edschweppe: Myself in a black suit and black bow tie (Default)
Today is both Massachusetts' state primary election, and the first day I was able to schedule this year's COVID vaccine at my local CVS.

I'd already voted early, so that wasn't an issue. And, unlike last year, there wasn't any insurance company confusion about which version of the vaccine was covered this time.

This year was quick and easy; in, jab, and out. As a bonus, the sweet young thing who gave me the shot was both gloved and masked.

Once again, Team Moderna for the win.
edschweppe: Myself in a black suit and black bow tie (Default)
I (finally) got my fourth COVID booster today, at the not-quite-so-local CVS that I got my previous shot at. As-you-may-remember-Bob, I tried to get it almost three weeks ago, only to be foiled by my insurance carrier not having gotten their act sufficiently together to update their coverage files to include the current shots. Apparently, letting the private sector handle vaccinations (rather than the Federal government driving things) doesn't necessarily mean smooth rollouts. Who knew?

This time around, things went swimmingly; in, out, no drama. One new development: the old fifteen minute wait to see if you have a horrible reaction is no longer mandatory; I haven't had a bad reaction yet, so I didn't bother waiting around.
edschweppe: Myself in a black suit and black bow tie (Default)
Once the news formally broke that the FDA and CDC had signed off on the latest COVID vaccines, I signed myself up for a booster at my more-or-less-local CVS. The appointment was early this evening, so I hied myself down at the appropriate time and presented myself at the vaccine check-in counter - only to be told that my health insurance wasn't covering the shot, and would I like to spend almost two hundred bucks out of pocket instead? According to the pharmacy tech, the insurers have yet to update their coverage files for the new vaccine. Left unexplained (because the tech had no information) was how CVS' online vaccination scheduling tool, which supposedly specifically checked my insurance status as part of the signup process, let me make the appointment in the first place.

Mumble, grumble, and whiskey tango foxtrot? I'll likely call the insurer on Monday and see if I can get an answer; I have a cynical suspicion, though, that much pointing of fingers and blaming someone else will ensue.

Anyway, I did not get vaccinated today. Which annoys me no end.
edschweppe: (the scream)
This isn't specifically about COVID-19, but it's a scary story nonetheless. From the front page of today's Boston Globe, Mass. hospital emergency departments are beyond the brink:
It's not like we are on the brink. It's like we are past the brink )
Yikes. Hospitals over 85% capacity can't get people out of the ER within four hours. Massachusetts hospitals are currently at 94% capacity.

And waiting for what's about to be a lame-duck Baker administration to do a damn thing is basically a recipe for waiting until the new Governor is sworn in.
edschweppe: Myself in a black suit and black bow tie (Default)
Today, I got my third COVID-19 booster vaccination; this one being the Moderna bivalent vaccine, which will hopefully provide good protection from omicron-variant infections as well as supplying death-and-serious-illness defenses.

This time around, I couldn't find an appointment at the local CVS that I got my previous two boosters at; but I did manage to get one at the other CVS in town. (Apparently, they'd just gotten a shipment of Moderna earlier today.) I did have to ask specifically for a new CDC vaccine card (having my original four slots all filled); on the other hand, waiting around for that nicely occupied the "wait to see if you're going to have a horrible reaction" time.
edschweppe: Myself in a black suit and black bow tie (Default)
I just got my second COVID-19 booster vaccination today.

There was even less drama today that for my first booster back in November, let alone the first and second primary doses back in March 2021. All four of my shots have been the Moderna "Spikevax". I'm enough of an old computer nerd to think that really should be the name of a Digital Equipment Corporation minicomputer line.

Again, I went to my local CVS pharmacy; this time, there was no line at all ahead of me, and I was in and out in minimal time. Alas, CVS doesn't give out stickers or buttons like the mass vaccination sites I went to last March did.

Of course, now all four slots of my official CDC vaccine card are full. Presumably, whenever another booster ends up being recommended, there will be official guidance regarding supplemental paperwork.
edschweppe: Myself in a black suit and black bow tie (Default)
I just got my COVID-19 booster vaccine this afternoon.

Unlike my first and second shots back in March, I got this one at my local CVS pharmacy. Easier to get to, but not quite as seamlessly organized as the mass vaccination site at Gillette Stadium; we were lined up in the aspirin aisle, and the nurse was running a bit late. On the other hand, once I reached the head of the line, things only took a couple of minutes and I was out of there once the fifteen-minute observation period ended.

What with the state (and my county) still well into the high range of community transmission by the CDC's calculations, this does make me feel a bit better. We'll just have to see when the next set of boosters will be recommended.
edschweppe: Myself in a black suit and black bow tie (Default)
I got my second dose of the Moderna COVID-19 vaccine this morning.

There was even less drama than the first shot, as I now knew exactly how to get to the correct parking lot at Gillette Stadium. No lines at all; just walked right in once it was my time, got the shot and the updated card, got the "I got vaccinated" button, sat around for the prescribed fifteen minutes, took the selfie, and headed back out. Easy-peasy.

I didn't have any noticeable side effects from the first shot, and hope to have the same this time; but I did make sure to have a full larder and an empty calendar for the next couple of days, just in case.

This is a huge relief, getting this done. This pandemic has sucked; but now I can be sure I will neither die from this damn virus nor kill off someone I care for therewith, and that makes me feel so much better.
edschweppe: Myself in a black suit and black bow tie (Default)
Early in the morning on Tuesday (March 2), I somewhat idly brought up the state's vaccine appointment finder (https://vaxfinder.mass.gov/), expecting it to show its typical utter lack of appointments available. To my surprise, it was showing a small number of slots open at the Gillette Stadium site - presumably because some folks had cancelled their appointments for one reason or another. After several attempts, each of which brought me to a page showing a day's worth of unavailable times, I was able to find an appointment for the next morning (!) at 9:48.

So I toodled down to Foxborough bright and early Wednesday morning. The various online mapping services indicated that it was marginally faster for me to head east and take MA-128/I-90 to US-1 south, rather than head west and take I-495 to US-1 north, to get to Gillette. There are two vaccination sites at Gillette, and my appointment was at the "west" clinic (in the stadium in the Putnam Investments club). Traffic was non-existent, and parking was plentiful. One thing that didn't work perfectly; the directions told me to take the P6 entrance to Gillette, and I couldn't see any signage for P6 from US-1. (Instead, I saw signs for the P9 entrance at a traffic light, made a U-turn onto US-1 north, and took the P8 entrance that the directions specified for northbounders.)

Apart from that minor bit of navigational irritation, though, things went very smoothly. There was a very short line waiting to get into the site, but there were plenty of staff keeping things flowing. They had plenty of check-in stations; basically all I had to do was show one person the registration email and the completed health questionaire on my phone, and then I was heading up the escalator to the vaccination stations proper. Again, there was effectively no waiting, and I got my Moderna shot (and official CDC vaccination card) with no hassles. I spent most of the fifteen-minute observation period signing up (on my cell phone) for my second shot on March 31 - same location, same time - and was on my way home shortly after ten AM.

I haven't noticed any side effects from the shot; I'm going to plan on not being so lucky after the second dose. On the other hand, by mid-April I should be "fully vaccinated" - and in a position to do things like, say, visit my mom.

(Originally posted on March 11. Backdated to March 3, which is when I thought I'd posted this originally. Apparently I didn't.)
edschweppe: Myself in a black suit and black bow tie (Default)
As of yesterday, my town is officially stating "At this time, there are no confirmed or presumptive cases of the virus in Acton." (https://www.acton-ma.gov/CivicAlerts.aspx?AID=1115 - although I suspect that link will rot over time.)
There have been cases confirmed in neighboring towns, including one case so far in Stow (where my church is). I presume it's only a matter of time (and testing) before we get cases in Acton.
edschweppe: (can't take it any more)
The tiny screw that holds one of the lenses on my brand-new pair of progressive eyeglasses decided to jump ship this morning - literally the minute before I was supposed to meet the nice new HR person, who'd flown in from Atlanta because this office of the Current Paying Gig does not have any admin staff on site.

Fortunately, she was understanding of why I was so flustered.

Also fortunately, I was able to get to the optical shop before it closed and get things squared away.

But, seriously, universe. Last night's primary results weren't enough of a hassle? You had to add this?
edschweppe: Myself in a black suit and black bow tie (me in bow tie)
Guess who had his first eye exam in mumble-mumble years today?

Guess who now needs bifocals?

Guess who also needs computer glasses?

Grumble. This getting older stuff can be quite annoying, can't it?
edschweppe: Myself in a black suit and black bow tie (Default)
Following up on https://edschweppe.dreamwidth.org/382592.html, in which I learned that I have something called scaphotrapeziotrapezoid arthritis:

The Tuesday before last, the hand doc gave me a corticosteriod shot. It took a couple of days for the pain of the shot itself to wear off; once it did, though, my wrist felt fine. Until yesterday, when I started noticing the same sort of pain, in the same place, on an off-and-on basis.

Looks like I may have to investigate that surgery option after all. Exactly what I wanted to be thinking about the day before my birthday, during what is predicted to be a week-long heat wave.

Yay. </sarcasm>
edschweppe: Myself in a black suit and black bow tie (Default)
I've been having various amounts of ouchiness in my left hand over the past year or so, which has progressed beyond the point of being effectively alleviated by combining a drugstore wrist brace with nightly ice packs. My primary-care physician though it was likely some form of arthritis, and referred me to a hand specialist.

I saw the specialist this afternoon, and he did some poking and some prodding and hmmm-hmmming, as specialists are wont to do. They did a couple of x-rays (with the modern, fancy digital machines that don't require film), and the diagnosis became clear the moment he saw them: yes, it's arthritis, but no, it's not the type my PCP thought it was.

Specifically, it's a type of osteoarthritis called "scaphotrapeziotrapezoid" or STT. Basically, I don't have any cartilage at all between the scaphoid and trapezium bones of my left hand. He gave me a corticosteriod shot, which will hopefully provide extended relief. If that doesn't work, there is apparently a very successful surgical repair available; unfortunately, recovery requires a month in a cast and two months of PT.

I suppose this is one of the "joys" of getting older. The next joy likely being arguments with the insurance company. Meanwhile, I'll remember the final verse of Silly Wizard's "Ramblin Rover":
If you're bent wi' arthiritis,
Your bowels have got colitis,
You've gallopin' bollockitis
And you're thinkin' it's time you died,
If you've been a man o' action,
Though you're lying there in traction,
You will get some satisfaction
Thinkin', "Jesus, at least I tried."
edschweppe: Myself in a black suit and black bow tie (Default)
My knee surgery (to repair a ruptured quadriceps tendon) was one year ago today.

I'm almost back to where I was before rupturing the tendon, as far as leg strength and mobility are concerned. My knee isn't quite at full strength (especially when nearly fully extended), so walking on uneven terrain can still be an adventure. On the other hand, with the help of a pair of trekking poles I successfully hiked the two-mile main trail through the town forest this afternoon. (Typical Massachusetts forest trail: granite ledges, exposed tree roots, and random rocks left over from the last glaciation. Not great footing, in other words.)

Also, the last year of walking as much as possible has had a pleasant side effect. When I first went to see my doctor about the knee (back when I thought it was only sprained), I weighed just shy of 275 pounds. Yesterday, at my regular physical, I was down to 255.
edschweppe: (summer house)
I'm back from another fun week on Star Island. Had some fun singing, had some fun dancing, had a lot of good food and some good conversation. I even had the chance to do a bit of photography and will hopefully have links in the near future.

And, unlike last year, I made it through without rupturing any tendons! (Star is wonderful for many things, but is not a fun place to find oneself suddenly on crutches.) My knee held up quite well, despite the seriously uneven terrain of the island (and my room being on the second floor of Gosport House, which meant many more stairs than I would have preferred).

Now it's time for laundry, grocery shopping, showers, and other bits of domesticity before returning to work on Monday ...
edschweppe: Myself in a black suit and black bow tie (Default)
And I had my final session of physical therapy earlier this evening.[1]

My knee's not at 100% yet, but I can go up and down stairs without holding on to the banister, I can walk on uneven surfaces without the aid of a cane, and I even went for a (short) bicycle ride last night.

So. Yay!

[1] Although I don't think I'll be sending the PT doc a thank-you note. The last time he treated a patient with a quadriceps tendon rupture, the patient dropped dead of a sudden heart attack three weeks later on a Friday. The next Monday, the thank-you card that the patient had sent the PT doc arrived in the mail ...
edschweppe: Myself in a black suit and black bow tie (Default)
It snowed most of yesterday. Not heavily, but enough to put a frosting on the trees and windshields, and scare the highway departments into breaking out the salt trucks again. Fortunately, the trees haven't started leafing out yet, so there was no damage done (we had a very nasty May snowstorm back in the day which took down a lot of tree branches and, IIRC, ended up killing a bunch of trees completely). Most of the big snowbanks in downtown Boston are gone - but not all of them. There are bare patches on the ground out here where I live - but most of the ground still has a noticeable snowpack.

I'm getting just a wee bit tired of this weather pattern. More below-normal temperatures are expected for the early part of the week, and the six-o'clock news guy said the early indications are that we might get more snow flurries next weekend.

Meanwhile, Keolis says they'll be operating their pre-snowpocalyptic commuter rail schedule starting tomorrow. Unfortunately, they couldn't actually keep to that schedule before all the snow started falling; odds that they'll suddenly get up to snuff seem kind of ... remote. Last week, of the ten rides I took into and out of Boston, four arrived on time. Three more were less than five minutes late (which is the standard Keolis has to meet to avoid fines) and the remaining three were respectively nine, ten and nineteen minutes late. The MBTA contract calls for 95% on-time performance; last week was at best 70%.

(For bonus fun, the ten-minute-late train also didn't have working HEP - thus no lights, heating or ventilation. Or WiFi, for that matter.)

Oh, and my physical therapy appointment on Thursday got cancelled because the physiotherapist was out sick.

There is one bit of good news on the knee-healing front, though. In the last couple of days, I've been able to (occasionally) walk up flights of stairs without having to grab a bannister for support. Still haven't dared to try that going down stairs, mind. But I'll take signs of progress wherever I can.
edschweppe: Myself in a black suit and black bow tie (Default)
I missed noting this in all the snowpocalyptic excitement of the Second Blizzard of 2015 (not to mention the last hours of Boskone), but my temporary handicapped parking placard officially expired last Sunday.

Nice thing to have when you need one, but it's far better not to need one in the first place.
edschweppe: Myself in a black suit and black bow tie (Default)
Tomorrow will be six full months since my knee surgery.

Today I had my six-month follow-up appointment with my surgeon. He was very happy with my progress to date, and says that it's now just a matter of time getting strength back. Hopefully I can get back to full strength in another six months or so. Walking the mile each way between North Station and the Current Paying Gig is contributing to that getting strength back, clearly. (My longer-term plan involves bicycling instead of walking, come springtime, and he thought that was a grand idea.)

And he says I don't need to see him again unless something goes wrong. That's a clear sign of progress. My next PT appointment is next Tuesday, and I'll be talking to the physiotherapist about what the plan should be.

In additional happy news, my copy of Elizabeth Bear's Karen Memory finally arrived, and it's as cracking good a story as the reviewers have claimed. Steampunk! Not-Seattle Underground! Diesel-powered sewing machines! Political corruption! The Lone Ranger!

And a submarine! How flippin' awesome is that?
edschweppe: Myself in a black suit and black bow tie (Default)
It's now been twenty-four weeks since my knee surgery. And I can actually use both knees now in going up and down stairs! Progress!

Not yet fully healed, mind, since I really need a strong bannister or two to hold onto for support while putting a load on my left knee. But fully healed is now in sight.

Still no fancy medical usericon. Blame a local shortage of round tuits.

[1] Technically, twenty-four weeks and one day, since my surgery was on a Friday and today's a Saturday.
edschweppe: Count Von Count of the Muppets (count)
Eighteen! Eighteen weeks! Ah-ha-ha!

Well, technically, eighteen weeks as of tomorrow, but today was the day of my followup visit with the surgeon who repaired my quadriceps tendon.

All gloating from Count von Count aside, things are going well. The doctor was very happy with how the knee looks, how the incision has healed, and how I'm progressing overall.

I'm still not able to use my left knee to actually drive myself up a full step, but I'm up to five inches of step-up exercise (finding a practical use for obsolete programming manuals in the process). And I've survived the occasional icy patches that Nature has thrown at me without damage.

Next followup visit will be in eight more weeks - which will make a full half-year since my surgery. How time flies when we're having fun - or some facsimile thereof.
edschweppe: Myself in a black suit and black bow tie (Default)
On the one hand, it's kind of hard to believe it's been that long since my knee surgery.

On the other hand, I'm pretty happy with my recovery so far. I'm walking well enough to routinely take the commuter rail into Boston, which saves me money, aggravation, and wear-and-tear on the car. And my physical therapist now has me doing step-up exercises. Small steps, mind you - I just graduated to the two-inch step - but definite improvement. (As a bonus, I finally have a new use for some of the obsolete computer programming language manuals I have lying around!)

Hopefully, by the time I find myself needing to navigate snowy / icy streets, I'll have two good knees to do the navigating with.
edschweppe: Myself in a black suit and black bow tie (Default)
And I still don't have a clever usericon. I do have continued progress towards a healed left knee, though, which is more important.

I'm doing well enough to not feel the need for a walking stick - on level, carpeted floors, at least. I'm not quite willing to risk the vast marbled halls of the Current Paying Gig's lobby (which are remarkably slippery even when dry) without having the stick at hand, let alone the Adventures in Frost Heaves which are downtown Boston sidewalks. OTOH, I can actually traverse said sidewalks - slowly, mind you - and walk between the MBTA stop of my choice and the Current Paying Gig. Shifting to the commuter rail instead of driving all the way downtown won't necessarily save time, but will save money and will usually save aggravation.

And next week, PT will start to include "gradual stairs" and "gentle incline". I'm certainly looking forward to being once again able to traverse such obstacles unaided.
edschweppe: Myself in a black suit and black bow tie (Default)
Saw my surgeon today for the ten-week followup; he's happy with the incision and with my progress to date. Then PT tonight included the stationary bike for the first time. Only a couple of minutes, verrrry slooooow, and no resistance - but first time on the bike, none-the-less.
edschweppe: Myself in a black suit and black bow tie (Default)
It's been eight weeks, now, since my knee surgery, and progress continues to progress. Today, my knee was flexible enough to let me actually tie shoelaces! Up to now, I've been wearing slip-on shoes. It's very nice to have that particular option back.

I'm also hobbling along well enough to handle walking from the North Station train platforms to the bus stop (for the rush-hour-only bus that stops two blocks from my Current Paying Gig) or the taxicab stand (in case I find myself at the station outside of rush hour). This means I can actually take the train into work rather than having to drive all the way downtown - some of the time, at least. Physical therapy days will probably still involve driving in, however, as I don't want to risk being late (a real danger with the T's commuter rail).

The real big thing about being eight weeks post-surgery, though, won't happen until my next session of physical therapy, as that's when "muscle strengthening exercise" will start.
edschweppe: Myself in a black suit and black bow tie (Default)
It's now six weeks since my knee surgery, and I had a followup visit with my surgeon today. He's happy with the incision, and very happy with my range of motion to date.

Which means ... I no longer need the leg brace! I'm actually allowed to walk around without my knee locked! I don't have to stump from point A to point B! Yay! [1]

Of course, it's still going to be quite a while before I'm back to full strength and agility. For that matter, it'll be a while before I feel comfortable walking without my trekking pole as a balancing aid.

And, alas, I'll no longer have the leg brace to act as an automatic conversation starter. Oh, shucks.

[1] Insert Kermit-flailing arms image here. [2]
[2] Without any corresponding jumping up and down, alas. The knee's not in that good shape yet.
edschweppe: Myself in a black suit and black bow tie (Default)
And things are going reasonably well.

Not perfectly well, mind. The knee brace is being occasionally recalcitrant, sliding down my leg further than desired and thus not providing the support it's supposed to. And, of course, having to wear the thing at all is an irritant. It's particularly irritating to have to wear it to work, since the Current Paying Gig doesn't permit men to wear shorts and the brace does not fit under dress slacks. (OTOH, the knee brace is an effective conversation starter.)

Having to drive into downtown Boston on a daily basis is irritating, as well; rush hour traffic has not gotten any more fun since the last time I had a downtown gig. The long-term solution will be to take the commuter rail; however, that has to wait until (a) I can walk several blocks in reasonable comfort and (b) I don't have to keep working physical therapy appointments into my schedule. The short-term good news is that the outfit running the parking garage seems to have figured out that, yes, there are now people driving in who use the handicapped-accessible spaces; unlike the week before, I didn't once have to bug the attendants to unchain the accessible spots.

However, my range-of-motion is continuing to improve, as is the strength of my left quadriceps muscle (which basically had nothing at all to do for the whole month of July). Hopefully I'm still on track to get rid of the brace after my next followup (in a couple of weeks).
edschweppe: Myself in a black suit and black bow tie (Default)
Is actually pretty good. I had my first post-surgical doctor's appointment today (thirteen days post surgery), and the surgeon is quite pleased with the healing to date. He says I can now start flexing my knee up to 90 degrees (instead of the 30 degrees I was limited to for the first two weeks). Of course, my knee is saying "whoa, not so fast there, bub!" since it hasn't been flexed that far since the surgery, but I've got new settings on the mighty leg brace.

Also a prescription for PT. Goodness knows I want my full range of motion back, but I don't want massive ouchies along the way. I suspect I may not get the one without the other, though. (Will call the PT place in the morning and see what they have to say.)

With some luck, I'll be rid of the leg brace in another month or so. I'm definitely looking forward to that!
edschweppe: Myself in a black suit and black bow tie (Default)
It's been a week (and a bit) since my knee surgery. A milestone, rather than a millstone.

The good news:
No complications from the surgery that I can detect. The post-anesthesia fog cleared up in about a day (as expected).
No excess bruising or swelling.
No sign of infection, leaking sutures, etc.
Not much pain anymore; I don't need the high-power narcotic pain medications anymore, and can usually get through the day without needing even OTC pain medications.

The bad news:
My mobility sucks and will continue to do so for the foreseeable future. I need to have my knee brace locked at full extension (leg completely straight) whenever I walk anywhere. Even with the brace, I'm very leery of trying to walk any significant distance. My new Current Paying Gig is in downtown Boston, at least a quarter-mile from the nearest transit stop; this means that I actually have to drive into Boston at rush hour and pay downtown parking rates to get to work.
Climbing up stairs is a very slow process; climbing down stairs is worse. Climbing down stairs with any sort of cargo? Very difficult; I have come to quite the appreciation of the concept of the dumbwaiter. (And I'm really not looking forward to any building evacuation drills that might occur in the next few months.)
Getting into and out of the driver's seat is literally a pain in the ass. My knee does not like bending, even as far as the brace will let me bend it; to get in the door, I have to slide myself into the car sideways and sit on the center console before I can get my left leg far enough into the car to fit under the wheel. Hopefully that'll ease over time, but right now, I'm not only using handicapped spaces, I'm using handicapped spaces with the extra striping by the driver's side door.
Physical therapy has yet to begin, but I can already tell that my left quad is a lot weaker than it used to be (having effectively done nothing for the last month). This will be my first time ever having to do PT, and I'm not looking forward to it. (I'm looking forward to it being done, but that's not the same thing.)

Bonus before and after pics )

Six months is going to seem like a long time to recover.

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edschweppe: Myself in a black suit and black bow tie (Default)
Edmund Schweppe

February 2025

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