A case against modernizing…

It’s Wednesday. There would usually be a well prepared post showing up here. The time I had allocated for that today was supposed to be immediately after my 12:30 appointment with the dentist. That would have been fine except for the part where what should have been about an hour or 75 minutes getting a crown replaced turned into a three hour and thirty minute marathon in the chair. All because the magic computer that’s supposed to scan your teeth and order up a perfectly sized crown refused to work. They couldn’t give me a temporary crown until the base for the permanent one was scanned, measured, and sent off to the manufacturer.

Twenty years ago they had a pretty efficient way of taking those measurements. They’d take a mold of the base of the tooth and then send the mold off to be processed. It might have taken a few days longer to process, but you could be in and out of the chair without killing half a damned day. All things considered, I’m not sure digitizing what use to be a straightforward and quick process has really gained us anything in this case.

As it is, I’m disgusted by the whole process. Rather than writing a whole diatribe, though, I think I’ll just stick my nose in a book and nurse this sore as hell lower jaw for a bit.

What Annoys Jeff this Week?

1. Storming Area 51. The media has been caught up on stories of people who are “planning” to storm Area 51, or the US Air Force facility at Groom Lake, Nevada. I like to think most people have signed on as a lark, maybe because they want to feel like a part of the latest internet sensation. The internet is full of stupid, of course, so I have very little doubt that at least some of them are really “planning” to cross into the facility on or about the appointed date and time. It also seems likely that the type of people most likely to attempt this are the ones least likely to be prepared for what they’ll meet… miles upon miles of some of the most inhospitable terrrain in the United States, almost no services – including hotels, gas stations, and water, and some very irate and serious guards should any of them happen to actually stumble, sunburned and dehydrated, into the restricted area. Planning. I have deep reservations about whether that word means what the internet seems to think it means.

2. Prime day. Every year feels a little more like Prime Day is just an amazon garage sale. It’s certainly a “so what” event from a book perspective. I miss when amazon was a bookseller. Of course I’m still locked out of my Prime account anyway so it doesn’t really matter.

3. Water. The universal advice when getting over a cold is to “drink lots of water.” I’m increasingly convinced that no one who gives that advice has ever actually tried to do it themselves. Water, even the fresh, pure stuff coming up from the well on the homestead starts tasting disgusting after you reach a certain volume of throughput. That’s if you can say it really “tastes” like anything at all. All I’m saying is that if experts want you to flood your system with something, they should make it something that’s reasonably good tasting, I mean where’s the advice to drink lots of hot chocolate or good rye whiskey?

Taking care of business…

I read an article this morning that indicated “studies report” a massive uptick in the number of people who are seeking mental health treatment because of issues ranging from “the world is spinning out of control” to “climate change is going to kill us all in the next 50 years.” These and similar Big Fears are apparently incapacitating an entire generation of people by filling them with existential dread.

Look, we live in interesting times, I get it. I’ve also studied enough history to know that everyone always thinks the world is ending. When the Soviet Union parked missiles in Cuba, the world was ending. When the German army marched on Paris in 1940, the world was ending. When the heir to the Austro-Hungarian Empire was killed in 1914 and the Europe descended into war, the world was coming to an end.

The point is, we’re hardly the first generation to think the world is spinning off its axis. Although past performance isn’t a guarantee of future results, something tells me that we won’t be the last one to think that either. To our credit, I suspect humanity is far harder to kill off than we we’ve been led to believe.

I’m not going to blow sunshine up your ass and tell you every little thing is going to be alright, though. There’s more then enough shitshow to go around. The trick is, you’ve got to turn the news off occasionally. They’re telling the worst stories of the day because that’s what puts eyes on screens. I won’t claim to be immune to the news of the day… but I spend most of my effort looking at the small bits of it I might be able to influence in some way. Put another way, I take care of my business, keep my nose clean, and make sure me and mine are as able to ride out the inevitable storms as well as we can with the resources available.

You’ll find no end to problems in this old world of ours if you insist on looking for them. My advice is to try just focusing in on the ones where you can make a difference instead of the ones that almost seem designed to inflame and distract. Who knows, you might just save yourself a few sleepless night and tens of thousands of dollars in bills from the local head shrinker, so it’s a bit of a two-fer.

Partial diagnostic credit…

After a morning road trip through some of Pennsylvania’s finest horse country and 30 minutes of abdominal scanning, it turns out that my regular vet had the diagnosis right, but gets only partial credit on the underlying cause. Still, I count that as exemplary work for a condition that presents as a shitload of things that don’t feel like they should really be logically related.

It turns out that Cushing’s is the correct diagnosis, but rather than a tumor of the adrenal glands, the glands themselves were “significantly” enlarge. In fact they’re currently 5 times bigger than they’re supposed to be and hammering out cortisol like its their full time job. Since we’ve ruled out an adrenal tumor, that basically leaves a growth on the pituitary glad as the last culprit standing.

In many ways, the adrenal tumor would have been easier to treat – open the abdomen, remove the tumor (and the accompanying gland), and the symptoms go away. It’s an invasive operation with good success if the dog survives surgery and the first week of recovery. The problem is that 30% of dogs that have this treatment don’t get past that first week. I’m a betting man, but when you’re looking at odds of one in three chambers having a live round, I’d have an awfully hard time pulling the trigger.

I’m waiting now for my regular vet to get the report and work up the treatment plan. My best estimate is that it will be to treat with daily medication to reduce the amount of cortisol being made rather than something surgical. My reading shows that surgery for pituitary-involved Cushing’s is possible, though exceedingly rare for dogs. What this really means for Maggie is she’s likely going to have to take some fairly high powered pills twice a day for the rest of her life. There’s going to be more home monitoring and increased testing at the vet to confirm that everything is working normally. Basically it’s nothing that life with a bulldog didn’t prepare me to deal with already.

There’s a catch, of course. Without dragging her back to the specialists and ordering up an MRI of her brain, there’s no absolute way to know if this tumor is benign or malignant. Research says the large majority of pituitary tumors in dogs are benign. With an average canine MRI running into several thousands of dollars, I’m inclined to let the odds dictate our response on this one. If it turns out to be something more aggressive, the options I’m willing to pursue decrease fairly dramatically anyway.

The prognosis for all of us is the same in the long run, so there’s very little advantage to be found in trying to plan against it. With all that said, I’m cautiously optimistic that we can strike on a way ahead that maintains or improves the brown dog’s quality of life in the short and may even mid-term.

Vetting or: The tale of a sick labrador…

Over the years I’d grown so accustomed to having one sick dog and one well that last month I even noted my budget had gone wonky from the unusual lack of vet bills. You’d think by now I’d know better than to open my electronic mouth and temp drawing the wrath of whatever from high atop the thing. If you thought that, of course, you would be wrong. My mouth has been, is, and seems likely to continue to be my worst enemy.

After a few incidents and observations over the last week or two, what I seem to have now is just one sick dog. Not falling over, edge of the mortal coil sick, but sufficiently sick that we’ve already run two diagnostic panels in as many days and scheduled the next – which promises to be an all day affair for my sweet brown dog later this week.

It’s one of those times when I’m ill served by having a professional and personal bent towards research and analysis – particularly as there’s absolutely nothing I can do about the situation until we strike on a test that does something more than confirm some of the possibilities. Just now we’re tracking it as potentially a kidney issue or a liver issue or the wildcard diagnosis of Cushings disease.

I’m told by those in a position to know such things that all of these are treatable – at least in the sense that it’s often possible to slow down the degenerative processes involved. Time, however, is a remorseless bitch and treatable does not mean “curative.” That at some point everything that’s alive will eventually be not alive is pretty much just one of the rules of nature. Even the best care simply prolongs the inevitable for all of us.

Maggie isn’t in pain. She’s her normal, happy labrador self. That’s something. Personally I’ll feel better when we have an enemy I can fight on her behalf, but for now I’m trying to be calm and contented in giving her endless chin rubs and maximum attention.

What Annoys Jeff this Week?

1. Data mining. Every time I start thinking that data mining is becoming too invasive and privacy becoming too fragile, the interent reminds me that it’s still pretty far away from going Skynet and killing us all. You see, I know this because companies that specialize mining “big data” keep feeding me ads about how to find and finance the “perfect engagement ring.” I’ll admit to having a passing interest in gemstones, but I can’t claim a need or interest in actually buying them. I have neither the inclination or reason to do so… and I’ve never once searched the internet for one. The cloud might know our reading tastes and hold the secrets to our collective perversions in our search results, but in many ways it doesn’t feel like the interent knows me at all.

2. Domestic enemies. All newly hatched federal employees take an oath of office. The one I took isn’t too far different from the one taken by a typical Army officer or even the one sworn by members of Congress. Unless I missed an unprinted annex or codicil, though, my oath to support and defend the Constitution didn’t include an oath of poverty and it certainly wasn’t an oath of unpaid servitude. That there are near on 400,000 people who swore an oath to support and defend the Constitution against enemies foreign and domestic currently fulfilling their oath without pay is an embarrassment – made all the worse because each day they bring back more an more “unpaid help” in order to avoid inconveniencing anyone. Excuse me? It seems that if you’re going to have a shut down of something the whole point is to make it as inconvenient and painful as possible. And these twatwaffels are sure as blue hell “inconveniencing” the people they expect to pay out of their own pockets for the privilege of coming to work. I blame President Trump. I blame the leadership in both the House and the Senate. I blame every single member of Congress who uses this as an opportunity to grandstand. And I increasingly think I know who the “domestic” enemies are that our oath featured so prominently. 

3. Blood. Blood as a rule doesn’t bother me. I can see people bleeding and not flinch. The rivers could run thick with the stuff and I’m not sure I’d notice… but let me be strapped into a chair at the local doctor’s office and have someone start sucking vials of my own precious life-sustaining fluid from my veins and I’m apt to go all cross-eyed and pasty. I just feel like medical science should do us a favor and step beyond the age of leeches here.

What Annoys Jeff this Week?

1. Second Monday. Look, I’m 100% thankful for the unscheduled Federal holiday on Wednesday. The unintended consequence of this Executive Branch largess, though, was that this week had what is effectively a “second Monday.” Going back the the work after a bureaucracy-free and relaxing weekend is a regular, recurring minor trauma that fills Sunday evenings with angst and dread. Once the week gets going though, the follow-on weekdays are each slightly less traumatic than the day before. Plopping an unexpected day off down in the middle of the week created an unnatural imbalance in the normal flow – and in doing so made Second Monday feel even worse than regular Monday. It’s hard to believe that such a thing is possible, but there it is.

2. Cubicle Hell. For all of the wonderful management literature written extolling the virtues of “open concept” workplaces, none of them bother to take into account how the average employee may actually require some time to analyze, read, or complete a work product that requires some level of concentration. I only bring it up because of the increased frequency of people holding entire goddamned meetings with groups of 4-5 others spilling out into walkways or shouted over the top of adjacent walls. Multiply that by as many as 5 of these impromptu “meetings” fired up all at the same time, well, you might as well sit back and start counting ceiling tiles because even pretending to look productive under the circumstances is a lost cause.

3. The human tailbone. I’m not a fancy big city doctor, so I don’t know exactly what a tailbone is supposed to do for a person. I reckon it’s mostly like an appendix – except that when something goes wrong with it it doesn’t burst and kill you so much as it stays right where it is and hurts like a sonofabitch whenever you sit down. In any case, it seems to me that there should be some kind of corrective option beyond, well, just don’t sit so much. That’s fine advice, I suppose, when your day isn’t spent tethered to a desk and reading  volumes of fine print for the minutia that someone is trying to bury in the fine print. And yes, before someone points it out, I know that Churchill worked at a standing desk. He also worked in the bathtub and I am, clearly, no Winston Churchill.