Friday, August 26, 2016
Thursday, August 25, 2016
Go on to bed (it's midnight now--I slept a couple of hours earlier before I went to the store, too). Get up at 4 am...um, more like 6 am in reality Load the dishwasher. Do the plastic dishes and other non-dishwasher items. Gather up Kroger bags, both plastic and reusable, that are strewn about, and put them in their places (the regular bags should go back to Kroger to be recycled, so I'll put them in a bag and take them out to the car. Gather up the trash and recyclables.
- Take them out.
Fill the ice cube trays. Clean the toilet and bathroom sink. Wipe down the counters and island in the kitchen.
- Straighten up the living room and dining room.
- Sweep the floors and mop the kitchen and bath.
Tuesday, August 23, 2016
- Water the plants inside and out.
- Straighten up the living room.
- Clean up the kitchen and make some zucchini, peppers, and onion before they go bad, so I can have it for lunch tomorrow.
- Update my ledger.
- Clean the bathroom.
UPDATE: Of course, did I do any of those things? No, I fell asleep for 12 hours, because apparently I'd been going, going, and going, and finally went plop. Oh, well, I got some much-needed rest, at least.
Sunday, August 21, 2016
Okay, A should be calling any minute for a ride home from work. I should go put on street clothes, get him, come home, and go to bed, as I have to be over for the game at 9:00 am to prepare for company. Good night.
Saturday, August 20, 2016
Friday, August 19, 2016
- Yesterday morning, I managed to get to the gas station even though I was over 12 miles on my gas light, and I got it to 3/4 of a tank. I had a sense of accomplishment all morning as a result.
- Yesterday afternoon, before leaving for my eye exam, I tested my blood sugar and it was completely normal--105 mg/dL. I had my exam. Turns out my old glasses are too strong (as were the contacts), and so my prescription went back a little on distance and increased in terms of the bifocal so that I can hopefully read small print better (I've been having to take my glasses off to see my phone, and then hold it something like four inches from my face because I am nearsighted). These frames are also purple (I was going to go with tortoise-shell or something like that, but really, the purple was best on me, and they didn't any of what I was looking for in tortoise-shell). Because I was looking for a specific type of glasses (the one with magnetic sunglasses, and my insurance currently only works with one manufacturer that they carry in them), I had my choice of about seven frames. But I like my choice, and can have the sunglasses rather than the Transitions lenses, which don't turn dark while driving a car. I did get an anti-glare coating and progressive bifocals (that's what I'm used to). All told, the glasses and frames would have come to over $1000. My part, including the co-pay for the eye exam, was right at $300, most of which I was able to put on the last of my flexible spending card, so I paid about $65 altogether, which I didn't think was bad. They should be there in about two weeks (my insurance requires them to go through its labs).
- After that I went to Meijer, which is in the same shopping centre, and got a cable for my glucometer and a few groceries. I came home and pretty much got ready for bed, as I had an early appointment this morning.
- Today I got up really, really early (4:15 am!) so I could go get YKWIA up and drag him to my 7:30 appointment with my endocrinologist, since he had an appointment at 9 am [well, 8:45, as they called a day or so before and said be here then], and we were trying to get to both. Despite crossing a black cat's path (just kidding, although I did), everything worked out fine. My blood sugar in the office was 112; the hA1c was 6.8%, down from 7.4% last time, and at one point I was 10.4%. So I'm doing much better. Actually, at the level I'm testing now, my next hA1c should be in the area of 5.8-6.2, as it's running on average about 121 mg/dL. Of course, that's dependent on me keeping up the good work. And because I am doing better, I don't have another appointment until February. She did tell me to go down on the morning long-acting insulin by 5 units if I continue to have lows before lunch. I've already gone down 10 units, so that may be enough. She doesn't want me having to eat to keep up with my insulin, but rather reduce the insulin if needed, which (of course) makes sense. The worst part of the morning is since I needed fasting labs, I didn't have anything to eat or drink other than water this morning, so no caffeine, either. The best part is I still managed to get to YKWIA's appointment early, even though they'd called and moved it up by 15 minutes.
- YKWIA bought me breakfast after our appointments at McDonald's drive-through since I had taken him. After getting to work, one of my (sometimes) supervisors bought her people lunch at Columbia's Steakhouse today and included me, since I help out in the scheduling department sometimes. I had a fish sandwich with giant steak fries. But the fried food didn't sit well on my stomach, I have to admit, and so I just ate dinner and it's almost 9:30 pm--I became really hungry just a little while ago. YKWIA and I went and got some groceries for our respective homes, and so I got some burritos and some veggie sausage/egg/biscuit sandwiches and had some of the latter for dinner, along with some string cheese and a banana.
- I am so sleepy. I've been up for almost 18 hours, and I think it's time to call it a day. I need to be over at YKWIA's by 10 am tomorrow, and I have some things to do before then, so I'm going to try to get up early (but not nearly as early as today).
Thursday, August 18, 2016
Tonight things were pretty bare in the cupboard when I got home about 9:30 pm after running errands with A. I wasn't really hungry, but needed to eat, so I had a small bit of a Dove chocolate bunny (we'd had them donated at the hospital last week and I've slowly been eating it) . It's solid chocolate, and very rich, so I didn't have much, and I didn't want to blow my blood sugar through the roof, as I have my eye exam tomorrow. But then I feel asleep, woke up about 1:30 an, realised I hadn't had my Lantus (long-acting insulin), gave myself a shot, and also realised I felt odd and should probably take a reading, which I did, with difficulty. If I can't get enough blood out of my finger after three sticks, is a sure sign I'm low, and, indeed, I was 53. I ate the last bit of the bunny and then microwaved the one bit of real food in the house - - Gorton's grilled Salmon, which is probably what I should have eaten in the first place. So I've eaten that and my glucose is up to 93. I'm glad I see my endocrinologist day after tomorrow.
Tuesday, August 16, 2016
The weekend was okay, but not nearly long enough, I guess. We got to play the game. I started the notes today, but ran into some trouble with Windows Media Player on my laptop, so I'm going to try to use Groove Music, which is recommended for Windows 10, instead. It just stopped playing, then said there was a trouble with the file, then wouldn't start Media Player at all. Fortunately I still had it on the voice recorder should the file have been corrupted, so I have another copy as a backup.
Yesterday I got a phone call asking what I was doing after work. Apparently YKWIA's coffee maker went out before the first cup of coffee of the day, which is a crisis in that household. So after work we went to Meijer, found a simple yet very efficient coffee maker, and I put everything together and brewed the first cup of coffee. Apparently it has a warming tank for water, and makes the coffee from that, so what your pour in only replenishes what is used. So after I got it all together correctly, I had to put water in it and let it warm up, then could brew the coffee. I had to explain not to turn off the tank switch or unplug the coffee pot (he was somewhat dubious of the safety of this. Keep in mind he's from a family whose family house was so old it didn't originally have that new-fangled electricity in the bedrooms, and it was added later, running lines outside the walls. He also once destroyed a computer by unplugging all the cables to the computer before a storm, even though it was on a surge protector/battery backup, and at the time didn't realise that the VGA monitor cables screw in, so he tore the video part of the motherboard apart. He's always turned off the coffee pot AND unplugged it as a matter of course, so it didn't get accidentally left on, which is quite reasonable, really. But this one is different. I made him a couple of cups of coffee, fully expecting a call in the morning, even though I'd explained briefly how it was different than his last one. Well, apparently today he learned not to put the water in first (closing the lid to the brewer makes the water run on through), got cold water a couple of times, and coffee=coloured water at one point, and I have no idea what he was doing wrong, but he eventually got it right before I got off work. I am not allowed to ask what the problem was. He insists he did read the instructions. But the important thing was as a result, he needed coffee from teh store, and creamer, so I went and got some of that, and he splurged for dinner from McDonald's, too, so we ate. Then I dame on home.
I found out that my endocrinologist appointment is apparently Friday at 7:30 am. I thought it was the 29th, though, so YKWIA had made a fairly urgent appointment with one of his doctor's at 9 am that day. I might be able to make it work, but it will mean getting him up at an ungodly hour and taking him first to my appointment, and then his. Thank goodness for that coffee maker, is all I can say. I'll call tomorrow to make sure the appointment time is correct. I actually spoke to one of the nurses today about whether they had a code to put into the OneTOuch Reveal program, and she was unfamiliar with it (as a professional office, they use a different program entirely) and she said she'd ask the rep when they come in a couple of weeks.
I suspect they're going to have me go down a bit on my insulin. I'm on quite a bit, after all, having gone up on the Lantus slowly until my blood sugars got more normal, but now I'm going low in the morning sometimes, unless I eat a mid-morning snack. I went down to 58 this morning right before lunch, so I ate a piece of bread with peanut butter on it. By the time I normally leave for lunch, it was up to 68, which was still low, so I didn't use any rapid-acting insulin for lunch. I'm also tracking my insulin this week to see if the program will notice patterns. I've taken down the morning long-acting insulin by 5 units; I think it needs to go down at least 5 more, but keep the nightly dose the same, as that affects the morning blood sugar levels, which with me are usually higher (today, uncharacteristically, was only 103 this morning). I am also happy that now that things are more normal than they were (I'm averaging about 129 over the last two weeks, with good control), that the eye doctor's office called, and where I was on the waiting list, they've moved my appointment up to Thursday at 4:45 pm. That's a better time for my blood sugar than the morning appointment I had, and now I won't have to wait until September. So I went ahead and told my bosses of the new appointments and they were fine with it. Thursday and Friday are slower, anyway, and I can come in early tomorrow and Thursday to offset any loss of time.
Today at work I was asked if I had any trouble with the revenue cycle people taking over the referrals, which is really who should be doing them, and with an eye towards transition to the new medical centre, they want to take it off my hands, which is fine with me--it's the least favourite task of my job, to be honest, particularly calling insurance companies to see what a referral entails for their company. I still have the charges to put in and the reconciliation of charges to do. Probably at some point they'll take over the monthly audit; I think that's really supposed to in that area, it's just I was the one who started doing them when they were instituted, so I have been. But since neither my librarian job nor the data entry position are going to the new building, they're having to examine what to do to carry on some of my tasks. The facility charges won't be an issue--that's something only a hospital can charge, and they'll be an ambulatory care centre. I don't know about the cast and procedure charges I put in--they may have to be done by somebody else. And the reconciliation of charges will probably be taken over by surgery, as it is their charges.
I also spoke to the administrator today about items in the library and have a better idea of where we need to go with breaking up the library. I'll take the ideas to the library committee meeting next month. I also have a better idea of the algorithm for disposing of hospital property and the level of services available in the new building (the latter, may be a real issue for them, as they won't be able to get free interlibrary loans unless they come up with some sort of agreement with the folks at the university). I also have an editor interested in a short column on closing a library, so I'm going to write up something on it before January and maybe get it published, too. The last two books of my order came in today, so I'll catalogue them tomorrow, and that will be it. We may be able to break the newer books into appropriate offices (i.e., Green's Hand Surgery to the doctor who specialises in that, the gait analysis books to the motion laboratory, the family resource centre books to care management, etc.) The journals are actually the big issue. I really don't want to have to recycle a lot at the end of everything. I have orthopaedic journals, some of which have very good runs (I have the Journal of Bone and Joint SUrgery back to the early 20th century, as in during World War I, for example. There's also (randomly) an 1832 book on fractures. Really. And I found out that they did find a place for some historical proceedings that had been donated by a former board director, so that's great.
I'm trying to do what I can to lessen the blow of losing the library as much as I can. Considering that when it closes, it will have been in existence for 30 years and was relied upon for information needs, articles, and a host of other things, it will be sad to see it go. And of course, I go with it. :( But I'm trying to keep a stiff upper lip on that front, and in the meantime I keep looking for a position. I check my sources every day or so.
Okay, I guess I should wrap this up. Sorry I didn't blog for a couple of days. as life was rather busy. Hope you have a good week.
Sunday, August 14, 2016
Argh. I just got an education in USB and USB Micro and Mini connectors thanks to a guide by Cables to Go, which they very helpfully put up. Why, you ask?
The Bluetooth on the meter does work, but is apparently designed so you have to unpair and re-pair the meter with the phone each time you go to upload a test, which seems a little silly. Then I got one that refused to go...it just said there were no more new readings, but there was one, plain as day. So I thought, well, I'll just upload it with a cable.
Apparently, although the manual says a 'standard' USB cable will work, only Micro B cables will plug into the meter. Also apparently, all of my USB cables were either B (printer), Mini B (5-pin) [most everything else], or in the case of my camera, Mini B (4-pin). The only Micro B cables I have happen to be the charger for my Kindle Keyboard and the cable that goes to the portable charger that stores the charge and can then be used to charge the phone. (my phone, incidentally, uses a Micro-USB 3.0 charger, that has both the regular Micro B pins plus some others, so you can use a Micro B charger, it's just slower than the 3.0 one that comes with it. So, of course, that was definitely a no-go.)
I haven't tried the charger cable yet, but the Kindle cable worked fine. I was able to transfer the reading without any problem. But in the process I learned a lot about connectors. And now, maybe you have, too.
Friday, August 12, 2016
I also was careful today with sweets and took all my medicine with me, in their bottles (I threw them all in the backpack) so I could fill my pill box properly. As a result, my blood sugar was very good today. I'm still having problems with my ankles swelling; when they get big on a day I don't take my diuretic, like they did yesterday, it takes a day or two to get the fluid off of them).
But primarily, there was the meter issue. I see the endocrinologist in a couple of weeks. My values have been good on my blood sugar, for the most part. I should have a lower hemoglobin A1c than last time, and last time was an improvement. I hadn't transferred my results to the computer in awhile, though, and I like to so that I can print a report for her. But I discovered when I tried to bring up the software that it 1) didn't work anymore, with a runtime error and 2) wasn't being distributed anymore. So I couldn't just uninstall and re-download. Instead, Lifescan has created a combination web/mobile application called OneTouch Reveal, which allows you to upload values and find patterns, create reports, all the stuff the old standalone software did and more, and presented graphically and in an easily understood format. My meter, a OneTouch Verio IQ, has a cable that came with it that plugs into the USB port of the computer, and I used a downloaded transfer utility that they have you get (it's free) to transfer several months of readings across to the new web interface. I also downloaded the mobile application. I was very happy with the results. There is also a provision that if you get a code from your doctor's office, they can share the information with them, which is presumably more secure than my e-mailing the logs to the doctor, which is what I had been doing. So I have a call into the doctor's office for that. But along the way, I discovered a new meter that connects and syncs with the mobile application (which in turn, syncs with the web interface), so you don't even need the cable. That way, you can update frequently. It is the OneTouch Verio Flex. I checked, and it was available at the pharmacy for $20, and it's a flexible spending item, so I was able to go ahead and get it after work. It uses the same strips and lancets as the IQ, so that doesn't change. I've set it up, taken my first test, and paired it with the phone so I've already sent that one to update the database. Here's how the two meters stack up:
- OneTouch Verio IQ
- Colour display
- Test strip port light that shines on the strip when you're testing
- Rechargeable battery
- Tags (before/after meal) can be made when you take a test on the meter itself
- Can use an included standard USB cord to download results to a computer
- Can browse results in multiples by day
- Alerts when high or low patterns are indicated
- Case zips to contain lancets, solution, etc.
- Must be charged regularly, either by using the USB cable in a computer, or using the enclosed power adapter with the cable.
- No way to communicate directly to phone; must use cable.
- Small lettering on menus.
- OneTouch Verio Flex
- Can use Bluetooth to pair/connect directly with mobile application
- Can use a standard USB cord to download results to a computer
- Large numbers, easy to read screen
- Indicator easily shows whether high, low, or normal in range
- Small, compact case, so whole thing lighter, and it fits in a purse flat and easily
- Doesn't have to be recharged regularly, so no need to carry cord in case
- Holster comes out of case and can be clipped on belt and still hold meter, lancet, and strips
- Monochrome display (the colour used to indicate high, low, or normal is part of the meter, and then an arrow on the screen is the indicator)
- USB cable not included
- Battery is a standard watch battery. While it doesn't need to charge, it does need to be replaced--but on the othe rhand, most meter batteries last awhile
- Tags are assigned in mobile application, not on meter
- No menus, patterns, etc., although it does allow you to go up and down the results
- Pouch for lancets doesn't zip--I have mine in a Ziploc snack-sized bag tucked into the pouch.
- Not as hefty, but also seems more cheaply made
Okay, on that note, time to unpack everything an get ready for tomorrow. Good night.
Last night I got home at 11:30 pm after running many errands for others; tonight I got home at 11:30 pm after helping a friend with various things, including cooking. (I made pesto by hand, because the blender is somewhat dubious at the moment, with a mortar and pestle and lots of stirring) It was nice, however, that when I got out of the car, I looked up, knowing the Perseid meteor shower is going at peak, just in case, and a lovely shooting star went right across the sky, one big enough to make it through the light pollution here at what used to be at the edge of the city, but which is now merely outer Lexington. Yay! I forgot to make a wish, though. :) My main wish at that moment was to come in and get a shower--it's very humid out there, even now, and I've been sticky most of the day.
Today I rescheduled one appointment and then starting calling opticians around Lexington. See, last year I got an eye exam, but my blood sugar had been running high, and so when I wore the contacts and the glucose was back in the normal levels (as it usually is these days), things were blurry, so I've been wearing my glasses that are between 2-4 years old. But today I found out that it's not a revolving year; my benefits kick in each January. I can get new frames every other year, and new lenses every year, so I'm eligible now, even though it hasn't been a year since I got the contacts. I still have about $258 on my flexible spending card, too, so that should help. I usually spend some extra on my glasses than the insurance because I get progressive bifocals and (usually) Transitions lenses, which turn dark in daylight. However, a serious drawback to the Transitions lenses is even though they are good when you are walking around outside, they are absolutely useless when you're driving and it's sunny. See, the auto glass prevents the transition, but doesn't block out the UV enough to help protect your eyes from damage. What I need are sunglasses. But I don't want separate pairs of prescription glasses and prescription sunglasses. Years ago I had a pair that had a magnetic clip that affixed the sunglasses to the glasses frames. I called around to see if anyone still carried those. My normal optician stopped carrying them three years ago. I tried another in-network group, and they didn't, but they suggested their second location, and I hit pay dirt with them. I have an appointment on September 2nd, and am on the call list should there be cancellations between now and then. Yay, again!
Okay, it's after midnight. I am ready for bed. Tomorrow promises to be a fairly long day, too, as a friend has an appointment after work and then we were going to go over some bills. I'm going to try to finish the notes tomorrow during his appointment--I just got a start on them last time, but then we did a lot of visiting and not a lot of action, until the end, so it should go pretty quickly. Investigation is what really bogs me down in the notes, because of all the details. This was mostly interactions and then one of Brenda's characters was attacked by someone towards the end of the game and fought him off. So I might be able to get it all done in that hour-long appointment. If not, maybe I can do most of it and have a little of Saturday to finish up. We'll see. I'm glad we're playing again, though. Okay, good night for now. Hope you're having a good week.