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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
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Every time Wednesday goes by with my friends posting descriptions of what they have read or are reading, I wonder vaguely, "Why am I not reading more?"

The answer, of course, is that I am reading ALL THE TIME, but it's the same thing; the not-quite-finished novel that I'm writing and revising. Very occasionally I break out wildly and read sections of the books that it is a sequel to, but mostly I just read it, the oldest stuff, the middle stuff, the newest stuff, and shove it around until it looks right or my eyes cross, whichever comes first. Guess which comes first.

I think the last books I finished were all rereads: the entire Tony Hillerman series; Nevada Barr's first Anna Pigeon novel; and Hilary McKay's Saffy's Angel, because it's always time for that book, at least in my head. I'm going very slowly through an amazing collection of essays by Harriet Walter. People reading this journal are perhaps most likely to recall her as the person who played Harriet Vane in the actually good TV adaptation of some of Dorothy Sayers's novels. But she's had a long and very distinguished career on the stage as well. The book is called Brutus and Other Heroines, and I can't wait to read about her experiences playing in all-female casts of Shakespeare.

I am only as far as her discussion of Imogen in Cymbeline, which is riveting.

Finishing the book I'm writing would go further if things didn't keep getting in the way. I lost a lot of yesterday wrestling with the pharmacy system. Everybody in it was very helpful, except for me, as I had originally ordered a refill a bit late given when I would run out of medication, and then blithely assumed that the mail-order pharmacy would come through as fast as it usually does. I don't understand the Medicare prescription-drug pricing structure at all, but it results in my paying several hundred dollars for the first and last 90-day prescription of linagliptin every year, but only $47 for the middle two. (The plan I'm on pays about $1300 before I get socked with the remainder. Yikes.) The pharmacy always calls to make sure it's okay to charge my credit card for the expensive winter supply. I surmise from this that for a lot of people, probably one day including me, it is not okay, and therefore they aren't getting the medication they need. Thanks, Republicans. In any case, this time they were so busy they never did call me, so the prescription hung fire until I noticed it hadn't arrived, and then with rising alarm that the website still listed it as "being refilled." It all got straightened out, but this will teach me not to be sanguine about, well, anything.

My youngest brother was in town for a few days, and cooked us all a magnificent dinner. He is now a professional bass player, but for some years he was a professional vegetarian cook, and anything he provides is always delicious.

I will pretend there are five things up above, and make the post. My best wishes for a salubrious end to the year and for light in the darkness for all of you.

Pamela
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It is eight degrees below zero F in my corner of MInneapolis. The wind is getting up to mischief; watery sunshine is sparkling off the new-fallen snow. I have a cold and would benefit from a steamy shower, but the idea of getting wet on a day like this is confounding. I'm sitting in my office, a somewhat drafty sunroom, wearing a T-shirt, a sweatshirt, a pair of cotton knit pants, slippers, an ancient and enveloping purple fleece robe, and the little lap afghan with rosebuds on it that Lydy made me some time ago. Saffron, having stomped and thoroughly sucked on one shoulder of the robe, is curled up very tightly on the cat cushion on my desk. I tried  covering her with an old hand towel. She sat up, wriggled from under it, sniffed it thoroughly all over, had a definitive bath, and lay down firmly atop the towel. I'm not sure if it has been accepted or rejected.

The viral rather than the climatic cold is providing most of my discomfort at the moment; the only weather-related piece is that the radiator is slightly too warm for me to press my slippered feet against it. When I get dressed and put my shoes on, it will be perfect.

This is far from the most miserable cold of my experience, but it's removed my ability to focus. I've shovelled snow in the course of it and ordered groceries. I'm hoping to cook tonight. I think we will probably have to have soup of some kind, perhaps very miscellaneous.

The viral cold presented itself quite late on Friday night and caused me to cancel attending my tea group's feast, having a date with Eric, and attending my own family birthday party. I minded all that, but I don't mind being sick during this epic cold snap, especially since I did get some shovelling done. I should add, to be accurate, that I was assisted in the shovelling by a woman bringing her two sons along our block on their way to Butter, our lovely local bakery. The boys were, maybe, eight and ten, or nine and eleven, somewhere in there. They were very shy and wouldn't speak to me directly, but she got me to hand over the snow shovel and directed them in clearing the walk and tidying up the edges. She said they were bored and had lots of extra energy and it wasn't too soon for them to learn to be helpful. I thanked them all fervently; the rest I got from not clearing the public walk enabled me to widen the single lane I'd made in the walk through the front yard.

At this point the wind is blowing the snow around and the tidiness is somewhat marred, but everybody made a good effort just the same.

Tomorrow and tomorrow night are the really terrifying parts of the climatic cold; after that, we revert to more ordinary winter weather followed capriciously by a brief thaw. A February thaw is not unusual, but it doesn't usually ring itself in with such an air.

Saffron just tightened her sleep circle considerably, but I know that if I try to cover her with the edge of the towel, she'll just have to shake it off and start over. Cats are stubborn.

I'm going to try to clear my brain by showering and then either work on the less-complicated parts of the taxes or on my book, but it's possible that I'll just reread some old favorite or take a nap. I hope everybody who needs to be is safe from the whims of the climate and the vagaries of the weather.

P.
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Hello! I'm sorry it's been so long since I posted. Apparently it's easier for me to post if I have something to report on regularly. However, nobody with four feet has eaten any sour cream and onion dip or anything else toxic, and fortunately I have not broken any more bones. I did get the flu, but the clinic advised me to take Tamiflu (MY GOD THAT STUFF IS EXPENSIVE WHAT IS UP WITH THAT), which actually behaved as advertised. I think I've still got the flu aftermath with a general dragging-around, can't -get-moving, can't-get-motivated fog, but it's lifting.

Since I posted last we've had one last plumbing emergency, in which a well-researched and well-intentioned attempt to unclog the cranky ill-designed low-water-use toilet from 1997 resulted in the recommended instrument's getting stuck in the toilet. When the plumber who put in the new bathtub faucet requested financing for us, he did an estimate for installing a new toilet as well, so we had extra financing sitting around. When I hadn't wanted to get the toilet replaced at the same time as the faucet, he'd remarked that it was fine to buy a toilet ourselves, on sale, and then have them install it, so I'd set up some email alerts for good deals on recommended toilets. But at this point we were just done with the toilet situation, and so the plumber came out the next day, removed the offending toilet, and installed one that seems to actually work. The sound of it flushing still sometimes makes the cats jump, if they happen to be around, and it's sometimes necessary for them to put their paws on the seat and inspect the situation. They never see anything, however, because the flush is so fast.

Compared to some places' winters ours has not been overly dramatic, but it has featured quite a lot of snow and a lot of thawing and refreezing, resulting in massive amounts of dangerous ice and slippery piles of snow that have to be climbed or worked around. I have not gone out much, and when I have it's been with loud cries of "This sucks" and people who will let me clutch their hands. David, Eric, and Lydy have all been very patient in this regard. I did walk over to Dreampark for the MinnStf meeting on Saturday, under the impression that the sidewalks were largely clear. The ones on our street were, but the intersections were small jagged landscapes of frictionless surface, and the north-facing side of 40th Street was a crazy quilt of cleared walk, smooth horrible ice, and lumpy horrible ice. You could tell that people had tried. There was sand in the ice, and patterns of small holes told where householders had sprinkled ice melter, which had just bored through leaving a pocked but still treacherous surface. The clear patches looked more like the result of luck with the angle of the sun than any more effort on anybody's part.

I had a doctor's appointment last week. My blood pressure is too high. My doctor suggested a number of possible medications or increases in the medications I'm taking now, but I refused more beta blocker because it is messing with my adrenaline reactions, and I'd already taken and really not much cared for the other things she'd suggested, or else I was allergic to them. She got me to agree to take a daily aspirin and said that summer was coming, and it would be easier to exercise, so I should just work on that. When I went in to get the ankle X-rayed, my blood pressure was much improved from where it was in November and also much better than it was last week, so the enforced lack of exercise caused by the broken ankle is probably partly to blame. For the rest, I emphatically blame the Republicans.

Minicon is rapidly approaching. I'll be doing a reading and two panels, one on the legacy of Theodore Sturgeon and the other one on retellings, which I am particularly looking forward to.

I hope you are all surviving.

Pamela
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The Onion Watch is over. Both Cassie and Saffron are fine.

I am very tired of this boot, and yet two weeks is really a very short time to be wearing one of these. It's better since I got the shoe balancer. But that can't be worn outside at this time of year. I ventured out yesterday sans shoe balancer, but with a lot of help from Eric. Fortunately, my winter boots have slightly thicker soles than my regular walking shoes, so the imbalance was less. But my hips, back, and knees set up a huge complaint all the same.

We saw "The Last Jedi" so we could stop avoiding spoilers all over; went grocery shopping; had a late dinner at Pizza Luce, splitting an order of roasted Brussels sprouts and a small spinach salad and then going our own way for the entrees; and went back to his house and conversed and cuddled the cat.

We enjoyed the movie a lot, though the sound balance was such that we missed some dialogue, including, almost certainly, some punch lines. It is thoroughly and unabashedly a "Star Wars" movie; not one of the prequels, but harking back in ways great and small to the first trilogy only with a lot more different kinds of people in it. Of course we had a lot of quibbles. I am gobsmacked, however, at the reactions of a certain group who hated the movie. What they are objecting to is so mild, so nearly anodyne, and yet they can't stand it.  If anybody is moved to discuss any aspect of the movie in the comments, please clearly mark any spoilers. And I'm very short on patience with certain lines of argument.

Being outside was fine while the temperature was above freezing, but when things started to ice up I became a paranoid mass of apprehension.

On Wednesday morning, I will get up, and I will not have to put on the boot. The clinic says that if I have no residual swelling or pain, I'm good to go; otherwise they will refer me to physical therapy.  I am hoping very hard for the former outcome. The swelling is almost gone now, but there is still some twinginess right around the ankle bone.

I'm still reading Anthony Price, and wanted to note down one place where history caught him up, through no fault of his own. In an earlier book, Our Man in Camelot, a bunch of younger agents in Price's imaginary intelligence department, Research and Development, are arguing with David Audley about, well, everything; but Frances Fitzgibbon, my single favorite character in the entire series, refers to "the rot at the top" of the Nixon Administration. Audley shuts her down by saying that it was the rot at the top that brought the boys home from Viet Nam.

This line never did sit well with me, but this time, I thought, "Wait, wait, wait, didn't Nixon act to delay the negotiations that would end the war so that his anti-war presidential campaign would not have the wind taken out of its sails, and so that he could get the credit?"  Yes. Yes he did. The tapes were released in 2013. Lyndon Johnson knew what Nixon was doing, but he figured that Hubert Humphrey would win the election, so he didn't do anything. STOP WITH THAT NONSENSE YOU SELF-SATISFIED BLUNDERING POLITICIANS; IT NEVER WORKS OUT THE WAY YOU THINK.

I want to grab David Audley through the page of the book and give him this information. More than that, I want to give it to Frances.

Pamela

Edited to make an errant sentence have some sense in it.

pameladean: (Default)
The cats are still fine. They have done all the cat things: scampering (both of them), tail-chasing (Saffron), getting underfoot (mostly Cassie), demanding to be fed at the wrong times (both of them).

I finally received the Evenup Shoe Balancer that I ordered, which is a kind of sandal that is more or less bungied onto the shoe of one's uninjured foot, when one is wearing a walking cast or boot on the other foot. It's not infinitely adjustable, and it isn't supposed to get wet, and one is sternly enjoined against rapid walking or walking on lumpy surfaces like grass, gravel, or, I presume, snow. But it's still a great relief that the two pieces of my current footgear are now of approximately the same height. I made an incautiously fast turn while carrying a pot of boiling water and pasta to the sink, however, and there was a distinct wobble. NO RAPID WALKING, and no sudden changes of direction. But the various bits of hip, back, and knee that were complaining about my uneven gait have subsided quite a lot.

I'm poking at Going North, trying to decide whether I want to write an introduction to the short-story collection, and trying not to be too impatient. I don't need to cook tomorrow, so I might try doing some laundry. The excitement!

I also continue rereading Anthony Price and playing tag with the bad fairies.

Pamela



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I didn't get a big enough supply of cast socks (still no actual group of characters in the sock *disappointed face*), but I think they can be hand washed. My foot approves of my having figured out that I was putting the front panel of the boot on upside down. No permanent damage seems to have been done; and actually, it may be my right knee, which was already a bit martyred in its attitude towards doing a different kind of work than usual, that is really grateful. All parts of me are pretty bored with this entire situation and I would really like to shovel some snow, but there isn't much to complain of in the larger scheme of things.

Saffron, after her profound sleeping-off-the-dissipation nap, has been entirely herself. So has Cassie; it's just that I am becoming more fully persuaded that Cass did not actually get any onion dip.

In other news, while I was waiting for the plumber to finish his miracle yesterday, I went through my mail, and found with some relief the first invoice for my Part B Medicare plan. I opened it and was instantly horrified. They wanted $536. Most people pay $134 a month for Part B, though you can get that waived or get help with it if it's a hardship, and apparently some people pay more. But this was MORE OH MY GOD MORE WHAT. Then I noticed the mathematical relationship between the expected and the actual charge, and read the fine print. They want to be paid quarterly. This isn't exactly convenient, but at least the amount is not utterly terrifying.

I've been rereading Anthony Price -- it's a thing that I do when I miss Mike Ford -- and trying to write a post about the experience. There are some bad fairies accompanying me on this adventure. At least, I think there are. Point of view in the Price books is really complex and layered and convoluted, like everything else about them, and tracking down who really thinks what and what Price thinks about it or wants you to think about it is surprisingly difficult. So there are some interior thoughts and some lines of dialogue that I recoil from utterly; but if they come from a character that Price is building up and undercutting at the same time, or if a different character takes issue with the opinion but not as vigorously as I'd like, but that character is probably being undercut too, it's a little difficult to see whether that is a bad fairy or just a weird set of shadows.

Pamela
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It's been an interesting few days. The weekend involved both my family birthday celebration and a date with Eric, one sort of in the interstices of the other. Both party and date were very pleasant indeed. During one of the date parts, I got email from David saying that water was coming up from the floor drain in the basement. I wrote back saying I'd call Roto-Rooter if it were me dealing with it, but he'd maybe liked Ron the Sewer Rat better when we had drain problems. He got a time window from Roto-Rooter of 5 to 9 pm on Sunday evening. It turned out that the water coming up from the drain was quite extensive and it wasn't safe to shower, run dishwashers, flush toilets more than very occasionally, or even wash one's hands vigorously. These restrictions have a very depressing effect on one's ability to do much of anything

The hours crept by and it was 9:30 and there were no plumbers. David called them and they admitted to running late and offered us a Monday window of 10 am to 2 pm. This would fall to me, since David had to work Monday. I thought of calling another emergency plumber that had once come through for us when Roto-Rooter got overwhelmed. However, I got an automated message from them saying that they were experiencing an unusually high volume of calls. While I was considering whether I would stay on hold, I brought up the MNDOT site and looked at the traffic map. It had been snowing pretty hard all afternoon and evening -- Eric and I had agreed that we would not try to go to the St. Paul Trader Joe's or our usual former Rainbow/now Cub in Uptown, and he brought me home early. On the MNDOT map the highways around the Twin Cities were solid orange and spattered liberally with purple squares enclosing exclamation points, When you hovered the mouse over them they said variously, "Crash," "Vehicle spun out" and "Critical Disruption on Highway 52." Okay, no. We had to resign ourselves to a night without drains.

I will not dwell on the situation further. It only lasted about 24 hours, but when nobody can shower, flush anything without consultation about when anybody else has last done so, run the dishwasher as a prelude to cooking, or do any laundry, things devolve rapidly into chaos. I set my alarm for 9:15, which is extremely early for me. Saffron woke me around 8:15 wanting to be fed, so I shut her out of the room, but about half an hour later I got up and used the bathroom and optimistically flushed the upstairs toilet, which is cranky and horrible but only has a tank capacity of 1.6 gallons, and fed the cats. Then I cleaned up with baby wipes and got dressed and put my shoe on my left foot and the Robot Boot of Doom on the right foot. I discovered about twelve hours later that I'd put the front panel on upside down, which meant I spent the whole day adjusting and readjusting the boot because it felt wrong and nothing would stay in place and my heel kept sliding around.

The phone rang twice once the window for plumbers began. The first call hung up on me, so I put it into a search engine and got a lot of very indignant comments about spam callers and being called 20 times a day by a number that never left a message. Okay, probably not the plumber. The second call also hung up on me, but when searched for turned out to be the Minneapolis Snow Emergency Phone Alert number. When I did hear from Roto-Rooter, they called my cellphone. The plumber arrived and sympathized about the walking boot, and we minced down into the basement to find a pool of water covering the floor drain and trying to take over the foot of the stairs. The plumber walked around muttering. "Shit," he said. He poked around, cleared junk from around the plumbing stack in what we'd like to be a basement bathroom one day, and said he could probably get at the problem through that stack. "Only," he said, "I have to bring a really big machine into the house and I'm not sure how to do it." He mimed its size and height. We discussed bringing it around the side of the house, but the snow there hasn't been shovelled. Raphael and I do most of the shovelling unless there's enough snow to break out the snow blower, when David does it; but Raphael is getting over a virus. Lydy has exercise-induced asthma. David had shovelled the last lot of snow in front but has long work hours. And I have a broken ankle.

The plumber finally decided to bring his machine in through the front door and see how it went. I moved a bunch of lightweight objects out of the path he'd have to take, and this sufficed. He bumped his battered Victorian-looking wheeled object down the basement steps. I retired to the living room to put my foot up. There was a protracted banging session. That stack is really old. I wondered if the access cap was stuck. Eventually there was a ringing thump as of a heavy metal object hitting a concrete floor, and then the machine started up. Then it stopped. The plumber came upstairs. "Ma'am? Where's your electrical panel?" I got up and came to show him. "I blew a fuse," he said. I managed to describe the location of the room with the panel in it, and stood at the the top of the stairs while he went in and dealt with the fuse and then walked around turning lights off and talking to himself. I decided he had things in hand and went to put my foot up again. A series of roars, rumbles, thumps, and sounds as if someone were delivering a series of oversized packages of rocks at the front door went on for some time. I'd been nursing the fear that something really dramatic was wrong that wouldn't yield to the usual remedies, and thinking that I knew plenty of people who would let me take a shower, or let all of us take showers, but that clumping around in the snow with the boot was not at all a good idea. When Eric and I had come into the house on Sunday he'd suggested that I brush the snow off my boot. I ended up taking the whole thing off and to some degree apart. It dried fast, but it's really not for wet conditions at all. Anyway, the longer the noises went on the more reassured I felt.

After about an hour, the plumber, looking somewhat the worse for wear, came back upstairs with his machine. It was, he said, tree roots. Lots of tree roots. But he had gotten through and the drain worked now. He also said he needed to get a new access cap out of the truck because he'd had to break the old one. As he maneuvered the wheeled monster that had fixed the drain into the front hall he said, "Oh, the snow's still there." I apologized for its not being shovelled and he said, "No, I didn't mean that. I meant all the snow. It's not spring yet." I said it did seem to be time for spring at this point. When everything was squared away and I'd parted with a large amount of money and we'd arranged for a person with a drain camera to come and check the line and make sure it was as clear as it should be, I locked up and with enormous satisfaction flushed the downstairs toilet, washed my hands extravagantly, and took my book and pillbox back upstairs. Whatever else I may have messed up, I did take my medication at the right time even though I got up three hours early/

Being able to put water down the drain was giddy-making. When I got over that, I realized I was hungry, so I got out some of the leftovers from the birthday dinner -- baby carrots, celery sticks, and vegan sour cream and onion dip. I would have some, put it away, and then realize that I was still hungry, and fetch it back out of the fridge to have some more. Finally I just left the remaining carrots and the container of dip, with the lid firmly in place, on a high part of my desk that cats have never gotten anything down from. Then I took a shower, which was luxurious, and got dressed again, and put my boot back on -- still with the front panel upside down -- and headed back to my office. Cassie was meatloafed in the middle of the sitting room floor. There was no sign of Saffron, but she often spends the afternoon either bothering Raphael or sleeping peacefully in Raphael's extra chair. However, as I sat down and put my foot up, wriggling my errant heel back into place, I heard very odd noises from the space between my desk and the wall. I thought Saffron might be stuck. I craned sideways and looked. She was not stuck. She was standing in the licked-clean dip container, assiduously licking the dip from the underside of the lid.

The carrots were right where I'd left them, untouched.

I took the lid and container away from her and put them with the other dirty dishes. I told Raphael what had happened, mostly thinking there might be digestive issues, but when I saw Raphael's face I thought, Oh, right, onions. Bad for cats. After a bit of discussion, Raphael looked up the effects of onions on cats. There were probably at most three tablespoons of dip left, and it was possible that Cass had gotten some of it, but when we did the numbers as best we could, given that the dip was not composed only of onions, it still sounded less than ideal.

This still left us at a loss, so we decided I should call the emergency vet and see what they thought. The person I talked to said that freeze-dried onions were usually not as bad as fresh, but that they didn't really have the information on hand, and she would give me the number for the ASPCA Veterinary Toxicology line. I called this number and eventually got a very nice woman who asked a bunch of questions about the cats and their ages and whether any OTHER cats might have been involved -- Ninja would have if he could, but he was downstairs -- and then put me on hold while she consulted a veterinarian. We were worried about getting the car out and getting to the emergency vet on the snowy streets, and I was worried about clumping around in lumpy uncertain snow in my boot. You can put a plastic bag on the boot, but that doesn't address any balance issues and in addition removes traction on slippery surfaces.

The conclusion of the veterinary toxicologist, when delivered, was a relief. They didn't expect any difficulties with such young and healthy cats. We should watch for lethargy, weakness, and pale gums over the next five days. The main bad effect of onions on cats is anemia, which can be treated. I also got a long list of protocols to follow in case the vegan sour cream caused digestive problems, and a list of under what circumstances I should call them back, and a case number. The service costs $65.00, but this includes all the callbacks.

Cassie acted just as usual for the rest of the evening. Saffron had a very very deep nap, which led us to think that she had probably gotten most of the dip and needed to sleep it off. She woke up for her supper and they both ate with their usual appetite.

After I fed the cats I sat down to adjust my boot again, and finally realized that I'd been putting the front panel in upside down. I am 99% sure that I only did that yesterday and today. It still immobilized most of my foot quite well, so I trust  it will be all right. There's nothing to be done about it, anyway; but this confirms my suspicion that my executive function is all being used up in navigating with the boot, and that resources generally available to make my brain work right are being diverted to the ankle.

I would say that no more exciting things are allowed to happen, but there isn't much point in that.

Pamela
pameladean: (Default)
On Monday I called the nurse-advice line associated with my health insurance and described the history of my injured ankle. The nurse said I should be seen by a medical professional who could decide if I needed an X-ray. I hadn't gotten around to the call very early in the day and then they had to call me back, so my clinic was closed by then. I slept poorly and finally got up at 8:30, fed the cats early, and called my clinic. They have same-day appointments and offered me either 10:40 or 2:30. I took the second, naturally,

Pat who is not on DW and I have a writing date on Tuesdays, unless we don't. We'd missed a couple of days during the holiday chaos, but had agreed to meet today. When apprised of the appointment, she asked where my clinic was and then said she could drive me there after we had lunch. She picked me up at 12:30 and we went off to our usual haunt, the Uptown branch of Pizza Luce. This establishment presented an alarming face to the world. The parking lot was full of trucks and vans and a kind of tank truck. We parked on the street and approached a couple of Pizza Luce employees who were having a smoke in the back, and they told us that they were closed because a pipe had burst, but they'd be open again tomorrow. We wished one another joy of the lovely weather, and Pat and I got back into the car and tried to salvage our plans. Pat started heading for Patisserie 46, a wonderful place but sometimes a bit short of food for me. I suggested that Blackbird was closer to the clinic. She dropped me off in front and then had to range around finding parking, but eventually we were seated in the tiny booth in the very back. We'd given up on the idea of a writing date because our time was too short by then, but we had a very nice lunch. They are still serving breakfast at 12:50, so I got a tofu scramble with gigantic pieces of broccoli and a lot of spinach and hash-browns. The server also asked me if I'd like a side of avocado, and of course I would, but it turned out to be an entire avocado half. After a highly physiological conversation about aging, exercise, and bone repair, we repaired to the clinic. I thanked Pat fervently and went in.

The doctor who saw me was very pleasant and somewhat stunningly cute. He poked at my ankle and said that he would call it a bad sprain, with no need for an X-ray, but that if I wanted one for absolute assurance, he'd send me downstairs. At this point I felt I was all in, so I said I'd like the X-ray. He said for the sprain he'd recommend an Ace bandage followed by physical therapy. When I went back upstairs a couple of medical assistants showed me how to put on an Ace bandage, and I put my sock and shoe back over it and left. This was a mistake. They hadn't told me what would happen next, but they also hadn't given me the usual papers you get before leaving.

About five minutes after I got home one of them called to say that I actually had a small fracture on the outside part of my foot, and the doctor thought I needed a walking boot. Could I come back for it? It was 4:04; the clinic closes at 5:00. I rushed about cursing loudly and getting ready to go out and get back on a bus; but Raphael, who was also rushing about finishing up some work, told me that it would be possible to give me a ride. We got there at 4:37. I had a short wait during which a lot of people left, but then the other medical assistant called me in and showed me how to put on and adjust the boot. She said I should wear it during the day for two weeks, but not sleep in it.

It looks like a giant robot foot. It's gray and square and just enormous. I was told I shouldn't wear a sock with it because wrinkles could cause problems. However, the instructions say primly, "Comfort may be increased by wearing a cotton or cast sock. (NOT INCLUDED.)" Gosh, thanks so much, manufacturer of giant robot boots. That's so helpful. I have ordered a cast sock online. I regret to say that it does not appear to contain the cast of Hamlet, or Slings and Arrows, or Noises Off, or Arcadia. False advertising, I say. It will be here Friday.

I complained bitterly about the boot, which felt awful, all the way home. I adjusted it a couple of times and it wasn't quite so dire, but the thought of clumping around in it for two weeks was and is depressing. I told Raphael that while the stated purpose was to immobilize the injury, the obvious real purpose was to be too cumbersome for me to walk around in.

Cassie does not like the boot. She got down on her belly when she saw it and slunk backwards as I walked towards her. Saffron failed to note it at first, until she tried to walk past me, when she started and skittered by in a big hurry. She later sniffed it thoroughly and decided that it wasn't dangerous. Cassie is now sanguine about it if it's just sitting or standing about, but if I move towards her she starts going in figure eights. She really wants to be a pace cat and walk very slowly in front of me, but she has to keep checking on the boot.

I am sincerely grateful to everybody in the comments who told me to see a doctor and get an X-ray. However, I hate this damn boot. I've taken it off twice, lying about with my foot up for half an hour until the horror faded, and then putting it back on. This time the adjustment is much better. But it's still enormous and, in my opinion, likely to trip me if I try to move much. My mother asked me if I remembered the time my middle brother had to wear a plaster cast for eight weeks at the height of summer -- he got his leg caught in the wheel of his tricycle when he was three, and had to learn to walk a second time when the cast finally came off. It stank to heaven, much like Claudius's deeds. I am glad I don't have one of those. And I'm glad it's not summer, or any part of hiking season. But this boot. Ugh.

Pamela
pameladean: (Default)
On January 1st, I went to a fabulous Hair of the Dog party hosted by a friend who knows all about food. I left behind me when David and I went home a backpack containing his slippers, my shoes, the pillboxes with my medication in them, and various items like an umbrella, some spare underwear, a hairbrush, and emergency candy in case the metformin is too effective.

On Tuesday the temperature warmed out of the single digits below zero F to an amazing 12 degrees above it, so I put on a lot of layers and went over to retrieve my pack. When I left there was a nasty wind. The sidewalks were mostly clear, with patches of ice here and there that had resisted residents' attempts to remove them. It was easy to walk safely. Larry's house is not far from us at all, but it's not readily accessible by one bus. In other weather I'd have taken the nearest bus and walked half a mile at the far end. But it was really not very pleasant. So I had looked up the bus times, and I caught a 23 to Bryant Avenue and then picked up a number 4, which deposited me one and a half short blocks from Larry's. Larry gave me back my backpack, a round of goat cheese I'd forgotten was in there but that he had fortunately found when looking for some identification of the owner, and the leftover goatsmilk butter from the party.

I was there for five minutes at the most, but when I came out it was snowing furiously, mostly sideways. The final result of this meteorological drama was that there was too little snow to even shovel. But there was enough to cover the sidewalks, clear patches and icy ones together, in a uniform layer of white. I was careful walking back to Lyndale to get the 4 bus. Lyndale was almost unrecognizable because of the snow mist, and the sky seemed so close that you could touch if it you didn't mind the wind's blowing snow up your sleeve.

The southbound 4 stops on Bryant a quarter of a block past 38th Street, while the westbound 23 stops right at the southeast corner of 38th and Bryant. I was making my way cautiously back to the intersection, since there was too much rush-hour traffic for jaywalking and it's a four-way stop there, when I saw the 23 coming along Bryant. It wasn't my 23, which wasn't due for 15 minutes; it must have been the previous one running a few minutes late. I lost my head and began to hurry. Just at the intersection I hit a patch of ice under the snow. My feet went out from under me and I landed on my butt. This in itself was fine. I was wearing a lot of layers. But while my left foot had just shot straight from under me, the right one slid and then hit a patch of dry pavement under the snow and my ankle bent sharply as I went down. It hurt a lot. I couldn't really poke it through my boot, but I moved it around, which was possible, and decided that while insulted and possibly sprained, it wasn't broken.

A woman driving west on 38th stopped her car at the stop sign and called to me, "Are you okay? Do you need a hand up?"

"I'm not sure," I replied inanely, still wriggling my foot around and thinking it over.

She pulled her car around the corner to the curb, got out, and helped me up. She was a little bit of a thing, but when it didn't work for me to get up just holding onto her hands, she bent over and got me to use her shoulders for leverage, and straightened up. My ankle was very displeased, but I was able to hobble to her car, and she gave me a ride home. I thanked her until she got uncomfortable, and then we had a conversation about winter, and exchanged first names. She saw me up the front steps and into the house, carrying my backpack, and wanted to help me upstairs, but I told her I'd just text my housemate, and we hugged one another -- I'm not sure this was very Minnesotan, but it seemed a spontaneous idea that we both had -- and then she went on her way. I wished later I'd gotten her last name because I felt like sending her flowers or something wildly extravagant but appreciative.  But she didn't offer it, and asking seemed intrusive.

I took off my boots very carefully and put my coat away. Raphael came downstairs just then to put some things out for the mail carrier, and so ended up taking my pack upstairs for me. The stairs don't really have enough room for two to walk abreast, but fortunately I was able to get up them without much problem. I was starting to feel hopeful that I hadn't damaged myself much. I was once walking down a sidewalk in late spring with one of my college roommates when she suddenly fell down and sprained her ankle, and she was in much more pain and much more disabled, at once, than I was now. (When she was up and about again she took a ruler along to the offending patch of sidewalk and measured the vertical distance between one section and the next. A sixteenth of an inch was all it had taken.)

I looked up what the Mayo Clinic has to say about treating minor sprains, grabbed a small bag of frozen green beans from the freezer, and a dishtowel to wrap it in, and iced my ankle. Raphael brought me a thinner towel when I didn't feel the cold was getting through. I took the extra-plump pillow that I sometimes use to prop myself up when reading in bed and used it to elevate my foot.

When I eventually looked at the injury while getting ready for bed, there was a big swelling over the ankle bone and a kind of ghost bruise on the top of my foot, and the entire foot was somewhat swollen. It actually didn't hurt much if I didn't bump or flex it.

I dutifully iced it every three hours til bedtime, and at least began my night with that foot elevated, though I don't sleep well on my back and didn't wake up in the proper position. The cats were somewhat suspicious of the extra pillow for the first couple of nights, but last night Cassie decided to sleep on it. I haven't had to take any painkillers, though there was certainly an uncomfortable moment when Saffron trod right on the anklebone while investigating the strange pillow. And standing straight up from a low seat so that the ankle flexes is really not on. The real problem is that I keep overdoing things. I only iced it twice on Wednesday and did a marathon scooping of cat boxes, so I spent Thursday penitently icing every three hours and not walking around or going downstairs except once to feed Naomi.

It seems better day by day, but the ghost bruise is getting stronger, unsurprisingly, and there's still some swelling. However, I can get my shoe on and stump around carefully, so I feel I got off fairly easily.

Even with such a minor injury, though, I keep falling asleep every time I elevate and ice it, and my brain isn't working as well as I'd like. That's getting better, too, though. By the time I think I don't need to elevate my foot any more, the cats will be used to the extra pillow and I probably won't be able to remove it.

Hoping nobody else has been laid low by winter,
Pamela
pameladean: (Default)
I was planning to do a photo essay about a recent visit to the Eloise Butler Wildflower Garden, and still plan to do one, but right now I feel impelled to write about health insurance. Not in the way that you may think. This year, David and I have insurance through MNSure, thanks to the Affordable Care Act. I am really grateful for having had insurance, and tax subsidies to help pay for it, for the past four years. And I want to dedicate this account, with an extremely unpleasant expression involving crossed eyes and a stuck-out tongue, to former Senator Joe Leiberman, who fucked up the possibility of a much better system than what we ended up with.

About a month ago I had several nights when I couldn't sleep because things in general hurt. I kept thinking that I must be coming down with the flu, but I never did. Then instead of a general achiness I started having specific muscle pains that couldn't in any way be correlated with unusual or even usual exertion. They came and went in no pattern and with no cause. Then I started feeling a really strange sort of dizziness. I can get postural hypotension from my blood pressure medication, but this was much weirder than that and, like the aches, didn't really correlate with anything.

An acquaintance posted on Twitter that her statin had been causing dizziness and brain fog. Wait, I thought, muscle pain can come from statins. I read the patient information sheet and stopped taking my Lipitor. I ought, of course, to have called the clinic and left a message for my doctor, but I was busy. I don't even have high cholesterol. I just have a 14% chance of some kind of cardiac event over the next ten years, according to some calculation the state of Minnesota does, because of the hypertension, type 2 diabetes, proportion of good and bad cholesterol, and possibly a few other things that I've forgotten. On the basis of this calculation I was advised to take a statin and daily low-dose aspirin. So I figured stopping the statin for a little while wouldn't do any harm.

Within 48 hours the aches and dizziness had vanished. On Monday I tried to send email to my doctor, but there wasn't an email button under his name in the list of my "Care Team" on MyChart. I could have emailed my eye doctor, the nurse practitioner I've seen for a few minor ailments, or the diabetes nurse who showed me how to use a glucometer. But they hadn't written the prescription. I finally scheduled an appointment with my doctor, since I'm due for a bunch of lab work anyway; and in the space left to explain why you want an appointment, I explained about the side effects and stopping the statin.

The clinic called and asked me to call back, and when I did the nurse I talked to asked if I would be willing to see a different provider so they could get me an appointment sooner than Thursday the 18th; and I was willing, so she scheduled an appointment for this afternoon.

When I arrived I went to the registration desk, and the clerk told me with every evidence of sympathy that the clinic was not in network for my insurance plan and they would have to cancel the appointment unless I wanted to sign a consent form saying I would pay out of pocket. She also said that I was enrolled in a HealthPartners Medical Assistance plan, which I knew I wasn't. MNSure checks this for you when you give them your income information, and we aren't eligible for Medical Assistance. So I hoped that if I could get this part straightened out maybe they'd let me have my appointment. I had been pretty sure that the clinic was not in network for my plan -- it is in network for some specialties like chiropractic services and chemical and mental health, which initially fooled me into thinking it was generally all right for my plan; but it's not in network for primary care. I'd been able to get my medications from the pharmacy all right, and I really didn't want to change clinics, so I hadn't done anything about it. I said I'd pay out of pocket -- I know about what they charge for visits and this was a short one; and I wasn't actually worried about the statin, but it seemed to have sent the clinic staff into a tizzy that I had stopped taking it without consulting anybody -- and then I knew I'd really have to change clinics.

So I signed the form and went upstairs, in the nick of time for my appointment; but the poor clerk came running up the stairs and caught me. Her supervisor had "come by" and said that no, really, I couldn't have the appointment. They were legally required to bill the insurance company, and then the claim would be denied because the clinic was out of network, and "that would be a problem." I didn't see any point in inquiring further into this; I could see many possible reaons that they would prefer not to be billing plans that would not pay them.

But, she said, she would take me to the office of the financial counselors, who would help me change my plan so that I could stay at the clinic. I was pretty sure that this would work only if I really were on Medical Assistance, but I went with her and explained my situation to the counselor when they called my number. The counselor said that there had been some kind of confusion with HealthPartners assigning a lot of people to Medical Assistance who weren't on it, and she had fixed that part of things in my records, but the clinic was still, really, out of network for my plan.

I walked home -- at least it was a lovely spring day -- and called the nearest Park Nicollet clinic and got an appointment with the doctor of my choice -- from a list I'd made in January before I got stubborn and busy and didn't follow up with the change of clinics -- for Thursday, May 18th. I didn't laugh at the very nice woman on the phone who was helping me, but I laughed afterwards. I then had to call my dentist and move a hygiene appointment from that date to the following Monday.

I got an automated message from MyChart saying that my appointment of today had been cancelled. The reason given was "scheduling error."

I'm sure the new clinic will be fine, but Joe Leiberman can go jump in some really nasty polluted lake.

Pamela
pameladean: chalk-fronted corporal dragonfly (Libellula julia)
So I filed our taxes late again and am therefore only now narrowing down the not-very-appetizing choices remaining on MNSure for health insurance for David and me. I found a pretty good and a slightly better plan; the first is through Health Partners and the second through UCare. Both of them have a lot of complaints on the BBB site and scattered about here and there. My mother, who used to work for an insurance company and still has an interest in how they operate, is not very enthusiastic about Health Partners, though the anecdotal evidence she has is somewhat outdated. Health Partners seems to have inspired a lot more annoyance and dislike in the people it billed for premiums they had paid, whose doctors it made repeatedly re-authorize the same prescriptions, and so on. I have had a UCare plan before and, aside from having a very primitive website, they did not do anything egregious during the year I was their customer. But the Health Partners plan has a lower co-insurance and a lower co-pay. What to do, what to do? I'm leaning towards UCare, partly because they use the Fairview provider network.

A major annoyance in all this is that no plan available on the exchange includes HCMC in its network. I've been at HCMC since 2002 and I really don't want to leave, but we are eligible for quite a hefty subsidy on the exchange and really couldn't afford any health insurance if we had to pay all of it. But I am viewing all other provider networks with a very jaundiced eye. Anyway--

If anybody has experience with either provider that seems relevant to this choice, I'd love to hear it.

Thanks so much. One day I will make a post with actual content.

P.S. The upshot of the last problem I asked for advice about was that [livejournal.com profile] lsanderson most kindly came over and took down all the tiny trees with a Sawsall and a green-wood blade. He did this on the last day before it snowed for the first time back in November. I failed to bundle up the branches in time for the last yard-waste pickup of the year and was still contemplating doing so and calling the city, as the city say sone may, to arrange for an out-of-the-ordinary yard-waste pickup. In the meantime I took [livejournal.com profile] coffeeem's recommendation of A-Tree Service, and they dealt with the larger trees that had got tangled up in the powerl ines, and with the one branch of the Chinese elm that was hanging threateningly over the garage and rubbing on the tree's main trunk while it did so. The day, which involved Xcel energy's dropping the power lines and the power consequently being out for about five hours, felt quite traumatic at the time, but it all worked out well aside from the hole left in the bank account. As a very nice bonus, when they cleaned up all the branches they had cut themselves they also took all of Larry's. Thanks to all who made suggestions and recommendations.

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
pameladean: chalk-fronted corporal dragonfly (Libellula julia)
P: "I'm really sorry, sweetie, if I gave you my cold."
R: "I don't blame you, I blame evolution. Viruses are a fucking bad idea."
P: "Well, they're a good idea for VIRUSES, aren't they?"
R: "Get away from me with your situational ethics."

I have a really stellar camping trip with [livejournal.com profile] arkuat to write up, but at the moment I'm alternating blowing my nose and getting ready for the MinnStf meeting we're hosting on Saturday. At least by then I won't be contagious and can make the vegetarian portion of the dinner offering without fear of supporting viruses against the human race.

Pamela
pameladean: chalk-fronted corporal dragonfly (Libellula julia)
But it was -- not an epic. Not a saga. Not exactly a comedy of errors, for which actually I am grateful, as those are generally far less entertaining to be in than to witness.

However, it was closer to a comedy of errors than to anything else; so, with that in mind, I present to you the following story.

Last year the MNSure website really didn't work right. Before I discovered this, I cheerfully clicked around and did stuff to see what would happen. What happened was an application of such profound borkedness that I had to call MNSure and wait on hold to annoying music for a period of time I then believed would be etched in my memory forever, but which in fact was not. I was eventually connected to a very pleasant and patient person who finally said that I seemed to have two applications running and they would have to be deleted and I would have to start over. In the meantime, I provided my back-of-the-envelope judgement of what our income was. I was, as it turned out, wrong, and we would probably have been eligible for tax subsidies, but it was a reasonable estimate for the amount of information that I had. We were at that time three years behind on filing our taxes (DON'T ASK), so I didn't have very good information. The helpful person said that I really should fill out the application but that if my numbers were right, we were not eligible for tax subsidies. He would see that the duplicate applications were deleted, if I could hold.

So I held and held and held and held until I had to hang up in order to preserve my sanity from the music. It's not that it was egregiously and obviously horrible, it's just that there are very few things that I can listen to for two hours. And if they had music that I could listen to over and over for that long, plenty of other people couldn't.

I never was able to start a new application, nor did I ever get through to MNSure on the phone again.

In the end, I used the MNSure website without logging in, to compare plans; chose one; and bought it at the website of the insurance company, PreferredOne. They had by far the cheapest plans, but there didn't seem to be major complaints lodged against them in any public venue I could discover, the coverage was as reasonable as that of other plans (which is to say, pretty crappy, but that is what happens when you engineer a health-insurance law to make the insurance companies happy), and the deductible wasn't too horrible to contemplate.

On the whole PreferredOne did all right for us, with one major exception: They do not pay for flu shots in a retail setting. I went to get my shot at Walgreens in mid-September, and discovered this. When I called the clinic, they said they'd be offering flu shots beginning the first week of October. When I called again that week, they said they didn't actually have the flu shots yet. I went back to Walgreens and explained the situation, intending that they not have to bother to look up my insurance again, since determining that PreferredOne had this arcane and anti-public-health policy had taken a while -- PreferredOne certainly didn't tell ME about it at any stage of things. The Walgreens clerk said, "Well, if your clinic doesn't have the vaccine, we can give it to you free," and so they did; so it all ended well enough, but I was extremely put out at this policy and had already decided to change insurance companies when Raphael informed me that PreferredOne had dropped out of MNSure. I got a letter from them not long after. The premium for the plan we were on had very nearly doubled. They suggested alternative plans with premiums closer to what we had been paying, but they all had enormous deductibles attached. Besides, having done All the Taxes, I knew that we were eligible for a tax subsidy.

I accordingly went to the MNSure site when open enrollment began, and was unable to log in or start an application. I called them and was on hold for about 45 minutes. The new pleasant and helpful person sorted me out fairly rapidly: I still had one application active from last year, and that would have to be closed out. She did this and walked me through the login and password reset, and it all worked.

At this point the first real instance of user error rears its ugly head, though I feel MNSure has to share some of the blame. I did not carefully read the Enrollment Tips, since I had, however fruitlessly, gone through the same process the year before. I put in all the information that I had. David and I are both self-employed at this point, and we have a bizarre patchwork of short-term contracts, rental income, royalty payments, consulting income, and one-time things like David's teaching at a local community college or having a print sale, or my selling an essay or the reprint rights to a short story. I put in what I had, hit "Save and Exit," went back with more information as I collected it, hitting "Save and Exit" each time; and finally went to put the last of the information in. I could not get back to my application. I looked at the Enrollment Tips, and discovered that to avoid common system errors, one should clear one's cookies and history, and one should complete the application in one sitting and not hit "Save and Exit." I feel very strongly that if the "Save and Exit" button causes trouble it should be disabled, or else there should be a gigantic red banner telling you not to use it under any circumstances, not a politely-worded Minnesotan suggestion that maybe, on the whole, you should not do that.

Anyway, I cleared my cookies and history and tried again. No good; though I got a different error this time.

I called MNSure. Only half an hour this time. A pleasant, helpful person who sounded very much like the last one, but whose name I once again did not catch, walked me through what happened and said, "I've never heard of that happening. I don't know what to do." I have heard these words or similar ones before, but mostly from David when something goes haywire with my computer or my smartphone. The nice person collected herself and went to consult other nice people. In the end, she said they'd get rid of the application, and I should do it over and do it all at once this time.

This was only mildly annoying, so I did it, and I was instantly informed that we were eligible for tax subsidies in X amount, and I could view insurance plans with that amount subtracted from the actual premium. So I did that until my eyes crossed. If one wants to know what "tier" one's medications fall into and what providers are in-network for any plan, one has to click through to the insurance company's website. I don't suppose, on sober reflection, that the insurance companies actually don't want you to have the information; but they don't make it very easy. Each plan has slightly different providers, so that, say, a Silver Best Choice Grandiose Fireworks plan might include my clinic, which I do not intend to leave; while a Gold Best Choice Grandiose Fireworks plan might not include it, but a Gold Okay Choice Magnanimous Flowery plan might. This is the case for all the insurance companies on the exchange and all of their myriad plans. And I imagine that the insurance companies' websites were being hammered by all the people checking the same information.

In any case, this was Thursday December 10, and the deadline for enrolling for insurance coverage beginning on January 1, when the old PreferredOne plan would expire, was December 15. So I decided to take a break, rest my brain and eyes, and consult David in case he had any opinions. Here is the second place that user error comes in; though, again, MNSure has to shoulder some of the blame. I had finished my application, I reasoned, so it was okay to hit "Save and Exit."

When I went back the next day and logged in, I landed on a page with two options. The first was "Enroll in health insurance without financial assistance." The second was a notification that my application's status was "Pending."

Here is the third instance of user error. Since I did not want to enroll in health insurance plans without financial assistance, and since I had caused a lot of trouble to myself last year by cheerfully clicking around to see what would happen, I did not try that button.

I called MNSure. Two hours on hold. I got a third pleasant and helpful person, who said that since I was having technical difficulties enrolling, they would do a manual enrollment for me. She verified some of my information again, asked what plan I wanted to choose, and said that she had done the first part of the manual enrollment, but that somebody would have to call me back to verify the information again. She said they would make the utmost effort to do this by the deadline, but there was no guarantee. She said it would be a good idea for me to check on the progress of the application by calling regularly.

I was glumly contemplating several days of waiting for a phone call from MNSure and being afraid to take a shower or go anywhere without cellphone service, when the current nice person called back to say that she had not actually completed the manual enrollment because the application was still listed as Pending, but somebody would do it as soon as the application was processed, and the rest was the mixture as before.

I logged in on Saturday, December 13. My application was now listed as "Processed," so I figured I had a plausible excuse to bug them. When faced with the MNSure menu of options on earlier calls, I had chosen the one for technical issues, but this time I chose "Other." That resulted in a wait of only twenty minutes. The final pleasant and helpful person said that he could certainly finish the manual enrollment, but now exactly what was it that happened when I logged in? I told him. He excused himself to consult other nice pleasant helpful people. When he returned, he told me that if I pressed the button for enrolling in health insurance plans without financial assistance, my application should pop up with our allowed subsidy amount in it, and I should be able to view plans and enroll in one.

I clicked on the button. He was right. Having ascertained this to his satisfaction, he bade me farewell, and I enrolled us in the chosen plan.

A lot of people are no better than I am with the particular oddities on the website; and many people do not have the time to sit on hold, or, for that matter, to do their application in one sitting. I really hope they straighten this out by next year. It seems a misuse of their very dedicated, nice, pleasant, helpful staff to have these ambiguities and weirdnesses in the website.


Pamela

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December 2025

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