Showing posts with label kvetching. Show all posts
Showing posts with label kvetching. Show all posts

Tuesday, January 12, 2010

Optometrists/opthamologists in the D.C. area?

There is probably a heavy overlap between the people who read this thing and the people who read my Facebook page, but I'll ask here again anyway.

I am nearly out of contact lenses. As in, have one pair that I am wearing now. I've been getting them from my doctor in my hometown in Pennsylvania. But it is impractical to keep going to see doctors who are based there, especially since I intend to stay in D.C. unless Pnin gets some kind of lavish lateral offer.

I found an optometrist based in D.C. by internet search. Various factors -- my realizing I'd left my glasses case on my desk five minutes into my walk to the Metro, the slowest train ever being in front of mine, and the office not being easy to find -- conspired to make me about ten minutes late. I was raised by a German father and spent five years in a German Moravian high school, so I do understand well that yes, this is deeply obnoxious and perhaps even unforgivable.

When I got there, the doctor informed me rather curtly that he did not have time to see me. He informed me that he blocks out only 20 minutes per patient, and he would have to rush too much because of my lateness. The receptionist apologized rather profusely for this, which led me to think "abrasive." Perhaps I am being unfair, though -- it's hard to tell.

I now have to wait until a week from tomorrow to see him again. I would prefer to be able to order new contacts before then, if possible. Though first guy does have a policy that he can charge me $50 for the missed appointment. So perhaps I should just gut it out and deal with him.

The relevant questions:

1)Was this unduly obnoxious of him?
2)Can anyone recommend an optometrist/opthamologist who is easier to see?

Oh, and before anyone asks: no, I can't just order contacts online. I've tried this before. Under some sort of Pennsylvania consumer protection law, my doctor there can't or won't release the prescription unless I have seen someone in his office within the last 12 months. It's been about 13.5 since I've seen him, so that won't work.

Thursday, December 10, 2009

I do not dig the Singulairity.

I realize it is in perhaps bad taste to write about one's personal health struggles. Think of this post as a dress rehearsal for my sixties, which I plan to spend griping with suitable eccentricity and wit, while wearing gaudy jewelry and sipping Bloody Marys. I fear I am already such an old soul -- c.f. Winston Churchill-- but that's another story.

Longtime readers know that I am allergic to cats. I'll be traveling across the continent next week, and I anticipated possibly spending some time while there in a house with a cat. I've also struggled with more seasonal types of allergies off and on (including, I fear, some that are making my current cold worse) and so I figured that it might be a good idea to meet with a local allergist. The person might have suggestions for dealing with the seasonable allergies and/or might be able to give me something prophylactic so that I can be in the house with the cat. I do not actually like needles,* but I figured I could withstand one if I had to.

Allergists apparently make new patients do skin tests as a matter of course. A nurse injects tiny quantities of different common allergen into your arm and sees which ones cause slight irritations. About fifteen seconds into said skin test, I started yelping in pain. The nurse started looking at me, worried, since apparently people do not normally react that harshly to quantities of allergen that tiny. I could not take anti-histamines to relieve the throbbing in my veins, nor scratch. But the allergist herself did bring me some water with ice cubes to suck on, which dulled the ferocious itching some. She also offered a granola bar, but it was the unfortunately too chewy kind.

I'd brought along a a book about voter fraud to keep myself entertained while waiting. In some ways, it had significant waiting room/metro book potential --1) non-challenging enough that I can read it comfortably in an environment with many distractions, unlike certain prior metro reads; 2)but intelligent enough not to be insulting; and 3)ideologically congenial enough that I will not seem too outwardly surly to other humans who do not know me.

Except... it may not be the best idea to degrade a good Metro book by reading it while being injected with painful substances. I took it out again on the ride home from work, hours after my arms stopped looking like Scantron sheets. And I started... twitching.. slightly again. I hope that was coincidence and not Pavlovian.

To go back to the allergist: the good news is that I am not allergic to dogs, so that I can have a golden retriever, and I am only mildly allergic to the marsh elder (whatever that is.) I am allergic to just about every other kind of flora and fauna that there is, including the aforementioned cats. And that I had rather strong reactions -- the scale conventionally used runs 1-4, with 1 as negative and 4 as "very positive." My chart is a long list of 4 pluses.

The allergist felt sorry enough for me that she offered me a prescription for one of the more aggressive anti-allergy drugs out there, Singulair. She warned me that several of her patients have nightmares while on it and also that about 3% of people who try it have lower back pain. Despite the pretty good odds, but perhaps one should not mess with lower back pain several days before embarking on a five hour flight. The Internet also mentions suicidal ideation as a side effect. I am a libertarian who works in government, which makes me prone enough to depression without chemical help.

Nor are allergy shots a viable response for dealing with the cats, apparently. In the 1970s, apparently allergists gave out prophylactic steroid shots like candy. My father had some which significantly helped his allergies, and he has encouraged me to look into the possibility. But allergists now are more reluctant to give them -- I've imbibed enough of the Overlawyered Kool-Aid to suspect that shifting med mal rules might be at fault, but I'm no real expert and can't say for sure. There are "desensitization" regimes that work, but each regimen requires months and are thus not a practical response for dealing with individual cats. So, at least for the immediate future, I am stuck with my cocktail of over-the allergy counter-drugs.


*Several of my mother's Ukrainian relatives made long visits to our house during the glasnost era. At one point, my mother asked our cousin Olga if she wanted to take anything special back to Lvov with her, and she comes up with "Lots of hypodermic syringes!" Apparently Soviet doctors didn't generally sterilize needles, and Olga had lots of horror stories about infections her children got due to lack of sterilized needles. So my mother and I at age 7 show up at a medical supply store and attempt to purchase about 1000 clean needles. And, of course, the people at the medical supply company laugh at us and refuse to sell us the needles, because non-drug-addict Americans do not generally purchase needles in bulk.

Eventually, my mother was able to get adequate needles through her family physician. But not after I heard story after story about the horrors of lack of sterilization, which makes me dread the possibility of infection through needles even today.

Pnin no doubts thinks this is ridiculous, because he does not fear needles, despite the fact that I was the one who actually grew up in a first world country...

Tuesday, September 15, 2009

Mail call

As Constant Readers know, Pnin and I recently moved to Arlington. At our new house, we have a wall mount mailbox that looks sort of like this.

We noticed a day or two after moving in that the mailman wasn't picking up outgoing mail. It just sat out in the box. Pnin, vexed at this situation, had me call the Arlington post office early one morning. I explained the issue to our mailman's supervisor, who offered the following:

Mailman's Supervisor: Is there a flag attached to your mailbox?

Isabel: No. It's a wall mount.

Mailman's Supervisor: Well, if there's no flag attached, then there's no way for the mailman to know if there's any new mail for him to pick up. You gotta, you know, let him know there's mail there.

Isabel: I hate to sound snarky, but, like, he could look insidethe mailbox.

Mailman's Supervisor: Well, but they don't always do that. They put the mail in the mailbox and then they don't look to see if there's new mail to pick up.

Isabel: But surely we aren't the only people in America who have a wall mount mailbox. If wall mount mailboxes were really that outre, they, you know, wouldn't be sold at Home Depot.

Mailman's Supervisor: What does outre mean?

Isabel: Foreign. Exotic. Weird. I don't know. The point is... can you please tell your mailmen to look inside the wall mount mailbox when they come to our house?

Mailman's Supervisor: Well, I can, but my men won't always look. You should get a mailbox with a flag. Or you could get a flag for your mailbox.

Isabel: Maybe, but we'd really prefer not to go to the trouble if we can avoid it. And a flag on our existing mailbox would look silly.

So the next day, Pnin posted the following cautionary note to the mailbox:

Dear Postal Worker,

Please make sure to pick up the outgoing mail. Please do not just leave it there, as happened yesterday.

Thank you very much for your attention to this matter. I very much appreciate all of your help and your good work.

[Timofey Pavlovich Pnin
1234 Our Street
Arlington, VA, XXXYZ]


For a week, the note worked like a charm. Pnin took it down on Saturday and, lo and behold, the mailmen left behind the outgoing mail again today.

We are at our wits' end. Do we give in and shell out for a new mailbox -- of the stand-alone and be-flagged variety? As I indicated above, other people have wall mount mailboxes and do not have this problem. How? We could leave Pnin's note out again. But it doesn't seem to be much of a permanent solution. Although I found it sort of cute, he fears that others will not, and he does not want our guests to see it.