Sunday, May 31, 2020
When people think of the way you express your love, what would they think of? Possibly by faithfully recognizing birthdays, or caring for extended family and taking them under your wing, or ensuring visitors leave with food and providing for their needs. How do you want to be remembered by those you love? Are you creating those moments of love you desire to express to others?
Saturday, May 30, 2020
Friday, May 29, 2020
Thursday, May 28, 2020
Wednesday, May 27, 2020
Tuesday, May 26, 2020
by Edgar Allan Poe
It was many and many a year ago,
In a kingdom by the sea,
That a maiden there lived whom you may know
By the name of Annabel Lee;
And this maiden she lived with no other thought
Than to love and be loved by me.
I was a child and she was a child,
In this kingdom by the sea:
But we loved with a love that was more than love—
I and my Annabel Lee;
With a love that the winged seraphs of heaven
Coveted her and me.
And this was the reason that, long ago,
In this kingdom by the sea,
A wind blew out of a cloud, chilling
My beautiful Annabel Lee;
So that her highborn kinsman came
And bore her away from me,
To shut her up in a sepulchre
In this kingdom by the sea.
The angels, not half so happy in heaven,
Went envying her and me—
Yes!—that was the reason (as all men know,
In this kingdom by the sea)
That the wind came out of the cloud by night,
Chilling and killing my Annabel Lee.
But our love it was stronger by far than the love
Of those who were older than we—
Of many far wiser than we—
And neither the angels in heaven above,
Nor the demons down under the sea,
Can ever dissever my soul from the soul
Of the beautiful Annabel Lee:
For the moon never beams, without bringing me dreams
Of the beautiful Annabel Lee;
And the stars never rise, but I feel the bright eyes
Of the beautiful Annabel Lee;
And so, all the night-tide, I lie down by the side
Of my darling—my darling—my life and my bride,
In her sepulchre there by the sea,
In her tomb by the sounding sea.
This has always been a favorite poem of mine. I will never forget, when I was in high school, I was part of the Model Senate at Birmingham-Southern College. I was Senator Howell Heflin from Alabama, each of us got to portray our preferred senator. The Republicans had just taken over the Senate back then. Alabama's other senator Richard Shelby has changed parties to join the Republicans so as to be in the majority again. I think this was in 1995. Anyway, the Democrats were filibustering one of the Republican bills, and a guy portraying Senator Paul Simon (I remember because both always wore a bow tie) stood up and recited "Annabel Lee" over and over until the Republicans could muster a cloture vote. So, this poem always sticks in my mind when I think back on that.
Monday, May 25, 2020
Memorial Day is a United States federal holiday observed on the last Monday of May. Formerly known as Decoration Day, it commemorates men and women who died while in military service to the United States. First enacted to honor Union and Confederate soldiers following the American Civil War, it was extended after World War I to honor Americans who have died in all wars. It began separately in the North and South as a ritual of remembrance after the Civil War. By the early 20th century, Memorial Day was an occasion for more general expressions of memory, as ordinary people visited the graves of their deceased relatives, whether they had served in the military or not. From its origins as a holiday on May 30 each year as Decoration Day, it began to be called Memorial Day in the early 20th century, but the name was not officially changed to Memorial Day until 1967. It became a national holiday occurring each year on the last Monday in May with the enactment of the 1968 Uniform Monday Holiday Act that took effect in 1971.
Memorial Day often marks the start of the summer vacation season with Labor Day its end. I had hoped this year peoplewouldn’t take this weekend to celebrate the beginning of Summer, but I know many did so by taking vacations. My own sister took her family to the beach this weekend. If at anytime in our nation’s history we should stay home and honor those who perished fighting for freedom, it is now. We should be voluntarily giving up our freedoms for the safety of those around us. Those men and women who fought and died in war for our freedoms did not die so that people could be careless in a time of national emergency and gather in crowds to possibly spread a deadly disease.
For the last quarter-century of his life, Senator Daniel Inouye of Hawaii carried on a lonely fight to restore Memorial Day to its proper focus as a time for honoring Americans who have lost their lives in service to our country. Inouye lamented that "in our effort to accommodate many Americans by making the last Monday in May, Memorial Day, we have lost sight of the significance of this day to our nation. Instead of using Memorial Day as a time to honor and reflect on the sacrifices made by Americans in combat, many Americans use the day as a celebration of the beginning of summer." To rectify this state of affairs, Inouye in 1989 sponsored a Senate bill to restore Memorial Day to May 30. He reintroduced the measure in every single Congress thereafter as long as he lived. For the lastdecade of his life, the legislative effort to restore Memorial Day to its traditional date was a solo mission, stubbornly carried on by the decorated World War II veteran. His struggle to restore the meaning of Memorial Day is particularly important this year as we are facing this pandemic.
I read an article yesterday about the crisis facing Montgomery, Alabama, with the spread of COVID-19 and the fact that they have run out of ICU beds. Dr. David Thrasher, Director of Respiratory Therapy at Jackson Hospital in Montgomery pointed out that “The seasonal flu’s mortality is 0.1 percent. Today’s mortality on confirmed cases [of COVID-19] is six percent in the United States and 4 percent in Alabama. When it’s all said and done and a vaccine occurs and we are all vaccinated, or the virus burns out, I predict the overall mortality will be like 1.3 to 2 percent. That’s what the experts are saying. But that’s a lot of death. That’s 100 times more lethal than the seasonal flu.”People need to take this into account as they claim their right to go and do when they can potentially be spreading a deadly disease than can be spread
asymptotically. We know many people have COVID-19 without showing symptoms, but but by not staying home or at least social distancing and wearing masks in public they are potentially spreading the disease to people who will show symptoms and may die from the disease they caught from someone who didn’t even know they had it.
Sunday, May 24, 2020
Saturday, May 23, 2020
Friday, May 22, 2020
Thursday, May 21, 2020
On Tuesday, I had an appointment with the Headache Clinic at Dartmouth. I first went about six months ago, so for the past six months I have been taking monthly Emgality injections, which are very painful, by the way. Anyway, before I started taking the Emgality, I was having a headache seven days out of the week. Since the medicine kicked in, it took almost two months to begin working, my headaches have dropped to about four a week. Obviously, this is an improvement, but not the kind of improvement the clinic wants to see. In my appointment on Tuesday, the nurse practitioner who does all the follow-up visits talked to me about switching to Aimovig and/or Botox injections. Aimovig is another auto injector like Emglaity, but supposedly easier to use, not that Emglity was hard to administer. She asked which I would prefer. I have never been too keen on the idea of injecting poison into my body, so Botox is not something I really wanted to consider. Also, it's thirty-one shots in the head, and I don't like needles. However, I am getting desperate. I have dealt with headaches my entire life, and I just want some relief. I asked the nurse if I would be taking Aimovig and Botox or just one or the other. She told me that they would prefer that patients try both at the same time. Though research is being done on the combined effectiveness and not much information exists about this yet, it is believed that they work well together to prevent migraines. Here comes the caveat: very few insurance companies will pay for both treatments at the same time. She advised that I call my insurance provider and ask if they would cover both simultaneously.
Let me begin by saying that I hate insurance companies. They are crooked and cheap. They are always trying to cut corners and not pay for treatments advised by doctors. While my friends in other countries will say that the United States needs universal healthcare, and I am not going to argue with that, the US government is so colossally incompetent and corrupt that I am afraid it would actually be worse than the current situation. Considering that a large number of people were stupid enough to elect Donald Trump, how can I have faith that they would ever support truly universal healthcare? I just don't believe it is possible in the greedy, capitalistic economy of the United States.
Now that I have given my rant about insurance companies, I will tell you what happened when I took the nurses advice and called my insurance company. Right off the bat, I got am idiotic computer giving me vast amounts of useless information that I did not ask for. So, I finally asked to be connected to an operator. I was given their pharmacy department. Finally, a live person! So I told her about my neurology visit and what had been recommended and asked would they cover both treatments. That's when I began to get the runaround. I was told by the customer service representative that they had not received a preauthorization request for the Aimovig and therefore could not tell me if they would cover it or not. I already knew they would probably cover one or the other, but I wanted to know if they would possibly cover both. The reason I knew they would cover Aimovig or Botox is because when I was first prescribed Emgality, their reason for the initial denial was that I had not tried Aimovig or Botox first. Then she proceeded to tell me that Botox is a medical procedure and does not fall under her department, and I would have to talk to a representative from the medical department. So, she transferred me over there. I went through my explanation again. Again, I was told that he could not tell me if Botox would be covered because they had not received a preauthorization request. So I explained to him again that I was not asking if they would just cover Botox, but would they cover both treatments simultaneously. Again I was given the spiel about the Aimovig was covered by the pharmacy division and Botox was covered by his divisions, and he had no way of knowing if they would cover both since they would have to be requested separately. He told me to have the Headache Clinic request a preauthorization for both treatments.
At this point, I gave up on talking to the insurance company since they were obviously not going to tell me anything. So, I did as he suggested and called the Headache Clinic. This is when I got really annoyed. I was given a clerk to speak to and explained what I was calling about. I told her I needed them to request both treatments before they could tell me if both would be covered. She took down the message, and then had a nurse call me back. This was not the nurse practitioner I had spoken to earlier that morning. The nurse reviewed my chart and told me that it did not mention the Botox treatment and therefore the nurse practitioner must have decided against that course of action. I tried to explain that before she would order the Botox and the Aimovig simultaneously, that she wanted me to talk to the insurance company. I was basically told the since it was not in the chart, I needed to forget about it for now. When I tried explaining again, she finally said she would make a note of my call and ask the nurse practitioner, who would call me back. Do you think I have gotten a phone call back? No. While I like the people at the Headache Clinic, they are really bad about returning phone calls.
As it stands now, it appears that I will only be taking the Aimovig. Here's what worries me, I was told by the pharmacy that by changing medications, it would take two to three months for the new medicine to begin working. If they had been able to schedule the Botox, the effects would be immediate and the botox would be working its magic while I waited for the Aimovig to begin working. I had been told that a Botox appointment would not take long to get scheduled because with the pandemic, they had a lot of appointments open. I am writing all of this because I had a major debilitating headache yesterday and was really hoping for a treatment that would work. Now, I wait.
Wednesday, May 20, 2020
Tuesday, May 19, 2020
Rudyard Kipling - 1865-1936
If you can keep your head when all about you
Are losing theirs and blaming it on you;
If you can trust yourself when all men doubt you,
But make allowance for their doubting too;
If you can wait and not be tired by waiting,
Or, being lied about, don’t deal in lies,
Or, being hated, don’t give way to hating,
And yet don’t look too good, nor talk too wise;
If you can dream—and not make dreams your master;
If you can think—and not make thoughts your aim;
If you can meet with triumph and disaster
And treat those two impostors just the same;
If you can bear to hear the truth you’ve spoken
Twisted by knaves to make a trap for fools,
Or watch the things you gave your life to broken,
And stoop and build ’em up with wornout tools;
If you can make one heap of all your winnings
And risk it on one turn of pitch-and-toss,
And lose, and start again at your beginnings
And never breathe a word about your loss;
If you can force your heart and nerve and sinew
To serve your turn long after they are gone,
And so hold on when there is nothing in you
Except the Will which says to them: “Hold on”;
If you can talk with crowds and keep your virtue,
Or walk with kings—nor lose the common touch;
If neither foes nor loving friends can hurt you;
If all men count with you, but none too much;
If you can fill the unforgiving minute
With sixty seconds’ worth of distance run—
Yours is the Earth and everything that’s in it,
And—which is more—you’ll be a Man, my son!
Rudyard Kipling's (1865-1936) inspirational poem 'If' first appeared in his collection 'Rewards and Fairies' in 1909. The poem 'If' is inspirational, motivational, and a set of rules for 'grown-up' living. Kipling's 'If' contains mottos and maxims for life, and the poem is also a blueprint for personal integrity, behavior and self-development. 'If' is perhaps even more relevant today than when Kipling wrote it, as an ethos and a personal philosophy. Lines from Kipling's 'If' appear over the player's entrance to Wimbledon's Centre Court - a poignant reflection of the poem's timeless and inspiring quality.