A Defining Moment……..Can Happen at any Time

Have you ever had a defining moment in your life?  Something happened and at that instant you knew that things would never be the same.  Tragedy, or the diagnosis of a loved one with something that will change ones life forever comes to mind pretty quickly I’m sure.  But when not a tragedy but, rather, a calling.  Something happens that you are so sure of what it is and  that it becomes the loudest voice you ever heard?

Over the years, many people have asked me when I decided to be an actor.  Well the first calling, for sure, was in High School when I was in Godspell.  Performing in it, seeing it on the New York stage, and in the movies, reaffirmed my new-found love for the theatre. But the defining moment that this ‘acting thing’ was not only something I loved but something I wanted with my whole being was, in actuality, due to three friends.  Three friends who merely performed together and, yet, it was right then and there that I decided that I want to be able to do ‘that thing’ that touches people sitting in an audience chair; for the rest of my life.

A Chorus Line had such a profound impact on my life.  A show put to music about being in the theatre.  A show about what I wanted to do.  A show that celebrated the trials and tribulations of being a ‘theatre person’.  I wanted, more than anything, to be a ‘theatre person’.  As I watched a Chorus Line on Broadway I was riveted at every single line, every single dance step, every note sang, and every single word uttered.  The show was so incredible, but that show alone is not what won me over.

You see, my whole body was captivated by this musical and I knew that nothing could ever be that good, that moving, that engaging……..ever again.
Or so I thought.

When I was attending Hofstra University, three friends announced that the next number to be performed would be them singing At The Ballet, from the musical, A Chorus Line.
What? Are they crazy?  That song is perfection, I thought.  Why would they even attempt to even try to sing it?  It’s a very hard song to sing, harmonize, follow, and pull off. These thoughts raced through my head in an instant. But there they were, Stacy Parker, Nancy Haas, and Karen Waldstein ready to begin the song.  No fear on their faces.  They glanced at each other, smiled, and the music began.

They sang and my life would change forever.

Those three magical and heavenly voices have stayed with me, as if it were yesterday, for over 40 years.  Lesson number 1; I learned that performance is based upon the confidence to move forward.  You have to take what is given and run with it.  Now Stacy, Nancy, and Karen may have been scared to death to perform that song but it showed nowhere.  Lesson number 2; if you are scared, don’t show it.  Do your preparation and run full steam.  Lesson number 3; because someone may have done it before you, does not mean you should not try also.  Lesson number 4; allow your heart to be touched by any performance.

Now when I hear that song, it’s not the three actresses from the Broadway Show that make me smile, it’s the faces of Stacy, Nancy, and Karen singing a song that touched my heart. Were my three colleagues better than the Broadway actresses? That didn’t matter, and it’s not my point (but should you be asking, they were pretty damn close).  What mattered was how they touched my heart. That is the picture in my mind. I will forever be in their debt and I thank them from the bottom of my heart.

My lesson in theatre is also a lesson in life.  Sometimes we are so petrified to ‘try something’ that we stand idle and do nothing at all.  Do your homework and go forward, you may be surprised and it very well may be that what you do will be what is remembered.
Food for thought.
I’m a DiabetesDad
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Transparency, No Matter What is Announced, That’s All Folks

Lilly Announced in a press release that they were reducing the cost of Humolog Insulin by half, bringing the vial cost to $137.35.  You can read the release here.  Needless to say, the social media world erupted with everything from praise to disdain at the news.  Me, well quite honestly, it left me scratching my head with more questions than answers.  To be clear, and at the onset, if more people can now afford insulin…..GREAT!

Not sure how a vial of insulin costing less elsewhere, and probably everywhere elsewhere, is considered a reduced price at $137.35.  I mean I get it if one purchases the insulin here in the United States, the new cost ‘looks’ cheaper.  This $137.35 is for those who only pay out-of-pocket and not through insurance plans.  Okay—so I ask, what is the real price?  Is it REALLY discounted or only discounted to the much over-priced American cost?   If those nasty PBMs are not involved, tell us the real cost—-is it anywhere near $137.35?

I have no problem with anyone making money.  But when something is so precious as life-cannot-continue-without, I’m stating until we know true costs, we have no idea what is real or made up.  Was a competitor soon-to-announce lower costs?  Was something happening within the industry that what we are seeing today was/is destined to happen anyway? Is there a difference between Insulin Lispro and Humalog?

Let’s just not be so quick to give out such credit.  Not just yet.

To me, it’s either the right price, or it isn’t.  I’m not saying that this is not a start, of course it is.  You see what I do not believe, is that Lilly is doing this because they care for those who are in need, although to be fair, Lilly is surely doing more than their competitors.  Lilly is a business, and they’re answerable to their share holders and if this move was to dramatically impact their stock negatively, it never would have happened, bet on it.  What do they know that we don’t.

So for now, take the news, but do not be so quick to think it is about us, those impacted most.  It’s not.  Not sure what it is, but time will surely tell, won’t it?  When I see some transparency, and not before, will I believe we will see some real changes.  When I see something needed to LIVE, and without it one will perish; nothing short of making that readily available to all will be enough.  It’s not how it used to be.  Take all of the complex formulas on this nonsense and throw them out the window.  One can make money on the cost of Insulin, that is not the problem, but like the pork insulin of yester-years, so many do not have to make pigs of themselves.

That is, IF they really cared.

I’m a DiabetesDad
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Lawsuit Against Insulin Companies Can Move Forward…..Tick Tick Tick

Below is the press release from Hagens Berman Sobol Shapiro LLP.  They are a consumer-rights class-action law firm with 10 offices across the country. They have won quite a few cases in the history of these type cases.The release is below with permission.

I spoke to a representative of the Law Firm tonight who stated that it is hoped that during ‘the discovery’ stage as this case moves forward, that practices not in the light today, including the PBMs and those practices, will come to light in full transparency.

While Steve Berman (Law Firm Partner) accused the benefit managers of being complicit, he said the lawsuit focused on the drug makers because “they are playing the game, and they are the ones who publish the list price.   (Link is NY times article including the quote) it very well may be that based on what is found in the discovery stage that the PBMS could be added as defendants.

In the 210 page complaint it states:

  1. Plaintiffs seek monetary relief against defendants in an amount to be determined at trial. Plaintiffs also seek punitive damages because defendants acted wantonly in causing plaintiffs’ and class members’ injuries or with such a conscious indifference to the consequences that malice may be inferred.
  2. Plaintiffs also seek an order enjoining defendants’ unfair, unlawful, and/or deceptive practices, attorneys’ fees, and any other just and proper relief ……….

Read the release below and after it is a link to the law firm as they are looking for participants in other states to join, as ordered by the court.  Have your story heard.

NEWARK, N.J. – Today, a federal judge’s opinion has greenlighted a national class-action lawsuit filed against Sanofi, Novo Nordisk and Eli Lilly for their systematic overpricing of insulin and concealment of a behind-the-scenes arrangement orchestrated to hike insulin prices, according to attorneys at Hagens Berman.

Hon. Brian R. Martinotti, U.S. District Judge for the District of New Jersey granted in part and denied in part the drug companies’ motion to dismiss the case. The opinion allows state law claims from plaintiffs – people living with diabetes who Eli Lilly, Sanofi and Novo Nordisk have forced to pay skyrocketing insulin prices – and gave attorneys representing them ability to address concerns regarding individual state representation. To the extent the court requires a patient from each state, attorneys say they can and will add clients to satisfy the court’s concerns.

Regarding the plaintiffs’ state claims, Judge Martinotti’s opinion read, “This Court finds Plaintiffs have adequately alleged fraudulent, unfair, or unconscionable conduct.” The court also held that the plaintiffs “adequately pled an ascertainable loss.”

The lawsuit states that in recent years, Sanofi, Novo Nordisk and Eli Lilly have raised the sticker or “benchmark” prices on their drugs by more than 150 percent. Some plaintiffs now pay almost $900 dollars per month just to obtain the drugs they need, according to the firm.

Hagens Berman filed the first-of-its-kind lawsuit in 2017, detailing several accounts from patients resorting to extreme measures to survive rising insulin prices, including starving themselves to control their blood sugars, under-dosing their insulin, and taking expired insulin. The complaint also detailed how class members having intentionally allowed themselves to slip into diabetic ketoacidosis – a potentially fatal blood syndrome caused by lack of insulin in the body – so that they can obtain insulin samples from hospital emergency rooms.

Steve Berman, managing partner and co-founder of Hagens Berman, was named co-lead counsel in the case by Judge Martinotti.

“In general we are pleased with the decision because we can now bring consumer protection claims in most states,” Berman said. “This ruling also clears the way for us to begin obtaining discovery from the manufacturers and PBMs so we can shine the light on exactly what has driven insulin prices sky high.”

“This ruling blows the insulin racket wide open,” he added.

The complaint states that this once affordable drug is now out of reach for many patients due to a behind-the-scenes quid pro quo arrangement between drug makers and pharmacy benefit managers (PBMs): “increased benchmark prices are the result of a scheme and enterprise among each defendant and several bulk drug distributors. In this scheme, the defendant drug companies set two different prices for their insulin treatments: a publicly-reported, benchmark price and a lower, real price that they offer to certain bulk drug distributors.”

Click this link for this press release and scroll to see what other individuals from what states are sought.

If you have a story—-now is your chance to tell it.

Might it be that we may see this come to an end.  Sadly, as this moves through the courts and appeals, many others will die as they ration their insulin, or outright cannot afford it and cannot obtain it.  But it is a step.

Tick….tick….tick…..the clock is ticking, let’s hope they all do what is right sooner rather than later……..and even sadder, why has it come to this?

I’m a DiabetesDad
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Thoughts on that ‘Walmart’ Insulin

I have been reading some VERY INTERESTING comments on social media regarding the “insulin sold at Walmart”.  Some even using actual scare tactics that I’m not so sure should be used by anyone, nor does anyone any good.  Still not so sure why THAT is even being done.

To be clear,  Buying these insulins IS NOT an alternative to the dilemma of the high insulin costs.  What IT IS, is an alternative to dying because one cannot afford insulin. 

There are many things I have read over the years that leaves me scratching my head.  But I have also learned that how one manage their diabetes, or their loved ones’ diabetes ……is……well……up to them. If you can find a way to make the insulins work that Walmart sells, more power to you.  When Kaitlyn was first diagnosed, those insulins were pretty much all there was to manage the disease.  In fact one was actually ‘pork insulin’.  Twenty-six years later, here we are.

It will take an adjustment and a doctor should surely be involved….as always.  And it will probably be a pain in the ass. These certainly are the older generation of insulins, and so they don’t provide quite the same coverage for blood sugars. They have a shorter half-life than name brand insulins and they do not come in pens. They can peak in two hours and may need a 30-60 minute lead time….like I said, a pain.

You will also be better served by finding a way to obtain the insulins that are available today.  But if you cannot afford it, if the cost-reduction programs that the companies offer do not work for you, if you have tried government programs, senior centers (if applicable), and community and social programs for help and if there are no options…..and the only option is NOT TAKING insulin, well THAT is not an option at all.

Now please do not come after me with pitchforks and torches.  TO BE CLEAR: NOTHING SHOULD STOP THE PRESSURE BEING MOUNTED AGAINST THESE HIGH COSTS.  But I would not want it on my conscience that someone read something that I wrote and did not at least try it because of what I said…..and died because they went without.  There is a difference between ‘stop-gap’ action and a substitute for.

I’m still unsure why the government cannot relax the restrictions for buying insulin abroad until such time that those who are so ‘piggy with greed’ can find a balance.  Because this dilemma is bad, stupid, and inhumane.  Like the air we breath when denied, will kill us; so too it is a death sentence to not have insulin affordable to those who cannot survive without it.  THAT THOUGHT HAS NOT CHANGED. Why some bright lawyer has not figured out a way to sue over that, is also beyond me.

WE WILL ALL KEEP FIGHTING.  YOU must find a way to stay alive.  My prayers will continue and my actions will stay in full force until we find this rectified.  And if there is something out there to try with your doctor’s help as oppose to doing without…..I choose trying.  That is my point today,
I’m a DiabetesDad
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Small Time Becoming BIG TIME…..Diabetes Community’s Perfect Song

There was a movie with Tom Hanks making the rounds a years ago entitled,
That Thing You Do.  Wikipedia describes the movie; A small-time rock band rides a big wave of success with the help of a savvy record-executive and a catchy single.

You? You’re the small time rock band.  The savvy record executive are the voices who started this outcry.  And the catchy single is the unfairness of insulin prices.

The movie is about this small town group, with just a small voice keeps pushing and riding and yelling from the mountain tops that they have a good song.  Finally, a company called PlayTone (starting out as fictitious record company for the movie and actually established in 1998 by Mr. Hank and friends) signs them and pushes them to the top.  Had the voices not been there early on, the success would not have occurred.

Now read this first line from a Reuters article two days ago, and read it carefully.
Powerful committees in the U.S. Congress held hearings on Tuesday on insulin affordability and high prescription drug prices, an issue both chambers have said is a top priority for the year.

You did that.   Yes, you!

Before all of the many large organized diabetes groups jumped on board; and just as in the movie, you need big time to take you to the big time and they are a welcome site, there was just you.  You who have diabetes or have a child with diabetes first said, This is unfair, the current costs are going to be hurtful.   You wrote letters, you protested (even by yourself), you posted on social media…..you…..the voices in the diabetes community….before anything that occurred, became organized, or became unified……it was just you….that one voice who cared enough to “just not do nothing”.

So there is surely much work to happen yet.  But before all the big guns jump out and send press releases telling you of their wonderful efforts…….and they surely were and are wonderful efforts……..I just want to add a word of thanks to all those who one will not read bout, see, or hear about.   But know this, with no uncertainty, without those voices to tell the stories of rationing, cutting insulin doses, and simply doing without when no one else thought it cool enough or news worthy enough; we would not be here today.

Like I said…….more to do…….but thank you diabetes community, your voices are about to turn into a roar.  A number one hit no matter how you look at it.

I’m a DiabetesDad
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Legislation on New Bill to Tax Air we Breathe

In a very discreet and without fanfare congressional move, both houses today passed legislation that states commencing on January 1, 2020 there will be a tax placed on each American citizen for the use of air which is part of the mainland United States.  Senator John Consigliere of Wyoming stated that the move was made to further be able to pay for the many means of purification now needed for breathable air……………….

…….okay……got your attention??????

Stupid isn’t it that something so needed would have any cost to use it?  Something we would die without.  So needed for us to live that it does not make any sense to think we would have to pay for something we have to use to stay alive.  There will be no tax, there is no such Senator from Wyoming.

BUT for goodness sake can someone, anyone, possibly explain to me that people who need insulin to live; in some cases cannot get it due to cost.  If you think about it, there are many, many medications you can take to make your life bearable and better.  Some could die, if the med was not  taken.  But every single person—–EVERY SINGLE ONE of those who live with type 1 diabetes would die if their insulin was not available.  Some sooner than others.  And here’s the story, some have died already.

One was too many–and why?
Because of GREED!!!!!!!!

What does the government need to see to step in here.  Until a solution is reached, let’s call on the government to relax any and all legislation that prevents people from using whatever means necessary to obtain affordable insulin.  If an executive action can get a wall built (well, ok, threaten to anyway)….cannot the same action open the boarders, ease the restrictions, open the floodgates to allow insulin to be purchased at an affordable price?????

Once we figure it all out, we can backtrack a little but until such time, an emergency act can save lives and surely……it will!

Send this everywhere you can.  Until such time that we have an answer, this is an emergency action, an executive action. to save lives.

This is not a favor to make life comfortable.  This is an act of government/congress/senate/executive to allow insulin to be purchased……..at the end of the day, to so many, it’s as important as air.

I’m a DiabetesDad
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Cheerleading for Diabetes Awareness, with a Heart Bigger than Texas

It was exciting to learn that this year the NFL’s program My Cause, My Cleats would include the Diabetes Research Institute as Raven’s Tight End, Maxx Williams, would wear custom-made cleats recognizing the work of the DRI scientists.  This program allows NFL players to wear custom cleats in December.  In fact, many, many players take part and usually auction off the cleats to raise money for the charities they represent.  Quite a few diabetes organizations were represented in the NFL this year (Branden Jackson/ADA; Jarvis Jenkins/JDRF to name just two) and social media got into sharing so many of their stories.

As is the nature of social media, one never knows where a simple post will continue.  One story, and a video in particular, really caught on.  Interestingly enough, it was not a story about a football player, it was about a professional cheerleader.   As the
My Cause, My Cleats was being unleashed, The Dallas Cowboys Cheerleaders (DCC) were releasing an effort of their own called My Cause, My Boots.

And how social media responded. And how the diabetes community cheered the loudest.

As any football fan will tell you, ‘dem boots worn by the Cowboys Cheerleaders’ are as much known as the Dallas Star that is worn on the team’s helmet.  Run a little differently, DCC’s My Cause, My Boots is more about the cause than a particular organization and I was given the incredible opportunity to interview a member of the DCC who, as it would turn out, has a very special reason to discuss diabetes, and to take it from the sidelines to center stage.

Tess, thank you for taking the time to discuss your choice to use the DCC platform to bring awareness to type 1 diabetes.  How long have you been a DCC?
Tess: I have been a Dallas Cowboys Cheerleader for the past 3 years.

As I prepared for this interview, I learned that Tess was actually a dancer through all of her life and to me, what being a Radio City Rockette is to those who dance, a Dallas Cowboy Cheerleader is to those who have ever cheered.  It’s the icon for perfection in the industry.

Did all of the history play into your mind as you worked to become a DCC, how so?
Tess: I never actually cheered BEFORE cheering for the Dallas Cowboys.  I was on dance teams, but not cheerleading.  I danced all through college at LSU and in fact my first Dancing was at a LSU football game which was in the Dallas Stadium, coincidentally.

Yes it did play into my mind. You’re in the stadium.    But it was more exciting than it was intimidating. When I ‘did get the call’ (to be a DCC) being back in the same place it all started, and in this new and different role, was certainly a moving experience.

It’s no secret there is just so much outreach in communities all across the country with NFL Programs.  One, in particular is My Cause, My Cleats where players wear cleats adorned with their favorite charity in a special design. DCC came up with My Cause, My Boots?  Of course My Cause, My Cleats is a close relative to My Cause, My Boots…..can you share how the idea came about for the boots?
Tess: My Cause, My Boots came about, and as far as I know we are the first team which started last year with the boots.  It was just an idea.  We started by trading out one pink ‘star’ for one blue star on our vest and we had a pink star on our boot; and our directors thought it would be an incredible idea for us to choose our own causes.  And they worked with Lucchese Bootmaker, the official bootmaker for the Cheerleading Team, on what we could do with our boots for a cause close to each of us.  We had a pink star that first year and in the second year the thought was how to expand that original idea, and what else could we do with the star.  So, we gave them our cause and Lucchese Bootmaker was very creative in utilizing just that one star to not include various charities but also to be individualized to represent so many charities with so many different and unique designs.  They did all sorts of different ideas. I chose diabetes and sent them the ribbon with the blue and gray colors with the blood drop seen in so many places and that is all I did.  Their hugely creative team came back with the little red heart in the corner of the star.  Simple, direct, and powerful. So yes, we were the first team I believe to do something like this, we can only hope it spreads and more cheerleaders get involved.

Tom: When I first saw it, I actually sighed because it was very clear what it represented.  The phrase ‘Deep in the heart of Texas’ took on a whole new meaning.
Tess: Oh good, I am glad it was clear.

You did this for Troy, your boyfriend.  Could you share those series of events?
Tess: Troy and I met in December 2016 and he was diagnosed in September of the same year.  I was not there; the hardest and worst time at diagnosis…but since we met I have gone through this progression of being by his side.  I’m a big animal lover and last year I chose Animal Rescue as my charity as I have a cat I rescued.  This year, many of the team members chose to honor people they knew living with different diseases and I thought it would be a nice honor, a nice gesture, for Troy if I chose diabetes.  I thought it would be a nice surprise for Troy.  Again, I had no idea what the design would look like.  I never mentioned it, I never spoke to Troy about it.  He never knew about it until the boots were made.

Could you share a little of his reaction.
Tess: We all picked the causes in September, and did not know what the final result would be.  About a week before we received the boots, I shared with him, ‘Remember last year when I picked purple for Animal Rescue for my boots as a cause, this year I wanted you to know that I chose type 1 diabetes for you’.
It was a very special moment and we both became pretty emotional.  He was shocked, he couldn’t believe it.  They surprised us when the boot came and I rushed home and opened the box and it means a lot to me that you said you knew right away what it meant.  It was a very special moment when I saw the boots for the first time.  He was very excited, took pictures and sent them to his family.  It truly was just very special.  What I liked about it was that it was more about awareness of the disease as oppose to linking to a specific organization.  It was about honoring someone you know, someone who has the disease, and supporting THEM; and that was an incredible feeling.

So now, it’s out there.  The My Cause, My Cleats is out there and so is My Cause, My Boots.  You make your awareness video and the social media explodes.   What started as a simple gesture…..‘bam’ it goes everywhere…..what was that like?
Tess—I quickly realized, as I expected it to be, that it was going to be more than just a simple gesture.  Taking advantage of the platform I know that I have, that we all had being part of the DCC, and being able to reach more people and especially just to be a light to this whole community was overwhelming.  Last year the idea of My Cause, My Boots was new.  This year we had more media and people were expecting it.  My cause was highlighted by an accompanying video.  People were already sharing stories and reaching out to me saying they saw that I chose type 1 diabetes even before the boot, as a finished product, was being shown.  So, I knew from the get-go that this was going to be so much more than just me wearing a different color, or something different, on my boot.  I knew that it was going to reach a lot of people because this community is just so strong.  And because they lean so much on each other for support.  I have seen this before, I have seen this with Troy.  It’s a big thing to know others are out there and to also know you are not going through this alone.

I saw your video as you spoke about Troy and what he goes through with his t1d.  Being a father to two children with this disease, it was very moving.  Could you expand a little bit on what you see him go through, he’s an athlete……right?
Tess: Yes.  He plays baseball and played at LSU.  And played before he was diagnosed.  He was always an athlete and he was playing and also having type 1 diabetes before anyone caught it.  Maybe they thought he was too old so no one checked, no one is sure why, for whatever reason; he went on struggling with it without him knowing and without others knowing what it was.  He went to many doctors.  It took one really bad episode where his blood sugar topped out over 800 for everyone to realize what was going on.  He was 22 when he was diagnosed.  He quickly handled it.  He got this (his management) to where he could play.  Late diagnosis, but early enough.  And he played then, and he is playing still.

 

Tom–After him sharing all of that with you, what would you say to someone who was newly diagnosed?
Tess: I’m surely no expert at this but as I prepared to make the video, and learned what I needed and saw the video that I made had over 70,000 views, it just highlighted to me how much more I need to know and educate myself so I can figure out how to educate others.  As I learned from Troy, and I know you know Tom, I know it’s not my disease.  I can only do so much.  It’s Troy’s disease.  I can do just so much but what I can do is be there, offer words of encouragement.  I’ve seen him struggle with it but I also have seen him come out the other side and truly follow his dreams.  He keeps going.  We all see others succeed, even doing so with what burdens they have to bear having this disease.  Those stories uplift him.  He’s now one who can inspire others. He is the perfect example that you can keep going, it does not matter….you can do whatever you want.   He says, “The less you control it, the harder it is to control”.

My saying is that you must control it, or it will surely control you.
Tess—That’s a good one too, I have to share that with him.
(I laugh) Yeah but I have 26+ years at this…..he surely learned much faster than I did as a parent.  I’ve had a few more years at it for sure.

Now that you have started this, do you see yourself continuing advocating, helping, etc.?
Tess: Short answer, yes.  But I have so much more to know.  When I started this, I knew I had to become educated and I know I have to do more to understand what this disease is about.  I knew of this disease.  I knew there was a difference between type 1 and type 2.  But living beside someone who lives with it 24 hours a day is different.  I gained a new appreciation.  To know…..just……just how near death Troy must have been, was terrifying.  That’s something that was new to me.  Something that I did not know was going on.  I think that in itself is enough to bring awareness and I hope to raise resources to share that story because it’s incredibly powerful.  Maybe it can prevent someone from going through what he went through.  Maybe if they hear the story, they will see and know the symptoms whether it was a child, or an adult.  Even if someone says, “I heard something like this and do you think it might be diabetes”?  Even that would be an incredible start.   To educate.  I mean I have seen already, hearing ‘My child, my dad, my whomever…….’ is just so amazing to create a connection.  So yes, I will continue on this path and I know it’s a dream of Troy’s because he knows how important it was that people helped him.

Your video was spot on and resonated with many people.
Tess: I tried to stay focused on the person I knew and not try so hard to explain every aspect of the disease…it’s complicated and it means a lot to hear that we were close to the mark.

As I said—spot on the mark, if you ask me.
Tess:  Thank you that is good to hear.

As my readers know, I like to end my interviews by giving a word or short statement, and ask you to share the first thing that pops into your head, either one word or short phrase. Is that okay?
Tess: Sure

Diabetes?
Tess: Troy

Dance?
Tess: Love

Dallas, the City.
Tess: That wonderful skyline

Dallas, the Team?
Tess: Represented by Cowboy Hats.

Troy?
Tess: Strength

A newly diagnosed child?
Tess: Fear.

Thank you

Tess: Thank you for setting this up.  This is the reason for My Boots, My Cause and I hope this can continue and I appreciate the opportunity.

It’s very clear that this incredible couple will be heard from again, and again, and again in the future on this new journey.  A journey for diabetes awareness.  They will save lives as they continue to use their respective platforms to educate those who might not even know what diabetes is, what diabetes looks like, or even what the warning signs might be.

Saving a life, methinks, would be better than even winning a Superbowl.

I’m a DiabetesDad
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2018, The Year People Died Because of PURE Greed.

There was a chill in the air as 2018 nervously tapped one leg than the other.  Every other year had to wait outside and 2018 was sure it was planned to be made to wait until the Boss came in.

The Boss came in out of breath and stood behind the desk, red-faced and staring at 2018.  Both did not speak at all for what seemed like an eternity.

Really?  Really 2018?  Each and every year I had to let your predecessors go because they did not fulfill the goal of finding a cure.  It’s a mandate of every year to take us closer…….to find a cure.  But you, 2018, you did the complete opposite.

2018 started to speak; I……I……I’m not sure……

The Boss broke in; Hush up.  I’m furious, 2018.  Livid.  Angry. Disappointed.  And I won’t even get to the subject of a cure.  Not at all 2018.  I have one word that continues to infuriate me.  One word.  (screaming now) Do you know that one word, 2018…..do you know the word?

2018 stared down at the ground and the tears uncontrolled spilled out of each eye and fell to the carpet below.

Yes, I think so.

The boss leaned forward on the desk and burned a hole into 2018 with a stare both steaming hot and frigid cold at the same time.

Insulin, 2018…..the word is Insulin!  Every year before you 2018, made an argument to be kept even though a cure was not found and quite frankly, I owed it to them to consider—-to almost allow them to continue based upon some of their INCREDIBLE advancements,  but not you 2018.   CERTAINLY NOT YOU!  How could something so crucial be kept out of the hands of those in need based solely upon cost?  REALLY 2018……it’s money?  Greed?  Pure Greed?  And it does not lay at the feet of the Insulin Companies, that is too easy an answer, and it is not an accurate one either.  There needs to be open disclosure…..the Insurance companies, the retailers, and most of all; the PBMs (Plans Benefit Managers).  Buybacks, rebates, and everything else that adds to the burden of the patient.  I’M SICK OF IT 2018! DO YOU HEAR ME?

The Boss stopped.  Just stared at 2018 who had nothing to say.   No defense.  No words, No retort. No possibilities.  Just……..nothing.

The Boss spoke almost in a whisper.  People died this year 2018 because of utter and stupid greed. People were forced to ration their insulin, and some plainly had to go without.  Shame enough for all.  Everybody pointing fingers at someone else.  “Not my fault” said by almost everyone.  And yet a son, a daughter, a mom, a dad, a relative, a person who was loved was buried, 2018, because they could not afford the one thing to keep them alive………………………………(The Boss yelled)  Insulin, 2018, INSULIN!!!!!!!!!

The silence was deafening.

The Boss with face covered and a whisper of a voice.:
Just get out 2018.  The cure wished for was actually overshadowed by people who cannot afford their insulin.  They died, 2018, they died.  Just get out, you were the biggest failure I’ve ever encountered in all my years.

There was nothing more to say.  2018 got up and walked out never even turning around or uttering another word.  As 2018 opened the door, left, and got into the elevator; the Administrative Assistant hurried into the Boss’ office.  The Boss stared out the windows behind the huge oak desk.

Should I send in 2019, Boss?

The tears rolled down both cheeks of the Boss.
Give me a minute.  (Sigh) Hopefully 2019 will have the correct priorities and we can focus back on that cure.  Someone needs to make a difference.  Insulin must become affordable for all.  Let’s hope 2019 is the one to do so.

We can hope so Boss, we can surely hope so.

The Boss sighed.  Show in 2019.

I am a DiabetesDad.
Please visit my Diabetes Dad FB Page and hit ‘like’.

An Annual Tradition……Twas the Night Before D-Christmas 2018

With special apologies to Clement Moore.   I present what has become an annual tradition……an updated, ‘Twas the Night Before D-Christmas for 2018

‘Twas the night before Christmas, when all through the house,
Not a creature was stirring, not even a mouse.
The meters, CGMs, and supplies were put away with such care,
In hopes that Santa would bring the cure with him this year.

The children were nestled from head to their feeties,
While thoughts in their head were no more diabetes.
And mamma in her ‘kerchief, she prayed for the cure too,
A dad still wonders what else could he do.

Remembering this year; CGMs enough to fill a bin,
All so new and even under the skin,
Insulin is still with a cost way too high,
Government should act, stop asking why.

As costs continue to rise and wallets get thin,
We fought hard for lower costs of insulin.
The community raised voices loud and concise,
Costs are too far and need to be lower in price.

The voices were loud and the voices were clear,
We will shout as one, we all have no fear.
Insulin is not a luxury, stop causing such strife,
Insulin for all it is needed for life.

Many things were good, many things were fun,
Diabetes awareness campaigns are still being done.
The word is important for everyone to hear,
Capitol Hill is hearing our voices, we’re getting in gear.

Others will take the lead and we will all see
Better products, more work, and good advocacy.
Better pumps, insulin, and CGMS by the score,
There’s plenty coming and we’re screaming for more.

When you look outside at the fresh fallen snow,
so many are doing and so many you don’t know,
Think of those who inspire and soon you’ll see,
Things will move forward and continue to be.

The life is not the greatest fighting this disease.
Continue to ask as you drop to your knees
That things will get better and rightfully quick,
Good things to come, and not all from St. Nick.

So listen carefully as you think what needs to be done,
If you have an idea, take it and run.
Don’t leave it to others; it’ll be just a few,
“Don’t do nothing” is what you really must do.

And if you think you’re done, tired, and feeling sort of sore,
Think of your loved one with diabetes, it’ll make you do more.
And if not for you, it will be for their sake,
We won’t stop at all till they all get a break.

And then, in a twinkling, one day we’ll hear on the roof,
The prancing and pawing of each little hoof.
And the only thing needed in Santa’s bag for sure,
Is when diabetes is gone because of a cure.

So we will all continue to work, the ‘where’ is up to you,
But you have to make the decision on something you’ll do.
And one day we’ll scream and exclaim, “diabetes is gone from sight,”
The Happiest Christmas ever, and to all a good-night!

I am a DiabetesDad.
Please visit my Diabetes Dad FB Page and hit ‘like’

Dear 2018……..uhmmmmm…..’gotta minute?

dearsantaletter-outDear 2018,

Nice to meet you and we look forward to your arrival.
You may not know me fully but I’m pretty sure we both know of each other well enough from others, and I was told to contact you for the things that might be important during this upcoming year in my world; which is a world of diabetes.

I get it.  You’ll have people with long lists regarding the state of affairs here and abroad.  You will have people screaming on both sides of what is correct from their standpoint which they will insist is in the best interests of all…….sort of impossible, I know, but they will insist.

You will also have people asking for incredible mountainous requests for sick relatives and dire situations.  All-in-all, I do not envy you your situation.  Not only will you not make everyone happy, it’s my guess you will make only precious few as happy as they may want.  Powerful is the individual who recognizes that they cannot do anything about what enters their world but it’s what they do with what comes along that creates the path they walk.  We are each faced with that task.  Life is life; and no matter where we are in this world…..we are given life to deal with and manage.

With all of this in mind, it’s also my understanding that you take requests. It has been made clear to me, 2018, that you are not Santa Claus but that request can be made and you will sort through and figure out what is best and that asking is completely encouraged.

Okay…….so here we go.  This is my request for our diabetes world.  Others may chime in as needed.

First and always, I want a cure.  I’ve been asking this for some time and although I have not been one of those who point and say they have been promising it within the next five years (who are those people anyway?), I think it’s time.  Or, at least, some REAL significant progress toward that end.  Some clinical (human) trials in kids…..something promising please.

We also need some stability in the insulin world when it comes to pricing.  Either allow some of the cases to come to trial that make/prove definitive and serious allegations to force lower costs, or have someone come up with a generic brand that will shake the foundations of those who think they control all costs—-the prices are too high, 2018, please look into this matter.

Please help us make a REAL dent in our journey to stop the missed diagnosis of T1D.  No one should die or be missed diagnosis that in turn causes major havoc in people’s lives.  IT’S JUST SO AVOIDABLE, 2018, it’s almost ridiculous.  Thank you for the continued efforts of so many—-it’s MAKING a difference but we need to really make this a national initiative.

Health care costs.  Okay here is the deal, us in the diabetes word ARE NOT THE ONLY ones asking about this 2018.  YOU HAVE GOT TO KNOW BY NOW how important this issue is for so many causes, so many people, and so many reasons?  A group of fat cats in our Nation’s Capitol can no longer be allowed to merely make changes without fully understanding of what the impact will be…..it’s a mess 2018, please both tend to, and fix, this situation.

Management tools.  2018, I am not just  referring to a device that reads blood sugar and dispenses insulin; I’m talking about all management tools.  There needs to be a healthy array of available equipment and not controlled by just one or two companies.  This just makes no sense.  Never before have people (patients, loved ones of patients) been so nervous that what is available today will not be available tomorrow.  Medicare and Medicaid need to cover what is needed and we all need to know that what is needed will always be available.  It’s just not fair.

2018, these are all practical and needed request and understood, they are all tall orders.  But I have faith in you and believe in you.  From the fiasco of diabetes issues 2017 left behind, my hope is that you are better, stronger, and more aware of how to navigate the waters-of-need for all those who do not want to just live with diabetes, but thrive with it.

Good luck 2018, we be in touch to see how you are doing.
I am a diabetes dad.
Please visit my Diabetes Dad FB Page and hit ‘like’.