casserly's notebook v3

--> open the cover.

dayjob has kept me busy the last half of the day. getting flooded with calls, mostly from patients returning refill reminders.

more of them are getting pissy with [pharmacy] because their e-scribe requirements have been reinstated. this started in march 2020 then was stalled until august 2020 because of covid19. ordinarily a prescription can be called in, faxed in, or mailed in, but this electronic option is supposedly quicker and immune from fraud.

e-scribe is not a new system and i get the impression it's widely used. the complaints we're getting are from patients with older doctors who don't think they need new-fangled software to write and send prescriptions. pharmacies are perfectly content with seeing these doctors go the way of the dodo for the sake of security and liability.

i hear whispers the software is expensive, but I challenge you to convince a patient to shed a tear for their doctor's wallet when they've been out of medication for a month.

#casserlysnotebook #casserly #cnv3 #escribecomplaints #august #august2020 #writeas #typowarrior #y2020m08d18a25w33d2

Nevada has had issues with her back over the course of months. Per the physical therapist, it's a stress injury from repetitive fine motor movements. A couple culprits come to mind.

First, gaming with keyboard and mouse. (You know, your hand is in a claw position over the mouse and your pinky and ring finger are slammin' those control and shift keys?) Lately we've played Astroneer, 7 Days to Die, and Overwatch. And I know all of those games are heavy on the shift bar. I can easily see them causing problems.

She also sews – has for a number of years. Pushing needles through fabric? It's painful for me; can't imagine it's any different for her. She usually makes stuffed animals. More recently, she's been making masks.

Her dayjob requirements are very fine motor intensive and very repetitive, she tells me. She works at a hospital pharmacy. That involves drawing from vials, reconstituting gross-smelling drinkables, and prepping tablets for patients to take later on.

She has bursitis, or a bursa inflammation, which per google, is the “Inflammation of the fluid-filled pads (bursae) that act as cushions at the joints. Bursitis occurs most often at joints that perform frequent repetitive motion. Symptoms include pain, swelling, and stiffness. Common areas include the knees, shoulders, elbows, and hips. Treatment includes rest, ice, and pain relievers. Surgery is rarely needed.”

She actually has this bursitis underneath her shoulder blade, and it's pissed off, inflating to the point where it pinched a nerve. This meant one of two things: pain or numbness down her left arm.


An update!

As I mentioned before, she works at a hospital, so her insurance is fairly decent. Her deductible is around $2,000, which is way better than mine – $3,200? Though so far none of the bills have been too scary. Odd, considering how many specialists are involved, but whatever.

She's still on my insurance – she didn't get this job until after I had already enrolled for the year. I have an HSA plan, er, an HSA bank account, and because I haven't had anything teeth-related or therapy-related this year there's a good chunk available for her to use.

The plan the physical therapist has her on includes some low-key exercises. I think there's three I've seen her do? She also goes in for a deep tissue massage, where they really just beat the shit out of her back. Finally, an injection.

All of those things combined have given positive results in a short amount of time. A couple of weeks? Less stiffness, greater range of motion. She's able to do more gaming, sewing, and now has an easier time at her job.

She's done more art, for sure. I have two examples. I'm sure she won't mind if I post them; they look very nice.

example 1

example 2


Lastly, Nevada had me do a “poke test” the other night. Which was, not too aggressively, poking at the underside of her shoulder blade to see if there was any sharp pain. Probably ought not do that, but to both our surprise there was none, and that's good.

I love you, buddy. And I hope you continue to get better. <3

#casserlysnotebook #casserly #cnv3 #august #august2020 #writeas #typowarrior #otterai #bursitispoketest #y2020m08d17a25w33d1

from casserly, for the third time.

How many times have I written a Hello World post? I bet it's more than I think. But that's okay because new beginnings are always exciting. Excuse me while I clear my throat.

Over the years I've owned several websites and payed thousands of dollars maintaining them. Not because my wife is pressuring me – we both have our hobbies – but I don't need to be spending so much money just to have a corner of the internet to stow my writing.

It's enough to me for a reader to confirm receipt of my message. I haven't received alot of feedback over the years, other than “It's fine.” from people who aren't used to writing/reading. At this point even if someone told me “Your writing is shit.” my reaction would be an ecstatic “Let's talk about why!”

I enjoy thoughts of being a professional as I've spec'd so many points into WORDPLAY it's hard to look back or laterally. That's a limiting belief, I know. shrug As is evident by all my filled notebooks, manila folders, and attempts at websites, I'll always come back to the pen or keyboard. I love it.

To close... Uh, if you want to watch me struggle, topics on Casserly's Notebook V3 (or CNv3) will generally include writing about writing, prompts and fiction shorts, media – games books movies shows, quotes, and other detritus.

#Introductions #newusers #helloworld #casserlysnotebook #cnv3 #casserly #july #july2020 #writeas #typowarrior

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