Showing posts with label Internal Diabetes Bullshit filter. Show all posts
Showing posts with label Internal Diabetes Bullshit filter. Show all posts

Wednesday, May 4, 2016

#MypumpMychoice #AccessMatters: I Didn't Choose To Have A Preferred Relationship With Diabetes

By now everyone is talking about UnitedHealthCare and Medtronic’s partnership and the press release that states in part: 
“As part of our ongoing efforts to provide a better member experience, while increasing quality and lowering the overall cost of diabetes care in the United States, UnitedHealthcare has reached an agreement with Medtronic to become the preferred, in-network durable medical equipment (DME) provider of insulin pumps for UnitedHealthcare Community Plan and Commercial members, effective July 1, 2016”
UnitedHealthcare will continue to pay for pump coverage for others brands until those pumps are out of warranty - and once that happens, customers will either have to switch to Medtronic or pay out of pocket for the pump of their choice.

You can read the Press Release in its entirety, HERE, and I highly suggest you do because it's important, no matter which insulin pump you wear, or don't wear - or whether or not UnitedHealthCare is your insurer.

FTR and not surprising, UnitedHealthCare doesn't don’t provide a direct link. Scroll down to “Front and Center,” and click on the 5th bullet point where it says “Medtronic to become preferred DME Provider of Insulin Pumps for Diabetes, Effective July, 2016.” 

I currently wear an out of warranty Medtronic Pump. That’s my choice - and yes, my insurance has a coo-coo high deductible, only partial coverage once crazy high coo-coo deductible is met, and ridiculous amounts of paperwork and labs to prove that yes, “I actually do have diabetes and require a new insulin pump.” 
And all of which make it anything but easy for me to get a new pump - but at least I get to choose said new pump when I actually get one. 

Here's the thing: It’s not like I chose to have a “preferred relationship with diabetes,” over a perfectly functioning pancreas. I didn’t have a choice when I was diagnosed with t1 diabetes almost 4 decades ago, and ever since my choice to live sans D was taken away, having choices in my life has become of paramount importance. 

Choice when it comes to how I live my life. 
Choice when it comes to my body.
Choice when it comes to my diabetes and the tools and methods I use to manage my diabetes.

And slowly, my (and by “my”, I mean OURS - EVERY SINGLE PERSON LIVING WITH DIABETES,) diabetes choices are being compromised and whittled down and have been for years - and that’s bullshit. 

This isn’t just about insulin pump choice - a choice that is both intimate and personal, since we wear them almost 24X7. 
It’s about not having a choice in the future when it comes to CGM choices, Artificial Pancreas choices, insulin, meters and test strip choices - as well as choices regarding insulin pumps - and coverage (or the lack there of,) for all of the above.

This move reinforces the thinking that diabetes is a one size fits all, disease. 

Diabetes isn’t once size fits all disease. Different strokes for different folks, for a disease where 95% of the day to day treatment is in OUR HANDS.

 94 years ago, insulin hit the scene and saved millions of lives -imagine if we still only had access to one type of insulin? 
Crazy, dangerous and unacceptable - to be perfectly frank, we’d be F^cked. 
Same goes for insulin pumps. 

I won’t demonize Medtronic - I have friends who work there with families and mortgages. 
Medtronic as an insulin pump has worked well for me since 2002. 
And my mother was one of the first people on the east coast to have an implantable defibrillator in 1991 - it gave my family an additional 20 years with my amazing mom and I will always be grateful.  

I don't find Medtronic pumps to be an inferior product, nor do I find insulin pumps made by other companies besides Medtronic to be inferior. 

But I won’t ignore the fact that this move is disturbing, sets precedents that don’t benefit patients, and has ramifications  that will adversely effect every PWD for years to come.

As a person with diabetes, I already know Pharma sees me as many things. 
As an Opinion and Thought Leader, a tool to communicate to the masses, and as a dollar sign.

And I'll cop to being all of the above. This dollar sign has a voice - And I’m not afraid to share my thoughts on what I believe is right…. and what I believe is wrong. 

This move is wrong and it hurts a lot of people on both sides. 

I’m asking both Medtronic and UnitedHealthCare to reconsider. 

I’m asking you to use your voice regarding this decision because your voice is so damn important. 

Together, the Diabetes Online Community moves mountains. Alone, we trudge up hills. 

LETS MOVE THS MOUNTAIN.

Thursday, May 9, 2013

TSA: All That BullShit And You Can't Even Buy My Insulin Pump & I Fucking Dinner!


I'm not against airport security - I get it. I'm against the lack of communication and the incredible inconsistencies with TSA screenings and screeners across the board and in all dimensions. Also, my language gets really salty in this post - But for good reason. 
#########

Blog Facebook Page Status from April 28th .


It all started on Sunday morning, April 28th, 2013 at Philadelphia International Airport on my way to the Lilly Diabetes Blogger Summit, when I tried to do the right thing with my loaner insulin pump.  Instead of throwing it in my handbag or hiding it in my nether regions, I asked for a a visual inspection of my insulin pump and  was met with a surprising: Sure, no problem. 

And that “sure no problem,” made me really happy. Maybe this time would be different - Maybe TSA was going to get it right.

The TSA agent called for backup. I went through the “magic doorway" sans pump and waited for another TSA Agent to arrive and give my loaner insulin pump a good old visual inspection. 
The TSA Agent Pump inspector was nice enough, he really was. And we chatted about insulin pumps, even when he asked me to fondle my pump - his words, not mine. 
He swabbed my pump with a gray piece of paper and placed said paper in a machine that looked like a stenography machine with a computer screen. 
We waited for the results and TSA Inspector  was in the middle of telling me how he'd just watched a tv show about the 100 greatest inventions of the century & how  the insulin pump had mad the list. 
I was just about to ask him what network the show was on ,when the machine he'd placed the swab samples in, screen turned red & flashed: EXPLOSIVES DETECTED, in loud screaming caps.
"What does that mean?!" I asked in a panic. And FTR, I knew exactly what it meant, I was just scared shitless. 

He didn't look at me, HE just told me to wait until the female TSA Agents arrived. 
I asked: Is the machine broken? can we test it again?? Is it because I washed my hands 30 minutes ago? Is it the glycerin from the soap? 
TSA Inspector: Ma'am, it could be 1 of 10,000 different substances that test positive as explosive materials - But this isn’t protocol  - Please wait for the female TSA Agents to arrive. 
And then two female TSA Agents (one short and one tall) arrived, and  those two women scooped up my handbag an carry-on, and stood on either side of me (think Dorothy nestled between The Tin-man & The Scarecrow,) escorted me off too a little gray makeshift room in the middle of Philadelphia International, led me in and then immediately closed the door behind them. 
They asked me If  I was traveling alone and who packed my bags, 
And then the tall one told me that my device had tested positive for explosive residue and that they were going to go through my bags for explosives and explosive residue. And then then the tall one told me that she was going to give me an “extensive pat down.” 
And all that kept going through my head was: 

1. I was alone in every sense of the word
2. I didn’t feel safe or protected - In fact I felt the opposite of those two words - Vulnerable, unprotected and exposed
3. No one would know where I was if I didn’t show up at Indy Airport
4. Did this happen from washing my hands ( I saw FIGHT CLUB, I know what glycerin can do) or was some minuscule residue of insulin on my pump causing all this to happen? 
5. Why wasn’t anyone looking at me in the eye or answering my questions? 

Me: Has this happened a lot this morning?? Do you have issues with your equipment? Should I not have washed my hands??

The tall one didn’t answer my questions, she avoided them completely and  told me what was going to happen and why and then asked me if I had any sensitive areas on my body. 
Me: Yeah, all of it - My whole body is sensitive. Shoulders, vagina - All of it.
Tall TSAer: I'll be careful not to hurt you. 
Stand on this mat & put your arms  out and spread your legs wider apart. 
Yep, she told me to "spread them." 
And  then she told me exactly what she was about to do - I stared at her and tried to remain calm. And as I stood on the mat with my legs wide apart,  I looked across the room and saw Shortie riffling through my hand bag and she picked up& opened my blue silk Dbag.
Me: My insulin’s in there! 
Shorty: Her insulin is in here - I'm swabbing it.
Me: Jesus, be careful that’s a brand new bottle!!
Sidebar:  1 bottle of insulin costs me $138 - With insurance! Insulin allows allows me to live my life, it's  my elixir of life - And if she dropped it and that bottle broke, I was fucked.
Shortie dumped the bag out and out came my spare infusion site, insulin, two unused needles (just in case) and the bank envelope with my cash in it.
The same went on with my makeup bag and toothbrush holder & the zip lock bag that held my contact case, disposable contacts and backup glasses, the box of granola bars and the bottle of glucose tabs were also inspected.
My Carry-on was examined and she looked at my box of infusion sets like they could do some serious damage and asked, "What's this?"
Me: It's THIS: Then I lifted up my shirt ever so slightly and showed them my tubing and infusion site. 
My computer was swabbed and it's case was searched, same goes for my iPad. 
So were my sneakers.
And all the while, the tall one had divided my body into quadrants  
Left arm, shoulder, right arm and shoulder. My breasts were felt under and over, all around my abdomen was patted and my infusion ( left abdomen)  site was examined. 
  And then Tall TSAer looked at me and told me that she was going to put her hand under my yoga pants waist band and do 180 circumference check in the front and then in the back. 
I looked her in the eye and said: This is crazy. 
She started around with her thumb on the exterior of my yoga pants waistband and her four fingers on the inside of my waist band - her hand stayed on my abdomen & around the circumference of my waistband - nothing lower. But it was still too close for comfort - it was still too evasive and it made me extremely uncomfortable. When she stood behind me to start the second leg of her 360 abdomen search she said: Ma'am, unclip your, your..
Me: My insulin pump - IT’S MY INSULIN PUMP.
Tall TSA: Yes, your insulin pump. And she finished her tour. 
She pointed to my head and said:  Take your hair out of the clip. And then she but her gloved hands through my hair and swabbed away. 
Tall TSA:Now I'm going to pat your legs, up & down, front ( including your private area) and then do the same in the back. . And that's what she did - then she felt me & down and under the calf area of my yoga pants
ME: This is bullshit, you haven’t even bought me dinner yet.
FTR, she was not amused. 

Then she told me to balance myself by putting my hand on the table so she could check the bottom of my socks. 
And then she put the swabs in a machine,  pressed some buttons and a minute later she told me I was goods to go.
And I stared at her for a good 10 seconds until she said: Uh.... ma'am, I said you’re good to go. 
Me: I heard what you said. Are you going to tell me what exactly caused this?
Tall TSA: There’s nothing to report - you’re good. 
Me: Well apparently I wasn’t before, or I wouldn’t be here. 
And then I started to repack my bags, slowly and methodically, so I knew where everything was, and to give me a moment to fight back my tears. 
I felt humiliated and violated and no-one could tell me exactly why this happened. 
Tall TSAer kept looking at her watch as I repacked my bags and after about a minute said. Ma’am you gotta hurry up. 

And this would be the point where I kept my voice low and calm, but didn’t mince my words.
Me: You can wait while I get my shit together. You dragged me out of the security line, you won’t give me an explanation as to why this happened, you riffled through my things and you didn’t even buy me fucking dinner before you felt me up like some cheap date. You didn’t even say you were sorry for the inconvenience. So you can wait until I’m ready.

 And then I put on my shoes, grabbed my bags and got the fuck out of there. Tears were streaming down my face as I walked to my terminal. 
I understand the need for airport security, I really do. I remember 911, I’ve been in the London train station when the bomb alarms have gone off - I know the world we live in is very different than the world pre 911.

What I don’t understand is the constant inconsistency of the TSA, the lack of rhyme or reason - not to mention the lack of communication and respect for those being inspected. Some airports will do a visual inspection, others won’t - And I've argued with them that they should and can.  Some TSA Agents don’t even know what’s written on their own website re:  visual inspections, medical equipment, etc. 

I know, understand and accept the fact that having diabetes and a portable pancreas clipped to my hip makes me a target for a more thorough TSA inspection. 

I know, understand and accept that my airport security experiences won’t be like others with internally functioning pancreases - And I'm OK with that. 

What I don’t know, understand or accept is the inconsistencies of TSA Security and the lack of respect and common courtesy that some TSA agents don't give me or any other person with a medical condition and external hard/software.

According to TSA's on website, I had/have the right to have a witness present during a pat down, so why wasn't I ever told that?

I'm not against airport security, I'm against the lack of communication and the incredible inconsistencies with TSA screenings and screeners.    

If I have a question - Answer it - Lord knows I’m answering all of yours - And getting felt up and down by TSA Agents wearing latex gloves and who speak in soundbites isn’t my idea of a pleasant travel experience.  
And just maybe if you take a moment to look me in the eye and answer my questions - It will calm me down and help me to get through what you're about to do to me. 

And quite frankly, I don’t understand why every fucking time I go through the airport with my insulin pump I run into problems - I've written about my experiences with TSA time and again, as have many in the Diabetes On-line Community. And I/we always do the right thing  - I know what’s written on the TSA website - hell I print it out almost every time I travel! 
I have my diabetes documentation and I do my best to remain calm in a situation that is anything but. 

The problem isn’t on my end - It’s on TSA’s end & the fact that no two airports in the entire United States enforce the TSA rules & regulations the same way.

And for the record TSA: I didn’t clean or swab my pump when I was in Indiana, and when I went through security at Indy Airport - they gave my insulin pump a visual inspection - And it tested negative for explosives - And reinforcing the fact the problem wasn’t on my end - It was on yours - You’re equipment failed, not mine. Your whole system seems to be a major fail  - So man up fix what's broken.    

Personal FB Page Status from the morning of April 28th







Sunday, October 31, 2010

33 Reasons To Celebrate My Diaversary





33 reasons to celebrate My Diaversary
  1. I'm alive
  2. I'm living
  3. I'm learning
  4. My family
  5. My friends
  6. Finding the Diabetes On-line Community
  7. Becaming part of the Diabetes On-Line Community
  8. I look great in red
  9. I look fabulous in green
  10. My nieces & nephews ROCK
  11. Halloween & all that goes with it
  12. Discovering new things that make me happy
  13. Doing better than I did before
  14. Learning from my mistakes
  15. The Ocean
  16. Diabetes meet-ups
  17. GLEE
  18. Writing posts that make me proud
  19. Reading posts that me think, feel, learn & relate
  20. Having just enough Half & Half in the carton for my second cup of coffee
  21. Belly laughs
  22. Achieving Blood Sugar Nirvana after bolus worthy foods/treats like cupcakes,tastykakes, nutella, and dark chocolate covered strawberries!
  23. Dressing up in costumes
  24. That amazing feeling when a child tells you that they love you
  25. Doing what I fear first and realizing that I can indeed do it
  26. First kisses
  27. New places
  28. Old haunts
  29. Little blessings
  30. Loving
  31. Being loved
  32. Discovering that my greatest weakness (my broken pancreas) has become my greatest strength & passion
  33. Hope

33 years of living with Diabetes - And the beat goes on~

Thursday, October 28, 2010

There, But For The Grace Of Diabetes, Go I

"All truths are easy to understand once they are discovered; the point is to discover them." Galileo
"Life is the first gift, love is the second, and understanding is the third." Marge Piercy
"Tell me and I'll forget; show me and I may remember; involve me and I'll understand." Chinese Proverb
##############
There are lots of things I’m not.
I am not statuesque.
Nor am I one of those “good things come in a small package” type of chicks.
I’m not neat as pin, but I wouldn’t be considered a hoarder either – unless you consider 21 unopened boxes of lancets (containing 100 lancets each) and various unused pump tubing sans their infusion sets hoarding – then YEAH, I totally am.
I’m not a bully, but I will call you to the curb when I think your pitching diabetes snake oil- so don’t come to the diabetes ballpark if you're not ready get some serious D Game on.
I’m shyer than you realize and for someone who’s considered a social gadfly in the DOC- 
I didn’t talk much my first two years of high school out of sheer fear and lack of confidence.

What I am is a person with diabetes.
And last night’s #DSMA discussion on twitter made me realize somethings.
Regardless of what type of diabetes you live with, all of us are people living with diabetes.
There is no magic bullet for diabetes management. Diabetes is a different beast every day and you can do everything right, and still have crazy ass numbers just because it’s Wednesday and diabetes wants to mess with you.
And lastly, I was reminded by a blog reader and #DSMA lurker who happened to read my tweets last night and contacted me afterward, that many people who are new to the diabetes party are angry, scared, feel isolated and alone. They have no one to talk too or with, and no one who understands them.
They haven’t developed their diabetes thick skins and they need our need help.
Sometimes they don’t live near a place that has diabetes support groups and they don’t know where to go or what to do.

Their funds are limited due to lack of insurance and they feel pressed up tight between a rock and diabetes hard place.

Some family members dismiss their illness - not to mention their feelings - and that's wrong!
These diabetes newbies have yet to develop and fine-tune their diabetes bullshit filter and ignore those who aren't supportive.
They haven't discovered the diabetes on-line communities that we all know, love and rely on to get us through all our tough times - diabetes and otherwise.
So that anger, frustration, and isolation of dealing with diabetes gets displaced and manifests itself on people with other types of diabetes.
And that doesn’t make them bad people- it makes them humans in need of our love, support, and understanding.
And it’s our job to give them that love, support, & understanding and to teach them how to live with diabetes and all that comes with it, regardless of what type of diabetes they have.
Bottom line – Nobody understands what people with diabetes go through unless they live with it.
So we will teach them, and in turn, they will teach us.
And together, WE WILL KICK ASS.
If your interested in learning more about Diabetes Social Media Advocacy (#DSMA), click HERE.

Thursday, June 17, 2010

Internal Diabetes BullSh*t Filter Switch Is Flipped

I couldn't sleep after last nights twitter cage match with Dr. "Shit For Brains, Diabetes Bible Cure" @Doncolbert . I was enraged. Apparently, he didn't agree with my post/assessment of his snake oil Bible Cure book.
I was on the road all day today and am just getting back on the Twitter/Blog track.
Instead of writing about what happened last night, I thought I'd just let you read it.
And big shout out to Ellen (@CureT1Diabetes ) for DMing me with his twitter info!
Shoutouts to all who tweeted with the Bad Dr., you guys ROCK!
BIG PROPS to Becky , Kerri , &Sarah for writing fantastical posts about the Bad Dr. Colbert!
----------------------------------------------------------------------------------
@diabetesalic @DonColbert Since your making $$ of my disease, please answer my question. Does your"Diabetes bible cure" cure Type 1 diabetes???
@diabetesalic @DonColbert You say in your book "regardless of which type of diabetes you have, God can heal either 1 w/out effort or difficulty."
@diabetesalic @DonColbert @diabetesalic Kelly, I have seen hundreds, if not thousands of miracles. I believe you can be healed of anything if you just ask God.
@diabetesalic @DonColbert So please, I beg you, give me the name of a person with type 1 #diabetes that God has cured.
@DonColbert @diabetesalic Type I can be controlled through diet, exercise, and supplements. I have seen few cases of it being cured.
@diabetesalic @DonColbert You stated The "diabetesbiblecure" could cure eithr type regardless. Here, this refresh your memory. http://tinyurl.com/28vjd9z
@diabetesalic @DonColbert Not real clear here. U R telling @CureT1diabetes that u cant cure t1, but here you say u can: http://tinyurl.com/28vjd9z
@DonColbert @diabetesalic Kelly, results speak for themselves. If you do have Type I diabetes, try out some of the recommendations in the book.
@diabetesalic ATTN: DOC'ers, feel 2share your thoughts w/ @DonColbert author of the DibetesBibleCure , Wrote about it on Mon. http://tinyurl.com/28vjd9z
@diabetesalic D-O-C:Share your thoughts w/ @DonColbert,author of the DibetesBibleCure, Wrote about it on Mon.@curet1diabetes is http://tinyurl.com/28vjd9z
@diabetesalic @Sugar_Nova @curet1diabetes tweeting with @DonColbert , the author of diabetesbiblecure - think I might hav mentioned it on Mon& Tuws
@diabetesalic @Doncolbert Nobody prayed harder than my parents or my sister 4 a cure for t1diabetes.My sister still died. Did they not pray enough?
I @diabetesalic disagree @DonColbert. This girls parents prayed http://texasfred.net/archives/1039 I believe you are spreading false hope to million
@diabetesalic @DonColbert Please, Don, give me the names & contact #'s for these cured type 1's. And the name of their endocrinologists
@diabetesalic @DonColbert I've been a type1 for over 30 years.Im in great health,I eat right& have conversations w/God daily-we're buds. Still a diabetic
DonColbert @diabetesalic God did not kill your sister Kelly. God loves you and your sister as much as he does anyone.
@diabetesalic @DonColbert Don, I never, ever said that God killed my sister, are you on crack? I said she prayed! Of course God loves us
@diabetesalic @DonColbert What does the FDA have to say re: these suppliments? Send me the info, along w/the names & contact #'s of the cured t1 diabetics
@diabetesalic @DonColbert Im offended that you said, I said that God killed my sister. You continually say if you pray heard enough- GOd can cure anything
@diabetesalic @DonColbert Can you send me the "results" and or studies that you speak of? Seriously, my readers would LOVE to know about them.
@DonColbert @diabetesalic Kelly, false hope would be telling people with type I or type II that taking a shot every day is the best answer. It's not.
diabetesalic BS! RT @DonColbert @diabetesalic False hope would be telling people w/ type1/II that taking a shot every day is the best answer.It's not.
@diabetesalic @DonColbert Your full of crap Dr. I do not produce insulin- the area of my pancreas that makes it is destroyed. We need insulin 2live.
@diabetesalic @DonColbert How would you suggest I get the insulin my body no longer makes ?? Drink it?
@diabetesalic BS! RT @DonColbert @diabetesalic False hope would be telling people w/ type1/II that taking a shot every day is the best answer.It's not.
@diabetesalic @DonColbert Your a Dr. What went wrong here? http://bit.ly/bYGWSu Unfortunately that poor child's insulin was withheld
How much $$ do you make from the supplements/herbs and book sales Dr? How much is spent on research? How much goes to charity?
@diabetesalic @DonColbert Glad you believe that,I believe god is w/me everyday &the miracle he's performed on me is giving me an internal bullshit radar
@diabetesalic @DonColbert God has given me the tools 2live a healthy&happy life -even if I do have a broken pancreas. He/She has given me many giftst
DonColbert @diabetesalic Would you like me to tell you that's God's best for you? Because in my heart, I believe God can perform a miracle for you.
@diabetesalic @DonColbert I would like you to tell me that you are making a shitload of money preaching a cure to millions. How many actually get cured?
@diabetesalic DonColbert I want you 2tell me what you cleared last year on your Diabetesbiblecure book sales &then I want you 2tell me how many u cured
@diabetesalic @DonColbert While your at it, I want you to tell me that she didn't pray hard enough to cure my sisters and I.
@diabetesalic @DonColbert Dr, how many folks got sick with your methods? What are the numbers in that particular area of the study?
@diabetesalic @DonColbert Tell me Don, what aren't the millions of people with type 1 & type 2 diabetes saying wrong in their prayers for a cure?
@diabetesalic @DonColbert Don, I've introduced thousands of people to your book this past week. Please, tell them what they are doing wrong
@diabetesalic @sstrumello @DonColbert Re: t1's staying on insulin- That's not what you say in your book Don.
@diabetesalic Please anwer my question @DonColbert. This girls' parents prayed, so why did she die? http://bit.ly/bYGWSu
@diabetesalic @talesofrachel @sixuntilme HE's still not answered our questions.
@diabetesalic @DonColbert Since your now backtracking on your books claims, will you be reimbursing all the people who bought your book?
@diabetesalic @DonColbert So Don, how much$$ do these miracle pills cost?? Are they FDA approved? Will my insurance cover them? Yeah, I didnt think so
DonColbert @diabetesalic God gave us medicine to avoid these kind of tragedies.
@diabetesalic @DonColbert No, scientists gave us medicine Don. God gave them the brains.
@diabetesalic @talesofrachel is 1 of the most healthy people /t2's I know @DonColbert. She eats whole foods,exercises,vitamins,etc. Still,she has diabetes
@diabetesalic @DonColbert Yes indeed,Dr Banting& Dr Best gave millions & millions of people with diabetes life! And yet,you still say insulin is over RXd
@diabetesalic @DonColbert Don, do you supplements help to grow new islets of langerhans?? Cause if they did, that would REALLY be something!
@diabetesalic @DonColbert Don, I was checking out your supplement pricing and packages. Many cost more than insulin
@diabetesalic @DonColbert Don,miracles happen every day.Lotus grows out of mud, Boston won the 2004Series,Banting&Best discovered insulin& saved millions
@diabetesalic AND.....SCENE.

@diabetesalic Scientists gave us the medicine,God gave them brains RT @DonColbert: @diabetesalic God gave us meds 2avoid these kind of tragedies.
@diabetesalic Seriously, Im done now. Friends, goodnight, godbless, take your bloodsugar. Then; eat, pray, bolus. Wash, rinse, repeat.
It was so hard to read all the tweets - I really need a good tweet option - any suggestions?