On the other side

Monday January 25th 2021

Rant Warning!

We have been in this coronavirus pandemic for close to ten months, I would have thought that we would at least have a clue what we should be doing by now … NOT!

But I am so very obvious wrong, first bring up the question what exactly determines what is essential?

Well every one has their own opinion as to what is essential to them, so beyond the obvious like food, medication, and then it turns into everyone’s personal needs.

So today my essential item was some safety salt to remove the ice from our walk and drive. Because of the weight and difficulty in moving a couple of salt bags, I decided to order two bags from a local store for “curb side pick up.”

My thinking was that I would drive to the store and maybe call a “Pick Up” number and some one would bring my order out on a cart, at which point either they or I would place them in the back of the pick up.

But I was so very very wrong! When I landed at the store I was surprised to see people entering the store it self. No information on how to proceed was provided, so I put on my mask and went to the door and found a employee holding another customer in a que line. The employee explained that they were allowed to have a maximum of five people in the store at a time. So I could of entered the store and just wandered around as if there was no stay at home order.

So when my turn came around I walked to the order desk to try to get the order that I had placed online on Thursday of the previous week. This was followed by confusion as no one seemed to know where my order was. So after some time and a couple of staff members it was decided that they had found the order and that it just had to be pulled from the storage pile outside. So we moved out side and were able to get two bags loaded in the back of the truck. The employee picked up one bag and I picked up the bag directly under the first bag, actually quite easily once they were able to figure out what I had ordered and already paid for.

Now looking back I should have picked up on a red flag 🚩 when the employee said in passing that the bag he had picked up was a little hard from being packed down. Duh!

That line was just bull sh!t as it was solid because moisture had entered the plastic bag because the back of the bag was damaged. I tried dropping the bag on the garage floor to help unpack the product. You can rest reassured that that will be another discussion, along with my disappointment with the “curb side pickup” that I experienced.

Next issue came when Miss Laurie asked me to pick up some envelopes from the dollar store because I was going out anyway.

So would you classify envelopes as essential? Again open for discussion, so let’s just say I was amazed the dollar store was classified as essential, and my amazement continued when the sign on the store said that they were allowed 31 people at a time in the store!

Notice the arrow direction and the cart going the wrong way!

Unlike the farm supply stone that was more square footage and allowed only 5 customers, this dollar store with narrow isles is allowed 31, who the he!! made that decision? The farm store had an employee to control customers entering their store, the dollar store did not! And of course no one pays any attention to the direction arrows and that was the isle with the envelopes … just saying

I also understand that the store staff can not tell people to abide by the guidelines for fear of upsetting the customer. But what they maybe should stop and think about is that if they enforced the guidelines just maybe more people would shop at the store … I know that I will not ever go back during or after the pandemic. I did get the envelopes and the safety salt whether they would be considered essential or not but it has become very obvious why there are many cases as there are.

And because I’m on a roll today I would be amiss not to take a kick at our internet provider.

Now it was suggested which company I should use in the area because I did not want to sign a long term contract, I just wanted to pay month by month and have good enough internet to be able to do all the things that I do on the internet and be able to stream some television shows or movies.

A local provider advertises up to 5 mbps download and 1 mbps of upload, and it is a monthly service that they refer to as “highspeed wifi”, we have had the service less than two months and I would have to rate the service as poor to very poor. Most reading today are download speeds of .84 mbps to 4.64 mbps with most falling in the 1.5 mbps. Now most streaming services work quite well with between 2 – 3 mbps and I don’t do much on the internet that has a high demand, so my expectation was that the only non contract service would most likely work.

Again I was so wrong so I called the technical support side and they “tweaked” my service that did absolutely nothing to improve it, and their suggestion was to upgrade to a better plan. I understand that a better service would solve my issue and I also understand the technical people are taught to upsell the better plans when someone has an issue.

So as luck would have it someone from the provider called to check how the service was … you know those touchy feelie kind of calls where they hope you don’t answer so they can just leave that flowery message. Well that didn’t happen, no they got a chance for me to tell them how poor the service was, and guess what they suggested … you guessed it they suggested I should upgrade the service. So I said ok lets provide a service that has a minimum 5 mbps as opposed to a maximum. Well to no ones surprise they offer no services that guarantee a minimum level of service even their most expensive plan, so I suggested that I would pay more for a higher level of service if I did not have to sign a contract.

No no that would not be possible because why would they want to provide a better service for more money?

That’s ridiculous, after all they have already invested on running the cable to the house, installed the equipment, rented me a modem. So why on earth would they just want to sell a more expensive service to me with no further incurred expense other than some one adjusting the limiter and some one else increasing my bill? These are the things that have never made any sense to anyone that wanted to operate a profitable business, yea I understand you want long term commitment, but I’m only here for 5 months, so you go to all the expense of trenching in the cable and only want to pick up the minimum return on your investment the only service that doesn’t need a contract, then why even offer it? If it was me I’d be thinking I can score an extra twenty bucks a month with no equipment outlay, so saying no to it make no sense to anyone with a brain.

But rules are rules and policies are policies, and we do it this way because we have always done it this way, and why would you want as something as foolish as profit get in the way of rules and policy … just saying.

That’s it for today, I feel much better having vented a little, and I just keep thinking it’s only eleven months till Christmas!

As always be well, stay safe and be strong!

Gleason Score 0.02

Wednesday January 20th 2021

Celebrating my fifth year of remission, yes it was a little more than five years ago was when I heard those most dreaded words “You have Cancer.” Let me just say that those three words are all you really hear that first day, its kind of like your brain just shuts down, I recall there was lots of discussion and some explanations and of treatment course options. But you just can’t process them at the time. That is why you need to have family for support, to help you sort your way through the next few life changing weeks.

So I just want to take a little time today to tell all the men out there that this is a issue that just kind of sneaks up on you from behind, if you are not taking some precautions.

Prostate cancer is cancer that occurs in the prostate. The prostate is a small walnut-shaped gland in males that produces the seminal fluid that nourishes and transports sperm.

Prostate cancer is one of the most common types of cancer. Many prostate cancers grow slowly and are confined to the prostate gland, where they may not cause serious harm. However, while some types of prostate cancer grow slowly and may need minimal or even no treatment, other types are aggressive and can spread quickly.

Prostate cancer that’s detected early — when it’s still confined to the prostate gland — has the best chance for successful treatment.

In my case I had been reasonably good at getting yearly physical exams and those of you over a the age of 50 will know that it usually includes a gloved finger to check the prostate for any tenderness or swelling referred to as Digital Rectal Exam (DRE). And if you elect to spend a few bucks more during your bloodwork you can get a PSA test. Prostate Specific Antigen (PSA) is a protein produced by cells in the prostate. It is normal for PSA to be found in the blood in small concentrations. The amount of PSA can rise as you age or if you have a problem with your prostate.

While the DRE may well detect the formation of cancer in the prostate it has no accurate reference point which is why I would recommend a PSA test because it will give you a Gleason score number.

Most men have cancers with Gleason scores of 6 or 7, and less commonly 8, 9 or 10. Pathologists rarely, if ever, assign Gleason scores of 2, 3 or 4.

I can remember that my original test at or around 50 was in the 2.? something range and being told not to worry that I was well in the “normal range.”

Then sometimes life gets in the way I found it had been a few years since a physical check up or any blood work, and the changing of a Doctor because of a retirement and when I finally went to met the new doctor he had a whole list of things that we wanted to check – I of course thought it was like a process to build a vacation fund, thinking he was being a little over zealous.

But I finally went and got prodded and poked, did all the blood tests and I remember it being early in June of 2015, usually you get those test done and you never hear from any body for weeks or maybe not until your next visit. Now I have always had a little issue with my cholesterol being a little high but usually if I behave myself for a few weeks before the test I can usually get by without much more than a light lecture. But when you get a call from the doctors office within a couple of days I was pretty sure that it wasn’t going to be good news. The problem was it wasn’t a problem with my cholesterol that brought on the call.

So within a week of having my physical and bloodwork done, I was back in the office to hear that my PSA reading was 7.2, not a number that was good so another PSA test confirmed that the first reading wasn’t an error. Now of course I am thinking this is going to be bad, because I remember my old doctor explaining to me that we all have cancer but only for a few people does it become a problem. So from there I set up appointments with a whole group of physicians that poked and prodded me until we had a confirmed biopsy that proved yes I indeed had prostate cancer and then they make calculation that take into account my age, my health, the severity of the cancer then the team lay out a number of options.

These options vary depending on all the factors, but the quick view was that I was young enough and healthy enough. That most likely the cancer would be the cause of my death if not treated, which meant they they would have to explain the treatment options to us, and here are the basic choices.

OPTION 1: Basically do nothing right now, just fall into a routine of a PSA test every three months and track the changes. The thought was that it may not get worse too quickly and we could check the other options in some time and determine how to treat later. The problem with that was the testing every three months, all the appointments and if it took six or nine months to decide it was aggressive that it could spread to other areas. We knew from the biopsy that it was reasonably aggressive because of the twelve sample that they took seven were cancerous, had that been four or less it may have been a good option, but in my case it was not.

OPTION 2: Radiation which consists of directing concentrated radiation to the prostate, done in a series of visits over an number of weeks, The hope is to use high energy to kill the cancer cells to stop it from spreading and was one of the options that we looked seriously at. It was also explained that if it did not work that surgery would be very difficult after radiation because of the scaring of the tissue. Again because of the biopsy results it was not the recommended option from the doctors.

OPTION 3: Radical prostatectomy or the removal of prostate gland, surrounding tissues, and lymph nodes by making small incisions in the lower abdomen, not really what we were hopping for but if the surgeon was able to get all the infection that I could be cancer free almost immediately. The down side to this and all the other options are pretty much the same and include balder control, ED, and the like, none of which were desirable but seemed like better than the death option, the degree of the side effect vary from patient to patient but with the right surgeon and a little luck life could be pretty much back to normal.

So late July 2015 it was decided that I would chose to have a radical prostatectomy, next was to schedule the procedure as soon as possible, and knowing that my need was serious we were told that my surgery could be bumped if a more serious case came along. A date in early October was picked the surgeon scheduled and the preparation started. But with around a week to go I received a call and my surgery was bumped to late October and we just marched on a little further.

Early on October 28th 2015, I checked into the hospital for the surgery, from there till late that fall afternoon the process was just a blur to me. Apparently the surgery went as planed, but I had a number of issues in recovery, unlike my father who was cursed with high blood pressure in his later years I have been blessed with low blood pressure and apparently that was an issue a number of times, causing undo stress to the nurses in the recovery ward, me, I really never knew anything until Miss Laurie told me later that evening.

Well that is pretty much the story of my go about with cancer, I feel very blessed to still be free of prostate cancer, but at my age it was also a real wake up call, it was one of the reasons that we chose the life to travel, explore and enjoy life a little more than most people. And as I sit here this evening finishing off this blog I realize that I have now out lived my father, he passed just a few month after his 69th birthday of a massive heart attack, most likely something to do with that high blood pressure.

Here are the common signs and symptoms of prostate cancer:

  • Difficulty urinating
  • Urgent need to urinate
  • Frequent urination, especially at night
  • Burning or pain when urinating
  • Inability to urinate or difficulty starting or stopping urine flow
  • Painful ejaculation
  • Blood in the urine or semen

All you fellows get a PSA test done to give yourself a benchmark. And do it sooner rather than later, such a simple test and it saves a lot of lives!

As always stay strong, keep well, and be well!