Monday, October 28, 2024

Gratitude Monday: Vaxed to the max

Last week I decided I could no longer put off getting my seasonal vaccinations—for flu and COVID. So I made an appointment for them both on Wednesday. I generally do not react badly to flu shots and the only COVID inoculation that bothered me was the third one in the first series, so I figured I’d be fine.

Well. It’s been interesting.

(BACKGROUND: When I moved back to the District They Call Columbia, I could not believe how difficult it was to find a primary care practice. For a city that boasts three medical schools, you’d have thought there’d be a surfeit of them, but it took me months (and a couple of false starts) before I landed on OneMedical. A quasi-concierge concept headquartered in San Francisco, the attraction for me was that, for a $200 annual fee, I could be seen at any OneMed office by any OneMed provider, get same-day appointments, spend 20 minutes with the doctor per appointment (as opposed to the 15 minutes most insurance-driven practices) and develop an actual relationship. The bonus was that there was an office two blocks from my job at Metro Center. Eventually they opened offices closer to me in the People’s Republic, so I was happy.)

I showed up for my appointment to be told by the lab tech that “they” had put an order for the regular flu dose. I need the high-dose vaccine and I’d specified that when I made the appointment online.

In fact, their portal prompted me for the high-dose version, which makes sense—I’ve been getting this since I started with OneMedical. And it’s not rocket science—even pharmacies twig that I get high-dose.

CVS: You’ll want the high-dose shot.

Me: Yes.

CVS: Yeah—we don’t have any.

Well, it got worse. The lab tech couldn’t put in an order herself to change the dosage; the two people associated with my care (neither of whom I’ve seen, as the person I was seeing left the practice six months ago) were out of office—one until 8 November, the other till 1 November. The tech messaged others on the medical team, but got no response. So she gave me the COVID booster and said she’d contact me when they got the flu thing sorted.

It was clearly some kind of system thing—to do with the protocols set up for dispensing vaccines. Amazon bought OneMedical about a year ago and it occurred to me that they might have had some of their geniuses messing with the software. But this is just speculation.

Still, it was annoying. Thursday morning I was just sitting down to write a nastygram asking why it is that I could see anyone in the practice on a couple of hours’ notice, but they couldn’t find someone to authorize the correct dose—especially since I’d specified that when I made the appointment using their own systems—when I saw an email in my queue saying they’d got it sorted and I could drop in at any time to get the shot.

So I got it on Thursday. And Friday when they sent me the “how did we do” survey email, they did not get a good Net Promoter Score. (They also emailed to invite me to leave a Google review. I replied, “You seriously do not want me leaving a public review.”)

The other interesting thing is how I reacted to the COVID vaccine. (This one was Moderna; all the others I’ve got have been Pfizer. Dunno if this is salient.)

This was Thursday morning. You can see how inflamed the area around the injection is. That was tender, the shoulder joint was sore and I was achy. It was hard to raise my arm and I couldn’t clasp hands behind my back. Also—I got completely exhausted. Both Thursday and Friday I had to lie down in the afternoon to rest. And it’s not like I was running marathons or anything.

The injection area was still inflamed on Sunday, and it also itched like crazy. (The flu site is tender, but not inflamed.)

However—in the global scheme of things, this is small potatoes. Despite the corporate glitching and the physiological hiccups, I am now set for flu and COVID season, and I am grateful for that. Even ifall it took two trips to get it done.

 

©2024 Bas Bleu

 

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