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!

Cool… But Not…

Last night Jesse was on full patrol.

About 1:30 a.m. he began pacing the length of the house and looking out the front window. Then he started barking. It was his “I don’t like this Dad” bark. Actually kind of a scary sound.

Since him barking at all is rare, I got up to figure out what was going on.

He really wanted out. It wasn’t to go to pee, he wanted to get to the fence then he really started barking at whatever he thought he saw, and he was not joking around.

I’m sure the neighbors really appreciated the noise. Oh well…

I never did see what he was concerned about. After a few minutes he came back inside but didn’t really settle down for about a half hour. I went back to bed.

Then at 3 a.m. He got concerned again. This time I didn’t let him out, instead we both stood at the front window looking out, trying to see what was going on. He barked a couple of times but not like the 1:30 event.

I don’t want to tell him no when he does this. He’s doing his job and he’s protecting me. At least that what he thinks. I’ve noticed that if I’m there beside him, he’s calmer and looks up at me to see if I’m concerned.

I still didn’t see what he was concerned about. After 5 or 10 minutes, I went back to bed. He joined me, he laid on the foot of the bed where he could easily see the bedroom door and the sliding door, but was very much on guard.

He made rounds through the house hourly until dawn.

I wondered if perhaps it was the crazy lady wandering the neighborhood. She’s been known to do that. Saturday evening, she showed up at the front door. So It wouldn’t have surprised me.

On Saturday she acted like she expected to be invited in. Jesse was sitting by the front door and I had the door braced closed with one foot.

She apologized for assaulting me several years ago. She described it as pushing me. The photos of my shoulder where she punched me tell another story. Her bony fist left a clear fist shaped bruise on my upper pectoral muscle.

I didn’t correct her, I just wanted her to go. Her mouth appeared to have smeared blood all around her lips. I suspect it was from bleeding gums which were evident as she spoke. There was also something about her eyes, even now I can’t put my finger on it. 

Then she wanted to pet the puppy. Again, I suspect she was trying to talk her way into the house. I told her no, that Jesse would possibly bite her. I doubt it, but he doesn’t like her so I figured it was better to be safe. Besides, I trust Jesse’s judgement about people.

This morning I ran into another neighbor while Jesse & I were on our walk. He said he thought a bear had been in the neighborhood last night. He’d had to clean up a trash can.

That makes sense. Jesse doesn’t know what to make of bears.

I’m glad to know Jesse was concerned about the right sort of thing. On the other hand I’ve been like the walking dead this morning. I think a nice long nap is in my future.

Have a great day.

Been out of it for a bit

We had a fire over the hill. Nothing threatening to my town, but the smoke during the evenings backed up against the mountain and irritated the heck out of my sinuses.

Nothing abnormal there, however this time I got a bit of a sinus infection, and just as that was clearing my ears got plugged with an infection. Even that wouldn’t be a big deal or even really out of the ordinary. With me, getting one usually leads to the other.

But… combine those two things and the brutal heat wave… Well, let’s just say I’ve been napping A LOT. I haven’t felt like doing much of anything. Neither has the dog. He sleeps most of the day when it’s hot like this.

I was able to muster enough energy to bathe him. He generally doesn’t like being wet but I think he’s figured out that when it’s this hot, being wet and having lots of attention even though the “Evil Hose” is pointed at him isn’t completely terrible.

The first bath he was really not happy with me. The second bath, after I’d toweled him off he got the Zoomies and we played a bit while he was drying off. By “Play” I mean I’d throw the ball, he’d bring it back and I’d brush him for a few minutes then I’d have to throw the ball again. It’s possible that he knows I haven’t been feeling well and decided to go easy on me. I’m curious to see what he’ll be like after I bathe him for the third time.

It seems as if he’s figuring out that I’m not mad, and just trying to make him feel more comfortable. He’s shedding a lot right now, I don’t know if he’s prepping for Winter or if he’s adapting to the heat.

I haven’t been paying much attention to the news. I did see some report that Gabbert released something that appears to point to corruption against Trump from the CIA/FBI/Clintons, and possibly the Obama administration. I haven’t had the energy or interest to dig through it.

At this point all they do is investigate. I’m not going to be impressed until I see the perpetrators on their knees begging for mercy. I’d probably be greatly amused to see congress surrounded by people with pitchforks and torches. I’ve gotten tired of “revelations” that lead absolutely nowhere.

I heard something about Trump threatening to federalize D.C. in an attempt to quell the out of control crime. That would be interesting. Not sure how or if that would work, but it would sure be “Must See TV”.

Vice President Vance said on one of the talk shows ‘You’re going to see a lot of Democrats Indicted’ To him I’d say, “Mr. Vice President, don’t be a tease”.

Today, is the first day that I’m feeling anywhere near “normal” I’m just exhausted now but don’t feel like dog poop. So I’m counting that as a “Win”

OMG! Just saw two ads for streaming TV

Hulu, has a “New” package which includes news and local channels that costs ~$89 a month, and DirecTV is offering a better priced package, but it’s still not al la carte.

The DirecTV option is actually better, but DAMN! They’re charging what they once charged for the basics where you had a dish on your roof and they provided the DVR. Hulus pricing is obscene. Spectrum cable provided all the channels + internet service for about that same amount just 3 years ago.

The difference? Now you’re paying for the internet service separately + their streaming fees.

Meaning that you’re still paying about the same price for channels that you don’t really want to, or never watch. “BET”? When was the last time you even noticed what they were running? I guess some households watch it, but really? Most channels in their “Lineup” aren’t that interesting.

I think the streaming companies and cable companies really aren’t getting it. If a household only watches 5 or 10 channels, it’s not worth it. Especially if that same household can get those channels via streaming or over the air for free.

What these folks need to do, is say, “For $30 you can pick 10 channels.” I’d probably go for it since I’m in a blind area and can’t see Mt Wilson. Let me pick the local channels, that’s like 5, then let me pick other channels that I’d be interested in.”

That’s value!

Instead it’s another bait and switch that has you paying over a $100 per month just to get the 10 channels of 500 that you actually watch. Only now, all they have to do is connect their output to the internet and verify you’re a subscriber. They don’t provide anything in the way of hardware, or cabling.

Sadly, there will be people that pay the fees thinking they’re cutting the cable & going to save a few bucks.

I suppose if you already have internet that you’re paying for, and you’ve got a DirecTV box or two, you might save a few dollars but honestly is it worth it?

If I lived on the other side of the mountain, I’d be getting what little TV I watch using an antenna. As it stands right now, If there’s breaking news, I can use one of the local stations free streaming app.

During the hurricanes last year, I was streaming a live news feed out of a TV station in Florida via their app. Their coverage was much better than the LA coverage, and surprisingly the live coverage out of a Lexington, KY TV station was even better. Both those options were free.

Oh Great! I’m not sure that I’m comfortable with this.

President Trump announced a new health data transmission program today.

On the one hand, that’s kind of cool. In theory, transferring your medical data records could come down to simply authorizing access. Trump also said that the data wouldn’t be in a central database, which means that they’re talking about an actual transfer of data and in theory, the deletion of that data from the source system when it’s transferred to a new doctor.

If that’s how it works okay, but I know that there’ll be backups and that somehow patient data won’t be deleted from one system when it’s transferred to another system. My concern is that the data will end up exposed in a data breach.

Another concern is the insurance implications. I was once told by a doctor that I trusted, not to reveal too much about family history, because if he put the data in my records, which were shared with the insurance company I could find my insurance rates greatly increased on the possibility that I might illustrate those same problems.

If all the medical data is available and concentrated (including misdiagnosis) into one medical file, it could be misused by insurance companies to unfairly raise your personal healthcare insurance rates.

Trump said if you want to opt out you can. Maybe I’d believe him, if it wasn’t for Obama saying, “If you like your doctor you can keep your doctor.” Which actually wasn’t the truth.

Don’t get me wrong, I think it is a great idea for the patient to be in control of their data. The potential for abuse of that data is where I’m concerned.

The other thing this new system is supposed to do, is get rid of the doctor’s clipboard. Shit! I’ve been to, and left doctors, who spent the entire appointment staring at their computer screen instead of looking at me, the patient.

If the doctor isn’t going to actually interact with me, personally as in, actually listening to my heart or lungs, then what’s the point? I might as well not physically be in the office. Perhaps, part of this will involve remote telemetry so that in the future, physical office visits won’t be necessary at all. If we get to that point then the only interaction we’ll need will be with the ER / Hospital staff. Individual doctors will be a thing of the past.

In theory, an AI with remote monitoring, and occasional bloodwork results could be just as efficient (perhaps more so) than a human doctor. Based on constant remote monitoring, an AI might be able to anticipate a problem and direct the patient to the appropriate medical facility before a disease process became debilitating.

My 3 year old Apple Watch collects a wide variety of data now, that it sends to my phone. That data can, at my option be shared via print or email with a medical professional.

The problem is, most doctors are completely unaware of this ability, few think to ask for it, and most are quite surprised when the patient can answer questions like, “How are you sleeping?” With a pretty accurate number of hours slept and changes over time. In my case, I can give a doctor literally years of BP data, exercise data, weight variations, medication compliance, O2 saturation, and all kinds of other data. Shortly, there will be more exercise data and variety because I’m likely going to join a gym. A lot of gym equipment has the ability to sync your effort on the equipment to the heart rate, respiration, and other data, devices like the Apple Watch collects. The data from the gym equipment increases the depth and quality of the exercise information.

While that’s very cool and can be used to guide my exercise routines for better results I don’t know how much I’m going to be sharing with a doctor. As a rule, I answer the questions they ask and nothing more. So obviously, I’m not opposed to having the data available, I’m opposed to that data being used to rate my worthiness for insurance, or treatment.

I’d hate for medical care to become regulated based on your medical telemetry. That sounds a whole lot like the social credit scores in China and I’ve got some fundamental issues with that system.

I’m going to reserve judgement until the new agency, regulation, law, or whatever gets rolling. But I’ll be watching it closely.