Odds and Ends: Hello Summer! edition

Yeah, I know summer doesn’t actually start until next month, but this coming weekend is the long Memorial Day weekend, and that’s the unofficial start to summer. This weekend is also BottleRock weekend here in Napa, and I’m very happy that a) unlike last year, I have no urgent work projects that prevent me from fully¬†using the weekend pass I bought several months ago, and; b) my health has recovered enough that I can enjoy wine or beer and should be able to find something to eat there (as long as it isn’t too spicy and it’s very high fiber). ūüôā

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Speaking of health, I have an appointment with a surgeon on June 1 to talk about surgery to address my recurrent bouts of diverticulitis. I met with a new primary care doctor last week and he seconded the doc that diagnosed this most recent occurrence by saying¬†surgery is something I should seriously consider. I’m not excited about another abdominal surgery this year, but I want my life back. I want to be able to travel for work or pleasure. I want to be able to develop a consistent diet instead of vacillating back and forth between high fiber and low fiber. I want to not have to deal with pain and “bathroom issues” several times a year. I want to not be put on heavy, nasty antibiotics several times a year, too. If I need to have another surgery to have a better than average chance of avoiding all these issues, then I’m game to try.

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Dad asked me for my email address a few weeks ago when I was in Chicagoland and had breakfast with him and stepmother. Somehow he had lost it. Now I regularly get spammed by my dad with stupid chain emails. I never open them, as I can tell just from the subject lines that I don’t want to read them. :-/

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I had an eye exam a few weeks ago and got new frames and¬†a new prescription. Things are still not very clear in my right eye when I’m reading, but¬†it’s OK. I’m sticking with reading ebooks over paper books since I can adjust the type as needed.

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My dog is now 13 years old¬†and it’s upsetting to me that she is starting to¬†show her age in some ways. Last fall she started occasionally vomiting and having diarrhea for seemingly no reason. She woke me up one morning when I heard her vomiting on the bathroom tile floor, and I was scared when I saw there was blood in it. No one seems to know exactly why she has these problems pop up here and there, but¬†I’ve been taking her back and forth to the vet regularly to get her ALT levels measured. This is a blood test they use to measure liver health (not function, per se, but as a marker for potential disease or damage to the liver). Since the values have been abnormal for months she had an ultrasound of her liver yesterday. She has some nodules, but the vet said not to get too worried about it right now. We’ll do another ultrasound in 6 weeks. She also got a bladder infection last fall that took a couple months (and two antibiotics, one very costly) to shake.

She’s on a bunch of supplements now: Vitamin E, fish oil, Cosequin for joint health, probiotics, and a cranberry supplement to ward off another bladder infection. Needless to say, my budget for pet care over the past year has been seriously out of whack. I’m not complaining about being able to afford good care for my dog (I can), just that it’s difficult to budget accurately how much her care is going to cost since there are all these tests and vet visits. I love her fiercely, so I’m not going to scrimp on her care.

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My food budget continues to be a challenge for me. It doesn’t help that I have to restock my pantry with each new bout of diverticulitis. When I’m in the midst of an “attack” I have to be on liquids only for a day or two. While I usually keep broth on hand, I don’t consume fruit juice or gelatin on a regular basis, so I have to buy that. Then I have to buy and consume regular (as opposed to whole grain) pasta and noodles, white rice, white bread, white crackers, canned vegetables and fruit, and ground meat for a few weeks. When I’m able to eat normally again, I go back to eating whole grain products, beans, spices, and crunchy/high fiber veggies like broccoli and cauliflower.

Truthfully, even without the pantry challenges the biggest bite into my food budget is dining out. When I’m well, I eat out at least twice a week and my preferred vendors aren’t cheap, fast food. That means each week I’m spending at least $30 – $40 on dining out. I’m just going to have to bow to reality and adjust my budget to account for this since I’m not willing to give it up right now. I’m not broke or skating close to the edge every month, so there’s no reason to deprive myself. I merely want to get a handle on what my “average” expenses are and make a budget that reflects it.

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April and May were very good money months for me. First of all, April was one of those months where I got three paychecks. Since I’m paid every two weeks, there are always two months out of the year where I get three paychecks: one of these “bonus months” always happens¬†in the spring, and the other in the fall.¬†My monthly budget accounts for only two paychecks per month, so the extra paycheck is always a nice bonus that gets tucked into savings.

I also had a big federal tax refund this year. I know it’s best to engineer your withholding so this doesn’t happen, but this was truly out of my hands.¬†My employer has¬†set up several “legal entities” for risk mitigation purposes, and due to some changes in my team structure that took month 6 months to work out, I was sequentially employed by three different legal entities last year. Each one started my withholding for social security from scratch (as they were legally obligated to do) so I had way too much withheld in this area last year. Between that and an investment loss, I raked in a refund that was greater than the ones I routinely got as a homeowner with a mortgage and business expenses related to my room rentals. Again, this refund was deposited immediately in my savings account.

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Despite having a healthy amount of money to use as a house down payment, I’m still priced out of¬†affording a little house in my preferred neighborhood here in wine country. I’d have to put down much more than 20% to get a monthly payment I could afford without introducing making big changes to my¬†budget (such as cuts to pet care and dining out, for starters). I still keep looking at properties as they pop up, though, so I can remain educated about the market. If I really, really needed to buy something, I could do so in a non-preferred neighborhood or town, but I have no deep need to do so at this time. I’m getting better at cultivating patience in this area. And I’m working on ways to increase my monthly income. But that’s something I should write up in another post.

How are you doing these days?

 

Here we go again

Was my “rumbly tummy” that I experienced a few weeks ago some sort of early warning of what was to come? Maybe so.

I’m dealing with yet another case of diverticulitis. This the fourth case I’ve had in the past year: April 2015, July 2015, and December 2015 were the earlier ones. I knew for sure it was diverticulitis when I kept waking up in pain last Monday night. Luckily, I have plenty of hydrocodone on hand from the last bouts.

When I saw the nurse practitioner Tuesday afternoon and got the diagnosis, I cried. I’m so tired of this. I do everything I’m supposed to do: eat lots of fresh and fibrous veggies, fruit, and whole grains, drink lots of water, and exercise. The last bit had been curtailed due to my December surgery, but I was getting back into hiking again and taking a yoga class. I had just made a yummy batch of banana muffins with oatmeal and walnuts the Sunday¬†before, and here I was unable to eat them.

I know the drill so well by now. Liquids only for the first 24 to 48 hours. I had made sure that Tuesday to consume only water, lemonade, and black coffee. (Guidance on whether coffee is OK is mixed, but it’s mainly the caffeine that is the issue, and I drink half-decaffeinated coffee at home.) On that first day, I went to the hospital lab for my blood draw, then picked up the antibiotics and started taking them.

There are always two antibiotics for some reason. There is some variation in what can be prescribed for the one, but there is always Flagyl. Always. It’s a horrible drug, and is very hard to take three times a day because it makes me¬†nauseated. I can’t tell if the bouts of nausea that sometimes wake me up at night are from the¬†Flagyl or¬†the diverticulitis, but does it really matter?

On the second day, I vomited my meds in the morning. I simply could not keep the evil Flagyl in my stomach while consuming only liquids, so I nibbled on a piece of baguette I had left over from the weekend. I rarely keep food like that in the house since I don’t eat it on a regular basis, but luckily I had entertained the weekend before and had half a loaf left. I had to go back to the doctor’s office to see the doctor and get confirmation of my diagnosis based on my bloodwork. As if there was any doubt.

The internal medicine doctor was almost chipper and friendly as she showed me my lab results (elevated white count and inflammation markers, of course)¬†and she prescribed an anti-nausea med for me. I’ve taken it a few times, but it knocks me out and makes me pretty loopy, so it’s not something I can take regularly, unfortunately.

This particular bout seems worse than the last one in December. Or maybe I’m just still not fully recovered and not up to fighting it as hard. For whatever reason, I don’t feel like I’m healing as quickly as I used to. I still have pain occasionally, especially with certain movements. I’ll turn in my sleep and wake from the pain I’ve caused myself. Or I’ll wake up with nausea and lay there hoping it will pass so I don’t get sick on the bedroom carpet. This morning I drank¬†two cups of peppermint tea before I could even think about trying to put anything (even toast) in my stomach. Then there are the bathroom issues. *sigh*

The doctor asked if I had seen a specialist, and I noted that, ironically, I had a follow up appointment scheduled with the gastroenterologist at the end of the month. We should have a lot to talk about. I can’t take this anymore. I see another abdominal surgery in my future, but first I need to get this infection gone.