In which DH does not have rabies but we spend as if he does

Three weeks have passed and DH is still alive.  Hale and hearty even.  We are all grateful and relieved.

So….

Remember how DH helped break up a dog fight and had to get tetanus shots and I purposefully didn’t get the dog’s information because it was an intact pit bull and I didn’t want it to be put to death?  (Turns out that is not a thing in this state– they would have just quarantined it for 10 days.)

A month later, DH came back from a business trip feeling nauseated off and on, with a headache off and on, and chills off and on.  After reading on the internet about how the incubation period for rabies is 1-3 months but can last up to 6 years, and reading up on the symptoms of rabies, and how you die within 1-3 weeks once symptoms have started (so far only 10 people have survived after symptoms started, and 8 of them had been vaccinated prior to getting bitten), he also developed anxiety and insomnia.  Which are also symptoms of rabies.  On the fourth day he started getting muscle twitches.

Early on in this process, we’d looked for places to get first of four rabies shots.  Walgreens has rabies vaccine, but not the first shot which has human blood in it and isn’t very shelf-stable.  None of the urgent care places in town had it.  No doctor we were recommended carried it.  Everyone said it had to be gotten at the emergency room.  DH’s insurance said they do not cover the rabies shot under any circumstances.  So to the emergency room it is.  This will be a minimum cost of 10K, and I would not be surprised if it tops out at 13K including the cost of the first shot.

At the emergency room they told DH he didn’t need to get the other three shots at the emergency room and recommended a couple of urgent care places or the department of public health.  Neither of the urgent care places would give DH the second shot.  The department of public health said the emergency room was smoking crack and they never give out rabies shots.  They said their protocol was to get the first shot at the real emergency room and to get the remaining three doses at the emergency room place without actually going into the emergency room and seeing a doctor in order to save $.

So I told DH to call the emergency room to make sure that things could work that way.  He called, but did not ask about the not seeing a doctor or the money stuff.  He just basically confirmed that they had the second shot.  Then he went and saw a doctor and had more unnecessary tests done.  So… >$20K so far.

I was not annoyed about the first emergency room shot, as I figured that was an unavoidable (albeit expensive) way to decrease DH’s anxiety, but I’m not that happy about the second shot given that he didn’t actually ask about the protocol the department of public health suggested.  He did talk to the emergency room billing again after, but they basically said they couldn’t talk to him about the bill until after it had been refused by his health insurance.  So there’s some hope he might be able to negotiate it down.  But who knows.

When he got his second shot, he got all the info about the shot (and the third and fourth shots) and it turns out those are exactly the same ones they give out at Walgreens as pre-rabies vaccines, so he could have just gone to Walgreens for the second shot and been done after paying $350.  Which he did for the third and fourth (and final) shots.  So $700 paid on credit card.

I don’t know when we’re going to get our actual insurance bill for the emergency room visits.  If we do end up paying more than $20K, that puts a really big bite into my car fund in addition to cutting into the emergency fund.  Which I guess makes the choice of cars easier as the options become much more limited.

So, you ask, why didn’t you just get the information for the pet owner?  It takes at most 11 days for an unvaccinated dog to die of rabies.  If the dog is still alive, then DH didn’t get rabies.

Well, we didn’t have the contact info for either of the dogs.  We posted on nextdoor (the neighborhood social media site) and on day 3 an anonymous neighbor pointed us in the direction of the golden retriever owners.  They were very nice about everything and gave us the contact information that night for the pitbull owner, but warned us that they thought the pitbull owner’s house was for sale.  And indeed it was.  For sale and empty of furniture.  DH tracked down the facebook page of the dog owner’s son which was blank, and then to the son’s wife which had lots of oversharing posts.  The posts mentioned the grandparents moving to the closest city (~2 hours) and it sounded like they were taking a dog with them, though no guarantee it was the dog in question.  But also no mention of sad dog deaths in the previous month.  The son’s wife did not respond to a FB friends request or any of DH’s queries.

We also called the agency that handles dog licensing in our county, since your rabies vaccines have to be up to date to be licensed.  But of course the dog wasn’t licensed.  So that, too, was a dead end.

On the morning of DH’s second shot, DC2 woke us up to let us know zie had thrown up in the night, the first of several throwing of ups.  As I groggily listened to hir, I realized I too felt nausea.  The nausea came and went.  So did a headache.  And chills.  All three symptoms would come and go randomly, seemingly completely unrelated to each other.  The chills were particularly disturbing.  I can understand how DH thought something out of the ordinary was happening.  (Though it turns out this weird virus has just been going around– it doesn’t last as long for most people because most people sleep instead of googling things that cause anxiety.  DC2 was better in a day and I was completely better by day 3.)

And that is our expensive and exasperating story.  My colleagues think it’s hilarious, and indeed, it is hilarious given that DH is still alive and we’re not going to have to go into major debt, just buy a cheaper car or sell some stocks.  Most insurance companies don’t cover rabies vaccines for people because they’re expensive and usually they’re just being given as anti-anxiety shots.  (Obviously if you’re bitten by a wild animal, you should get them if they can’t autopsy the animal in question.  But for pet dogs who are behaving nicely towards humans, not as clear.)

Morals:  If you’re breaking up a dog fight, use water, or lift the back legs of each animal.  Do not mess with their mouths.  If you get bitten by a pet dog, get the name and contact info for the @#$23ing dog so you can see if it dies in 11 days or not.  If you do get the series of four shots post-bite, get the first one in an emergency room and the remaining 3 at Walgreens (using a different schedule than the one that Walgreens will want to use– talk to the emergency room doctor about the schedule for all four shots).

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List of things I need to do to take care of myself

  1.  Get a haircut.  It has been 2 years.  Update:  I tried to do a walk-in at the place next to DC2’s newish Saturday morning activity, but they were full-up.  When traveling dies down, if I haven’t gotten a haircut in a conference city, I will make an appointment for during DC2’s activity one of these weeks.
  2.  Get an eye-exam and new glasses.  I think it has been over a decade and my driving glasses have scratches.  I am also intrigued by the idea of computer glasses.  Update:  got the eye exam while at a conference at the Lenscrafters in [conference city] (everything is aok, though I’ve gotten slightly nearsighted in addition to my astigmatism; doctor says I can still use my glasses for just driving).  Will pick the glasses up at another conference in the same place later this month.  (Oddly, I think I’ve gotten all my glasses since 200X from the lenscrafters in this mall, and a good number of my haircuts.  I have several conference buddies who refresh their wardrobes periodically from the Ann Taylor there, though I don’t because there’s never anything in my size on sale.  I get my shoes in a completely different conference city.)  I also used my prescription to order an extra pair from (not sponsored!) zennioptical, which is where my DH gets his actual glasses.  Update:  have both pairs of glasses, and both make my vision really crisp.  I definitely needed an updated prescription!
  3.  Get a mammogram.  I filled out the online form for an appointment a couple weeks after my birthday but haven’t heard back.  I should call.  Update: scheduled for May 2nd.
  4.  Get tested for diabetes/insulin resistance or just get a metformin prescription.  I have PCOS.  Over the holidays plus during job candidate season I overindulged and didn’t listen to my hunger and gained weight eating all sorts of refined carbs.  Since then I’ve gone back to my regular mostly diabetes-friendly diet, but my weight has stayed the same instead of dropping like it usually does when I listen to my hunger, my periods have stopped (this could be menopause in action) but I keep feeling like I’m about to have my period, I’m tired and fatigued a lot, I’ve been drinking water a lot more, and I’ve been getting headaches (but maybe my hair is just too long).  Also I occasionally wake up with tingly fingers or toes.  In response I am going completely no-refined-carb (goodbye wheat thins, the cookie in cracker form), but I really ought to also just see a doctor for testing or medication.  Update:  diet change seems to help a lot, and when I do accidentally eat something with lots of sugar I feel cruddy and brain-foggy within an hour or so.  Still no period.  My current plan is to go back to the rule from my late 20s when I was first diagnosed:  3 months no period => go see the doctor.  That puts me at the start of summer to make an appointment.  Update 2:  diet change helped with that too… so I think I’m going to need to decide if I want to continue with the diabetes diet vs. go on metformin.  It is just hard to be careful about added sugar and refined flours (and I *like* refined flours), but metformin is unpleasant and can also interfere with B12 absorption which is something I occasionally have a problem with.  So I dunno.  After doing some youtube watching, it sounds like if you’re good about your diet over a 3 week period, diabetes won’t show up in the initial blood screen because you’re not getting the bad symptoms that show up in the bloodwork.  The fasting icky drink the awful orange drink tests should still show up positive though.
  5. Eat more vegetables.
  6. Get my skin checked out.  The problem with this is that the dermatologist office in town has a reputation for removing all moles, not just the ones likely to be cancerous, and he has a “non-disparagement” clause thing you have to sign, so nobody is allowed to leave a negative review on Yelp.  So I would have to find a dermatologist elsewhere and get to them.
  7. Get new brown dress shoes.  My current Pikolino’s half boots (3-4 years old) are getting worn down in the heel.

RBOC

  • DC1’s algebra teacher quit to join administration a couple of weeks after the second semester started (after a week long absence).  I guess we’ll have to keep a closer eye on the rest of the semester since algebra is so fundamental and I’m pretty sure zie doesn’t now how to factor polynomials even if zie does know how to multiply them.
  • Super bummed that Teen Vogue is no longer doing a print edition.  The last few issues were AMAZING, including one guest edited by HRC.  Irritatingly, they switched DC1’s subscription over to Allure magazine “the magazine for people who care about beauty” or something like that.  Full of “beauty tips.”  This month’s issue was on nudity and had a nearly naked airbrushed stereotypical model on the cover.  Completely not appropriate for an 11 year old or really anybody.  And very different from a magazine that features people like Malala Yousafzi on the cover.  I will be getting a check for $2 in the mail for my cancellation– Teen Vogue should have been charging more.  It’s a different market and was worth much more than the ridiculous $10 for 2 years or whatever it was I paid.
  • Forgive me, for I have referred to a paper about fertility as “seminal” in published work.  Next up:  referring to a paper about religion as “canonical”.  And a paper about building cities as, “ground-breaking” (or should I save that one for agriculture?).
  • it is weird to me that my kids have had macarons before having had macaroons.
  • DC2 has moved onto chapter books at school.  Zie is in love with the Geronimo Stilton that DC1 read maybe once or twice.  They have such different taste in books.  Really the only commonality is that they both love Jim Benton, author of Franny K Stein and Dear Dumb Diary.  I so wish we had Scholastic so I could indulge in buying sets of series we don’t have (like Thea Stilton!)
  • Preserved walnuts are really good.  If you ever get the opportunity to try/buy them, take it!
  • My cholesterol is fine this year (whew!), so maybe all that additional lunchtime walking did some good!  Unfortunately, it doesn’t seem to have helped with my vitamin D levels (which may explain the fatigue I’ve been having), so my doctor wants me to go from 2000 iu to 5000 iu.  I’m going to compromise and do 4000 iu because that means I can have a 2000 iu when I brush my teeth and keep another bottle of 2000 iu in my office when I get my mid-day slump.
  • It isn’t a bargain if you can’t afford it.
  • We owed an additional $2846 in taxes this year, not counting the estimated taxes for this next year.  [Update:  We forgot a whole ton of donations– didn’t go through the school email folder or the check register, so it’s actually $100 less than that.  With the additional donations, we’re just a little over the standard deduction.  Also turns out there’s no point for us to declare a home office since we don’t get anywhere near the minimum for it to count for us– We make too much and our house is too big and too cheap.]
  • DC2’s school was having a performance for parents/relatives and one of their dances had them shooting with finger guns.  This disturbed DC2 enormously given that they started practicing right after the FL school shooting.  Thankfully someone decided to change that number to something in less bad taste.

Little kitty was overgrooming because she had dual ear infections

The headline is basically the story.  Little kitty was basically giving herself a buzzcut through overgrooming.  She also kept avoiding us touching her ears.  We worried it was allergies (she’s already on prescription food for her ideopathic too-much-calcium) or anxiety (we already have one cat on Prozac).  But the vet cleaned out her ears and gave her ear goop to fight the infections.  Within two days her ears felt better and within a week it was noticeable that she was no longer over-grooming.  So, whew.

Have you had any experience with pet overgrooming or ear infections?

Ask the readers: How to get the word out about ACA enrollment?

The Trump administration is trying to kill the Affordable Care Act administratively since they’ve failed legislatively.

Open enrollment is open from Nov 1st to Dec 15th this year.  (In previous years, people had the chance to look over their plans during their winter holiday vacation.  This year that’s out.)

The website will be shut down every Sunday from Midnight until noon for “Maintenance” except for Dec 10th.  I assume that’s to keep people from getting help before or after church.

Advertising has been cut, money for people to help navigate the system has been cut.

Then there’s some bizarre stuff going on with the previously most popular “silver” plans– rates on these have skyrocketed because of government malfeasance, and it may actually cost the same (possibly less!) to get a “gold” plan than to get a silver plan.  (“Bronze” plans will cost about the same as before, but are generally high deductible.)

Forbes has an excellent article detailing these and other points as well as giving advice.  Huffington post also has a great article/video giving advice for navigating the system.

I’ve seen various twitter accounts reminding people to sign up for the Affordable Care Act.  But I wonder, what can we do to get to word out to people who don’t follow activists on Twitter?  I’ve posted a sign on my door at work and am considering mentioning it in class.  Most of my students (at least in the past when I’ve asked) are still on their parents’ plans.

Let’s brainstorm… any suggestions for how to get this information out? 

An urgent email from Indivisible re: AHCA

The following is an email from Indivisible

Just as a preface: we don’t normally send “Help! The house is on fire!” emails like this because they can seem fake and alarmist. But we feel the tone of this email accurately represents how dire the TrumpCare situation is right now. Forgive the urgency—we promise to do this rarely.

What’s in this “new” TrumpCare bill.

After weeks of total secrecy, this morning Senate Majority Leader Mitch McConnell released the Senate TrumpCare bill. And what a cruel, ugly bill it is. It destroys Medicaid, it increases health costs for the middle-class families, it cuts coverage for pre-existing conditions, it eliminates funding for Planned Parenthood…and it does this all in order to green-light a massive tax cut for millionaires and billionaires. Oh, and it will likely get worse once it gets to the Senate floor.

But this isn’t over yet. Senate Republicans don’t have the votes…not yet. We have time to fight back, and it doesn’t matter if you have a Republican or Democratic Senator—you are needed in this fight. Here’s how to fight back.

People don’t realize how dire this is. We’re trying to get the word out to amp up public pressure on Congress NOW by launching a digital campaign to turn out more people against TrumpCare. Join us.
 Increase the pressure today 

How the TrumpCare fight will play out

Senate Republicans have promised a vote by the end of next week. But there are still several steps between now and passage of TrumpCare. Here’s how the former congressional staff at Indivisible Team think the fight will unfurl:

  • Tomorrow, we’ll get a Congressional Budget Office (CBO) score, which will quantify exactly how many millions of Americans will be screwed by this bill and in what ways.
  • On Monday or Tuesday, Republicans will officially announce the vote is happening by the end of the week and start debate on “the bill,” which is just a draft bill intended to make it look like they’re being transparent but in reality is a trick to hide just how awful their finished product will be.
  • Over the next couple days, Senators will submit amendments, most of which will fail and none of which would make this bill redeemable.
  • On Thursday, the Senate will plan to vote on the legislation, but first they will vote on all submitted amendments (known as “vote-a-rama”).
  • At the last possible minute, Senate Republicans will replace the entire bill they just got finished “debating” with an alternative TrumpCare bill secretly crafted behind closed doors.
  • By the end of Thursday, there will be a final vote in the Senate.
  • As soon as that same Thursday, the House may then pass the legislation and send it to Trump to sign. This could take longer, but this is the worst case scenario and quite possible.
  • Next weekend, one week of congressional recess begins. They’ll either have the bill done by then, or they’ll have to wait another week.

Throughout this process there will be precisely zero public hearings in the Senate. Make no mistake, this is a historically partisan, secretive, and undemocratic process for one of the most consequential pieces of legislation of our generation. This is atrocious.

So let’s fight it. All you need to pressure your Republican Senators, including DAILY scripts and new materials, is on our TrumpCareTen.org website. Need more background materials? We’ve got ‘em for you here. It’s critical that you’re showing up and that when you’re not showing up, you’re calling your Senators every single day.

TrumpCare Facebook Live tonight!

Join Indivisible for a special Facebook Live TONIGHT at 8:30pm ET. We’ll give an update on where the legislation stands and answer your TrumpCare questions.

Don’t like this TrumpCare bill? Help us amend it ASAP

Got a Democratic Senator? You’ve still got work to do. As mentioned above, one of the final stages of the TrumpCare bill is a little-known process known as “vote-a-rama” where ANY Senator can submit as many amendments as he or she wants. And here’s the thing: EVERY amendment takes time to be introduced and voted on. We’re collecting THOUSANDS of amendments and submitting them directly to Senate staff.

Please please please: submit your amendments here, and get your friends and family members to submit amendments. We know this is working already. Senators are reading these amendments on the Senate floor. But we need thousands more.

This is about applying your constituent power directly to the process. This tactic can delay the bill and make it more politically painful for Republicans to move forward. It’s not a silver bullet- McConnell and Senate Republicans can still blow up Senate rules and cut off the amendment process. But to do that they’ll have to go on the record literally silencing the victims of TrumpCare in their own states, which they really don’t want to visibly do.

We’re amping up the pressure, giving us money will help

Here’s the hard truth: McConnell’s strategy of secrecy is working. National and local press aren’t covering the TrumpCare fight, so fewer people know about it. That means there’s less public pressure on Congress, and it’s easier for Senate Republicans to move forward. If we drag this TrumpCare bill out into the light, it will rot. That’s our job right now.

We’re trying to get the word out ASAP. We’re running a comprehensive digital ad campaign around the country that’s reaching new people and producing roughly 1 new amendment through our amendment tool for every 10 cents we spend. This rate of reach is ridiculously effective and efficient—it’s a rate almost unheard of in the digital marketing space. But we need help getting the message out, and this costs money. Every dollar we raise over the next 24 hours—up to $25,000—will go toward digital ads to turn out more people and to our social media staff to focus on stopping TrumpCare.

We want EVERYBODY rising up to kill this TrumpCare bill. To do that, we need to invest more in our anti-TrumpCare outreach work NOW. If you want more people in this fight, please donate. $15, $28, $50—any amount will help us reach new folks. We’ll be expanding our reach DIRECTLY in response to your donations.

We are under no illusions that victory is assured here, but victory is possible. Every member of Congress voting on this bill will eventually have to get your vote to be reelected. That’s the source of your constituent power. That’s what makes them responsive to pressure. Remember in March when Paul Ryan embarrassingly called off his first TrumpCare vote? That happened because of public pressure. That happened because of you.

We’re not going down without a fight. Let’s stand stand indivisible again. Let’s win this.

In solidarity,

Ezra Levin
Co-Executive Director, Indivisible

 


www.indivisibleguide.com | Donate

Getting it Together

So my partner and I are trying to be grownups now (sort of…) since we’re pushing 40 years old.  We decided to work on our health together.

We want to eat healthier.  For me, that means less pasta and more vegetables.  I’m not a vegetarian but my partner is.  We decided to try cooking healthier at home with the aid of Purple Carrot (because we have money).  We’ll let you know how it goes.  We both have doubts but we’re willing to try it.  Other meal prep/delivery services like Blue Apron seemed to have much worse options for vegetarians.

Here’s what we resolved.

He will pay for most of the food and be in charge of cooking it twice per week.  I will make sure we get the food box from the apartment complex’s leasing office (where it will be delivered if we’re not home) before the office closes on delivery day, and be in charge of cooking it once per week.  We will both help cook on all 3 days per week — currently scheduled for Wed, Fri, Sun.  The email comes to me so I can choose if we want to skip a week or pause.

The long weekend of July 4, we will clean the kitchen together so we can start cooking that week.

Also, we might exercise more.  He commits to working out before work 3 days per week, in our apartment building’s fitness room.  I can’t do early mornings probably, but I am considering (at his suggestion) starting with a 30-minute walk 3 times per week while listening to a podcast.

Also I need to look into getting our couch restuffed so it has more back support.

We’re old, Grumpeteers, but we’re working together.  Wish us luck!

Have you done any life-improvement projects with your partner?  how did they turn out?