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by: Theresa Flaherty - Friday, May 22, 2015

I really didn’t want to go on my after-work walk yesterday, but I am really trying to make it a habit. Plus, our office manager was handing out Klondike Bars and while I usually say no to such enticements, yesterday I decided to go for it (mistake 1).

So for the third day in a row, I laced on my sneakers and hit the sidewalk. Three minutes in, I realized I hadn’t checked my sugar before leaving (mistake number 2). I pressed on (mistake number 3).

After making it as far as the library, I suspected a low, so headed back home, by which time I was definitely feeling weird. BG? 48. It should have been around 100-120. That’s low enough I’m lucky I didn’t wander into traffic. It’s discouraging, on day 3, to have exactly the minor setback I fear.

But I am fortunate that I have had education and the resources to deal with all that diabetes throws at me. Others are not so fortunate, especially in poor countries.

I am sure many of you remember Sam Jarczynski, former president of RxStat in Florida. Sam’s son Joe has T1D like me, something Sam and I have discussed once or twice. Like me, Joe has the resources and education he needs to manage his diabetes. Unlike me, he’s embarking on something much bigger than a walking program this summer.

Joe and his brother, Jake, are headed to the Dominican Republic next month to volunteer at Campo Amigo, a diabetes education camp for kids and their families, where those kids will learn to inject their own insulin, and maintain healthy blood sugars while staying active (uh, better than I did last night).

Did you know that in the Dominican Republic children with diabetes can have an average BG of more than 350? Do you know how sick those kids must feel all the time? I do.

Joe and Jake are raising money for their trip. They are about a third of the way to their goal of $11,400 and their deadline is June 13.

If you care to make a donation to this worthy cause, por favor, do so here.

Or here: AYUDA Inc, 1700 N Moore St, Suite 2000, Arlington VA 22209 (checks payable to AYUDA with Joe and Jake’s names in the memo).

Hell, I’ll even throw in Dad’s email in case you have questions or just wanna say “hey!” I’m sure he won’t mind: samjar@gmail.com

For more about AYUDA, the non-profit org behind Camp Amigo, visit their website.

Theresa Flaherty, TD1

 

by: Theresa Flaherty - Tuesday, May 12, 2015

Last week, the American Diabetes Association proclaimed May 6 “Get Fit, Don’t Sit’' Day.

You’ve heard the reports over the past few months: working at our desks, playing on computers, watching the tube, etc., is making us unhealthy. A study published in January links sedentary lifestyles to a 91% increase in Type 2 diabetes.

Coincidentally, a few days prior I had bought a pedometer—the old school kind that clips to your belt and, at $15, doesn’t break the bank. Michelle the dietician has been after to me to move more, after a long, lazy winter.

As an aside, the teenage store clerk had to ask me what a pedometer was, but as someone who also uses a glucometer and a phone app to track blood sugars and insulin—and, for the next few weeks, a paper food log for carbs and calories—I only wanted to track steps. Just steps, not calories burned, not sleep cycles, just steps.

It turns out getting to the minimum recommended 10,000 steps per day is darn hard. All that talk about getting up to speak to a coworker or parking far from the building? It’s all bull. You really gotta take a walk. Or three.

Which is what I’ve been doing. The great thing about walking is you see things you don’t see when you drive. On a walk the other evening in my Portland neighborhood, I saw my old co-worker, Elaine, who honked and waved as I waited to cross a busy intersection. I also discovered a little free library, fussed over by a young girl, in the Deering Highlands neighborhood. (Trust me, the highlands are aptly named). Another night, I walked in the opposite direction of the corner store, and took the long way around the block. Through an open door, I spied a gracious staircase in one lovely old home and learned that the owners of JPs Bistro were on vacation that week. Of course, I negated those extra steps with the bottle of wine I picked up at the corner. I can almost hear Michelle sighing.

Walking here in Yarmouth, I discovered that the quaint yellow house at the bottom of the hill has chickens, or at least one large hen. I’ve been driving by for 10 years.

This also got a bunch of us talking about…walking. Editor Liz counted the steps from her car to her desk (90), and I counted the steps in a loop around the building (480). Associate editor Tracy has a Fitbit, and I know she gets out for a walk every day.

Our co-worker, Jo-Ellen, who had the day off yesterday, decided to track her steps that day. She emailed to say she had taken 8,307 steps.

Gotta run. I’m only at 1,379 steps so far today.

Theresa Flaherty

by: Theresa Flaherty - Thursday, April 30, 2015

If you haven’t heard, Google wants you to make your website mobile friendly. In other words, if Mrs. Smith Googles you on her iPhone, your website wants to be formatted so it's user-friendly and readable on that teeny tiny screen.

Alas, this is not something the HME News website currently does, a fact that I’ve bemoaned to Editor Liz Beaulieu a few times over the past several months—probably every time (OK, all 3 of them) I have a conferred with a company that has made the switch.

In fact, I think I shot her an email just last week about this, in response to her email to me about all the hulaboo surrounding said Google change.

She ignored me. 

In working on a story about the so-called “Mobilegeddon” this week, a provider helpfully alerted me that Google analytics allows me to check and see how many of our dear readers use mobile devices vs. desktop computers to get the latest news. (Hey, I am usually pulling story stats, not parsing user behavior.)

I guess we (meaning Pete, the tech guru) needn’t panic yet. It appears 75% of our readers still pull us up on the desktop while 22% use their phones and a mere 6% use tablets.

Fun fact: The majority of those phone users, by far, use iPhones.

So if you are trying to read this blog by incessantly scrolling back and forth on a tiny screen I apologize (I also hope you’re not driving).

If, like me, you prefer to do your online reading in a bigger, more neck-friendly format, enjoy!

Theresa Flaherty

by: Theresa Flaherty - Monday, April 20, 2015

While it’s typical in most offices for people to bring in sweet treats, ours doesn’t typically go overboard. Until it does.

Today’s offender: blue and turquoise (we think) red velvet cupcakes. The food dye alone should be enough to put even the most dedicated sweet eater (which is decidedly not me) off sweets. Uh, thanks Tracy.

Last week it was a leftover Easter basket (I’m looking at you, Heather K).

Other recent offerings have included molten lava chocolate cake with chocolate ganache, doughnuts, muffins and cookies.

Stop the madness! I’ve been meaning to bring in a veggie tray. Call it the straw that broke the chocolate Easter bunny’s back.

Before I started here, I worked in a university bookstore. At one point, we went through a long cycle of sugary stuff being brought in every day. What finally drove me over the edge? A giant frosted, store-bought, post-Valentine's day cookie (re: half-off). I complained in the way that other people complain about harassment and office bullying.

We’ve begun a new round of phone calls to see what’s up out there (I am in fact, writing this blog to avoid the phone). Among the folks I’ll be talking to are those who see the everyday ill effects of obesity on blood sugars (you knew I was going to say that), mobility, sleep and general quality of life.

I plan to call the sleep peeps to talk about the latest study on how sleep apnea can impair memory functions (which has also been said about diabetes). I’ll be powered by good healthy food choices and hopefully, lots of pithy quotes.

Gotta run. I need to make my shopping list.

Theresa Flaherty

by: Theresa Flaherty - Wednesday, April 1, 2015

I don’t know if it’s simply because I’ve stepped into summer, if only briefly, but Medtrade Spring feels like a vacation, compared to the events I usually attend.

No wonder editor Liz Beaulieu has been keeping this trip to herself!

I’ve enjoyed warm weather (it snowed again back home this week), a beautiful copper sunrise, an Egyptian-themed hotel that could only exist in Vegas, and the chance to really experience the show and meet people I only ever talk to on the phone.

Things kicked off bright and early yesterday with AAHomecare’s Washington Update. The association, along with other movers and shakers in the industry, has been slowly and steadily making progress on the industry’s myriad issues, but there remains much to be done.

“It’s not mission accomplished,” said Tom Ryan.

As I write this, the industry has its collective fingers crossed that its binding bids legislation, tucked into the doc fix bill, will pass when the Senate comes back from Easter recess.

Also on the agenda: the audit problem, prior auths and the expansion of bid pricing nationwide.

“We’re working behind the scenes on a plan,” said Ryan.

I spent most of the day hanging at the HME News booth. After years of pestering him on the phone, I finally met provider Mike Kuller in person. Mike’s based in California, and this was his first trip to the show in several years. He was pleasantly surprised at the variety of new products available.

I also met the gang from Top Mobility in Florida who have built a booming retail operation, and Reggie Fullwood, the new owner of Jackson Medical Supply in Mississippi. He's been in HME all of three months, after a  career spent managing casinos. When I asked why on earth he got into the biz, he said, "You're the third person that's asked me that!"

One person who isn’t at the show this year: Shelly Prial. He and his wife recently relocated to South Carolina, so a trip to Vegas simply wasn’t in the cards this year. However, his likeness attended the AAH StandUp event last night—on a stick that was being held up for various pictures.

I capped off the night with dinner at a hotel restaurant, where a highly intoxicated Irishman (is this an oxymoron?) kept calling me Roisin and asking me if he could borrow my glasses. The bar staff finally had to kick him out and apologized profusely to me.

What happens in Vegas doesn’t stay in Vegas when its blog fodder.

by: Theresa Flaherty - Monday, March 30, 2015

One thing about a flight to Vegas: there’s a lot of men wearing gold chains on the plane. Not on the first leg of the flight, from Portland, but from our Detroit connection. Real Mainers aren’t flashy. They are however, quite pasty at this time of year.

Following a day of uneventful travel, we arrived at our hotel, you know the one, it looks like a giant pyramid and sphinx, only to find the hotel couldn’t find any of our reservations. That’s got to be right up there with cancelled flights and lost luggage on the weary traveler's checklist of things NOT to do on your trip.

They moved us to the side, gave us bottled water and said they’d take care of us. 

Enter Greg Thompson, also checking in (he had a room). He offered us any help we needed editorially speaking, but when Jo and Rick started joking about bunking down with him, he scampered.

Can’t say as I blame him.

Eventually, the hotel worked it out, just in time before I started having visions of the Motel 6 we passed on the way here.

So here I sit, at 4 in the morning, still on East Coast time with nary a cup of coffee in sight. On the agenda for today: booth set-up (come see us at booth 1005) followed by a couple of sessions. I haven’t determined exactly what, yet, but I am eyeing sessions on CPAP resupply and oxygen.

I’d also like to check out the hotel a bit more to get my bearings (after finally getting into my room, 6 local, but 9 in my mind), I wasted no time in hanging up my clothes, and scattering product around the bathroom before hitting the tequila bar for an icy margarita.

Welcome to Medtrade Spring.

 

by: Theresa Flaherty - Thursday, March 19, 2015

It’s what I dread most these days when making calls. A disconnected number. Especially when that number belongs to a provider who has cheerfully taken my calls and weighed in on whatever topics I throw at him regularly over the nearly 10 years I’ve been here.

This week, that closed door appears to belong to the owner of a small mom-and-pop diabetes business. It’s not like this hasn’t been coming for a long time, but still. It’s discouraging.

It’s been a diabetes week, all around.

My roommate Manisha began fundraising for the Tour de Cure, a 50k bike race to raise funds for the American Diabetes Association. She’s riding in honor of her father who died of diabetes complications.

I didn’t even know she had a bike, but I immediately donated to the cause. Even though I am kind of the cause.

On Wednesday, I met with the dietician at the diabetes center. We’ve been tweaking my diet because a.) I’ve put on weight and refuse to give in to the fat, and b.) I want to get my AIC down.

The result? I’ve gained three pounds and my AIC has crept up. OMG! WTF?!

Can I say WTF in a company blog?

Maybe I need to start training with Manisha.

Also on Wednesday I got a replacement meter in the mail because mine suddenly stopped working and I’ve been using a backup that is 12 hours off, timewise. Let’s hope I remember how to set it up properly.

Stay tuned.

Theresa

by: Theresa Flaherty - Monday, March 16, 2015

Update: After all the waiting and lobbying, the passage of HR 284 went relatively quick. Actually, for an act of the government, this was lightning speed. The bill was introduced, moved to suspension calendar, debated for 40 minutes and passed.

We will be reporting this fully, of course. Congrats to everyone who made this happen.

I'm back in the reporter's seat making calls and several of the people who have actually taken my calls have asked: "Have you heard anything about the vote?"

I sometimes feel like an old time mail carrier, bringing word to far-flung frontier.

We, too, are waiting to hear what happens. Since this is the first time the industry has gotten this far ("historic" was Cara Bachenheimer's comment) we had to reach out to learn what steps would unfold on the House floor today, and when we could expect a vote.

According to Cara, Rep. Tiberi, R-Ohio, will give an opening statement on H.R. 284, sometime around 4:45 to 5 pm today, but the bill won't be voted on until, likely, 6:30 or later. 

As soon as we get the word, we'll let you know. Good luck out there!

 

by: Theresa Flaherty - Tuesday, February 17, 2015

I had to laugh, even though it’s really kind of sad. A Boston Herald article about the ongoing jury selection process for the Boston Marathon bomber featured this quote from the manager of a home medical equipment company. Apparently he hasn’t given the bombings

“any thought. It’s none of my business. If it doesn’t involve me, I don’t need to be involved.”

Granted, there’s no larger context here to put his comments into perspective, but still. What a thing to say! 

I'll bet when he read those comments in print, he was damn glad he has anonymity.

Unfortunately, this caught my eye because I know there are many providers out there who have had a similar attitude toward things like, oh say, competitive bidding. It’s not in their area, so they don’t need to worry. 

Until they do. With bid pricing being implemented nationwide in 2016 (that’s less than a year away), I imagine those fence sitters are starting to feel a few splinters.

Still, there are always new people getting involved, as Rose Schafhauser said in an editorial she published last week. She got three calls from non-members needing information. She converted one caller to member, and one caller planned to speak to the boss about becoming a member. The third caller did not sign up, but Rose holds out hope they’ll think about it in the future.

This isn’t quite the same thing, but it came up for discussion this morning. We have noticed an unfortunate trend in our monthly HME NewsPoll. They aren’t getting nearly the response they used to. In its heyday, the poll could be counted on for 300 or 400 responses. The most recent? 41.

I know, I know, everyone’s tired of bidding and audits and trying to make a living but it’s good to hear your voices. Speak up, call or write your lawmakers (or your favorite industry publication). Those who do let us know what’s going on, as always, I offer thanks.

I’ll assume the rest of you are buried under the snow.

Theresa Flaherty

by: Theresa Flaherty - Monday, February 2, 2015

I got a new TV for Christmas and when I hooked it up, I suddenly had a bunch of new TV channels I don't need but which I am having fun with. At least until the cable company catches on.

What this means is, I have been getting sucked into a lot of shows I don't typically watch, like Big Bang Theory and Mike & Molly. You know Mike & Molly, the story of a policeman and a schoolteacher, both overweight, who find each other.

The episode I caught the other night featured Molly spending the night at Mike's. She looks over to see him wearing his CPAP mask. Now, maybe this was addressed in an earlier episode, but what struck me, besides how funny it looked to me and the laugh track, was that there was no discussion or explanation of the mask. It was all in a night's sleep.

Is the humble CPAP finally becoming mainstream?

I recall blogging a while back about Homer Simpson (another show I don't generally watch) having to wear a CPAP, and I know there have been others as well.

I know Editor Liz Beaulieu is working on a story about a start-up that is looking at 3-D printing for CPAP masks—the ultimate in customization. That's because, all the advances in technology and design aside, the masks are still quite cumbersome, which can impede compliance. Who knows what other technology is coming down the pike?

Here's the start-up I am rooting for: A company that is developing a way for people with diabetes to print their own test strips. On a standard inkjet printer no less. OK, not that standard. You have to rig the printer to shoot enzymes instead of ink, but imagine the cost savings! a projected 5 cents per strip as opposed to nearly $1 per strip.

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