Friday, September 26, 2014

Flu Shot Flummery

    Choices, options, decisions---Oh, no.   When you get your flu shot this year, be prepared.  It's not that simple.  In past years, I'd request a flu shot, and that was it.
     This year, besides the offering of the REGULAR flu shot, the CDC recommends offering the option of the HIGH DOSE FLU SHOT, specifically designed for those over 65, who may not respond as well to the REGULAR flu shot. The HIGH DOSE FLU SHOT  contains 4 times more antigen than the REGULAR flu shot.  The antigen is the part of the vaccine that stimulates our bodies to create antibodies to fight off viruses. 
     The QUADRIVALENT VACCINE  is another option, containing 4 strains of the flu instead of the traditional  3 strains.  FLUZONE QUAD it is called. 
     The NASAL VACCINE is available only to those under 50, so that's off the table, reducing the choices to just 3.  The pharmacist is youngish and eager to explain his craft.  He seems to think all over 65 could benefit from the Senior form, the HIGH DOSE vaccine.  But I ask why would they make it 4 times stronger, why not start off with 2 times stronger.  Why 4?   His answer amounts to something like just because that's what they did.  I opt for the FLUZONE QUAD instead.  That way I figure I'll be protected against more strains of the flu, though probably to a lesser degree.  Hey, you can't have everything.

September 26, 1964

  On this date, 50 years ago today, Dorothy Evelyn Madigan and Arthur Augustus King were married in Our Lady of Good Counsel Church in Valley Falls.   Amid hopes and dreams, with intrusion of reality. 

Thursday, September 11, 2014

Final P.T. and The Sting

  Today was the last day of physical therapy at the  Massry Pavilion, a total of 9 sessions.  The fourth week ended up in limbo because the script, though written for 4 weeks, had an end date of Sept. 12, and I understand Medicare is fussy about those things. 
   The activities on machines have gotten progressively more challenging, but that's okay with me; today I did the weights on the leg lift machine with my left, weaker, leg, with 10 lb. weights, whereas I had been using both legs to lift 30 lbs.   The step and lunge exercises seem simple, but are surprisingly challenging; it' s harder without a machine to rage against.  Sandie measured the ROM at 118 degrees.  My other knee was at 127 when I finished PT last year, and I think it's more now, so I  still have room for improvement on the new knee.  My next appointment with the orthopedist is in November, but I think he'll be happy with my ROM as is. 
    Today, from my vantage point on the exercise bicycle, which is my first task, I spotted a former co-worker across the room, I think beginning his PT. I don't know what for, probably for some chronic condition like post-nasal drip judging from his voice.  As he crossed in front of me, he recognized me and said hello.  I returned his greeting, but I have no desire to talk to him, or with anybody else from that employ either. 

     Today's physical therapy was active enough to take my  mind off the remaining effects from yesterday's attack of the killer bees.   So that was a good thing. 
         I was using the hose to water the  few flowers in front of my house when I felt a sharp sting in my rear.  I knew it was a bee, and I've been stung several times before, but never more than once at a time.  I wasn't prepared to be covered with a whole bevy of bees.  Fortunately, or not, I was close to the house so I opened the front door to escape.  But as I started to enter, I knew I was not alone.  There were bees with me and on me.  Silent, direct, take-action bees.  They stung me right through my clothes, maybe even leaving their stingers in me, I'm not sure.  I closed the door behind me as I ran in, and trapped several bees in the space between the doors.  I took off half my clothes inside the doorway and ran into the bathroom to remove the rest.  I saw a bee stinging me as I took off my shirt, and brushed the thing away.  I put on a housecoat, walked into the kitchen, and was stung again, on my shoulder, under the robe.  Maybe in my hair?  So back to the bathroom to bend my head over and brush my hair out.   Now I see a bunch of bees gathering on the front windows.  I go back to the kitchen and find a fly swatter, but I hesitate. I did close the side front window and enclosed 2 bees in that space; there are more on the large picture window.  If I swat one, I wonder, are the others going to come get me.  I take a chance, swatting the most isolated, and throwing its corpse, or body if it's still alive, into the toilet bowl.  I do this a total of 8 times, for 8 bee bodies in the bowl.  I don't see any more, but I know they could be there.  I assess myself for stings, and count 7:  1 on my rear end, 1 on my shoulder, 1 on my right heel, 1 on my inner arm,  2 mid-arm and 1 on my arm near the wrist. 
    I try remedies to alleviate the stinging:  dish soap, hydrocortisone cream, toothpaste, baking soda and vinegar.  Somewhat soothed, I go to pick up my dropped clothes near the front door, and a bee flies out and gets me--for the final time, I hope. 
      The stinging is soothed, but through the night, the itching starts.  I could scratch forever, but I go through the above regimen again, and finally find relief with ice.  But in the morning, more of the itch.  I take donated Benadryl after I drive home, and hope for the best.

Friday, September 5, 2014

Week #2 at Massry

   This week brought more work on the machines, which I prefer to the step exercises.  I find it more comfortable to rage against the machines than to challenge my own body parts.  Sandie, the therapist, showed how to perform the knee bends lunges by bending one leg to 90 degree angle and then the other.  She brought her back knee almost to the floor,  which I call showing off.  But then, she's never had knee surgery.
    Next week will be my third and final week, though the orthopedist wrote the script for four weeks.  Vacation intervened and Medicare has strict guidelines for enforcing the end date.  I think I'm fine with what I have.  Further sessions would only increase the weights and the number of each exercise.  Of course, if need arises, I'm confident I could obtain another script.  Now that  the physical rehab is in one large space, I can see more patients, who are working with the other therapists.  The killer is the range of motion stretching exercise.  Some obviously suffer, and a few say they've had enough.  The only reason I could schedule one of my next week's sessions was that one man has not shown up for the last two of his sessions.  The wimp!

Endoscopy Danger

   I have undergone only one endoscopy in my lifetime, and it was done in the hospital.  But the gastroenterologist performing the procedure did so with one arm in a cast.  I was already hooked up to an IV when the nurse or tech or whatever told me that the doctor had slipped on the ice and broken his arm.  She said he had cancelled his colonoscopy procedures, but was doing endoscopies.    I remember asking which arm and was he right or left handed, but no one answered.  By the time he entered the room, I was too woozy to see which arm.  I'm lucky to be alive.