Day 3253

I got a letter saying that I needed to change my pharmacy to continue getting the "preferred rate" on prescription drugs. This has happened before. I wonder what goes on behind the scenes at insurance and pharmaceutical companies. Prices and procedures are always changing with no explanation. Are generic drugs really the same as their brand name equivalent? Why do Dash's pills cost substantially less than mine? Often he takes the same pills that humans do. All I know is that healthcare has become way too complicated and is much more expensive than it needs to be. Jeez. I don't want to change my pharmacy for some stupid bureaucratic reason. I like my pharmacy. I need to check and see what this "preferred rate" really is. It may be nothing. The government always likes to scare you into doing things their way. I'm always willing to pay a little more to do things my way.

I was surprised to see that half the junk I took out to the curb yesterday is already gone. All the metal objects are gone. People drive by and scavenge the bulky trash piles. I guess they sell the metal at recycling plants. The city seems more than happy with this practice because there is less trash for them to pick up. The whole thing seems kind of sad to me, but what do I know. You know the old saying: one man's trash is another man's treasure. I did haul some pretty heavy metal objects to the curb yesterday. There was no copper though. It was only steel. Can you make money scavenging steel from trash piles? Like the true cost of prescription drugs, this is probably something I'll never know.

I had to leave the house for a meeting at noon today. Once again, it was hard to get ready in time. By the time I clean up all the poop, make the bed, walk Dash, eat breakfast, and take a shower, it is almost always noon. It's getting harder and harder to do more than one thing a day now. Today's meeting wasn't even necessary. My business bank wants to start selling me investments now that I'm retired. I keep telling them that I already have all the investment advice I need, but they are persistent.    I wonder why they don't understand that I want from them is the kind of service they were giving me fifteen years ago. Unfortunately, nobody wants to provide the type of service they offered fifteen years ago. That ship has sailed.

How do you prescribe bed rest for a dog? I'm having a hard time getting the cut on Dash's paw to heal, because he is always scraping the scab that is trying to form. He wears socks in the house now, but they are always falling off. The boots are too heavy to wear around the house, but the boots are what keep the socks on. At least the wound is trying to heal now. Dash just isn't a very good patient.

I woke up to find poop in the bed again last night. Dash didn't even wake up. Sometimes when the poop is firm I can pick it up with a poop bag without leaving a stain. I did this last night and just went back to bed without waking anyone up. I did wash the bedspread in the morning, but it still looked pretty clean. I don't know if I'm becoming better at cleanup or just more casual about poop. When stuff like this happens every night, it's hard to get very upset about it.

I've got my eye exam tomorrow. I think my eyes are still pretty good, but I have a tendency to rationalize my body's slow deterioration. I guess it wouldn't be the end of the world if I needed to wear glasses. I just hope I never have macular degeneration like my Dad.

Dalmatian of the Day

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Day 2526

Well, the moon didn't look that super tonight. I guess it was a little bigger and brighter than usual, but it was hard for me to tell the difference. I think tonight's rare supermoon was supposed to look about 14% larger than usual. If the moon was twice as big, I'm sure that I'd notice the difference, but 14% doesn't even compute for me. Would I notice if Cheetos were 14% larger, or if there was 14% more coffee in a Starbucks cup? Probably not. The moon was pretty though. I always enjoy seeing the moon.

I'm sure you know what I did today already. Sunday's are always the same. I went to the gym, vacuumed the house, and walked the dogs. On sunny days like this, the gym is practically empty. I think there were only seven people working out. I did my usual routine and finished in 63 minutes, just like last week. The house is cleaner now and there are fresh sheets on the bed. The days seem so short now. I never notice the extra hour of daylight in the morning, but I definitely notice how quickly it gets dark in the evening. I'm always walking Dash at sunset now.

I need to resist the urge to get drawn into political arguments on Facebook. I've inadvertently joined these discussions a couple of times and instantly regretted the decision. You're not going to change anyone's mind at this point. As a writer, it's tempting to want to have the last word, but you've got to resist the temptation. The world is not going to end and the country's many problems are not going to be resolved overnight. As usual, the answer will lie somewhere in between.

I actually learned something about the election today. I was curious why both sides were claiming to have won the popular vote. This seems like a no-brainer to me. Either you did or you didn't. As it turns out, absentee ballots aren't even counted in most states unless the election is close. For example, if there are 50,000 absentee ballots, but a candidate won a state by 60,000 votes, the prevailing wisdom is that it is not worth the trouble to even tabulate the extra ballots since they wouldn't make a difference in the outcome. This allows both sides to claim victory in a close popular vote by making their own projections about the uncounted ballots. I never knew that absentee ballots weren't typically counted. I learn something new every day.

I never knew the moon's orbit wandered all over the place either. Why did I always think it is was a nice circular path around the earth? I guess if I looked up at the sky more often, I would have figured out the answer years ago. Sometimes a full moon is directly overhead. Other times it is low in the southern sky. I wondered about this occasionally, but never gave it much thought.

So far, it looks like it's going to be a slow week. Dash needs a thyroid test before he can get his thyroid medication renewed. I need a visit with my own doctor before I can get all my prescriptions renewed for another year. No wonder the pharmaceutical industry is so huge. Our lives today revolve around the pills we take.

The chores are done. The dogs are resting peacefully. I've got a supply of fresh strawberries and bananas for tomorrow's breakfast smoothie. I'm ready for another week.

Puppies are today's Dalmatians of the Day

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Day 2313

Nothing went as planned today. I tried something new for breakfast and I didn't like it. This is why doing new things is problematic for me. When I go to a new restaurant, I'll methodically try everything on the menu to find my favorite items. After that, I'll order the same thing over and over again forever. The process can take months. Why did my old restaurant have to change? I got this time consuming process out of the way years ago, and now I have to start over again.

After breakfast, I stopped by the cancer center to pick up Dot's missing pills. I tried to convince them that I had already paid for the pills, but their record keeping was better than mine and they showed me that the reason I ran out early was that I had rescheduled Dot's Ultrasound exam for a week later than originally planned. I tend to forget how expensive the Palladia pills are until I buy just a few at a time. The unit cost is unreal. Every time Dot takes her chemotherapy pills, it costs $50.  She has a treatment every three days. It's hard for me to have any sympathy for pharmaceutical companies. They tend to charge by how life threatening the disease is. When I was taking Sovaldi while I was being treated for Hepatitis C, the cost was an astounding $1000 a pill. The difference was that I had health insurance and Dot doesn't. Dogs basically pay retail for their meds. Is any of this fair? Of course not. Very few things are fair anymore. This is why voters are so mad this year.

Since the cancer center is near the sporting goods store that is going out of business, I stopped on the way home to look for more bargains. I came home with a nice pair of waterproof boots for walking the dogs and light fleece jacket to wear around the house when Janet keeps the house too cold in the summer. I probably didn't need either of these things, but it seemed to balance thing out to pay too little for something after I had just paid too much for something else.

I got started on my big website overhaul this afternoon. Many of the changes the client requested didn't make a lot of sense, but this is what I do. If I only took jobs that made sense, I would make no money at all. Since the annual subscription for the design tool I used to create this site will run out while I am working on this project, I will need to renew for another year. The cost of the subscription is more than what I will make on the job. Oh, well. It's just the cost of doing business. When I started designing websites, I didn't need a lot of help. I could write simple HTML using a word processor.  Things are different now and today's new responsive websites have become quite complicated. I need all the help I can get.

I didn't have much luck with Dot today. I tried my best to get her to poop in the yard while I was home, but she always decided to go while I was away. The latest accident occurred while I was giving Dash his evening walk. I kind of knew it was going to happen, but I couldn't get Dash to turn around and come home in time. It was a nice day and he wanted a long walk. Long walks are fine, but Dash didn't have to clean up the poop when we got home. I'm still doing laundry. I'm hoping for a calm, uneventful weekend, but the weather report says to expect thunderstorms. We'll see. At least the garbage truck picked up my trash this morning.

Krissy is today's Dalmatian of the Day

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Day 1847

It's amazing what you can learn when you ask a few questions. I'm not good at small talk, so I've been asking my therapist questions about the body during my physical therapy sessions. I've gained a whole new respect for physical therapy. My therapist appears to know the name of every muscle in the human body and what each one of them is supposed to do. I'm making progress with my shoulder, but it is very slow going. So far, stretching muscles seems to be somewhat like tenderizing meat. I asked if it was possible to get cold laser therapy like Dot, but apparently the dogs continue to get the medical advances first.

I'm thinking about changing pharmacies. One drug I take every month costs $90 at one pharmacy and only $32 for the very same drug at another. This drug isn't covered by insurance, so this is just the monthly retail cost. Why would there be such a huge difference in price? Customers would never stand for such radical price differences in the cars, computers, and clothing we buy. We expect competitive pricing in everything except healthcare. The more I learn about health care, the more I realize that the entire industry is controlled by some very powerful forces. I'm at the very bottom of the food chain. The pharmaceutical companies, the hospitals, and the insurance companies basically control everything. The price that shows up on a bill isn't necessarily the price that a doctor actually charges or an insurance company actually pays. It's all a hall of mirrors.

It was still bitterly cold when we got up this morning. I dressed the dogs in their warmest sweaters and put on several layers myself. In the Summer I always think it would be nice to retire up North. On days like this, I'm looking for a tropical island. The weather continues to be totally unpredictable in Texas. Tomorrow, the temperature is supposed to get up to sixty degrees, but then on Wednesday it is expected to dip down into the twenties again. It's enough to drive you nuts.

I wonder what is happening to me? I got my instructions for traveling to Vandenberg Air Force Base today and they seemed pretty complicated to me. Jeez, this should be a piece of cake. I'm the guy who used to routinely travel to Germany on business and was once responsible for a forty person film crew shooting in the middle of the Olympic National Forest. Now, a trip to the post office is a major ordeal. I hope this trip snaps me out of my reclusiveness.  If I don't get a handle on my recent aversion to travel, I could wind up like those Kennedy sisters in Grey Gardens.

Dash has a trip to the vet tomorrow. Dot has been getting most of the attention lately, but Dash still has a few issues of his own. I need to find out whether a growth I've been noticing on his tail is something to be worried about. He's been licking his coat a lot lately too. I don't know if he has skin allergies again or if this is just another nervous habit. It's probably time to check his urine for crystals again too.

If it's warmer tomorrow, I'm going to go out in the back yard and look for dog poop. Now that all the leaves from our trees are on the ground, it's almost impossible to find the stuff. It just disappears under the leaves. The only way to find dog poop in the Winter is to walk out in the back yard. Then, it almost instantly appears on the soles of your shoes. I'm getting tired of cleaning my shoes evceryday, so it's time to find the illusive poop.

Lucy is today's Dalmatian of the Day

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Day 1156

The specter of medicare on the horizon is already starting to bother me. I've finally got a group of doctors that I like along with some pretty decent health insurance. I'd hate to lose all this when the government takes over. Since nobody seems to know anything specific about medicare except the people who are already using it, I thought I'd do a little research. I discovered that medicare advantage plans and supplemental insurance are completely different. I also learned that you don't need both. I learned that part-d prescription drug coverage is really just another form of supplemental insurance. Most importantly, I learned that insurance companies and health care providers make a ton of money from selling medicare advantage programs and aggressively try to sign you up for their particular plan when you begin to approach the magic age of 65. It all comes down to money. Are you all that surprised?

I'm really hoping that my latest blood test results will vindicate my new somewhat austere diet. Although I'm slowly acquiring a taste for fruits and vegetables, I do miss bacon, french toast and cheeseburgers. When I asked my nutritionist why my new diet wasn't more popular if it could actually reverse diabetes, prevent heart attacks, and improve liver health, he told me that there wasn't any money in a good diet. The pharmaceutical industry is a billion dollar empire with tentacles everywhere. Selling pills is big business. Eating broccoli isn't. Maybe it is really that simple. Look at the ads you see on TV. It seems like 80% of them are selling pharmaceutical products. When you go to the doctor, there are often more drug company reps sitting in the bobby than patients. The pharmaceutical lobby in Washington DC is probably even more powerful than the gun lobby. Everyone wants you to take a pill because pills are wildly profitable. Again it all comes down to money.

Maybe the medical industry's fixation with money wouldn't be so irritating if I made more of the green stuff myself. I consider my company successful because I've managed to stay in business for over twenty years during a period of time where many businesses like mine have failed. I've never been wildly profitable though. I work hard for my money and profits are somewhat self-limiting. I have never been able to take advantage of economies of scale, since it is only me doing all the work. I'm very reluctant to hire people and grow, because that's exactly why several friends of mine failed. Growing too fast can be much worse than not growing at all.

Maybe I should resign myself to walking the dogs and making just enough to pay the bills. I wrote two articles today. That ought to pay the electric bill.

Tessa is today's Dalmatian of the Day

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