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Monday, July 06, 2026

Presumed Competent

I turned 65 in December.
Today was the first time I've seen my doctor after getting signed up for Medicare and all the shit that goes along with it. 

Just adding here that the process to sign up for Medicare and get straight answers in plain English is a colossal pain in the ass and for about a month I was in a state of just-below-boiling pissoff. I hate talking on the phone, the things I read just made it more confusing, and I wanted to slap someone. Several someones. On multiple occasions.
This epic sign up coincided with my Spring break trip to see my mom, so my mental state was chaotic anyway. Plane trip, car rental, staying in an unfamiliar place while trying to continue figuring out all things medical and endeavor to be polite to my mom and all her caregivers while wiped out and grumpy. 

Seeing my mom just brings up all kinds of shit from my own personal wayback machine. Good times. 

I had been carrying medical insurance through my job, but it was Kaiser. 
So I had it just in case something horrible happened, not because I wanted a Kaiser doctor. 

Nope, I was still seeing my regular doctor who is NOT part of that network and paying out of pocket for the privilege of doing so. Did you know that a simple medication check visit is over $300? Not a typo.

Interesting that now I'm on Medicare, they cut the cost of a visit in half before ever turning it over to my insurance. Our health "care" system in the US is so fucked up.

So I take medication that requires me to see my doctor on occasion for blood work or to pee in a cup to check all my function-y stuff with kidneys etc.
I've been taking it a long time, so the doctor visit thing isn't new, but this is the first post-65 thing.  

So we checked my eyesight etc.
And they gave me a tablet with page after page of questions about falling, about who else lives in my home, do I use a cane or other mobility device blah blah blah.

The medical assistant told me at the beginning to remember three words. "I will ask you the words again later." 
(None of them were person, woman, man, camera, TV.)

I was supposed to remember them until the end of my appointment. 
Haha, then she forgot to ask me. 
Chair, car, banana.
Who comes up with this stuff?

They asked me to draw the face of a clock and set the time at 10:45.

So I get it. 
I know it's a baseline and that screening for dementia isn't actually a bad thing.

(Beats the hell out of me how an asshole with what appears to be dementia can be president, but that's really not part of this story, now is it? Bet that sorry shitbag can't draw a clock, either.)

It was a kick in the pants all the same.

Up until that visit, I was considered a fully functional human. 
The moment I walked into the clinic, I wasn't anymore.

Interesting experience.
I hated it.

Physically it's definitely not as easy for me to get around and do stuff as it once was, but so far at least, my brain still works. I do logic problems and online puzzles and I read constantly. 

And although it's been a few weeks since I wrote here, I write all the time, too. Currently working on some activity plans for my job, writing a how-to for someone who has never done this project or that. Trying to make it clear without being complicated, but with enough detail that it won't make someone crazy to try to do it.

I'm not doing those things as some kind of talisman to ward off dementia, I do all of them because I like it. But my understanding is that it might help my brain all the same.
One of the questions on the endless tablet list was something like, 'has anyone told you that it's time to stop driving or have you received traffic violations or been in a recent auto accident?'

No. Hopefully telling me to stop driving is not a possibility for at least, oh, 10 years? 
I hope I'm smart enough to realize when it's time to stop. I know a lot of 'take the keys away from Grandma' situations happen. 

I'd just as soon never have traffic violations or an accident, that's not new, though. 

I have been in a few close calls, usually someone who decides to change lanes without looking in their blind spot and nearly takes me out or someone who doesn't understand a safe following distance and tries to turn my car into a speed bump.

The last week of school, I was in the center lane on I-5, passing a semi that was in the right lane, when a semi in the left lane decided the absolute best spot to be RIGHT NOW was the center lane and nearly turned me and my little car into a Toyota sandwich. 

I hit the brakes, came within a gnat's ass of being rear ended by some nimrod who was following me too closely and managed to swerve into the left lane behind the lane changer. Pretty sure he never even saw me. I work hard to stay visible (lights on, is the driver visible in their side mirrors... if you can see the driver then the driver can see you) It was just one of those things.

It's really amazing how many stupid things I see on the freeways, though. The big surprise is that I don't see more of it.

So that's the news. I mean, there's more, and I have (checking) 5 posts in various stages of undress in the drafts. They may even get finished sometime this week.

I've been appreciating the time off, trying to get a little cleaning done around the house, keeping up with dishes and laundry, sleeping in, and most days not even getting dressed after my shower.

I put on a clean giant tie dyed t shirt (that's what I sleep in) and that's my uniform for the day.

Every other Wednesday I am going to the office to help with that curriculum planning, but I've been working on it at home, too. Even though we're not supposed to be. They took our laptops away from us at the end of the school year and will re-issue them when we go back to work in the fall. 

That's okay, this computer works just fine.
Hoping my brain keeps functioning, too. 

15 comments:

  1. Sound very depressing. It's not standard to screen for dementia as early as 65, surely? Based on your writing, I don't think you have anything to worry about.

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    1. I have many feelings about it. I don't actually know which label to hang on the whole experience, I think I'd have to hang more than one. It's sobering to realize that aging happens, there's nothing I can do about it and eventually..*poof*.

      I do still feel aware/cognizant/engaged (well, as much as I engage with the world which isn't really all that much).

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  2. Anonymous5:17 AM

    What I have learned about the Medicare wellness annual appointment: it is not mandatory per government. It can, however be a mandatory requirement by your doctor as a condition of continuing to serve you. Also, some doctors include blood work, others do not. Just something to think about if you find yourself shopping for a doctor.

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    1. The thought has crossed my mind, looking for a different doctor. I do not dislike the one I have, but I'm not able to communicate with her nearly as well as her PA who I don't get to see very often.

      I am more or less okay with the whole screening thing, but it's jarring to go from normal person to hmm, let's see if we can find something way off here....

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  3. I didn't go through such an extensive list when I went on Medicare. That seems a bit extreme. We had private insurance before medicare. Expensive! It also didn't cover anything until you reached the enormous deductible. The privatization of all things medical is abhorrent. Put profit in the picture and this is what we get.

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    1. It's appalling that every developed nation has medical care for their citizens and ours takes all our money and pisses it away.

      Medicare isn't cheap, either. I mean, the base thing is free, but if you want actual medical coverage, you still have to pay. And pay and pay and pay. I don't condone the Luigi method, but I do understand why a person gets to that point.

      Those giant companies aren't there to help anyone but themselves. It's gross.

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    2. If you aren't receiving Social Security yet you do pay for medicare. You get a quarterly bill. Once on SS the payment is withdrawn from your benefit before you receive your monthly deposit. It's a fair an mount of money, I don't remember the amount. Probably on purpose. Our Blue Cross supplemental costs us each $109/month. We most definitely have toxic capitalism running the show in the old US of A.

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    3. Original medicare is free. It only covers hospital costs. Then there's part B, which you pay for. And I have a medigap policy that I'm paying for, too. And a prescription plan.

      I was advised to stay away from any medicare advantage plans, and after all the reading and research etc, I think that advice is right.

      It's all, in the words of George Carlin, a Mongolian Clusterfuck.
      I hate it.

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    4. From teh Google...

      Medicare is rarely 100% free. While Medicare Part A (hospital insurance) is free for most people who worked 10 years and paid Medicare taxes, Medicare Part B (medical insurance) requires a standard monthly premium of $202.90, which can be higher based on your income.

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  4. It kind of makes me cringe when people call for Medicare for All. I understand the sentiment, but I don't think they understand how kucfed up Medicare is. I also don't think that they understand that we are still paying for it every month. It isn't free. What we need is reasonable healthcare for all. and that care will understand that our heads are actually part of our bodies. We shouldn't have to have separate insurance to cover our eyes and ears. As far as getting dressed every day, why would you want too? There is no shame in being comfortable.

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    1. And teeth!!! Teeth are part of our bodies, too! The system is horrible.

      I am actually getting dressed today, I need to go out and mail a package and drop off my winter coat at the dry cleaners. I have this amazing Columbia down coat that comes almost down to my ankles. It's like wearing a sleeping bag. But the sleeves are a bit grimy and I've had it five years. It's time to clean it.

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  5. You aren't kidding—navigating Medicare should come with a lifetime achievement award just for surviving the paperwork! It is such a headache. On a serious note, thank goodness your reflexes are still perfectly intact after that terrifying near-miss on I-5. A "Toyota sandwich" sounds absolutely horrifying, and it's a miracle you dodged both semis and the tailgater. Glad you are safe at home recharging.

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    1. It feels like a high pressure car dealer. And the threat of penalties (LIFETIME!!! penalties) for not signing up soon enough.. what the hell is that???

      I pay attention when I'm driving. I do not have my phone out, there is no phone mount in my 2012 Yaris anyway. :) I don't snack behind the wheel.

      I have seen women applying makeup, men shaving, people watching videos on their phones, scrolling through whatever they scroll through. Couple days after the 'I was almost a sandwich' incident, the guy in the left lane next to me was shaving WHILE watching a video and nearly hit the center median. He drifted onto the rumble strip three times before I managed to get past him and into another lane far away. I didn't want to get taken out when he finally went.

      Sheesh.

      Half the time I'm not even listening to music. A lot of the close calls I've witnessed involve one or more distracted drivers.

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  6. I have Medicare because I'm getting my dad's social security child's benefits since I was deemed disabled before I was 22 years old. It's a hassle for sure and it doesn't help that the different doctors offices have such weird ways of doing things. My daughter is still waiting on a referral for pain management. Good thing she found edibles that help with the pain. The whole thing is a huge pain in the a$$.

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    1. It really is!! And it doesn't have to be that way, but the people who are supposed to be representing us don't give a shit. Oh they pretend to when they're trying to be elected or re elected. But as soon as they're in, they can't say 'screw you, Buddy, I got mine' fast enough.

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