goingplaceslivinglife

Travel, Food, and Slices of Life


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Learning Along The Pathway

When I was growing up my Dad would often drive into town and pick up the Sunday New York Times. As I got older I enjoyed reading not only the magazine but I started perusing the classified, looking for my “someday” job and apartment. Oh, the dreams I had of what could be……and then life took another pathway.

I’ve had a checkered past. I earned a degree in geography and urban planning, but  my first job out of college was for the Tennessee Supreme Court in the court administrator’s office. They were starting a judicial PLANNING division and so, since I had a degree in urban PLANNING, I was hired. It was fun but as I realized I was getting further from my education, I looked for and moved to the planning job.  For three and a half years I actually worked for a planning and engineering company and really enjoyed it. But again……life took another pathway.

There was a death in my husband’s family. His mother asked us to move to Connecticut to take care of the estate issues. We lived in the house rent free and would until it was sold. One of my tasks was to determine the market value of the property and in doing so, we listed it for sale and boom! we needed to move within a couple of months. I was looking for work as a planner but we were in the middle of a recession then and jobs were scarce. So… life took another pathway.

I started working as an real estate agent for the broker who had listed the house. While I did well, I didn’t particularly enjoy it. Showing houses was a challenge because I did not know the area well and there were no apps with a talking GPS (hey, no cell phones at all)  in those days so I had to rely on paper maps, all the time portraying an image of competence to the buyers.  That was stressful enough but the part that made me more uncomfortable was listening to a homeowner extol the cost of the renovations he had made when it looked like a piece of incompetent amateur construction.  And then Baby #1 was born and I no longer wanted to put in the long hours needed in that kind of sales position.  Once again…. life took another pathway.

 

When I told the broker I was going to let my sales license go he persuaded me to start an appraisal division of his company. I built the reputation and business started coming in nicely and then I needed to hire some staff. The broker told me he was moving to California and was selling the real estate business, including the appraisal division. I said no way, it may be your name but it was my blood, sweat and tears. He very much understood and so, I soon owned it. I got a partner who had the bookkeeping kind of background and so we went on, growing during the 1980s real estate boom to 12 employees. (Although I planned longer, I only was able to take off one week when Baby #2 was born.) And then there was another blip in the financial market and property values started to decline. Where there is no room for a second mortgage or a current home value did not support getting the mortgage refinanced, there are no appraisals. We closed the business and…… life took another pathway.

By this time I had had baby #3 and no income. My husband got laid off. We ended up moving from Connecticut to Tennessee where I stayed home with the baby. Then my husband was diagnosed with brain cancer and after surgery, radiation and chemo I got a job at Vanderbilt Medical Center, working for one of my husband’s eye doctors. I had looked for a managerial position at Vanderbilt and when HR asked me what salary I wanted I thought about what I had made in the good years in Connecticut and then made a “cost of living” adjustment and said $30,000. They laughed…too high apparently. Anything lower would not help the family so I changed my resume to administration instead and ended up taking that first position as an AA for $18,000. I figured if I was not going to earn enough money I might as well not be in charge of anything. And so….. life took another pathway.Image result for vanderbilt university medical center

After five years of learning eye health jargon, things changed when the doctor in charge left. My position was eliminated but I was not, so HR moved me to another place in the hospital. The boss was, to put it nicely, a challenged individual. I left and move over to the university side of Vanderbilt to the Department of French & Italian. More new things to learn and master. And then my husband died and there I was a widow with a young child. Graham entered my life and I sure made him work to woo both of us. And there I was again….my life took another pathway.

My kiddo and I joined Graham when he went on sabbatical to Colorado for six months. I thought a start together in a neutral location would be good. We made friends and when it looked like he might be offered a job there I started looking for work. I had a sweet sweet double interview with the statewide blood bank and they offered me a position for a beautiful salary. I came home from that interview to be told we were moving back to West Virginia.  Ha ha…guess what….. my life took another pathway.

Looking for work in the Rust Belt was a challenge. I finally was hired as a practice manager for a financial adviser. Since it was a start-up I accepted a lower than desired salary with the promise of bonuses that would boost it to the sky (dream on, eh?). That never happened. After three years of building that business into something sustainable, I asked for a $10,000 raise and he basically countered with 50 cents an hour. I resigned. This time, definitely my choice…..my life took another pathway.

I started to build up my book selling business that I had been running on a small scale for about 12 years to provide additional income. I was able to match that prior salary for the next two years while having the time to also get involved in the farm-to-table movement and helping build The Wild Ramp. All the time, we were planning for my husband to retire when my kiddo left for college and so……my life took another pathway.

We moved to Oregon just about four years ago. I applied to about 50 jobs, making sure each cover letter and each resume was custom tailored to each specific job. I never heard from 46 place, but had four interviews. One had the grace to tell me I was overqualified and they were sure I would be bored and quit. I countered with an comment (I had nothing to lose)  that at this age I would love a job I could do with one hand behind my back. But no job was offered. (Ageism is one more hurdle to getting a job that needs to be fixed.  Date of birth information can no longer be asked, but they can and do asked for education information, including year of graduation. I think you agree, most of us complete high school at age 18, so extrapolation is easy.) So feeling ready to do anything….. life took another pathway.

I took a summer job as a farm hand. Yes, me. I never ate so much ibuprofen in my life but I did it and learned a lot more. In all my effort with The Wild Ramp I had probably visited 100 farms and had heard their stories. Now I got to get a (very small) taste of the life farmers live.  And the experience confirmed something I already suspected: I am not a farmer. But I need my farmers (we all do) and respect them highly. And so, taking a plunge……my life took another pathway.

I started up the commercial food processing business, Can-Do Real Food, to support local farmers by preserving their surplus produce by canning and dehydrating. (This gives the farmer another income, provides consumers a way to have a taste of the local summer harvest any time during the year, and reduces food waste.)  When we moved to Oregon I learned to can, so I had one year of canning at home. Other people have forgotten more than I have learned but it has been a pretty amazing experience. You can read more about it at the Can-Do Real Food blog. 

In the past year I had been dealing with a knee that has been injured but there is nothing surgical that can be done to fix it. It forces me to walk a bit wonky which has now affected my hip joint on the other side. I am in a new world of hurt and so…..I suspect my life is about to take another pathway again.

Through all these years (63 and counting) I have received continual education. The first part is one we all are fed K through  12. The next was the narrowing down of a field of study (college). And since then, through work and seminars and conferences and self teaching, the learning has continued and increased.  I urge everyone I love to never stop exploring, never be afraid of change.

I know jargon related to the legal profession, the medical profession, the academic profession, and now food processing (and government regulation thereof).  I wonder what’s next!  Whatever it is, I strongly doubt I will ever live in New York City!

 

 


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Six Decades of Medical Care

So many changes. Any time you can talk to someone whose life has spanned more decades than your’s, an interesting discussion could result if you asked about big changes they had observed. I thought I’d take you through a small walk about health care as I have experienced it. I suspect this post will be longer than most I write.

doctor-norman-rockwellMy mom trained as a nurse in the 1940s and met a doctor studying to be a pediatrician at the hospital in New York City. When she and my dad moved to New Jersey they were thrilled the doctor had set up practice in the next town and I was told years later that I was his first baby, whatever that implies. Anyway, we would go to his office, located in the first floor of a multi-family house and wait to be called in. I read Highlights magazines and graduated later to Reader Digests. (I guess some things never change.)  I had my first asthma attack at age 5 playing with a hula hoop. I received allergy shots with needles that were sterilized with the glass syringes in the doctor’s office in their autoclave.  When I was too sick to go to his office, he came to our house. The house call that no longer exists.

In college I went to the college infirmary. The health care fee was covered in our overall  tuition which was about $500 a year.  My 19-year-old skiing accident where I banged up my knee was ignored and over a few weeks I healed. I developed arthritis in that knee in my 40s.  (Life lesson…if you get hurt, even if you are young and can heal well, go get help to make sure you are healing correctly.)

My first job after college was for the State of Tennessee in Nashville. I really do not remember the insurance plan provided but it would have been a large group of state employees. I didn’t see the doctor at all except my annual checks for health and I ended up with a minor surgery. I did not take any medication in those days.  I don’t remember the fees but I do remember there was no stress in paying even though I was making about $6,000 a year.

herniated-discI changed jobs and moved to Memphis a few years later and in the course of the move, hurt my back. My new insurance was through my company and even though the injury happened before my first day of work, there was no waiting period.  I saw a chiropractor a few times and then an orthopedic specialist for a year before opting for surgery. There were no MRIs in those days and I was in the hospital for 4 days. My portion of the bill was under $100.  I also started allergy shots again while living there and paid $1 per shot.

I ended up a few years later  in Connecticut. My husband worked and had Blue Cross through his employer. He needed counseling and later a short hospitalization. I started taking blood pressure medication.   We had two babies (one by c-section).  One baby needed a couple of surgeries.  Our copays for medicine were $1. The hospital bills were $500 for the c-section, $300 for the next delivery VBAC, and the other surgeries were about $300 each.

That husband and I split and I was able to pick up coverage for a Kaiser Permanente HMO plan through a small business group. I paid $400 a month for a family plan which included my two kids and me, and later, a new husband.  It had no copays nor prescription costs. I fell and hurt my back again. Again I saw a chiropractor for a while and then he referred me to an orthopedic surgeon. Still no MRI in those days. The hospital stay was 2 days and I think my bill was about $700. I later had a miscarriage and the D&C cost nothing since it was done in the office. My last baby was born in the same hospital as the first, 11 years before but was also a VBAC and cost about $500.

Then I moved back to Nashville and my husband started working for the State of Tennessee and we had HMO plan through Aetna. Prescriptions were $2 or $5 each. Doctor visits to our primary physician were free. Specialists were more and this was when things started getting really interesting since my husband was soon diagnosed with brain cancer.  We were sent for a C-Scan one day and then an MRI the next. The specialist at Vanderbilt Medical Center ran a kazillion tests to determine where the tumor was located and the potential effect removal would have. Surgery was scheduled and became the day my life seriously changed as he had the equivalent of a stroke on the operating table and was not expected to survive. But he made it through the night, improved in fits and starts in 8 weeks in the ICU, another 2 weeks in a regular room and then home. Physical therapy was provided at home for a few sessions and then we went to the clinic for that. I understood the coverage for physical therapy, occupational therapy and speech therapy was for 5 weeks. The clinic suggested visits twice a week. We asked for and went daily every weekday of those 5 weeks.  At that point he had improved enough that they wanted to try the surgery they had had to stop 5 months before. It went well, with 2 weeks in ICU and then home after another week. The bill, when it got to us and I finally figured out the in and out and all around nonsense, was $7500 to us.brain-tumors-fig4ab_large

(Now, we step aside for a minute. Recognizing that $7500 is an amazingly low bill for all the scans and surgeries and special tests and ICU and medicines, it still was something above and beyond what we could afford. He was the wage earner. I was home with the baby, something both of us had wanted to try to do for a couple of years and I was just starting to look for work when his seizures started. So, we had no income, no savings and we had that $7500 bill and of course all our normal living expenses and rent, utilities, food, car expenses and then I needed migraine medications, I’m sure you can understand why.

At that point I did a few things. First, I called our landlord and asked him if he had a smaller, less expensive place for us to live and he listened to the why of the question, was silent and then said “The last thing you need is to move. Pay me when you can as much as you can and don’t worry about it until then. I am in a position to help you.” That man is one of my life angels. I have used this story whenever I hear anyone talk about how people who are homeless are all drug addicts or drunks and basically did it to themselves. There but for the grace of that wonderful man, we would have been homeless.

I also called and talked to someone at the county level to find out if I qualified for any assistance program for the six months until the social security disability payments kicked in. They said no. The problem was we had a VERY few thousand dollars in our IRAs and they wanted us to use that up before any public assistance would kick in. The fact that it was a temporary need and very little set aside for our future did not work into any equation for help.

Finally, I called the credit card companies. We had 3 cards and each had about $2000 on it. I asked for the cards to be frozen. Basically I would not use them but asked for no interest or penalties. I owed the $6000 but did not want to see it go ridiculously higher when we could not make payments. They refused to work with me.)

So, back to the medical care. Cancer is expensive. We had radiation therapy. We had chemotherapy. And then, something unexpected happened. He did not die. I was told to expect him to not live beyond five years and when all was said and done, it was about 10 years. I had gotten a job after the first round of chemo so we would start having more income. I was lucky to get a job at Vanderbilt Medical Center and later the University. In those days the issue of pre-existing conditions meant that he would have had no medical coverage at all and I would not have had coverage for my blood pressure, allergies and stupid migraines for at least 12 months. But the year before the Democratic Congress had passed a law that any employer with more than 100 employees would offer health plans with no pre-existing conditions limitations.

So on we went. The plan each year at Vanderbilt changed. Sometimes it was strongly limited to Vanderbilt with very low fees inside that medical center and higher rates outside. No big deal to us since we were relatively new to town, but it caused messes for people who had relationships with doctors outside the system. One year it was equal inside and outside the medical center. I had sinus surgery that year at a different hospital.  By that time my share of our medical bills were topping $15,000. Still not a ridiculously high price but too high for us.

I went to talk to a debt counselor. After hearing my story he got up and shut the door and said they were not supposed to suggest bankruptcy but our situation was exactly the reason the law was there. I refused. Maybe not my wisest decision but I felt we owed all we owed except for the stupid interest and penalties for the three credit cards. He suggested if I chose bankruptcy my credit would be okay in seven years. I still said no. I felt morally obligated to pay my bills. I just needed help getting them reduced or a time payment plan set up.bankruptcy-causes

hospicemedallionAnd on it went. About eight and a half years into the illness my husband could no longer stay home safely by himself. The option of me quitting working was not feasible, so we needed to find a nursing home for his care. The one that had a bed at the time was my third choice. The top two had a medical director that was our primary care physician so I thought the continuity with the same practitioner would be beneficial. But they had no beds, so he went to #3.  It was fine, as those kind of places go, but week after week he “failed” the test to be able to become a Medicaid patient. He could put the pills in his mouth and swallow them when they were handed to him. He could dress himself in two hours when the clothes were given to him. He could still manage to shuffle to the bathroom. But the time came when he couldn’t do enough of the things on the checklist and so, became eligible. All bills were sent to Medicaid. The nursing home had a fire three days later and 13 patients died. (The story of that night is for another time.)  Ironically, my husband got transferred to one of the places we wanted.   Once Medicaid took over, I had no more additional costs for him. We stopped taking him for MRIs when it needed to be by ambulance and really, why bother after a while. Hospice got involved and visited him three times a week to provide supplemental care issues.

I stayed at Vanderbilt another 18 months after he died.  By that time I had moved to the university side of Vanderbilt and was voted to the Staff Council. My project was to track the amount we shared in our  paychecks to pay for our medical insurance (and parking) each year (the payroll deduction increased about 10% annually) while noting our raises each year (about 5%). While I appreciated the benefits, I wanted people to realize that we were slipping backwards all the time. I quit the Council when I was told to stop; that the administration did not want that kind of information shared with the staff who could not figure it out themselves.  Meanwhile,  Graham, who I had met online in a chat room about 8 years before, asked me to marry him and have my youngest and me join him. He was teaching at a state university in West Virginia, so had a health insurance plan through the state.  He was able to add my son as a dependent pretty quickly but I paid COBRA until we got married.

copayThe new plan was challenging. It was a more standard system with copays and deductibles that had to be met and  with a cap on lifetime use.  Having been exposed to the world of cancer I knew sometimes patients ran into the lifetime limit and care ended, with death soon after. It was horrific to watch knowing a maintenance dose could keep a person alive longer with a decent quality of life.  I started allergy treatments again as my sinuses and lungs were getting horribly affected with the pollution in the Ohio River Valley.  We had no dental care coverage, minimal eye health coverage, and limited options for specialists because West Virginia is one of those places in the nation that just does not have all the choices other places do.

And then the young one left for college. We had to take out an insurance policy of about $1000 a year on top of all his tuition and fees and room and board for him to access the medical care on campus. Then Graham retired and we made our move to Oregon. Graham had enrolled in Medicare and the first problem we had was there were no primary care doctors in our town who were taking new Medicare patients. I paid $500 a month for a COBRA plan from the State of West Virginia when the Supreme Court ruling on the Affordable Care Act allowed implementation. I was pleased because the time limit for COBRA was going to run out before I became old enough for Medicare.

ohpWorking with someone trained in all the offerings, I selected a plan that was good and did not cost “much” It was $550 a month just for me. Since our rate was based on the prior year’s income and we had now retired, we resubmitted about 4 months later with our current income. We wanted to find something in the $350 a month range but instead they enrolled me in the Oregon Health Plan, the expanded Medicaid offering.

I was concerned that I would not get adequate care but was extremely surprised and pleased for the most part. The one issue where the specialist decided not to order an MRI when I injured my arthritic knee (“You have arthritis” he said. “I know,” I answered, ” but it feels different and I can’t walk right.”) and told me to go home. Otherwise, the clinic was friendly, competent and ON TIME.

Last September it was time to re-enroll and our joint income was $200 a month too high to qualify for the same plan, so I had to go back out to the Marketplace and found something for $530.  And OHP dropped me in September but I could not pick up the new plan until January 1. I went three months without my breathing meds ($1000 out of pocket per month) and that set me back to a 20% lung function rating. It will take me about three months to climb back to something better. I have copays and a deductible of $2500. I’m partway there….got that MRI for the knee and that cost me over $700 out of picket because I am working down my deductible.

So, the point here was not to bitch and moan. The point is to show that health insurance has ALWAYS been confusing and ALWAYS has been inaccessible to a large group of the American public.  Prices ALWAYS go up. Benefits ALWAYS go down.

But I sure enjoyed the Medicaid plan. I would be willing to pay an affordable monthly fee for a plan that allowed me to get care without any copays or deductibles or lifetime limits.  THAT was a joy.cost-of-healthcare

 


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As I started visiting small farms in West Virginia to market local food to consumers, I learned a lot I didn’t know.  And it got me very alarmed.

My blogs started taking on a urgent tone…you MUST change your ways….until a woman I barely knew and subsequently became a best friend, cautioned me that no one listens to yelling.

So, I think I will let photos tell the story and just give you something to think about each one.

Did you know that the US government permits chickens to be sent to China where labor costs are so much lower? The chickens will be processed and then shipped back, the better for you to continue enjoying chicken at a low price.567372-usda-allows-chicken-processing-in-china

Did you know that a number of food items prepared in China, from dog treats to baby food, have been recalled because of toxic and unhealthy items?  Unless you know your farmer, you will not know where the meat was processed.

Starting in 1994 some crops were genetically modified. Within ten years it has been estimated that over 75% of the average American diet was obtained from genetically enhanced foods….plants and animals that would not occur naturally and are only designed to help with weeds and pests or other environmental annoyances to the producer.  While the jury is still out about the genetic changes in our food affecting the eater, it is already clear that the manufacturers have not obtained one of their goals: to reduce the use of chemical sprays. So, anyone eating GMO food is getting a huge dose of chemicals that are being determined, because of consumer pressure, to be carcinogenic. gmo-awareness-blog-masthead-4

In the past five years there have been efforts made in a number of states to require foods that use genetically modified ingredients to be labeled. The companies that make the chemicals, control the seeds for planting, and the organizations that manufacture and sell the food involved have poured in billions of dollars and persuaded people who are not taking time to read independently that there is no ill effect. However, in each fight the margin is getting closer and closer so now these organizations are fighting in Congress to prohibit labeling. They think the typical American is too stupid to understand and if they see an issue they will not buy the products.

Most meat that is sold in supermarkets are from animals that have spent at least a few months in what is called a animal confinement facility.  Efforts by activists have raised awareness that the automatic use of antibiotics to increase the growth rate and keep the animals from getting sick in the dirty and congested facilities have resulted in antibiotic resistance strains of bacteria that mean people who get sick may not be able to be helped. Some places have eliminated its use and are advertising “antibiotic free.” pig factory farmKS cattle feedlot

 

 

 

 

It has become illegal to obtain and show these photos, as the organizations behind it realize you might get concerned and stop buying their products. Stopping the photos does not mean the practice has stopped.

So, now what?  Well, take a few minutes and think about your own body or your kids.  Does anyone have pretty constant tummy problems?  How about immune system problems, like allergies, eczema,  arthritis, and there even has been some discussion about chemicals in conventional food related to higher rates of ADHD.  If anyone eating out of your kitchen or eating out regularly has any of these symptoms, you may want to switch a pattern of spending.farmacy

You might want to try what we did……we did a 6-month trial. We did not buy organic as our first choice, but from local farmers we got to know and understood they used no sprays and other organic practices to raise their food. We supplemented with organic products only if we could not obtain what we needed. My husband was skeptical but after 6 months my arthritis was more easily managed and my daughter’s gut issues which had bothered her since her teen years improved dramatically.

Local Harvest  is a national organization that provides information near your zip code for farms. No excuse you don’t “know your farmer.”localharvest_logo

We also discovered one more benefit….our food tasted better than what we could buy in the supermarket.  If only for THAT reason, if you ENJOY eating, you might want to run a test.

 


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You’re Going To Die

Funny things happen when mortality hits me in the face. The last time, about 12 years ago, I was so sick with meningitis I didn’t even think about it until I was better. This time I have “something” wrong and the docs are trying to figure it out.

Am I gong to die? Probably not today. But yup, will sometime.

As will you.death-quotes.-Die-like-a-hero-going-home

So many people are AFRAID of dying. Other than I want to stick around to watch my kids mature and I have a few more things to do, I’m not afraid. Whatever your belief system, if you have faith in a religion, you have been told what the pathway is at the end of this life. So why be afraid? mark-twain-death-quotes-the-fear-of-death-follows-from-the-fear-of-life-a-man-who

The funny part is that some people think that just because they have a faith inspired belief in what happens upon death they don’t understand that that is not the common concept.  One very well intentioned 14-year-old once told me he was particularly worried about me because I am Jewish and have not accepted Christ as my Savior.  Because of that, he warned me, I would be going straight to Hell.  When I told him that Hell is a Christian construct and I was a bit concerned about any religion like his that had to use a stick like that to try to get their members to comply, he was confused.

So what do you expect? Is it scary? Why?

Me? I’m just going to try to keep on keeping on until my time arrives. My belief system is that good deeds done here and now is the way to live. What good is a promise of heaven if you never helped others lives here to be better? And so….onward.to the next adventure.To the next adventure