Category: Medical

Posted on

Wow, That was annoying!

Holy Shit! What a pain in the ass!

So I’m changing doctors. This guy is recommended and far more local to me than the guy in San Diego. I hadn’t switched previously because, well anything to do with the Medical industrial complex is always a royal pain in the ass. I figured I’d spare myself the annoyance until I really needed to deal with it.

Welp, it’s that time.

I initiated the “Get to know you,” appointment. It’s next Wednesday.

The practice sent me an innocuous reminder text. Okay, at least it wasn’t the 3 text reminders, 2 phone calls, and 2 emails that the BMW dealer sent me about the car service I’d scheduled. 

Do people just not keep any appointments anymore?

I clicked on the little link and was taken to their patient portal on my iPad. (I’ll often use my iPad like this as a firewall keeping my phone and computer isolated. Because it’s a lot easier to deal with flushing and reloading the iPad than the other two in the event it’s a scam.)

Their link took me to a patient intake form. Okay, that was reasonable. I could fill out all the bullshit ahead of time instead of doing it on an annoying clipboard in a waiting room full of sick people, wondering what exactly I was being exposed to as however many of them tried to hack up one of their lungs. 

Things were humming along nicely until I got to a couple of screens that presented no exit. Their software vendor had neglected to consider the possibility that a patient would be using an iPad with one of Apple’s Magic Keyboards.

Rotating the iPad didn’t reveal the “NEXT” button because I’d already begun entering data in the landscape format the Magic Keyboard presented data in.

So screwed! I tried handing off the input to the computer, but their wondrous Indian programmers must’ve thought that wasn’t something anyone would do, so they’d locked that out. I couldn’t scroll further up because again, the wondrous Indian programmers never thought about accessibility and what might happen if they’d misread the screen size. If someone had accessibility turned on, with the text being larger, then the user would be locked into a frustrating situation as well.

I reinitiated the session on my computer from scratch. In the full web page I could access the “NEXT” button. Okay… Moving on.

On the full size display they presented a typical “left hand” menu. In fact it was a progress bar not a menu. So while it looked like you could go back to correct mistakes… Nope! You couldn’t. You could restart a section, losing all the data you’d entered but you couldn’t just step back a step.

For example, They asked about hospitalizations, then they asked about surgeries. I couldn’t see the surgeries section until I’d completed the hospitalization section. SO the form is incorrectly filled out because in both cases surgeries were performed in hospitalization settings under anesthesia.

Then I couldn’t go back to actually fix the issue by entering the hospitalization dates followed by the surgery types and dates.

Annoying!

Don’t even get me started on the upload of ID and insurance card. The insurance card had a “Cropping feature” that didn’t work correctly. And the Insurance section did not properly scan the insurance card nor did it allow me to fill in the missing data.

Sigh…

Shitty software really pisses me off. 

It’s a damn good thing I wasn’t doing a LIVE BP reading.

Then they wanted signatures. Which would have been easy on the iPad but I wasn’t filling out the forms on the iPad. 

The iPad and Mac have a nifty function that will allow you to use an Apple Pencil to sign forms displayed on a web page. You can tell the computer to access the iPad for a signature. However the glorious Indian programmers had once again disabled that function.

What they in their infinite wisdom had not disabled was the ability to hand the web page displayed on the computer to the iPad so I pushed it all back to the iPad and provided the requested signatures.

Moving On…

Later in the process I encountered the “Next” button issue again. But guess what? I couldn’t had the iPad data back to the computer.

Okay… reinitiate the process on the computer and hope that the entered data had actually been posted to the profile.

Most of it was saved, so back to using the computer.

Moving On…

Finally I got the whole shebang filled out and figured I’d correct whatever was fucked up when I got to the damn appointment.

Then, they wanted me to download their patient portal app on my phone. OH GOD…

That went fairly smoothly, since I knew what kind of bugs were likely to crop up.

On the phone app, instead of a password, they wanted a 6 digit PIN.

I ask you, what the fuck is the point of a PIN when you’ve already saved a perfectly good password in the apple passwords application, and that application is more than capable of presenting that password across all apple devices? Just another fucking thing to remember!

There’s 2 hours of my life I’ll never get back, but it’s done. 

This kind of thing is exactly why you need a manual tester to actually look at software before you publish your bullshit to the world.

There are a lot of people my age for whom this would have been too daunting to complete. I also have to ask, “Why did I give all this information to their clerk when I made the fucking appointment? None of it was entered into their system!” Equally I’m curious why medical expenses are so high if I’m doing the keyboard entry for them. I ask the same question using self checkout at stores.

I’ve started not paying for bags, even though I use them. If I’m doing the work of a cashier, the least they can do is let me take my earnings in a couple of bags.

While I was off the hill the other day getting the car serviced I took care of another little medical annoyance.

I needed to pick up a RX from Walgreens. I’d chosen the Fontana location since it was relatively close to the house. It was a cluster fuck of EPIC proportions. 

I’d placed an RX request via their application on Monday. They sent me an email saying it would be ready on Wednesday and there I was on Thursday trying to pick it up.

They had it, one bitch had it in her hand, a full 90 day supply but even after taking my insurance info, confirming that I could have the RX, they told me I’d have to come back one hour later because they were closed for lunch. Uhhh I was right there, they were right there, the medication was right there and it was 15 minutes till their lunch time.

Their whole process was a complete clusterfuck. Fine! I had lunch, paid $3 for a bottle of coke and $11 for a mostly bread sandwich and waited.

When I was done with lunch, I wandered around the Walgreens, sizing them up for other supplies. I picked up some Flonase while I was there. Then waited in line for another hour to get my ZERO charge bottle of meds.

The delay put me in shitty traffic all the way home.

Walgreens, is probably not going to be my pharmacy of choice. Or at least not THAT Walgreens. It was 107° down there. By the time I got home I was drained. I couldn’t think, or concentrate.

So I lost another day.

I need to find a way to get 90 day prescriptions because I don’t want to have prescription anxiety. You know, “Oh I can’t leave yet, I have to wait for the RX to be authorized and I’m allowed to pick it up,” every month.

I intensely dislike going to pharmacies. I hate everything about their officious “See we’re medical people in our scrubs, we can make you dance hahahaha, we’re so important,” attitude.

No, you pack of idiots, you count pills from one bottle to another bottle. The hardest thing you have to do is decide what size paper bag to put those pill bottles in. The pharmacist is only one of you who has completed higher education.

Perhaps I’m just cranky! 

Next week is the Doctor’s appointment and we’ll be revisiting the BP meds, and other issues.

All I can say is this guy better live up to his reputation and the recommendations. Otherwise I’m going to be really cranky!

Posted on

Hmmm. Interesting, and they wonder why we don’t trust them…

REVW0406So this cold is annoying enough that I was thinking about getting some over the counter cold remedy. Then I thought about it and seemed to recall seeing something about the FDA doing a study on cold medications and discovering problems with them.

Off to the internet, Boy Wonder! CBS Reports this

Ahh, there it is:

Advisers to the Food and Drug Administration voted unanimously on Tuesday against the effectiveness of the ingredient found in popular versions of Sudafed, Allegra, Dayquil, and other medications sold on pharmacy shelves.

“Modern studies, when well-conducted, are not showing any improvement in congestion with phenylephrine,” said Dr. Mark Dykewicz, an allergy specialist at the Saint Louis University School of Medicine.

So here’s the deal, these medications use phenylephrine. They used to use pseudoephedrine. Pseudoephedrine worked but was taken out of the normal OTC medications because it was possible to convert it into Meth.

Phenylephrine was grandfathered into use without much in the way of testing for efficacy by the FDA. It should be noted that there are tons of drugs, and products that are grandfathered like this all the time. Some of these grandfathered products are later found to be, at best ineffective, and at worse harmful.

The cold medications appear to be simply useless if they’re not using Pseudoephedrine. But it does beg the question, how many other medically approved products are nothing more than Placebos or as it was said in the past “Snake Oil”. Placebos have their place in clinical testing, because they provide a baseline to determine if a drug under test is doing anything.

In the past, purveyors of  Snake Oil may have been tarred and feathered and run out of town, if they weren’t hung for hurting and swindling people. The FDA was created to provide a measure of safety to the public because of the prevalence of snake oil and quacks.

Yet here we are, the FDA having been complicit in cold remedies that don’t work, a.k.a. FRAUD! The cost of a box of these cold remedies is /was  $10 to $15 and were sold to millions of people. The fraud generated billions for drug manufacturers.

I’d like to have my money back! I looks like I’m due a refund from 1980 forward??? I’d have to find when Pseudoephedrine was swapped out.

On the plus side, we all got over our colds pretty much naturally! This also might explain the apparent conflicting data between the folks who swear by natural remedies versus Doctors recommending OTC remedies. It’s possible that the natural remedies actually performed better because these remedies survived and were handed down based on centuries of accumulated observational data.

The OTC cold remedies on the other hand were not thoroughly tested and no better than sugar pills.

I wonder about the collateral damage during COVID-19. Most people would have initially thought COVID was a cold, they would have gone to their ineffective OTC cold/flu medication. Their symptoms would have gotten worse until they were hospitalized. Then, they would have been given more ineffective treatments because the treatments that actually worked, (as shown time and again in other countries,) were forbidden. By… guess who, The FDA!

I guess my point is why should I or anyone trust the CDC or the FDA at this point? They’re not protecting us from medical quackery, or big Pharma selling snake oil.

Why should I trust a doctor, or a hospital?

Bottom line is this.

If a Doctor or a medical person can not explain something to you, or can’t produce test information showing the efficacy of a treatment, drug, or vaccine.

DON’T FUCKING TAKE IT!

Perhaps I’m being overly harsh. However as we keep finding more out about COVID, and the vaccines, and how it really looks like the medical establishment is covering up something truly evil. We shouldn’t give the medical profession the blind trust that we gave them in the past.

It’s really strange that a tattoo / body piercing shop might be a safer place than a hospital, laboratory,  or doctors office, when it comes to having needles stuck in your skin.

Posted on

Leopards don’t change their spots…

New email or perhaps better said, un-redacted emails appearing this week seem to show Fauci lied under oath to congress. A LOT!

Fauci told Senator Rand Paul that Paul didn’t know what he was talking about. Uh Nope, Rand Paul nailed it!

Fauci claimed he wasn’t funding Gain of Function research in China. Uhh, he was, in direct violation of American law.

Fauci was being Fauci.

He hasn’t changed, he’s the same person that restricted access to experimental treatments for HIV and then managed to capitalize on AZT as a horrifically expensive marginally effective treatment, with terrible side effects which killed a lot of gay men.

Back when HIV was first making the rounds, the news media said that HIV was a variant of SIV (simian immunodeficiency virus) and that HIV occurred in humans due to wet market sales of monkey meat in Africa. Or someone fucked a monkey, (allowed a monkey to fuck them?)

That wet market story seems to be a favorite doesn’t it?

I’ve always had questions about wet market transmission stories. I could see diseases maybe being transmitted that way, possibly, depending on what type of pathogen you’re talking about.

But, and this is the big BUT. Wet markets aren’t new. People have been eating meat slaughtered on site in the market place for thousands of years. Typically speaking the meat is cooked, then consumed.

Upon consumption, the food is dropped into a bath of hydrochloric acid waiting in the human stomach. So how likely is it that you’d get a fragile virus transmitted from consuming meat containing it?

I suppose if the animal is slaughtered as you watched, it’s possible that there’s some spatter of blood which spectators might potentially inhale thus providing a route of infection??? The other thing could be that the person doing the butchering cuts themselves and the animal blood mingles with theirs? Would that cause an animal to human jump? Maybe? It seems like a number of events would all have to line up just perfectly. The right version of mutagenic virus, the right sort of accident, the right kind of immune compromise in the person, all of which become increasingly unlikely. It’s not impossible I suppose, just very unlikely.

Wet market transmission? Nah, especially not twice in 40 years after thousands of years with no incident. Maybe I’m missing something.

Anyway, Fauci was at the heart of HIV too.

Fauci’s problem is that he’s sloppy.

He should have killed all the gay men from the 70’s 80’s & 90’s. Had he done so, then there wouldn’t be anyone to point their finger at him and say J’accuse!

Elsewhere in this blog I’ve compared the HIV plague with the COVID Plague. Here is one link, you can search the blog for others if you’re interested. I had to stop looking for other links, I’ve been writing about all these kinds of things since late 2019 or early 2020 and anytime I go back to reread a blog post, I always find typos that I’m compelled to fix.

It’s like Dracula’s compulsion to unknot rope, or count beans cast before him. Yeah, in part of the mythos, Dracula was super OCD! In actuality, this part of the myth was probably concocted just to make terrified children believe they had the ability to slow down the monster long enough to hide, so their parents could make them go to sleep.

The thing is, Fauci is there in the past, he’s here in the present, and the story hasn’t changed.

Not that it matters. Fauci will get away with it. He’ll lecture at Harvard and have a nice happy life.

Josef Mengele got away with his medical crimes too. It appears that he made it to South America in 1949, remarried in 1958, and died in 1979 of a stroke while swimming in Brazil where he’d lived since 1961.

This gives us all some interesting lessons.

1) There is no justice.
2) Leopards don’t change their spots.
3) Even when you’ve caught the devil dead to rights he’ll smile at you, because he knows some misguided fool will protect him.

Posted on

Anthony Fauci announces his retirement (Yawn)

I have to point out that he announced he was retiring at the end of Biden’s term.

Now he’s saying he’ll retire in December. Does that mean Biden is stepping aside? Probably not.

Although it would be one way for Biden to leave Kamala Harris holding the bag! Aside from the fact it would be really bad for the country, it might be interesting to watch her cackle her way through the remaining two years of the Presidential Term. Amusing only if I was watching the whole mess from high orbit because I’m pretty sure the nukes would fly just to shut her up.

Predictably the GOP is posturing.

“We will still summon you before Congress, You’ll answer our questions, blah blah blah.”

Sure I’ll believe that when I see it.

Fauci isn’t going to spend a day in front of congress, in a court, or anywhere except on a beach drinking fruity tropical drinks. Hell, he may have enough money to buy Epstein’s Island.

That’s a scary thought. I’m not sure I’m ready for a real life Island of Dr. Moreau.

Everyone knows it. While Rand Paul may be super pissed that Fauci evaded most every question asked. It’s doubtful that Rand Paul will be able to generate enough of a coalition in Congress to actually have hearings.

Honestly, I wish the GOP would put their money where their mouth is. Stop bloviating and start doing their job. Not that I’m holding my breath…

Posted on

Those who do not know their history are doomed to repeat it.

It is with some amount of schadenfreude that I’ve been observing the reaction of the LGBTQI+ (whatever the hell other letters are in it now,) reaction to Monkeypox.

There was an interesting article in Outspoken that I read with some sadness.

In my opinion, the author is pretty dead on.

The trouble is that so few people who lived through the early days of HIV are listened to, or taken seriously these days.

I’ve written elsewhere in this blog about those early days, I’ll not repeat myself.

What I will say is that in the early days when no-one was really sure how HIV was spread there was a lot less touching. In fact there was a lot less of anything if you were concerned for your life.

Monkeypox is far more obvious. HIV wasn’t something that you could see someone had, until they were in the latter stages.

Monkeypox also has a very defined life cycle. Onset, Symptoms, Resolution of Symptoms, and finally the person generally returns to health. (Yes, I know there have been some deaths.)

The strange thing is that Monkeypox has a fatality rate of about 10%. That rate is less if the person seeks appropriate treatment.

So let’s compare and contrast. For the sake of argument let’s say Monkeypox is 90% survivable. COVID is 98% survivable. Monkeypox is generally transmitted via physical contact with an infected person or biological residue from an infected person. COVID is transmitted via airborne particulates.

With COVID we shut the world down for two years.

With Monkeypox we’re nowhere near shutting the world down.

What can we derive from this?

One

Since Monkeypox is mostly affecting the LGBTQI+ community, the government’s response is pretty much the same as it was during the early days of HIV, laissez-faire.

One might infer this means that the powers that be are only interested in the LGBTQI+ community at election time. So perhaps the LGBTQI+ community should remember that at the midterms and beyond.

Two

If the LGBTQI+ community were as smart, educated, and responsible as they claim to be. They’d put the word out that the quickest and easiest way to shut this down is to stop congregating. It would probably take less than 2 months.

Just 2 months of solo, or Zoom sex and Monkeypox wouldn’t be sweeping through the LGBTQI+ community. Remember, this is the community that joined the “Karens” on masking, vaccinations, and self isolation during COVID. Why aren’t they following the rules now?

I’m not suggesting that the LGBTQI+ community never have sex again. I’m suggesting that by abstinence for a couple of months the Monkeypox virus would burn itself out like all viruses do, when they are unable to inhabit new hosts.

For those who may have a problem thinking this through, allow me to elaborate.

Monkeypox infects a person. That person makes antibodies naturally that kill the virus. The virus is eliminated from the person’s system, leaving immunity from further infection. The person can no longer be infected, nor can they spread the infection.

This is called immunity.

If the person does not spread the virus during the time they’re infected. The virus dies. Think of this as starving the virus…

If, on the other hand the person continues to interact with others and isn’t very careful about cleanliness, (maintaining their own laundry, properly disposing of any disposable materials that came into contact with their sores or bodily fluids,) then the virus finds new hosts and spreads.

It’s a simple fucking equation.

It was not so long ago when we were all being told to wear a mask everywhere and go get vaccinated to prevent the spread of COVID.

Remember? It was our patriotic duty to forego our petty desires, it was patriotic to subject ourselves to discomfort for the protection of others.

Monkeypox is no different. In fact the straight-line solution is simpler.

STOP fucking around!

The LGBTQI+ community in New York, San Francisco, and every other large city needs to step the fuck up. Quit your bitching and moaning about the availability of vaccines and take responsibility for yourselves.

Take a couple of months off! It won’t kill you to not go out to the bar, the disco, the local orgy, or whatever.

What better way to flip the bird at the government than to essentially say with your actions.

“Fuck you! You bunch of useless old political hacks. You wouldn’t take action so we did!”

How better to demonstrate that the LGBTQI+ community is in fact responsible?

An added benefit is that it buys time. Time for the big Pharma to get enough of the vaccine into the system so that everyone can get a proper effective vaccine against not only Monkeypox, but Smallpox as well.

I’d remind you Smallpox is still a thing is small pockets of the world. While it was effectively eliminated from the Western countries, it still exists elsewhere.

That should factor into your thinking when you look at the southern border and realize that the folks making that journey aren’t only from Mexico or South America.

Don’t worry, I’m not going to go into the whole mess regarding the border, but having a border and enforcing the law isn’t only about people. It’s also about diseases for which our population may have zero immunity.

Minor things like Ebola, Smallpox, Cholera, Malaria, Typhoid, you know, nasty shit.

One Hundred years ago on Ellis Island the primitive medicine of the time recognized that some people would have to be turned back and denied entry into the country to prevent plagues gaining a foothold.

The indigenous peoples of North America learned that harsh lesson. Smallpox & Measles decimated their population. Diseases, carried on blankets given to them by the immigrants coming from Europe.

Just food for thought…