Minicon 55

Apr. 14th, 2022 06:50 pm
pameladean: (Default)
Minicon 55, twice postponed and long anticipated, is being held in person this weekend.

I am not attending most of it, having decided that doing so is a bit too risky for me personally.

At the moment, I'm planning to ride in to the hotel with David on Friday, to attend the panel "Archiving SF," which runs from four to five p.m. and in which he'll be showing some of the photos he's been working on by various fannish photographers including himself. I might put my head into the art show to see his handful of prints hanging up. I'm hoping to have a chat with Jo, and wave or yell behind my mask to a few more people, but then I am going home and sadly staying there. It looks like a really good program; I would attend many panels, ordinarily, out of this batch; I would plant myself in the music room and just listen to every single musician's concert. I would have meals with good friends and acquaintances and a few new people, with luck.

But for me, with my comorbidities and diabetes, I think it's too risky. Minicon requires vaccination and a booster and masking in public spaces except for those designated for eating and drinking. I think these precautions are sensible, but maybe not for me. So David cancelled one of our hotel rooms, and I have not had to do a lot of laundry.

I hope everyone who goes has a lovely safe time.

Pamela
pameladean: (Default)
The pandemic isn't over, but the one-year mark came in with a lot of changes. Now that the first year is done, I regret not keeping a pandemic diary, as so many people did. But I have to say, to a far greater extent than I anticipated, the entire situation did a very bad number on my brain.

Once I was fully vaccinated I went in for lab work for the first time since June of 202, when my doctor begged me to do so before the anticipated surge in cases after the protests of the police murder of George Floyd. There was no surge, mercifully, which has not stopped right-wing bots and trolls from whining in perpetuity about how nobody complains about protests even though they obviously spread the virus.

My doctor had had me send her blood pressure and blood sugar numbers taken at home for a week or so in February, and then told me she would like to increase my metformin dosage. I agreed. This has been more annoying than I anticipated. I need to take metformin with food lest it wreak havoc on my digestion. The extra 500 mg is supposed to be taken with breakfast, while I retain the practice of taking 1000 mg with dinner. Medical directions of this sort always think people eat breakfast at 8 a.m. and dinner at 6 p.m., and they think bedtime is eleven p.m. at the latest. My schedule is nothing like that, and in particular meals tend to be crammed into a smaller percentage of the day than in the idyllic regular dreams of the people who write directions for the ingestion of medications.

In addition to eating it late, I also don't eat very much breakfast, since I have never since puberty been hungry until several hours after I get up. Now I'm eating twice as much as I want in the morning, which isn't much fun and also involves preparing twice as much. I used to eat a cup of soy yogurt, which was sufficient to cushion the effect of four blood pressure medications, an acid-reflux medication, and a different diabetes medication. Now I have to, horrors, make toast or oatmeal or something. In the morning. Not only am I not hungry when I wake up, my brain also, even when it was working well, did not really come online for an hour or two either. So I'm eating a larger breakfast than I want earlier than I want, which ends up pushing lunch further out. I usually have breakfast around 1 p.m. if I'm lucky, and lunch around five or six. Dinner is very late for a number of reasons having nothing to do with metformin, but it is not late enough to put twelve or usually even ten hours between breakfast and itself. So I'm perpetually flailing about the kitchen at 2 a.m. trying to find something substantial enough that I also actually want to eat in order to take the metformin.

Despite all these complaints, the new dosage is working and my A1c is down to 6.0. (This test measures the percentage of red blood cells that have glucose attached to them. A result of 6.0 is "pre-diabetes" in normal people but very good news in a diabetic; it's quite a bit below the point at which nasty complications tend to show up.)

Other lab work was fine too, except that, since she'd increased my metformin, my doctor ordered a vitamin B12 test, and I turned up borderline deficient. A remarkable number of symptoms that I had put down to pandemic stress, and that I have seen listed as symptoms of pandemic stress in any number of articles, turn out to be possible effects of B12 deficiency.

I've been taking B12 supplements for a couple of weeks and they are starting to have an effect on my energy levels and on the sweetness of my temper. We'll see about the higher cognition, I guess. My doctor thinks the deficiency is caused by the metformin, but I think it may have begun earlier than that, since I just generally eat somewhat weirdly.

Eric came over today for a short masked, distanced visit in the back yard. There might be one more of those, and then we can meet as in the before times. My brother will be fully vaccinated as of May 19th, and then anybody in my household who wishes can go see him and my mother and sit indoors unmasked and not have to yell all the time.

Eric had a complicated hierarchy of errands that had already been slightly derailed, if one can derail a hierarchy; so the visit was even shorter than anticipated. I stayed in the yard, hunting down all the peonies, which I'd been meaning to check on for several days. Raphael and I went for a long walk yesterday and started seeing the red alien shoots of emerging peonies everywhere, bringing ours tardily to mind. I am usually peering at their locations as soon as the sow is gone. Mine are in fact all up, even the unfortunate one that is being shaded out and wants moving. I watered them all. There were also a number of mystery plants that I'd been puzzling over for some days. They look a  little but not enough like daylilies, and while daylilies will pop up wherever they can, they don't usually jump long distances; these plants were not that close to any daylilies. One in the front finally offered up a bulb, and I remembered that I'd succumbed to a good deal on mixed giant alliums last fall. So that will be a nice surprise when they bloom. I watered those, too.

We have five flourishing green daffodil plants and one lone, extremely tenacious daffodil flower, which remained unmoved by snow, frost, and comparative drought. I should feed all of them. Most of the rest of the yard is either emerging creeping bellflower (argh), rampant scilla, non-native sedges, a bit of stubborn grass, and volunteer trees, largely box elder, hackberry, mulberry, Siberian (or possibly Chinese) elm, Norway maple, and green ash. There is one lilac bush, a volunteer from seed of the neighbor's ancient, lightning-struck, but still persisting bush. Eric said he was glad we had gotten a scion of that lilac before the neighbors put up a six-foot board fence, and I am of the same mind.

The other thing that Raphael and I saw on our walk was a glorious abundance of species tulips. I ended up ordering three different kinds for next year.

In addition to having energy and regaining such sweetness of temper as I can be said to have possessed, I've begun to be able to work on my Zeno's Novel in a more efficient fashion. I hope I may post here more often, a pandemic aftermath diary, perhaps, though when I think of India, and of all the people I'm worried about because they haven't been able to be vaccinated yet, I don't think we are in any aftermath just yet.

I've read every post in my circle all this time and have really appreciated every one of them, and the persistence of everyone's existence.

Pamela

Edited to correct previously-invisible typos.
pameladean: (Default)
Here's the link for the authorized fundraiser for Uncle Hugo's and Uncle Edgar's bookstores:

https://www.gofundme.com/f/let-us-help-save-uncle-hugo039s

Here is Naomi Kritzer being smart as usual, musing upon and trying to sort out the frankly weird mixture of legitimate and really not elements that went into recent events:

https://naomikritzer.com/2020/06/03/minneapolis-outside-agitators/#more-14587

And here I am, attempting a simple account of a trip to the clinic for bloodwork. My doctor had opined that it made no great never-mind whether I came to see her in person or not, but she very much wanted the bloodwork done, and the sooner the better. The clinic was presently, she said, a ghost town, with a lot of appointments available and very few people around. She also said that, although she was not an epidemiologist, she was concerned that there would be a surge in COVID cases after the protests and riots, so I should slip in well before ten to fourteen days had passed. I couldn't help thinking that the protesters had been attacked enough without also coming down with the virus.

I had been supposed to fast, on account of the lipid panel, but woke with a migraine and firmly ditched that requirement in favor of taking the required medication with some food.

Raphael gave me a ride. The bus system has just started up again after the riots, but I'm in multiple high-risk groups for COVID19 and would rather not.

It was a glorious early summer day, green as could be, brilliant pink peonies blooming lustily on people's boulevard gardens, chimney swifts chittering overhead.

I had been out in a car twice since March 14, once to Wood Lake, a Richfield city park, and once to William O'Brien, a Minnesota state park. But that was before all the upending. We drove north on Lyndale. All the businesses were boarded up. Neatly painted on the convenient plywood were notations of whether the business was open, open for takeout, closed. Also painted on the wood, sometimes neatly, sometimes not, were numerous iterations of NO JUSTICE NO PEACE, JUSTICE FOR GEORGE, BLACK LIVES MATTER, [HEART SYMBOL] FOR MPLS. Also, most heartbreakingly, PEOPLE LIVE HERE DON'T BURN.

I put on a mask in the car and, leaving Raphael in a nice shady spot in the parking lot, went into the clinic. On the bench outside sat two women, masks down around their chins, talking. Each sat at the far end of the bench from the other. I waved at them and let the sliding doors admit me. I was inordinately fascinated by the fact that even with the plywood, they still moved. Inside, where there's ordinarily a bench, was a table surrounded by a plastic enclosure about six feet high. Inside it sat a nice lady in a mask, who greeted me brightly, asked if I had an appointment, and then asked me some standard questions about fever, cough, sudden loss of taste or smell, and recent exposure to a known case of COVID19. I answered in the negative, except about having the appointment, and went down to the basement where the lab lurks, bonking the elevator buttons with my elbow.

There was a strip of yellow and black striped tape on the carpet six feet from the receptionist's desk. I stood there and stated my name, my quest, and my favorite color, and affirmed that I'd answered No to all the COVID questions upstairs. Then she asked about fasting, and I said I had failed at it, because migraine. She said that unless my doctor had specifically told me to fast, she'd just have them run the test anyway. The person I'd made the appointment with had told me to fast, possibly because my doctor had ordered it and possibly for some other reason. I figured my doctor could sort it out.

Ordinarily the receptionist would ask for ID and insurance card, but she didn't. She was masked already, and got up and transformed herself into the phlebotomist by taking me into a room and putting on some gloves. The blood draw was very fast and then she gave me a cup to pee in.

I went into the bathroom and washed my hands; also my arms and elbows while I was at it. Then I read the instructions on the wall and looked around for the towelettes. There was a basket that had probably once contained them, but it was empty. I went back out with my cup and hailed the phlebotomist and explained the problem. "That's because I'm too short to reach the shelf where they keep them," she said. I expressed sympathy, saying that for me half the stuff in the kitchen might as well not exist and I hated having to get out the step-stool. After trying to chivvy the towelettes off the shelf with a pen, she resignedly fetched her own step-stool, got them down, and restocked the basket. Except when she was actually taking the blood out of me, we both almost instinctively kept six to eight feet apart. It is weird how quickly that habit can develop.

I washed my hands again, leaving the elbows alone this time.

I am really bad at peeing in a cup; a failure of proprioception, native clumsiness, who knows. I reached a new low by peeing on my hand. However, with an adjustment, some ended up in the cup; and there was an abundance of methods for cleaning up; so I did, left the cup in the cunning niche provided, washed my hands for what was by then the fourth time, and went out gratefully. At the nice lady's plastic castle, a man in a strange blue paper mask stood next to a little boy. A woman in a mask and scrubs knelt in front of the boy, adjusting another strange blue mask over his face and saying cheerfully, "This'll be a little big for you, but we can adjust it."

I put on hand sanitizer in the parking lot and got back into the car. Raphael mentioned that just before I came out, a man and a child with no masks had gone into the clinic, so I told her about the little scene I'd witnessed.

The test results are coming in to MyChart. The one I'm most concerned about, the HGB A1c, is always the last to come in. Most of the others look very good.

I am loving all your posts and comments so much.

Pamela
pameladean: (Default)
Thanks to anybody in my circle who is posting anything at all, and to anybody reading my posts. I'm really leaning on Dreamwidth at the moment, even though I'm fortunate to be in a household of four people whom I am very fond of indeed.

I'm still struggling to work productively, but am working on the book every day. The nice comments about my excerpt in the New Decameron were really helpful in producing some writing energy.

As of Saturday morning, nobody in this house is going out to work; as of Friday evening, nobody in Minnesota is supposed to go out except to do a job deemed essential or to get exercise, food, or medical supplies. I am very cautiously optimistic, based on some remarks by both the governor (currently in quarantine because a member of his security staff has COVID-19) and the head of Hennepin Healthcare that maybe, possibly, Minnesota got it together in time to mitigate the first wave of cases and flatten things.

I was supposed to see my doctor today for yearly bloodwork and general checking-in about my diabetes. The appointment was rescheduled for April 30. In the meantime, it seemed prudent to do better at checking my blood sugar. Preliminary results are not bad, fasting numbers in line with a type 2 diabetic under the care of a doctor, after-dinner ones sometimes fine and sometimes a tad high. It's extremely obvious, a thing I knew but have to keep relearning because it's inconvenient, that increasing exercise will bring both numbers down. I am working on it.

In the meantime, I had to relearn how to use the newish glucometer and finish reading the manual. My old glucometer (still working fine, but if you change health insurance companies you have to get a new glucomter that they approve, and your existing test strips of course don't work in the new glucometer) was supposed to be cleaned and sanitized using Chlorox germicidal wipes. These are useful things to have around and I had in fact used them all up at some point.

This glucometer, impressively, is supposed, according to the manual, to be cleaned and sanitized only with Super Sani-Cloth wipes (available at Home Depot, Amazon, Walmart, and other providers!) I did a quick search for those to see what they were. Of course they are out of stock everywhere. I set a couple of email alerts to be notified if they ever are back in stock for anybody except hospitals, and hied me to the customer support page for the glucometer. The person who helped me via chat responded at once that the meter did not have to be cleaned at all, but if I got blood on it I could just wipe it off with a dampened cloth.

This is of course a relief, AND YET. I am pretty sure when only one product is allowed in a case like this, there's a monetary connection between it and the company that sells the glucometers, but I had not expected to be told that the entire process wasn't really necessary. I'd thought they might tell me to use a little rubbing alcohol if I had it.

Between the New Decameron and my Nevada Barr reread, I'm doing better with reading fiction rather than Twitter, insofar as there's a difference. That's actually not fair to Twitter, where I've found many valuable links and cheering goofiness, and where I can converse with people I don't see here. But you never know when ill-intended fiction will pop up.

Lydy is nurturing a sourdough starter. I had looked extensively at doing so but not started yet. I'm not bored, more slowed down to an even more molasses-like state than my usual by both pity and terror. Thanks, Aristotle.

I miss my sweetie whom I don't live with very much indeed. We have hopes, though not, I guess, during the about-to-take effect shutdown, to sit eight feet apart in the back yard on a warm mellow day, and actually converse.

I'd better shower, dress, clean something, and go for a walk while it's nice out. May you all be safe.

Pamela
pameladean: chalk-fronted corporal dragonfly (Libellula julia)
I forgot to include this in the previous post. When one is diagnosed with diabetes, at least at an HCMC Clinic that uses MyChart, a huge raft of obligations springs up in one's list of Matters that Require your attention, all marked "overdue" even though you had no idea about any of this just the day before. I've been doggedly working my way through them (microalbumin test; dilated eye exam; diabetes education, which is one three-and-a-half-hour class and three two-hour classes; a foot exam with the dread word "monofilament" in it, which makes me think nervously of Sinclair monofilament, though in fact I have looked up the exam and it is no such thing). I was most worried about the eye exam, but put it off because most insurance plans within our reach, even with subsidies, do not cover routine eye care. I hate insurance companies. They should not be allowed within a million miles of anybody's well-being. Anyway, I had the eye exam last week and everything was fine; the diabetes has as yet had no effect on my eyes. They are a little the worse for wear after 63 years, but the ophthamologist said, "Your eyes look very healthy" in a tone of faint surprise.

The classes introduced HCMC's preferred dietary guidelines, which will drive me to distraction if anything does. "Diabetes," said the first instructor, "likes consistency." I hate routine. I hated it in kindergarten, I hated it in high school, I hated it when I had a day job, and I still hate it. Eating at the same times every day, keeping the same bedtime day in and day out, timing snacks, timing exercise, argh. My only comfort is that I have not been at this very long.

Anyway, any thought I had of controlling things by diet and exercise alone has been thoroughly squashed, so I'm taking metformin. After a month of 500 mg, it and my digestive system had come to a cautious truce, at which point, naturally, the medical profession decided to raise the dose. I complained at length both about having to take it twice a day and about the probability of more digestive side effects, so they gave me an extended-release version, which is taken only once a day and has fewer reports of nasty side effects. Not wanting either last Friday's hike or my weekend generally to be messed up, I collected the prescription last Thursday but only took the first larger dose this evening.

I've also spent quite some time down a research rabbit hole about possible ranitidine (Zantac) and metformin interactions, but concluded after squinting through a bunch of scientific papers and finding starkly contradictory statements on various websites for the use of laypeople, that nobody knows much about any of that and I should quit worrying over it. In addition to hating insurance companies, which I feel is quite a rational attitude to maintain, I also, with far less good reason, hate patient information sheets. I have hardly ever read a one of them that didn't send me into a tizzy for days. I don't think they strike the right balance between accuracy about the likelihood of the things they warn about, and specificity about the symptoms one should be on the lookout for. To me they all read like this: THIS REACTION IS VERY RARE BUT IT COULD KILL YOU! EVEN IF IT JUST SEEMS LIKE THE FLU, CALL YOUR DOCTOR! COMMON EVERYDAY MINOR SYMPTOMS COULD MEAN YOU ARE GOING TO DIE!

I think that's enough complaining for one entry.

Pamela
pameladean: chalk-fronted corporal dragonfly (Libellula julia)
On April 26th I went to the doctor for a regular checkup and lab work. My blood sugar came back elevated to the point where I was diagnosed with type 2 diabetes. This diagnosis triggered a huge number of Get this test, Get that exam, Here have a glucometer, No you don't have to start on metformin right away but you might need it so get ready, Take these four three-hour diabetes education classes, Talk with a diabetes education nurse (she was fabulous), Check your blood sugar first thing in the morning and two hours after beginning to eat your largest meal of the day, Hmmm given those numbers try exercising for 15 minutes an hour after eating dinner. I haven't seen a nutritionist yet but it's on the list.

I am not exactly surprised. Numbers have been creeping up for years despite periodic attempts to expel added sugars from my diet or at least be mindful of where they were and approach them with caution; both my grandfathers were diabetic. However, I am considerably more thrown for a loop than I would have expected.

In 2002 I was diagnosed with hypertension in the ER. Those numbers made everybody's eyes very large and caused them to rush around with heart monitors and ask me a lot of questions. Eventually they ruled out things that would kill me at once and sent me off with a prescription for a beta blocker and instructions to go find a primary care practitioner at the clinic. Nine months later, after trying about twenty drugs in various combinations, my PCP sent me off to a nephrologist to make sure my kidneys weren't turning the wrong kinds of cartwheels. In the regular clinic, my BP numbers made everybody get very quiet and look at me as if I were about to keel over. In the nephrologist's office, the nurse assigned to handle me addressed me as "young lady" (I was 49) and said, "We have patients with much worse numbers than that, and on more medications. We'll fix you up." They did, too; there was nothing wrong with my kidneys and they found a combination of meds that worked.

Similarly, while my blood sugar was sneaking up on the scary invisible line, everybody was very sober. Once it leapt over, suddenly my doctor was very cheery. "Oh, I've got patients with much worse numbers than that, and those are very hard to get down. You can get yours down."

I'm not sure if this is more reassuring or unnerving. Anyway, I've been sulking and dithering and sitting on the news, and I decided that it was time to stop that. Plenty of people live with diabetes. The new regimen and the knowledge that there are more changes to come are making it hard for me to work, but I will try to get over myself.

Pamela

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