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April 28, 2009

What you are is what you have been, what you will be is what you do now
Buddha

Grand Central Station by Ian Foster
Click images for desktop size: "Grand Central Station" by Ian Foster
Yesterday was bright and sunny. It reached 80.
Today it is 57 and pouring ice cold rain.
Gammera the Invincible
I took the dogs out for a shortish walk. Every person who was walking a dog got an advert from me telling them about the wonderful dog walk on Sunday. I started the pitch with the off the wall info that this place is so beautiful that they charge a hundred grand to have a wedding there!
I wonder if anyone of them will show. Their dogs would love it.
I walked the 5 miles to the doctor's office in 43 minutes. It would not have been as fast if I had the dogs with me but it would have been more memorable.The Jolie Family
Click images for desktop size: "The Jolie Family"

It was hot and I was sweaty. From the reaction and movement of the other waiting patients they must have figured I had swine flu. Anyway it got me into an examination room in record time.
While I waited for the doc I had time to read an entire book! It was "Diabetes for Dummies". Interesting franchise. They seem determined to provide instruction for everything.
The doc came in in a rush. He was nervous about something. The man has no chin. Where his chin would have been was quivering. He asked a couple of unimportant although mildly pertinent questions, clearly to calm himself down. He was so nervous I tried to be relaxing.
He sucked it up and then just plunged into it. He pulled up my blood tests. He explained them so fast I couldn't follow anything he said. When I asked for clarification he didn't get much calmer.
The hardest part for him was that my diabetes was out of control. The pills (metformin) that sensitizes my body to insulin was still working fine but the pill that forces my pancreas to produce more insulin was not. My pancreas was producing almost no insulin. Time for me to go on the needle.
He flinched when he said it. As if he was afraid I was going to slug him. I still had the dark glasses In Like Flint by JW MCGinnis
Click images for desktop size: "In Like Flint" by JW McGinnis
on and I was certain that I had my normal blank poker face on so he must have been reacting to something deep inside himself. "I'm afraid you're going to have to start doing injections. It's only one a night. The needles are so thin they don't really hurt. Honest." He said it all in a rush then rared back in his chair pulling as far away from me as he could.
While pulled back he continued, "And there's albumen in your urine. The chemo damage to your kidneys is degenerating. You'll have to take some pills for that. Apropo, no, Avisio for them. To protect them more than anything."
I pulled my chair closer so I could see his computer screen more clearly.
"Boy, my bad cholesterol is super low, isn't it. Sixty really good isn't it?"
"Yes, but your good cholesterol is far too low. The proportion is bad. You seem awfully calm about all this?"The Girls on the Beach
"I kind of knew this was coming. One day. Not happy about it but . . . It will it be Lantus? Is that the insulin injection?"
"Yes. Lantus. I'm putting you on 100 units a day. Increasing it by 10 units a day until the blood sugars get under control. The Lantus could cause further damage to your kidneys."
"I got my dialysis in my future?"
He fumbled before he said, "Most people don't need dialysis even after years of Lantus. You can't promise anything though."
All I could do was nod. He took my blood pressure while he went on to explain all the new procedures and things I'd have to fit into my new daily routine. And all the arcane cabalic rituals I'd have to undertake before I could fill my new prescriptions. One of them is I have to meet with the staff pharmacist. Not to fill the scripts but to have the rules explained to me and to show me how to inject myself. A pharmacist?
My blood pressure was 120 over 60. I was expecting it to be through the roof but it was the best its been in six weeks. I have not the slightest idea what that signifies. The doc ignored my question about it.
So after I start taking the injections I have to check my blood sugars 3 to 5 times a day. That means bleeding 3 to 5 times a day. Two weeks after I start I have to do another blood panel. Two weeks after that I have to go back in and see the doc.
The money for all this worries me the most.
I don't know how I feel about all this. Not happy. Not too upset. Just the grim inevitability of it all. Not even paranoid.
2009 USC Football
Click images for desktop size: "2009 USC Football"
More pills, plus injections plus more blood work is a pretty worst case scenario but at least I ain't dead. I figure bad news here means I'm owed some good luck over there.
I walked home. A lot slower. I passed some youngish girls walking dogs. I figured that a sweaty man wearing shades and ear buds might not come across right so I didn't tell them about the dog walk on Sunday. I wanted to.
On the way home I stopped at the bakery to get some of the cheaper but superior bread and some Halvarti with Jalapeno cheese. The bakery was uncomfortably warm. There was an irate guy there holding a screaming baby. He was shouting at the little old ladies who work there. It seems he ordered some rolls that he was supposed to pick up on Sunday. He didn't. They sold them to someone else. He had it in his head that once he ordered them they belonged to him and they should have held on to them. He hadn't called and told them this. He hadn't paid them anything.
He kept getting louder. The baby kept getting louder and the little old ladies looked warm, Gorgo uncomfortable and frightened.
I was pretty calm and suggested he go outside for a minute and let the baby cool down. He spun on me. I had about five inches on him and I wasn't holding a baby. He took my well meaning advice.
The little old lady thanked me. I said, "For what?"
She said, "I wish Mr Giant Dog had been here! Hem must be so comforting to you."
I explained that the dogs were at home. I never thought of Giant Dog as being comforting, at least not in the way she meant.
At home my friend and I watched another Doris Day movie, "It Happened to Jane". It wasn't very good. The situation was too real to be silly. Jack Lemmon had a good monologue and Kippy's dad Ernie Kovacs, was pretty much wasted. First totally duff Doris Day movie we've watched together. Next up will be "A Touch of Mink" with Day and Cary Grant. Rah!
My friend was beat after her day but she still offered up a lot of sympathy and support. I don't think she appreciated that I'd rather think about the dog walk and kitting up the kids on Saturday.
No problem is so big it can't be ignored.

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