Part-time Work Update

Even though the pain in my right foot has not come back, I still can’t fall asleep. I think it’s a combination of staring part-time work and wondering about UCLA transplant committee’s decision about my sister.

I got confirmation from HR today that I will be classified as 3/4-time starting this week. I already went into my calendar and blocked off more time on Tuesdays and Thursdays. Since the work schedule is pretty flexible for salary employees, I assumed an 8-5 work schedule with an hour lunch to come up with the 40 hours. Since I’m now 3/4-time, I left 2-5 pm free. That adds up to 30 hours total for the week.

HR said they will send me a letter with all the details on salary and benefits changes. I know that I’ll lose 1/4 of my salary, plus receive no pay for holidays. We have nine fixed holidays and two flex days. I wonder if I’ll lose all 11, even if I’ve taken the two flex days this year already.

It’s a big hit financially but I was going to run out of vacation days soon. I’ve already taken 26 PTO day this year, plus four sick days and the two flex holidays. That’s a total of 30 for only six months (I was out on leave all of January). I have about 12 days left in my PTO bank, plus I’ll pick up ~9 days for the rest of the year for only 21. That will probably only last until Thanksgiving so I would have to make the change at some point if I don’t get a transplant this year. For transplant, since I’m out of medical leave days per FMLA, I’ll have to use the three month unpaid sabbatical leave if it comes up before November 11th.

Not Going In To The Office

Once again, I was planning to go in to the office this weekend. My password for my work account is expiring and I needed to change it. In the past, I’ve had problems changing my password while working remote on the VPN. Invariably, the password change would be fine on the desktop computer but would not stick on the laptop. IT told us in the past to bring the laptop to the office and physically connect it to the network using the Ethernet cable. That usually solved the problem but it’s a PITA if you’re a remote worker, as I am becoming.

I was thinking of going in right after dialysis (and after charging my car at a Supercharger) but I just changed my password using my desktop at work through the VPN and Remote Desktop. I then logged out of the laptop and was able to log in again using the new password. VPN and email still works so I think I’m good. This saves me 90 minutes of driving and the risk of getting COVID-19 in case some idiot coughed or sneezed around my desk.

BTW, we’re up to 102 cases of infection at our local work site. It’s slowed down a bit but crazy to realize that number was 47 on July 4th.

Part-Time Work

It’s official. I’m now a part-time worker. I talked to my manager today and we agreed that I should switch to 3/4-time status, which allows me to keep all my medical benefits, but lose 1/4 of my salary and paid holidays. I think stock vesting is also pro-rated at 75% of normal. Since I don’t have Medicare Part D for prescriptions, my work insurance pays for all my medications so I need to try and keep it as long as possible.

The problem with 3/4 time is that I’m supposed to figure out which 75% of my job to work on. I’m basically on a special project plus I help out when other people in the department gets stuck since I’ve be there the longest. There’s no real good measure of the amount of work, just whether you’ve completed your responsibilities. For now, it’s so I can take the 10 hours off per week for dialysis. Once transplant happens, I probably have to go back to full-time but not sure how to do that from home without being assigned any daily tasks.

Just as well. I’ve been thinking that I’ve spend enough time at the current job. I just passed my 9 year anniversary. When I was first hired, I didn’t think I would make it past 5 years. I’ve been talking about getting a lower position closer to home since the commute was pretty brutal. With COVID-19 restrictions, the freeways of Southern California have not been congested at all. Anyway, maybe I can find an entry-level analyst position (that’s 5 levels below my current title), and take it easy until retirement.

Cost of Dialysis

I finally got my first dialysis bill with Medicare. The statements are all from my work insurance, which is basically Blue Shield of California. There is a huge discrepancy in pricing for different insurance carriers.

MonthFebruary 2020March 2020April 2020
List Price$33,895.24$34,716.73$34.277.23
Blue Shield Price$25,590.89$26,211.08
Medicare Price$4,163.32
Statements from Work Insurance

I’m only seeing what my insurance paid out. For February and March, they paid ~$26k since I’ve hit my out-of-pocket maximum for the year. For April, I guess Blue Shield know the Medicare reimbursement dollars and they paid out only $837.98, which is ~20% since Medicare pays 80% of medical bills. If the numbers are correct, then my work insurance negotiated cost is over 6x what is paid by Medicare. For April, with 13 days of dialysis, the comes out to ~$320/session for Medicare. This is close to what a coworker told me (he used to work at Davita). The “cost” to Davita for each hemodialysis session is ~$280 so they don’t make much money from Medicare patients, hence the price gouging for patients with commercial insurance. Do they charge $34k/month for patients without insurance?

COVID-19 @Work 7/23/2020

The update today from work has the number at 92 in our office. Hopefully California has hit it’s peak in number of new daily cases and people are getting the message to socially distance themselves. I’m referring to this chart from the Orange County COVID-19 Dashboard:

Updated 7/23/2020

There appears to be a definite drop off in the daily reported number of cases since July. Hopefully it’s not due to the new reporting system mandated by the White House.

Updated 7/23/2020

However, looking at this chart, it seems there is a huge fall off in the number of tests reported. Is it because less people are testing because less people have symptoms? Without knowing the criteria for testing and reporting, it’s hard to make sense of all the data. I wish there was a summary dashboard with a simple stoplight with red = stay home, yellow = exercise caution and social distancing, and green = mostly safe, plus an up/down arrow indicating if things are getting better or worse.

COVID-19 @Work 7/17/2020

As of last night, we were up to 80 infected employees at my work site. Sigh… I was planning to go into work this Sunday to pick up some stuff, but mainly to dump old personal documents into our shredder bins. I’m shredding a lot of paperwork, but it’s tedious with a 8-page personal shredder.

This means 8 employees were infected over the weekend and another 5 this week so far. I’m pretty sure it’s mostly from activities outside of work but how much of a risk am I taking to go into work for a few hours? I really want to “borrow” my 30″ LCD monitor but I’m not sure where I can put it. My desks in the home office are full of computers and monitors already. Maybe I can put in a Helpdesk ticket and ask someone in IT.

COVID-19 @Work 7/14/2020

We now have 75 cases of infected employees in our office. This number was 67 over the weekend so that’s +8 in one day. A lot of people in my department are opting to stay home again. HR stresses that almost all cases of infection are from activities outside of work. The company is making everyone wear surgical masks in the office instead of just the cloth ones. We know that’s not happening in California in general.

Speaking of California, the governor has re-closed a bunch of businesses again, including churches. My church just sent out an email letting everyone know that the church is shut down again until August 2nd. The senior pastor was very adamant about opening up the church for Memorial Day weekend. I don’t understand why people can’t just stay home for another few weeks. We need to figure out work and daycare but to haphazardly go out to random gatherings is just careless or stupid. California initially seemed to control the spread of COVID-19 but here we are in July, and emergency rooms and ICU’s are running out of beds again.

Additional Medical Leave

Since I’m kind of out-of-office twice a week, my boss asked me to look at additional leave options. I’ve known him for about 20 years and work for him during 17 of those years. He really wants me to get better before stressing out about work. With the growing number of infected employees at our work location, it’s getting more stressful.

I checked with work and they said the FMLA leave limit is based on a rolling 12-months and I’ve used up 59 out of 60 days of allowed leave. That rules out additional medical leave or intermittent leave options since I only have one day before it resets this November. My only options are taking a sabbatical, which is only three months max, or going part-time. To keep my benefits, I would have to work 30 hours/week minimum.

Since we have a few work emergencies, I think I would go with the 30 hour options so I can still work on my project and provide support to the department. This was, even though there’s a 25% pay cut, I’m still occupied and still make a good salary.

COVID-19 @Work (updated)

A co-worker showed me an Intranet page at work that has daily COVID-19 updates. The page also has a tally of the number of infected employees. At my location, there’s probably ~5,000 employees and the latest infection count is ~60 or slightly over 1%. I don’t know if that’s good or bad compared to other companies listed as “essential” but I decided not to go to work yesterday, even though it was a Sunday. Other co-workers were also concerned with the number of infected employees and decided to work from home more often as well.

The scary part of COVID-19 is the wide variety of symptoms for those infected. For a lot of people, there are mild to no symptoms. For others, they sometimes die within days of the infection. You have to assume the worst so avoiding infection should be very important. I really don’t understand the people that congregate in large groups without wearing masks.

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Update: 7/8/2020

I checked our work’s Intranet page and now it says 65 employees infected in my office. That about +3 each workday. We can’t figure out whether they are getting infected at work or outside of work (bars, restaurants, etc.) so it’s difficult to determine the risk of actually showing up to work. In May and June, it did look like we (California) was getting a handle on the spread of the virus but now it’s turned into a sh*tshow again.

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Update: 7/10/2020

As of 5:00 pm yesterday, the infected count in our office site is up to 67. That’s +8 in four days. Why does this feel like a game of Plague?

Medicare Premiums

I guess they found out about my salary levels. Instead of paying the base rate of $144.60/month, I think Medicare is charging me $462.70/month, or about 3x the base rate. I paid $723.00 in March for 5 months but got a huge second billing of $2,978.60 a week ago.

Since dialysis is super expensive, my high premiums are still worth it. I think I still have a few denied claims to work through from the beginning of the year, then I have to get some of my co-pay reimbursed by Medicare.

Antibody Testing at Work

I came to work again today, mainly to participate in a COVID-19 antibody testing study. Our workplace is partnering with some Harvard-affiliated group to test a bunch of employees to see the prevalence of COVID-19 at the workplace. The email came out last Friday while I was in the office but I signed up too late and all the time slots were filled so I came in today.

Since the antibody test requires a blood sample, there was a conference room set up with several blood drawing stations. The guy that took my sample was a med student from Mt. Sinai in New York. Since I had a fistula in my right arm, I told him that he could only draw from the left arm. It took him two tries to try and hit a vein. We’re supposed to get results back in a week.

UCLA Medical Billing

Remember my visit to UCLA to see their cardiologist? I saw the doctor for literally three minutes. On the way out, I told the receptionist that I sent in my Medicare card to the Transplant Center, and asked him if he needs a copy. “No, we’ll get it from the Transplant Center” was the reply.

Ha! Of course they tried to bill my work insurance first and got the claim rejected. I guess my transplant coordinator didn’t update my records since they are trying to bill me for the entire amount. Why must everything medical be so difficult?

Also, the cost of the three minute visit? $725. That seems like a ridiculous amount. There’s no way we can reform healthcare costs in the US if doctors and hospitals can get away with billing like that.

Sleep Update 4/21/2020 (& 4/22/2020)

Yawn. I just slept about four hour, which is the longest I’ve slept in several weeks. Maybe it was the dialysis clearance shortfall causing all my immediate health problems these past two weeks.

After dialysis, I stopped by to get lunch from a Hawaiian take out place right across the street from the dialysis clinic. I ate some of the food for lunch and quickly jumped into bed since I haven’t really slept for the past 48 hours. I think I was out in under two minutes. I did tell my mom not to wake me when I nap during the day (unless I asked her to prior to napping) since it may be the only sleep I’m getting all day. During the past few days, as soon as I fall asleep napping, she would wake me for lunch/dinner or something else.

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After dinner, I went to sleep again since I was so tired. I managed to sleep from 12:30 am to about 4:30 am. Doesn’t sound great but much better than zero. Combined with the long nap from yesterday afternoon, I almost feel normal. I was going to go into work today since it’s easier to work on my desktop. I have a 30″ monitor and two 24″ monitors, which are really helpful for coding and debugging. Instead, I managed to connect another monitor to my work laptop at home so I have a 24″ monitor, a 21″ monitor, and the 15″ laptop display for working at home.

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I sneaked an another nap from about 12:30 pm to 2:30 pm but the Fitbit tracker did not pick it up. I feel well rested for the first time in a long time. Even though the dialysis clinic extended my session to four hours when using the fistula needle, if we still run at 250 ml/min, the extra time won’t be enough for adequate clearance so I may start feeling bad again. Not sure what the solution is if we want to develop the fistula.

COVID-19 Testing

Our workplace is offering COVID-19 testing for employees. We contracted an external company to operate a medical clinic several years ago and they are doing PCR (Polymerase Chain Reaction) tests for anyone that is symptomatic. Only problem is you have to be on-site at the clinic to get the test. This is where they stick a cotton swab high up your nose. Results should be available within 24 hours. I’m not sure where the clinic is sending the samples since all labs are backed up currently.

We’re also participating in an antibody testing study with a team from Harvard-affiliated institutions. Here a random sample of employees will be chosen for a blood test, also taken at the work clinic, to see if they’ve been exposed to the coronavirus. I guess the end goal is to see if these antibodies provide protection against reinfection.

It’s good we’re actively participating in testing programs since our Federal government dropped the ball on this one. Can’t ask people to go back to work and risk their lives if we’re not even testing.

Coordination of Benefits, Part VI

It’s been over a month since I posted about my insurance issues. It’s good to have health insurance, but it’s “bad” to have more than one. When you have multiple coverage, all the payers want to be second in line to pay, not first.

During the month that passed, I called and wrote my work insurance many times. Each time the member advocate (MR) would tell me that the supervisor would contact me but he never did. All I heard was that they were still working on it. I provided them with written documentation and contact info for Medicare but it didn’t seem to help. In the meantime, I had my surgery claim rejected (~$18k) plus two months of dialysis (~$36k per month). It was a bit stressful to have ~$100k of unpaid medical claims.

I sent another message this morning and finally got a reply saying they accept the April 1st cutover date, and will reprocess all the rejected claims during January through March. Yay! I hope they do this quickly since I’m getting second and third notices from my providers.

Work

Since I was at UCLA in the morning, I decided to stop by work on the way back. I got notification that I had a package delivered so I needed to go pick it up from the automated lockers. It turned out to be just a bunch of bank statements.

The last time I was in the office was March 13th so it’s been just over a month. The facility is still open since there are thousands of factory workers that cannot work from home. The office side, with all the engineers and support staff, is pretty empty. For all of finance, there are only four of us here today and I’m almost done. I’m tempted to grab my 30″ monitor and bring it home but it’s too big for my home office desk. I already have a 24″ monitor from work so it’s better than just staring at the laptop screen.

Tokyo Fast Food

Since I had an appointment at UCLA Medical Plaza today, I originally planned on getting lunch at Versailles. It’s a Cuban restaurant that has an awesome garlic chicken dish (menu item #6). When I was at UCLA, we used to come here all the time and everyone would order the same dish. Back then, the half-chicken was $6; now, it’s $16 for the same dish. However, I got out from the UCLA appointment pretty quickly. I only saw the cardiologist for 5 minutes. He asked me a few questions and then said he will write a note recommending that I be taken off the transplant hold list.

Anyway, while I was driving back to the freeway and debating my lunch plans, I decided to drive down Santa Monica Blvd. towards the ocean. I used to go to a Japanese fast food place but haven’t been there in over 23 years. I only vaguely remember where it was but I managed to find the corner plaza and surprisingly, the restaurant is still here. Everything inside looked the same as well. I got my favorite, #1 combo with teriyaki chicken and beef. The price is a bit higher at $8.95 but not by much. The food tastes exactly the same too.

Yummy but a bit salty

I brought the food to work since I needed to stop by and pick up a package. Out of 50 people in our department, there’s only three people here, including me.

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When I was at UCLA and getting food there regularly, the lady at counter thought I was Japanese. She would greet me and say a whole bunch of stuff in Japanese and I understood none of it. I just nodded and said “numba 1 to go” and paid. I doubt it’s the same lady today since she looks young and we spoke in English.

Outside photo from Yelp

Work Schedule

I read a study that said the rate of employment for dialysis patients was as low as 19%. Looking at the patients at my dialysis clinic, that number seems believable. A lot of the patients are much older than me and wheelchair bound. There aren’t many young patients; maybe they are all doing dialysis at home.

When I was on hemodialysis the first time, my dialysis schedule was T/Th/Sat from 1:00 pm to 4:30 pm. I typically worked remotely from home Tuesday and Thursday mornings, then went to dialysis after lunch. This was pretty convenient since I got most of my work done in the morning and delegated the rest to my staff for the afternoon. I didn’t formally tell HR about missing work two afternoons per week but took occasional vacation time to make up the difference. Fortunately, I’ve worked for the same boss since 2000 so he knows I’m not a slacker and was supportive of my schedule.

Fast forward two and half years to now. I’m still at the same company but have different job responsibilities that are less task based. Also my dialysis schedule changed to 9:00 am to 1:00 pm so I can only work remotely after dialysis. It’s been much harder to work Tuesdays and Thursdays this time so I’ve taken a lot more vacation days. I still have about 180 hours left which is ~22 days. If I take two days each week, that will last me another 11 weeks during which time I will accrue an extra week, so a total of 16 weeks or 4 months. I’m hoping that I will have had my transplant surgery and recovered by August so I won’t have to go to part-time status.

In the meantime, I’m still struggling to be productive at home. It’s hard since my projects were not well defined and it’s hard to communicate over the phone. In addition, we’ve banned Zoom from work meetings and currently have no video conferencing or screen sharing capabilities.

Witness Subpoena

I’m supposed to show up at a Los Angeles County Courthouse as a witness for a criminal trial. It’s related to a fraud case at work. The case is still on the preliminary hearing phase after 18 months since it kept getting delayed. I’ve been to the courtroom several times just to have the case pushed out another month.

With all the COVID-19 related closures and stay-at-home orders, the court seems to be still open. Since this is a preliminary hearing, and 20 cases are heard each day, there’s easily over 100 people walking in and out of the courtroom. Since Monday, I’ve been calling the court and the District Attorney’s office trying to get some guidance on what to do but no one has called me back. I have several medical conditions that puts me in the high risk group: heart disease, diabetes, and dialysis. It’s going to be super risky for me to go and sit in the courtroom for several hours.

I told my boss about this in our staff meeting Wednesday and I received emails from several people in Legal. One of our corporate attorneys said that under no circumstance should I attend the hearing. It’s not worth the risk even thought I was issued a subpoena. I’m still a bit worried since getting arrested and thrown in jail is probably even more risky than going to the courtroom. Let’s hope that the judge can proceed with the case without me being there since I passed all the evidence to a detective a long time ago.