Health - nolanhergert/notes GitHub Wiki
Not sure where my old health expenses went... the table. Still on old page?! Weird. https://nolanhergert.github.io/notes_old/everyday/hsa.html
- Providence EOBs: https://myprovidence.healthtrioconnect.com/app/index.page
- GoodRx and Ulta Lab tests are low-cost ways of getting common things online
- Ulta lab tests were about $10 cheaper than providence. (20% or so). Not that much, and providence is in-network for me.
- Also yearly non-hdhp providence was $680 w/ deductible of $150, whereas HDHP was $1400 before deductible was reached. I'm still better off (based on history) with a HDHP. They tend to come in spurts of lots, then very little. But if I was using it all the time, then it'd be better to do PCP (non-HDHP)
Lasik?
- Is it safe to do with -8? Need to ask
- Will I still need reading glasses for up close work later on in life?
- Work provides $2000 off with plus vision plan. Can sign up next week still.
$2000 allowance both eyes for Custom LASIK, Custom PRK, Bladeless LASIK, LASIK, or PRK
Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities Once per lifetime
Blood work history
Blood work is on Ledger Google sheet
HSA Expenses
| Name | Billing Date | Amount |
|---|---|---|
| Blood work | Jan 11 2025 | $31.82 |
| Blood work | Aug 8 | $31.82 |
| Oncology | July 24 | $163.69 |
| CT scan | Jun 19 | $580.23 |
| Oncology in person | Jan 27 | $163.69 |
| Blood Work | Jan 27 | $31.82 |
| Dermatology Cream | Dec 20 | $50 |
| Dentist | Dec 14 | $18.10 |
| Dentist | Jun 20 | $32.10 |
| Dermatology w/ Dr. Eric Hester | May 23 | $168.91 |
| Oncology call appt | May 6 | $237.39 |
| Doxycycline | May 4 | $27.51 |
| CT Scan | Apr 12 | $598.65 |
| Blood work | Apr 12 | $99.41 |
| Dentist | Dec 21 | $10.77 |
| XRay/CT scan | Sep 14 | $59.22 |
| Eye Dr | Billed Oct 5 | $201.96 Longer appt apparently, so an extra $100 |
| Prescription for rosacea | Aug 15, Sep 15 | $11.50 * 2 |
| Blood work | Aug ~15 2022 | $102.00 |
| Eye Dr | Aug 5 2022 | $139.26 |
| Dentist | June 29 2022 | $30.70 |
| CT and Xray scan | Mar 9 2022 | $685.11 |
| Blood work | Mar 9 2022 | $101.43 |
| Pham remote appt | Feb 22 2022 | $201.05 |
| Radzik | Aug 11 2021 | $104.21 |
| Cancer Initial Oncology Appt | July 14 2021 | $19.40 |
| Cancer CT Scan | July 8 2021 | $46.37 |
| Cancer Surgery Hospital Services | June 23 2021 | $445 |
| Cancer Anesthesia | June 23 2021 | $37 after insurance |
| Cancer Surgeon | June 23? 2021 | $411 total (2 bills) |
| Cancer Blood work | June 21 2021 | $119.37 |
| Cancer Ultrasound | June 15 2021 | $229 |
| NW Urology (initial exam) | June 21 2021 | $324.10 |
| Dental Cleaning | May 2021 | $17.10 |
| Vaccinations (TDAP, Hep A II), Blood draw for physical | April 2021 | $105 |
| Chalazion Removal (Finley) | Mar 2021 | $240.24 |
| Eye Drops for surgery | March 2021 | $12.92 |
Vaccines
| Name | Date | Requirement |
|---|---|---|
| Tdap Booster | Apr 13 2021 | 10 years |
| Hepatitis A #2 | Apr 13 2021 | A year after #1 (two years) |
| Hepatitis A #1 | June? 2019 (before Japan/Korea trip) |
End of life
Doctors don't want heroic measures (CPR, life support) because the outcomes are very unlikely and very uncomfortable. You probably don't want them either, even though they won't tell you that because it sounds weird.
Radzik
I am noticing that I am even more sensitive to sugar, salt, and now the taste of chlorinated water once I remove them from my diet. Interesting, I think it's a good thing too.
https://www.cancer.gov/research/key-initiatives/ras/ras-central/blog/2020/yun-cantley-vitamin-c
- Why Vitamin C isn't studied as much as a cancer cure and otherwise.
Rosacea
Meeting with Dr. May 2023
It is just your body. Your skin is oily (not related to diet) so it plugs more. 100mg dose once a day is not antimicrobial,
Has nothing to do with diet or cleanliness. Maybe additionally irritated by pressure from sleeping on that side of face.
Triple cream is good indefinitely. Take doxycycline every day until triple cream comes in, then start lowering it to maybe once every few days.
Previous
Previous prescription was doxycycline monohydrate and some of metro cream.
Going with doxycycline again at a super low dose (20mg). It is way below antibiotic levels, but it breaks up lipase, supposedly. Although that's not really what I read.
"The tetracyclines have the ability to down-regulate production of proinflammatory cytokines such as interleukin-1 and tumor necrosis factor alpha. They also inhibit proteolytic enzymes produced by inflammatory cells that degrade collagen, thereby decreasing inflammation that is seen during the inflammatory response in rosacea. 26 Tetracyclines are most effective against PPR; however, relapse rates are high if they are used as monotherapy without a topical agent."
Cancer
Dr. Pham
Questions for Dr. Janoff
- Shouldn't I get an MRI/CT scan soon to see if it spread?
Sugar Accelerates Cancer Growth?
Mayo: No. But don't abuse it.
But giving more sugar to cancer cells doesn't make them grow faster. Likewise, depriving cancer cells of sugar doesn't make them grow more slowly.
- https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/cancer-causes/art-20044714#:~:text=Myth%3A%20People%20who%20have%20cancer,sugar%20(glucose)%20for%20energy.
- https://news.cancerresearchuk.org/2020/10/20/sugar-and-cancer-what-you-need-to-know/
Study on rats: "No", but sugary drinks (glucose + fructose) do! https://www.medicalnewstoday.com/articles/324773
Resuscitation
I couldn't find the original article, but this one does a good job of doing a similar summary of the findings: https://io9.gizmodo.com/your-doctor-probably-has-a-dnr-heres-why-you-should-co-1702556735.
This Quora article has some great insights too: https://www.quora.com/Why-do-many-doctors-make-DNR-do-not-resuscitate-tattoos, particularly the frustrating story by Johan Combrinck.
I'm a little skeptical of the low likelihood of CPR working, but what do I know :)
It looks like tattooing a DNR on your chest isn't sufficient though, unless you can make sure that there's no ambiguity there (you forgot to remove the tattoo, etc).