kate_nepveu: sleeping cat carved in brown wood (Default)
[personal profile] kate_nepveu
At Readercon, I said that my Twitter usage was basically "open, see if Ursula Vernon has live-tweeted more of reading Swiss Family Robinson, close," and that remains true. But I promised to provide links to various people, and having opened tonight to see that a reading is in progress, I should follow through.

So:

https://twitter.com/UrsulaV/status/855253438623625217 (April 20)

https://twitter.com/UrsulaV/status/855601923155689472 (April 21)

https://twitter.com/UrsulaV/status/855972038800023552 (April 22)

https://twitter.com/UrsulaV/status/857428575955419136 (April 26)

https://twitter.com/UrsulaV/status/861402977675902977 (May 7)

https://twitter.com/UrsulaV/status/861776626996129793 or https://twitter.com/UrsulaV/status/861805896590143488 and scroll up, it isn't threading properly) (May 8)

https://twitter.com/UrsulaV/status/864320654379798530 (May 25)

https://twitter.com/UrsulaV/status/868292932406784000 (May 26)

https://twitter.com/UrsulaV/status/871216625730674688 (June 4)

https://twitter.com/UrsulaV/status/872294427045318656 (June 6)

https://twitter.com/UrsulaV/status/878827410568990720 (June 24)

and, now in progress:

https://twitter.com/UrsulaV/status/890028466393010177

Enjoy. (I will update this post as needed, to have everything in one place.)

Health Care Is Not a Consumer Good

Jul. 25th, 2017 08:48 pm
lydy: (Default)
[personal profile] lydy
I have a known history of PVCs.  PVCs are "premature ventricular contractions" which basically means that the ventricles of my heart get a little over-excited and jump the gun.  Hence the "premature."  It is usually a benign heart arrhythmia.  They were noted on my sleep study, which was done three to five years ago.  Known history.

For Reasons, I got rather drunk Saturday night at Fourth Street.  While I was trying to fall asleep, I felt just plain weird, and I thought to feel my pulse.  I was missing every eighth beat.  That's...a lot of PVCs.  Since then, I've been noticing occasional tightness in my chest, a very slight something that one might call shortness of breath, and a lot of missed beats.  Now, at least some of the weird feeling in my chest is almost certainly muscular.  I don't wear a bra, I am old, and the muscles attaching to my rib cage are a bit stressed.  And some of the shortness of breath may or may not be related to asthma.

One night at work, with entirely too much time on my hands, as my patient was coming in late, I hooked myself up to the amplifier, just running the EKG.  (This cost my work exactly two disposable snap electrodes, one alcohol wipe, and one sani-wipe.)  Yep, my heart was throwing PVCs.  One morning, I was throwing between six and twelve a minute. 

Possible triggers:  alcohol, caffeine, and Allegra.  So, I've stopped taking Allegra, stopped having a nightcap after work, and reduced the caffeine.  I tried eliminating the caffeine, but that caused me to become depressed, and there's literally no future in that.  I switched to Claritin, which doesn't work as well, but man I need to not claw my eyes out.

I repeat: PVCs are almost always a benign arrhythmia.  There are tests.  I should probably have them done.  Possibly a Holter monitor, probably a (shudder) stress test.  Ick.  Probably expensive.  Sigh.  After a month of monitoring my pulse for missed beats, messing about with my chemical profile, and whinging and moaning about not liking doctors, I sent an email to my doctor through the automated system, describing my symptoms, providing the above information, and asking for an appointment.

And now we get to how health care is really not a consumer good.

I get back an email stating that they cannot schedule me an appointment based on my reported symptoms, and I need to talk to a nurse, first.  I roll my eyes.  I call the clinic's Nurseline, and go through all the above information.  I assume she can also see my email to my doc, but who knows.  She asks me a series of questions, the answer to most of them is "no."  Am I in pain?  Does the pain radiate? Am I dizzy?  Do I feel nauseous?  No, no, no, no.  She then says, "You should go to the Emergency Room."  I explain that I will not do so.  I point out that PVCs are almost always benign.  (When they aren't benign, they still aren't a terminal rhythm.  They're a symptom of cardiomyopathy or some other serious damn thing, but not instantly fatal.)  I am still paying off my last visit to the ER, eight months ago.  The nurse tries to insist.  I tell her that I will, under no circumstances, do any such thing.  We get rather cross with each other.  She states that their guidelines do not permit them to schedule an appointment for these symptoms, the guidelines require that I be seen on an emergent basis.  I point out that this is health care, and I can refuse any damn thing I want. 

Eventually, she says that she will have to talk to my provider, and will call me back.  I point out that I evidently have a condition so dire that I must be seen on an emergent basis, but if I refuse, they will not permit me to see my own damn doctor, and how does that even make sense.  We became even crosser with one another. 

I wake up to a voice mail stating that I can call my clinic and schedule an appointment.  By this time, of course, the clinic is closed, and after hours people cannot schedule. 

So, this morning, I call the clinic.  And am offered an appointment at 9:40 a.m.  I explain that this simply doesn't work, as I have to go to work tonight, which means I need to be in bed by 11:00 a.m.  The nurse asks why that doesn't work.  I point out that even if I get in and out in an hour, I'm still not home before 11:00 a.m., and that means probably not in bed until 11:30 or noon, and that assumes that they don't decide to do a bunch of stuff, and what's the chance of that?   She allows as to the justice of my remarks, and offers me...Urgent Care.  Yeah, no.  While not as expensive as the ER, it a) doesn't solve my problem with needing to be in bed, and b) IT'S NOT AN EMERGENCY, FFS.  She says that the guidelines are that I be seen same day.

Quick note:  You know how I know that this isn't an emergency?  Because every time the nurse attempts to make me go to the emergency room, they say, "guidelines."  If it really were an emergency, they'd be talking about, you know, death.  (I did have a nurse say that to me once, in reference to a possible case of tetanus.)  The fact that the nurses sound vaguely unhappy about the guidelines is also a tell.

We go a couple more rounds.  My normal provider doesn't work on Thursdays, is full on Wednesday, and is also completely booked on Friday.  It is suggested that perhaps I call back on Wednesday morning and see if anything has opened up.  I point out that the system is completely broken.  The nurse agrees.  Eventually, she asks, "Do you have to see your usual provider?"  No, I don't.  I mean, I like my doctor, but I'm willing to go to someone else.  So she schedules me for 7:40 (oh god) a.m. on Thursday with some guy I've never seen.

I am a price sensitive and informed consumer of health care.  And at every turn, the system is trying, desperately, to shunt me into a high cost alternative, for no good reason.  Additionally, I already know that there is no point in asking what any of this will cost.  The provider has no idea what my insurance will cover.  The insurance company typically will not answer these questions.  Moreover, once I surrender myself to the professionals, they will run whatever tests they think wise, and I will have almost no say over them.  I will certainly not be given enough information about the test, the cost, the possible results, and the potential treatment to make an informed decision about whether or not the test is a cost-effective choice.  I have less control over my own health care, and less information, than I have about my cat's health, where they will cheerfully lay out exactly what the tests cost, what they might reveal, what the treatment path would be based on various scenarios, etc.  The other thing I have very little control over is my insurance.  I get insurance through work, and it is both expensive and not very good.  I have a $3500 deductible, and the things it covers at only 80% (after deductible) is long and irritating.  Nor can I, as an individual, shop around for a better deal. 

Health Care is not a consumer good.  A consumer good responds to market forces if the consumer is informed, if there is information available, if there are alternatives, and if the primary driving force behind the consumption is rational rather than emotional.  Most importantly, the consumer needs to have some control.  None of this is true about health care. 


 


Summer gratitudes

Jul. 25th, 2017 05:12 pm
kass: a container full of wooden spoons for cooking (spoons)
[personal profile] kass
1. I am making a new cucumber salad recipe, courtesy of an issue of Cook's Country that came to my hands. I think the trick of seeding and pre-slicing the cucumbers and letting them rest on a paper towel in the fridge for 20 minutes will indeed help keep the cucumbers crisp, and I flavored the salad with mint from my one garden bed. \o/!

2. One giant load of wash is in the dryer, another load of towels is in the wash, hallelujah.

3. I'm going to oven-roast salmon tonight, glazed with soy-sesame-miso-ginger-garlic and a smidge of maple syrup.

4. I had a morning of self-care (therapy followed by massage). My friendly neighborhood massage therapist tells me that she encounters a lot of people's necks and that they are not supposed to feel like corded steel cable. Well okay then. :-)

5. I got to have lunch with [personal profile] squirrelhaven, and will get to have dinner with [personal profile] sanj and [personal profile] kouredios. What a delightful day. :-)

How are y'all?

(no subject)

Jul. 25th, 2017 12:01 pm
bitterlawngnome: (Default)
[personal profile] bitterlawngnome
I had a Milda memory just now. We used to use the words "Persian kitten" to describe that moment when you feel like there's something you should be doing but have no idea at all what it is. Something like "at a loose end".

Since the mid 1970s there had been a commercial for toilet paper (https://youtu.be/V-rX6RpDT0U) on TV featuring fluffy white Persian kittens playing with toilet paper (meant to make you think warm, soft, and fluffy - not bitey with claws). One day M just plopped down on the bed and pawed their air and said "I feel like a Persian kitten with no toilet paper".
jimhines: (Snoopy Writing)
[personal profile] jimhines

By now, I imagine most of my fellow geeks are aware that when Peter Capaldi leaves Doctor Who in the coming Christmas special, he’ll be replaced by Jodie Whittaker. Naturally, not everyone was happy about the next Doctor being…gasp…a woman.

As the conversation progressed, I started to see more people suggesting the backlash wasn’t a thing. All they were seeing was people complaining about the backlash, as opposed to anyone actually being unhappy about a woman playing the Doctor. The whole thing was people getting angry over nothing, and feeding on each other’s anger.

Now Steven Moffat himself has joined in to proclaim, “There has been so many press articles about a backlash among the Doctor Who fandom about casting a female Doctor. There has been no backlash at all. The story of the moment is that the notionally conservative Doctor Who fandom has utterly embraced that change completely.”

Oddly, most of the people I’ve seen saying the backlash is imaginary, made-up, and/or blown completely out of proportion, have been men. Perhaps — and I’m just guessing here — because it’s easier for men to overlook sexism? Misogyny doesn’t directly affect us, so we’re less likely to notice it?

It’s like white people denying racism, straight people denying the hatred and intolerance of homosexuality, and so on. Just because we don’t see it — perhaps because we choose not to look, or perhaps because we’ve never learned to look — doesn’t mean it isn’t real.

For all those who share Moffat’s confusion, here are just a few examples of the ignorant, sexist, hateful, and sometimes flat-out batshit responses to Whittaker taking over as the Doctor.

#

“The replacement of male with female is meant to erase femininity. In point of fact, and no matter what anyone thinks or wishes, readers and viewers have a different emotional relationship to female characters as male. This does not mean, obviously, that females cannot be protagonists or cannot be leaders. It means mothers cannot be fathers and queens cannot be kings.

“…I have been a fan of Dr Who since age seven, when Tom Baker was the Doctor. I have tolerated years of public service announcements in favor of sexual deviance that pepper the show. But this is too much to tolerate.

“The BBC has finally done what The Master, the Daleks and the Cybermen have failed to do. They killed off the Doctor.”

John C. Wright (you may remember him from his freak-out over Korra and Asami.)

#

Over on Twitter, @TechnicallyRon took comments from angry Doctor Who “fans” and turned them into title cards.

Lisa Crowther also screenshotted some comments from angry Daily Mail readers.

#

Twitter also has plenty of comments like this fellow’s woeful lament, “And again the PC brigade get their way. R.I.P Doctor Who” (Source)

#

Joe Scaramanga’s response to this sexist twit was a thing of beauty.

#

British tabloid and shit-filled dumpster fire The Sun responded to the announcement by publishing nude photos of Judie Whittaker.

#

Caitlynn Fairbarns has rounded up a ton of the negative comments and reactions.

#

But remember everyone, it’s not about sexism!

“It’s a woman. That’s it, Doctor Who is ruined. Like I said, I’m not sexist, I just don’t think it’s a good idea.” –Mark S.W.

#

Now, folks might argue that the majority of Doctor Who fans are excited about the Doctor being a woman. (Though there’s a very real and valid frustration that we’re on our fourteenth doctor and the character has still been exclusively white.) Others will say some of the negative comments are coming from trolls just looking to get a reaction, or that of course Daily Mail readers are being horrid about Whittaker’s casting.

You might be right. That doesn’t change the fact that the negativity exists. It’s not one or two isolated assholes. It’s a real and significant thing, and it’s closely tied to the kind of harassment and disdain and hatred and other forms of sexism women deal with every day. Sexism that men so often don’t see. Sexism we respond to by telling women they’re overreacting, or they’re just imagining things, or that if they’d just stop talking about it the problem would somehow magically go away.

I get it. You’re tired of hearing people complain about sexism. Gosh, can you imagine how tiring it must be when you’re constantly on the receiving end of that sexism. Constantly being told you shouldn’t be allowed to play the same kinds of roles. Constantly being told your only worth comes from your body. Constantly being told your inclusion is some kind of public service announcement. Constantly having your accomplishments belittled as “PC pandering.”

Look, I wish we didn’t have folks like Wright rolling around with his head up his ass every time his Straight White Manliness feels threatened by a cartoon or a TV show or whatever else he’s scared of this week, but we do. Pretending otherwise not only turns a blind eye to the pervasiveness of sexism and other forms of bigotry, it also means turning your back on those who are directly targeted by that intolerance every day.

Mirrored from Jim C. Hines.

oursin: Photograph of Rebecca West as a young woman, overwritten with  'I am Dame Rebecca's BITCH' (Rebecca's bitch)
[personal profile] oursin

I noticed - flitting past me on Twitter the other day - somebody eyerolling at, if not codfishing, some bloke's plaint that watching Dunkirk had made him realise that The Modern Man does not have these Manly Challenges To Rise To -

And being a historian, I thought that, actually, there have been long generations, at least in my country, where most men were not being called upon to take arms and fight, and the general attitude to the soldiery was summed up by Kipling in Tommy.

And that thing about Challenges to Rise To always tends to be seen in a context which leads to e.g. the Battle of the Somme, rather than to being a despised Conscientious Objector, a decision which history may read entirely differently -

Which possibly links on to that thing I also saw flit past me on Twitter apropos of alt-history narratives which allow the viewer to believe that they would be The Resistance, which reminded me of that nasty piece of work Jimmy Porter in Look Back in Anger going 'where are the good brave causes?', and really, one can think of a few relevant to the 1950s, not to mention, we do not, ourselves, envisage J Porter going off to Spain in the 30s.

And the whole notion of Heroic Actions and somehow, not here, not now.

And I thought, did not my beloved Dame Rebecca say somewhat to this point in Black Lamb and Grey Falcon, and while this has the rhetorical universalisation and generalisation to which she was (alas) prone, it does seem relevant to this notion of some kind of masculine Rite de Passage:

All men believe that some day they will do something supremely disagreeable, and that afterwards life will move on so exalted a plane that all considerations of the agreeable and disagreeable will prove petty and superfluous.

As opposed to, persistently beavering away at the moderately disagreeable in the hopes that it might become a little more agreeable.

NIF: eps 15-16 Lanterns and Swords

Jul. 25th, 2017 08:57 am
sartorias: Mei Changs (MC)
[personal profile] sartorias
These are transitional scenes in that they flash to the past but are building toward a coming confrontation. But on repeated viewings, we can see deep groundwork being laid for even bigger stakes.

And oh, the emotional moments are riveting.
Read more... )

Universal nasty

Jul. 25th, 2017 08:03 am
supergee: (bucky)
[personal profile] supergee
How South Park helped raise a generation of trolls

The new astrology

Jul. 25th, 2017 07:07 am
supergee: (Foster)
[personal profile] supergee
Of course it’s science! Look at all those equations!

Thanx to [personal profile] andrewducker

The M word

Jul. 25th, 2017 05:53 am
supergee: (thinking)
[personal profile] supergee
Elitism has come to mean “rule by rich people who went to Ivy League schools.” Now, meritocracy is coming to mean “rule by rich people who went to Ivy League schools.” Wouldn’t it be nice to have a word for “having things done by people who are good at them”?

Thanx to Slate Star Codex

(no subject)

Jul. 25th, 2017 09:27 am
oursin: Brush the Wandering Hedgehog by the fire (Default)
[personal profile] oursin
Happy birthday, [personal profile] adair and [personal profile] owlfish!

Solitary places and vast views

Jul. 24th, 2017 11:05 pm
morganmuffle: (tea)
[personal profile] morganmuffle
Orlando naturally loved solitary places, vast views, and to feel himself for ever and ever and ever alone.


Since [personal profile] seiyaharris and I went to Knole earlier this month I've sort of been rereading Orlando with Knole and everything we heard about Vita & Virginia in mind. It's been slow because I'm accidentally reading about 8 books at once at the moment (well, five books and technically one of those I haven't REALLY started)

I remembered really enjoying it and although it is a strange little book there are so many beautiful lines and sections even before you remember that it's basically a very long love letter.

Today I am quite enjoying the idea of solitary places and vast views. Too many people, too much pressure, and too much uncertainty about my own abilities (from myself, not other people).

Mind you with all of SDCC to catch up plus all the post-Tour opinion pieces AND the news that Michelle Terry is going to be the new Globe AD I've had plenty to keep me interested whilst I'm being solitary.

Bunny and Briers

Jul. 24th, 2017 08:42 pm
guppiecat: (Default)
[personal profile] guppiecat

Bunny_2


Adult now, the audacity and flippancy of youth left behind, he stared at the unfathomable vastness stretched before him – of land, of time, of thought, and of choices yet unmade – and remembered those he’d lost to time, missing his dear old brier-patch.




Originally posted at stories.starmind.org.

Three Hines Books On Sale!

Jul. 24th, 2017 12:56 pm
jimhines: (Snoopy Writing)
[personal profile] jimhines

I checked Amazon today and was surprised to see that three of my books are on sale in electronic format. Barnes and Noble doesn’t appear to have price-matched the sale yet (they have now!), and I don’t know if this is limited to North America, but here’s what I do know:

Libriomancer is on sale for $1.99.

Goblin Quest is on sale for $2.99.

The Stepsister Scheme is on sale for $2.99.

That’s book one of all three of my fantasy series. If you’ve been waiting to check out my stuff, this is the perfect time.

Mirrored from Jim C. Hines.

So, anyway, excursion to Darmstadt

Jul. 24th, 2017 05:04 pm
oursin: Brush the Wandering Hedgehog by the fire (Default)
[personal profile] oursin

This involved a certain amount of faff and hassle about making sure we were buying the right kind of ticket for the train which would also give us free rides on public transport, ascertaining which platform the train in the right direction left from, etc etc. And then when we arrived a) finding the right stop for the tram b) missing the stop we wanted and being carried on to a point we didn't want.

Except it turned out to be right around the corner from Hundertwasser's Waldspirale apartment block, which was on the list of things to see.

After which we wandered down in the direction of the Schloss (which can only be seen by way of guided tours, we passed) and had what was a rather more leisurely lunch than we had intended at the Altes Rathaus before going to the Hessische Landesmuseum, based on the collections of the Grand Dukes, which has some nice stuff.

We then went out to Mathildenhöhe, which was where the artists of the Jugendstil Art Nouveau movement hung out. This includes a Russian Orthodox Church (not particularly Art Nouveau) and the Hochzeitsturm, Marriage Tower, which looks as if it might be the HQ of one of those somewhat spooky early C20th New Agey cults that crop up in mysteries of the period, and a rather small museum (but I think part of it was closed) of furniture and objects created by the artists of the colony.

And then back to Frankfurt, whence we flew home today.

***

And in other news, spotted this in today's Guardian: the strange world of book thefts:

“We caught a gent last Christmas with £400-worth of stolen books in his trousers and elsewhere.... As we showed him the door he told us: ‘I hope you’ll consider this in the Žižekian spirit, as a radical reappropriation of knowledge.’”
As an anarchist friend of a friend remarked when his car was nicked, 'Property is theft: but so is theft theft'.

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