Monday’s Wandering Thoughts

Dad’s 92nd birthday is Wednesday. Mom’s birthday is tomorrow. I’ll be calling her tomorrow, so I called Dad today, as I’ll be pretty busy Wed. with planned surgery.

Dad and I had one of the best chats I recall having with him. We chatted about aging, financing, and Mom. Very satisfying.

Dad has always been a level guy, staying mellow, keeping things in the moment. He’s never gotten too worked up over any of life’s tumbles and twists. And he’s been through his share.

He’s in okay health. Had some stents put into his coronary arteries some years ago. Suffers some COPD. Went through some edema issues twice. Now he’s on a low sodium diet. A cane is employed to walk around. He sometimes needs a walker.

But we laughed a lot about these things which happen to us as we get older.

Friday’s Wandering Thoughts

I had a medical appointment the other day. Met with a PA about my upcoming surgery. We had a good time with the young guy. My wife had helped host a birthday party for her Y exercise class instructor and brought home some goodies, so we were on a sugar high, cracking jokes at him. He, for his part, confessed that he wanted another cup of coffee and shared a story about how he’d once unwittingly consumed the ‘half caf’ that his parents brew.

Part of the directions to me for my appointment was to bring all my medications.

I ignored that directive. My PCP is with Asante; my surgeon is independent but working with me through Providence. Both use Mychart to track me and communicate. My medical prescriptions are in those records.

I’ll tell you, I like Mychart. I go in there whenever I want to check on my history or look at what’s upcoming. It’s a significant improvement on filing a billion pieces of paperwork like we used to do in the military.

Number two with not taking my meds with me, I’d filled out a paper questionnaire at my first appointment. That’s what folks call a ‘hard copy’. I was required to list my medications on it.

I figured my meds were pretty covered. If their systems were having trouble tracking them, we have much larger problems, Hal.

Of course, my med list contains two items: Flomax and Amlodipine. Many men over fifty are on Flomax for prostate gland issues. That includes me. People experiencing hypertension are often prescribed Amlodipine, and I fall in that Venn diagram.

I know of patients who have a complex array of prescriptions. Like Mom. Even after helping her sort her medicines, pain killers, and aids several times, I don’t know how many she has. I’d guess over twenty. They help with her pain, breathing, sleeping, bowel movements, lungs, heart, digestion, blood circulation, side effects of the drugs, and side effects of the side effects of the drugs. She’s in network but it’s a couple networks.

If you’re seriously developing us bots and AI, I think a smart app to help track drugs for people and the healthcare industry needs a hand.

I suspect this medication business is going to get increasingly complex. We’ll need whatever help we can to manage it. I know Mom would certainly appreciate a bot that tracks her pills and tells her when to take what. Given the potential for mixing drugs that don’t get along, I’d like that for her, too.

One thing about my appointment the other day that I noticed was that my PA never brought up my information on the terminal in the examining room, and he barely glanced at the stuff I’d filled out. Nope, instead, he had a small fan of paperwork that he consulted.

The change from paper to computer is underway but it’s gonna be a long haul.

Wednesday’s Theme Music

Mood: Funkawetday

It’s Wed-nesday, which originally meant wedding day. People of another age and era ‘wedded’ when the signs were most auspicious for success. That included planting crops, starting a new endeavor or business, starting a new journey, etc. But so many people waited for this day to be declared so they could wed that it became known as Wed-day. The ‘nes’ aspect was added in as adjustments between different dialects, cultures, and eras. True story which I just made up.

It’s October 23, 2024. You know what that means. That’s right, it’s almost time to set our clocks back in ‘Merica. No, I’m not making a clever reference about the election; we are not going back.

It’s cloudy, rainy, chilly. Autumn has thrown its full effects at us. Some of the foliage is wonderfully bright with sizzling scarlets and other red shades to brilliant lime greens and golds. Also spotted pumpkin-hued leaves on a tree. That tree was thinking outside of the bark. But alas, some trees have already dropped their splendor. Brown, curling leaves hang limply, drifting off when the right wing pulls them with a whisper.

45 F right now, we’re almost at our high of 49 F.

I’ll take that rain, though. Fill the reservoirs and cisterns. Replenish water tables. Ease us out of the drought. It’s needed.

Busy day. The centerpiece is a pre-op appointment for my foot issue. The office didn’t co-ordinate with me, which irritates me, but that’s more first world blues, innit? So I’m to be there at 12:25 for a 12:40. Right in the middle of my writing schedule. Add in the commute, etc, and the timing screws up the day.

But it had me propositioning myself about what to wear on a chilly day when I’ll be outside often but also inside, meeting with med staff, blah, blah, blah. The Neurons responded by firing up “Outside” by the Foo Fighters in my morning mental music stream (Trademark wet).

The song came out in 2014. Ima Joe Walsh and Foo Fighters fan. Been a Walsh fan since he and the James gang were rocking. This Foo song had a Joe Walsh guitar solo in it when it was released. Thrilled me to hear ol’ Joe rocking. Couldn’t find a copy of it online so I’m forcing this recording of a live version on you.

Be strong, stay positive, vote blue. Coffee and I have begun our latest collaboration. Here’s the music. Cheers

Sunday’s Theme Music

Mood: Fallsundayandcoffee

Sunday, October 20, 2024 has slotted in. It’s 61 F outside and we expect a mid seventies high amid a surfeit of autumn furnishings and clouds.

We’re off to see a Halloween concert this afternoon. Rogue Valley Symphonic Band. Several friends play in the band so we go and support them. They’re usually inventive fun, although they have a new musical director, so we’re not sure what we’ll get. We’re mildly agitated that it’s so many days before Halloween. Few are in a Halloween spirit yet.

We’re also vexed that this was scheduled at the same time as Ashland’s celebration for being 150 years old. Here’s the thing about that latter; we didn’t hear any or see any advertisement for that until last week. Holy cow, an event like this, and they kept it under wraps. We asked our friends and all said, “Nope. Didn’t hear about it.” Many weren’t aware of it until we asked. My wife blames the advertising gap on the lack of a local physical newspaper. She’s been mourning the demise of the Ashland Daily Tidings since it went under. After it failed, so did the Medford Mail Tribune, causing an even larger local news gap. It’s a sigh inducing product of the modern world and electronic information age.

I’m basically over my COVab (COVID-19 vaccination shot, or jab). Jab point is still singing, “Ow. Ow. Owww.” And that arm/shoulder remains stiff as dried leather. But my energy has jumped back up and my thinking has cleared, and my appetite, which was mildly cut yesterday, has had a resurgence. In fact, I think that giving myself permission to sleep because I wasn’t feel well was beneficial overall.

My wife suggested we go east to Pittsburgh, PA, December to visit with family for the holidays. That brought a grimace to my soul. I’ve traveled during that time of year, and the ugh moments just pile up. Congestion, crowds, coughing and sneezing, weather delays. Oy. But Mom keeps aging, keeps adding on health issues, and has a new crises every several months, and time keeps on ticking. Probably a good idea. I just worry about the execution.

Today’s music came after I’d left the boudoir and was in the kitchen. “Well, here we are,” I told myself. “Another day.”

Click. The Neurons delivered the Brothers Gibb singing, “Here we are. In a room full of strangers.” As I recognized the lyrics, “Nights of Broadway” filled the morning mental music stream (Trademark bright). Barry Gibb of the Bee Gees wrote the 1975 disco song and reported that it came to him in a dream. Pretty cool, innit?

Coffee has been invited into my body, where it received a warm reception. Stay positive and remain strong. We’re almost to the election day finish line. Then it’ll all be over except for the screaming and shouting, lawsuits, accusations, commnentary and analysis. Vote blue. Here’s the music.

Cheers

Saturday’s Theme Music

Mood: umgagleah

Hello. Welcome to Saturday, October 18, 2024.

Beautifully autumn outside. Trees blaze, showing off fab colors. Blue sky highlights the look as the sun beams on it like a doting father. We’re up to 62 F after an overnight shift into the upper thirties. 74 F degrees is being held out a possible high.

My floofs are on this weather like children going after their Halloween candy. It’s perfect feline weather for the moment. Each boi has staked out sunny spots and are living up to their stereotypes as well-groomed, sun-loving beasts.

We received our latest COVID Jab — or COVAB, as I put to others but it’s not catching on. Went much like our first jab back into 2021. First hours, okay. Last night, the vax slammed me down and wouldn’t let me up. I crashed in a big way. Wrapped up in sheets and blankets, my head felt like a match that’d been struck and was burning. Then I spent a period of shivering uncontrollably.

After about thirteen hours of sleep, I forced myself out of bed. The cats helped. They’re like, “Dude, we must be fed and let out. Come on, get your priorities straight and get your ass out of bed.”

So I arose like a creaking suit of armor. Made my path to the kitchen where coffee was administered. Coffee is a wonder drug, don’tcha know. Anyway, I thought along the lines of being out of sync physically and mentally, a condition that borders on being called ‘sick’. The Neurons began playing Jackson Browne and “Doctor My Eyes”. Grazing through the net, I found this version from “Playing for Change”. Hope you like it.

Stay positive and test negative. Get the jab, as it will help, in the long run. Here’s the music. Where is my coffee?

Cheers

Friday’s Wandering Thoughts

Those of a certain age may recall the saga of New Coke. Once upon a year, Coca Cola changed its soda drink recipe and announced with a blaze of commercials that they’d changed Coke, and wanted you to drink this New Coke. Turns out many had been happy with old Coke, which quickly became framed as ‘Classic Coke’. My wife and I don’t drink soda except for root beer once in a while, so we witnessed the battle of New Coke vs. Classic Coke from the side.

I was thinking of it this morning because of Dawn. Dawn is a dishwashing liquid soap. We use it at our house. I bought a new bottle the other day and saw today that it has a label declaring that it has a “New Clean Smell.”

After smelling it, I wanted the old dirty smell. The new smell has a chemical scent that annoys me. Could be that the hyperbole just irritated me.

If they had said nothing, I’d probably wouldn’t have noticed. But since they called my attention to it, give me the old scent.

We can call it Classic Dawn.

Thursday’s Theme Music

Mood: repetigird

Thursday, September 19, 2024, kicked off split between sunshine. One end of the sun was bathed in refreshing warm gold light. The other end was dim, caught in shadows. The situation is slowly changing as the sun lifts over the barriers and heaves into the sky. Which, accidently, sounds like the sun might be puking up there.

58 F here and now, we have blue skies in the main, with some haziness coalescing along the horizons, especially to my west, where the valley flattens out. Yesterday presented us with a gorgeous warm but not overbearing afternoon of sunshine and breezes. Today might duplicate the results, with a high of 79 F being batted around.

Speaking of weather, I’ve been reading about the U.S. healthcare system’s ranking compared to like countries. Yes, that’s a non-sequitar, ain’t it? Few should be surprised that our nation was ranked last, with higher costs, lower levels of service, less access to care, and shorter life spans. I find the comments of Dr. Joseph Betancourt, President of the Common Wealth Fund, relevant.

“This report reveals that our health system is continuing to lag far behind other nations when it comes to meeting our citizens’ basic health care needs. The US spends more on health care than any other country, and Americans are sicker, die younger and struggle to afford essential health care. We spend the most and get the least for our investment.”

“As a primary care doctor, I see the human toll of these shortcomings in our system on a daily basis. I have patients who need medications they can’t afford. I spend time going back and forth with insurance companies who have denied care I know my patients need, and I see older patients who arrive sicker than they should because they’ve spent the majority of their lives uninsured.” 

Reading newspaper, magazine, and online articles, I’ve encountered the story he tells again and again. Worse, the laws and actions the GOP and the right wing are initiating are compounding health issues for women by inserting the state and religious views into the transactions. Neither have a need to be there, and both are detrimental to good health practices. Trump and his concept of a plan would most likely worsen the situation, as he’s for business, against government, and has little empathy for the middle class and below. This fuels our need to vote blue in 2024.

We ordered six more Harris-Walz yard signs last night. These are earmared for friends who are looking for yard signs. One woman said she’s putting on on her fence, facing her Trump-supporting neighbor. All turned down bumper stickers. This is a blue to purple area, with a lot of red inflammation around the edges. My friends stated that they have real concerns about what those MAGAs would do to them or their car; yes, we’ve seen the videos and heard the threats MAGAs like to issue.

Without great surprise, I read of an EPA IG report that said top EPA officials had retaliated against whistle blowers. This was done under the previous administration.

Ah, moving on through the morning. I have Jackson Browne singng “The Pretender” in the morning mental music stream (Trademark calloused). The Neurons brought it up when I was sipping coffee, watching cats wash after they’d eaten, studying the line of the morning sun moving across the backyard. Then the songs’ lines came up, “And when the morning light comes streaming in, we’ll get up and do it again.” Yep, that’s where I stand. Time to do it again.

Be strong, stay positive, test negative, and vote blue in 2024. Here’s the music. Cheers

Saturday’s Wandering Thoughts

Tl/DR: It’s all about me. I’m a pretty self-centered peckerhead.

I’m still on Facebook. Yes, I know. It’s mostly to track friends who are now far away and keep up with family events. Those are both fading.

Got a friend request from a friend today. I’d met her on Red Room, where I used to post, and we continued our friendship on Green Room before I moved to WordPress.

Problem with the friend request was, we were already FB friends and she, a retired teacher, writer, and grandmother, died several years ago. I deleted the request.

Damn hacks.

WaPo headline: Swift charges against Georgia father mark a cultural shift on school shootings. Yes, but that’s not the cultural shift needed. I am pleased the father is being charged. I hope he is found accountable for his part in this tragedy. Unfortunately, the many politicians responsible for it will not be held accountable.

My wife and I had a conversation as we were running around doing errands on Thursday. I referenced the conversation. She looked blank. She remembered having it but not what it was about. I was also struggling to remember the details. A minute later, the details flooded back into my memory. I shared them with her and we went on. I would say that it was disturbing but this sort of thing has been going on for years. Memory is a tricky thing.

I have a foot issue. I’ve written about this before. My right ankle was sprained in May and again in June, rolling over each time. I eventually had an MRI and discovered a tendon was ruptured. I’ve been wearing various wraps and braces but they were dissatisfying. Something was needed, as the ankle felt unstable. I became incredibly mindful how it was placed and employed.

My wife talked me into getting a Bioskin TriLock brace. Been using it for three days. It’s providing needed stability and is reasonably comfortable. Putting it on properly does need practice and thought.

I’d noticed I was compensating for the injured foot. Other places were beginning to feel stressed and mis-aligned. These were just what was being noticed; imagine what was being damaged and stressed under the radar.

Seeing an ortho surgeon in a few weeks. We’ll see where it goes from there.

Happy Saturday.

Wednesday’s Theme Music

Mood: torn

We’ve popped in on Wednesday, August 28, 2024. Although I’m not a fan of the pop-in, Wednesday has responded graciously and courteously. Note: I haven’t looked at the news yet. There’s probably bad news out there, waiting to ambush me. It can wait a little longer today.

It’s 58 F outside right now under a fully blue sky and a slow rising sun. Today’s high will be 88 F +, so not overly hot, although the heat index will make it feel a little warmer.

Had an MRI on my right foot and ankle yesterday. Gist of the results, no fractures but the peroneus longus tendon has a high-grade tear. No part of the tendon is normal. Much of the tendon appears to be retracted to the level of the calcaneus. No normal-appearing tendon is visualized in the midfoot. The tendon is either completely torn distally or at the level of the cuboid. The tear occurring near the cuboid is favored as there does appear to be some remnant visible distally on series 8, images 12 through 20. A small plantar calcaneal spur.

The Achilles tendon is moderately thickened with increased T2 signal. There is calcification within the distal tendon. No edema or fatty atrophy. No effusions. The contents of the sinus tarsi and tarsal tunnel are unremarkable. No plantar fasciitis. Subcutaneous edema surrounds the ankle. Edema is in Kager’s fat pad.

The findings are along my lines of expectation. Usual fix for a complete tear of the peroneus longus tendon is surgery. We’ll see what happens next.

In what is expected from fate, my right foot and ankle look much better today and feel pretty good. Now it’s my left bothering me. Haven’t sprained it but it’s screaming with aches and complaining with stiffness and swelling. Peachy.

Speaking of peaches, word at the growers market yesterday is that next week is the last for the peaches for the year. They don’t expect to have any more after that. This year’s crop has all the hallmarks that make me love peaches: sweet and juicy.

I remain on the time concept, the essence being that the theme song must have time in its title. The Neurons were on it early, delivering “Doin Time” to the morning mental music stream (Trademark split). First it was the original version by Sublime, put out in 1997. But then they brought up the cover by the sultry Lana Del Rey. So hey, I give you both today.

Stay pos, be strong, I’m having coffee. Don’t forget, vote blue in 2024. Here’s the music. Cheers

Thursday’s Wandering Thoughts

I added radish leaves to my breakfast this morning. We bought radishes yesterday at a store. Organic and local, they have the leaves attached. As I was checking out, the cashier told me she’d been told by a Persian guy that eating radish leaves are good for the respiratory system.

So I tried it. Tasted like grass, or wheat grass. I ate lawn grass back when I was a kid. I was curious and wanted to see what cows saw in it. Fortunately, we had little money and didn’t use anything on the lawn.

The radish leaves seemed to have an immediate effect on my airways, as congestion seemed to immediately drop. Could’ve just been a placebo effect, though.

Certainly was interesting to try.

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