Coffee heat rising

How to Age in Place…

As you know, my dear friends from church have moved into the Beatitudes, one of those old-folkeries presently dubbed “life-care communities,” where you take up residence in an apartment, eat in the institution’s chow line, get first dibs on space in the nursing home should you need it, and are generally watched and entertained 24/7. Sorta like a prison for old people. Or a rabbit warren.

It looks like Nirvana – just think! Never have to change your own sheets again! Never have to mow another lawn! Never have to wrangle a repairman to fix the plumbing! Never have to cook another meal! Wooohoooo!

Yeah. Freedom’s just another word for….

Not that I don’t understand where Mrs. Friend was coming from in deciding that they would make this move: they’re both in their mid-90s, Mr. F has fallen three times, he has glaucoma that soon will render him pretty much blind, and he has serious heart problems. She has a bad hip and is now too old to get it replaced, meaning she’s in pain all the time. And they had a bat-sh!t crazy neighbor who was bound and determined that they would not use the common walkway between their houses to roll out the weekly trash pickup. Even though most of the exterior work was covered by the HOA and most of the housekeeping was done by a cleaning lady, taking care of the house was getting to be a bit much.

But…hmmmmm….

Yesterday we all went out for lunch with Connie the Long-Haul Trucker. Mr. F ordered a bowl of chili, apparently something he orders with some frequency at the Institute. Along it comes. When he sees it, he remarks, “This bowl contains three times as much chili as we get at the Bistro” — which is what the old-folkerie calls one of its three chow lines. We eat and yak and carry on. Some time later, we’re about to settle up for the lunch, and he remarks again, “I got a lot more chili, and the quality is far better than the Bistro’s. And the meal was cheaper than what we’re paying.”

Mr. F is not a whiny guy…he’s a retired nuclear engineer with a lot of common sense. I’ll tell you, I was unimpressed with the quality of the Bistro’s food, myself. They had me over for breakfast…not my favorite restaurant meal, since I can’t eat eggs and I don’t care for cereal and I detest pancakes with sweet gooey gunk slopped over them. So I order an alleged “Belgian waffle.” Out comes a little waffle-shaped thing, about four or five inches in diameter, no powdered sugar on it. Looks like one of those things that you take out of a box and pop into a toaster.

I asked for extra butter (because lots of butter is the only way to gag down pancakes and waffles made from a mix, if you dislike syrup), and they brought me four or five tiny individually wrapped packets. The waffle thing wasn’t hot enough to melt the butter — would’ve done better to have ordered a couple pieces of toast. But more to the point: on the way out I realized my mouth was puckered-up parched, so salty was this fake waffle.

Ugh. Four years of bad student union food at the University of Arizona was enough for me. I sure don’t want to spend my dotage eating that junk.

This is the trouble with institutional life: it’s not life.

For three to seven grand a month, they could provide you with decent food. REALLY decent food. And more to the point, what the hell are they doing, serving up packaged foodoid that is so oversalted it leaves your mouth puckered up half the day to freaking old folks, most of whom presumably have cardiac issues?

So….

Yesterday afternoon I started calculating how on earth I can stay in my house until I croak over… Checking out a price comparison, it seems to me that even if you have to hire a 24-hour caregiver, it may be cheaper to stay in your home than to move into a storage bin for the elderly.

One person told me the Friends are paying 7 grand a month to stay in the cramped two-bedroom apartment they’ve landed in. The house wasn’t large, but it was one helluva lot more comfortable than four small rooms and a kitchenette. Actually three rooms: the dining and living rooms are separated by a sort of partition that doesn’t quite make them separate spaces.

The Beatitudes works hard to keep its rates off the Internet. One site says the place charges 5 grand a month…but that’s for a studio or one-bedroom apartment. For one person. So $7,000 for the two of them in a two-bedroom suite is probably about right.

Even hiring someone to come in and take care of them 24/7 in their house would not have cost $7,000/month. Even if it did, they’d still be in their home.

The Institute gave them each one of those electronic dog tags to wear around the neck, to summon help if they fall or have a heart attack. But forgodsake! You can get those for free at Amazon. The best of them, which summon the EMTs or police as needed and come with a lockbox for emergency workers to retrieve the house keys, have a subscription rate that’s only about $20 or $30 a month…again, a far cry from 7 grand.

That’s 7 grand a month plus all the return on the sale of your house: they had to pay ALL that they netted on the house sale to buy into the place. They got about 360 thou, from what I can tell.

Uhm…let’s think on that….

I figure that if, like me, you have nursing home insurance (one reason to buy into the place is that you’re guaranteed a bed in the nursing home, when the time comes), all of your living expenses and all the services they’re getting would run you around $2292 to $2323 a month if you stayed in your home:

They didn’t have a pool at their house…nor did they care to use one. So knock $240 a month off those totals for a person who lives pool-free.

As for transportation: they’ve kept the car, even though driving has become a challenge for them. But let’s say you used taxis or Uber to get around. Everything they needed was very close to where they lived. If they were like me, they could keep the driving junkets to one every two or three days.

Take the cost of your vehicle (about 28 grand. paid in cash) and prorate it plus the taxes, insurance, and routine care over 12 or 15 years: you get a monthly cost of $797 to $836. With that bracing calculation in mind (it doesn’t even include gas!), judicious use of taxicabs would be significantly cheaper. Let us say that on the low end they actually are paying $5,000/month to live in the warehouse. Five grand would buy you one helluva lot of taxi rides!

If a typical taxi trip cost you $50, that would be a hundred rides per month! If you went out twice a day (!!), the junketing would run you $3,000/month, significantly less than the rent at the old-folkerie; if you even went out once a day (which would be about three times more often, on average, than I drive anywhere), at $50 a trip it would cost you $1500 a month. While that’s more than owning and driving your own car, it’s a far cry from living in that place, where the transportation is a shuttle-style jitney ride to the doctor’s office or a grocery store. A-n-n-d…$827 a month to own and operate your own car — which doesn’t include gasoline) — is not that much less than $1500 a month for chauffeured rides…I spend about $60 a month on gasoline, which would bring the total to around $887 a month. And I think that’s pretty conservative. It assumes you paid for the car in cash — if you didn’t, your monthly cost would be a great deal more than the proposed taxi rides.

With grocery stores and Amazon now delivering orders, including whole ready-too-cook meals of fresh food, I think you could stay in your home and live better — and no less safely — for a lot less than it would cost to institutionalize yourself.

Got a thought? Am I nuts?

Blood pressure drama, revisited…

Those of you who follow Funny no doubt remember the saga that occurred when a doctor’s advice led me to obsess endlessly about my blood pressure.

Well, that stopped when I went out to the Mayo, where a PA in cardiology opined that I did not have high blood pressure and I should quit worrying about it.

I do have what is sometimes called “white coat syndrome,” in which a person with otherwise normal BP spikes high numbers whenever the measurement is taken in a doctor’s office or hospital. I am truly phobic about doctors and medical settings. I so hate going into doctor’s offices that I really do get pretty stressed out when I’m forced to go…so it’s reasonable to assume that nervousness and stress explain what led a cardiologist to try to get me on unnecessary medications for the rest of my life.

Losing ten pounds and exercising, however, seem to have brought the BP numbers down to normal, and down to almost normal in the doctor-office setting.

A few days ago, though, I read a report suggesting that people with white coat syndrome actually do experience elevated rates of cardiovascular events (heart attack and stroke), and so such patients should be saddled with blood-pressure meds willy-nilly. Well…fat chance! This is the sort of thing emanated by big pharma and spread through medical societies and government regulatory agencies whose funding depends on pharmaceutical companies. So I conditionally wrote that report off, pending more credible data.

But it did lead me to wonder what the BP numbers were doing, now that I’m older still and fatter again. And more to the point: now that my upper jaw no longer hurts chronically in the absence of the busted tooth. So decided to repeat the testing routine for a few days.

Hang onto your hat…

Over the past four days, my overall blood pressure average has been 124.64/74.95. The day before yesterday, my average day’s BP (morning & evening) was 119/67.

Heh. Wherever we are, it doesn’t seem to be anywhere near Death’s Door…

Good things…Dumb things

In the GOOD THINGS department… Have you ever noticed how little disasters seem to lead to large benefits? Why is that, d’you suppose?

Case in point today: the busted tooth disaster. How did I NOT want to have my muzzle cut open to remove that broken tooth? And how did I TOTALLY not want to pay out my entire goddamn year’s tax refund to an endodontist for the privilege? Let me count the ways…oh, wait! I can’t count that high.

But…oh, yes, but…

With that cracked fang out of there, the mouth doesn’t hurt annnnyyy more.

That is correct: no pain. Zero-point-zero-zero twinges, stabs, or aches.For the first time in a couple years, I can chew on that side of the maw…and did you know your taste buds are different, one side of the tongue from the other? Yeah: food tastes different (read BETTER) when you can munch it on the other side of your mouth.

I know: weird.

Yet another benefit of the Battle of the Busted Tooth: whilst convalescing, I learned about Pacific boxed soups. Not that I hadn’t tried a few of them. But canned (and by extension, packaged) soups are not my cuppa. My experience with canned soups and broths has been that they’re oversalted and they taste of industrial chemicals.

But I had to eat something. One of Funny’s readers had recommended the Pacific brand, so I picked a variety of them at Sprouts.

Hot dang!

These things taste like REAL SOUP. I mean, they taste like that soup would taste if I’d made it myself, upon mine own stove.

The potato soup? Outta the way, Julia Child!

The tomato soup… What? It seems to have…well…tomatoes in it. The sweet potato ginger Thai soup? To DIE for.

What? Today, after having had a lovely and interminable morning farting with the computer, I finally rose from the chair into which I had been frozen along about 11 a.m., starved and craving a ration of strong drink. Remaining in the cupboard: a little box of Pacific brand lentil soup.

Dump into pan. Add a little chard. Heat. Zing up with a squeeze of lemon. Use it as an excuse to pour a glass of wine. And…

Dayum! How do they do that? Once again, it actually tasted like real lentil soup. If I made a giant pot of lentil soup, it would taste just like that.

In other precincts, check out this little post at Quora: it’s garnered 242 “likes” since I put it up just a few hours ago. Probably because it’s kind of funny. Stupidly hilarious, we might say, if we were cynical enough…

In the Dumb Things department: might as well ’fess up: I just do not have it anymore when it comes to techno-talent.

Yea verily. Back in the Dark Ages, I was ahead of the wave. Always on top of the computer revolution. And all that bullshit. But today: I do not care soooooo much that I can’t remember stuff I learned and knew and used for years.

Last night I set up the first raft of FREE READS Fire-Rider stories to post automatically starting about 7:00 this morning. There. All done. Nice, eh?

Heh.

Well. It would be if I were still even faintly competent with computers.

What did I fail to take into consideration? Wellllll….  With a blog, the most recent post is what appears first to the reader. Soooo… If you posted chapter 1 and then chapter 2 and then chapter 3 and then chapter 4, your reader sees your posts effing BACKWARDS: she sees chapter 4 FIRST.

Arrrghhhhh….. Yea verily, I failed to remember this basic factoid — i.e., the computer universe is unstuck from reality every which way from Sunday, which in computer land is the last day of the week, not the first day. So when I got back from this morning’s wee-hours doggy-walk, I found that the first few posts had appeared…bass-ackward.

So I had to sit down and repost every goddamn entry, with the first entry to go online last, so that it appeared at the top of the queue…

THEN…then I discovered that for the life of me I can. not. remember. how to build a widget.

Worse yet, I do not want to know.

Absolutely positively not. I do. fucking. NOT. want. to track that BS down and relearn it!

See why I don’t own a smartphone? Because I do not want a damn telephone that’s smarter than me, that’s why.

 

HEALED! A little dental miracle…

 Well. Almost healed, let’s put it that way.

This is amazing. Today I dropped by the endodontist’s office — the terrifyingly named Dr. Axx — to get the stitches removed after the extraction, a couple weeks ago, of a busted molar.

It was already feeling a lot better — magically, no more electric jolts of pain from biting down on threatening foods such as ripe watermelon — so I suspected the best. The sutures, though, resemble nylon fishing line: stiff, poking, and naggingly uncomfortable.

Incredibly, he didn’t even have to shoot up the gums with pain-killer. He just grabbed a tool, went pluck, pluck, pluck, and got rid of the things painlessly within a few seconds. I remarked that if I’d known it was THAT easy I could’ve yanked them out myself with a pair of tweezers, causing the poor man to shudder in horror. 😀

{chortle!} I love terrorizing medical professionals…

At any rate, the late tooth must have been hurting in a low-grade, more or less unnoticeable way ever since I cracked it on an unpitted olive that lurked in a friend’s spectacularly delicious tamales. Actually, I bit down twice on olives in those tamales…so amazing are they (the tamales) that busting a tooth is not a reason to quit eating them. Haven’t been chewing much on that side of the mouth ever since then…which is, in a word, annoying. But it wasn’t so painful that it bothered me, unless I bit down on something.

Well, the difference in before and after with that tooth out is amazing. Even though I never noticed chronic pain, in the absence of the tooth I certainly do notice the absence of discomfort. Sort of like a distant, hardly noticeable ringer or buzzer suddenly turning off after you’ve trained yourself to block it out of your consciousness: you mark it by its silence.

And the change, when the noise stops, is startling.

Now we have to wait five months for the bolt he screwed into the jawbone to set in. Then he’ll add a fake tooth to the thing, and voilà! I’ll be able to pass for human again.

Image: By Coronation Dental Specialty Group – Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=29442971

 

Adventures in Dental Science

One fiasco after another. Old age is definitely no land for the young…

For quite some time, I’ve had a broken tooth, one of the forward molars. We haven’t been able to tell which one, because of the several crowns back there and because it was cracked, not actually busted. The dentist X-rayed that side of the mouth several times and could not find the crack. And I could not tell which of the two surviving upper molars emitted an electric shock of pain when I bit down just right…on just about anything.

Finally, however, the thing split apart. That hurt quite a bit. But interestingly, when the chip fell out a day or two later, the pain stopped altogether. Who’d’ve thunk it?

At any rate, all this meant the tooth had to be pulled. Dentist sent me to an endodontist, who proposed to dig it out, implant a “post” (which far as I can tell is basically a titanium screw).

However, when I told the endodontist about the supposed MRSA infection, he flew into a panic and said he couldn’t do the procedure.

What was I supposed to do about the broken tooth? He shrugged. Finally he suggested that I get a second nasal swab, and said if it was clear he would proceed.

Sooo…I had to trek out to the Mayo — halfway to Payson from my house — to get someone to stick a Q-tip up my nose. Again.

Astonishingly, the Mayo sent word that the MRSA test was negative. So the endodontist relented and scheduled a procedure for last Friday.

Naturally, I came down with a cold on Sunday. Never, EVER fails!

The cold is rather mild and the tooth situation was rather urgent, so we decided to go ahead with it. This meant I got to spend something over an hour on my back in the dentist’s chair, gagging on goop oozing down the back of my throat.

Ugh!!!!!

While it was uncomfortable — mostly because of the cold — the procedure was not painful. It was actually pretty interesting. His office has equipment that allows them to make 3-D X-rays of your teeth, which is amazing. And the amount of work and skill required to perform the trick of extracting a tooth in several pieces really is amazing.

So at any rate, the tooth is out. He insisted that I take a week-long course of clindamycin by way of fending off any potential infection. He remained concerned about the potential for MRSA, but resistant bugs or not, apparently dosing you with antibiotics is S.O.P.

Yes. Well. Unfortunately these days I’m allergic to just about every drug out there. And if a drug has a weird side effect that afflicts one in a million users, invariably I am number 1,000,000. At the risk of repeating myself: Never fails.

Clindamycin has a number of dire side effects. One of them is a skin thing that is incurable and causes your hide to fall off. Another is C. difficile overgrowth.

Right.

SDXB’s former wife died of a C. difficile infection. She died laying on her living room floor, where she was found by a neighbor about two days later.

Naturally, while I was at the endodontist’s having my gum sliced apart and the tooth wrenched out, the Mayo’s clinician Mona called on the phone asking me to call back to talk about that MRSA test. Naturally, by the time I got home it was after 5 p.m. and they were closed. So naturally, I get to worry about that all weekend.

Cripes. Let’s just hope all she wanted to say was that “negative” in your chart means “negative.”

Believing I would surely be in terrible pain, the endodontist handed me a prescription for oxycodone.

Besides the fact that I don’t take addictive drugs on principal, when I get it home I find it’s mixed with acetaminophen. I’m allergic to acetaminophen. It’s an NSAID. Interestingly, I’m allergic to all NSAIDS.

Luckily, I apparently don’t register pain the way normal people do. Probably because my menses were so excruciating, other pain seems negligible by comparison and tends not to bother me. Although the site where he’d extracted the tooth was sore, it certainly wasn’t enough to send me flying off the North Rim of the Grand Canyon. Got to sleep with no problem (so exhausted a jackhammer could have been going in the backyard and it wouldn’t have kept me awake).

Next morning I gaze into the mirror and find my face is swollen, which was not surprising. Then I developed a black-and-blue spot that makes me look like someone socked me in the face. Loveleeee. Both of these are normal, as it develops. But I sure could do without them.

Last night a member of the choir committee called to ask where the heck I’ve been and was I coming back. Of course, I’ve missed several times: last Sunday, and then again Wednesday evening. And yesterday morning: we have a concert this afternoon, which I’m also going to miss because I’m not rehearsed. I’ll be surprised, really, if he lets me sing this morning, since I wasn’t at rehearsal for today’s service.

And in fact, I’m still feeling pretty wrung out, so think I will just go over, drop off my choir folder & hymnal, grab my robes to bring them home to launder and store over the summer, and call it a day.

Or not. We have the annual end-of-season choir party tonight. My friend urged me to come to it. We shall see: by evening I am just wrung out, and by 5:30 p.m. I surely will not be the life of anything like a party. So that’s depressing. But I’ve just been too sick to think about it.

And so away, off to swallow another horsepill and toss some food in the blender. Whee!

Chewing Up the Tax Refund

Ohhhh man…has a lot transpired between the time I jotted in that post title this morning and the time I staggered back to the computer this evening!

So bright but not too early this morning, the endodontist and I were scheduled to meet at his office, so he could pull out the busted tooth and screw in a post on which, at some as-yet-unscheduled date, to attach a fake replacement tooth. This project would cost about $3,000 — almost all of this year’s tax refund.

When I arrived at his office and was placed in his massaging (!) chair, I mentioned to his assistant that they probably should know I was diagnosed, some months ago, with a MRSA infection. This, I noted, was supposedly treated but I’ve never had a follow-up culture to confirm that.

Well. That bit of intelligence set the man’s hair to standing on end. Long story short: the guy announced that my dermatologists didn’t know what they were talking about, that they could not possibly have treated the colonization properly, and he would not perform the scheduled work. He said his concern was not only that the surgical wound could get infected with antibiotic-resistant staphylococci, but that he and his assistant would be exposed to it.

I suggested that I could go either to the Mayo or back to the dermatologist to get a second nasal swab cultured. He said he preferred the Mayo, so now I have an appointment tomorrow to traipse out to the far east side for that — a two-hour round trip.

So I was passing pissed, because the tooth had been hurting quite a bit. Couple days ago, it actually fractured all the way through. and was now falling apart, a slab of the thing trying to work its way loose from the base. While I’m not pleased at yet another surgical procedure, I surely was anxious to get it over with.

When I reported to the Mayo’s PA that the dentist had remarked he figured I would infect him and his sidekicks with the dread pathogen, she said “not if he was following the standard rules” for surgery. And we might add, she sounded mighty sarcastic. Hmmm….

Well. Some hours pass, during which I wonder how I would cope with the pain of the exposed nerve getting jolted at every turn. Along about the middle of the afternoon, I serve up a bowl of soup.

While I’m eating that, plink! The broken sliver falls out!

Oh…shit! think I. This is going to make things many orders of magnitude worse. If that exposed nerve hurt every time I bit down on the tooth while it was fully sheathed in enamel (albeit cracked enamel), what will it do now that it’s sitting there stark naked?

Yes. Well. The answer to that is… Nothing.

As soon as that loose piece of enamel lifted itself away, the freaking pain stopped!

The sharp electrical jolts ceased altogether. It feels like there’s a hollow space on the grinding surface of the molar and a razor-sharp edge along the backside. There appears to be no decay. The front surface, the part that’s visible when you smile, looks undamaged and normal. The part that’s broken away does not go below the gumline.

Y’know what I think?

I think the tooth could be filled or possibly crowned, and that would fix the problem.

The repair would cost several hundreds of dollars…but it wouldn’t absorb my entire effing tax return.

So I have a call in to the dentist — naturally this deconstruction event happened right at 5 p.m. And…if he doesn’t agree that the tooth can be fixed, I’m getting a second opinion.

Why, for godsake, have I become sooo cynical about the avatars of the medical profession in this country? I’ll tellya why: it’s because about half the time I’m right. These people have to make a living. And to do it — and pay their employees and their office rent and their utilities and whatnot — they blow up every minor ailment into a case of the Black Plague. And often as not, they downplay conditions that show any sign of being expensively time-consuming matters. There’s a sweet spot in there where a nice profit is to be made…and that’s where they exploit you.

That’s unkind. Of course. Possibly a more generous view of the matter is that these folks are only human. And what they do involves a lot of informed (more or less) judgment and a little outright guesswork. So of course they make mistakes. Nevertheless, dentistry is becoming notorious for overtreatment — yea verily, here’s an article that claims if 50% of a broken tooth remains, it can be fixed with bonded restoration. I think if the good Dr. D doesn’t agree with that, we’ll be getting a second opinion…