Showing posts with label expensive meds. Show all posts
Showing posts with label expensive meds. Show all posts

Monday, June 22, 2015

Day 2015

Hmm. Today's blog day is the same as the actual year. I wish there was some significance to this, but there probably isn't. If I'd started the blog three days earlier, this all would have happened on my birthday. Now, that would have been weird.

The only thing weird about today was my doctor's appointment. I had been hoping to convince my doctor to discontinue two of my meds, simply because they were becoming too expensive. I got my wish, but not in the way I expected. When the doctor was explaining how various medications worked to control cholesterol, A1C, blood pressure, and various other things, I noticed something odd. As he  explained what the expensive drug was supposed to do, I stopped him and pointed to a row of numbers. "This drug doesn't appear to be working," I said. "If it was, these numbers would be going in the opposite direction." "That bothers me too," the doctor said. "Lets just quit taking this for two months and see what happens." OK. That's what I've been wanting to do for the last two years anyway. Since I was on a roll, I decided to bring up another drug I've grown to dislike. "Do I really need to take this Niacin," I asked? I hate the timed release Niacin, because in addition to being expensive, it causes an uncomfortable flushing reaction that turns my skin bright red for an hour or so. The doctor said that the special version of Niacin was supposed to cause the flushing to occur while I was asleep, so I would never notice it. Nope, usually I'm wide awake. "Well, if the delay isn't working right," the doctor told me, "why don't you just take inexpensive over-the-counter Niacin instead?" Sounds good to me. Over-the-counter Niacin is about $5. The special prescription version of this drug is costing me $80 a month.

My numbers weren't really bad today, but it would have been nice if they were improving instead of getting worse. I'm pretty sure that everything can be explained by a slight relaxation of the strict diet I was following when I was being treated for Hepatitis-C. I still eat very healthy meals, but there are more comfort foods now. Instead of a strict plant-based diet with very little red meat, I'll have a steak now and then and typically enjoy some sausage or bacon with my morning eggs. I didn't used to do this during the year I was eating oatmeal in the morning and kale salads at night. I guess it makes a difference. Probably throwing a couple of scoops of vanilla ice cream into my morning smoothie isn't helping matters either. It's a shame that almost everything delicious or fun is bad for you.

The doctor asked me if I was experiencing anything stressful in my life, since one of the tests apparently shows different results under stress. Naw, everything's normal I thought. Just dogs with cancer and spinal injuries, lots of expensive dental work, and a declining income. Today actually was pretty normal. I had one article to write, but I had that finished well before noon. The dogs seemed strong and in good spirits, even though the temperature was a lot warmer. Dot slept well and didn't poop in her bed. What's not to like?

I made an appointment to get a haircut later in the week and finally had a talk with my insurance agent about my homeowners policy. Maybe if it's still sunny tomorrow, I'll get the water off the roof. It's amazing how everything does get done eventually.  All in good time, I say.

Kirby is today's Dalmatian of the Day
Watch of the Day

Friday, June 19, 2015

Day 2012 - My Birthday

I'm 67 years old. When I started blogging, I was still a little reluctant to reveal my age. I work in an industry that worships youth and I thought that my age was starting to hurt my business. I don't really care anymore. We all get older. Even though we are both old and tired, Janet and I can still run circles around most Millennials. I wear my age like a badge of honor now. I grew up in the best of times. I got to experience Woodstock, the moon landings, the Beatles, and president Kennedy firsthand. The Internet was so new that when I first began designing websites, one of my early creations was included in a book listing the top 1000 websites in the entire world. Jeez. Now, there are probably more than 1000 websites in my own zip code.

The world has definitely changed. My parents took long car trips in the Summer and we visited almost every National Park. None of us wore seat belts. I climbed trees when I was young and walked to school when I got a little older. On the Fourth of July we bought M-80s and Cherry Bombs. On Halloween we wandered around the neighborhood for hours at night in strange homemade costumes and nobody got hurt or abducted. Our parents didn't drive us to ballet lessons and soccer practice. They just told us to go outside and play. The world was a safer, much kinder place and I grew up confident and secure as a result. It was the best of times. Although it sucks to watch as your body and mind slowly begin to deteriorate, I wouldn't trade places with today's Millennials for all the money in the world.

Giving the dogs their daily meds just got a little more complicated. Dash still takes the most pills. He needs phenobarbital for seizures, allopurinol to prevent kidney stones, benezepril for high blood pressure, levothyroxine because he lost his thyroid gland to cancer, and doxycycline to cure his Lyme Disease. Dot only takes Palladia, but chemotherapy is more complex than all Dash's meds put together. When I give Dot her pills, I have to put on purple rubber bio-hazard gloves, pen Dash temporarily in the bedroom so he won't inadvertently grab one of the pills by mistake, and then wash everything I've touched before I put the pills away again. I hope that Dot tolerates the Palladia well and doesn't suffer from any of the potential side effects. Palladia, like any cancer drug, doesn't work for everybody. We'll discontinue the drugs if they make Dot miserable. She has lived a long and happy life. The quality of the time she has remaining with us is much more important than the length of time. I just want her to be happy.

My own meds aren't complicated, They are just expensive. When I went to get some prescriptions refilled today, the pharmacy declined my credit card. WTF? I always pay my balance in full every month and was puzzled why anyone would decline my card. I called Visa when I got home and they told me that they had flagged the pharmacy transaction as suspicious since the dollar amount was much higher than usual. I told the Visa lady that I thought the amount seemed suspicious as well. "I am in the Medicare Doughnut Hole," I said, "and the cost of my meds has literally doubled overnight." The Visa lady said she was sorry and reinstated my card. I still don't understand what this Doughnut Hole is all about. When I had private insurance, my prescription costs always stayed about the same. Medicare Part D is different. They pay for a while. Then they quit paying while you're in the Doughnut Hole phase. Eventually they come back and pay for virtually everything in the "Catastrophic" phase, after they feel they have punished you enough. Only the government could create something so needlessly complex.

We had a nice birthday dinner with Sprinkles cupcakes for dessert. Janet surprised me with an Apple Watch for my birthday. I wasn't expecting anything and felt a bit guilty since we are both spending so much for the dogs medical care. I was delighted to get the watch though. 67 is a lot different than 37, but life is still good. Thanks to all of of you who sent me birthday greetings on Facebook today. You guys probably raised my Klout score by three or four points.

Inky is today's Dalmatian of the Day
Watch of the Day