Tests You Can’t Study For

I’ve been dealing with this swelling thing on my lips, fingers and toes for a few years now. It doesn’t happen often, and has never ‘hurt’ me (it sure has made me look weird), but it still scares the living daylights out of me.

Oh… did I mention, I have no idea what sets it off?

I went for more tests today, trying to find the trigger. It’s probably not an allergic reaction… unless it turns out it is.

I really should have gone for the tests a week ago, but they’re blood tests. I’m not sure how you are, but I am a 100% All American Wimp when it comes to anything with needles.

My blood was drawn at Yale/New Haven Hospital. Like most big hospital, Y/NH has become a medical factory. On the second floor of the Physicians Building is a ‘drawing station.” My wait was short, just a few minutes before I was led into a small room.

Judith, my phlebotomist, scoped out the lab request and started thumbing through a book. Nothing. She looked in a second. Zip, again. One of these tests was so esoteric, she needed to look up the instructions for giving it.

By the time all was said and done, six test tubes of blood had been drawn. I’m not quite sure what makes one vial different from another, but they each had individually colored caps and labels.

I’m not going to lie. For the first thirty seconds after the needle went in, my arm burned. Then things calmed down and the next few minutes went easily.

I was still a little frazzled when she told me we were through, and then proceeded to put a Band-Aid on my arm… my hairy arm. That will probably hurt more than the needle.

I’m now thinking, maybe I’m ready to donate blood. For me, a guy who almost couldn’t get married because he couldn’t take the blood test, that would be quite an accomplishment.

I guess I should wait until they find out what’s in it first.

Blogger’s addendum: What kind of freak am I? I actually took the picture of the vials of blood just so I could post it here!

My Friend Kevin

I say without fear of contradiction, Kevin Webster is the nicest man I’ve ever known or will ever meet. He is the proverbial ‘shirt off your back’ guy.

I got a call Thursday afternoon from Melanee Webster, my friend Kevin‘s wife. They were at Yale/New Haven Hospital getting ready to come home. It was Kevin’s wish.

I’m not sure what her exact words were, but I knew what she meant. If I was going to see Kevin again, the time was now.

This evening, after our early news, I made the drive to Cheshire.

I remember the first time Kevin and I met. We’re both ham radio operators. A mutual friend, Harold Kramer, had seen my antenna setup in the attic. He thought I’d do better if my wires were flying in the trees, so he called Kevin and another friend, John Fowler.

Kevin came to my house to do me a favor. He didn’t know me. He didn’t have to. He did favors for friends and strangers alike as a matter of course.

I was amazed as he pulled out a slingshot… something I’d only seen in Dennis the Menace cartoons, and shot a lead line into a tall tree. Before the afternoon was over, I had a wire antenna strung between two trees at the 80 foot level!

Where did he find the time? Kevin had four daughters and was extremely active in his church. He was always busy… and yet he was always available. That ‘busy’ and ‘available’ weren’t mutually exclusive was just part of his magic.

Kevin and I quickly became friends. We built radios together, went to computer shows and ham radio events and talked on the phone.

He was the ultimate technogeek. As the allure of ham radio was replaced by computers, Kevin adapted, becoming everyone’s ‘go to’ guy for tech support and help. As with antennas, Kevin helped everyone.

Sometimes, when facing a particularly puzzling challenge, he’d call me for advice. I’d like to think he was more savvy, but he inherently knew two heads were better than one and he didn’t have a jealous or envious bone in his body.

A few years ago, Kevin got into kayaking. One Saturday, he found a kayak for me to use so I could join him for a float on a lazy river. This river was well beneath his expertise, but he gave up a little to afford me a good time.

I say without fear of contradiction, Kevin Webster is the nicest man I’ve ever known or will ever meet. He is the proverbial ‘shirt off your back’ guy.

He was always up, always smiling, always laughing, even when he found out he had incurable pancreatic cancer. That was nearly a year ago. Too damned short a time.

I spent a good part of July 4th weekend last year trying to make sure Kevin would get the best care possible. My weather partner, Dr. Mel Goldstein (a cancer survivor himself and incredibly well connected) made calls to the top specialists in the field.

It was a holiday weekend, but time was of the essence. Dr. Mel just called them at home. I will never properly be able to express my gratitude for what he did for Kevin.

When I first discovered Kevin’s fate, I thought to myself, God must have made a mistake. Kevin’s not the one to take. It just doesn’t make any sense.

I’ve thought a lot about Kevin’s mortality over the past year. Surely he and Melanee have considered it more, but it was on my mind too.

In March, at a poker table in Las Vegas, I sat next to a man who was a counselor at a hospice in Texas. We talked about Kevin and my fears for him.

“No one ever dies scared,” he said.

I was taken aback. I asked him to explain.

He told me he had been with 800 people as they approached death and none of them were fearful as they approached their end. It was among the most reassuring things I’d ever heard. I wanted to write about it then, but I thought it might be uncomfortable or disrespectful if Kevin read it.

My hope is Kevin is not scared about what lies ahead.

My friend Harold and I walked into Kevin’s house tonight and into a downstairs bedroom. There was some hospital equipment, a bed with rails and Kevin sitting in a big chair.

It was tough to look. My poor friend has been ravaged by his cancer. His skin was ashen, his eyes sunk deeply into his skull, his breathing was shallow. His feet were in socks, but so swollen it looked like they were in casts. Later, when I helped him move, I saw his bruises from dozens of injections and probes.

At times, Kevin would just stop all motion and blankly stare ahead as if he were in suspended animation. It was tough not to think the end was coming right there.

He said a few words and acknowledged our presence, but I’m not sure how much he really understands right now. He’s sedated with opiates to control his pain. It’s a guess he was drifting in and out of consciousness.

Melanee sat by his side and gently comforted him. She is his life’s partner… the girl he met while they were both students at BYU. They were each other’s only tue love.

Neither of them could have anticipated this outcome when they pledged their love and lives to each other.

Kevin will soon be gone. His body is shutting down piece-by-piece. It’s tough to imagine he’ll live more than a few days in his current state.

Kevin’s last year was spent in pain, while suffering the indignity invasive medical treatment brings. And yet, if given the opportunity to stop the pain… end his life early… he would have said no.

He got to spend time with his granddaughter and watch another grandchild swell his daughter’s belly. He got to see another daughter graduate college; the second to do so.

He was proud when Marlene, his youngest daughter, a high school senior, trained and ran a race for charity in Miami. She showed maturity as she tackled an adult sized challenge.

Kevin spent a lot of the last year being up and happy and smiling and… well, he was just being Kevin. Until the very end, cancer could not strip him of that.

The sadness we experience when someone dies is often so overwhelming, we forget what it really means. We mourn the most those we love the most. As horrific as that pain is, it is worthwhile because of what we got in return.

Kevin, I will miss you every day. Our friendship will live in my heart forever.

Hospitals – Never A Pleasure Trip

I called my friend Kevin yesterday. His wife, Melanee, answered the cellphone. They were at Yale/New Haven Hospital, on their way to get some tests.

Kevin’s got pancreatic cancer. Tests are a large part of his life. I didn’t think twice until he called back later.

On Monday, Kevin wasn’t feeling right. There was shortness of breath. Who knows what else? He’d just been through a round of chemo. The reaction to that is never totally predictable. Melanee, his wife, brought him to Yale and he was admitted.

It looks like he suffered a very minor heart attack (if such a thing is possible) and has a blood clot in his lungs. All this is in addition to the cancer he’s been fighting since last summer.

I drove over to visit before heading to work today.

Yale/New Haven is to hospitals I remember as a child, as Home Depot is to Willie’s Hardware in Flushing. People are scurrying everywhere. It’s immense and confusing. I many ways, it’s the workings of a major teaching hospital are undecipherable to anyone but staff…. and even they only understand a few pieces of the puzzle.

On my way up the elevator, a young woman (my guess is a medical professional of some sort) slumped against the back of the car. She was the poster child for chronic exhaustion.

Kevin’s on the 9th floor of the hospital’s East Wing. He’s on the left, down the hall, well past the nurses station.

As I walked toward the room, I passed two nurses pushing rolling ‘podiums’ containing computers. Why carry a one pound chart when you can push a four foot tall podium?

Kevin’s room was bright and clean. It’s a double, though Kevin is the only resident right now. Melanee sat in a comfortably overstuffed chair. It’s a hospital chair, built to never wear out. Kevin was on his back in bed.

His skin is more ashen than pink. His face is a little puffy. His hair more gray than ever.

He smiled. We chatted. He’s eternally positive.

When he was brought in, Kevin was asked to quantify the pain. He was at 9. Now he’s a 5. That’s good as a trend, though 5 doesn’t seem like a number to aim for.

We talked a little about his pain meds and I kidded him about how he now knows what he missed by walking the straight and narrow in college.

Last night his speech was slurred. Probably a byproduct of the drugs. Today he was much more distinct as he spoke, but you could see he was a little doped up.

I’m not saying anything Kevin doesn’t know. He is very much the realist. Very much cognizant of what’s going on around and to him.

He is not ready to die. He didn’t tell me that, but I know it. He is sick, but not near death just yet. There is still too much for him to live for. He’s making plans you don’t make if you’re about to die. You can’t convince me that doesn’t enter into the whole sickness, wellness scenario.

It takes nothing away from my other friends to say, Kevin is the nicest, kindest, most giving friend I have. I’ve never known his actions to have a subtext or ulterior motive. He truly would give you the shirt off his back. No one I know has had a more consistently positive attitude.

What’s going on now should not have happened to him. My first thought was, the whole thing is a mistake. I’m still not convinced it’s not.

When a friend is ill, it’s easy to visualize your own mortality through him. I think some people withdraw from sick friends for just that reason – I totally understand. I am just not ready to give up on Kevin.

No one wants to see him this way.

Twentieth Anniversary

Sometime over the next few days, we mark an anniversary in my family. Twenty years ago, my mom was diagnosed with breast cancer.

Had this been in her mother’s time, or even earlier in her own life, my mom would have died. It is a medical miracle that my mom and so many other women are breast cancer survivors&#185.

That’s not to say it was easy or not without consequences. This was a life changing experience for her. But, twenty years later, my mom is healthy and happy and incredibly active.

I will be forever grateful to the medical community that developed these miracles of modern science – because they really are nothing short of miracles.

It was an emotional time for us for a number of reasons. My parents had just moved to Connecticut from Queens. They were strangers out of their comfort zone in a life threatening situation. And, Helaine was pregnant, expecting in June.

The surgery had been successfully performed a few days earlier, but my mom was still at Yale/New Haven Hospital around this time, the week before Christmas.

Christmas is a quiet week in the hospital. Most elective surgery is postponed. If you’re there, you’re there because time is of the essence.

One night, while my mom was still recuperating, Helaine and I headed to the hospital to visit. While we were there, our friend and neighbor Ron Feinberg walked into the room.

He was finishing his medical training at Yale, and he too was stuck in the hospital on Christmas Eve (along with every other berg, stein, man and witz).

Things were quiet and he had an offer. Would we like to take a peek at our child? This was about the last possible thing we could have expected, but Helaine and I were game, so we followed Ron through the nearly deserted hospital and into an examining room.

As Ron passed the ultrasound transducer over Helaine’s belly, a video screen showed random noise… and then… Oh my God, it was a child.

We both stared at the screen silently.

Most people look at an ultrasound picture and try to figure out whether their child will be a boy or a girl. Silently, we did too… except Steffie’s body ended at the waist. Whether she had her legs tucked under her, or was in some contorted position, all we could see was we had a “stump baby!”

We actually both came to that conclusion independently, but never told Ron. He looked at the video as an OB/GYN, not a parent, and pronounced our unborn child healthy. And, she was.

Seeing our child for the first time, even with the less than perfect imagery of an ultrasound machine, was an amazing experience we’ll never forget. Getting that sneak peek and realizing my mom would live to cherish her grandchild, made it the most amazing gift ever.

In early June, Steffie was born right there at Yale/New Haven. She was not a stump.

&#185 Because the breast is composed of identical tissues in males and females, breast cancer can also occur in males, although cases of male breast cancer account for less than one percent of the total.

All Night At The ER

If you’re squeamish, maybe this isn’t the blog entry for you. I’m about to write about bodily fluids. This is not everyone’s idea of a good read.

Our story starts at 1:00 AM. Helaine was asleep. Steffie was watching TV. I was in my upstairs office, playing online poker.

It’s difficult to describe the sound of someone throwing up, except to say it’s pretty distinctive. Stef was throwing up.

I went to see her, but was rebuffed. She wasn’t feeling well, but it wasn’t a big deal. Everything was fine.

It was not.

Before long she was back, leaning over the toilet, letting loose.

Stefanie is 19. She lives in a dorm most of the year. Late night barfing is commonplace. Her own stomach distress wasn’t a major concern – even though she hadn’t participated in the usual pre-throw festivities that make college life so… well, college life.

Within 10-15 minutes she was back.

We tried Pepto Bismol pills and some soda, to replenish the fluids she lost. As quickly as they went down, they came back up. Her forehead went from warm to cool with each episode.

Helaine and I were getting nervous. We had never seen Stef like this before. Upstairs, we spoke about what to do, while downstairs Stef moved between the family room and the bathroom.

I started talking to Stef about going to the hospital, but she would have none of it. “People don’t go to the hospital because they’re throwing up,” she said.

I totally see her point. She knew she wasn’t feeling well. She also thought you had to be in much worse shape to demand any ER attention. The ER is a place where people come with limbs hanging off.

But things weren’t getting any better. Stef was out of solids in her stomach and quickly depleting herself of fluids.

“We’re driving, or I’m calling an ambulance.”

With Helaine, Stefanie and an oversize kitchen pot in the back seat, we set off for Yale/New Haven Hospital. I was driving fast. I already had decided what to say if stopped by the police.

We navigated our way through New Haven to the ER entrance. The receiving area has a small circular driveway with a cement island in the middle. I pulled up onto the island and shut the engine.

Stefanie plopped in a chair as a technician entered some rudimentary patient information into a computer, put a blood pressure cuff on her arm and pulse monitor on a finger. It’s tough to put in words, but this was done in spite of Steffie’s being there. She was obviously in distress and continuing to heave, but the cuff and monitor went on as if they were in some parallel universe.

A wheelchair was rolled in and we made our way to an examining room.

Emergency Room is a misnomer. At Yale, it’s a sprawling area of many rooms with dozens of staff members, visitors and patients. We turned right, just past the nurse’s station. Along both walls, patients laid in gurneys.

The first held a man, no shirt, with an intricate tattoo covering his arm and some of his chest. I didn’t see the rest. I looked away. Helaine later told me, she did the same.

We made a left, into a small room. To our right, in a doorless small room divided by a flimsy curtain, a man on drugs, alcohol or both, incoherently babbled about his hate for his mother and how he wanted to get home to go to sleep. He was loud and angry. I’m not sure where he belonged, but it wasn’t on-the-street without supervision.

Stef’s exam room was small and dingy. Let’s assume it was clean. It would have seemed cleaner with a fresh coat of paint.

A succession of nurses, physicians assistants, technicians and one doctor came and went. Each was confident. Each had a job to do. We think they were happy to be taking care of someone whose distress was not self imposed – certainly not the babbler across the hall. No one could possibly relish the thought of quality time with him.

One of the nurses brought in an IV bag, and a drip was started. Whatever else they’d find, Stef needed to be hydrated. It’s sort of Gatorade in a bag, minus the sugar.

Through all this, there was no change in Stef. Every few minutes she was back with her head down, holding a pan the hospital provided to replace the kitchen pot we’d brought.

The first attempt at treatment was an anti-nausea drug injected directly into her bloodstream via the IV. When there was no change, in went the next potion. We were told there were a half dozen they could try…but they didn’t have to.

If you’re a parent, I don’t have to explain this moment to you. If you’re not, there’s no way I can explain it. Stef began to respond. She was still talking in monosyllalbes , but now there were a few strung together. She leaned back and put her head on the pillow. It looked like she was out of distress.

You don’t go from as sick as she was to ‘pink of health’ in an instant, but this was still a pretty rapid turnaround. There was no guarantee, once the medicine wore off, she wouldn’t revert – though she didn’t.

By now, whatever was the cause of her nausea was long gone. The body is amazing, knowing perfectly well how to expel those thing which might harm it. A best guess is food poisoning from chicken she had eaten earlier. Though Helaine and Stef had eaten together, it was Steffie’s first meal of the day. Any pathogen was going to find little in her stomach to dilute its power.

As Steffie rested, we waited for the attending physician, the ER’s ‘boss,’ to come and say it was OK to go home.

I can’t begin to tell you how impressed we were with the professionalism that marked the care Stef received. It’s always possible whatever celebrity I have here could bring more attentive care, but this was beyond that. Every person who touched Stef was confident, well spoken and obviously well trained. There was never a moment when we didn’t feel they warranted our trust.

We got home long after the Sun had risen on a beautiful June morning. As I type this, 12 hours after we walked into Yale’s ER, Steffie is weak, tired and well.

Your child can grow up, but she’s always going to be your baby. Sorry Stef – that’s how it works.

Blogger’s note: Originally, I offered up to Stefanie, this would be something not shared in the blog. She asked why? So, here it is.

If there’s a lesson to be learned, it’s don’t wait. If you’re considering going to the hospital, that’s probably all the evidence you need to go!

The photos were taken after Stef felt better.

Nearly Childless

Now that Steffie is at school, Helaine and I are nearly childless. We can come and go as we please (as can Steffie, much to our chagrin).

Last night we went out to dinner with another couple and went to an adult restaurant. I’m not going to give their names, and you’ll understand why later.

The restaurant was Le Petite Cafe in Branford. It is a tiny place on Montowese Street, adjacent to the Green. It is tied with another restaurant for Zagat’s highest rating for Connecticut.

It’s small enough that I missed it as I drove by. It was only through Helaine’s diligence that we stopped.

Dinner was excellent. I had a chowder appetizer and lamb for the main course. Both were wonderfully prepared and very tasty. What’s not to like?

Though the restaurant is small, there are two seatings. We were there for 8:30, which is an early breakfast for Helaine who is normally in pajamas by then.

As we finished our main courses, the husband of the other couple started looking uneasy. A quick glance down showed he was taking his own pulse! He’s a physician, though most of his work is research and certainly not centered on anything his pulse would enter into.

He wanted to go to the car and lay down, but we weren’t hearing any of that. I gave my credit card to the waiter and walked him to the car. A few seconds later his wife climbed in and drove him to the Emergency Room at Yale/New Haven Hospital.

They were still there when I spoke to them this morning. His tests have come back fine. He’s still feeling achy and tired. He’s good enough to go home… but not good enough. There’s something going on with him that wouldn’t normally be checked for at the ER.

He’ll find whatever it is and he’ll be fine. Of this I have no doubt. But, it’s scary for all of us.

Today was another day with nothing to do. Helaine and I climbed into the car and drove to Foxwoods.

There are two casinos in Connecticut. Only this one, Foxwoods, has poker. At one time they both had poker rooms, but Mohegan Sun closed theirs about 20 minutes before the big poker boom hit America.

With no child left behind, we’re staying at one of Foxwoods high rise hotels. Like Mohegan Sun, this is a beautiful resort hotel. The rooms are every bit as nice as anything you’ll find in Las Vegas… though the view out the window is decidedly Eastern Connecticut.

Unless someone told you, you’d have no reason to suspect places like this existed in Ledyard and Uncasville, Connecticut.

I sat down almost immediately and played cards for a few hours. Then, it was dinner time.

Helaine had made reservations at Cedars, the steakhouse. We showed up at 6:30 and waited about 20 minutes. OK, that’s not a long wait, but 6:30 is 6:30.

The food was worth the wait. I had chowder (again) and a steak, prepared Pittsburgh (charred outside, rare inside). Between the soup and a side dish of potatoes, I decided dessert wouldn’t be necessary for me and Helaine concurred.

I headed back to the poker room for some more play.

This was a very good day of poker. I’ve said this before, but it’s worth repeating. Whatever insight or skill I bring to a brick and mortar casino, I owe to my low stakes online play.

Years ago I thought I was a pretty good poker player. I was not. Now I’m decent. I can keep my head above water at the stakes I choose to play.

Today I was conservative and measured. Patience is a poker virtue.

I only had one bad beat, though it was a doozy. I went in with a Jack and King of Spades. The flop came with 3 more spades – I had a King high flush!

The next card, the turn, was a rag (no help).

Then came the river. That final card was another spade. I was set to beat any other hand, except one that had the Ace of Spades.

I knew the two cards in my hand and the five on the board. That left 45 unknowns The one person playing against me had two cards. So, the odds were 2 in 45 he’d have it.

Ouch. This was a very expensive hand to lose. Still, the day ended quite positively.

How much better could I do? Not much, I figured. So, at 10:30, I went up to the room for the night.

I am going to work tomorrow, but there’s an 8:00 AM tournament and I think I’ll get up early and play.

Going To College

Over the past few weeks, the sun room has been filling up with goods. There were blankets and sheets and comforters… computer paper and notebooks… enough hair and beauty products to restock RiteAid… snack foods and soft drinks… and suitcases filled with clothes.

Steffie is packed and ready to go to college.

Note to possible roommates: Pack light. There’s no room for you.

I have taken today off from work to facilitate packing the car and picking up any last minute items. So far, things are going smoothly because Helaine and Stef (and not Geoff) are well organized and thoughtful.

Every time we deal with packing, there is a small family conflict. Steffie has said I could go anywhere for any length of time and pack it in a ‘hobo stick’. She doesn’t mean that as a compliment.

When I moved to Florida in 1969, I packed everything I owned into a Volkswagen Beetle and still had room to pick up a hitchhiker (who then allowed me to spend the night at a dorm at Georgetown). Ah, for the good old days.

A few minutes ago the sun room was emptied into the Explorer. We’ve folded down half the back seat. Everything fit pretty easily. Of course there will be stragglers; things that won’t make it to the car until tomorrow morning.

The fact that Steffie is leaving for college is a major moment in all our lives. Must I sound like a prototypical American Dad? I remember the first moment I held her, seconds after she was born.

Parents tend to dwell on stuff like that, so no matter how old a child gets chronologically, she’s still our baby. She should still be wearing pants with snaps and a bib when she eats.

Actually, the bib when she eats isn’t a terrible idea.

Steffie’s joke over the last day has been, when I mentioned she had given blood, I should have said she is “effin’ awesome.” OK. Let me take this opportunity, she is “effin awesome.”

Yes, she’s the same baby I held in my arms at Yale/New Haven Hospital. She’s also somewhat (not totally) grown-up.

There will be temptations at college. No parents to bother her with parental guidance. No curfews. No one to check when she comes and goes and what she’s done while she’s out. In most classes, attendance isn’t taken.

I don’t expect her to be perfect.

College was my undoing. I can’t put my finger on why, but I expect the opposite will hold true for Steffie. I’m confident she will thrive. I’m just worried there won’t be room for a roommate.

We leave early (for me) tomorrow morning. There is a chance the blog won’t be updated, or will be updated very late. I’ll do my best. I’m sure there will be lots to talk about.

Drugs

A year or so ago, one day without warning, my upper lip swelled to about the size of my thumb. It wasn’t pretty. Though I wasn’t in pain, I couldn’t work because I was scary looking (I thought about posting a photo I took at the time, but it really is gross).

From that time on, I started having episodes where my toes or fingers or lips would swell. If things weren’t swelling, they were itching, like my palms or the soles of my feet.

It wasn’t hurting me, but the swelling would come on without warning and be a distraction. And, of course, I was worried about the unknown. What was in me causing this?

I saw my family physician (I do tech support on his computers, he does tech support on me) who had me take a small battery of tests (probably an AAA battery) only to find nothing.

Then I went to visit the chief allergy guy at Yale/New Haven Hospital. He too could find nothing. But, he was confident, without even knowing what was wrong, that I could be treated. Not only that, he didn’t think we’d ever know what was wrong! But, it made no difference because we’d control it.

There is a great leap of faith necessary to accept a diagnosis like this… and I leapt.

He was right. I started a daily Zyrtec pill and the problems went away. Zyrtec isn’t the most expensive drug you can buy, but it’s not cheap either. My insurance company was paying a large part of the bill and my cost was $60 for 3 months.

Then Claritin left the world of prescription drugs and insurance companies started licking their lips.

With Claritin available over-the-counter, my insurance company decided to remove all the drugs like it from their formulary. Not only wasn’t Zyrtec covered anymore, neither was any generic or proprietary drug in its family. My costs were about to skyrocket.

When I last saw the allergist, I asked if there was anything cheaper to take. There was, and tonight, I got the $7 antihistimine. The pharmacist gave me a stern look and said this was an “old” drug. Though I was taking a small dose, it was powerful. Maybe I should take it at bed instead of with dinner. I might get sleepy.

Now I’m scared.

I told Helaine and she said I was crazy. Why would I let money stop me from taking something that has been incredibly effective? And, as always, she’s right.

If they don’t work, or if they knock me for a loop, I’m only a day away from changing prescriptions again. And now, my insurance company gets added to the ‘do not like’ list.