Friday, April 3, 2026

Two Hearts, New Hook-ups

No, not that kind of hookups. I'm talking cardiac monitors and connections to some machines in offices somewhere in the world which keeps track of how they are doing.

I've had my hook-up since my pacemaker went in years ago. It gets regular check-ins via either a cell or a wi-fi signal on a regular basis - they never told me which - plus I can also send a signal outside of regular times if something seems to be going wrong. So far the only things going wrong are in the programming itself. Twice now I've been in the cardiologist's office getting a light reprogramming of its works. Once it was sending out a test pattern which I actually felt as an extra semi-beat and worried that the ablation surgery had failed to last over the long term.  That got reprogrammed last year. No flutters since.

This year my specific kind of pacemakers are all going through a reprogramming by their manufacturer in order to extend the life of their batteries. Both times I simply sat in a room with the tech who did things across the room with her computer which made the changes without ever touching me or my pacemaker. It was followed up with them mailing me a new monitoring box that sits next to where I sleep and checks in automatically at night on some schedule. Or, I still have the option of hitting a button and forcing it to send a recording right now of whatever is going on if something seems weird. It looks almost identical to the old box but a tiny bit bigger, and is needed to work with the new programming. 

It isn't costing me a cent so I don't care, but I did make sure, since with my shoulders I can't spend my nights in my bed but half sitting in a recliner, that the monitor is plugged in next to my chair. It does come with one new instruction however. It can't be within a foot of any electronics. Of course that end table by my recliner holds both my laptop and cell and their chargers, with enough other stuff in, on, and around that finding a place far enough away and have it still be plugged into the same power strip without being a tripping hazard was a challenge. It's a very electronics dense part of the house between the normal electronics Steve and I both have, and the extra stuff Steve needs like his lift chair, his back heater/massager, and his fall alert necklace charger. He has other medical stuff he charges across the room. Our chairs are close enough together that we can hold hands when we want and we share the reading lamp between the chairs. We have 3 power strips for just two wall outlets. I did get it working in the new location eventually. The company monitoring them called me back to confirm it when the new one came on line... after my 3rd try.

My change was just a little surprise. Steve was the big surprise. He'd gone in to our primary doc for his needed are-you-well-enough-to-have-hip-replacement-surgery physical. He was extra wobbly just stepping off the scale that day, and they fetched a wheelchair for him so he wouldn't fall. His checkup included an EKG, and his pattern was irregular. Our doc said it looked a lot like A-fib. You know, like my diagnosis. So no, his hip replacement surgery will likely be postponed until the cardiac issues are fully diagnosed and dealt with. He can't get in to see a cardiologist for two weeks, the perfect amount of time for him to wear a cardiac monitor so there will be a continuous record of what's going on with him through the day he walks into that office.

While he waits, he's been put on Eliquis - a hideously expensive clot preventer. There is a coupon making the first month free, but his Rx insurance doesn't cover it, and it costs a big chunk of his income, thought not as bad as when they put me on it post Watchman implant until it grew closed. If he does need to deal with that, we're going to push for his getting a Watchman ASAP to prevent strokes instead. Surgery, at least, is covered with a modest co-pay.

Meanwhile he is now wearing a cardiac monitor, stuck to his skin for two weeks. First you have to shave - male or female, most of us have some chest hairs - then abrade the skin to remove loose or nearly loose  skin flakes, then wipe with alcohol to prevent infection from all those little scrapes you just inflicted on your chest. Once you stop hurting from the alcohol and have air dried your skin, the adhesive clear plastic patch with all kinds of embedded electrodes visible and leading to a central button that's pushed onto your newly raw skin by rubbing the entire unit for 4 minutes, to stay for two weeks. So that shower you started with better have been a good one. And you better not be self conscious when your shirt looks like you just grew an enormous extra nipple! Of course if you do get embarrassed by that kind of attention, it had better not stop you from hitting that button when needed even if it does look like you've discovered a weird new kinky way to have some fun. If you are feeling light headed or perhaps suddenly out of energy, that tap will get you an immediate call/report after being examined by a professional who can respond as quickly as needed. 

He's lucky his is so thin and lightweight. I had to wear two different ones at different times back in Arizona, and we found out life can be complicated and interesting. Mine were clunky, and one of the monitors wouldn't communicate with the office from inside either our house or the rec center. I had to stand in a particular spot or be outside. Concrete wall construction as the standard down there was not helpful.Three surgeries later and two medication changes and I'm fine... except for all those other things of course.

Thursday, April 2, 2026

I Surrender!

 I finally broke down and made an appointment to get my taxes done by a pro. In this case, it's a company which works out of the local Walmart with an introductory customer fee of $49. My goal is for them to show me exactly how to interpret governmental gobbledygook so I can (hopefully) do it again next year. I want a hard copy of everything to bring home, not least of which for signing before mailing. I can buy some large envelopes while I'm there.

I expect most of you have somebody else do your taxes, or have very simple basic returns, once  basic income and deductions are entered, zip - zip and it's done, either in the mail or sent online.

Those who know me well enough should be shocked that I have resorted to this. After all, I did my own self employment (aka independent contractor or IC) taxes for almost 30 years. It involved the usual forms plus schedules C, SE, and B, plus keeping all receipts for each year, and I do mean all. Each year's expanding file folder was about 4" thick. I claimed mileage deductions, and easily averaged 80 thousand in any given year. I put over 2 million miles, all told, on a succession of cars before I retired. Some of that was personal miles, so those had to be sorted out. Then there was gas, uniforms, car repairs and maintenance, and even the fast food bills proving I actually was in such-and such a town at time x and way the hell over elsewhere gassing up again. (I couldn't deduct the actual food.) I kept all that in case of an audit. Let them have the headache if they wanted to quibble. (They never did.) I learned very early to just go by mileage deductions, which eventually wound up at $.51 per work mile. But I did it all every year because I knew what I was doing due to company training on IC taxes, and the only change each year was how much per mile times number of business miles for that part of it. It was just a matter of having the paperwork, a log for each day, and sitting down for a couple of hours. 

It was predictable. The instructions made sense.

One might think with retirement that all would be much easier. I have to fill out forms that don't apply to my life these days, I have to read instructions that don't make sense, like if number X is larger than Y, subtract X from Y.  OK, that gives me a negative number, which now I'm now supposed to do several other things with just to find out how much of our Social Security is taxable. Math gets a bit weird when working with negative numbers. And why not subtract the smaller number from the larger instead of the reverse? Did somebody hit their head on the corner of the table when they tried to stand on it upside down when writing the instructions? 

Note that even last year I did our taxes with X dollars of our SS not taxable. It was a finite cutoff for how much was tax-free, suitable for everybody, and any other income and deductions were calculated in later. It even included a report on capitol gains which I'd never done nor needed to, but the instructions made sense and one wound up with a set amount which you either made more or less than, period, and that determined how much tax needed to be paid.

Then there will be state taxes as well as my part time job with some withholding, and interest payments. Somewhere in there one also has to deal with property tax paid out of one's rent. That's new to me since one has to pay it over a full year and this is our first full year in paying rent. In our case the lot our home sits on is rented and we get a form mailed to us about how much of our rent is taxes. A tax preparer will be figuring that part out this year for us. And they damn well better be explaining all this new crap to me so I can take notes and do our own taxes again next year!

Steve and I have both gotten fed up with my fighting with the forms this year. They can't just  say $XXX is tax free, but all the rest of your income is taxable. Most years they've done that and only the numbers change. Now it's like the circus performer spinning a dozen plates on top of sticks and keeping them all in the air at the same time, except somebody threw in bowls instead of plates here and there.

Frankly, I'm convinced they (DOGE???) have deliberately made it as complicated as possible just so they can force us all to hire a tax preparer. If it's this bad next year, I'm going to hunt out one of those people who helps out Seniors for free. You just have to find out who and where and get in line early. 

For now, there's a book that's calling me. I'm ready for a distraction.