurt and angry he is, Trump threw a fit on social media, ranting about Bill Maher. “Distraction, distraction, look at me, listen to me, love me!”

Trump’s justice department is trying to bring cases they failed to win before, and judges are slapping them around.

And Donald Trump is out there, trying to tell people that there is no inflation while grinning surrogates explain there is no inflation if you adjust for inflation.

Brace yourself, brothers and sisters. Here we go.

Sample Lyrics

Ooh, crazy’s what they think about me
Ain’t gonna stop ’cause they tell me so
‘Cause 99 miles per hour baby
Is how fast that I like to go

Can’t keep up with my rhythm
Though they keep trying
Too quick for the lines they throw
I walk to the sound of my own drum
We go, they go, we go, hey yeah, yeah, yeah

Oh, here we go
Feel it in my soul
Really mean it, mean it, so go
Gotta feel it, honey takes control
Really mean it, mean it

May this October day find you healthy and well, no matter what your season is.

Cheers

2

Monday’s Wandering Thought

It wasn’t a simple hookup.

Despite the lidocaine injected up my urethra, the Foley catheter’s progress up into my bladder felt torturous. Didn’t help that the little exam room felt very, very…chilly, or that I was naked from the waist down, covered by a paper ‘blanket’.

Yes, this was my fourth BCG wash. Just two more to go. Fortunately, Nurse C, who does the instillation for me, is almost my age and shares an appreciation for a lot of the same rock music.

We compare who we’ve seen and what albums and songs we particularly enjoy. Nurse C has one concert over me that has me really envious: her first concert was Carlos Santana.

I’ve never seen Santana in concert.

Laughing, she told me, “It was 1975. I was a teenager and big into disco. So, I worked all summer to pick strawberries, saving my money to buy a ticket to see KC and the Sunshine Band. Dad drove me and my girlfriend to the concert and then waited at a nearby coffee shop.

“KC and the Sunshine Band finished. We got up and headed for the exit. Then the next guy came on. I said, ‘Who is that,’ and turned to pay attention. It was Carlos Santana. I’d never heard him before. That changed everything for me.”

My bladder was about finished voiding the urine through the Foley by then. Glancing at the beaker collecting it, Nurse C said, “You have some good-looking urine, though. That looks great.”

I shook my head. “Man, that’s the worst pick up line I’ve ever heard.”

We laughed as she loaded up the TB solution and began feeding into my bladder.

Music. It can really help you get through life.

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Saturday’s Theme Music — Gonna get wild

Ashland, southern Oregon — Saturday, October 24, 2026.

It’s a bright autumn day outside. Got cold last night, 32 F. Frost on the ground in places this AM. Up to 37 at this point. With high cirrus clouds, a bright blue sky, and sunshine slanting in from on high, a high of 68 F is projected.

As October closes, everyone is reminded to vote. My wife and I filled out our ballots and dropped them in the box on Wednesday. Oregon does all its voting ‘by mail’, although designation collection boxes are set in strategic locations. I used the one at the city library, beside the book drop off boxes.

Mom is angry. My sister, Gina, her POA is angry. It’s about spending, adult diapers, Mom’s sense of neglect, Gina’s resentment that Mom doesn’t appreciate her, etc. Mom’s birthday is next week. She texted Gina’s daughter that she’s looking for a lawyer. I should add, again. Mom looked for a lawyer a few previous times this year. I’ve stepped back from the fray. Gina dropped off diapers for Mom this morning but didn’t see Mom because Mom wasn’t in her room.

Like Mom, Trump is angry. Mom is also frustrated, and I think Trump is as well.

Trump has been bulldozing his way ahead, only stopping when absolutely forced to. It’s a struggle for the courts because Trump, as leader of the executive branch, is supposed to enforce the court’s findings. Declaring emergencies, diving for loopholes, Donald Trump speeds ahead on his reckless courses, challenging legal systems, lawyers, and opposition to stop him. As we’ve seen with SCOTUS rulings, the conservative Roberts Court remains ‘reluctant’ to rule against Trump until the damaging is clear and demonstrated. Trump counts on that.

Trump is also counting on distractions and whatever financial ‘dividends’ he can find to boost his standings. Trump’s WH announced a ‘rebalancing’ of the tariffs on goods from Canada. They’ll take effect on October 30.

Just like Trump’s deal to for Russian diesel, it’s another bit of too little, too late, as the impact won’t be felt until after the election.

It’s funny. Trump always insists that Americans don’t pay for tariffs. Yet, there he is, suspending tariffs on beef to help consumers (while hurting ranchers) and rebalancing tariffs on Canada to help Maine and the New England states. It’s like Trump may have been lying…

As Trump goes, so goes the GOP and many of their candidates. It’s laughable to hear the local Republican candidate, Brad Hicks, talk about “making things affordable again.” His solution is to cut regulations.

Yeah, cut regulations. That will do a lot to reduce the immediate costs of food, shelter, electricity, health insurance, healthcare, gas, oil, and diesel.

We have a fascinating local example about that. My wife belongs to the local Family Y. Her fees have gone up roughly 20% a year for the last ten years. This is supposed to be due to wage increases, renovations, etc. The larger note is that this is one of those things which keep increasing. BTW, people who work at the Y scoff at their pay and the increases they’ve seen.

Next month feels like it’s shaping up as a wild week. BCG washes end for me. Election day. Mom has several doctor appointments. I’m waiting to see what kind of surprises are handed out.

The Neurons responded with Quiet Riot in my morning mental music stream. They’re a pop metal band, I guess. The song du jour is “Cum on Feel the Noize”, a Slade song which Quiet Riot covered in 1983. Yet, when I hunted for a video to share, I stumbled over an Oasis cover and went with it.

The sample lyrics explain why it’s in my morning mental music stream.

Sample Lyrics

We’ll get wild, wild, wild
Wild, wild, wild

I expect it to get wild.

Hope, though, that your day is chill, free of wild swings, and rich with satisfying moments.

Cheers

3

Tuesday’s Theme Music — These Days

Ashland, southern Oregon — Tuesday, October 20, 2026.

Last night felt wintry cold outside. Today sits at 66 F under clouds mixing it up with sunshine. The clouds are a chaotic shapes in blues, gray, whites. We expect a high of 75 for this autumn day in the valley.

Mom launched a new barrage of texts and phone calls at me last night. I’d just returned from my third BCG wash and was feeling this one. My energy level was plundered and I was nauseous. Had some burning urinating, and many sudden urges to pee that ended with weak, short trickles. Nuts. Price to pay to get better, of course, and preferable to the alternative.

But that left me ill-prepared for Mom. Just wasn’t up to it. She was texting and calling again about how much pain she’s in and how mad she is with Gina, going into the details of why she’s mad at the only one of her daughters willing to help and visit. Mom finished with the now classic, “If none of the three daughters who live near me want to take me to the doctors, then I don’t want to go.”

Mom has employed that line so many times over the last year, it sincerely *cringe* reminds me of Donald Trump declaring, “We already won the war. I can end it any time I want.” The repetition dilutes their claims’ impact.

I sent Mom a text and basically excused myself from participating due to how I felt, but sent a text to my sisters as well.

And this is life, isn’t it? Sometimes you want sunny skies and get pouring rain. And I shouldn’t complain. It hasn’t rained much in my life. Many, many others have endured much, much, much worse.

Thinking about my childhood much frequently. I attribute it to a combination of Dad’s death last year, Mom’s declining health, my own health matters, along with my wife’s, but also, to history.

Back in my youth, we lived under the threat of nuclear war with China (PRC) and the USSR (Soviet Union, Warsaw Pact). Then the Berlin wall fell. We were supposed to enjoy a peace dividend. That never really came. Much of our foreign policy approaches didn’t change much. Russia replaced the USSR as a major threat and the PRC was still out there.

Now we find Donald Trump aiding Russia. Trump is shaping foreign policy based on his polling woes and fears that he’ll lose the upcoming elections.

Meanwhile, in our schools, children are shot and killed. Few do much about it except dissect what happened and put a spotlight on the killer, victims, and heroes. Then we move on to the next crisis du jour.

With Donald Trump orchestrating matters, there’s always a crisis. His solutions are often short-sighted. They frequently focus on symptoms. They rarely correlate to facts, truth, and history.

These are the days in which we now live.

With all that churning my thinking, The Neurons responded with a Queen song. “These Are the Days of Our Lives” was released in 1991, one of the last songs Freddie Mercury sang with the group before his death.

Searching for a suitable video today, I came up with one featuring Queen with George Michael and Lisa Stansfield.

Sample Lyrics

Sometimes I get to feeling
I was back in the old days long ago
When we were kids, when we were young
Things seemed so perfect, you know?

The days were endless, we were crazy, we were young
The sun was always shining, we just lived for fun

Sometimes it seems like lately
I just don’t know
The rest of my life’s been just a show

I hope the weather accommodates your mood, and your spirit carries you to happy times.

Cheers

3

Medical Update

Feeling fine, looking good.

Went through my annual physical on Tuesday, and all seems well. Blood work will be done next week to reveal what’s going on under the skin.

I went through the TURBT procedure for bladder cancer in late June. Next steps are the BCG wash. My urologist first said it would start in July, maybe August.

I mentioned this to my PCP on Tuesday. She was surprised. “Oh, they’re doing them? There was a nationwide shortage.”

Oh.

Forward to today. The BCG wash won’t start until the end of October.

The reason: a nationwide shortage of BCG. The United States has one source, a Merck facility. They’re trying to increase production but that won’t be successful — if it happens — until the end of 2026.

This is only a US issue:

The BCG shortage in the United States has been primarily due to a reliance on a single manufacturer, Merck, which produces the TICE strain of BCG. This dependency became critical after Sanofi Pasteur ceased production of the Connaught strain in 2012, leaving Merck as the sole supplier for the U.S. and many other countries . In contrast, other countries have access to multiple BCG strains produced by various manufacturers . In the U.S., the stringent FDA approval process has limited the availability of foreign-produced BCG strains, contributing to the prolonged shortage.

I’m simultaneously happy that the BCG wash is available and I have the means to have the procedure and frustrated by this continuing trend in the US. We become dependent on one source, and live and die by it.

It’s not just BCG; an article I read the other day recounted the US shortage of 155mm howitzer shells:

Manufacturing woes hamper US 155-mm ammo production

Businesses love to consolidate, buying up competitors, merging to ‘improve production’. Rarely works. Instead, we find ourselves more and more with just one location, putting all our trust and faith in them.

We often won’t modernize infrastructure until it reaches the brink of failure.

And in the US, we tend to wait to earnestly fix things until a crisis is clear. Witness what’s going on with Lake Meade and the growing water shortage. Even there, instead of actively addressing the problem, the Trump administration is paying to reduce consumption.

Something to think about as news and entertainment companies continue to merge.

2

Medical Update

Received my biopsy results the other day and saw my urologist today.

The TURBT procedure seemed to get all of the cancer. Didn’t get into the muscle tissue, blood, or connective tissue.

That’s all good news.

My bladder seems to be healing well, based on observations. No pain, clearer urine.

The next steps begin in August, maybe September. After my bladder has healed from its surgery, we’ll begin a series of BCG washes. This is an instillation of tuberculosis bacilli into the bladder. This trains the immune system to attack the disease. It then also attacks any cancer cells which dare to show. I’ll go through that once a week for four to six weeks. There’s a less than 1% chance that I’ll develop TB from it.

CT scans with contrast will follow after the BCG wash protocol to see what shows in my bladder. Cystoscopy if or as necessary to see what’s in there. Three-year follow up program of checking and washes.

First steps have been taken. While it’s all positive to date, it won’t be done for a while. Meanwhile, I’m energetic. In good spirits. Overweight — got to eat less and exercise more, but I can’t exercise properly for two more weeks — but optimistic.

Thanks for all the support. I’ll try to reciprocate to the best I can.

Cheers

15

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