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I always end up counting the cats before I leave to be sure no one is locked in the closet. One cat, two cat, three cat, bwaahahaha, I’m good. Let’s get out of here.

Today I had to go see the doctor about my shoulder. More precisely, the physician’s assistant (or what she a nurse practitioner…). And I’ve seen this a lot lately. The doctor is an easy going man or woman and his aid is a douche. She obviously had a lot of issues with me knowing as much as she did and seemed to think that I wanted narcotics.



PA – the shot didn’t work at all?

ME – not really

PA – not even after a few days

Me – yes, after the corticosteroid dissolved there was some pain relief but not that much. Can you give me a realistic idea of recovery time post op. This she did all right but wouldn’t be pinned down.

Me – please, I really need to know how long before I can drive. I live alone. I’m going to have to get a caretaker (i.e. mom)

PA – well you can use your hand once the drugs wear off in 48 hours.

Me – I can drive (not buying i)

PA – maybe, everyone is different but you can’t put your hand over your head for 3 weeks.

Me – ah, so I CAN’T actually do much steering if I have to limit movement, not that my hand needs to be above my head to drive. I’ll wait until I’m off in the summer.

PA –Oh…are you sure?

ME – yeah well maybe. If the pain gets any worse.

PA – the doctor did say you needed a Mumford procedure. That means there is a bone spur digging into your tendon and could rupture it.

Me – I know this but my job requires me to carry heavy things

PA – Your students can’t do that.

Me – not really. Can you give me anything for pain?

PA- I can’t give you a narcotic if you’re not having surgery right now.

Me - I don’t WANT a narcotic. They do nothing for pain. I would like an NSAID (non steroidal antiinflammatory) Maybe Relafen. I’ve been able to tolerate that before.

PA – you do know pain pills do nothing for pain they only make your head fuzzy

ME – um…that’s only true of narcotics which I don’t want. I want NSAIDS.

PA – you want to risk your stomach and kidneys for a little pain relief?

ME – Okay fine then give me more voltaren cream and Lidoderm patches (Voltaren is a transdermal application of an NSAID)

PA – those won’t go that deep

ME – you know really never mind (thinking I’ll just get my doc to give me freaking Relafen which I won’t tolerate for long but for bad days…)

PA – who about trammaldone

Me 0- that sounds familiar

PA –Ultram, it’s scheduled but not technically narcotic.

Me – no, look they’ve been arguing that since my residency in 94. It’s still addictive and it makes me barf. Nsaid?

PA – how about we put another shot in there.

Me you can’t, I’m maxed out. Okay I have one left I can have but I’m saving that one for vacation.

PA – schedule your surgery and she said goodbye. It’s like omg give someone a hint of power. The doctor is so nice and she makes me want to find another practice.


Then I came home to get pissed off. I noticed lately Kanda’s mouth is getting smutty look. I really look at it. It’s all flea dirt. It’s not been two fucking weeks since I gave them all frontline. I think it’s pointless. I’m calling the vet. She said they were looking at a new pill. All three cats have fleas in spite of being treated. ARGH.


Then tonight I had a major episode curtsey of Diabetes iz Fun. Ugh. It’s been a long time since my gastric paresis has acted up this much. I felt fine until about 3 hours after dinner. Okay, in 2 hours all the food should be out of your stomach and on its way. I got violently ill and let’s just say it was like 3 minutes had passed since eating, not hours. And of course I had already taken my insulin and my sugar promptly crashed. Thank god for dissolving sugar pills. I managed to get in a little soup with bread mushed up in it just to try and stabilize. Might go for a little peanut butter now, something easy to digest.

And now it is snowing in time for tomorrow’s nursing test. Pouts.


check this out. the greener penny it's a green site (ignore there is martha stewart involvement. there is helpful stuff here)



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OMG TREATS. Look we've totally wrecked your rug. treat us

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