I can handle my wife’s constant questioning. It is a part of her commitment as my spouse. It was in the vows made to one another . . . “in sickness and health.” She needs to know which category I’m in and adjust accordingly. The children . . . well, I’m certain it is written somewhere in the Children’s Handbook under the chapter “Aging Parents”. Children are supposed to care if they want to stay in the will. Friends . . . they are just nosy. But Medicare . . . for them it is all business with any eye on the bottom line of profit or loss. They only want to nip any health problem in the bud before it becomes a money pit. Their concern for my health warms my heart.
I activated my Medicare at the start of the year as the door at the university ceremoniously hit my butt on the way out at retirement. Shortly after Medicare started calling about my free annual wellness check-up. Their persistence was admirable as they called several times a week for nearly six months. That tenacity finally paid off and I returned their call. The guy on the other end was insistent that I schedule my check-up right then and now. He reminded me that it was free. So is a toothache. He even called my healthcare provider to personally set up my appointment. He even made sure that they would remind me of my destiny with wellness.
That is how I came to be sitting in my doctor’s office this past week for my free annual wellness check-up. I like and appreciate my doctor. She is a good doctor and person with great bedside manners. She gets to the point. She is honest. Her concern for my health, I do not mind . . . she ranks right up there with the wife.
Prior to the appointment my mind did what it does best . . . it wandered. Boy, did it wander. With the present president in the office in the realm of being ancient and his numerous “wellness” check-ups in his first year . . . the “intelligence” evaluations he received . . . and his definite, daily incompetency displayed for the whole world to witness . . . I will admit I had some anxiety. After all, I’m getting to worthy of the title “old fart” and the concern about my health that comes with it from others. I worried that I would not pass the test and would be seen in the light of our bumbling and incompetent president. No sane person wants to be seen as a chip off the ol’ presidential block. Certainly, I did not.
With the wellness check-up there is a “cognitive assessment”. It does not come close to the one the president received and that he “aced” with is self-proclaimed “superior intelligence”. The Medicare version is simpler. It is not the Montreal Cognitive Assessment (MoCA). To assess my cognitive ability, I was told three words that I was to remember and recite later. The words were “banana, sunshine, and chair”. Then I was given a piece of paper and told to draw a clock putting the hands on 10:30. Morning or afternoon, I asked. I thought that was a cognitively astute question . . . the nurse rolled her eyes, telling me to “just draw it.” After a few random questions I was asked to recite the three words from the start of the test. That was it.
The nurse who administered the test passed me despite some questionable answers on my part. She proclaimed my clock art was perfect even though the doctor said I had the wrong time. The nurse had said 10:30, the doctor said, “11:10.” I heard 10:30 and that is what I drew. She scored it “perfect”. The doctor said, “close enough.” On reciting the memorized words, I said, “banana, sunrise, and chair.” The nurse corrected me while telling me it was “sunshine” and not “sunrise”. She said it was “close enough.”
“Close enough.” Cognitively I am “close enough”. I imagine that I fall on the skinnier side of the bell curve, somewhere on the functional side. Probably not in the category of “superior intelligence”, but solidly in the functional realm. Though passing grade, I was disappointed that I did not get to name any animals . . . I spent a whole week studying animal shapes by eating a box of animal crackers.
The cognitive assessment was only a part of my wellness check-up. There was a two-page questionnaire about my health that I had to complete. It asked me things about my sleep (yes, I do—6-8 hours a night), eating habits (three daily squares), sex (male), exercise (I suppose), feelings (yup), and general overall sense of being (I am still here). There was a review of my medical history (Yep, still breathing with the ol’ heart pumping). Checked on “functional ability and safety” which amounted to how well I performed my daily tasks and whether I had recently fallen. I passed as I can still perform those daily tasks along with those assigned to me on the wife’s “honey do” list. Hadn’t fallen except once while playing basketball with the grandchildren—tripped over my own feet. Otherwise, I was functional and safe. Then there was the “other” category of my wellness—height, weight, and blood pressure. I had some height, though they did not say how much. I figure 5”10” . . . at least that is what I was the last time someone checked, but with old age you do lose height . . . which seems to deposit itself around the waist. The weight was there but they did not say what it was. Apparently, it was of no concern despite the obvious “Dunlop” in my southern extremities. I passed.
The final step was the “preventive plan”. Doc was straight forward with her assessment. Keep doing what you are doing was the plan. You are still alive. You are still functioning physically, cognitively . . . or at least close enough. Get a shingles shot. No red flags. Return in a year. I imagine that somewhere in the great Medicare-land a bell rang as another client got their “clean bill of wellness”. They can cross me off their list. I am good for another year. Money pit avoided. I passed. I won’t be hearing from them for at least another six months before they start reminding me about my “free annual wellness check-up”.
I am still here. That’s what I told my doctor when she greeted me at the start of my wellness check-up . . . I’m still here. After 68 years, I am still here . . . physically, mentally, and spiritually. I may not run like a brand-new model, but I run. I get what needs to be done and get it done. I keep plugging away and will until the motor quits running. That is all I can do and I am well aware of that. In the meantime, I want everyone to relax and quit asking me about my health. I am “close enough”. Functional. I’m retired . . . not on my deathbed.
I am still here.


