Coffee heat rising

Annals of the Floored and Flabbergasted: Back Office Staff Edition

This morning I get on the phone to an assistant in the gynecologist’s office, to whom I’m trying to explain, for the THIRD time today (not to her, but to two other folks) that because it looks like I’m headed for a mastectomy, a medical oncologist advised me to consult with a plastic surgeon before that comes to pass,  and so I would like a referral to a plastic surgeon who knows what s/he’s doing.

She doesn’t quite follow. It’s a complex series of thoughts, after all. So I explain (again) that I need to talk to a plastic surgeon before I get scheduled for a probable mastectomy.

Says she:

“Is that in the pelvic area?”

{thought balloon: you ARE one of my students, aren’t you?}

“No, honey, mastectomy has to do with your breasts. They’re going to chop off one of my boobs.”

“Oh. How do you spell that?”

Ha haaaa! Is that hilarious or not?  And just think how hilarious it is that medical offices are populated with folks like this, ready to take care of your every health need…

Breast “Cancer” or Not: Another Amazing Adventure in Medical Never-Never Land

Okay, so after I had arranged an appointment with the medical oncologist my gynecologist wants me to see for a second opinion about the advisability of further surgical attempts at a successful lumpectomy, Young Dr. Kildare became concerned enough that he unilaterally scheduled an appointment for me with his choice of oncologists.

Interesting. I decided to take a chance that I will have to pay for one or both of these worthies out of pocket — surely there’s a limit to what Medicare will cover — just to see what TWO of them would say.

Yesterday I spoke with YDK’s guy.

He seemed like a very nice man — certainly has a thriving practice: there must have been 20 cancer victims sitting around the waiting room. He seemed very smart, very empathetic, and open to answering all my questions, which are manifold.

So as he’s talking, he says something that really drops my jaw. And he says it more than once.

He says that ALL incidences of DCIS turn into cancer. Therefore what remains in my boob must be removed, and if I were his wife, he would recommend going straight to a mastectomy.

Well. There are several good reasons to turn directly to a mastectomy without trying again for a successful lumpectomy. But “all incidences of DCIS turn into cancer” ain’t one of them.

It simply is not true.

It is not true that all DCIS turns into invasive cancer. By 2010, M.D. Anderson researchers were estimating that 40% to 50% do so — meaning that even then, they thought 50% to 60% do not do so. More recent estimates peg the conversion figures at closer to 15% to 20%.

So that was unnerving: a specialist in breast cancer treating God only knows how many people who directly contradicts the facts. And contradicting my surgeon, my gynecologist, the Mayo’s medical oncologist, and the Mayo’s radiation oncologist, all of whom seem to have managed to get their facts right.

He also interpreted the records from the Mayo as saying the surgeon had found two growths in the boob: the EPC*, which he says she has removed, and a DCIS, which she has not yet fully excised. That’s not what she (or anyone else) has told me: the EPC is the DCIS. So, either the Mayo team is obfuscating or this guy has no idea what he’s talking about.

Wow! This is one scary trip through the medical funhouse!

*EPC: “Encapsulated papillary carcinoma”: a rare type of DCIS, a condition thought to be preliminary to development of breast cancer.

Fry’s Kroger’s

Fry’s Supermarkets is an Arizona subdivision of Kroger’s. By and large it’s a fairly downscale chain, catering to the (non-union) working class and the immobile. But recently this outfit decided it wanted to take out AJ’s, a ludicrously upscale outfit that had a store in Moon Valley, a district of mixed fortunes (one minute it’s all ritzy and titzy, the next it’s chez pitz). Right on the border of Phoenix (downscale), Scottsdale (mid- to upscale in that part of town), and Paradise Valley (Richistan!), they installed a wildly upscale outlet across the street from a small Whole Foods and within easy driving distance of the offending AJs.

Within weeks, the AJ’s closed.  The Whole Foods has hung on, but it’s no longer the WF of choice. It’s weak. Very weak.

Normally I don’t shop in Fry’s, for these reasons:

1) The one in our neighborhood, now mercifully defunct, was an exceptionally bad corporate citizen, seemingly trashing our area on purpose. The bastards.

2) Fry’s stores in general tend to appear in or very close to working-poor (or even nonworking-poor) neighborhoods, where they exploit the residents’ inability to own cars by jacking prices through the stratosphere. The bastards.

3) The meat’s terrible.

4) The typical store’s ambience is best described as grim.

5) I really, really, REALLY resent it when a huge national chain comes in and drives out local businesses. The bastards.

 This morning, though, I made an exception. Here is what I knew:

a) Ruby the Corgi Pup needed some more of her radically expensive dog food (more about which later).

b) Some branches of Fry’s carry said radically expensive dog food. This can be translated to read “the upscale Fry’s in Paradise Valley probably carries the radically expensive dog food.”

c) I also needed a bottle of contact lens chemicals, not available at a Petsmart (the other outfit in town that carries said radically expensive dog food, other than Whole Foods, which does not carry the totally unorganic, environmentally unfriendly contact lens chemical).

d) I had a doctor’s appointment about six blocks up the road from the invasive Fry’s.

So I decided to swallow my scruples and drop by the Paradise Valley Fry’s on the way back to the Funny Farm, by way of avoiding a lengthy drive into the central city, out of my way and annoyingly time-consuming.

Hence: I surface at the Fry’s at Tatum and Shea.

o

m

g

!

They were having an amazing sale. Pile that on top of the fact that this store melds upscale grocery store with Target with Cost Plus/World Market with  Bevmo…and the mind boggles.

Found the dog food: $8 less than I’ve been paying at Whole Foods and PetSmart (the Whole Foods of the dog food world).

Found the contact lens solution. Price: who knows. Didn’t have to drive to a Walgreen’s, park, search, and stand in line at yet another cash register to get it.

Found a Bodum French Press coffeemaker: $10 off the usual $39.99 price. Having been alerted to certain shortcomings by critics at Amazon, I busted open a package, pulled the thing out of the box, and inspected. It did NOT have any plastic parts in the plunger. SOLD!

Found sets of sheer curtains, two to a package, for 50% off. These, I need to replace the sheers purchased two or three years ago at Target and installed to shelter the patio plants from summer’s blasting morning sun. SOLD!

Found squirt bottles in various colors and sizes. CLEANING LADY JOY!  I make my own glass cleaner, which drives CL nuts. This is stored in a Home Depot squirt bottle. Also dilute and store Simple Green: into the HD squirt bottle, difficult to distinguish, except by the solution’s toxic-looking color, from the bottle of clear glass cleaner. And I place dish detergent (slightly diluted) in another HD squirt bottle, utterly indistinguishable from the clear glass cleaner, except by the label inked on with a Sharpie, ink that readily washes off. Cleaning Lady Craziness. To add to that: I keep a bottle of clean, clear water to squirt on the dogs when they get out of hand, also in an HD squirt bottle. Cleaning Lady and Proprietor Craziness.

Purchased a blue bottle for the glass cleaner (heh…Windex, get it?). Purchased a small fist-sized squirt bottle for Dog Squirt. Fifty cents off each of the above.

Grabbed a much-needed medium-sized French canning jar for storage. A dollah-fifty off.

Found some of those flocked coat hangers that keep your slimpsy blouses from sliding off onto the floor. No cents off, but didn’t have to drive way to Hell and gone across town to the Container Store.

Found GE three-way INCANDESCENT light bulbs. Grabbed. Haven’t seen those at HD for awhile. Will buy more (probably lots more) the next time I’m in the vicinity.

Found stainless-steel teaballs, $1.99, in a bulk container. Need. Haven’t seen for a long time, certainly not at that price. Certainly not free of nasty consumer-proof packaging.

Found package of three mesh laundry bags, now needed to do laundry in the HATED high-efficiency goddamn washing machine, for a mere six bucks. Two of these are excellent sizes. One will hold a bra or a couple of pairs of underpants. I guess.

Found REAL LIVE GREEN TOMATOES!!!!!!!!!!!!!!!

OMG. Paid price of regular tomatoes. GRABBED! Raced home, sliced, dunked in egg, cornmeal, and flour, cooked deliciously in a lake of butter. Ate.

Attained Nirvana.

Voting in the Dark

Yesterday I shipped off this year’s mail-in ballot. What a HUGE passel of things and people to vote on…most of them people and things no one ever heard of. Several extreme propositions appeared on the ballot, among them one that would take away firefighters’ and police officers’ defined pension plan and one that, if passed, will raise our property taxes into the stratosphere.

This fall we revisited the mystification that is the Superior Court judge vote.

In Arizona, big-city Superior Court judges are appointed through a merit system. However, every couple of years the citizenry has to vote on whether to retain those who are on the bench. This, of course, is completely wacky: unless you’re a lawyer, a Superior Court judge yourself, or an employee of the Superior Court, you have no way of knowing which of these folks is competent and which not.

The voter pamphlet contains exactly nothing about the judges: who they are, how long they’ve been on the bench, what their background is, what they claim to stand for…what??????? As I sat there staring at the page-long list of names, I finally recalled that there’s a judicial review system in Arizona. Googled that up and found that of the several dozen sitting judges, not one, not two, but three of them have failing scores. As in “does not meet basic qualifications.”

Wow!

Most people, I think, would either vote for all the candidates or not vote at all, thereby insuring that three incompetent judges would stay in place for at least another two years. Who would know you could look these folks up online and find their rankings on one page? There’s no clue in the voter pamphlet.

The mail-in ballot is such a convenience! In addition to giving you weeks in which to mull over your vote, you get to fill it out while sitting in the comfort and privacy of your dining-room table — with your computer in front of you as you look up the candidates and issues. The only nuisance is having to physically drive the ballot to a post office, since one wouldn’t dare leave it out for the  postal carrier to pick up from one’s own mailbox. Too much theft.

I got on the mail-in ballot list some years ago — once you’re on, you’re on, and they keep sending the things forever — after they moved our district’s polling station from a centrally located church to a very shaky gangland neighborhood in the war zone to the north of us. That year, I went to track the place down and found myself driving into one of those areas where you reflexively check to be sure your car doors are locked. The polling station stood about eight or ten blocks down the street from an apartment building where two small children playing on the sidewalk were shot by gang-bangers firing at each other. It’s smack in the middle of a meth gang’s territory, a place where I wouldn’t get out of the car on a bet, much less stand in line out in the open.

So, after laying my life on the proverbial line to vote that year, I arranged to have mail-in ballots sent to me. The result is that I vote in a lot more elections than I would have — all of them, including various small referendums that wouldn’t be enough to get me out of the house.

I expect that benefit will soon be taken away from us, though. A certain major political party is working hard to disenfranchise voters who are not in its demographic. Mail-in ballots benefit the unfriendly ilk of students (such as my neighbor’s son, the honors engineering major who come November lives on the ASU campus), minimum-wage workers who will have their pay docked or be fired if they show up at work saying they had to stand in line at the polling place for an hour (not unheard-of here), disabled people who depend on federal and state benefits that said Party would like to eliminate, and snowbirds who claim Arizona as their primary residence but who come from and spend the summers in “blue” states and so might be inclined to vote in undesirable ways.

They gerrymandered our local district to break up a block of affluent, educated voters who incline to favor moderate candidates and to oppose the extremist agenda so often manifested in the wacko propositions that appear in almost every referendum. Another strategy has been to disqualify thousands of mail-in ballots for negligible reasons — so one has no idea whether one’s mail-in vote is counted at all.

Not that Arizona has enough “liberals” (read “former Goldwater Republicans who now look middle-of-the-road”) to make much difference…but the ruling party has unequivocally shown it wants to make sure we have no voice at all. They’re very good at that.

Where federal and some state candidates are concerned, I felt frustrated to find myself voting the party line, something I have never done in the past and do now only because one of the parties is infested with bizarre extremists. I used to pride myself on studying each candidate and voting on the individual’s merits, not on her or his political party. But today I fear that even a man or woman of good will who manages to get on the ballot as a member of that party will be pressured to conform to the extremists’ demands for “ideological purity,” so that it really doesn’t matter who’s running — any vote for a member of that party is, alas, a vote against common sense and for obstructionism, mean-mindedness, economic inequity, and  duplicity.

I don’t like it. Matter of fact, I hate it. When a vote for a potentially good leader amounts to a vote for something you can’t support, and a vote for a potentially mediocre leader amounts to to a vote against something you can’t support, what we have is a dangerously distorted political system that no longer functions to drive what we as Americans imagine our country stands for.

The Tools of a Successful Trader

Losing money isn’t funny, so before you jump into the world of online trading, we wanted to give you a quick guide to the market. Using Tradefair as a base, we’ve outlined how online trading is conducted and why it can be such a profitable endeavour. By running through some of the main tenets of trading on Tradefair, we hope to show you that if you’re willing to invest some time into learning the ropes, you can stop yourself losing money on each trade and make some serious long-term profits.

So, without any further delay, let’s take a look at the tools Tradefair is able to offer all aspiring online traders:

Tips and Tools for Beginners: Moving into the world of online trading can be a daunting experience, but thanks to Tradefair’s range of tools, this process isn’t as scary as you might think. In addition to regular webinars, training videos and text guides, this platform also boasts a range of daily strategy tips. One of the biggest problems novice investors often face is keeping up with the dynamism of the online markets. Because the market is so changeable, it’s necessary to keep abreast of the action in order to make money and that’s where Tradefair’s daily reports come into play. Utilising a team of experts and leading information portals, Tradefair compiles a series of market reports that breakdown the day’s action and give investors an insight into how specific markets are expected to move.

As well as handy guides, Tradefair also offers auto-stop tools. These software commands basically bring an open trade to an end when certain profit or loss limits are reached. This facility is fantastic for novice investors as it allows them to keep control of their bankroll. By setting realistic profit and loss limits, those aspiring to make money can reduce their risk whilst maximising their potential thanks to Tradefair’s automated stop commands.

A Range of Options: Variety is not only the spice of life, but the key to making money. At Tradefair you’ll have access to more than 3,000 daily markets. This range of options is fantastic and should offset any market vulnerabilities. Trading forex, CFDs and commodities can be volatile, so it makes sense to spread your daily investments across each market in order to reduce your overall risk. Indeed, when one asset is on a downswing, another will likely be on an upswing. So having the ability to choose from thousands of options will help you move more easily between options.

Cross-platform Convenience: Most online trading platforms will give mobile users the ability to make investments via their iPhone, iPad and Android devices. In line with this, Tradefair gives its users this ability. However, on top of these options, Kindle Fire users can also join the action when they sign-up to Tradefair. This software isn’t commonly offered, so in terms of accessibility, Tradefair is king of the hill.

To achieve success in the online trading world you need to take advantage of every tool a platform offers. Because the process of making money is tough, you need to squeeze out as much equity as possible through features such as auto-stops, daily analytical bulletins and instant access through multiple platforms. By combining Tradefair’s features with a solid base of knowledge, you should find that making money is not only less of a struggle, but a much more enjoyable process.

You Know You Should Stay Out of Costco When…

It’s Saturday.

It’s Sunday.

Today is the day before…

Hallowe’en
Thanksgiving
Christmas
New Year’s Eve
Easter
The Fourth of July
Labor Day
Memorial Day
Veteran’s Day
The Big Game (any Big Game)
The World Series
Your (child’s, spouse’s, mother’s, father’s, best friend’s, favorite aunt’s, favorite uncle’s,  beloved grandparent’s, boss’s) birthday
Your own birthday
The church potluck

You are…

Hungry
Feeling put upon
Feeling generous
Losing weight and need new clothes
Gaining weight and need new clothes
Depressed
Happy
In a great mood
In a terrible mood
Pregnant
Married to or otherwise closely associated with a pregnant woman
Planning a party
Searching for something, anything, to take to a potluck

You have just…

Acquired a new puppy
Acquired a new kitten
Given birth
Been told you will give birth sometime within the next nine months
Won $100 in the lottery
Received the annual Costco AMEX cash kickback
Been paid your biweekly paycheck
Been paid by a client
Fallen in love
Fallen out of love
Realized life is short and eternity is long