Homebound senior wants COVID vaccine yet can’t get shot doctor prescribed

Here’s the story of one elderly American citizen who agreed to be vaccinated against COVID-19, yet hasn’t been able to receive a shot as of mid-June, 2021.

Someone I care about has a very complex medical situation. Her health is fragile, and her immune system is compromised.

My loved one is frail and almost completely housebound; it is a struggle even to get her to scheduled doctors’ appointments with ample notice. Sometimes, her body simply won’t conform to the constraints of sitting in a passenger vehicle. Hospital bed in dining room

She certainly would not be able to wait 30 minutes on a hard chair in a physician’s practice—let alone standing in an aisle at a local pharmacy—the way my kids and I did after our jabs. At the same time, due to a history of severe allergic reactions to drugs and vaccine components, the risk of an adverse reaction is higher than average for this patient.

Consultations with her various specialists resulted in a consensus that the Pfizer product is the only recommended COVID-19 vaccine for her.

Thus far, none of her providers has been able to offer access to a prescribed dose of COVID-19 vaccine during a routine visit. Internet-savvy family members continue searching for a solution that will accommodate her specific needs with no luck to date.

The patient’s state of residence now offers at-home vaccinations for those who are homebound. Unfortunately, the program sends its providers out with the Johnson & Johnson single dose vaccine only. According to the toll-free hotline, there are no exceptions unless the patient is under 17 years old.

This patient, though unable leave home for a shot, cannot take advantage of her state’s offering for housebound residents. According to the Journal of the American Medical Association, approximately 6% of U.S. seniors were completely or mostly homebound as of 2015.

Without a doubt, American wealth and power has provided a tremendous benefit to average citizens who’ve been amongst the earliest to access life-saving vaccines against the novel coronavirus. Public health, however, relies upon the breadth of its network to protect every resident. Many of our most vulnerable are still waiting as vaccines near expiration dates in medical center freezers.

Evidence of widespread vaccine hesitancy proves we must keep working to remove barriers to access for those willing, yet unable, to be vaccinated in currently available settings. Lives—and our loved ones—depend upon it.

Hot water bottles to warm up 2020’s chilly COVID socializing & studies

It’s 2020, autumn, and the pandemic did not miraculously resolve after the election. For those of us who believe in science and value the health of others, the only safe way to socialize these days is to take our meetings outdoors.

Red autumn plant by fence - 1I suffer more from the cold since developing an autoimmune disease, but November in New England isn’t traditionally known for sedentary al fresco activities. Even hale and hearty young people become uncomfortable sitting still as the mercury drops much below room* temperature.

Snow sprinkled evergreen trees in autumnAnd, of course, we got weather like this in October!

The first step to staying comfortable outdoors is wearing appropriate clothing. It is always wise to bring at least one layer more than one thinks is necessary for extended jaunts on cool days. Wear a cap, and bring your gloves, too, of course. But if the sun sets, or the temperature drops below 60º F or so, the amount of clothing required—or the need for expensive, highly specialized gear in which you may not wish to invest—can become burdensome.

teal softshell rain

Why I use hot water bottles at home and outdoors

I send my child to outdoor classes—and welcome visitors to our yard for socially distanced visits—with a cheap, simple, classic, soothingly warm hot water bottle. Adding a source of radiating heat beneath a blanket or tucked into a jacket can add hours of comfort for anyone, and, as a bonus, it also helps ease pain for those of us with arthritis.

Unlike a heating pad, you aren’t tied to an electrical outlet with a hot water bottle. And, while I also use microwaveable “warm bags” —which I’ve heard friends call “rice sacks,” “heat pillows,” and also “heating pads”— the grain filled type weigh just as much, yet cool down relatively quickly compared with the long sustained warmth of water with its very high specific heat capacity.

Red rubber hot water bottle on bed

My history with hot water bottles

Before I married my husband, I’d never even seen a hot water bottle in real life. I knew what they were from old novels and cartoons, but hadn’t noticed they were still sold in stores.

Quaint and old-fashioned hot water bottles may be, but I’ve become a convert. I’ve found them readily available in major chains and tiny Main Street Mom & Pop drug stores across America. Ask the pharmacist—or the oldest person on staff—at your local shop, and you will probably get what you need.

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Barcelona 2017: B&B Wine & Cooking in El Pla del Penedès, Spain review

Attempting to wrangle every thought I’ve entertained about a week long trip to Europe would result in my posting about it after weeks if not months passed. Instead, I’ll try to focus rather narrowly on little slices of the journey. Knowing my propensity to go on and on and on, this might also keep my posts to a digestible length for the digital age.

Foodie fantasy outside the city of Barcelona

Here’s a not-so-secret secret: I’ve avoided driving in any nation except my ownokay, I’m ignoring Canada. Forgive me, neighbor to the north! But your roads are so similar to my own, and I can bring my own trusted car. It doesn’t count.

On this, my most recent trip to Europe, I faced a conundrum. Hire a rental car, or give up a much anticipated trip?

Barcelona 2017 B and B Wine Cooking car Renault Espace - 1

Renault Espace, felt like the largest car in  Spain

I rented a car. I hated almost every minute of driving the lovely but oversized Renault Espace in even small cities like Vilafranca del Penedès and Sant Sadurní d’Anoia, but it did provide me with the means to reach a really sublime rural experience: a mother and son private cooking class with the owner at B&B Wine & Cooking in El Pla del Penedès, about 45 minutes outside of Barcelona.

Background: civil unrest in Catalunya & a nervous husband

Barcelona 2017 Vilafranca Catalan flag - 1

Monument in Vilafranca with Catalan flag flying proud, NOT the national flag of Spain

My husband, whom we might politely describe as “travel averse,” was trying to dissuade me from joining him in Barcelona with DS2 at all. DH was near to canceling his own appearance at a really interesting conference. Why? The Catalan independence movement, and media depictions of dissent and violence that were widespread in the months leading up to our trip.

Back in the spring, when I found a reasonable* coach airfare to join DH on this jaunt to Spain, I immediately invited my children to come along. Shocking no one, my little guy opted to miss a week of school and join us; to my chagrin, my punk teen decided he would rather stick to his usual academic routine at home and demurred.

Though I find myself pondering whether someone could have switched DS1 at birth** for my rightful child, I do sort of understand the teenager’s desire to assert his independence by doing something—anything!—different from what his parent suggests.

Beyond the city limits: choosing an experience

So there were three of us headed to Spain in the early winter of 2017. We would be staying in the heart of Barcelona for the four nights of the conference. After that, DH booked his ticket home at the earliest possible moment. To save over $1000 each, DS2 and I needed to stay over until Saturday.

Barcelona 2017 B and B Wine Cooking outside flowers

Spain flowers even in winter

Originally, I’d booked accommodations in the medieval center of Girona for the parent-child short break. Girona is about an hour north/northwest of Barcelona. Trains, while available, aren’t super convenient to that village, however. There is no city-traffic-avoiding route back to BCN Barcelona International Airport during morning rush hour without a private car. Parking in old Girona is also not known to be convenient.

While I was keen to visit this ancient town due to its beautifully preserved Jewish quarter and its being the setting for a great series of medieval mysteries, it turns out that the world has discovered Girona because Game of Thrones has filmed there. That’s a little too much pop popularity for me to visit El Call right now.

DH, fearing he would leave and then a transit strike—or worse, total civil unrest!—would leave his wife and child at the mercy of a rioting mass of Catalan separatists, wanted me to make a plan better suited to last minute changes and further removed from the politicized masses.

I booked a rental car from BCN for the morning of DH’s departure. This option provided us with freedom of movement in the face of taxi strikes or to flee more serious unrest in that unlikely event. I then found an intriguing bed and breakfast outside the city in which DS2 and I would spend our final two nights in Spain.

As an aside, I never felt unsafe in Barcelona or the surrounding region. Except possibly while negotiating the narrow, winding exit from the airport parking garage in an SUV the size of a semi, but you can’t blame that on politics.

Catalunya: experiencing hearth & home

One of the ideas I’d entertained for making the trip to Spain a pleasure for both myself and my younger son was a cooking class.

barcelona-2017-b-and-b-wine-cooking-class-mom-with-kid-e1517158098792.jpg

We (helped Marta while she) made that paella!

Yes, it’s true, any regular reader knows that I’m not typically an enthusiastic cook.

That said, I am an enthusiastic student of what makes other people—and other cultures—tick, and it is hard to place a finger on the pulse of Catalunya without discussing food. These are people who love to eat, who know how food really ought to be, and who seem to enjoy sharing all of the same.

I’d entertained the notion of this class in Barcelona, but the timing wasn’t working out quite right. Plus, if I’m honest, I would rather visit a nice, dusty history museum any day, whereas my son was hoping to stay in the hotel watching his favorite cartoons in various languages.

What did pop up when I started researching lodgings outside the city of Barcelona, but within a radius of about one hour, were farm- and winery- based experiences.

Penedès, if I’m getting this right, is the heart of the grape growing region that produces some the world’s best sparkling wines, or cava, as it’s known locally. At least one person with whom I spoke implied that champagne is basically just a French knock off of Catalan cava!

I won’t take a position in the subjective argument of “best” or the historical question of “first,” but I can tell you that it is easy for a non- aficionado to learn about and experience great sparkling wines in Penedès, even with a child in tow.

Barcelona 2017 B and B Wine Cooking street sign

Signpost guides the way. Take the narrow dirt track to the right around the cluster of houses.

So I booked the B&B Wine & Cooking in El Pla del Penedès and hoped for the best. It had good reviews on Trip Advisor, but was mostly an unknown. I chose to use Hotels.com for booking, just in case any of it was less than legit, but, in the end, have nothing but good experiences to report from Penedès.

BandB WineandCooking Cava welcome - 1If I return, next time I will book directly with the B&B. When you do, they guarantee you the lowest room rate and give you a free bottle of cava as a welcome gift.

B&B Wine & Cooking, El Pla del Penedès

This bed and breakfast is family friendly. I’ll start there, because so many B&Bs in the USA are fussy establishments that seek to insulate their guests from such inconveniences as children and telecommunications. This is not that. Continue reading