Spam is Spam

Don’t try to advertise your products and services on my blog.

June 30, 2014 Update
I’ve finally gotten around to writing up the site comment policy on a regular page (rather than post) on this site. You can find it here: Comment Policy.

For some reason lately, my blog — and many others, I’ve heard — has been attracting a much larger than usual amount of comment spam. Comment spam — in case you’re not familiar with the term — is an attempt by spammers to incorporate links to products, services, or Web sites they’re trying to promote in the comments on blog posts. Smart bloggers use spam filters like Akismet (which I use) to separate the obvious spam from what might be legitimate comments. Some bloggers let everything that their spam filter doesn’t catch get published to their blog, but I don’t. I review and approve every single comment. This is all laid out in my site’s comment policy.

This site attracts, on average, about 100 spam comments a day. Lately, that number has quadrupled. On another one of my sites, Maria’s Guides, spam has increased tenfold. Apparently, there’s a new spam tool available for spammers. But Akismet has me covered.

Akismet, unfortunately, doesn’t catch all spam. One or two spam comments slip through each day. I dutifully delete them — or, more accurately, mark them as spam so Akismet will recognize them as such in the future — even if they appear to have been manually entered by a real person. (Most comment spam is entered automatically by spamming software.)

What some people don’t seem to understand is that my blog does not exist as a platform for them to advertise their goods and services — especially if those goods and services compete with mine. What can people possibly be thinking if they attempt to advertise their helicopter charter service or computer how-to book on a blog post that talks about my service or book? Do they think that I spend hours every week building a platform for their advertising? I don’t.

Don’t get me wrong: I’m not discouraging comments here. I’m just asking readers to think about their comment before adding it:

  • Is it on topic? Most spam is not.
  • Does it add to the conversation, and thus, to the value of the blog to other readers? A comment written solely to advertise a product or service rarely adds to the conversation. And yes, it is possible to mention and discuss a product or service without it being an advertisement.
  • Does it provide information about products and services that compete with the blog author’s business? You can’t honestly expect a blogger to allow comments that would reduce his or her ability to earn a living.

If the answer to any of these questions is NO, don’t post it. You’re wasting your time since it’ll never appear here.

And here’s a tip: you’re far more likely to have a comment containing product or service information accepted here if you’re a regular commenter.

If your first comment here simply presents information about a product or service, it’s all to obvious to me that your sole purpose for posting it is to spam my blog. Don’t waste your time. It only takes me a second to click the Spam button.

Bank of America Support Chat FAIL

It’s actually quite fun to torture them.

This chat transcript says it all.

Current Transcript of the Chat Session
In this window hotkeys have been activated to allow for quick navigation between the chat transcript and the chat text edit areas. Alt + Arrow Up will set focus on the last text message in the chat transcript and Alt + Arrow Down will set focus on the chat text edit. An audible alert will be played when a chat agent has posted a new response.

Welcome to an online chat session at Bank of America. Please hold while we connect you to the next available Bank of America Online Banking Specialist. Your chat may be monitored and recorded for quality purposes. Your current wait time is approximately 0 minutes. Thank you for your patience.

Thank you for choosing Bank of America. You are now being connected to a Bank of America Online Banking Specialist.

Alfredo: Hello! Thank you for being a valued Bank of America customer! My name is Alfredo. I will be assisting you with your personal accounts today.  

You: Your Web site times out too quickly, requiring me to log in again and again. This is a huge waste of time and very frustrating. How can I adjust the timeout interval?

Alfredo: I certainly understand your concern regarding the Web Site.
Alfredo: May I have your full name and last four digits of the account?

You: It’s not one account. It’s all accounts. And I already entered my full name.

Alfredo: Please provide me the last four digits of one of your account and your full name?

You: I really wish they’d let you people think for yourselves and not read off a script.
You: #### Maria Langer

Alfredo: Thank you, Maria.
Alfredo: Maria, We need this information to verify your account information, It is for the security of your account.
Alfredo: To increase the timeout level I request you to please contact directly to our Online banking department.

You: The question I’m asking has nothing to do with my account. It’s your Web site.

Alfredo: They will be able to do this for you.

You: So you can’t help me.

Alfredo: Yes, I understand you.

You: So you wasted my time, made me provide information you didn’t need.

Alfredo: I really wish I could resolve this for you via chat, however, I really apologize, I do not have necessary tools to do that.

You: Why did you ask for information you didn’t need? You had my question. You could tell immediate that you couldn’t help me.

Alfredo: I request you to call at the number they will assist you with this.

You: Why did you continue a conversation that would go nowhere?
You: And what number? You didn’t provide one.

Alfredo: You can call them at 1.800.933.6262. We are available from 7 a.m. to 10.00 p.m. Monday through Friday and 8 a.m. to 5 p.m. Saturday and Sunday Eastern Time.
Alfredo: “Please be assured that we know your time is valuable. We would not direct you to contact us by telephone unless it were absolutely necessary. I apologize for any inconvenience this may cause you.

You: Why is it that every time your Web site offers to help with a chat, no help is provided?

Alfredo: ”

You: Nice copy and paste, “Alfredo.”

Alfredo: I really wish that I can resolve this for you, However their is a separate department for this.

You: How long do you expect me to be on hold when I call that number?
You: How many buttons will I need to push?
You: Or will I need to talk to a machine and hope it understands me?

Alfredo: I regret but this is not copy and paste I actually wish I can help you with this.

You: Why is it that Bank of America continues to fail so utterly with Customer Service?

Alfredo: You will get an option to talk with a live person.

You: Is your name really Alfredo?

Alfredo: Yes, My name is Alfredo.

You: Where are you based? India?

Alfredo: I wish I could resolve it for you!
Alfredo: Yes, I am in India.

You: Exactly what I thought. This transcript will make good reading on my blog. Anything else you’d like to add?

Alfredo: I really apologize that I was not able to assist you, I hope you understand that.
Alfredo: I wish your issue would be resolved as soon as possible!

You: What I don’t understand is why BofA has a chat support feature that NEVER seems able to provide any assistance.
You: It’s a complete waste of customer time.
You: Yet so is calling them. I know I’ll be on hold for at least 15-20 minutes AFTER entering all kinds of numbers into my phone.
You: Then they’ll just ask me for the same information — like you did.
You: My time isn’t valuable to the bank.

Alfredo: I really apologies that I am not able to assist you this time but it is not like this every time.
Alfredo: Please be assured that we know your time is valuable.
Alfredo: They will be able to resolve this for you.

You: It’s cheaper to hire overseas “support” personnel in India than to employ Americans who can answer questions without reading a script.
You: Are you happy that you’ve taken away a job from an American?
You: That unemployment here is high because people like you have our jobs?
You: And you can’t even do them very well?

Alfredo: I really apologies if you think so.

You: I really think you should let your supervisor read the transcript for this chat.
You: Maybe someone will understand the frustration of BofA customers in America.
You: Maybe someone will get the idea that we don’t want to participate in time-wasting chats when all we need is someone to pick up the freaking phone and talk to us.

Alfredo: I will provide this chat transcript to my supervisor.

You: I’ll be posting this transcript on my blog. My readers will love it.
You: Anything else you want to say?

Alfredo: I request you to call at the number and they will be able to resolve the issue for you.

You: Sure, I’ll do that.

Alfredo: i apologize that you are not satisfied with our service.
Alfredo: I apologize for the inconvenience caused to you by this.

You: It’s not your fault. You’re just doing one of our jobs. We could do it better.

Alfredo: I hope you understand that it is not me to do so.
Alfredo: I regret I was not able to resolve the issue for you.

You: Well, I’ve wasted enough time with you. Now I’ll waste some on the phone. You’re free to go.

When it became apparent that he would never end the chat, I did.

I need to be clear about something here: I have no problem with Indian people. I do, however, have a problem with companies like Bank of America sending support jobs overseas to places like India just to save money. (I also have a problem with pop-up chat support offers that waste time, but we won’t go there.) This kind of policy has fed our unemployment problem.

My sister, who was in banking at CitiGroup, was a victim of this twice in the span of three years when her job was sent to India. The first time, CitiGroup found another job for her; the second time, they didn’t and she was unemployed for six months. She’s underemployed now after losing another banking job to the financial crisis two years ago.

If all the jobs we sent to India and Pakistan and god knows where else were to come back to the United States, we would have no unemployment problem and no financial crisis. We’d have no deficit, either, because all these people would be earning money, spending money, and paying taxes.

Instead, we have a crisis fed, in part, by big business maximizing profits by sending American jobs overseas.

What’s even worse, however, is the quality of the work done by these people. They often have little understanding of our language and rely on computer scripts to answer questions. The above transcript makes this very clear. My initial question could have been answered in seconds by someone familiar with the language and not required to follow a script. (I almost always get better customer service on the phone when the customer service representative is US-based. I say almost because sometimes even the Americans in the job aren’t very good; it depends on how strictly they’re required to follow a script.)

So, as a result of practices like Bank of America’s we get inferior customer service and fewer jobs for Americans.

Who wins?

My Las Vegas Weekend

Something I’d prefer not to repeat any time soon.

If you follow me on Twitter or read this blog regularly, you know that I spent last weekend in Las Vegas doing a multi-day charter flight for two women from Prescott. The job was to fly them by helicopter to Vegas, where they’d spend two nights as part of a family get-together, and then take them home on Sunday afternoon. It was just the kind of gig a pilot looks forward to: an all expense paid weekend in Las Vegas. As an added bonus: the weather would be perfect.

Our Route

Our route to and from Las Vegas, as recorded by my Spot personal tracking device.

I picked them up at Prescott Airport (PRC) on Friday afternoon. My passengers were great people, although they seem to have packed enough luggage for two weeks instead of two days. (Honestly, how many changes of clothes does a person need in less than 48 hours?) I took off from Prescott at about 3:15 PM and made a beeline for the Hoover Dam 140 nautical miles away. My goal was to be on the ground in Las Vegas before dark.

Strike 1: Fuel Pump Failure

We were about 60 NM short of the dam, not far from Hackberry, AZ on old Route 66, when the Aux Fuel warning light illuminated. I remember thinking to myself: Oh no, not again. I checked the circuit breaker for the pump and sure enough, it had popped out. I pushed it back in. It popped right back out. So there I was, in the middle of nowhere, with an auxiliary fuel pump failure.

As I’ve written elsewhere in this blog, the auxiliary fuel pump is a redundant piece of equipment on a Robinson R44 helicopter. Although it’s required for operation on launch — in other words, I can’t legally take off if it isn’t working — it doesn’t do anything in flight except wait around for the engine-driven fuel pump to fail. Fortunately, that fuel pump is apparently much better designed and built because it doesn’t seem to fail at all. This particular auxiliary fuel pump was the third one that had failed on my helicopter since it was new 5 years (about 1100 hours) before.

As a pilot, I had a decision to make. I could:

  • Hackberry

    We were right about here when the auxiliary fuel pump failed. That group of buildings on the right is Hackberry.

    Land there in the middle of nowhere where it would be extremely difficult to get help. Not only would this ruin my passengers’ weekend by delaying them at least 5 hours, but it would be extremely costly for me to get them (and me) transportation anywhere else. This was something I considered for only a moment. The helicopter was running fine and the emergency procedure says land as soon as practical. Hackberry, AZ was not a practical place to land.

  • Detour to Kingman. Kingman, AZ was about 12 NM southwest. It was marginally better than Hackberry and the same arguments against it apply. But given a choice between Hackberry or Kingman, I would have gone to Kingman.
  • Return to base. The Robinson guy I spoke to yesterday said that on an auxiliary fuel pump failure I should go back to base, but since I was much closer to my destination than base (Deer Valley Airport in Phoenix), going back to base seemed pretty silly. Frankly, I didn’t even consider it.
  • Continue the flight to Las Vegas. This seemed to make the most sense. Again, the helicopter was flying fine. There were several small communities and one or two small airports along the way. If I started experiencing any problems, I could set down there.

I chose the last option.

Again, everything was running smoothly so I wasn’t really worried. Just a little more alert than usual, listening hard for an engine hiccup that might indicate a fuel flow problem.

Problem-Solving

As we flew, the back of my mind worked on the problem I now had to deal with: getting the pump replaced before 1 PM on Sunday. It was actually a two-part problem:

  • Getting a fuel pump. The last time the pump had failed, I’d tried unsuccessfully to find a replacement locally. The Robinson Helicopter Company had them in stock, but they’d shortly be closed for the weekend and I’d missed their shipping window anyway.
  • Finding a mechanic to install the fuel pump. The last time I’d had mechanical problems in Las Vegas, Silver State Helicopters had still been in business there. Their mechanic had come to McCarren and made a ramp repair. But Silver State was gone and I had no connections in Vegas for repairs. Especially on a weekend.

Understand that if I didn’t get it fixed by midday Sunday, I’d have to:

  • Provide alternative transportation for my clients back to Prescott. That meant two plane tickets from Las Vegas to Phoenix followed by a 160-mile round trip car service ride.
  • Refund at least part of the money my clients had paid me to fly them up to Vegas or provide them with a 2-hour flight somewhere else in the future.
  • Spend additional time in Las Vegas, incurring more costs while I remained unproductive.

That would cost more than a repair — and I’d still need the repair.

Hoover Dam and Bridge

One of my favorite photos from our Prescott to Las Vegas flight on Friday.

The answer came to me not long after crossing over the Hoover Dam and its new bridge. My Seattle mechanic had made a “hangar call” in Phoenix for another one of his customers in October. Maybe he’d come to Vegas. And since he had a bunch of R44s, if he didn’t have the pump on a shelf, he could pull one out of a helicopter temporarily as a loaner. It seemed like a good bet. After all, who would turn down a free trip to Vegas?

Luxor and Excalibur

Only in Las Vegas can a pilot fly between a glass pyramid and a garishly painted medieval castle.

My route took us up the west shore of Lake Mead to Lake Las Vegas, then west into the sinking sun toward the Stratosphere. We crossed over the Strip as tourists in the tower beside us took photos of us, then headed south along I-15 on the west side of the Strip. I turned base leg between Luxor’s pyramid and Excalibur’s medieval castle, then came in for landing on the Atlantic Aviation ramp on the northwest corner of McCarren Airport (LAS).

While my passengers visited the ladies room in the FBO, I was on the phone with Rich, my mechanic. Within 10 minutes, we had a solution. He’d fly to Vegas that weekend and replace the pump.

While this seems like a happy ending, it would also be an expensive one. I’d have to cover Rich’s round trip airfare to Vegas — with tickets bought at the last minute — and pay a weekend labor rate about three times his normal rate that would also apply to the four hours of travel time. And the pump would cost another $1,600. Plus, in order to facilitate transportation for Rich and any needs he might have, I rented a car at the FBO for $85/day. My free trip to Vegas had suddenly become very expensive.

Strike 2: Rio “All Suites” Hotel

My reservations were at the Rio, an off-the-strip hotel that markets itself as having all suites. I wanted to be comfortable for my stay, so I’d looked into it. Vegas is hurting in this economy and deals are everywhere. I got an upgraded “Strip-view suite” for $80/night.

They put me on the 23rd floor of the tower. I looked out the window, expecting to see the Strip. I didn’t. I called the desk. After speaking with three different people, they agreed that my room was not Strip-view. Since I’d paid for Strip view, they moved me to a room on the 26th floor. They’d send a bellman up with my new keys.

Rio View

The view from my room around sunset. Okay, so it doesn’t suck, but it isn’t what I expected, either.

I waited 30 minutes for the bellman. When I got to my new room, I found that it was on the same side of the hotel. But because the hotel was curved, it had a partial view of the Strip. That’s the best they were willing to do.

As far as the “suite” part of the room’s description goes, the folks at the Rio obviously have a different idea of what a suite is. To me, a suite is either two rooms or one room with a divider between living and sleeping areas. Embassy Suites has suites. What I had at the Rio was a big room with a bed, sofa, desk, and TV that faced neither the bed nor the sofa. It was not, by any stretch of my imagination, a suite.

There was nothing very appealing about the room at all. It was rather run down, although the bed was comfortable and there were plenty of pillows. The business part of the bathroom — shower and toilet — was small, although the outer area was quite large. The climate control system clanked every time it kicked on, so I left it turned off at night so I could sleep.

I won’t be staying at the Rio again and I don’t recommend it to anyone.

My advice to anyone who wants a nice room in Las Vegas: stay in a hotel less than 5 years old — there are plenty to choose from — on the Strip.

Strike 3: Buffet Dinner

I was meeting friends who were in Vegas for National Finals Rodeo (NFR), which was finishing up on Saturday. I’d invited them to join me for dinner. To compromise on our food choices, I picked the Rio’s buffet, which I’d heard was very good.

As usual with Las Vegas and so many American things, quantity seems more valued than quality. Yes, the buffet had over 300 items to choose from. But none of them were outstanding. In fact, unless you like to stuff yourself with mediocre food — which I don’t — it was a huge disappointment.

But they did have a good bread pudding for desert, and my friends seemed happy enough. Still, I won’t be eating there again.

Hit 1: Sleep

I slept remarkably well. Although the room was right next to the elevators and vending area, it was quiet. There was a bit of noise when my next door neighbors came in — the room had a connecting door — but they got quiet pretty quickly. And, thankfully, I didn’t have to listen to them having sex.

I did wake for the day at 4 AM, but that was to be expected. I was on Arizona time, and I usually wake around 5 AM there. I got a blog post written and posted using Bluetooth tethering on my BlackBerry to access the Internet, then showered and started my day.

Hit 2: Walking/Shopping Las Vegas

I am not a gambler. I don’t see the point. To me, the people parked on stools in front of slot machines like zombies are missing out on the finer points of life. The people at gaming tables are at least getting some social interaction — but at what cost?

Las Vegas is one of the freakishly weird places on earth and there’s nothing more interesting to me than to explore it on foot.

So after visiting my friends at the Cowboy Christmas market they were participating in at the Hilton’s convention center, I headed over to the Las Vegas Fashion Mall on the Strip. I got a great parking spot under the mall and went up on a mission: Buy a Verizon MiFi.

You see, back when I bought my iPad, I made a conscious decision to go with the WiFi only version. I was already paying for Internet three ways and couldn’t see adding a fourth. Besides — silly me — I thought Apple might enable Bluetooth tethering, like I could use with my MacBook Pro and Verizon BlackBerry Storm.

Two things happened:

  • Outrageous WiFi Price

    Yes, the Las Vegas Convention Center wanted $99 a day to access their WiFi.

    I started traveling with my iPad only. Without my MacBook Pro, I couldn’t set up an Airport Network to share my Internet connection with my iPad. If WiFi wasn’t available, I couldn’t use Internet features on my iPad. And I was certainly not going to spend $9 to $99 a day to access the Internet at a hotel without free WiFi. (I’m addicted, but not that badly.)

  • I began using Square. Square is this great system for accepting payment by credit card. It requires an iOS or Android device. I use it on my iPad. Problem: it requires Internet access. No WiFi, no chargie.

I’m due for a new phone after December 23. I’d already decided to buy an Android phone — probably the Motorola Droid 2 — so it would work with Square. I’d done extensive price calculations to see which would be better: using the phone as a hotspot (it has that capability) or getting a MiFi. The cost was about equal, but having the MiFi would give me greater flexibility in that I’d get more bandwidth for less money and the additional bandwidth cost was cheaper. Plus, as I later learned, I’d be able to continue using the Internet while I was on the phone.

MiFi

Smaller than a pack of cards, this MiFi will connect me to the Internet just about anywhere I go.

Verizon has a special deal on the MiFi 2200 right now. The device is free with a 2 year plan. I decided to go for it and that’s why I went to the mall.

I found a Verizon kiosk, picked the brains of the very knowledgable and friendly but not pushy sales guy, and signed up. I walked out with a MiFi, stowed it in the car, and went out the mall’s main entrance on foot to explore that area of the strip.

Fashion Mall

The front of the Fashion Mall from the overpass at the Wynn across the street.

I crossed over to Wynn, where I had lunch in Red 8, a Chinese restaurant. I’ve been really hungry for good Chinese food lately — there isn’t any in Arizona — and had a bunch of it in Las Vegas.

Venetian Canal

Yes, this is completely indoors. Why have a real sky when you can have a prettier fake one?

From there, I walked down the strip past the new (to me) Palazzo and into the Venetian’s indoor shopping mall. The Venetian was built in the tail end of the wacky phase that demanded rides in every hotel and, because of this, it has an indoor “canal” with gondola rides. I bought a very unsatisfactory tiramisu in a “bakery” and wandered back out onto the strip.

I got about as far as Harrah’s when I started feeling hot and tired and figured it was time to head back. So I crossed the street and walked along the strip past the Mirage and Treasure Island. They were doing work on the sidewalk there and they detoured all traffic into the casino (how convenient), but I found the walkway over the road to the mall. I wandered up to the Apple Store to see what kind of iPad cases they have — I’m actually looking for a purse-like case — and then wandered out empty-handed. Three hours after I’d started my walk, I was back in my rental car, exhausted.

Hit 3: Dinner at the Burger Bar

During my walk, I’d decided to cheer myself up from my helicopter maintenance woes by going to a show. I’d heard a lot about Chris Angel as the big up-and-coming magician. He had a show at the Luxor that was somehow connected to Circue du Soleil. I called and, as a party of one, got a third-row seat to see the 7:00 PM show.

So after taking a nap and configuring my new MiFi, I headed out to the Luxor to pick up my tickets and grab a bite to eat before the show. I wound up in the Burger Bar, which is on the overpass between Luxor and Mandalay Bay. I’ve eaten there before. It’s basically a pricey burger joint, but it’s easy and there’s aways a seat at the bar.

I wound up sitting beside a woman in her early 30s who was also alone. Only moments after I arrived, she struck up a conversation. Within minutes, we were chatting like old friends. She was from a small border town in Canada and was on exactly the same page as I was regarding politics and the role of religion in society. She was an outdoorsy person who was out of place in the zaniness of Las Vegas, but was determined to explore it. She’d read about the Burger Bar in a tour book and had asked her friends to join her there for dinner. But they’d rather shop so she’d hopped on a bus from Planet Hollywood (up the strip) and had made the trek alone.

It’s always interesting to me to see how people from other countries similar to the United States think of us. At one point, we were discussing the tax situation in the United States and she said, “I can’t believe you people want tax cuts when you have such a huge deficit and you don’t even have universal healthcare yet.”

I consider that meal a high point of my weekend. It wasn’t the food — I had the sliders and they were pretty good but nothing special — it was the conversation. It’s always great to meet someone who has the same basic ideas you have. Just when I think I must be nuts because of what everyone else is thinking and doing, I meet someone who thinks the same way I do. It confirms that I’m not nuts after all.

Strike 4: Chris Angel Believe

I’ll start by saying this: Do not waste your money on this show.

Believe

Interesting that the letters LIE should be bold in the logo. The show’s description was certainly a lie.

Chris Angel has built a show to stroke his ego and feed his narcissism. A big video screen shows photos and videos of Chris in action throughout his life at various points in the show. (Apparently, I’d come to watch TV.) His comedic sidekicks shared immature bathroom joke humor that served primarily to get cheap laughs and stretch out the show’s length to 90 minutes.

Every once in a while, Chris would do a magic trick. Most tricks were some version of the transposition illusion, where Chris and an assistant or sidekick exchange places using a teleportation illusion. I think he did at least five of these and, after the third one, I felt like saying, Okay, I get it. You can switch places with someone. Let’s move on.

He also escaped from a straight jacket while hanging upside down — a trick my cousin was doing when he was in his teens.

He apparently swallowed razor blades and string and pulled the string out with the razor blades tied to it. Teller of Penn and Teller does the same trick with sewing needles and is a lot more entertaining as he does it.

He put on a big, bulky stage coat and then proceeded to produce birds. (Gee, where did they come from?)

He cut an assistant in half in a relatively gory version of the usual trick.

He defied gravity, but in each instance, it was pretty easy to see an assistant releasing the invisible wires attached to his back. In fact, I’m not even sure if we were supposed to be impressed by that; it was pretty transparent.

There were other tricks, too, but not enough to fill 90 minutes — hence the chatty fill and stupid jokes. Every break in the action seemed to be an opportunity for Chris Angel to brag about himself or promote his TV show or products for sale in the gift shop. It was probably this aspect of the show that turned me off so much. I think that if he’d had a more likable personality and wasn’t so damn full of himself, I could be more forgiving of his performance. But to brag about how great you are and then deliver such a mediocre performance was unforgivable.

When the show ended, it did so abruptly, leaving the audience wondering if it was really over.

I cannot believe how much money I spent on this show and how absolutely ripped off I felt when it was done. I would have better spent the same amount of money feeding into slot machines. At least I would have seen something different at every spin.

Oddly enough, my passengers saw the next show that night — the 1,000th performance. They were equally disappointed. I’m really surprised that this show was so well attended. In my opinion, it sucked.

Strike 5: Stomach Problems

Despite the fact that two doctors have told me that there’s nothing seriously wrong with my stomach, I was up in the middle of the night with severe acid reflux and nausea. I had no medicine — not even Tums or Rolaids — to take. I prepared the bathroom for the expected second act where I’d lose those tasty sliders and fries, then went back to bed. Propping myself up on all the pillows so I was nearly sitting up really helped. I was even able to get back to sleep without losing my dinner.

From now on, I travel with Tums.

Hit 4: Rich to the Rescue

On the Ramp

Parked on the ramp at LAS. The 747 behind me is a private jet belonging to the owner of the Venetian.

My mechanic, Rich, arrived at LAS on time at 8:20 AM on Sunday with a remarkably small duffle bag. I picked him up at the main terminal and drove him over to the Atlantic Aviation terminal. The drove us out to the far reaches of the ramp, where they’d had me parked. Rich got right to work. Within minutes, the side panel was off and he was pulling the old pump. Once the new pump was in, we ran it to check for leaks. Then I ran up the helicopter while he slid underneath to make sure everything was okay.

By 9:30 AM, we were walking back to the terminal. He decided to try to catch an earlier flight back, so I drove him around to the main terminal and let him off. Mission accomplished.

I’ll get the bill in the mail.

Strike 6: The $8.54 Smoothie

I had 3 hours to kill before departure time. I decided to kill it at Mandalay Bay, which has a bunch of really great restaurants. It was too early for lunch, so I figured I’d pick up a smoothie, which would help keep my stomach settled. All I’d had to eat that day was a cup of green tea and half a toasted bagel with cream cheese.

There was a yogurt place on the north side of the casino that had make-your-own smoothies. You’d fill up a cup with your choice of frozen yogurt flavors and some fresh fruit, then hand it off to the girl behind the counter. She’d toss it in a blender with some 2% milk.

It wasn’t until after my mix was in the blender that I was told it would cost $8.54. Ouch. Well, at least it was tasty.

Hit 5: Lunch at the Noodle Shop

I went for Chinese food for lunch again. This time, I had congee, which is a Chinese rice gruel. It sounds gross and most American folks probably would think it is. But I like it.

Back in the 1980s, when I worked for the City of New York, my partner was Chinese, originally from Hong Kong. On payday, after picking up our checks at the our office in the Municipal Building, we’d head over to Chinatown for lunch. She’d take me to the restaurants where the Chinese people ate. I’d be the only Caucasian in the place. She’d order in Chinese and I’d eat whatever she ordered for me. I think that at first she was trying to see what I’d eat. She soon learned that I’d eat anything. Congee at Big Wong was one of our favorites; she’d order it with tripe sometimes or with little meatballs made of god-knows-what.

At the Noodle Shop in Mandalay Bay, I had congee with abalone and chicken. I’d never had abalone before and I figured it was worth a try. It was good, but not worth the extra money. I would have been just as happy with pork. But at least I know what abalone is like now.

Return Flight

I got back to the helicopter at 12:30 PM and preflighted it. I settled my bill at the Atlantic desk for fuel, parking, and “security” fee. I then went into the pilot lounge to wait for my passengers. They had WiFi there and I spent some time Tweeting and Facebooking. My passengers showed up right on time at 1:30 PM and we got a lift out to the helicopter.

West of Vegas

Bummer. They made me fly up the west side of I-15 instead of up the Strip.

On departure, I asked to fly up the Strip but was told I couldn’t. I have a feeling security concerns have made that off-limits to pilots now. (I was able to do it about two years ago for my husband and his mom.) Instead, I was allowed to fly up the west side of I-15 as two tour helicopters came down the east side. Disappointing, mostly because I couldn’t give my passengers the Strip tour I’d hoped to — and I couldn’t get the incredible pictures I’d expected to get from the helicopter’s nose cam.

Bagdad Mine

The relatively small open pit copper mine at Bagdad, AZ.

After retracing my route back to Hoover Dam, we followed the Colorado River south, past Lake Mohave, Laughlin, and Topock Gorge. At the north end of Havasu City, I turned east and beelined it for Bagdad. We flew over the mine and could see Granite Mountain just northwest of Prescott in the distance. We set down at the FBO in Prescott at 4:45 PM local time. My passengers thanked me as I walked them into the FBO. We talked about other flights. Then they left.

After fueling up and visiting the ladies room, I climbed back on board and headed back to Phoenix. I landed about 15 minutes after sunset, exhausted and glad to be back.

I’m in no hurry to go back to Las Vegas.

A Day in the Life of a Part 135 Charter Pilot

An illustrated journal for Friday, December 10, 2010.

On December 10, 2010, I took two passengers on a flight from Prescott, AZ to Las Vegas, NV in my 2005 Robinson R44 Raven II helicopter. This is a journal of that day’s events.

4:45 AM
Awake, thinking about the asshole doctor I visited yesterday. I’m angry — too angry to get back to sleep. I decide to blog my anger and frustration.

6:12 AM
Blog entry done, published, proof-read, and corrected. I make a very large cup of half-caf coffee, add 3/4 teaspoon of sugar and about an ounce of 2% milk. I go back to my computer to catch up on Twitter and Facebook.

6:31 AM
Mike (my husband) is awake, doing things in bathroom. Shower starts running. I turn to the computer to check weather for the day’s flights from Phoenix (DVT) to Prescott (PRC) and then on to Las Vegas (LAS) with two paying passengers for the weekend. But instead of checking the weather, i get distracted by e-mail and waste some time with that. I finish packing and hop into the shower when Mike is done.

7:03 AM
Although I only drank half of my first cup of coffee, I brew another cup. Mike is having breakfast at the dining room table with his laptop. He has a big meeting in the afternoon and is likely preparing. I give Alex the Bird (my parrot) his breakfast of scrambled eggs. Our roommate, Matt, takes care of his breakfast things and leaves for the day.

7:15 AM
I fix up my hair and face to the best of my limited abilities and stow a few final things in my weekend bag. I clean up Alex’s cage and give him fresh food and water for the day. Mike is still working on his computer when I fetch a few things from his truck to pack into the plastic trunk in the bedroom. He’ll bring the trunk back to our house in Wickenburg later in the day when he goes home for the weekend.

7:48 AM
iChartReady to go, I wait for Mike, who is only half dressed and still working on his laptop. I pull out my iPad and check the weather for Las Vegas. Later, when I’m waiting for my passengers at Prescott, I’ll check official weather with Duats and file a flight plan, which is required for my Part 135 operation. I waste some more time playing with iChart, a pilot chart app. The previous evening, I’d downloaded sectionals and terminal area charts for Phoenix, Los Angeles, Las Vegas, and more.

8:12 AM
Mike and I head out in Mike’s car. It’s a 25-minute drive in the HOV lane to Phoenix Deer Valley Airport where my helicopter is parked for the night. Mike drops me off and says goodbye.

8:37 AM
After dropping off a tray of holiday cookies at the Atlantic Aviation desk and chatting with Tiffany, who is on duty there, I wheel my weekend bag out to the helicopter in the big south hangar. It’s in good company, surrounded by Pilatus airplanes, a handful of small jets, another R44 helicopter, a Cessna, and the prettiest DeHaviland Beaver on wheels that I ever did see.

In the Hangar

I stow the bag on the seat behind mine and check my map pocket. Sure enough, my Las Vegas sectional chart is expired. I’ll need a new one, along with a Las Vegas TAC, to be legal for my Part 135 flight.

8:46 AM
I settle down for breakfast at the airport restaurant, where I order an iced tea and a gyro omelet with cottage cheese instead of potatoes. Around me, pilots and students come and go. The omelet is a bit greasy but delicious.

9:17 AM
I head into the pilot shop and buy Las Vegas sectional and terminal area charts to make me legal for my Part 135 flight to Las Vegas later in the day. Then I head back to the Atlantic FBO, say goodbye to Tiffany, and head out to the helicopter, which has been pulled out of the hangar for me. As I start my preflight, a fuel truck pulls up and tops off both fuel tanks.

9:52 AM
I finish prepping the helicopter for the flight, stowing my weekend bag under the seat behind mine. My passengers’ luggage will go atop that seat, secured with the seatbelt and bungee cords. I set up my GoPro Hero camera and iPod. I stow a bunch of gear I don’t need in a locker back in the hangar. I make a quick stop in the ladies room there before returning to the helicopter.

10:14 AM
After one last walk-around, I start the helicopter and begin warming up the engine. I turn on my SPOT personal tracker and enable the breadcrumb tracking feature. I listen to the ATIS; winds are calm. I tune the radio to the south tower frequency with the north tower frequency in standby. I complete the startup process, make my radio call to the tower, and on receiving my clearance, begin a steep climbing turn to the west and then south. I’ll climb in a 270 degree turn to 500 feet over the ground before crossing both runways and departing to the north.

Crossing Over DVT

10:25 AM
AnthemI make a radio call on the practice area frequency as I fly over Anthem, a master-planned community north of Phoenix, and then leave the urban sprawl behind me. Ahead of me are rolling hills climbing into the high desert. I fly over the freeway toward Prescott, passing over a handful of scattered homes and dirt roads. Somewhere along the way, I realize that changing the battery in my Garmin 420 GPS has erased my custom settings; I make some display changes on the map page. I tune my main radio to the Prescott tower frequency and tune the radio on my GPS to the Prescott ATIS frequency.

10:48 AM
I round the corner of some low mountains and Prescott Valley comes into view. I listen to the Prescott ATIS. Winds are calm, runways 21 in use. I hear several other helicopters in the area, all calling in to Prescott tower. I key my mike and make my radio call, requesting landing at Legend Aviation. I’m given a squawk code and told to make my approach to runway 30 and call 2 miles out.

10:51 AM
I pass the first of two herds of antelope. The second comes only moments later.

Antelope

I see the runway and line up. I’m 2-1/2 miles out when the tower asks where I am. I’m told to continue, then told to land and hold short on the numbers 30.

10:54 AM
The Numbers of 30I come into a hover over the numbers 30 on runway 30. I’m told to switch to a ground frequency — something that very seldom happens — and I get sloppy with my 3-foot hover while using my left hand to tune in the frequency. I call in and get progressive taxi instructions to the Legend ramp. I land in a t-spot, glad that they use chains instead of ropes to tie down the planes. I shut down and send an OK signal from SPOT to Mike.

11:05 AM
After placing a fuel order, I take the FBO’s crew car (a Toyota Camry) to the mall where I have an eye doctor’s appointment.

12:30 PM
I return to the FBO and settle down in the pilot lounge. I copy the photos off my Hero camera to my laptop and put the camera on its charger. I use the Internet to check weather. I send a few photos from my flight to Twitter via Nambu client software — both Twitter and Facebook sites are blocked by the free wifi. I snack on some cookies from my purse. I use Duats to check the weather and file a flight plan, which is required by the FAA for my Part 135 flight. I have already completed my weight and balance calculations for the flight, which I am required to carry on board. I relax.

2:00 PM
I take the Hero camera off the charger and mount it on the helicopter again. I make a cheat sheet of frequencies for the flight. I relax.

2:45 PM
I pack up my laptop and power cords and stow my luggage under the seat again. I preflight the helicopter. I return to the FBO lounge to wait for my passengers.

2:50 PM
My client calls the FBO for directions.

3:03 PM
My clients arrive: two women with two very large — but not particularly heavy — wheelie bags. I immediately wonder whether the bags will fit in the helicopter. A few minutes later, I’m stuffing them onboard, atop the seat behind mine, while the two clients chatter nonstop about how cool the helicopter is and take pictures from every angle. The two bags barely fit. I strap the bigger one in with the seatbelt and use a bungee cord to secure the smaller one to it.

3:15 PM
Safety briefing completed, passengers loaded onboard and belted in. After a final walk-around, I climb onboard and start the engine. My passengers have already donned their headsets and are talking to each other. I turn on the SPOT unit and enable tracking. I listen to the ATIS. I finish the startup process and keynote mike to talk to ground. I’m told to taxi and hold short of taxiway Delta, then switch to tower. Tower tells me to hold, so I maintain a three foot hover over the entrance to the ramp. For five minutes. We’re facing into the sun and it’s getting hot in the cabin. Departing PrescottTower finally tells me to depart along taxiway Delta (parallel to runway 21L) and maintain taxiway heading. Then switch to the other tower frequency. That controller finally clears me to turn on course. I turn right heading 295 degrees, which will take me directly to the Hoover Dam 160 miles away. Controller asks what altitude I want and I tell him 500 AGL.

3:30 PM
NW of PrescottClear of Prescott airspace, I turn into the FSS frequency and activate my flight plan. Passengers are happily chatting away about the places we’re flying over. I answer questions when asked. Terrain is high desert hills with piñon and juniper pine. Some evidence of lava flows along basalt cliffs. We climb to 6,500 feet to clear small mountain ranges. There are no paved roads, no buildings, no vehicles. Only scattered cattle ponds and the occasional handful of cows.

3:59 PM
I-40We cross I-40 just east of the junction of state route 93, far to the east of we cross a few more mountains, then drop into a Valley inexplicably marked on the charts as Cottonwood Cliffs. (What cliffs?) We’re still heading roughly 295 degrees. There are scattered homes beneath us now.

4:07 PM
We are just passing near Hackberry, AZ (northeast of Kingman) when the Aux Fuel warning light illuminates. The circuit breaker has popped. I attempt to reset the breaker but it pops again. I explain to my passengers what this means — am am very familiar with it, having replaced two fuel pumps in the five years I’ve owned the aircraft — the auxiliary fuel pump is a redundant system. It’s a problem that it has stopped working, but it does not require immediate landing. They’re not worried but I am. I have to figure out how to get the damn thing replaced before our return flight on Sunday afternoon. We are about 45 minutes from our destination.

4:21 PM
NothingWe near the area where the tour pilots fly between Boulder Airport and Grand Canyon West, so I tune into their frequency to monitor communications. Lots of chatter using landmarks and reporting points I don’t know. The only comforting information is their altitudes: higher than mine. The desert flattens out with scattered communities. We overfly two paved roads.

4:35 PM
Route 93We cross over the road to Temple Bar and pick up state route 93 as it snakes into the hills. The pair of two-lane roads looks freshly paved. At the turnoff to Willow Beach, I veer off the main road to the west. We catch a glimpse of the Colorado River as we head toward the dam.

4:43 PM
We overfly the new bridge just downstream from the Hoover Dam and the the dam itself.

Hoover Dam and Bridge

After making a radio call, tour pilots suggest we climb another 400 feet to avoid tour traffic; makes sense in rising terrain. Past the dam, we descend and fly up the west shore of Lake Mead toward Lake Las Vegas.

4:50 PM
Vegas SmogListening to the Las Vegas ATIS, I learn that the helicopter frequency is in operation. I call the tower and request inbound heading to Stratosphere, then turn for landing at Atlantic ramp. I receive a squawk code and clearance to do as requested. Ahead of us, a thick blanket of white smog covers the Las Vegas skyline. The Stratosphere tower, rising 1,149 feet above the Strip, is barely visible in the haze.

4:57 PM
We cross the strip just south of the Stratosphere. Tourists on top of the tower are snapping photos at us as we pass below them; I see their cameras flash. The sun is low on the horizon. I turn south along I-15 toward the airport. I’m cleared to land — at my own risk — at the Atlantic ramp. I turn “base leg” between Luxor’s pyramid and Excalibur’s medieval castle.

Turning Base

I land on the ramp between two jets. A tug with two linemen wave me to follow them so I life off and return back down the ramp to the usual exile parking reserved for helicopters. I shut down and send Mike an OK signal with SPOT.

5:15 PM
We pull all the luggage out if the helicopter, I unmount the Hero camera, and I tie down the helicopter’s blades. I close my flight plan by phone. We let the two line guys drive us back to the FBO in a long golf car. Inside, my passengers use the ladies room while I arrange for overnight parking with the FBO desk. I tell them I’d likely be doing some repairs on the ramp. (This isn’t the first time I had mechanical problems in Las Vegas.) Then I call my Seattle mechanic and explain the fuel pump problem. He reminds me that the fuel pump, which was replaced less than a year ago, is still under warranty. I remind him that I have two passengers that I need to get back to Prescott, AZ on Sunday afternoon. He says he has a pump and agrees to fly it down to Las Vegas on Saturday or Sunday and will call me with details when he has them. I call Mike and leave a voicemail message. I call a friend I’m supposed to meet for dinner and she tells me she’ll meet me at her hotel after 5 PM.

4:20 PM PST
I realize that I’m in a different time zone and reset my watch. There’s a 40-minute wait for the hotel shuttle. I rent a car: a RAV 4 that will cost me $85/day — about the same as my hotel room. I figure that it will get my passengers to their hotel promptly and make it easier for me to transport my mechanic from the commercial aviation side of LAS to the general aviation side and back. I hope he’s done by Saturday afternoon so I can drop it off a day early and save some money.

4:32 PM PST
I drop my passengers and their luggage off at the Luxor Hotel, where they are staying. They tell me they’ll meet me at Atlantic Aviation at 1 PM on Sunday. The repair clock officially starts ticking.

4:47 PM PST
After many wrong turns on back roads, I find my way to the Rio, where I am staying. I leave the car with the valet and take my luggage inside. There’s a short line for registration. I check in, get my room key, and go to my room on the 23rd floor of the main tower. It’s the wrong kind of room. I call the desk and get reassigned to a room on the 26th floor. I wait 30 minutes for a bellman to bring the key, getting crankier every moment.

5:20 PM PST
I get into my hotel room, disappointed. The Rio’s idea of a “suite” does not match mine: it’s nothing more than a good-sized hotel room with a large dressing area. I unpack and set up my laptop. Internet access will cost $13.95 per day, so I use my cell phone to connect to the Internet to check mail. I begin looking at photos snapped by the Hero camera. Some of them are pretty good.

5:49 PM PST
My friend calls from downstairs. I leave to meet her and her husband. We wait on line for the “world famous” buffet for about 20 minutes, chatting about this and that. The buffet has over 300 items, but none of them are outstanding. I eat only a little more than I should.

7:14 PM PST
My friends come up to my room where I hand over a few things I’ve brought for them. They admire the view to the north that offers glimpses of the strip. We spend some more time socializing.

The View from my Room

7:51 PM PST
My friend leave. I call Mike and update him on the helicopter problem. I check e-mail, Twitter, and Facebook. I upload several photos. I start writing up this blog post, using the notes I’ve been taking all day.

10:21 PM PST
Exhausted from a long day, I turn off the lights, leaving the curtains wide open, and go to sleep.

Getting Quality Health Care: Apparently Impossible

The state of health care in the United States: ineffective and humiliating.

For the past two years, I’ve had a digestive problem. The symptoms, which are intermittent and vary in intensity based primarily on what and how much I eat, include:

  • Acid reflux, sometimes to the point of burning in the back of my throat.
  • Heartburn, sometimes quite severe.
  • Pain, soreness to touch, and hardness in the area between my lower ribs and naval.
  • Pinching feeling in my muscles just beneath my lower ribs when I lift something even moderately heavy.
  • Vomiting, usually at least six hours after the meal I’ve eaten.
  • Feeling hungry and full at the same time.

I don’t have all symptoms every day, but I can usually count on at least one of them to make me feel less healthy than I should.

caduceusTwo years ago, I went to a gastroenterologist. She came into the examining room, spoke to me briefly about my symptoms, made a few notes on an electronic clipboard device, and told me to take Pepcid AC, the over-the-counter version of Famotidine. Then she listened to my heart and took my blood pressure because she “had to.” (Her words.) That first waste of my time cost me $128 and half a day of work.

When the symptoms didn’t go away, I went to a Wickenburg general practitioner who had been recommended to me, Dr. Diane Juilliard. When I described the heartburn symptom as a pain in my chest, she immediately hooked me up with a cardiologist who just happened to share office space with her one day a week. He put me through a battery of tests with the apparent goal of proving there was something wrong with my heart. Every time a test came back negative, I’d be told that it wasn’t conclusive and I’d be sent for another one. This went on for months, costing me thousands of dollars. After the final treadmill-jogging stress test, he was satisfied that there was nothing wrong with my heart.

While I’m very pleased to know that my heart is healthy, I wasn’t pleased to waste months of my time and thousands of dollars to obtain that information. Worse yet, when my husband paid his Cobra health insurance 5 days late and we were cut off, I could not get insurance because of my alleged “heart problem.” I was without health insurance for six very scary months. The only reason they let me back into Blue Cross Blue Shield is because I signed papers saying I wouldn’t put in a heart-related claim. (Why would I? There’s nothing wrong with my heart.)

I dumped Juilliard as a general practitioner when her office refused to give me the H1N1 vaccine last year, telling me over the phone that there was “a chance of severe neurological damage.” Yes, I’d managed to find a real MD who was a vaccine fear-mongerer. I suspect that she’s also a real supporter of the drug company salesmen, since she changed my two regular meds to new prescriptions for which no generics existed, pumping my prescription costs up from $15/month to $150/month.

I found a new general practitioner in Phoenix named Robert Rosenberg. He’s a little wacky — he has a weird sense of humor — but he knows his stuff. Unfortunately, I first got hooked up with him in the throes of my insurance problems, so I wasn’t able to attack the digestive problem immediately. We’re working on it now. To that end, he sent me to Dr. Stephen Winograd, who happens to have an office in the same building. Dr. Rosenberg suspected that I had a hiatal hernia and sent me to Dr. Winograd to get “scoped.”

I called Dr. Winograd’s office three weeks ago. The earliest appointment I could get was yesterday. I asked if I had to do anything special before the procedure. I was told that I wouldn’t be getting the procedure at my appointment. It was just a consultation.

Of course. The more visits, the more payments the doctor can collect.

The day before my appointment, the doctor’s office called and left a voicemail to confirm. The voicemail told me it was very important for me to call them back at a certain number and press #6. I didn’t see any reason to do that — after all, I had an appointment and hadn’t canceled it. They’d just confirmed it. Did I need to confirm it, too? I didn’t think so, so I didn’t call back.

I arrived promptly at 3:30 (as requested) for my 4:00 appointment. They took a photocopy of my insurance card and photo ID. They then gave me a stack of five forms to fill out. The first one asked for contact and insurance information — the same stuff they’d already gotten in their photocopy. The next three were for family medical history, personal medical history, and a summary of my symptoms. The last one was a form that said they could give my medical information to basically anyone who asked for it, as long as they seemed official enough. I was supposed to sign it but I didn’t.

I handed in the paperwork. No one checked it.

At 4:00, I was taken into an examining room where a nurse took my temperature, pulse, and blood pressure. I had to ask what my temperature and blood pressure were; she didn’t volunteer this information as she wrote them down. (I ask for this information because I like to collect data points taken by professionals. My temperature generally runs a bit lower than normal — usually around 97.8 — but I was 98.2 that day. Although I have a blood pressure cuff at home which I’ll occasionally use to check the effectiveness of my blood pressure meds, I think a nurse with an arm cuff and stethoscope is a much better way to get accurate data.)

The nurse consulted with the doctor and then came back and told me he was ready to see me. She escorted me across the hall into an office where a 50ish, overweight man sat in a chair behind a desk. He didn’t look like a doctor. He didn’t look healthy. He looked like someone who needs to get out in the sun once in a while, perhaps while trying to get some exercise.

He didn’t get up or offer a hand. I sat in one of the two chairs on the other side of his desk.

He glanced at some paperwork in front of him. I don’t know if it was the forms I’d filled out. If it was, he obviously didn’t read them. He asked me for my three worst symptoms. This annoyed me. I didn’t realize I was only allowed to have three symptoms. (Maybe I watch House too often.)

I chose vomiting (never fun), acid reflux, and the pain in my gut. He asked if I were taking any medication for the acid reflux. I told him that I didn’t think taking medication was a good idea until I knew what was causing the symptoms.

He said it was either medication or surgery. (Yes, he really did say surgery at that point.) He said most people chose medication. I told him that I didn’t see how surgery could be possible without a diagnosis.

That put him off a bit. Of course he had to come up with a diagnosis. But as far as he was concerned, he already had. It appeared on my paperwork later: GERD.

I told him that Dr. Rosenberg thought I had a hiatal hernia and had sent me to be scoped. He asked me if I wanted to be scoped. I told him that’s what I’d come for. He asked me if I’d ever been scoped. I told him I hadn’t.

I told him about the pinching pain. He said that didn’t sound like it had anything to do with my digestive system. I pointed out that it started the same time as my other symptoms and had been going on for two years. He insisted it had nothing to do with anything he could help me with. He suggested that I Google it as a symptom and see that it had nothing to do with GERD. (Yes, he really suggested, during a “consultation,” that I get medical information via Google.) Then he took a step back and said that anything was possible.

I asked him how I could be vomiting food I’d eaten at least 6 hours before. Didn’t it all get through the stomach in that time? He told me I was probably not vomiting food. He said it was probably just the acid. I assured him it was food. Lots of it. Like a whole meal. With bits and pieces I could taste again on the way out. He didn’t seem to believe me.

He did not offer any explanation of what could be causing my problems. He did not use any visuals — diagrams, charts, drug company pamphlets — to show me how it all worked. Instead, he made a big show of agreeing to send me for a upper gastrointestinal endoscopy and a upper gastrointestinal series. He then made a big show of rising from his chair to “escort” me back to the examining room. There were no goodbyes. I’d obviously rocked his little world.

Back in the examining room, the nurse came back in with a much photocopied pamphlet with information about the endoscopy. She then escorted me into another office where two women sat at computers facing a wall. Behind them, on the opposite wall, were three chairs. I sat in one of these chairs while one of them women, her back to me most of the time, scheduled the test for me three weeks in the future. She handed me more paper and told me to “check out.” Like at a supermarket.

I found the front desk and handed over the paper. They took my $50 co-pay — I’m sure I’ll see a bill later, considering my deductible is $10,000/year — and handed me a sheet of paper with information about calling to schedule the other test. Evidently, it wasn’t possible for them to do it for me.

I left feeling angry and stupid.

This morning, I woke wondering whether I should go ahead with the tests. Dr. Winograd had already made his decision on what was wrong with me based on looking at me across his desk and hearing a few choice symptoms. Would he even look at the test results? Was I just going through the motions, throwing more money at an annoying health problem that no one seemed to think was serious to warrant real attention?

Was I wasting my time? Should I ignore the symptoms and simply mask them with drugs?

I recall the surgery I had back in 2006 when a lump in my abdomen had grown to the size of a 6-month fetus. I’d had the lump for years and had asked various doctors about it. They didn’t seem concerned. It was only when a routine visit to a gynecologist got another doctor’s attention. Visiting a gynecologic oncologist, seeing all the cancer patients in his waiting room visit after visit, wondering if you’ll soon be as bald and near death as they are, is a truly terrifying experience. The surgery and what came afterward wasn’t fun either. Thankfully, no cancer, but I have a scar big enough to be the mother of caesarian-born twins.

An experience like that sticks with you forever. In the back of my mind is this nagging thought: what if this is something serious? How bad does it have to get before I get proper medical attention?

Or is it “just GERD” that I can “cure” with Pepcid AC and a switch to decaf?