Sunday, December 21, 2008

A Shopping Tip About Sizing

I realize that buying clothes for someone else can be a difficult task, especially when the person is no where close to your size. Let me share with you this piece of advice from a 6'4'' person: just because we are tall, does not mean we're fat. Go with a LARGE size when picking out shirts if the person is tall and average weight. And by average I mean not overweight. This needs clarifying since "overweight" is becoming "average." Every Christmas my family Kris Kringle gets me a shirt/sweater that is XL, and every year I add another shirt/sweater that doesn't fit me. This year not only was my shirt an XL, but it was also a Tall XL. I kid you not when I say this shirt fit me (reminder: 6'4'') like a girl's sweater dress. Let it also be said that I loved both of the shirts I got, if only they fit me correctly. I didn't get a gift receipt with them, and one doesn't even have any tags on it, so the chances of me returning/exchange are slim.

Sunday, December 14, 2008

Milk

I saw Milk this evening. It was fairly eye opening for me, seeing a little bit of what the gay rights movement in San Fran was like in the 1970's.

There was one scene in particular that spoke to me. Harvey Milk is with a group of gays talking about how they're going to get Proposition 6 (not allow gays to teach) shot down. And he makes the plan pretty simple. You need to get as many gays to come out of the closet possible, because people who know a single gay is more likely to vote for gay rights 2:1. This is a statistic that I already knew about. It was especially emotional when one of Harvey's friends admits that he never told his parents. He is then put on the spot to make the phone call. Ugh, I would not want to be in his shoes. Regardless of how great it was to come out of the closet to my parents it is NOT something I would want to do again.

This got me thinking back to my office party that I attended last night. All of the women are very open abut talking about their sex lives and nether regions. I think it's cause it's basically all women in the office, so it's the side of women most guys don't see. Add some alcohol and you basically have them stripping each other.

Of course the topic of discussion falls squarely on me. All of the women absolutely adore me. I cannot stress this enough. They start probing me about my last relationship, my last fuck, etc. I pull out the "separation of personal and professional card" and avoid answering any questions. It was not my finest hour. I don't think this totally counts as staying in the closet, but my reaction wasn't purely an issue of professionalism. This I can admit. But in all fairness announcing that you're gay to a room full of drunks at an office Christmas party is a little rough. Could you imagine that silence at a single table of 15+ people?

I'm slightly concerned about coming out at work because of the doctor. I really couldn't give two shits about any of the women I work with. But he's very Irish Catholic, conservative and judging by anecdotal evidence has no gaydar. I don't know how he would react to that situation.

As it is, he prefers it if I don't assist with female patients during Total Body Scan Examinations for the comfort of the patient, since there is a plethora of female assistants. But on the other side of the coin he does like having me around because he exclusively has me assist with male genitalia issues, and since I'm the only male it makes me especially valuable. I'm afraid that if he knows I'm gay he's going to start second guessing this decision and acting weird/feeling uncomfortable. He makes some comments towards me which are obviously a male bonding type of thing and I would prefer not to change that.

But the movie makes me feel SO GUILTY. Like what the fuck am I doing for the gay movement. I can't complain about not having rights and NOT BE OUT. People have this stereotype of gays, but me coming out can change that stereotype so quickly for the people who know me.

Ugh. More on this later...

Tuesday, December 09, 2008

From the Nurses Voicemail:

"Hi, I'm calling on behalf of my daughter who is a patient at your office. I was referred to your Doctor by a friend of mine for my question. My daughter has a wedding coming up and the.. err... umm... the boy has 2 brothers who have alopecia areata (patchy, not male pattern, baldness). I was wondering what kind of hereditary factors there are with this condition, like for her future children. We need to know if we should be proceeding with this marriage because of it."

True story.

Wednesday, December 03, 2008

Reason #1 Why I Need a Boyfriend

If waking up was a job, it would be one I would never apply for.

I generally set my alarm for 1 hour before needing to be at work. I hit the snooze button on my alarm every 5 minutes for the 30 minute max it allows. I then shower and dress in 15 minutes and leave for work. Fortunately I work 10-15 minutes away, so generally everything goes according to plan.

Today I had to be at work at 9:30AM. My alarm was set for 8:00AM. I told myself that I would keep it set at 8:00AM to allow myself some extra time to trim the facial hair. So I went through the motions on hitting the snooze button for a half hour, and at 8:30 I was almost ready to get out of bed. I told myself I still really had an hour until needing to be at work and that I would get out of bed soon.

1.5 hours later I found myself cursing at myself for falling asleep and then proceeded to call work to ensure to them that I was indeed coming in to work. Just 45 minutes late...

All things considered this is actually I huge accomplishment for me. In college I was notorious for being late for my first class of the day and it wasn't rare for me to sleep through them. I just have terrible sleeping habits and unfortunately as much I wish I could change my brain just doesn't work like that in the morning.

This is why I need a boyfriend. Someone to sleep next to me and kick me out of bed when I need to wake up. I know this makes me sound like I'm 5 years old, but I'm really not the same person when I'm all comfy in bed.

Monday, December 01, 2008

Arbitrary

I've noticed that some of the patients we have are less than than trusting of the Physician Assistants at our office. They'll often question their diagnosis when they don't like what they hear, and will show up at the office two days later seeing the physician. Sometimes the PAs never know about this, but as a Faux-Murse I know all goings on in the office.

I can understand the patient's reasoning behind wanting to see the physician. The PAs are not the definitive care in the office, and are less experienced than the physician. But the interesting thing is when they see the physician they 99% of the time agree with the assessment of the PA, and that other 1% can be chalked up to style of treatment.

A funny thing to point out is that the PAs put a lot more work into their patients than the physicians. When presented with a wart the PA will pare (scrap) before using liquid nitrogen (freezing). When a patient comes in with a face filled with close comedones (white heads) the PA will do a much more thorough job cleaning them out. The reason for this - those procedures don't get reimbursement from insurance companies, but since the P.A. income doesn't depend on reimbursement they don't care about spending extra time with them. And in reality the physician shouldn't care about spending a little extra time with the patient because it ultimately doesn't affect the number of patients they're going to see. (PS - this is the main reason why I hate private practices, because patients become nothing but a symbol of income)

I've also realized from working in healthcare that physicians are by no means perfect. I think a lot of people get caught up in the title of "Doctor." They think there is something totally magical about the profession. I was talking to a friend of mine who's in medical school that I finally realized that medicine is not as complicated as it once seemed. I use to feel very leery of explaining conditions, medications and such to patients. But after a while I realized that the things I was telling patients was the exact same thing that the physician was. It's not rocket science all the time. Medicine is not a total science. In fact, it was quite a shock to me just how arbitrary medicine can be. This is especially highlighted when patients ask the simple question, "How did this happen." We don't know how you developed that abscess on your ass, or why you have terrible psoriasis, etc.

You know back in the day when I was applying to Osteopathic Medical (DO) schools I claimed that one of the reasons I prefer ed it over Allopathic Medical (MD) programs was because they treated the cause of the condition, as opposed to the symptoms of the condition. I feel like the majority of the work we do is just treating the symptoms, because we don't truly understand the cause of the disease. We throw a bunch creams at you until one of them clears up you skin. It often seems like total guess work. And actually, that's exactly what it is.

So what am I trying to some up in this multi-directional post? I guess I'm just sharing my reflections on just how abstract medicine can be. PA vs Physician? Protopic vs Ultravate? Allergic reaction vs Arthropod Assault (bug bites)? Honestly, sometimes it doesn't even matter. Medicine is not even close to the perfect science that some people think it is. Healthcare providers are very human. You know how at your job you generally know what you're doing, but often you still need to improvise. Well as scary as it is, medicine is the same way.

Friday, November 28, 2008

Shout Out!

Big shout out to Bramasole_iowa from a forum for saying he likes my blog.

I'm a tramp for praise, regardless of the terrible Catholic guilt I'm plagued with.

Monday, November 24, 2008

It's Britney, bitch

I just heard a bunch of Britney's new songs via You Tube. Shit's hot.

Wednesday, November 19, 2008

Back to the Medicine

You would never be able to tell from the past few posts that this is suppose to be a medically themed blog.

Today I think I came to the realization that I can never go into pediatrics. A couple of weeks ago we had seen a 1 year old for a standard diaper rash. We recommended the appropriate barrier creams, and all was well.

Said child and parents came in today for a follow up visit, but there was a new problem. The child had evidently developed some "boils" that had developed maybe 4 days prior, but had gotten much larger overnight. I took a look and sure enough there were two very swollen lumps on this baby's inner thigh and butt.

The doctor came in and was surprised by the fact that the "boils" that the parents had described actually were in fact boils. The baby was only concerned with them when her diaper was being changed and otherwise was running around the examination room as happy as ever. He decided that he wouldn't I+D (incision + drainage) then since they didn't seem to be bothering her and antibiotics would have a good possibility of clearing it up on its own. We of course took a bacterial culture for good measure anyhow.

We were about the send them on their merry way when all of sudden the mother had a moment of clarity and innocently said, "You know, her father was hospitalized back in February for MRSA." **Screeching of tires**

Oh boy did that change everything. Sure the father had been symptom clear of a MRSA infection for a good 9 months, but you don't mess with that. An I+D was going to be done now to try to bring some relief and possibly get a better culture.

Let me tell you, telling parents that their infant has the potential of a MRSA infection was 100% harder than actually holding that screaming kid down while trying to do the I+D. They knew all too well what MRSA was and they were terrified. The look on their face almost broke my heart right there in the room. Granted, I know that a MRSA infection can be totally treated fully without any hospitalization, but I'd never seen it in such a young patient. Of course we don't know for sure if it is MRSA, but the antibiotics we gave her is going to kick the crap out of whatever that poor kid had.

Thursday, November 13, 2008

Question:

Can someone please explain to me what the difference is between gay marriage and civil unions with all the perks? I hear about all these people that support civil unions but not gay marriage, and I just don't get it.

Wednesday, November 05, 2008

Womp Womp

Tonight didn't exactly go my way.

Presidential pick, lost.
House of Rep., lost.
Arizona Gay Rights, lost.
Florida Gay Rights, lost
Arkansas Gay Rights, lost.

Prop 8 results are coming in at a snail's pace. I can't take it anymore and will be retiring to bed, so to awake to it tomorrow morning.

I hope Obama is actually able to bring the two parties together to actually make some decisions, as opposed to this Congress we've had that has accomplished nothing the past few years.

Friday, October 24, 2008

Closet Case?

Why is this guy from college, who I was friendly with but never really hung out with, sending me shirtless model-esque pictures of himself? He often likes to tell me about his work out sessions and yadda yadda. He says he trusts my opinions, but what does he want my opinion of? We speak way more on-line, post-college, than we did in person during college.


I called him out on trying to hit on me. It was funny, but I wasn't kidding. Hopefully he doesn't get too drunk next time I go up to school ;-) Kidddddddding. (not really.)

Thursday, October 16, 2008

Murse?

I'm having a career direction crisis.

Getting into PA school is looking less likely every second. The is due to a number of things. One being that I didn't get many A's in my college science classes. Evidently A's are a must, whereas I was just happy to finish the class in the B range. Another reason is that I took Vertebrate Physiology and Comparative Anatomy, as opposed to taking Anatomy and Physiology 1+2. The schools just don't care that I took the harder classes. I also got terrible grades in Organic 1+2, both C+'s. And although these classes aren't necessarily required for PA school, they hurt me nonetheless. You know for being someone obsessed with scheduling and such I really dropped the fucking ball.

Many of my patients have been telling me to go into nursing. I don't really know why. I tell them that I'm apply to PA school, and they all say "Oh, you should be a male nurse! (as opposed to a female nurse?) There is such a demand for them!!!" I'm not going to lie, when I was a stupid undergrad I totally underestimated the role of nurses and would scoff at the idea of being a nurse. I have since come to have much more respect for them.

I looked into it. I would be eligible for accelerated nursing programs, which would allow me to get a BSN in 15 months. From there I would surely find a job with ease with a salary that's pretty decent for starting, but without much upward mobility.

Something that nursing offers is international traveling. Evidently, nursing is one of the few professions that is in high demand basically everywhere. I've heard that nurses can get permanent resident visas in Australia, and can even get jobs in England which are generally impossible to get since I'm not from the EU. Since I'm a very enthusiastic traveller this would offer nice opportunities.

The other things to consider in nursing are the master's programs to become a practitioner. As an NP I would basically be the same thing as a PA, but I probably wouldn't be able to get a surgical job. I don't know how I feel about that. I think I would want to be a surgical PA, but would I really? After working in an office setting I see that I could be totally happy doing that. I've also worked with hospitalist-NPs and I think I could really enjoy doing that also. I don't think I could handle doing primary care because you just see so much routine BS. Plus the pay would suck.

So yeah, I'm in quite the conundrum. But as part of my new post-college philosophy I've decided to stop planning far into the future, because the only thing you ensure by planning for the future is that you will eventually change your plan. Assuming I don't get into a PA program I think I'm going to take Human Anatomy and Physiology this spring/summer, as well as take some psychology courses like abnormal psych and developmental, because deep down I know that since starting and finishing college I still don't know whether I like psych or bio better. Wouldn't it be funny if I became a Psychiatric NP and could prescribe meds, whereas my mom is justing finishing getting her PhD in clinical psych and she wouldn't be able to?

Friday, October 10, 2008

One or the Other

The General Election is coming up. I'm supporting McCain, but I'm not in love with him. I'm less in love with Obama. I know that my vote will matter even less because of the state I live in. There is another vote that I'm more interested in that I don't even have a say in and results will not even directly affect me. That would be Proposition 8. Do I even need to explain it?

Oh wait, some of you are from out of country. Long story short - Proposition 8 is a vote coming up in California that would ban same sex marriage. Obviously, I support its downfall. The question I pose to some people is which would you rather: Proposition 8 fail, or your choice of President succeed?

Personally I would rather Prop8 fail. Why? How could I possibly care more about that than my President? Maybe I'm selfish. But I honestly think this country is going to go through some very hard, very unavoidable times regardless of who's President. I also think it's much more important who is in control of Congress. But I also don't know who I want to be in control of Congress. I'm conservative when it comes to economics, government influence, social programs, but I'm liberal when it comes to civil rights, and believing in evolution. Even when it comes to abortion I'm totally split. I'm not pro-life or pro-choice. I honestly don't think it has (or should) anything to do with women's rights. I think when "personhood" begins is much more relevant to the discussion. (Which I believe starts with brain activity. So bascially you've got 2 months to undo your mistake.)

I hate politics. This is mainly because of parties. No one can actually support their own views. They need to compromise in order to get the support of one of the parties. Are you going to tell me there isn't one person that thinks taxes stunt economies, big business should be regulated, Steve and Drew should be able to get married, and Global Warming is total bullshit?

Tuesday, October 07, 2008

The Characters

Work is going well. The doctor I work for is kind of harsh, but I honestly don't care. He'll say things to me like "If you can't shake the cortisone vial before filling the syringe then what am I paying you for?" And in my head I say, "If you wanted someone skilled in preparing injections then you probably should have hired a pre-trained person. And PS - you really call that meager wage 'payment?'" That's how I get through the day, and it works. I like my job a lot and I don't let anything like that get me down.

People tell me that he's been "yelling" at my a lot. But most of the time I think of it as him just telling me the right way to do something. It's really all about how you interpret his tone of voice, and I just choose to interpret differently.

One thing that kind of sucks about my job is there is like no sense of camaraderie. People seem to be very worried about just themselves and their job, which makes it very hard to get trained. New PA, as I'll call her, is super helpful and patient with me. She's the only one who really takes the time to teach me and show me how to do things. I feel bad for her cause she's really learning too, since she hasn't even worked in Derm for a year, so I feel like a burden.

Senior PA kind of gives me an attitude when I ask questions, or that she's above that since she's a PA and not a Medical Assistant. For instance, I can't ask her how to fill out a Lab Requisition because she doesn't do that. She also doesn't seem to ask me to do that much when I'm seeing a patient with her, or expect me to write much, which is bad and good. Bad because I don't get use to writing things down or getting use to preparing procedures, good because it's less work for me. I generally like her. I just have to beware her bad side cause I know it's a beast.

Nurse, is the only actual nurse in the office. She was somewhat helpful teaching me for like the first couple days. But she's one of those people who likes to do everything and must always be doing a million things at once since the office can't go on without her. She's not that patient and basically doesn't like to be slowed down by training me. In her defense though, she does do everything and really does keep the office running smoothly.

I have become much better though recently. I think Doctor might be starting to like me. Today, Nurse was complaining about all this work she was going to have to do tomorrow and Doctor said, "Hey why don't you have Guy help you?" The task he said was obviously something that was a little advanced for me and Nurse said, "No, no, Guy has enough to get use to." Doctor then said, "Well Guy is pretty useful." It was probably one of the nicer things he's said, assuming it was sincere. He's very hard to read. He can be very sarcastic, which I generally can read well. But no one in the office can actually tell when he's serious. I often assume he's being sarcastic and will play it off that way, but people claim that little things he says here and there are actually great praise from him. Who knows. Like I said, I don't care all that much what he thinks about me.

Wednesday, September 24, 2008

The Learning Curve

California was a great time in general. I could have done without going to LA, because basically it sucks a lot. San Diego was a pretty fun time, although I'm not convinced that anyone actually lives there. San Francisco is a pretty chill place, chilly too. It's a place I could consider living but I still think I like Boston better. I would definitely like to revisit though.

The job is... okay. It's rough goings since I really don't know how to do anything. Today was Day 7 and I feel like I've become more useless than I was Day 1. Is that even possible? I don't even know why I'm not catching on faster. I almost feel like I'm over thinking the whole job.

Here's a rundown of what I'm suppose to be doing.
- Bring patient into room
- Pull up chart
- Start the chart with the reason for the visit and preliminary questions about the issue.
And here's the first problem. Abbreviations. I have to go through the person's chart from the following visit to see what they did the last time they were here. But if I read some abbreviation that I don't know for a diagnosis, then how am I suppose to ask followup questions.

Unfortunately it's not as easy as just asking the patient "What are you here for?" or "What did you do last time you were here?" because often there are a million different things that the patient was here. Cause in dermatology you must find as many little, insignificant problems that you can bill for.

On top of the abbreviations, there's the handwriting. If the office is going to have computers in every room, than why can't we just type all the notes in? I feel like that makes a lot more sense than printing out a new follow-up sheet every time, and then having to scan it into the system. The only draw back I see to doing this is that you wouldn't be able to draw on the nice little figure of people. But hell I've only seen those diagrams used once as is. But really, the doctor especially makes zero attempt at having legible handwriting. Not fair.

So after the preliminary stuff is written on the chart I then have to transcribe whatever it is the PA or physician says/does to the patient. This is where I'm finding the hardest time. I don't know if it's that I'm thinking about other things, or if I'm just retarded, but I never seem to pick up on what I'm suppose to write down. Or even when they specifically tell me what to write down a fall behind because I have to think to long about how to spell and medication of something, and I need them to then repeat it. Very frustrating.

The last major part of this job is getting treatments ready for the physician or PA. Am I like a moron or something for not knowing how to prepare an injection? Is this some kind of skill that I missed out on learning? I feel like everyone assumes I know how to change the needle on a syringe, or know what the name is for every tool. The answer is no I don't. And the only time I ever get any practice at it is when we're seeing patients and time is not to be wasted. So I end up looking like an idiot when I'm fumbling around to just get a freaking cortisone injection ready. UGH! God help me if they ever have me start doing injections.

This is not a difficult job. I really feel like I should be able to catch on to this faster. ROAR! And it's not like my co-workers aren't trying to teach me. They are, but I feel like it's my fault that I don't know how to do what they're telling me. They try to be supportive, but I don't accept praise well. I'm very self-deprecating.

At my interview I asked how long it generally takes for someone to get the hang of working in the office. I think they told me it generally takes 3 months to begin to get situated. I totally underestimated this learning curve. I really want to be useful and it's annoying me how freshmanic I am.

Thursday, September 04, 2008

Employment

I accepted a job offer today. That's fairly exciting. It's a Medical Assistant position at a Dermatology practice, where they're very focused on teaching the assistants. w00t! It was pretty quick too. I applied through Craig's List some time last week. Got an interview scheduled on Tuesday, interviewed today, got an offer 2 hours later. Pretty sweet. An hour after that I found out that I didn't get a job at the local hospital. It's cool though cause I was going to withdraw my application from there today anyway. Sitting in a room with one other person all night watching a computer monitor probably wouldn't offer the same teaching experience. Granted, it did offer twice the pay...

This all went totally according to plan. I wanted to have a job lined up at the end of the summer, and start right after my trip to California, and that's exactly how it worked out. My new philosophy of throwing everything against the wall until something sticks is proving quite effective.

Two of my friends are really pissed with me because my job search lasted all of 17 days, and I applied to a total of 6 jobs. They've applied to many more than that. I've got nothing in terms of comforting them.

Tuesday, September 02, 2008

Update: Cablevision/Verizon

Today my grandma started making phone calls cause now she wants to switch our phone to Verizon. This would then complete the circle of bringing us back to EXACTLY from where we started.

I took charge this time and said, "No, I'm going to solve this problem without us switching again." So today I will be registering her pre-paid international call account. I WILL NOT SCHEDULE ANOTHER INSTALLATION FOR THIS HOUSE!!! ROOOOOOARRRRR

ps - Match.com and I made up.

Thursday, August 28, 2008

Fuck You Match.com

Okay, so this really isn't Match.com's fault, but it pissed me off nonetheless. I'm not a paying member yet, but I was highly considering it when I saw this one guy and decided I would accumulate a list of people I would try to contact and then decide if it was enough people to warrant paying $40 for a month. Wouldn't you know it that the one guy who I really had my eye on, and looked like an active user ended up taking down his account no more than ONE DAY after I made note of him. I see the same freaking profiles on that website for MONTHS, and it's this one that decides to take it down.

This is why I don't want to join Match.com, because I'm terrified that none of these people with profiles are actually paying members, so it'll all be for nothing.

Whatever. I'm sure there will be more people that join in the future that I may have interest in. I'm going to put the whole thing on hold until after my trip to California (one week!), since I don't see a point in paying for a month when I'm going to be away for 25% of that time.

Tuesday, August 19, 2008

Leviticus 20:13

"If a man lies with a man as with a women they shall both be put to death"

You've heard this all too common quote from the Bible proving that homosexuality is wrong.


Well, if I lie with men one way, and never lie with women that way, then I'm never lying with a man the way I do with a woman.

QED

Score one for the homos.

Sunday, August 03, 2008

Why You Don't Get Involved

I meant to write about this a while ago, but I think I started writing about something else instead.

I may have mentioned that after graduation I moved in with my grandparents, who live in the same town as my family. I did this mainly because they have a very nice, finished basement that they never use and plenty of extra bedrooms. Basically, their house has space for me which my family's does not. The strange thing that happens when you go to college - your bed room disappears, but a storage rooms comes out of thin air.

One thing that my grandfather has always complained about what how long it takes for the TV to change the channel. This might seem like a nit picky complaint, but in all honesty it is kind of absurd. It has nothing to do with getting a new cable box, it's just that Cablevision (tv provider) sucks.

Recently, Verizon began offering TV/Internet/Phone service in our neighborhood and claimed that things that use to bother you like channel changing speed were not a problem with them. They also made claims that their picture was better, and internet faster. Since my grandparents already had Verizon for their phone service I suggested to them that we switch everything to Verizon. My grandfather totally supported this idea, since it meant that changing channels would speed up. My grandmother seemed somewhat indifferent to the change, especially because she rarely watches TV with a cable box. The cable box is the reason that there is a delay. But I told her that overall it was cheaper to have TV/Internet/Phone with one company, so she bit.

Verizon comes and completes their 6 hours installation. I have no idea what they were doing for 6 hours, all I know is I got a significant portion of Freakonomics done. My grandparents were away in Florida at the time so I had plenty of time to adjust to the new service, so that I could address any problems that they would undoubtedly come across.

The first day came of my grandparents and Verizon TV's coexisiting. As expected, there was an issue. My grandmother had called me into the kitchen and goes, "Oh Guy, do you know where MSNBC is on the channels? I can't seem to find it on this TV listing you gave me." I must admit that my heart dropped, because my grandmother isn't blind or stupid, and if she said the channel wasn't on that list, it probably wasn't. I went over the list and sure enough it wasn't there. I even went online in a vain attempt to try to figure out how this channel could be missing. Evidently, the NY-metro area doesn't offer MSNBC on Verizon because of an exclusive contract they have with Cablevision. Who else you may ask has this exclusive contract? No one. MSNBC is the only channel. I to this day do not understand why this contract would ever have come about. It's especially odd since the rest of the NBC/Universal channels are offered.

I digress.

I tell her that it's not being offered, and that I don't think it's likely to be added anytime soon. She seems rather upset by this, which I find somewhat odd cause I didn't think she ever watched anything other than Fox News or CNN. I then say I will switch it back as soon as she asks me to and that it won't be any problem. She tells me to talk it over with my grandfather before making in decision, since he of course is the Master of the World.

Later that night I go up to his bedroom and explain the little issue we've come across. His response: "I don't give a shit if I ever see that channel again." He clearly won a bet with Chris Matthews, which Matthews didn't own up to.

Grandma enters stage left.
Grandma: Oh Grandpa, we're not going to get MSNBC.
Grandpa: Yeah, so. You didn't like anything on it.
Grandma: They would have some good programs on once and a while. I would be a nice change.
Grandpa: But you hated all of the people on it.
Guy exits stage left, fearing the possible divorce of his grandparents.

The ruling came in the next day. Verizon was staying. I felt kind of bad for my grandmother, but everyone in the family told me not to stress about it and that she would adjust.

Adjust my asshole. I heard about how much she missed MSNBC every day. Any time anything was ever mentioned about the TV, MSNBC would surely be interjected.

Hey Guy, could you show me how to use the remote. Boy isn't is strange how we don't get MSNBC.

Oh Guy, the channels seemed to have changed. MAYBE MSNBC WAS ADD!!

Oh Guy, while you're on the phone with Verizon ask about MSNBC.

Shoot me in the face.

But no, the issues weren't isolated to just that. There was an even more annoying, universal problem. Bare with me as a try to explain this. The remote can control both the Cable Box and the TV separately. If the remote was in the CABLE function, then pressing POWER would turn on/off the TV and CABLE BOX. If the remote was in the TV function, then the POWER button would only turn on/off the TV. But sometimes when POWER was pressed in the CABLE function, it would only turn the BOX on, and if you hit it again, then the TV would turn on and BOX turn off. To change the functioning of the remote you simply either press TV or CABLE. Someone who understand the fundamentals of how the remote works can easily fix this problem. Someone who doesn't is lost forever having the TV turn on and the BOX turn off. My grandparents being of the Greatest Generation That Ever Lived, fell into the latter of the two.

Multiple times a day I would have to turn the TV on for them. 2AM sometimes. Explaining that there was a difference between the TV control and the BOX control was nothing but an exercise in futility, which I practiced regularly. But in all fairness, the remotes really didn't work the way they were suppose to. Even when I came up with the ingenious plan to always leave the BOX on and only turn on/off the TV the remotes still fucked things up. Le sigh.

7AM. Only one thing gets me up that early nowadays - clinical rotations. I'm suppose to be at the hospital at 9AM, but not before my daily dose of TV woes. I enter the kitchen to the all to familiar, "Oh Guy, the TV doesn't seem to be working." *drops head and sighs* "But I think it's just cause of the storm last night." I wasn't even aware there was a storm the night before, especially one strong enough to mess up the TV. Generally, I would accept this excuse created for me, but I knew something was up.

I go to Fox News at channel 81, but the TV automatically goes to 82. Odd. But 82 isn't even what it's suppose to be. I go into the den and everything is working fine. Odder still. I check the internet to see if there was a change in channels, (Which still doesn't explain why the channels are different on the TVs) but it doesn't say anything. I call Verizon and explain the issue and they tell me that they did in fact change the channels that day. So why is the den still going by the old numbers? No answer. Ugh Verizon, ugh. Whatever, I get it reset.

I get back from class later that day and I'm called into the den by my grandfather. He basically tells me we're going to switch back to Cablevision because they just don't have their act together. I explain that means back to channeling changing delays and such. Doesn't matter we're switching, but with a twist. We're getting Cablevision phone service also.
The end.

No, not the end of the story. Just this part.