Expensive Grapes

Slightly off topic but during a phone conversation with a Korean friend Monday night, she mentioned she just joined Weee!, an online Asian grocery store. My mom also orders regularly from Weee! as well. She also said she ordered some crazy expensive grapes so I had to go look. $43 for 600 grams or $32.50/pound. I think most of the cost is the refrigerated air shipping from Korea, especially when there are barely any flights between Korea and the US. Anyway, my friend received the grapes last night and said they were just so so. She actually likes the bulk Costco grapes better. Looking from the photo, it appears to be about $1/grape.

Other stuff on Weee! is priced more reasonably.

Labs and Doctor Appointments Galore

Sometimes it feels like I have a second job managing all the doctor appointments, labs, and medications. I previously posted about two stressful mail-order medication deliveries. It is pretty much the same with appointments. I just spent about a hour on the phone trying to line up various doctor appointments and corresponding labs.

So here is my schedule for the next few weeks:

DateAppointment
9/24Labs for nephrologist (no appointment; walk-in)
9/30Nephrologist appointment
10/4Labs for endocrinologist
10/11Endocrinologist appointment
10/13Labs for transplant center
10/15UCLA Transplant Center video call

At least I do not have to drive to UCLA on a Friday afternoon since the appointment is a video call. Otherwise that will be a three+ hour roundtrip drive.

On top of all this, I need to make an appointment with my dentist. I chipped a tooth while flossing. Actually, there appears to be a large cavity and part of the tooth enamel just fell off. Good think I have a few hundred dollars on my FSA account that I need to burn before the end of the year. 😠

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That is also three labs in three weeks. Each one is likely 5-6 tubes plus urine. My left inner elbow is going to be hurting and bruising again.

Another Medication Scare

It is not just Amazon. I was waiting for a FedEx delivery of a Toujeo (long-lasting insulin) refill from my mail-order pharmacy. I am down to one final dose so getting the medication delivered today or tomorrow was very important. At 1:37 pm, I get a text message that the package was delivered and left on the “front porch.” My house does not have a porch.

Needless to say, there was no package in front of my house. We have a recessed front door that is not visible from the street, so packages are usually left right at the door. I also checked my two exterior cameras covering the front door walkway and the street, and did not see a FedEx van in any of the saved video clips.

Of course I freak out and call FedEx. The CSR was Indian and very helpful. However, he was not able to see any further information and could only open a trace ticket. First he said they would get back to me within 24 to 48 hours. Definitely not good enough. I explained that this was a refrigerated medicine delivery, and that they need to call the driver ASAP and get back to me in a few hours so I can try and get an emergency refill at my local pharmacy. I felt bad that I was getting upset, but it was not really the CSR’s fault, especially if he was in a call center in India. I did give him a 5/5 on the exit survey though.

Next, I called my mail-order pharmacy to see if they can light a fire under FedEx to get them to find the package faster. While the pharmacy CSR was trying to set up an emergency 14 day refill authorization, the FedEx guy came back and delivered the package. I did not see him, but my dad said he was apologetic, and said my packaged got grouped with a large delivery at another location. My guess is the trace team at FedEx was able to reach the driver and got him to go back and retrieve my package and re-deliver it. It was a stressful 43 minutes but everything worked out well. It was also only one of my two injectable insulins so worst case scenario, I could inject a few more units of the fast-acting insulin and check my blood sugar more often.

Tamagoyaki Pan

After failing to deliver my package Tuesday, Amazon was able to deliver it by Wednesday noon. As I mentioned in the original post, I had ordered a tamagoyaki pan. Like many items on Amazon, there were many identical pans “produced” from various strangely named brands. This typically means that all the items were made by one factory in China, and either sold by different importers or the same company trying to create fake competition. These pans were around $15-$20, and came with the identical spatula plus some other accessory. I managed to find one that was made in Korea for $20 that had thousands of positive reviews so I bought that one instead. There was also a very nice Japanese pan made of cast iron, but it was $55.

Since it was around lunchtime, I made a test omelette to see if I can even roll the egg properly. I used three eggs, some chicken broth instead of dashi, pinch of salt and sugar, a bit of light soy sauce, and dome bacon bits that I bought for salads. The heat was probably too high since the eggs cooked very quickly, which made it hard to roll evenly. I managed to get four pours with the egg mix, but the final layer broke off. The photo above was about two and a half eggs worth. The final taste was okay but overcooked. I will try again with two eggs and lower heat to see if I can make the layers thinner and softer.

Three eggs at once is too much for one person anyway.

Bioartificial Kidney

The Holy Grail of Chronic Kidney Disease (CKD) is not dialysis or even a transplant, but a viable artificial kidney. There has been ongoing research, but there also seems to be little progress. I have posted about The Kidney Project (TK) a few times as they seem to be the only significant artificial kidney project.

UCSF released some news a few days ago that seems to point to some significant progress. TKP said they have successfully tested a prototype bioartificial kidney. There is a YouTube video that explains further:

Basically, TKP was able to produce a hemofilter that filters out toxins from the bloodstream using membranes made from silicon semiconductor wafers. They also made a bioreactor with “renal tubule cells” that will maintain fluid balance and other metabolic functions. Combined, the hemofilter and bioreactor is implanted like a transplanted kidney, and powered via the patient’s blood pressure. It sounds awesome if it actually works. There are currently ~93,000 people waiting for a kidney transplant due to a shortage of donated organs. A viable artificial kidney will improve quality of life for a lot of people.

My biggest fear after the kidney transplant is EOL organ rejection. If the transplanted kidney fails before I die, then I will need to go back on dialysis. Likely I will be ~70 years old by then so the chances for another kidney transplant will be very low. If an artificial kidney is readily available, that could be another option.

Amazon Delivery Fail

I buy a lot of stuff on Amazon since I should not really go out that much. So this past Monday, I ordered a tamagoyaki pan to make Japanese omelettes, some salted peanuts, and a book called Red Roulette. When I placed the order, the check out page said the package would be delivered in one-day, so yesterday. I waited all day for the package to arrive, and at 8:30 pm I received a delivery attempted and failed message from 8:16 pm. I checked the activity history on my security cameras there was definitely no delivery attempt made during that time.

This is the third or fourth delivery failure from Amazon this year. It is pretty incredible that they can delivery my crap that quickly, but do not make promises you cannot keep. The tracking data also said the driver was back at the Santa Ana distribution center at 8:30 pm. That is pretty quick if there was a real delivery attempt at my house at 8:16 pm. My guess? My package did not even get put on the truck at 10:26 am, and was generically marked as a failed delivery at the end of the route. That is total bullshit. If the package did not get on the truck in the morning, then send me a message. In either case, the package is not coming, and I do not need to wait around all day for delivery. Instead, I get these useless delivery time updates , but nothing is delivered. It is dishonest and I think it gives their customer a worse experience.

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An Amazon delivery van is parked across the street as I type. Maybe it is a package for my neighbor. Let see if anyone rings my doorbell. Maybe I can make a Japanese square omelette for lunch yet.

The Political Compass

I saw a reference to a political compass on a post on Reddit. Instead of just left (liberal) and right (conservative), another dimension is added in an attempt to group people politically. There is a short introduction video on the website linked above:

In addition to left and right, the second axis measures authoritarian vs. libertarian. If I were asked to place myself on the 2×2 grid before taking any tests, I would be slightly right and slightly libertarian. When asked about politics, I am usually slight-left on social issues and middle-right on fiscal issues.Here is my result from The Political Compass (TPC) after taking their online test:

The results placed me pretty close to where I expected: I want the government to leave me alone, and I think my taxes are too high. There is another website that examines your Reddit comment history and an algorithm will evaluates you on the same axis.

This result still has me as a libertarian but at 86%, it is more confident than TPC. However, the same analysis has grouped me as a liberal with 72% confidence. I am unsure which comments in my history pushed the analysis heavily to the left. I would love to understand the algorithm that make the determinations.

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So the California governor recall was yesterday (9/14/2021), and it looks like Gavin Newsom won by a landslide with two-thirds of the vote. Reading some of the comments online, many people thing it was heavily swayed by having Larry Elder as the top Republican candidate. Regardless of your politics, I think supermajorities for either party is dangerous. Democracy needs a vigorous opposition, or you end up with authoritarian governments like China or Russia. I wish the current Republican Party would disavow Trumpism and put up candidates that are electable. Same for Democrats. I want to vote FOR someone instead of always trying to find the lesser evil during elections.

Lightning Storm

There was a crazy lightning storm in Orange County this past Thursday. I was at my church’s cell group meeting at The Market Place in Irvine when the lightning and thunder started. It actually rained a bit while I was driving home, but it was mostly a light/sound show.

There was no rain

There were some pretty good photos that were posted on Reddit, but I also took some outside my bedroom window when I got home. Since it is nearly impossible to time a lightning strike, I left the phone on the window ledge and took two videos.

The two “photos” above are actually screenshots from iMovie running on my iPhone 12. The phone/computer got stuck trying to convert and send via AirDrop. Those two lightning bolts appears to be quite close. I wonder if they struck anything valuable on the ground?

Since we are in the middle of another drought and wildfire season is upon us again, I was hoping for some rain.

Zippered Hoodie

Tonight, our church cell group met up at one of the many corner shopping centers in Irvine. Usually these have a “food court” and outdoor seating. We have met here before, but it was the first time we were approached by homeless people. You hardly ever see homeless people in Irvine. The rumor is that Irvine police picks them up and drops them in Santa Ana.

Anyway, during our discussion how our week went, one (there were two of them) came over trying to make conversation. He said he was a veteran and thought one of us was ex-military. There was no obvious reason to doubt him, but I thought he was just panhandling. To my surprise, he did not ask for any money and left after some awkward conversation. Later however, he came by again and tried to shame us (“Hey, you guys are Christians, right?”) into buying them two hoodies. I mean it does get cold at night, and I do not know if there are any shelters in Irvine. However, it was already 10:00 pm at night, and nothing is open in Irvine after 9:00 pm.

The shaming worked on me though. I was the only one carrying a hoodie. After the ask, our group was just looking at one another in silence. My hoodie on the back of my chair was pretty obvious, so I offered it up. As I handed it to the homeless guy, I read the label and it was an Eddie Bauer zippered hoodie. I think it was a birthday gift from my sister from several years ago. By then, it was too late to take it back. I looked up Eddie Bauer’s site, and it seemed to be this one:

$42!? That is a pretty expensive zippered hoodie. At first I was kind of upset; not because I gave away an overpriced jacket to someone that probably need it more than me, but the fact I was manipulated into doing so. If the homeless person just asked, I probably would have given it to him anyway. It was the implied “if you don’t give us two hoodies, you guys are not really Christians.”

Sigh. It is true that as Christians, we should be charitable. I have more jackets and hoodies at home, some that I have not worn in years. OTOH, we cannot be expected to individually give our way out of the homeless problem. It is a very complex issue, often involving mental illness and substance abuse, and my hoodie will have zero impact. Though very unlikely, I do hope that my hoodie will keep one homeless guy warmer, and somehow help him to seek more comprehensive help.

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Eddie Bauer clothing is so overpriced. Here is one from Costco for $22 and it has a cellphone pocket, thought likely not useful for someone who is homeless. Maybe I will get this to replace my “donated” zippered hoodie.

Fluorescein Angiography

Not my eyeball

Since I am diabetic, I see an ophthalmologist every year. Several years ago, my ophthalmologist referred me to a retina specialist. I kept skipping the referral until last week, and fortunately everything seemed fairly normal. The specialist did want me back for a fluorescein angiography and the appointment was this morning. Basically, the test uses a dye and camera to examine the blood flow in your retina.

This was the camera that was used. First the technician dilated my eyes with eyedrops, then took a lot of photos using the above camera. The red LED was what I was supposed to look at, and he moved it around to orient my eyes properly. Next, the doctor came in to inject some dye into a vein, and then the technician took a bunch more photos. There was a flash on the camera to illuminate the back of your eyeball, but since I was dilated, it was super bright and I was mostly blinded after the first few photos.

After the technician was done, he then edited some of the images on a computer for the doctor to review. They brought me to another room where I met the doctor, and he said the effects of diabetes on my retina was mild. There was no need for any treatment right now, but I will need to follow-up every six months.

I do not know what drops they used to dilate my eyes, but my vision was blurry until a few hours ago. I think I also had some minor reaction to the dye, so I texted work and took the day off.

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There was some dye residue at the injection site, and I could tell the dye was yellow or orange. Since this morning, my urine has been florescent yellow. I guess that means my sister’s kidney is filtering the dye out of my bloodstream. The doctor assured me that the dye would not interact with any of my medications and would not impact my kidneys, but I am still a bit stressed seeing bright yellow pee for the entire day.

Hamilton

This past Sunday, I went with my sister’s family to see Hamilton at the Pantages theater in Hollywood. The ticket was originally my birthday present from August 2019 to see it in June 2020. As we all know, everything in California was basically shut down, especially indoor entertainment venues. The Pantages just recently opened its doors again, and we got tickets again for one of the earlier performances.

I thought long and hard about going to the show. I am not a huge fan of musicals. The only other shows I have seen are Les Misérables and Phantom of the Opera, but I feel everyone has seen them as well. Since the pandemic began, I have not been indoors with a lot of people except at hospitals and medical clinics. Since the show was sold out, the venue will be super crowded. I think the combination of getting a third Moderna shot, and “strict” vaccination/mask rules at the Pantages convinced me that it was safe enough to go.

In hindsight, I am glad I went. The show was really good, though I only got about 75% of the words/lyrics. Disney released a movie of a Broadway performance so I will need to watch that with subtitles on. The theater was checking everyone for proof of vaccination, but not ID, and there was 99.9% mask compliance (I saw one idiot walking around without a mask). I sat in the middle of our five seats, and for the first act, the three seats behind me were empty. Things did get a bit stressful after the show as hundreds of people were trying to get out through one set of doors. I was basically shoulder-to-shoulder with strangers for about five minutes so hopefully no one around me was sick but asymptomatic.

Mysterious Lab Test

I went into the lab this morning for my monthly blood draw for my nephrologist. I have been going to this lab for the past 10 years, and usually it is very quick once you get into the clinic. Sometimes the walk-in line gets pretty long, but I have been making appointments beforehand so the wait is minimal.

Photo by Karolina Grabowska on Pexels.com

After I sat down in the chair, the phlebotomist seemed puzzled at the paperwork. She then went to a computer terminal, and spent the next five minutes looking up codes. Since my nephrologist was using a different medical records system, the lab order only had text description instead of a common numeric code. The text probably did not match the clinic’s list of test and causing confusion. Another staff member finally came over and helped her find the right vial to use. It went smoothly after that. There were six vials to fill this time. Typically the blood draw is between five and eight vials.

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IIRC, I think the test was BK Virus Serum, and the word “serum” confused the phlebotomist. Even though the lab was part of St. Joseph hospital, they use Quest to analyst the blood samples. Quest shows a BK Virus DNA, Quantitative, Real-Time PCR, Plasma test, but no serum test. I think they just ended up using their existing BK Virus test instead.

Ember Mug

Several coworkers bought me an Ember Mug for my birthday last week. I finally opened the box and set everything up last night. You may be thinking how hard is it to “set up” a mug? Well, first you need to download an iPhone (or Android) app, then recharge the mug, turn it on, and connected it to your mobile device using Bluetooth.

The idea is that you pick a temperature you would like to maintain via the app. When hot liquid > set temperature is poured in, a layer of phase-shifting material would draw the heat away and store it. Then when the liquid temperature drops below the set temperature, the phase-shift material would release the heat back into the mug/liquid until it runs out of stored energy or when the battery is depleted. So, the mug works best if the initial fluid temperature is high, i.e., there is more energy to extract and store. It is an interesting concept, but makes the mug design fairly complicated.

When I tried it out last night, my coffee from the fake Keurig machine was 155°F. I did see the temperature fall pretty quickly, but since it is only a 10 oz. mug, I finished the cup of coffee before the mug needed to reheat again. I will need to drink slower next time so I can test out if the heat retention system works.

SoCal Edison Rate Plans

I have been looking at electricity rate plans since I installed solar panels on my house. Each time, the Edison comparison tool shows the tiered rate plan as the least expensive option. I think this is due the power use and solar generation between the A/C and my electric vehicle. Since my net usage during the day is offset by the solar panel output, going to a time-of-use (TOU) plan is more expensive.

Up to now, if I wanted to switch to a TOU rate plan, I had to opt-in to a specific plan. Yesterday, I got a letter to Edison saying they would switch everyone over to a TOU plan unless you opt-out. In the letter, it also has an analysis of costs. Once again, TOU would be more expensive for me:

Not sure what period the $962 covers but it is slightly different from what I paid in June for 12 months. Maybe it is from January to December. Anyway, I signed the attached opt-out form and will mail it back to them. No reason to pay an extra $200.

Likely Edison wants everyone to switch to a TOU rate plan so they can influence people’s usage patterns in the future. Every summer there are rumors of rolling blackouts since California ISO cannot match peak demand with supply. After most people switch to TOU plan, Edison can increase the price difference to reduce demand during peak hours. I do not think this is a bad thing, but after the “get a free smart thermostat so we can shut off your A/C whenever we want” campaign, there is not much trust.

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In case you think my electricity bill is super low, we also have gas for heating, cooking, and drying clothes. Additionally, the $900 annual bill is after I installed a 3.64 kW solar system that cost $15k before tax credits.

Weight Gain 8/13/2021

It appears that I have gained back about 10 kg of weight from the low point after transplant surgery. However, I am still at around the same weight I was a year ago. The difference is that I was on dialysis, and had lots of excess fluid. IIRC, I had edema in both my lower legs and ankles, and even fluid in my chest cavity. I wanted to try and stay at around 80 kg, but due to the weird leg pain in my right hip joint, I have not been walking that much. Due to increased skin cancer risk from the anti-rejection medications, I have been walking on the treadmill in my garage. However, since the temperature in the garage stays at 80°F until late in the evening, I have been waiting until after 11:00 pm, and most nights I am asleep by then. I think the solution is to try and get on treadmill in the morning since I am usually up by 6:00 am anyway.

Tacrolimus Order Received

After stressing out for a week, I did receive my three month order of tacrolimus from the mail-order pharmacy on Wednesday. The package arrived at around 1:15 pm so I took the morning dosage anyway. If the package arrived after 2:00 pm, then I probably would have just skipped it.

Here is what 630 x 1 mg of tacrolimus looks like:

Each of the white bottles contain 100 capsules. I need to take seven each day so 7 x 90 = 630. I was hoping for further cuts in the dosage but it has gone up by 1 mg daily since my lab results showed low tacrolimus levels.

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Crap! The label says no refills. I wonder why my nephrologist did not give me more refills? I need to take this medication for life, and I do not want to go through this ordering mess each quarter.

Legit Booster Shot

I knew it would happen. As soon as I find a way to finally get a third vaccine shot after weeks of trying, the FDA officially authorizes a booster shot for “certain immunocompromised people” today.

People who are immunocompromised in a manner similar to those who have undergone solid organ transplantation have a reduced ability to fight infections and other diseases, and they are especially vulnerable to infections, including COVID-19. The FDA evaluated information on the use of a third dose of the Pfizer-BioNTech or Moderna Vaccines in these individuals and determined that the administration of third vaccine doses may increase protection in this population.

It is good news obviously, but I wished they moved a litter faster so we did not have to stress out over the recent delta variant surge. I believe the FDA and the CDC still needs to publish guidelines so it may be a while longer for people to get the booster shots, so I am still happy that I got mine last week.

I just checked the Digital COVID-19 Vaccine Record portal, and it has all three of my Moderna shots. I guess in the end, nobody really cared how many shots I received.

After the third shot, my arm hurt for about a day, but I did not experience any other side effects. Maybe I need to try and get a fourth shot?

Entitled Drivers

My niece will be a freshman at a Catholic high school this school year. The school held a “retreat” for all the students at a different church this morning, so I drove her there and dropped her off. Like a normal person, I pulled over to the curb next to the church and let her off. Meanwhile, cars are still driving by on the driveway. This was in the church parking lot so there were a lot of empty parking spaces as well.

When I was exiting the church, there were three cars in front of me, going really slow. The lead car was a Porsche Tacyan Turbo, a $150k electric car. The driver tries to squeeze into a small space next to the curb on the right, but only manages to get the front of the car in, blocking half the driveway. The line of cars managed to get around, then the next car, a huge Cadillac Escalade, just double parks to let the passenger out. The car in front of me pulls around and just stops in the middle of the driveway to let their passenger out. Not one of those three entitled assholes pulled to the curb earlier where it was empty. Nor did they park their car in a parking spot so they are out of the way. Instead, they basically decided their time was more important than anyone else’s so they will just block a entire row of cars behind them and let their passenger out. I can see one person maybe, but three in a row?

While I was pulled over, my niece commented that there were a lot of nice cars dropping students off. Well, when the tuition is $18,000/year, it is really target to the upper/upper-middle class. Since this was South Orange County, the line was full of Japanese and European SUV’s.

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Photo by Stan on Pexels.com

Seriously, I was going to hold down my car horn when the last car just stopped in the middle of the driveway to let the student out. However, this was at a church parking lot and the event was a Catholic high school retreat, so I just waited.

Medication Shipment (updated)

Now it is down to the wire. I am down to my last three tacrolimus pills, and I need to take all of them tonight. I covered some of this incident before but basically the tacrolimus is not covered by my work insurance but they did a few courtesy fills. I did not know this and sent the most recent refill to my local pharmacy and the price was ~$140. After many phone calls to my nephrologist, work insurance, and three different pharmacies, I am supposed to get my refill tomorrow. I am already rationing the pills since last week to make it last until tonight so I really need to get the medication tomorrow.

So this morning, I check the mail-order pharmacy website, and it said the order was still processing. It also says I am still scheduled to receive the pills tomorrow. Hmm, that sounds a bit optimistic so I called the mail-order pharmacy again; this is the fifth or sixth time in a week on the same prescription. The automated system also said it was still processing so I asked to speak to a representative. She looked up my order, placed me on hold several times, and finally said it will ship today via UPS next day. There is no tracking number, but they will send that tomorrow as well. Option C is still open if something goes wrong. I will then need to call UCLA Pharmacy for a refill on my old order (less dosage) and pick it up in person tomorrow. That will be a 3+ hour drive (and $14 for parking), but if the mail-order shipment does not show up, I will not have any other choice. There is no Option D.

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Photo by Negative Space on Pexels.com

Also, I really hate the voice response system that most companies are using now. In the old days, it was a live person answering the phone and redirecting your call. I know that it is inefficient and boring, but it is faster and more convenient for the customer as long as there are enough people to answer the phone line. The “press #” system is okay too but they always lie and say the menu has changed each time to make you listen to the entire list of options. The worst is the “say xxx” to move forward in the menu. On my call to the mail-order pharmacy, I had to yell out my birthday twice, since the system did not get the right date at first, my ZIP code twice, and “representative” three times when the automated system did not have any useful information. It is not too bad when I am at home, but I look like an idiot when I have to do this at work or out in the public.

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Update: 8/10/2021 8:42 pm

Well, that the last three tacrolimus capsules I have and I took them for tonight’s dose. Again, I am supposed to take four capsules each evening as of last week, but had to take only three to ration my supply. I did receive a text from FedEx (not UPS as the pharmacy stated) that a package will arrive by 8:00 pm tomorrow. For sure I will miss tomorrow morning’s dose but I think skipping one time will be okay.

3rd Moderna Shot

Yay! I got my third Moderna vaccine shot today. I did end up driving to work for the vaccination, and they did not reject me for having two previous shots. Of course, I see this on the news as soon as I get home from work:

Supposedly now the FDA and CDC are working on getting a booster shot approved for immunocompromised people. I would like to think my message to the CDC (and subsequent review) helped, but it is pretty unlikely.

Back to what happened today. As I mentioned before, I pre-registered online but did not get a rejection email so I went to our cafeteria at around 11:30 am. There was only one other person in front of me, and only about four people in the post-vaccination waiting area. The intake person followed up on some medical questions, but she did ask whether this was my first or second shot. I said second because I had to fill out the date of my “last” shot online. She then sent me to a nurse. While she was prepping my arm, she also asked about my vaccine card. Of course I did not have it, so she got out a blank card. She then asked the supervisor what to write, and also asked me where I got my first shot. When I said UCLA, they said they could look it up online. I thought you needed a PIN to access that data for individuals, but maybe they have different rights. Anyway, the supervisor sees that I already had two shots. I basically told them that my first shot was right before transplant surgery, and I was pumped full of immunosuppressive drugs right after. I also said (embellishing a little) that my doctor believes that shot was ineffective, and that I should get another shot ASAP. The supervisor looked at me in the eye, and said, “OK.” The nurse then gave me the shot, filled out the second line on the vaccine card while leaving the fist line blank, and sent me on my way. Easy peasy.

It’s been about 10 hours and no significant reaction year. My arm was okay right after the shot, but the injection area is more sore now. I also felt a bit lightheaded after climbing the stairs after dinner, but I experience that occasionally due to low blood pressure. Several people told me that the worst reaction will come tomorrow, if at all, so I am hoping I feel terrible when I wake up tomorrow. 😅