Tag: health

This shit gets ridiculous sometimes

~ dannyhong ~ Leave a comment

A few months ago, I chronicled how the week in which I was on a cruise with my family, was a week in which the whole fucking universe decided that they needed to get in touch with me, there were emergencies, there were fraud alerts, and I had no less than 69,000 emails, messages, chats and other alerts that took an inconvenient amount of time to sift through and deal with the most critical of issues.

Since I realized that the world most certainly does revolve around me, it’s been comical at just how predictably reliable it’s been that basically, when I am indisposed, unavailable, busy, or just plain not in a position to communicate, is when the whole fucking planet wants to communicate with me.

Case in point, I’m on a flight, connected to shitty WiFi.  I can receive texts and check email, but most all else is woefully unreliable, and I feel like I’m on the 2400baud modem that my old 486 was equipped with.  While on this flight, my boss DMs me despite my out of office being on, and since I’m not as smart as I think I am, I haven’t disabled notifications from Teams so I’m seeing them come through; additionally, there’s a ping for an impromptu business meeting, to which this sudden nature means something substantial, like someone critical leaving or having gotten shit-canned.  I don’t know and won’t know until I get back to the office but I am curious, but not curious enough to reach out to a colleague on a day off to find out.

A voicemail comes through, and it’s apparently my doctor’s office wanting to reschedule my annual that’s in two months, scheduled a month ago, because the American medical system is completely fucked, and I have to figure out what shitty appointment time probably three more months out I can get in on and hope the doc doesn’t schedule an out of office then too. 

And then I get a text from my sister telling me to call when I can, which is honestly these days tantamount to ask me to cure cancer as much of an aggrandizingly obnoxious ask to make of me.  But I can only imagine it pertains to my dad whom I just left after a fucking week of babysitting, so now I’m curious but can’t call because although I have shitty WiFi, making calls is still not something we do in the air.

It’s been like this fairly regularly since I realized that I control the universe.  No matter what I do, it’s when I try to take some time for myself is when everyone in my world starts trying to get in touch with me.

When I’m at my desk, available, ready, and willing to communicate?  Fucking crickets

Hit the gym during lunch?  Ping
Go out for a run on WFH Fridays?  Ding
Spending time with my kids?  Bing
Driving anywhere, any distance?  Be-doop
Running errands with an objective?  Boop-boop

And so on and so on.  It’s one of those things that sure, nobody knows what I’m doing at any given time but all the same I still feel that fucking everyone needs to give my time some more respect and just leave me the fuck alone.

One of these days if I ever get to have a single god damn day sabbatical, I think I need to hole up in a hotel room all by myself and just sleep, shotgun a show, eat whatever I want to eat, and put my phone the fuck away except for to do shit that I want to do, because the conclusion I’m coming to while I’m blathering all this shit out in that I need to just not be so god damn plugged into so much shit.

Not feeling particularly thankful these days

~ dannyhong ~ Leave a comment

A few times, I’ve seen memes about how dads in general often suffer depression in silence, primarily on account of the fact that nobody cares about their feelings or emotions.  Family, friends, the royal everyone, either people are too wrapped up in their own lives to concern themselves about the emotional/sanity state of some other men, or there’s some credence to the umbrella statement that nobody cares about the feelings of dads.  And occasionally, there are times where I kind of feel this, and I’m just to broke ass poor to afford therapy, and I try to find it in exercise and writing.

Here’s a transcription of what I vomited to my phone because I was having a shitty morning and I felt like I wanted to write about it but didn’t want to chance it to forget the things I was thinking because I was in the car and I always think well in the car, which of course I do, because it’s a place and time in which I am completely incapable of jotting down my thoughts, because life really loves to fuck around with me when I’m generally unavailable:

It’s one of those mornings where nothing is going right. I am thankful for nothing. Forgot to eat breakfast because my kids got up early because they’re sick because every time we send them out of town they come back sick which sucks.  Work sucks, family sucks. Technology doesn’t work.  It’s frustrating.  It’s raining, I’m not feeling very thankful, family in disarray.  I don’t have time to catch up on anything.  I have to clean my house but I live with slobs and kids.  I can’t Black Friday shop.  I can’t have time to watch wrestling or Pluribus or Peacemaker or Netflix.  I never have any time for myself.  I bend over backward for everybody, nothing is ever reciprocated.  My mind is in a dark place.  Everything is frustrating.  Venting to nobody is cheaper than therapy, gym and writing is my therapy.  Memes about dads who suffer in silence and nobody cares feels very poignant and true.  (My) Dad is being weird about his possible future home, ungrateful and lecturing me about my flaws.  BP is getting worse and not sure if it’s just medication or stress and it’s affecting shit like my vision and health

So yeah, a lot to have unpacked to my phone through diction, but at least I was able to more accurately get a lot of shit off my chest and be able to look at it and analyze the things that are eating at me, and it’s not lost on me the irony of complaining about not having any time to do certain things, and then prioritizing writing about complaining about not having any time when I could be doing something more leisurely and entertaining instead, but that’s just how eternally important writing is to me over just about anything else.

But yes, to the point of the subject of this post, I’m not feeling very thankful at the very moment.  Things are very volatile, draining, and not good for my levels of stress, and I’m sure which are contributing to my escalating blood pressure issues, which is its own chicken and egg situation, where I don’t know if the increased stress is causing my BP to increase, or if the increase in my BP is what’s causing me to feel like I’m falling apart physically at times, with headaches and degrading vision.

I have to clean my house up for Thanksgiving, which seems like an extremely daunting task because everyone I live with is a slob and the house is perpetually bordering on needing to contact Discovery to reboot Hoarders: Buried Alive, or at least it seems to me, and of course there’s only one day to do it, although I could be starting it now but it’s just so daunting and I’m depressed that I can’t bring myself to do it without giving myself at least a little bit of time to brog and vent first.

At the very top of the list of stressors though is my dad being down in Georgia testing out a facility that he could very well potentially move into, which in one hand seems like the best end of life option, but on the other hand it means he’s close and accessible to me, and he’s already been weird and a pain in my ass in just the first few days of spending a ton of time with him.  Honestly, I don’t think things were as daunting in my life until this shit started ramping up, and I feel like it’s a contributing factor; the straw that broke the camel’s back as far as my BP elevating, and probably necessitating an alteration in medication.

Everything else, like work pissing me off, my kids being sick, me being exasperated with technology, etc, that’s all just background noise.  It’s the bullshit that takes an annoyed mood and turns it into bad ones, ragey ones, and the over the top frustration which lead to limit break diction rants into my phone like the one up above.

All the same though, the timing of it all, while we’re on the cusp of Thanksgiving, has me feeling not very thankful for a whole lot right now, even though there very much is, I’m just not feeling it at this very specific moment in my life.

Real talk: my head hurts

~ dannyhong ~ Leave a comment

I don’t know why I feel like I should write about this, especially since it’s coming from a place of fear and apprehension of the worst, but I guess that if things do go tits up in regards to this, there’s a part of me that I guess wants to chronicle it for the sake of chronicling all of the things in my life that might be a big deal, whether or not they’re bad or good.

But for the last few days, I’ve had a pain in my head, and not the metaphorical kind that comes from a lifestyle of being stressed all the time, compounded with varying degrees of depression and anxiety.  Like an actual dull rolling ache that pulses along the back left part of my skull.  It’s not the worst pain in the world by any stretch of the imagination, but because it kind of throbs and rolls through when it happens, it sometimes catches me off guard and causes me to really wince or if I’m in the midst of doing something, causing an interruption.

It kind of hurts to the touch, but only the first time, and subsequent rubbings of the area don’t really hurt, so I’m not entirely sure if it’s a topical thing or if it’s something going on underneath the skin.

I’m aware that this could be many different things, many of which are no real big deal at all, but me being me, my mind tends to go towards the worst possible scenarios, and given what my family has been through over the last few years as far as people having to deal with different things, I have to ask myself, and hope that it’s not my turn for something bad to happen to.

Needless to say, old single childless me would have just continued to gut it out longer and waited for it to get worse before acting on it, but the married dad me of today doesn’t want to run the risk of it being something that could’ve been prevented from getting worse if it’s something that I can get in front of.  It’s only been a few days, where I had just hoped it was maybe daylight savings-related old man body adjusting to the time change, or just the elevated level of stress in which I’ve been running on, on account of the issues I’m dealing with, with my own dad, as well as a high workload at work, on top of being an active and hands-on dad dealing with my own kids on the regular. 

Unfortunately, the occurrences of the occasional pulsing aches has not really subsided, so I reached out to my doctor for their opinion, and we’ll go from there.  What I’m hoping is that I’m just dealing with excessive stress, compounded with likely blood pressure elevation that I’ve learned runs in my family, and that I just need to chill the fuck out more often than I do, and that it’s not like some aneurism or blood clot or tumor risk I’m running and that I need immediate surgery and utilization of shitty American health care insurance to fuck my family over for the next few years.

However, the point remains that it does have me a little nervous about what it could be, and I’m eagerly awaiting response from my doctor, so I can have some piece of mind of what needs to come next.  It’s the waiting and the unknowns that truly are the killers, but in spite of it all, I do pat myself on the back for breaking old habits and mentalities and just trying to gut things out and hope they go away.  Having one’s own family definitely helps with that, and understanding that my life isn’t just my life, so much as it belongs to others whom I wish to be around for as long as I can.

Imagine if your work bonus were based on how much you ran

~ dannyhong ~ Leave a comment

BI: Chinese paper company bases annual bonuses on running milestones

Apparently this is a story back from winter 2023 that came across my radar recently, but it doesn’t matter.  My knee-jerk reaction was that this was something I would probably dominate pretty easily, and I could become rich on bonuses, but after reading through the article a little more thoroughly, I come out this with more mixed feelings.

The TL;DR is that in order for the employees of this paper company to get the maximum bonus of 130% of their annual salary, they basically have to run about two miles a day.  Extrapolated to a month, that’s 62 miles, which means in a year, they’re at around 744 miles. 

I have confidence that I could tackle two miles a day, since I basically did that when I was at my probably physical fitness peak, and was running around 3-3.5 miles a day five days a week.  I don’t run nearly as much as I used to, but when I do, it’s more than two miles, and I think if I set a goal of two miles daily, I could probably do it, but then there’s something about obligating myself to such a thing because there’s an incentive at the end of a very long annual road, that makes me feel like I’d probably get sick of it eventually, and really begin to resent running more than I already do at times, because it’s no longer about my health, but it’s also in order to gain a measure of financial benefit.

And as much as I came into this post full of confidence and cockiness that I’d absolutely slay it, the reality is that 744 miles a year is really quite lofty.  I’m pretty sure it was only at my peak did I ever come close to hitting that mark in a single calendar year, and this also leaves very little margin of error for sicknesses, emergencies, the general business of life at times, and if you miss a day or three, then the backlog becomes daunting, and then everything falls apart in the end.

There are secondary and third-tier bonuses, but they’re not nearly as lucrative as nailing the primary bonus, and I have to imagine nothing would be more demoralizing if any of these Chinese guys finished out their year with like 735 miles logged, and fell short of the big bonus on account of a vacation, injury, or some other variable that the whole challenge doesn’t leave much room for, Chinese work ethic not withstanding

Yeah, I think I could probably do it, maybe once, but then be all sour and not wanting to do it again another year, because it would have killed my general sense of importance of running.  But the thing is, this isn’t something that I would have to do, because at my current, American job, I already get an annual bonus that maybe wasn’t exactly 130% of my monthly intake, but it was close, and I got it simply for, doing my job.

I didn’t have to run 62 miles a month and 744 miles a year in order to gain it, and frankly I think that’s the whole point of a bonus is to reward those who do the grind with a little bit of coin at a set time of year, to where people could feel like they have some discretionary income for once.  Making employees have to do something they might not be open-minded to in the first place seems cruel and well, very Chinese, as far as expecting extra effort in order to receive incentive, as opposed to more American ideals of rewarding those who put in the work daily.

Digging deeper into this story, there’s all sorts of gray area as far as the requirements go; sure, the information is tracked presumably through fitness trackers and watches, but those things can be easily manipulated, especially in a cheating-friendly culture like China.  There’s also no clarification if walking is allowed, or if it specifically has to be running.  Unless there are specific running zones or treadmills in which the running has to occur, I have to imagine these employees are probably all cheating like motherfuckers in order to meet their mileage requirements and they’re all succeeding at meeting their marks.

I also love how the article’s choice of words make sure to point out that the boss of this company, as far as his own physical prowess:

My business can only endure if my employees are healthy,” said Lin, who claims to have scaled Mount Everest twice — once in 2022, and another time in 2023.

“Claims” as in even the writer of the article doesn’t believe his own physical capabilities and the slight shade implied that he is subjecting his employees to monetary hostage-held physical activity while not being held to the same standards himself, seeing as how he’s the owner of the company.

It’s funny that it’s a paper company that all this happening with, because it seems very much like a Chinese version of The Office kind of thing that Michael Scott would subject his team to incentive-based physical activities, all under the guise of, healthy employees are happier employees, not while realizing he’s making their lives miserable.

But on the flip side of things, the snark they’re getting from Weibo users, makes me understand why companies like this probably create initiatives as such:

You’d have to run two miles a day to meet the monthly target of 62 miles. So the company wants their staff to be track athletes?”

Say you’ve never run in your life without saying it – two miles a day in the grand spectrum of things isn’t really much.  If people still utilized step counters, they’d probably realize that most able-bodied people probably clear 3+ miles a day just with ordinary activities; again, not sure what the specific criteria is on the bonus challenge, but clearing two miles a day isn’t that difficult.  I’m basically living proof that two miles a day doesn’t make a person a track athlete.

These requirements would be considered excessive even for sporting school students. It will hurt their knees. Depending on one’s age and physical condition, it could also trigger acute heart failure,”

Disagree.  Two miles a day would be frankly pretty minimum for those focused on athletics.  I mean look at Manny Pacquiao, man probably ran upwards of 10 miles a day during his boxing peak, and that was in the tropical Philippines no less.  Sure, depending on age and physical condition there are risks, but in that case, don’t do it.  It’s for a bonus, and not for actual wages.  But I do think it’s funny how this user specifically zeroed in acute heart failure as the primary concern, and not exhaustion, dehydration, or any sort of tears or breaks, very typical Chinese worst-case scenario mentality there.

Either way, it’s not a perfect system, but at the same time, I don’t hate it.  If this, or any company offered a physical activity bonus on top of existing annual bonuses, I would definitely be all over it and be in it to win it, but if I also didn’t want to burn myself out, the secondary +30% your monthly wages for half the distance doesn’t seem so bad, and would be a sorely welcome bump in pay that I’d definitely be all about.

I miss the pandemic, for real

~ dannyhong ~ Leave a comment

I’m sure I’ve mentioned this before, or even posted about it before, but I really do miss the pandemic.  This thought usually crosses my mind whenever I’m in a scenario that wouldn’t have existed during the pandemic, like being stuck in traffic on my commute to the office, or in this most recent episode, whenever an illness permeates its way into my house and waylays fucking everyone, leading to several miserable days for all.

A stomach bug of some sort, was picked up by both #2 and I concurrently, most likely at a birthday party that only we went to on Monday; Tuesday was the customary incubation day for said bug, and by Wednesday in the AM hours, shit hit the fan and we were both victims of near-identical symptoms, all of them unpleasant.  It should also be noted that Wednesday was #1’s birthday, which meant I literally spent the entirety of my own child’s birthday in bed and basically incapable of functioning.

Thankfully, #1 was not ill on her birthday, but what I feared most came to fruition the night prior, which led to this avalanche of thoughts and emotions manifesting into a salt-filled, nihilistic sounding post about how I thought the world was a vastly superior place when a killer pandemic was ravaging through it.  But Thursday was apparently the incubation day for #1, and by the AM hours, shit hits the fan, and then it’s me, of course, at like 70% myself, as the one staying up until 4:30 in the morning catching her vomiting every single half hour while the bug takes its turn with her.

Shit like this, would never have occurred during the pandemic.  The common cold didn’t happen at all, during the pandemic.  It was one of the most glorious years in human existence, 2020 was, where there wasn’t even a single day over the span of a 365-day span except for one exception which I won’t delve into, where anyone in my house was sick.  No questionable mornings where anyone woke up with a tinge in the sinuses, and requiring some preventative care, no sniffles after going out somewhere, not a single cold, much less the flu, any sinus infections or stomach bugs like the one ravaging my house right now.

No god damn sicknesses whatsoever, and it was marvelous.  But in retrospect, there’s no way that would have been allowed to continue, because that would have basically killed the medical and pharmaceutical industries, and can’t possibly have healthy populations when there’s profits to be made for white folks.

But in addition to the sheer lack of sicknesses rewarded to the intelligent who exorcised caution, it was a world where nobody had to commute into offices, remote work was the norm and championed and applauded at the adaptability and fluidity of the workforce, and not politicized and weaponized as it’s been today.

And speaking of politics, it’s the then-administration’s sheer idiocy behind pandemic response that basically united a country to boot out the orange clown from his first dictatorship, and for a brief moment in time, it genuinely felt like the United States were back to becoming America again instead of being shitty ‘Murica.

Naturally, no good thing is truly ever allowed to last, and when the dust settles, Americans always falls back into their self-destructive patterns, and here we are back to dictatorship #2, which has somehow managed to feel even more terrifying than the first one.

At this point, I genuinely wouldn’t mind if some fucking savages at a Chinese wet market started trying to eat some moar bats or some possums or some other feral wild animal, and try to get COVID-29 started up to try and correct the world all over again.  I know many probably think that the parties involved in the original COVID-19 bat-eating scenario are a bunch of hindsight murderers, but frankly I see them as quite the contrary, and wouldn’t mind if that shit fired itself up again, if it would bring us back to the utopia that 2020 really turned out to be in retrospect.

I’m tired of commuting to the office, I’m sick of stupid fucks who go out while sick with no regard for the people around them, and I’m sick to fucking death of those people passing those illnesses onto my families and allowing them into my home.  I know COVID-19 took a lot of people out, but I’m having a real hard time, especially as time goes on, at thinking their negatives actually outweigh all the positives that emerged from the time.

My daughters will extend my life by almost three years

~ dannyhong ~ Leave a comment

Okay: recent study suggests dads with daughters have tendency to live longer, with each daughter adding on average 74 weeks of lifespan

When this story was fed to me, I couldn’t help but smirk as I often do whenever I read anything related to girldads or being a girldad.  The notion that by virtue of them being daughters instead of sons, my two girls will be responsible for keeping my ass alive for 148 weeks longer than my life expectancy should suggest, nearly three entire years, is amusing to me.  Even more so, that it’s pointed out that sons, add no extra life to their dads, comparatively.

The thing is, the story could have ended with that, and kept it vague, yet still sweet, but in this day and age, where everyone is expected to show their work, when they dive a little deeper, it’s mostly attributed to the notion that when said girls become women, they’re way more apt to nag their dads about health and preventative care, which is the primary reason why they tend to live longer.

I mean it makes sense, since harping on their dad to go see doctors and get checkups and critical milestone tests probably is more useful in the long game versus daring dad to see how long they can go without farting, how fast they can go in the rental car, or can they take a spinning power bomb off the top of the couch.  But it does take some of the sticker sentimentality away from the general headline, but not enough to where I can’t make a brog post about it.

What’s interesting to me though, is that I wonder how much truth this will hold in my particular case.  A lot of the longevity is attributed to what seems like a bunch of out-of-shape dads who view their children as a sudden reason to get into better health and pick up better habits, which would naturally be beneficial to their life expectancy.

I’m no Zac Efron, but I’ve always been consistent and routinely with exercise, and mythical wife has already gotten a handle on egging me to go to the doctor at least for annuals, so the things that my daughters would’ve been expected to drive me to do in order to give me 148 weeks more of living, I’m already doing.  Of course, I want to be around when they graduate schools, maybe get married, or any other life’s milestones.  Maybe there’s another level of physical improvement to reach, probably when they’re not little brats who are sometimes shits about their food, and I end up eating a ton of shitty leftovers on account of not wanting to waste food.

Conversely, there’s always the easy joke about how my kids, regardless of their gender, are solely responsible for taking years off of my life on account of the sheer amounts of stress they put me through with their childish insubordination, stubbornness and constant power struggles.  Maybe that’s something that the study doesn’t account for is that daughters might each give me 74 weeks of extra life at the tail end of my life, but they’re sure as fuck siphoning a lot more of it on the front end.

Either way, let’s choose to ignore all the background noise of this study, and choose to believe that my two little girls are going to be the reason why I live three years longer than I really should be, solely by existing. ❤️

Can it be a HIPAA violation to be judgmental pricks?

~ dannyhong ~ Leave a comment

Like many people (should), I take my health seriously.  I exercise regularly, I’m (mostly) mindful of what I eat, I try to get a consistent amount of sleep each night, I drink lots of water, and I avoid sick people whenever I can, my own family notwithstanding.

However with kids, that last part becomes nigh impossible, especially when we get into the cold and flu season, and despite the fact that I’m not a fan of coughing and sneezing right into my face, they’re my kids, and it goes without saying a lot of times, exposure to airborne illness is unavoidable.

I woke up the other day with a tickle in my throat, and my head feeling like a bowling ball.  It stung when I swallowed, which was consistent from the night before where I began to suspect that I might be coming down with something.  During this time of the year, and especially when my kids are sick, I rinse out my sinuses multiple times a day, which is something I swear by and something I attribute my general ability to avoid getting sick to, but with as much coughing and sneezing I’ve had done in my face, even rinsing 3-4 times a day has its limitations.

My general modus operandi when it comes to the onset of sickness, is to go to urgent care and start medications as soon as I can.  Getting in front of sicknesses has worked wonders in the past, and it’s what I do in order to minimize sick time and more importantly, be up and healthy so that I can care for my kids.

It’s what I did this past weekend, and after my initial vitals were taken, where everything was normal like my blood pressure, temperature, pulse, etc, even I began to wonder if I had jumped the gun too early.  Clearly, I wasn’t the only one who was thinking this, because the NP who had seen me, I could feel the judgment coming from her that I was in pretty good shape to be coming into urgent care, and probably triggering her internal flags that I was probably some medication-seeking junkie or something.

She told me that Mucinex DM would be sufficient at dealing with what I thought was going to be the illness coming, and that over-the-counter drugs should counteract my symptoms.  But probably because I had paid my co-pay and I suspect this clinic has some arrangement with whatever manufacturer produces Prednisolone, they gave me a script for that to deal with the cough, that was just only happening occasionally to me, but #1 sounds like a nightmare, and that’s exactly what I didn’t want to happen to me.

As I was leaving my appointment, I was handed my discharge papers, and I noticed that on the front of it was stapled this little addition that I hadn’t gotten before: Antibiotics Aren’t Always the Answer, which was basically this condescending little FAQ that seemed directed to people like me who had the audacity to come to a place called urgent care, for symptoms remotely nowhere near urgent.

Here’s the thing though, if there were a place I could go to get immediate medical consult, and not have to wait 4-6 fucking weeks, I would go there.  But because there is not, I go to a place where I can get immediate consult, even if it’s called urgent care and my symptoms are not urgent.  Such is the nature of American healthcare, where we’ve been pigeonholed into such limited options.

But I interpreted this note on my papers as the NP’s way of trying to give me a gentle reminder that my issues weren’t severe and that she probably thinks I’m a person chasing prescription medication.  And honestly, I don’t really appreciate it.

She doesn’t know my circumstances.  A lot of people I know don’t understand my circumstances.

I am the primary caregiver for my kids.  I’m the one person who can’t afford to be shelved due to bullshit sicknesses because the world can’t mask up or stay home when they’re not feeling well.  Sure, there are others who can fill in when it’s necessary, but if it’s under my control to optimize my recovery time and get in front of things to stop them from escalating to an addling illness, I’m going to fucking do them.

Nobody else wakes up at 6:40 every single day of the week to make sure breakfast is made and lunches are prepared for school.  Nobody else gets up in the middle of the night when one my kids has a nightmare and needs comfort.  I’m the one who goes to the school for the kids’ activities and I’m the one who takes the kids out to the park or for Friday ice cream, or most anything that requires physical presence.

Needless to say, I wasn’t pleased with the passive aggressive insinuation that I was seeking medical attention unnecessarily.  I paid my co-pay, and I had every right to be there.  Furthermore, at the time I went, I was the only person waiting on any sort of consultation, it’s not like it was a packed clinic full of ailing people that I was cockblocking from getting critical treatment.  If they didn’t feel I needed to be there, they would be more than welcome to let me know this, refund my copay and send me off, with me eating the cost in time.

I do what I do in order to be in as tip-top condition as I can, all the time, in order to be the best dad that I can be for my kids, because the last thing I want is to be the dad that’s always sick, seldom capable, and never present.  Even if it means hitting up urgent care at the first sign of sickness, I’m not going to wait until any shit to get full blown before I pull the trigger and have to wait for medications to kick in, when I can act first and be the one doing any kicking to any ailments.  I’m going to do this every single time, and hopefully with less judgment in the future.