I generally reserve the length and breadth of this space on Thursdays to bitch and complain about whatever three things have most agitated and annoyed me over the week. In what’s probably an unprecedented move in 587 editions of What Annoys Jeff this Week, I’m not going to do that.
Instead, I’m going to use this few minutes to single out a single, anonymous person who saw the flare I sent up last week and immediately took the time, long after duty hours, to respond and start the great machinery of the bureaucracy in the direction of fixing what has been a seemingly simple to fix, yet lingering problem now for over a year.
Most of what happens in the belly of this great green machine goes unnoticed and unremarked. Such is the nature of the bureaucracy. I don’t suspect any of us ended up in this line of work because we needed a lot of external praise… but as the saying goes, when you see something, you should say something.
So, nameless bureaucrat, thank you for taking up a cause that wasn’t necessarily yours – certainly one that could have been staffed to someone else. What you do and how you choose to lead doesn’t go unnoticed.
Thoughts at fifty down…
The internet is chock full of sites about weight loss, exercise, and healthy eating. You don’t need to worry about this turning into one of them. Everyone wants to tell you about their “weight loss journey,” or how happy they are, or how it’s been the most wonderfully transformational experience of their life.
Yeah. I’m definitely not one of them.
As of late last week, I’m down 50 pounds. My reasons have nothing to do with looking better or giving much of a damn about having transformational experiences. My sole motivator is doing whatever is advisable to keep my heart from attempting to race out of my chest for no apparent reason while I’m sitting in the living room watching television on a random Wednesday night. Full stop. If we arrive at a final diagnosis that doesn’t include weight as a contributing factor, you can rest assured that I’ll go on a burrito, and cheesesteak, and lasagna eating binge the likes of which the world has never seen.
The simple truth is, I don’t feel any better. I don’t feel more energetic. I certainly don’t feel “transformed.” What I do feel is just about constantly hungry. I also feel mad as hell that recipes I spent 20 years perfecting are now in the ash heap because the “appropriate serving size to stay within your caloric goals” is a 2-inch by 2-inch square or 1/2 of a cup.
If you happened to think my mood was a bit surly before, well, this new, lighter Jeff is just wandering around looking for a reason to pick a fight.
Look, if you’re one of the people who gets thrilled and excited by this sort of thing, more power to you. I’m envious. For me, it’s more an experience to be endured while I ponder if what I’ve given up is worth the few extra unpromised miles I may or may not tag on the end of the trip.
In time, maybe I’ll get to acceptance… but just now, I’m perfectly happy to sit here stoking the low-grade rage.
What Annoys Jeff this Week?
1. Operating one man down. The bosses don’t want to acknowledge in any meaningful way that we’re a man down – working at 66.6% strength with 100% of the day-to-day work they still think should be happening. Of course, that’s before whatever additional surprise “hey you” random shit and odd jobs come oozing in over the side on any given day. There might have been a time I’d work myself into a nervous breakdown trying to keep up, but let me assure you those days are long gone. The wheels will come off where they come off and I won’t lose a minute of sleep over a slow-moving accident that management had months to avoid.
2. Failure to accept defeat gracefully. Look, sometimes you can plan a party and due to timing or circumstances, or because people had a really shitty time at your last party, no one gives any indication of being interested in showing up. Once you’ve exhausted all the options, called in the favors, and done everything you can do to get people interested, you really only have two options when you’re three weeks out and only have a score of people signed up. You either cancel things in a controlled, methodical way that creates the illusion of some reason other than you couldn’t convince anyone to come to your party, or you accept that you’re doing $100,000 of planning to put on a show in an empty auditorium. Either way. At least no one will be able to say I didn’t warn them.
3. Broken encryption. We have a group mailbox in which I spend half my time working. For the last six months or more, though, the encryption certificates for that mailbox have been invalid, so any time someone sends us an encrypted email, we have to stop what we’re doing and ask them to either send it unencrypted or send it to our personal mailbox. Then, sign off the group mailbox, sign into our own, and forward the message. It’s not hard, but it’s a time suck and fucks with the basic workflow of the day. The fix to this is an easy one, just requiring us to forward some paperwork over to the IT trolls. We’ve raised it to management on more than one occasion… but bosses being bosses have decided that they don’t want to do that because they have a “better way.” It’s one goddamned simple fix to make life in this cubicle hell marginally better, but it’s too hard to do. It’s about to become my newest workplace obsession and I’ll be talking about it in every forum possible until it gets fixed, I retire, or they fire my ass.
The future of mindless scrolling…
I recently bit the bullet and signed up with Mastodon. I’m not saying it finally happened because Elon Musk went through the convolutions of trying to rebrand Twitter overnight and he’s increasingly using the platform as a mouthpiece for Russian propaganda, but it’s absolutely a contributing factor.
I’ll freely admit that I have gotten spoiled by Twitter’s ability to aggregate most of the information that I want – especially in the breaking national and international news and pop culture categories. Whether that ends up being enough of a reason to stick around remains to be seen.
I’d be lying if I didn’t admit that my screwing around trying to set up my account on Mastodon didn’t raise (or reinforce) other, larger questions about my consumption of social media. I wonder if there’s much actual value beyond self-advertising and self-aggrandizement to compulsively flicking from Facebook to Twitter to Instagram to Threads to Mastodon – especially as the social media universe further fragments. I wonder if perhaps it’s time to descope my online presence rather than continue to add to it. Of course I’ve been wondering about that for a long while.
It’s a question of value added. Am I getting more out of these platforms than I’m sinking into their upkeep and maintenance. With a little honest self-reflection, the answer to that question is probably no. They’re all burning up time that I could likely reallocate to some higher purpose.
I’m not going to launch into a screed about mindfulness or any of that nonsense. There are times when pure, mindless scrolling is precisely what’s called for… but maybe it would be for the better for me if it were happening just a little less frequently. Whether I’ll do anything about that or just let inertia carry me along, though, remains to be seen.
What Annoys Jeff this Week?
1. The good idea fairy. The GIF is a pernicious feature of life in the bureaucracy. Its mission is to take projects or programs that are perfectly fine, even serviceable, and sprinkle them at the last possible minute with pixie dust and render them stupid, painful to execute, or optimally both. Having great ideas is fine, but when your idea of the week generates a minimum 80-hour per year manpower requirement when you’ve just lost one of three employees, it might not be a particularly good time to launch this new crusade. But hey, if the powers that be want me to spend my time following grown ass adults making sure they’ve cleaned up after themselves, I’ll do it all day long… but they shouldn’t be surprised when a whole laundry list of other “very important activities” just doesn’t get touched.
2. Data mining. My insurance company partnered with a company doing “free” A1C testing at home. Fine. I’ll share a bit of medical privacy for a free test. But dudes you’ve got to make it easy. I walk into the doctor’s office every six months (or more often lately), they jab my finger and my A1C number appears in my online patient portal before the doctor has even walked into the exam room. By contrast you gave me two columns of instructions that included “let the sample air dry for 3 hours before packaging” and then “it must be shipped the same day.” Either make it easy to go along with your data gathering scheme or bugger directly off.
3. Breakfast on office days. On days I’m stuck going into the office, I used to just swing through McDonald’s and grab an egg McMuffin. It was the definition of quick, easy, and simple. Now I’m making breakfast at home. It’s not that I don’t make a tasty breakfast so much as the process is a massive time suck. Instead of scarfing down my egg sandwich at my desk or in the car, I’ve got a full meal to prep and clean up before I’ve even left the house for the day. It’s reduced my morning reading time on office days to practically nothing. That makes it a pain in the ass with very little ROI besides a vague “healthiness” that doesn’t do much to improve my general mood in the mornings.
What Annoys Jeff this Week?
1. Results. I’m a reasonably intelligent man with a fairly analytical mind, but I’m at a loss for what to do when results from something like an MRI drop into my online patient portal long before my doctor has a chance to look at and comment on them. As wide as my academic interests are, it’s never ranged as far as internal medicine, so the reports end up being a lot of gibberish with lines, arrows, and color codes that mean precisely nothing to me. That, of course, doesn’t prevent me from using Google to try gleaning a bit of understanding… which never results in anything other than low grade panic or mild confusion. I can’t believe I’m saying this, but I almost miss the olden days when the doctor received the report and the patient didn’t know dick about it until the medical professionals called to explain what’s what. I’m not at all sure this current model of complete transparency is helping me in any way.
2. Retirement. In my little slice of Uncle’s big green machine, there are 3 people who do more or less what I do. We’ve been a decent little team for the last half a decade or so. One of the three (lucky bastard) is retiring in a few days. His backfill is nowhere in sight. With three people, in all but the most extraordinary circumstances, we could work around everyone’s schedules and keep the trains running on time. With two, well, I’ve already identified two days that’ll be listed with “no coverage” in the next two months. That number will explode when the other guy adds his scheduled time off to the mix. All of that’s before we’ve even talked about the week or two gap for Christmas and New Year’s. None of those issues should be surprising. We’ve been warning the bosses about it for months. But not to worry… there’s allegedly a “temporary” fill-in coming and the bosses are going to hire a permanent replacement with all the speed and agility the U.S. Government is famous for displaying. With the pace at which the bureaucracy moves, I don’t expect to see either of those things happen until well after the new year, if ever. The only thing I know for sure is that for the foreseeable future, there’s going to be 24 manhours per day of work to do and only 16 manhours of personnel on hand to do it. The math, as they say, just doesn’t math. I know I won’t magically be doing an extra 4 hours of whatever every day, so I reckon the powers that be should probably get prepared for a diminished baseline of productivity and discovering that they’re just going to have to wait until we get around to some things. That’ll go over like a fart in church, but this was an issue that could have been addressed any time in the last six months… so, I’ll be damned if I’ll be treating the inevitable result of bureaucratic fuckery as any kind of emergency for me.
3. Exercise. Everyone on the internet loves to tell you that “once exercise becomes part of your routine, you’ll love it.” Maybe that’s true for them, but for me, I can assure you that no, the fuck I will not. Every daily walk or session on the exercise bike is 30-40 minutes I’m allocating under protest, because it’s sucking up an incredibly finite resource that I’d much rather put towards reading, or writing, or anything that I might even partially enjoy. Maybe it’s better than being stabbed in the kidney, but as something to pass the time, exercise is easily the least enjoyable part of my day. I’ll do it because it’s being required of me by someone who has far more knowledge about modern medical theory and practice than I have. Still, there isn’t a power on earth or in heaven that can convince me I’m having a good time.
Diagnostic tests, doctor shopping, and medical snobbery…
Since my original diagnosis of “probable SVT” way back in July took place under the umbrella of the ChristianaCare hospital system over in Delaware, my first appointment with cardiology was also made within their system. That was fine. Their main campus is reasonably well reviewed and I could get seen by a cardiology nurse practitioner in August, which I’ve found out through this process is a fast turnaround for a new cardiology patient who isn’t inactively laying in a hospital bed.
In the intervening days and weeks, though, I had a follow up with my primary care doctor, who operates as part of the Johns Hopkins system. He was less enthused about my decision to use Christiana for my cardiology needs – explaining that their cardiology department, while fine, is “not ranked” whereas Hopkins cardiology is currently ranked 13th in the nation with the hospital consistently ranking very near the top of any list of “America’s best hospitals” that’s ever put together.
Yes, my primary care doctor is a medical snob.
Despite his cajoling, I kept my original appointment, which led through a series of tests and reports that I was going to need anyway. I also reached out to Hopkins Cardiology to get myself on their waiting list for new patients and ended up with an appointment scheduled deep into October. It wasn’t ideal, but since I was going through all the preliminary tests and could then hand over a pretty good sized file, the timing wasn’t a major issue for me. I was able to take advantage of their wait list option to get my first appointment in the books last week – with a guy who has been practicing for 40+ years and has the look and feel of someone who has seen just about everything. In other words, he’s exactly the guy I want even if all we’re doing at the moment is preventative and exploratory.
With all other things being equal, if being able to access some of the best cardiologists in the country means driving 45 minutes west instead of 25 minutes east, ultimately it feels like not much of a decision at all.
It turns out, like my primary care doctor, I too am a medical snob.
So, I’m going all in. My optometrist recently retired. Instead of going over to the doctor that took over his practice, I’ll let Hopkins run the show for my eyes too. I’ve got my first appointment set up with the closest branch of the Wilmer Eye Institute later this year. That puts all but one doc under a single banner… and when the time comes sometime in 2024, I’ll bring that one into the fold too.
All of these new faces on my medical team are a little further away than I’d like, but I feel like what I’ll lose in adding a few minutes of extra travel time, will pay me back in the convenience of having them all working under the same organization. I was woefully unprepared for the level of coordination I’d need to do myself when my primary care doc and everyone else had electronic records systems that refused to communicate with each other.
I’m in no way fool enough to believe that being “nationally ranked” is any guarantee of better outcomes. For now, it appears that most of my problems are fairly benign, but should something become more involved or I develop a novel condition over time, I’m going to put my faith in the big name going forward. Hopefully they’re not just riding their 135-year-old reputation.
Some people would take this opportunity to rail against the American healthcare system. Undoubtedly, it has challenges – but I’ve been absolutely amazed by the level of services and the array of options that have been presented to me over the last three months. Don’t think for a moment I’ve failed to realize my great good fortune to have both the geographic proximity to one of America’s great medical centers and an insurance plan that makes walking through their doors possible. There hasn’t been a day go past recently when it hasn’t been at the forefront of my thoughts.
Security blanket…
For the last five weeks I’ve had an electronic security blanket. Far away, wherever Philips giant data center is located, computers monitored the output from their Mobile Cardiac Outpatient Telemetry (MCOT) devices, and their algorithm has been plugging along keeping a remote eye on my ticker.
The only feedback this little wonder device gave me was that occasionally one of the leads came unstuck and needed to be reaffixed. I’ve just been operating under the assumption that if there was something catastrophic happening, someone might have called or cut the testing short. I have no idea if that’s true or not, but in the absence of clear guidance, I’ve created my own.
I hate to admit it, but I felt just a little bit better with this little bit of plastic and silicon chips quietly doing its thing in the background.
The fact is, these last two months have been the only time in my adult life I’ve honestly been bothered by living alone. The only difference from June 28th to today is the fact that I now have evidence that something could go horribly wrong rather than simply knowing it as a purely intellectual exercise. That evidence is enough to leave me feeling decidedly uneasy now that my security blanket has gone away.
Taken as a whole, the last two and a half months have been disconcerting in a way I’d haven’t previously encountered. I don’t know that there’s anything to be done about it other than to accept that I’ll now have a new nagging thought in the back of my head for the foreseeable future. Moving someone in just to make sure I haven’t accidentally dropped dead as I go about my day-to-day activities, feels like it’s probably a wildly excessive overreaction… but don’t think the thought and a hundred other derivative ideas haven’t been banging around my head this weekend.
Anyway, I kind of miss my security blanket.
What Annoys Jeff this Week?
Cat food. For two small mammals who used to live rough outdoors, my cats seem to have an overdeveloped sense of pickiness when it comes to food. I’m trying to get them off their wet kitten food onto wet adult food and it’s…. not going well. The number of “premium” brands and flavors I’ve purchased only to find them rejected is, honestly, embarrassing. I’ll be handing the scores of castoff cans to the local shelter in due time, but it’s still money and effort I’d have rather not spent. I’ve been at this for a month now and haven’t found a single thing they’ll touch.The more expensive the food or better quality the ingredients, the less interested they get. They can’t stay on Pro Plan salmon flavored kitten food forever. Probably. I wonder if they still like the Friskies blend they were getting at the shelter.
Vegetables. Look, I like vegetables. I just don’t like them in the quantity you need to eat them to make them calorically significant. A nice dinner plate has no business being five or six ounces of meat and then 37 metric tons of green beans, asparagus, and squash. I’m sorry, it just doesn’t. And then doing it all without any decent sauces is just adding insult to injury. I’ll do it, but there’s not a power on earth or in heaven that can make me like it.
Warm body duty. This week, the prevailing schedule found me schlepping over to the office one day so that I could remain in compliance with the guidance that “everyone must show up in the office one day each work week.” Whatever. It’s a radical improvement over being there three times each week, but still, it can’t help but feel a little bit contrived when you spend the day doing absolutely nothing that you couldn’t have done at least equally as well from home. I don’t think I’ll ever entirely understand the managerial obsession for having someone performing duty as the designated warm body, at a specific desk, in a specific room. I’ll dance to the tune they call, because they paid for the band, but you’ll never convince me that “just because” is a good reason to do one thing over the alternative.
(Home) Office space…
With the new and improved telework agreement now in place, I’ve arrived at the unavoidable conclusion that my home office needs to be upgraded in several ways.
My set up isn’t particularly unusual. On the personal side, I’ve got a soon to be six year old 27-inch iMac that’s still an absolute workhorse and probably 5x more powerful than anything I actually need. It’s a great machine, even if it does occupy a significant amount of desktop real estate. For work, I’m toting around a Dell Latitude with a 16-inch screen. From it, hang an absurd number of wires and dongles – USB hub, mouse, Wi-Fi antenna, headset, and camera (rarely).
Most of the time, the laptop is perfectly serviceable for anything I need to do day-to-day. There are times, though, particularly when working in Excel or PowerPoint or dealing with multiple documents at the same time, where having a larger screen would be helpful.
I’m sure there are ways to rig my laptop to use my iMac as a monitor, but that violates my first rule of working from home – my personal computer and my work computer must never, ever meet. They can sit on the same desk, but I want them to share absolutely nothing from one system to the other. Those are two streams I never want to cross.
That’s going to mean there’s a lot of “unnecessary” duplication with two full set ups occupying my desk. I can live with that, but want it to be done in an elegant a way as possible. Figuring out what that looks like is where I am now.
It certainly means buying a more robust hub/docking station and probably a new monitor – ideally one that with a build in camera and mic that will let me dispense with headset and camera. On those days when I can’t avoid the schlep over to the office, I’d like to unplug the laptop from one cable and walk away. Currently, I have cables running everywhere and it’s just unsightly and an uninspiring way to work. It was less of a problem in the height of COVID, when the laptop mostly stayed put and in the immediate post-COVID environment when I was in the office more than home. Now, it needs to be functional and look reasonably attractive.
After the technical hurdles are surmounted, I know I’ll need new lighting. The current lamp is fine, but adding a second monitor means I’ll need the space it’s occupying. In a perfect world, I’d like to find a slightly larger desk to hold it all. Being that my current “desk” is a kitchen table I liberated long ago from a dusty shed and pressed into service, I like my chances of being able to find a suitable upgrade. In fact, I’d be absolutely willing to just buy another table, but slightly longer, as this one has worked surprisingly well for the last 8 or 9 years.
When all this might happen, remains firmly in the “to be determined” column on the calendar, but I expect to see some of it sooner rather than later.
JEFFREYTHARP.COM 