Inservice

If you've ever tried to do anything remotely related to health care of any sort in the United States, you've hopefully heard of HIPAA. (For the record, that's one P and two A's--as in Health Insurance Portability and Accountability Act.)

The gist of HIPAA is that (except in very specific cases) personal health information cannot be released without consent. This is a good idea in theory. However, in practice, it can get messy. Even if you pay for the medical care for your 18-year-old daughter, her doctor is not permitted to tell you about her treatment without her consent.

Or let's say your husband, who has never been in therapy of any kind, attempts suicide, and he's admitted to the hospital. You (back at home) want to make sure the hospital has called your insurance company for prior authorization. Unless your husband has already signed a release of information with the insurance company--not a common thing for people to do prior to attempting suicide--you're out of luck.

(And let's not even talk of situations in which an adult is not able to give consent--for example, he or she is severely psychotic, drunk, or in a coma. Or when a non-custodial parent is required to provide health insurance as part of child support--in which case the custodial parent must do the consenting, and I don't want to be a fly on the wall for that kind of conversation.)

Like I said, HIPAA gets messy.

But listen well, for here comes my point:

You cannot assert HIPAA against yourself.

As your provider, I cannot release your personal health information to another provider without your consent (except, again, as permitted or required by law). But HIPAA does not apply if you haven't yet told me anything about yourself.

I kid you not--people have said to me, "You can't ask me to give you my own personal information. That's prohibited by HIPAA."

Um, no. Not quite.

The nanny state, redux

Add to the list of brilliant legislation being considered by the Golden State a bill which would require all pets to be spayed or neutered. If this becomes law (and it's already passed the state Assembly), mutt owners will be fined for not altering their pets, and owners of registered purebreds will be eligible for an exemption--for a price, of course.

Yes, this bill has good intentions. Overpopulation, abuse and neglect, and lack of appropriate housing are serious problems in these parts, and not just for H. sapiens. If everyone would just prevent their pets from breeding, maybe we wouldn't have such problems.

There oughta be a law, right?

Be careful what you wish for. In the words of Assemblyman Doug LaMalfa, R-Richvale (Butte County):

"This is a prime example of why this Legislature becomes a laughingstock, when we want to reach into that personal aspect of peoples' lives telling them this is how you need to handle your animals' reproductive capacity. We ought to be tackling other issues."

I can't believe I'm saying this, but I agree with a California Republican.

Let's imagine that this bill becomes law, and it is fully enforced. As only registered purebreds will be allowed to keep their 'nads, after a certain number of generations the only animals available for sale or adoption will be either purebreds themselves (and thus allowed to reproduce) or a cross between two different breeds (and thus prohibited from reproducing). Mutts, lacking the necessary equipment to pass along their variegated legacies, would become artificially selected out of the population.

Hypothetical as this situation may be, it sounds an awful lot like a really scary thing that begins with an E and ends with a UGENICS.

I made a comment to this effect to Mrs. Gerbil this morning. She reminded me that just because a law is on the books doesn't mean that everyone is going to obey it. This is true. However, why bother to pass a law which you don't want everyone to follow? Why incorporate penalties (like a $500 fine), if not to deter lawbreaking?

I have a better idea. Instead of giving the state the power to determine who's worthy of breeding, why not fund sliding-scale (or even free) spay/neuter clinics? There's nothing inherently wrong with mutts that their owners shouldn't have a choice about whether to have them altered--just as there's nothing inherently wrong with purebreds.

And, if you think about it, mutts are pretty darn consistent with the (often over-hyped) Californian ideals of diversity and multiculturalism.

PS. For the record, our furry bundle of joy was spayed twice before we adopted her. The shelter mistook a post-op Josie for another calico and (somehow failing to notice her shaven, stitched-up underparts) opened her up again before realizing their error.

WTF International

Mrs. Gerbil and I were standing at a street corner in Union Square, waiting for the light to change, when a young man approached us. He was toting a black binder, the sort that activist street team members carry.

(I dread being approached by people with binders, for I do not sign petitions or fill out postcards or sign up for membership or anything of the sort. It doesn't matter what the cause is; it's just that such things require giving out one's mailing address, and I am extremely protective of our contact information. But back to our story...)

"Hi," he said. "How are you girls doing tonight?"

"Fine," I said.

"Where are you going?" he said.

"We're meeting some friends," I said. (Indeed, we were en route to a double date with R and her boyfriend.)

The young fellow did not say anything for a moment. Then he said, "Well, you could make a difference, but I guess you don't want to." And with that, he stormed off.

This, I swear, is the entirety of our conversation.

So, Mr. Binder-Toting Dude, if you are reading this: Let give you a little lesson in activism. Before you get all passive-aggressive at people who aren't interested in supporting your cause, you need to tell them what your cause is.

Qualifications

I am considering applying for a job in a Catholic health system. The online application system won't let me fill anything out until I swear (in electronic form) that, if hired, I will act in such a way which is consistent with their mission statement. Which, naturally, contains lots and lots of references to specific beliefs.

This seemed a little too much like a credal oath to me, and out of place for a self-professed equal opportunity employer. So I emailed them to inquire exactly what it means to endorse this statement.

I spent a long, long time crafting my email. I hemmed and hawed over whether I should describe myself as "not Catholic" or "not religious"; or whether I should leave my own beliefs out of it altogether.

Mrs. Gerbil found it amusing that I'd spent so much time wordsmithing. Her suggestion: "Will godless Jews be considered for this position? Please advise."

Understanding the system

Mrs. Gerbil is always after me to remember that not everyone knows how The (Managed Care) System works.

I usually regale her with at least two work stories each night. Sometimes I just need to de-brief a particularly stressful call; but more often than not the first line of my tale is, "Oh, my God, I had the most ridiculous call tonight." (It should go without saying that I never vent any identifying information--but there, I've said it anyway.) And then Mrs. Gerbil gently chides me for forgetting that the average person does not grok The System.

Hell, sometimes I don't even grok The System. But I will admit that I have a low tolerance for certain types of lack-of-grok, viz.:

Calling the emergency line for a non-emergency. It's 10:30 on Friday night and you have just realized that one of your claims was denied. You call the phone number on your insurance card, press 8 (a prompt clearly demarcated for emergency use only), and demand to know why your claim was denied. I will only inform you that this is a routine matter which is handled during business hours only. Perhaps hearing this will anger you; but unless your claim status poses a risk to yourself or others, it's not an emergency.

Calling the emergency line for a non-emergency matter which has nothing to do with mental health. You go to the pharmacy on a Satuday afternoon, and lo and behold, your co-pay for Lipitor has changed. You call your medical carrier, but they are closed. You hang up, call again, and select the prompt for mental health services. (Huh?) And then you press 8 and demand to know why your Lipitor suddenly costs $50. I will only inform you that you have reached your mental health insurance and we do not have anything to do with your prescription benefits. Perhaps you acknowledge that you just pressed prompts randomly to get a live person; but alas, I have no more information about your Lipitor than you do.

The guess and check method. You are calling about a hospital admission. You have not actually determined who the insurance carrier is, as you haven't bothered to look at the person's insurance card. So, you take a wild guess, and (because you are wrong) you think I should give you the correct information. Perhaps I do know whom you should be calling, and I might even transfer you if you're nice; but there is a reason that triage has already xeroxed the card.

I can't believe you just asked me that. If you work for a hospital, you should know how The System works. Please do not ask me to describe the difference between an HMO and a PPO. Perhaps you are new; but honey, this really makes my teeth hurt.

Strange bedfellows

Hormel Foods is having a drawing for a Toyota Prius.

Yes, you read that correctly. The folks who bring you Spam, that archetype of artificiality, are raffling off a hybrid.



No purchase necessary!

Aha!

Mrs. Gerbil and I have a bad habit of going to the corner store in the evenings for a pint of Breyer's A&W Root Beer Float ice cream. We indulged said habit last night. On the way out of the store, I pointed out the top headline on the Contra Costa Times, which read as follows:

Warming called security threat.

Mrs. Gerbil and I were both struck by the absolute absurdity of the story. But whereas my first thought was "Well, there's a way to get the federal government to pay attention to global warming," Mrs. Gerbil's was "Oh, my God. That's a real newspaper, isn't it."

(In Mrs. Gerbil's defense, here in Alameda County, the Contra Costa Times isn't a very popular paper. The same niche is filled here by the Oakland Tribune, which has made several aggressive attempts to court our readership. Alas, we are loyal to the San Francisco Chronicle.)

But still, the idea that global warming might possibly attract the attention of the current administration seems more appropriate for The Onion than for real life. On the other hand, if the powers that be predictably get their very powerful panties in a bunch about national security, then why not try to spur some action on social issues by fabricating connections to terrorism?

I've already pondered the connection between marriage equality and national security. I'm sure someone else can spin the United States' failing health care system as a threat to national security. And then there's the state of public education (not to mention the cost of higher education). It should be pretty easy to work in the future of Social Security--I mean, they already have a word in common.

Any takers?

(PS: The point of terrorism is to make people fear your next move. In a twisted way, it's kind of like panic disorder--which, at its core, is the fear of having another panic attack. I know I'm not the first to say this, but I think it bears repeating: declaring a "war on terror" means you've already lost. Food for thought.)

I can't believe I'm blogging about this

Paris Hilton's psychiatrist, Charles Sophy, says she's "emotionally distraught and traumatized" from receipt of a 45-day jail sentence.

I could go on a snarky little rant to the effect of "oh, how traumatic it is to be held accountable for one's actions." But I'm not going to go there.

Instead, I ask: Did Dr. Sophy obtain permission from Paris to release information about her mental state, or even to acknowledge that she is receiving treatment from him? Did she consent to the disclosure of the length of her treatment by Dr. Sophy (apparently, 8 months)? Did he specify the reason for the disclosure in his request? Did he discuss with her the possible risks and benefits of his report?

The story here is drawn from "court papers," which I guess are a matter of public record unless marked otherwise. But it seems to me to be a giant violation of Paris Hilton's privacy for the Associated Press to distribute her personal health information--her own historical lack of concern for privacy notwithstanding.

Enjoy the hold music

Thank you for calling The Afterlife.

If you know your party's extension, please dial it now.

For heaven, press 1.

For hell, dial extension 666.

For purgatory, please stay on the line and someone will be with you as soon as possible.

Confession: I am the world's biggest lightweight

I'm allergic to California.

Well, I'm allergic to a lot of things in a lot of places, but California is home to some special type of grass which, I believe, was created especially to torture me. Allergy testing has shown that, indeed, I am ridiculously allergic to California grass. California grass decided to bloom on Tuesday.

Holy crap, did that ever suck.

I broke down and took some Benadryl before going to work. Benadryl and I have a very strained relationship. I will not take the stuff unless I absolutely need it, for it gives me a hangover. Thus: I won't resort to Benadryl unless I'm miserable because it makes me miserable in a completely different way.

Yes, folks, I am a diphenhydramine lightweight.

Between 11 am and midnight, I took one and a half adult doses of Benadryl. I took just enough at work to prevent both sneezing and falling asleep during calls; and enough at bedtime to give me the soundest, most excellent sleep I've had in weeks.

But late Wednesday morning I was still having difficulty forming my thoughts into coherent paragraphs. In the middle of the afternoon, I retreated to bed and took a nap. Mrs. Gerbil called during my nappy-nap and asked for a ride home from BART. On the way there I started to wonder if maybe it wasn't a good time to operate a car or other dangerous machinery, as I couldn't focus on anything less than three car lengths ahead. Against what better judgment I should have had, I didn't hand over the keys for the ride home.

By 6pm I was dizzy and ready to go back to bed, but unlike previous instances I decided that perhaps this was not the best course of action. It had been 18 hours since Benadryl last touched my lips, more than 2 of its half-lives, and this wasn't my usual hangover. I called the NurseLine that comes with our health insurance and was advised (a) to call my doctor and (b) not to get back behind the wheel. So I paged the provider on call, who informed me that (a) there should not be any Benadryl left in my system; (b) even if there were, there's no antidote; and (c) I should probably never take Benadryl again.

Being reminded yet again of my eternal lightweight status made me a very sad, and somewhat embarrassed, sleepy little gerbil. So, Mrs. Gerbil took me out for a nice Italian dinner. We discovered tiramisu to be quite an effective antidote. They don't call it "pick-me-up" for nothing!

Public transit story #19: Chivalry is not dead

On Saturday morning BART was full of people going to the Giants-Phillies game. Lacking a place to sit, I found myself a place to stand.

"Excuse me, miss, would you like to sit down?" asked a boy of no more than 11 years of age. He rose halfway out of his seat before I could answer.

I was very touched. I thanked him for the offer but insisted that he keep his seat. He seemed a little disappointed at first, but then he beamed shyly when his dad (and various other passengers) complimented him on his gentlemanliness.

It's thing like this which maintain my faith in humanity.

Young at heart

Just because I have completed a ridiculous amount of education does not mean I must forsake adolscent humor.



Seriously, those gnus have got it goin' ON.

Potty potty potty

Yesterday I walked by a certain Portolet, which I'd managed to walk by about 15,000 times without noticing what I noticed yesterday.

This Portolet is on someone's treelawn a few blocks from our house. It's been there for quite a long time (thus my 15,000 walkings-by) and is probably there on account of all the construction on that block.

It's a pretty standard-looking Portolet. It's electric blue and brown, with a peaked, translucent roof. Like most other things in this part of town, it's decorated with a smattering of completely illegible graffiti.

So, no, nothing seemed immediately unusual about this Portolet. But upon closer inspection, I found a most mysterious specification printed upon its label:

CAPACITY: 10 PEOPLE.

Assuming they are not clowns, how do you fit ten people in a Portolet?

Well, I suppose that when you gotta go, you gotta go.

Either that, or what the label should say is

CAPACITY: What comes out of 10 people.

Privacy, please

Yesterday our block hosted an enormous garage sale. You wouldn't believe how excited this made me. Garage sales were an important part of my youth. Unfortunately, I have difficulty getting rid of stuff; and when I was younger I would often decide, midway through the sale, that I actually wanted to keep various items.

So my parents instituted a rule: Nothing that leaves the house can go back in the house. It worked.

Well, Mrs. Gerbil and I made a small wad yesterday. But the tragedy of it all was that I had to go to work after a few hours. I would much rather have been sitting out in the driveway than telling callers that I honestly do not have their claims information. Alas.

But before I went to work, I found myself with a little dilemma. Mrs. Gerbil and I live three blocks from a clean and sober house, approximately half of whose residents were my clients at my previous job. I've run into them at bus stops, in downtown Berkeley, in restaurants, and even in the corner liquor store (where they buy cigarettes and snacks, and we buy milk and Ben & Jerry's). It doesn't really bother me, and it certainly did not bother me while they were my clients.

Yet yesterday, I was pre-emptively bothered. I saw one of them walking down the street, then walking back up the street with some garage sale loot. Our building is set back from, and perpendicular to, the street; and there's a privacy fence around the driveway. Thus: I could see him, but he couldn't see me.

I started wondering: What if he comes to check out our wares? Not that he would buy any of our girly stuff, but what if he strikes up a conversation with Mrs. Gerbil and me? How would I introduce him? Should I introduce him? And is it a bad thing if he finds out where I live, even though I haven't worked with him in months?

(Mrs. Gerbil and I have already discussed what might happen if one of my former clients approaches both of us. The agreement: She is not to ask me from whence I know this person, as "I can't tell you" is fundamentally the same as "That's my client.")

My worst fears, however, were not realized. A short while later, he zoomed back up the street, garage sale loot in hand, without so much of a glance up our drive.

I still wonder what might have happened, had he checked out our stuff. It's hard to observe the "I'll acknowledge you only if you acknowledge me" rule when the person is literally at your doorstep. And what if he'd bought something? Would I have felt weird taking his quarter for one of Mrs. Gerbil's sci-fi/fantasy novels?

Signs point to "yes."

Later in the afternoon, Mrs. Gerbil went off to Walgreens to retrieve a prescription of mine. The staff at our Walgreens generally does a terrific job of authenticating their customers, even those whom they recognize (such as yours truly). However, Mrs. Gerbil reports that the pharmacy tech tried really, really hard to give her someone else's prescription.

Apparently the tech asked dutifully for my name and address--and then proceeded to hand Mrs. Gerbil the bag directly behind mine. Mrs. Gerbil protested, "That's not the right one!" The tech said something to the effect of "Did you move? It looks like we have the wrong address on file."

Mrs. Gerbil pointed out that not only have we not moved, but the name on the bag was not mine. They went back and forth about this for a bit before the proverbial light bulb came on, and the correct bag made it to Mrs. Gerbil's little paws.

I'm not even going to begin on that one. Hip-hip-HIPAA, dudes.

The price of convenience

According to the newsletter Mrs. Gerbil received the other day, the Alameda Green Party is congratulating itself over preventing the construction of some cell phone tower somewhere. I don't know where the tower was supposed to be, as Mrs. Gerbil has already recycled the newsletter and the link which should lead to the newsletter doesn't actually yield anything of use.

But this will not stop my snark. Oh, children, my snark cannot be stopped.

I will concede that cell towers are ugly. I'll also concede that I had no idea that there were so many ways to disguise cell towers. But it's not just aesthetics (or lack thereof) that fuel protests against cell tower construction. It's the possibility of a health hazard. It's the intrusion of commercial activity into non-commercial zones. Oh, and it's the principle of the thing.

Now, I'm all for preservation and good planning and all that, but there's a fundamental problem with cell tower nimbyism: No cell tower, no cell service.

Many people have no land line because their cell phones are their primary phones. That's great for people who know they can always get reception. Mrs. Gerbil and I each have a cell phone, but we also have a land line because cell phones aren't 100% reliable. On our landline we have a cordless phone and an old-school phone with a 25' cord. (Why the ancient model? Because we can't use the cordless to notify PG&E that the power is out.)

If cell tower construction is restricted, then existing towers may get overwhelmed--and then we'll all bang our heads on the wall to the tune of "We're sorry, all circuits are busy now. Please try your call again later."

When I decided to get a cell phone about five and a half years ago, I chose my company based on local coverage. The best coverage in my area came from Verizon or Sprint, but it was well known that there was no Sprint reception on Coventry Road. Coventry is full of all kinds of fun shops, and as I lived about a quarter mile away, I was there all the time. Needless to say, I chose Verizon. Verizon, however, does not have such great reception in our bedroom in Berkeley. But this doesn't bother me. I can put up with the lack of reception in our bedroom, because the only way to fix this is to put up a cell tower on the bed. And that's just plain silly.

However, I also don't subscribe to the belief that cell phone ownership equals constant accessibility. So I suppose it's okay to support the restriction of cell tower construction if you don't mind not being able to use your cell phone everywhere and all the time. But if your cell phone is necessary for your survival, then cell towers are your necessary evil.

Gee, your armpits smell terrific!

Well, I had planned to blog about a Celebrity Deathmatch that isn't, but should be:



but it seems I am not as original as I'd thought.

I would have probably spent an evening moping about this, if not for last night's Target run with my best friend, R.

When R and I go shopping, we are a force with which to be reckoned. Even Mrs. Gerbil thinks so--which is why she tends not to come along. But last night, Mrs. Gerbil had to work late; and so R and I made like teenagers and spent the night at the mall.

We each needed various items from the health and personal care section. Alas, this took a lot longer than it should have, as there are just way too many choices these days. There must be 57 varieties or Crest toothpaste, and it's getting harder to find good old cool mint gel. And really, how many different cartoons need to be festooned on band-aids? R and I find this all very amusing.

And then we spotted the best varietal of all:


R put her astonishment this way: "Dude. The point of deodorant is to make your armpits not smell."

I put mine this way: "Dude. No one's armpits should smell like Starbucks."

I suppose it's possible that R and I, hip as we are, have missed some important new trend in accessorizing--the one that dictates that your underarms must match your hot beverage.

"No" means NO.

One of the unfortunate things about my job is that I cannot do a single thing about claims. I cannot tell anyone the status of a claim. I cannot reprocess a claim. I cannot even say whether a claim has been received. This is because I am not in the claims department.

My department never closes. The claims department does. When the claims department is open, I can transfer callers to a real live person over there. When the claims department is closed, not a single real live person is there to receive the transfer. And the only thing I can do is say to wait until the next business day--which can be a tall order if it's 7pm on a Friday night.

I don't know why it is so difficult for people to understand that I can't view their claims information. I get at least three calls per day that go like this:

caller: I am calling about a claim that my doctor submitted three months ago.
me: I'm sorry, I can't see any of your claims information. The claims department is open Monday through Friday, from...
caller: But my doctor sent in this claim three months ago and it hasn't been paid yet.
me: I apologize for the delay, but as I said I do not have access to any information about your claims.
caller: What do I have to say to get you to pay my therapist?
me: Please call back when our claims department is open and they will be happy to assist you.
caller: But why can't you help me with my claims?
me: Because I am not in the department that handles claims. That department is closed right now.
caller: Oh. Okay then, bye.

As you can imagine, I get very tired of saying the same thing over and over and over again. I probably say "I can't see any information about your claims" in my sleep. Sometimes I feel like I'm David Spade in that one commercial, except I'm not saying "NOOOOooooo!" for the passive-aggressive hell of it.

Mrs. Gerbil suggested that I come up with fun, creative ways to impart this information. Last night we came up with a whole slew while we were supposed to be sleeping.

Some of them were inspired by cheesy martial arts movies:

~ Your claims information is silent, like the ninja.
~ Your claims information is as the first crocus of spring, but it is still December.
~ Your claims information is as a deer, deep within in the forest.
~ Your claims information is as concrete shoes at the bottom of the Hudson River.

Some of them were inspired by television:

~ In the world of managed care, claims information is considered especially valuable. In this company, claims are handled by an elite squad known as the claims department. These are their hours...

Some of them were inspired by folk songs:
I cannot give you your claims status
I cannot do squat about claims
That's done by another department
So why are you talking to me, to me?
Call back, call back
Call back on Monday at six AM
Call back, call back
Call back on Monday at six.

And some of them were inspired by nursery rhymes:

Baa baa black sheep, have you any wool?
Yes sir, yes sir, but I don't have any of your claims information.

The man in the moon came down too soon
And asked the way to Norwich;
He went by the south and burnt his mouth
From eating your claims information.

Old MacDonald had a farm
E-I-E-I-O
And on his farm he did not have your claims information.

Alas, I don't think this would qualify as good customer service.

2007 Report on My Balls

Mrs. Gerbil convinced me last night to make matzo ball soup for dinner. I had suggested matzo pizza (slather matzo with spaghetti sauce, top with shredded mozzarella, microwave 45 seconds), with promise of matzo ball soup tonight, but Mrs. Gerbil reminded me that she wouldn't be home for dinner tonight on account of her Maundy Thursday service. So I agreed to make matzo ball soup last night instead.

Well, I am happy to say that my balls are quite delicious this year. Their texture is midway between fluffy and dense, and the salty liquid in which they are bathed also has some carrots in it this year.

I gotta tell you, Mrs. Gerbil is a big fan of my balls.

A word to the wise

After many, many months of under-employment, I finally found gainful work a few months ago. In the words of Mrs. Gerbil, having a real job is "totally crazy like whoa."

Since late February I have been working the swing shift (including weekends) in the call center of a humongous behavioral health insurance company. Mostly I'm quoting benefits, issuing authorizations, and pre-certifying inpatient stays. But occasionally I get crisis calls, which are always interesting.

In addition to rather sizable paychecks, this job has provided some perspective in my quest to Fix The World By Complaining. I'm now a lot nicer to call center representatives whom I contact in my personal life--because I know now that they can't change a whole lot of anything, no matter how angry I get about it.

I've also learned that every call is documented, or at least should be documented. Details of your calls to your health insurance are considered part of your medical record--which means you can request to see those data at any time. I would hate to see the notes our former health and dental plans have on me.

And I have learned about the mute button.

The mute button is the best way to put callers on hold without actually putting them on hold. It's weird and uncomfortable to be on the phone with a stranger while neither of you is saying anything, right? and it's so much better to be on hold, right?

Okay, maybe not. But in any case: If you don't hear the hold music, you are probably not on hold. You are likely on mute. Which means that the call center representative can hear everything you are saying.

So hold thy tongue, knave.

The nanny state

There is much kerfuffle out here in California over so-called "nanny state" legislation. Members of the state senate and assembly have come up with a number of fantastically intrusive proposals in recent months, including bans on

1) incandescent light bulbs;
2) spanking;
3) children under 4'9" in the front seat of the car;
4) children under 4'9" in the back seat of the car without a booster seat; and
5) smoking in the car while children are present.

The state senate is to hold hearings on smoking in cars in the very near future. Now, I do believe that smoking is a public health issue. Smoking is prohibited in a lot of places in California, including restaurants, hospital entrances, and Berkeley bus stops, although citizens like myself are left to enforce the latter with varying degrees of success. Several months ago, at the Hayward BART station, I had the following exchange with a woman who meandered into my personal space with a lit cigarette:

me: Excuse me, would you mind smoking somewhere else? This is a no-smoking zone.
smoker: What the hell? I just came over here. I can smoke if I want to.
me: I have been sitting here for a while, and I don't mind if you smoke elsewhere. Just not here.
woman: What the hell?
me: Thank you for respecting the needs of a person with asthma.
woman: Oh, respecting your needs? What about mine?
me: I don't mind if you smoke somewhere else. But it's against the law to smoke right here, and I have asthma. Thank you for respecting my health.
woman: [wandering away, talking loudly into her cell phone] Sorry, some white bitch says I can't smoke near her ass. Oh, wait, that white bitch don't HAVE no ass.

So yes, smoking is a public health issue. But there's something about this no-smoking-in-your-personal-vehicle thing that really gets to me. I'm no lawyer, but it seems to me that one's car is an extension of one's residence. It's a private space. But the boundaries between private and public are a lot blurrier in the car because, unless your ride is pimped out with tinted windows (which are heavily regulated in this state anyway), everyone can see what you're doing, all the time.

If you smoke in the car with the windows up, your car smells like an ashtray. If you smoke in your house with the windows closed, your house smells like an ashtray. Anyone in a closed car will inhale second-hand smoke--but so can anyone in a closed room. Is it really worse to be in the car than in the house? I'd be willing to bet that kids spend a lot more time in houses full of second-hand smoke than in cars. So why target cars?

I think the answer is that it's a lot easier to enforce a ban on smoking in the car. The police can obtain immediate evidence that someone's smoking in the car--no need to justify a search warrant if you can see the crime in progress.

But you know, there are many other things in California which pose health hazards to children and other living things. There's pollution, crime, poverty, homelessness, abuse, disease, neonatal drug addiction, abysmal public education, gang violence... all of which are much harder to solve with a single piece of legislation.

If this bill passes, I hope someone will be able to sleep better, knowing that parents will be fined for lighting up while driving their children to school--in a district where less than 50% will receive a diploma and where gangs have more power than the principal.

Public transit story #18: Saving it for later

I admit: I have a very poor sense of smell.

For most of my life my nasal passages were completely clogged by allergies. It's only been in the past few years that I've been able to breathe through my nose. Say what you will about mouth-breathers--I've heard it all before.

Now there is a whole olfactory world out there with which I must become acquainted. I can smell lots of things now, but I have no idea what they are. I'm really good at identifying things like natural gas, peanut butter, baked goods, vanilla, popcorn and sulfur. But I tend to label vaguely unpleasant odors as one of the following:

1) tuna fish;
2) toast;
3) burning motor oil; or
4) pee.

You'd be surprised at how often I think Berkeley smells like tuna fish or toast. But then there was one morning when our entire neighborhood smelled to me like nasty stir-fry. The culprit turned out to be the garbage truck, which is powered by vegetable oil. Kitchen waste + hot vegetable oil = nasty stir-fry, indeed.

Mrs. Gerbil has the sometimes amusing, sometimes annoying task of helping me identify odors. Sometimes I need assistance telling burning motor oil from hot engine; but most of the time it's pot versus skunk. I know skunk very well, as I grew up in skunk country and have experienced live skunk under the house, dead skunk under the house, and of course dead skunk in the middle of the road. During my senior year of high school, a skunk crawled under the house, died, and perfumed all of my clothes. I was definitely not the most popular kid in school the next day. But I digress.

Pot versus skunk is tough. Mrs. Gerbil admits that pot smells like skunk, but her rule of thumb is that skunk travels, whereas pot does not. Sometimes, while we're driving on the highway, I'll yell "SKUNK!" and Mrs. Gerbil will say, "No, honey, that's pot." Which begs the question: why does the highway smell like pot, or rather, who's driving while stoned?

BART trains often smell like pot/skunk. (I'd rather people take transit while stoned than drive while stoned, but then I'd really prefer they sit in another car.) I'm reasonably certain that no one gets on BART after being sprayed by a skunk, and also reasonably certain that a whole lot of people in the Bay Area get stoned with great frequency. Most of the time it's teenagers who fragrance BART, but occasionally there's a middle-aged ex-hippie providing the aromatherapy.

On Tuesday an elderly, distinguished-looking gentleman sat down in front of me, and at that moment my world began to smell like a head shop. A lot of teenagers had boarded at the same time, so I gave in to stereotyping and figured one of them was high.

Then I saw the last little bit of a joint tucked behind this man's rather sizable ear.

I was proud of myself for correctly identifying pot, but I was even more impressed by this guy's storage facilities.

Ya think?

This entry is in memory of my grandmother, who passed away suddenly last week at the age of 90. I owe much of my sense of humor to her influence.

Last weekend, Mrs. Gerbil and I found ourselves taking an unexpected trip to Philadelphia. It was a strange, strange time.

We flew Southwest, so of course we were each presented with the famed Box of Carbs during the flight. Happily, Mrs. Gerbil and I are both carb monsters.

We also received several little packages of peanuts.


Now, I appreciate allergy warnings as much as the next person. I have food sensitivities, but I have to read ingredient lists because no one prints handy warnings for things like echinacea, bananas, and flowers.

Mrs. Gerbil, however, is allergic to peanuts. She's not allergic to the extent that she has to avoid things processed in facilities which also process peanuts. But even if she were that allergic, I would hope that she wouldn't need to check the back of the little package to find out whether her peanuts were produced in a facility that processes... peanuts.

Public transit story #17: Private lives

Mrs. Gerbil and I took the bus into town over the weekend, in order to accomplish various and sundry activities such as paying the rent. We were among only a handful of people headed into town on that particular line at that particular time, which should have meant a nice, quiet 5-minute ride.

But no.

Also on the bus was a girl about our age who was engaged in an extremely loud pre-break-up conversation. The presumably-soon-to-be-ex-boyfriend was not on the bus, however, but on the other end of her cell phone connection. Mrs. Gerbil and I heard far more than we wanted to about this girl's life, her burgeoning self-confidence, and his infidelities. And about how "the punk-rock world is very small."

The awful thing was that there was really no way not to overhear. Mrs. Gerbil and I tried in vain to hold our own conversation at normal volume, but this girl was just so incredibly loud (possibly because of the volume at which the small punk-rock world plays its music) that we kept getting derailed. We tried really hard not to laugh, but that didn't work so well either.

She was still having words with her soon-to-be-ex as she got off the bus. I turned to Mrs. Gerbil and said, "There are some phone conversations that you just shouldn't have on the bus." Mrs. Gerbil agreed.

I mean, the punk-rock world is awfully small. There might only be two degrees of separation between you and the bus driver.

In sickness and in health

Mrs. Gerbil and I have been thinking (perhaps obsessively) about little gerbs. Conveniently, I've just begun a new job that will not only help fund the production of little gerbs, but also provides much more affordable and comprehensive health benefits. This job is very pregnancy-friendly, and at the moment there are several pregnant or recently post-partum people on site. This is all very good news for the two-member Committee on Gerb Production.

Our new health package includes full coverage for preventive care. Fantastic, I thought, because prenatal care is, by its very nature, largely preventive. But then I asked someone whether prenatal care is covered as preventive care, and I was sorely disappointed to hear that it is not. And then it dawned on me: Like most other health plans, our shiny new one considers pregnancy a sickness.

To be a covered "sickness," pregnancy must have its own diagnostic code, at least for purposes of billing. In the ICD-9 (the current US standard), the diagnostic code for normal pregnancy is V22.2. Anything diagnosable is de facto abnormal, and thus normal pregnancy is abnormal.

("Okay, okay," you are saying, "pregnancy is a departure from normal bodily functioning, so isn't this diagnosable sickness thing warranted?" But humor me here.)

Sickness is by definition bad. Nothing good can come directly of sickness. Sure, you might have a renewed appreciation for life if you survive a serious illness or injury; but the most positive direct result of sickness that I can think of is that once you've had the chicken pox, you are almost guaranteed not to have a repeat performance.

And yet every single human being that ever was is the result of pregnancy. Perhaps you are a cynic and believe that human beings are no good. But hey--you wouldn't be around to hate your fellow human beings if not for pregnancy. Which, I hasten to add, is diagnosable.

Now I shall blow your mind some more with my, well, mind-blowing logic. Even in our enlightened times, women are expected to want to have children. Those who do not want to have children are, at least in some circles, considered abnormal.

Thus: In order to be considered normal, you have to be considered abnormal.

I rest my case.

This will BLOW YOUR MIND.

The human female is born with all the ova she will ever have in her lifetime.

Therefore, the ovum which eventually became you was once inside your maternal grandmother.

(Credit for the blowing of my own mind goes to Toni Weschler.)

Parking lot rage: The evil fraternal twin of road rage

Pop quiz!

When entering a rather full parking lot, you should
(a) drive slowly around the parking lot until you find an available space.
(b) sit in the middle of the aisle, in the most inconvenient fashion possible, and be a spot vulture until someone parked in your general vicinity exits the store, gets in the car, and vacates the space.
(c) say "the hell with it" and look for street parking.
(d) say "the hell with it" and go to another store.

If you answered (a), (c), or (d), you are a person after my own heart. If you answered (b), you probably shop at the Berkeley Bowl.

In fact, if you answered (b), chances are pretty good that you drove your hybrid to the Berkeley Bowl this past Sunday afternoon--and that you attempted to get in a tiff with me over a parking space.

Mind you, I almost never drive to the Berkeley Bowl--I hardly ever go to the Berkeley Bowl, on account of the teeming obnoxiousness--and this past Sunday I wasn't driving, either. I was, however, in someone else's car.

You might take a moment now to note that the Berkeley Bowl advises its customers to "be patient and always drive carefully." Alas, you weren't thinking about politeness on Sunday, and you were massively ill-prepared for my interpersonal jujitsu...

You were sitting in the middle of the aisle in your hybrid, which while motionless is silent like the (possibly also motionless) ninja. No one was doing anything to the cars around you, and you weren't doing anything to your car either, namely operating its turn signal. You were within a few feet of the entrance to the store, so perhaps you were waiting for your shopping companion. So we passed you. And we went not even fifteen feet before a spot opened up right in front of us. And we took it.

You began yelling at us. At the same moment, another spot opened up, and you took it. You strode over to us and continued yelling. "THAT'S REAL CLASSY," you barked. "YOU DON'T JUST PASS SOMEONE AND THEN TAKE A PARKING SPOT."

My companion attempted to ignore you, but not I. I smiled sweetly up at you. "I'm sorry, sir," I replied calmly, "but we can't read your mind in the parking lot."

You (a good head taller and thirty years older than I) grew red in the face. "YOU CAN READ EVERYONE'S MIND IN THIS PARKING LOT!" you blustered.

"I'm sorry, sir," I said, still sweet as agave nectar, "there isn't a single person in this world whose mind I can read. But I'm glad you found a parking spot. Have a nice day!"

You continued to bluster a little more. "BUT YOU---YOU DON'T JUST DO THAT!" you insisted.

"I really am glad you found a parking spot. Have a nice day!" I repeated, still smiling. Unable to think of a better retort, you stormed off into the store.

Had you stayed outside a little longer, you would have heard a woman about your age say, "Jeez! It's just a parking spot! Give it up!" as she pulled the bags from her cart. You would have seen me shrug my shoulders. And you would have heard her add, "The rest of that guy's life must be really awful, if he's getting that worked up over a parking spot."

I hope, for your sake, that you were just having a bad day. But whether or not this was an isolated incident, I encourage you please to remember two things:
1) It's bad form to try to intimidate a young lady.
2) No one likes a spot vulture.

Half-baked ideas

I like baking. I even wrote a parody about it once.

I'm generally pretty exact about my baking, although occasionally I will experiment with ingredients. Usually this is out of necessity--for example, once I was making a quick bread which called for prune preserves, and I neither had nor wanted to obtain said. Ah, but I had unsweetened applesauce! The same recipe also called for buttermilk, which I didn't have either; and so I stank up the house with vinegar and milk. And everything was really quite fine in the end.

Last night's substitution adventure was also out of necessity. I had everything to make Cheerio cookies... except for the Cheerios. But I had Kashi Mighty Bites. So I thought, hey, Mighty Bites are pretty much the same as Cheerios, except for their shape; why not use those instead?

Well, it worked, although I probably should have decreased the sugar somewhat on account of the lightly sweetened nature of the Mighty Bites. However, extra-sweet or not, the finished product was just a little on the disturbing side.

You see, Mighty Bites are shaped like little people. And my cookies came out looking like the ruins of Pompeii.


But as volcanic disaster cookies go, I have to say these are mighty tasty.

Public Transit Story #16: So what?

Oh boy! A public transit story and a customer service story all in one handy package!

I called to register a complaint today. Usually I do this online, but even though I always check the little box to request an email reply, I've never received so much as a "Thank you for submitting a comment." So I called, thinking it would be less complicated and more conducive to immediate gratification. Of course, I was wrong.

Me: I'd like to register a complaint about a driver.
Representative: Okay, what happened?
Me: This has happened before with the same driver and I've complained before. The driver arrives several minutes late, leaves the bus running and the door open, and goes to buy a snack. Then I have to run for a connection that should have several minutes of overlap.
Representative: But you said the bus is already late.
Me: Yes. I'm not calling because the bus is late. I'm calling because the driver leaves the bus running while buying a snack--when the bus is full of passengers!
Representative: [silence]
Me: The driver leaves a running bus for two or three minutes, while it's full of passengers.
Representative: So it's an unauthorized stop, then.
Me: It's my actual bus stop. We all get on the bus and then the driver gets off. I'm concerned because someone could just drive the bus off.
Representative: Oh. That is a problem, isn't it.

I've been sick for the past few days, but as Mrs. Gerbil says, it's a sure sign that I'm better when I start rectifying things again.

Public Transit Story #15: Bad hair day

Okay, I know it's impolite to stare. I try not to stare, even when I'm people-watching. However, it's really hard to watch people subtly, especially when your job involves watching a whole group of people for 50 minutes at a stretch, so that you can write up little notes later about how they "presented." Whenever I'm in a large group of people--outside work, mind you--I find myself observing like crazy. As with the Therapist Clock, I just can't shut my Observing Self off.

But this is a public transit story.

Yesterday I observed an older gentleman on the bus. He had the longest nose hairs I've ever seen. They were yellowish-white and extended at least half an inch beyond his nostrils. As if this weren't odd enough, he spent much of the bus ride twirling his nose hairs.

It was really, really hard for me not to stare. And I don't think I would have had such difficulty if had he not been playing with them.

Heckling the passersby

While I was returning some library books yesterday, a minorly scruffy man said a whole lot of unintelligible things in my general direction. I wasn't sure whether he was talking to me, so I decided to err on the side of shyness and did not respond. He continued to say a whole lot of unintelligible things in my general direction as I headed to the bus stop. Still, I wasn't sure if I was the intended target of his ramblings--until he said, quite lucidly, "Oh, I'm sorry, I thought you were someone else."

"That's okay," I said. Haven't we all been mistaken for someone else at least once in our lives? I plopped myself down on the bench and busied myself with a book.

The man came wandering toward the bus stop, wanting to know if any of us there had "anything to share." None of us did. But this guy would not, or could not, accept "no" for an answer. He enumerate all of the things we could share with him. Nope. Then another fellow happened by.

"Hey, do you--" began the first guy.

"Go away!" said the second guy, hurrying past.

This obviously pushed some button deep in the first guy's psyche, for he began to spew a whole lot of strange invectives: "Hey! Who's your costume designer? Do you have a casting agent? Who's your casting agent? JAYWALKER! Are you an asshole, or just an arrogant person? HEY!"

And then he wandered off, presumably to engage in ineffective conversation with someone else.

I swear, Officer, it's not mine!

Mrs. Gerbil and I went to Kohl's yesterday, in hot pursuit of random items of clothing and accessories. I find Kohl's to be rather hit-or-miss. It's almost always a miss when I'm in search of pants, as they don't carry small enough sizes. (Go ahead, hate me now.) But yesterday, when I was not in need of pants, it was a hit. For just under $35 we acquired three shirts, two pairs of socks, and three pairs of earrings. Pretty darn good, if you ask me.

The cashier handed me a very familiar-looking pen with which to sign the charge slip.

"Hey," I said, "I thought that looked an awful lot like a Seroquel pen!"

The cashier replied, a little too quickly, "Oh, that's not mine. Someone must have left it here. I don't know where it came from."

I guess the stigma of mental illness extends even to abandoned pharmaceutical swag.

Face validity

I just received a piece of spam from "Deceitfulness C. Upfront."

Oh well, at least they're honest about something.

There oughta be a law

(Dude! This is my 100th post!)

I received a jury summons today, for the end of this month. I was very upset, for I'd received a jury summons last year, and I'm supposed to be off the hook for 12 months.

(I didn't actually serve on a jury last year. I didn't even have to report to the courthouse to find this out, as I'd had to do in Massachusetts about eight years ago. California jurors call after 5pm the day before to find out their status: report the next day as summoned, don't report at all, or call back after 11am for possible afternoon service. One's jury obligation is considered fulfilled regardless of whether one actually has to show up.)

So, yes, I received my jury summons, and I was pissed. But I have a poor concept of time out here. I'm used to gauging the passage of time with the help of seasons--by which I mean spring, summer, fall, and winter, not "wet" and "dry." Obviously, I couldn't figure this one out via memories of crimson foliage, drifting snow, muddy slush, or godawful humidity. I had to do some major detective work as to the date of my previous service:

1) It was during a period of semi-dryness, when it wasn't quite warm enough for short sleeves, but not quite cold enough for a hat and gloves.
Therefore, it must have been in October, November, February, March, or early April.

2) I know where I was working at the time.
Therefore, it must have been sometime between November and July; combining this with #1, it must have been in November, February, March, or early April.

3) I was working more than half-time.
Therefore, it must have been sometime between January and July; combining this with #2, it must have been between February and early April.

I then consulted last year's planner. If my service had been in March or April, I would have to make a most unpleasant call to the Superior Court of California...

...and guess when my service was?

That's right. The beginning of February.

They sure don't waste any time, do they?

A case of severely mistaken identity

Mrs. Gerbil reports that a funny thing happened to her on her way home from work today. While was stopped at a light, a fellow she describes as "a very attractive black man with shoulder-length dreads" pulled up beside her and started honking.

Mrs. Gerbil rolled down the window to see what the fuss was all about.

The man clapped his hands over his mouth. "I thought you were a guy!" he said. "I wanted to know if you saw those girls over there!"

Mrs. Gerbil looked up the street and saw three teenagers in very short skirts.

"I'm so sorry!" said the man. And off he went.

(For the record, Mrs. Gerbil does not look particularly androgynous--and The Big Gay Subaru identifies itself with a rainbow sticker in the back windshield.)

Not-so-phunny pharm

I have terrible allergies.

Often people ask me which is my allergy season. I have no allergy season because in my world it's always allergy season. And so I must take anti-allergy (and anti-asthma) medications every single day. I've been doing this since I was three years old. It's old hat. In fact, I can rattle off the name of almost every prescription and OTC allergy drug I've taken over the past 24 years. Most of these have since gone off the market, been reformulated, or just spontaneously stopped working for me.

Which leaves me, at the moment, with three prescriptions to contend with. My insurance company loves exactly one of these. Another they agreed to love when my doctor assured them that I do, as a matter of fact, have asthma. A third they agreed to tolerate when my doctor assured them that none of the other drugs out there are effective for me. (When I rattled off my prescription history for her, she stopped me after a minute or two and said, "I think maybe we'll just mention a few of those.")

On Friday I went to the pharmacy for some refills. I was quite surprised, and not in a pleasant way, to find that the aforementioned third medication cost $50 instead of my usual $15. My insurance sets co-pays of $15 for generics it likes, $25 for brand-name drugs it likes, and $50 for anything it doesn't like. I freaked out, but knowing I'd be in a world of hurt without this stuff, I paid for it anyway. Once outside the store, I called the insurance company to inquire as to WTF?

The representative offered me three absolutely ridiculous explanations:

1. Your prior authorization expired yesterday.
Okay, so first of all I had no idea that prior authorizations expire. Second of all, I'd gotten preauthorizations for both my refills on the same day last year, but only one of them had a co-pay change this year. For the one which did not change, my doctor merely stated that I had a life-long history of asthma, and amazing! it still costs $25 instead of $50. I was left to conclude that diagnosis-related prior authorizations don't expire, but drug-related ones do. Which is odd, considering how long it would take to demonstrate each year that the rest of the formulary still doesn't work. That wouldn't get points for patient-friendliness, either. So why should my doctor have to remind the insurance company of my history every 12 months?

2. Oh, and that drug changed tiers as of the first of the year, so it's always going to be $50, even though it's generic.
Last year, it was tier 3, which meant $50 per fill unless my doctor and I jumped through hoops to lower the cost to $15. From tier 3, there's nowhere to go but up. Curious about whether they'd quietly implemented the industry's first 4-tier system, I asked the representative which tier it was now. "Three," she said. I pointed out that it was tier 3 in 2006, and it's tier 3 in 2007, so what's the difference? Had they changed the co-pay rules for tier 3? "No," she said. So if I get my prior authorization renewed, I should get my medication for $15 again, right?

3. No, because the prior authorization isn't related to how much you pay. Your doctor has to demonstrate medical necessity for us to cover the drug. You can't get it filled at all without a valid prior authorization.
Obviously I had successfully filled my prescription that day, so what's this about needing a prior authorization to do it? "Um," said the representative. If the drug (sticker price: about $75) will cost me $50 with a prior authorization, and I've just proven that it also costs $50 without a prior authorization, then what, pray tell, is the point of the prior authorization? Isn't the prior authorization supposed to give me my own personal formulary? "The pharmacy that was charging you $15 was making a mistake," she said, changing the subject, "but it was saving you money." It's not saving me money now, I replied, and the pharmacy just charges me what you tell them to. "Um," said the representative.

Unfortunately, before we could get this all settled, I had to go to work. And the insurance company is closed over the weekend--so I've got to wait until tomorrow to get to the bottom of

THE MYSTERY OF
THE PHARMACY BENEFITS
THAT NO ONE,
NOT EVEN MEMBER SERVICES,
UNDERSTANDS.

Tune in next time for another exciting episode of Gerbil vs. the demons of Market-Driven Healthcare!

In which my good turn daily turns bad.

Around here, there are lots and lots of homeless (or nearly homeless) people. Many of my clients are homeless, have recently been homeless, or are teetering on the edge of homelessness. Many of the people with whom I chat at the bus stop fall into one of those categories as well. Very few of the people I encounter on the street are of the screaming-at-fire-hydrant sort. Those who are (like the gentleman I encountered today, who demanded to know, "Who is going to resurrect Batman? Who is going to resurrect the Penguin? We need the Addams family! You have these dungeons with dead people in them! Those dungeons you have are full of people! Who will resurrect Batman and Robin? Frankenstein knows what you did last night!") just happen often to be louder and more malodorous than the rest.

I am hesitant to give out money. My work has taught me that many people do use this money for alcohol or drugs, although perfectly well-housed people also buy alcohol and drugs. But this is only part of the reason why I don't respond to requests for my spare change... with my spare change. If I give someone a quarter or two, it's not going to do them much good because everything here is just so ridiculously expensive. What I prefer to do, when I'm able (I'm not exactly loaded myself), is to bypass the "could you spare some change" and go straight to the "so I can get something to eat."

I've only had one person really and truly turn me down. He was adamant that I give him a dollar "for something to eat." I didn't have a dollar on me, but I did have a bag lunch with two yogurts, some pretzels, and an apple. I offered him the yogurt, but he said he couldn't eat dairy and did I have a dollar? I offered him the pretzels, but he said he couldn't eat salt and did I have a dollar? I offered him the apple, but he said he didn't want any fruit either and did I have a dollar?

Last night my best friend and I went to see Dar Williams in concert. I got to the venue a little before my friend did, so I scoped out the neighborhood for a little snacky-snack. As luck would have it, the neighborhood consisted almost entirely of bars, a few Indian and Mexican, and fancy townhouses. I don't drink, I don't get along well with Indian or Mexican food, and I certainly don't raid the fridges of total strangers, so I didn't have a whole lot of options.

And then this woman came up to me. She wanted fifty cents for some yogurt. She said she was several months pregnant and very hungry. I said I'd be happy to take her to the deli across the street and buy her a sandwich or something. But she wanted to go to the Mexican place with the juice bar "because it's more nutritious." I couldn't really argue with that, so in we went.

There was a pretty long line, which gave us several minutes to chat. I asked about her pregnancy, her living situation, what kind of social services she was getting, whether she knew about various types of government assistance... Her story seemed quite genuine, all the details hanging together. She asked me for fifty cents to call the doctor in the morning. "The place you're staying doesn't have a phone?" I asked. She said it didn't. I gave her fifty cents (actually, fifty-five) on the condition that she ask her doctor to hook her up with a social worker.

Suddenly, we were at the head of the line. The cashier (who was probably also the manager) took one look at us and started doing something with the register tape. I stared her down, and finally, after several more people came into the restaurant and queued up behind us, she asked for our order. My companion got out half her order before the cashier/manager cut her off and asked me what I wanted.

"Nothing for me, thanks," I said, "I'm paying for her. And I don't think she's done with her order."

The cashier/manager person went back to doing whatever it was with the register tape. With some prompting from me, my companion continued with her order. The cashier/manager continued to ignore her. "I don't think she heard you," I said, loud enough for the cashier/manager to hear. "Say again what you want."

The cashier/manager whispered to me, "We've had problems with her. What can I get for you?"

"Nothing for me. I'm just buying her some dinner," I repeated.

"I want this for here," my companion said.

"You can't have it for here," said the cashier/manager. "You have to have it to go."

"This is discrimination!" said my companion.

"You can wait outside and I will bring it to you," said the cashier/manager. She asked for my name. I told her but then said to put the order under my companion's name, as I had to leave and really, I was buying dinner for this woman. The cashier/manager reluctantly accepted my payment.

To my companion, I said, "I'm really sorry. She says she will bring you your food outside. I can't really do anything else." My companion looked very sad, but then she spotted a newly empty table inside--and happily sat down with her drink and her cookie, awaiting her taco. She gave me a hug, thanked me for helping her out, and declared that I was a godsend.

I looked back over my shoulder as I left to meet up with my friend. As far as I could tell, no one forced this woman outside to wait for her meal. I heard no ranting, raving, yelling, or screaming. I saw no young, well-dressed customer storm out on account of the slightly disheveled, very pregnant woman in their midst.

The whole thing left me with, well, a really bad taste in my mouth. It was clear that this woman had a history with this particular establishment. Perhaps she often begs for food there. Maybe she sits inside and nurses a single can of soda all day when it's cold and rainy, and the owners and the locals think she's an eyesore. Whatever the back story, the cashier/manager was doing her very best to put off a customer. Unless things have changed drastically since my days of food service work in high school, the customer is still the person with the wallet.

As a well-dressed young adult with a wallet, I was no different from the rest of the well-dressed young adults with wallets in the restaurant... except that I wasn't opening my wallet for myself that night. Sure, the staff has the right to refuse service to anyone; but whether I'm buying for myself or for someone in a faded hand-me-down sweater, my seven dollars ought to be as good as anyone else's.

What was that again about the kindess of strangers?



PS:
M., take good care of you and your baby.

Nine Inch Flippers

On the side of a building somewhere between the Lake Merritt and West Oakland BART stations, someone has spray-painted the following exhortation:

GOTHIC DOLPHINS,
NOT BOMBS!

Which leaves Mrs. Gerbil and I to wonder: what, exactly, is a gothic dolphin? Does it intentionally get itself caught in tuna nets?

Meanwhile, at Trinity General...

A man claiming to be Jesus is brought to the emergency room. The triage nurse hands him some carbonless forms and a clipboard and says, "Make sure you press hard with that pen. We need to be able to read all three pages."

The man stares at the forms for a minute, then tears off the first sheet and starts to fill it in.

"Hey!" says the triage nurse. "I thought I told you those are in triplicate!"

"One, three--it doesn't really matter," says the man. "It's all the same thing anyway."

I like pie

A bunch of us were in the Safeway in Mountain View a few weeks ago, looking for items for our Low Maintenance Shabbat dinner. The rules: everything had to be vegetarian, relatively not-disgusting, and needing nothing more than heating. We opted for veggie dogs, cheese curls, and pie a la mode. One of us (not I) was an over-acheiver and, entirely against the rules, made some miso soup from scratch. Apparently we were all craving salt and sugar.

We had a difficult time deciding on a pie. In my opinion, store-bought pies are generally foul. I would like to think of myself as a master baker, but I am also a goody-two-shoes (see above), and so I wasn't about to spend a whole afternoon making a pie from scratch for Low Maintenance Shabbat. Somehow, even with my strong opinions about store-bought pies, I ended up with the job of choosing our pie.

There were so many pies! Oh, so many pies--and all of them generally foul-looking. Then I noticed the best pie of all:

Sugar-free marionberry.

What do they put in there instead of sugar? Crack?

Help wanted

Helping Our Lovely Individuals Eliminate Risk by Teaching Healthier Alternatives Naturally and Touting Happy Opportunities Universally (HOLIERTHANTHOU) is seeking an
ALL-AROUND ROCKSTAR PART-TIME COUNSELOR/ROLE MODEL/EDUCATOR/ADVOCATE/MANAGER/YOUTH OUTREACH SPECIALIST!

Job Description:
The Counselor/Role Model/Educator/Advocate/Manager/Youth Outreach Specialist (CREAMY) is responsible for the design, delivery, and evaluation of HOLIERTHANTHOU's social services program. We offer a wide variety of activities and support to the individuals who need them. The CREAMY is involved in all facets of HOLIERTHANTHOU's work. The CREAMY also provides administrative support to the Executive Director, including (but not limited to) stocking and ordering supplies, photocopying library books, filling lunch and Starbucks orders, and providing childcare for two-year-old triplets.

Compensation:
The position of CREAMY is budgeted for 20 hours per week (FTE $20,000). However, you should expect to work at least 35 hours per week, with anything over 20 hours unpaid. Evenings, weekends, and holidays are required, as is occasional overtime (up to 15 hours per week) and work from your deathbed. Please note that this is an exempt position. Travel (30% of time) is required. We do not reimburse for mileage or parking. The ideal candidate would be just as happy doing this work for free.

Qualifications:
1. Quadri-lingual in English, Spanish, and two of the following languages: Cantonese, Mandarin, Tagalog, American Sign Language, Russian, Vietnamese, Klingon.
2. Master's degree or higher in something vaguely related to social services. Life experience may be substituted for all or part of the education requirement.
3. Valid driver's license, clean DMV record, and reliable hybrid vehicle (preferably blue in color). You must provide a copy of your title and registration with your application. Applicants with Hummers will not be considered.
3. A commitment to HOLIERTHANTHOU's vision of diversity, cultural competency, and respect for everyone who agrees with us. Jaundiced lesbian women with three nipples and a pet iguana are strongly encouraged to apply.
4. A commitment to HOLIERTHANTHOU's commitment to provide quality social services in a committed fashion.

Benefits:
Knowing that you work for the best social service agency in the universe.

Please submit cover letter, resume, transcripts, K-12 report cards, photocopies of vehicle title and registration, photocopy of Red Cross blood donor card (including blood type), and five letters of reference (one of which must be from a previous babysitter) to the Executive Director by 1/31/07.

Playing around

Count me among those wigged out by the "Left Behind" video game. I don't even need to explain why, because others' snarks are more than sufficient.

This morning I read that there will be (or perhaps already is) a video game based on the TV series Lost. I've never seen the show, nor do I like video games in the first place; but I'm not sure it was a good marketing decision to title this new product LOST: THE GAME.

Perhaps what matters really is how you play the game.

Can't we all just get along?

"Cultural competence" is currently quite the topic of interest in mental health services, especially in California. A lot of people here are peeing themselves over making sure that their agencies are "culturally competent." In my never-ending quest for a Better Job, I keep coming across ads that devote more space to the agency's interest in "cultural competency" than to the description of the actual job.

I disagree with the entire concept of "cultural compentency." How do you know when you are "culturally competent"? There is no exam to take, no set of prohibitively expensive workshops to attend, no embossed certificate to hang on your wall. And who gets to decide which "cultures" one must be "competent" in? Most of us aren't even "competent" in our own culture--let alone able to describe exactly our own cultural influences.

"Cultural competency," I think, implies a mysterious package of skills. I would rather be culturally aware. I think it's important to know at least basic things about other cultural groups, especially as may affect therapy. But we should learn from our clients as much as they learn from us. And we must be prepared to be wrong--and accept it when we are.

Once I was the only lesbian on staff and the only Jew, secular or otherwise. So my caseload kept getting padded with lesbians, Jews, and lesbian Jews. I'm not religious at all and was never even a bat mitzvah, so I'm not sure what really qualified me to be Super Jew Therapist. It was our practice to ask clients during their intakes whether they wanted their therapist to have any particular characteristics, such as gender, ethnicity, or sexual orientation. Maybe five percent of my intakes indicated some preference. The rest said, "I don't care. I just want someone who can help me."

Certainly, there are cases where therapist-client matching is a great idea, if not a necessity. A client who speaks little English is probably best served by a therapist who can speak his or her native language. A client who has extreme difficulty trusting white men should probably not be placed with a white male therapist. My move to California was precipitated, in part, by paternalistic heterosexism; and when I became depressed as a result, I specifically sought a lesbian therapist. Though I'd had an excellent straight male therapist in the past, I didn't want a straight man listening this time.

Recently I read a comparison of treatment-related philosophies from the 1970s and today. I think the context was how managed care has shifted psychology's priorities. There was this whole list of factors which were pretty much diametrically opposed, including length of treatment, emphasis on thoughts vs. feelings, and case conceptualization. One of the pairs was "individual differences" (the 70s) and "diversity" (today). At first I was quite confused. How were these mutually exclusive? And then it dawned on me:

Individual differences emphasizes the uniqueness of the individual, rejecting the homogeneity of the group.
Diversity emphasizes the homogeneity of the group, rejecting the uniqueness of the individual.

(And all of a sudden, this interview made a whole lot more sense.)

Racism sucks. Sexism sucks. Homophobia, bi-phobia, and transphobia suck. Anti-Semitism sucks. Ageism (though completely legal under federal law unless you're over 40) sucks. Ableism sucks. Dude, discrimation sucks.

However, it's impossible to talk about "diversity" without endorsing stereotypes. There's nothing inherently bad about stereotypes. What's bad is assuming you know everything about your 10:00 intake... at 9:59.

Rantings of a Luddite philistine

I recently asked Mrs. Gerbil (who has a much better grasp of such things than I) whether performance artists need a cognizant audience. For example, if a performance artist sat at a bus stop in downtown Berkeley and just stared suspiciously at passers-by, I doubt anyone would realize it was performance art.

Put another way: Can you do performance art for the plain old art's sake?

Mrs. Gerbil said that performance art relies on the relationship between the artist and the audience. The audience at least has to know that something out of the ordinary is occurring--and that it's occurring on purpose. Downtown Berkeley is full of people who stare suspiciously at passers-by. Therefore, unless the bus stop performance artist squirted soda water at people wearing red sweaters and just stared at everyone else, it's not a very effective performance.

I don't understand performance art. I think it's very strange, although I also think it's an excellent punch line.

Knock-knock.
Who's there?
Performance artist.
Performance artist who?
Performance artist.
Performance artist who?
Performance artist.
Screw you! Go away!
Performance artist performance artist performance artist PERFORMANCE ARTIST...

The real question, however, is this:

If tree falls on a performance artist in the woods and no one's around to watch, is it still performance art?

In other news, I got a new cell phone last week. The last time I got a new phone, I had to convince the Verizon guy that I did not want a camera phone. Our conversation went something like this:

VG: So how come you don't want a camera phone?
Me: Because I don't need my phone to take pictures. That's why I have a camera.
VG: But you could use your phone to take pictures.
Me: All I want to do with my phone is make and receive calls. I don't need to take pictures with it, I don't need to surf the web, I don't need to send text messages with it.
VG: But if you had a camera phone, then when I called you, you could see a picture of me on your phone and know that I was calling you!
Me: Um, I program in people's names. Because I can read.

This time around, the Verizon guy didn't give me a hard time about not wanting a camera phone. Our conversation, however, was pretty amusing:

VG: So what do you want your phone to do?
Me: Make and receive calls.
VG: That's it?
Me: Yes. That is it. I don't even care about text messaging.
VG: You don't use text messaging????
Me: No. I figure, if someone needs to tell me something, they can call me. If I'm not there, they can leave me a message.
VG: But text messaging is cool!
Me: I turned off text messaging a few years ago because it cost me money to receive messages like "I'm bored." If people are bored, they can call me and tell me about it.
VG: Uh, yeah. I guess you have a point there.

When Mrs. Gerbil found out that I didn't have text messaging, back when we were still living apart, she said, "Oh, that must be why I sent you all those text messages and you never replied!" Which leaves me to wonder:

If a performance artist doesn't know that I don't have text messaging, is it performance art if he tries to text me that a tree is about to fall on him?

I saw the sign

I feel a lot better now that Christmas is over, thanks. Now I just have to get through my birthday (which is this Thursday, hint hint) and then everything should be peachy-keen.

Last week Mrs. Gerbil and I went to Seattle for six days to visit the in-laws. I definitely needed the vacation. Relaxation was just what my mind, body, and snarky soul needed. One day we took the Edmonds-Kingston Ferry, which was great fun until I decided to take a little walk from bow to stern. I felt a little funny while we were still on the water, but I felt a lot funnier once we disembarked. Add this slight seasickness to a fantastic sinus infection, and you get great potential for snark.

I noticed a sign on the ferry which read PLEASE, KEEP OFF LADDER. Mrs. Gerbil and I were impressed by its grammatical correctness--signs don't usually sport commas!--but we were perplexed about the profound lack of ladders in its vicinity.

"It would be even funnier if it ended with 'FOOL,'" I said.

Mrs. Gerbil agreed.

Imagine if "FOOL" was a standard component of signage:

Such blunt advice might help California drivers, at least, behave a little more normally.

War on Christmas

This time of year is really hard for me. Historically, I start getting depressed just before Thanksgiving and stop sometime after my birthday (10 days after Christmas, hint hint). In recent years things have been somewhat worse. It could be that I've already been under stress before the ever-lengthening holiday season and therefore have had a lower tolerance for Enforced Happiness.

Or it could be Enforced Happiness in general. There are exactly two Christmas carols which I actually like--I am a secular Jew, mind you--and these are "God Rest Ye Merry Gentlemen" and "Angels We Have Heard on High." The rest I could do without. Especially in stores; stores are overstimulating enough already! Enforced Happiness also includes advertising of all sorts, including (but not limited to) radio, television, and print ads.

Or it could be this whole "War on Christmas" myth. I do not understand this business. If anyone's trying to remove the meaning of Christmas, it's those who make it into a capitalist orgy. The way I see it, retail workers who wish people happy holidays instead of a merry Christmas are actually preserving the meaning of Christmas. When did Christmas become a reason to spend lots of money? I might be a secular Jew, but I know that Mary and Joseph weren't exactly rolling in dough.

When I was a baby, my parents decided that we should give presents on Christmas. We lived in a very WASPy area, and they didn't want me to feel left out once I began school. Every year we constructed a Christmas bush with branches clipped from our pine trees and a whole bunch of electrical ties. Sometimes my mother would pick up discarded bits of real Christmas trees on her way to work and add them to our bush for extra variety. One year we discovered--the hard way--that I am violently allergic to white pine. As soon as I could open my eyes again, we transferred the ornaments to the ficus. After that incident, we decided to hang the ornaments from the piano instead.

Perhaps I grew up with a skewed version of Christmas. Christmas was something which belonged to other people and which I could dabble in, if I wished, but it was never something I could do for real. Christmas meant shopping and wrapping and stress and you know, I used to love it... except that it was always phenomenally depressing.

So I reserve the right to wish someone happy holidays if they wish me a merry Christmas. Does that make me anti-Christmas? No stranger has ever come up to me on the street and wished me a happy Hanukkah, nor a comfortable fast on Yom Kippur, nor a happy new year in September. But that doesn't bother me. What bothers me is when people get all het up (in Decembers of late) when someone wishes them something other than a merry Christmas.

Does it really matter? If Jimmy the Cashier doesn't wish Mrs. Jones a merry Christmas, is Mrs. Jones doomed to have a terrible time on December 25? Isn't it okay just to acknowledge that there are a whole slew of holidays in December (Christmas, Hanukkah, Ramadan, Kwanzaa, and the winter solstice, to name but a few) and cover all the bases with a generic holiday wish?

If Mrs. Jones needs prompting from Jimmy the Cashier to have a merry Christmas, Mrs. Jones has some serious issues.

I'm glad Christmas comes but once a year.

I do Windows

Last weekend I had the distinct pleasure of reinstalling Windows.

I learned a lot of interesting things during this process. For example:

1) There is such a thing as a Plug and Play Bus Driver. I wish AC Transit had some of those.

2) Microsoft technical support personnel do not appreciate the term "Blue Screen of Death," even though Microsoft offers a screen saver called BlueScreen, whose official description includes the phrase "infamous Blue Screen of Death (BSOD)."

3) Reinstalling Windows does not delete the contents of My Documents, My Music, My Pictures, etc., but it does move all of these folders to a completely inconvenient location. Then it creates completely new folders with the same exact names, leaving you to scratch your head and contemplate the similarities between reinstalling Windows and moving house.

In fact, there are so many interesting things to be learned from Windows that I think all household appliances deserve an operating system.



I can see it now:

It is what it ain't

George Orwell, of course, taught us that

WAR IS PEACE.
FREEDOM IS SLAVERY.
IGNORANCE IS STRENGTH.

Recently, George W. Bush taught us that

"'Stay the course' means keep doing what you're doing... Don't do what you're doing if it's not working -- change. 'Stay the course' also means don't leave before the job is done."



And according to my crossword puzzle this morning, everything else you know is wrong too: