September 14, 2026 DEADLINE!!!

QR Code to Reach Your Congressman

I went to the dermatologist today and discovered something very disconcerting. There is a new proposed Medicare rule before Congress which would penalize doctors for performing necessary procedures on the same day as an office visit or exam. This ruling sets a precedent which could then be applied to all doctors not just dermatologists.

The new rule would make it harder for doctors to treat Medicare patients promptly and effectively in the following ways:

  • Increased costs. You may be required to return for a second separate appointment just for your needed procedure, leading to additional copays and coinsurance.
  • Delayed treatment. Essential diagnoses and treatments for skin conditions, including skin cancers, would be delayed until a follow-up visit can be scheduled.
  • Inconvenience & hardship. This ruling creates an undue burden for patients, especially those with transportation challenges, who must take extra time off work, who live far away, or have mobility issues.

Your voice can protect Same-Day patient care!

You can take these actions:

  • Comment to CMS. Tell CMS that you OPPOSE the proposed 2027 Medicare Physician Fee Schedule Rule because it could delay medically necessary procedures and require unnecessary return visits.
  • Contact YOUR Representatives. By just clicking or tapping on the QR CODE above you will be taken to the website of the American Academy of Dermatology who is helping you to fight this battle. On this page you will see links for Physicians, Staff, and Patients who want to have a voice on this matter. By clicking PATIENT, the link takes you to a page where you will be given the opportunity to send a prewritten letter to your local congressman, regardless of which state you reside in.

    In the box labeled “Message”, you can scroll to read the entire letter being sent to your congressman on your behalf. By giving your address and zip code, your Congressional representatives will receive a letter telling them you want them to vote NO – IN OPPOSITION to this ruling by Medicare.

This is an urgent matter. Congress is expected to act on this ruling in September, and the September 14th deadline is REAL. ACT today! Send your Congressman a letter that could make a difference to thousands of Medicare recipients. Do it now.

Again, this ruling sets a precedent which is be applied to all doctors without specificity to their practice, not just dermatologists alone

One last thing you can do is Get The Word OUT!!!

Share this blog post with every medicare patient you can think of. Tell your church! Tell your friends!

Thank you for your help in this matter.

Grace for Gracie

If you are a Shih Tzu owner you already know certain things about the breed which I am about to share. For all others, you’re welcome.

This animal is a toy dog breed which originally came from Tibet. Favored by Chinese royalty during the Ming Dynasty the Dowager Empress Cixi bred them extensively. The dogs came to Europe in the 1920s gaining popularity in the USA during the mid-1950’s.

The Shih Tzu is often referred to as the Tibetan Lion Dog. Gracie certainly fits this monicker since she likes to lie on top of our sofa and look at at the squirrels playing on the fence outside, or the leather chair perched next to the window in our office, so she can watch for the mailman to deliver his bounty.

Gracie is a very affectionate, people-oriented dog. A great companion for my wife and I. Here are just a few of the specific unique identifiers of the breed… of which, Gracie performs well in all categories.

  • Circle spinning before lying down. It’s a DNA thing. Circle spinning can be traced back to the ancestors who would do this in the wild to flatten grass or leaves to create a comfortable sleeping spot.
  • Shih Tzu Stomp. Gracie often uses her front paws to tap or stomp when she is excited, i.e. when it is time for her walk. The stomp is amusing and seems to stem from the ancient breed signaling their presence in a non-threatening way in the imperial courts. Stomping is a playful gesture indicating our dog is happy and wants to engage with us.
  • Snorting and Grunting. The sound is not unlike a human blowing into a handkerchief or tissue. Or maybe like a short breathy sneeze. It often means “You are not paying enough attention to me!”
  • Picky Eating Habits. This one is notoriously famous about Shih Tzu’s. We have tried a variety of foods. Gracie will eat almost anything we cook for ourselves, but this is not the healthiest diet for our little dog. After much trial and error, we discovered that it has more to do with the size of the bites offered, than the food itself. Although she would definite prefer fresh carrots to anything else, we offer her a healthy portion of small breed dry kibble, which she now devours ravenously when she is hungry. Tip: many dog owners want to offer their pets doggie treats. We experimented and found that if we keep some of her food kibble in zip lock bags around the house, when she acts like she wants a treat, we give her a few nibbles of the exact same dry kibble. She’s happy and we’re happy.
  • Paw Licking. This is a habit that can be linked to allergies… but also to sheer boredom. It’s as if Gracie doesn’t want to sleep at that moment, or play, or do much of anything, so she licks her paw. Or my wife’s foot. Which my wife loves. But me, not so much. I tolerate it sometimes and offer Grace to Gracie in the form of a foot bath. Ick.
  • Sudden Bursts of Energy. These burst can best be described as the “zoomies.” Gracie will run through the house, from the bedroom to the office, around the sofa, back into the bedroom, around the dinner table, and jump up into the chair she normally sleeps in. Then look at us watching her as if to say, “What? Can’t a girl just run?”
  • Sleeping with their eyes partially open. Ok. This one I get, because for some reason I do the same thing. It can be disconcerting at times to look over at our sleeping monster and wonder if she is asleep or just staring at us out of half-closed eyes.

Gracie is a dog with a large personality. But… she is stubborn to a fault. If you are thinking of getting this breed of dog for a pet, just know this, nothing happens unless they will it or choose it. Now, Shih Tzu’s can be trained to walk on a leash (which we have done), but walks can be difficult at times when Gracie decides she isn’t quite through sniffing that mailbox, and doesn’t want to leave yet. It would be easy to get angry at this stubborn animal, then she looks up as if to say, “Well, I’m waiting, aren’t you ready to go yet?”

When we brought Gracie home to our house from the breeder, she was wearing a cute little Christmas outfit, and had this Christmas Cane stuffed toy in her mouth. We nicknamed the cane “baby”, so even now when she carries this around in her mouth looking for another place to bury it, we ask her, “Gracie, you got your baby?” She stops, looks at us, as if to say, “Don’t bother me. And look away, I’m hiding this. Pay no attention over here. Nothing to see here.”

All these little idiosyncrasies can be annoying at times. But it is so easy to offer Grace to Gracie, for she has stolen our hearts. She is a gift from God to us. Just like the free gift of Grace.

Promise Keeping

What an interesting idea. Making a promise to myself.

After dinner last night, my wife and I were sitting around the table discussing the current state of events in our home. We shared warm thoughts about how blessed we feel to live in a nice house, swim in our pool, and have friends over for an evening feasting on delicious food, celebrating our friendships, and playing a mostly-friendly game of chicken foot. I have to admit, some of my friends can be very cutthroat when the dominoes come out. Still, it’s all in good fun and nobody takes themselves too seriously.

Turning Point

Then our discussion turned to my current activity of writing on this blog. You see, I began writing online with the idea it was important for me to have a voice. Like many others out there, I thought myself to be something of a wordsmith. Some who’ve actually read my material are yawning at this notion. Others might agree, but not with much enthusiasm. A few, (albeit probably all are friends or family) think I’m a real genius and expert communicator. Go figure. Words are like art, each often leave different impressions on various readers and observers. In the fall of 2015, which seems like eons ago, I bravely ventured into the online blogging game with a very naive expectation of what would happen next.

Here’s how I started at that time. I would write something every day. Even if only a few words or thoughts. Just to maintain my presence in the blogging community. It was important to me to write something relevant, attempt to be humorous at times, and deeply philosophical with other articles. I wrote nonsense, I wrote truth. But I wrote. I wrote and wrote and wrote. When I started I didn’t know where to start so I used the “Word of the Day” prompt to gain a subject for my material.

After a time, I found the “write something every day challenge” a bit difficult to accomplish. It was more of a goal really I equivocated. Then there were a few years when I was busy writing for a Bible Study I was leading and the effort to publish anything else was strained for time. So, I published my Studies here on this blog. If anyone is interested just search “bible study” on my home page. After that I randomly from time to time would get back online and write something that seemed to be a hot button or touch point for my current life situation. But the write something every day notion was clearly in my rearview window. Until now the last thing I wrote was in 2024.

Almost Two Years Later

I had a dream. In the dream, I believed I was dying. As a Christ-follower, I saw myself praying, “Ok, I’m ready to go. Just take me now.” Even as I was saying the words there seemed to be an unseen entity who was gently whispering “Am I not Sovereign? Do I not get to decide what is best for you, and when it is time for you to come home? What is My name?” I could hear my own voice in the dream going over the many names of God I’ve studied from Scripture over the years. Suddenly it was crystal clear the promise I should make. I will begin again.

Starting Over

The next day I got up and looked at my blog for the first time in almost two years. What I discovered sent me running to my wife to show her the revelation. Since January of this year, without writing a single word, I have had more people visit the site, and read the articles of the last ten years, than I previously had in several of those years combined. I was completely stupefied. People were still downloading the bible studies. More and more people everyday were downloading my top story “Fast Like Peanut Butter.”

In those few moments I was reborn as a writer. I knew there was a promise I had to make to myself now. Don’t stop writing. Reach out to someone. There are people all over the world just like yourself I said. Reach them, encourage them, affirm them, instruct them. Don’t stop spreading the Good News of the Gospel of Jesus on the platform you already have. Here’s the promise: Persevere!

And I will.

Until Next Time

I’d love for you to follow my blog. I’d love to see what you are writing. I’d love to hear from you with your thoughts about what I’ve written.

Stay close… more to come!