No Debate About It-This Lord & Taylor Coupon Process Is Crazy

lord-taylorOn Sunday, a stern talking woman gave some instruction to an obviously bewildered man. No, we are not talking about the Presidential Debate here. This particular exchange took place on Sunday afternoon, hours before the Clinton-Trump showdown, at a Lord & Taylor store in suburban Chicago.

A little background while I set the scene. When Barb and I moved from the old house into our temporary apartment, all of our furniture and most of our other possessions went into long term storage with our moving company. We kept just enough clothing to get us through the transition until the new house was completed. Among the clothes I planned to take with to the apartment was a box clearly labeled “Les’s Sweaters-Take to Apartment.” Unfortunately, during the very hectic day in August on which we moved out of the house, the moving company must have grabbed that box and added it to one of the crates bound for storage. So as the Bears lose and the temperature has started to drop, I find myself sweater-less and chilly.

I told Barb I had to go shopping for a sweater or two to tide me over–shopping being something I enjoy just a bit more than a trip to the dentist. She mentioned having a 20% off on everything coupon at Lord & Taylor, so after our mandatory daily visit to the construction site, we drove to Northbrook Court. We made it past the baby clothes (sorry grandkids, nothing new for you today) to the Men’s Shop, and selected a couple of sweaters that would go with most of my wardrobe. We found a salesperson and headed to the register. Barb gave me the coupon and I looked at it for the first time. Here it is:

coupon

Can you read the fine print? That’s over 100 brands excluded, including all regular priced Men’s Wear!  I defy anyone to find two articles of clothing they could  purchase using that coupon. A costly full price purchase was looming, making less expensive Macy’s seem more desirable. The saleswoman noticed my hesitation in completing the purchase and pulled out her Super Secret Bonus 20% Off Coupon. We sealed the deal and I was no longer sweater deprived.

I don’t get it. Why is buying a sweater at a department store as complicated as negotiating a deal on a new car? I remember a few years ago when Ron Johnson became the CEO at J.C. Penney. He promised to offer everyday low prices and do away with all this sales/coupons nonsense. I cheered, but I was cheering alone. Retail sales at Penney’s dropped 30%, JCP stock declined by 51% and Mr. Johnson was rapidly fired.

I guess most of us love our coupons and our sales that aren’t really sales. Maybe I am the only one that hates it. But I’m. If you too think this is nuts, leave a comment, or send me an email at les.raff@post.com. I’d like to think I am not the lone voice in the crowd!
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Ben Stiller and PSA Fly, Elizabeth Holmes and Theranos Die

stiller-holmesWhen my friends back in medical school were choosing their specialties, there were the glamour fields to make a mark in. Cardiac surgery was a winner, orthopedics appealed to both the big bruisers and the little Napoleons, and neurology had the imprimatur of being for the intellectuals.

But pathology and laboratory medicine? That was for the true nerds and geeks. And believe me, you had to be really low to be considered a nerd by other medical students, few of whom had Head Cheerleader or Captain of the Football Team on their resumes. But I did my thing and watched while my colleagues in other specialties got their accolades. Who knew that lab testing would be a big deal in two news stories in one week?

Both stories are ones you may have been following along with me. First, early this week, Ben Stiller revealed that he had been treated for prostate cancer and that PSA (prostate specific antigen) testing had saved his life.

Now, I have discussed several times the controversy about PSA screening and how, based on my professional findings, I strongly believe in testing. Stiller’s story is anecdotal, it doesn’t prove anything in the debate, but a little good publicity doesn’t hurt. After all, if we have to hear about junk science from other celebrities, it is good to hear something from an actor (Zoolander doesn’t count) that doesn’t make me cringe. If you (or your spouse, partner, friend) is of an appropriate age, get your PSA test and remember:

  • An increased PSA should be investigated, but it doesn’t mean you have prostate cancer. There could be benign causes for the increase. Listen to your doctors recommendations for evaluation.
  • Even if prostate cancer is diagnosed, it does not mean radical treatment is necessary. Always discuss with your physician what your many options are.

As much as lab testing has its important role, it has its black eyes too. The Theranos saga is one of those. We have discussed on more than one occasion the dramatic rise and fall of the company and its Jobsian (Steve, not biblical) leader Elizabeth Holmes. The company claimed to be performing laboratory testing on minute amounts of blood drawn from a fingertip, but there were doubts about the validity of the company’s results.

After a series of investigations, inspections, and lost business partners, Ms Holmes announced yesterday that the company will be closing its labs, refrain from patient testing, and “will return our undivided attention to our miniLab platform.” I suppose at this point Holmes does feel more like the Old Testament Job than Apple’s Steve. I wonder if we will ever hear from Theranos again or if more like Jonah, it has disappeared inside a whale.

As for me, my lab just got re-accredited, our new house is coming along (more on that soon), and life is good. You don’t have to be a heart or bone surgeon to get it right!

 

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Trivia with a Twist. That’s Entertainment!

teese
The lovely Dita Von Teese

Why do we never get an answer.

When we’re knocking at the door.

Moody Blues–1970

Jeopardy, It’s Academic, Three for Free. Yes, questions and answers (or is it answers and questions?) are in my blood, and unlike most medicine, even cross my blood-brain barrier. So I was intrigued when my buddy Roger asked me if I wanted to join his team for an evening of pub trivia challenge. “It’s at a dive bar,” he warned, “but you will have a good time.”

Now Roger and I don’t always agree on what a good time is, but since the invitation coincided with a “bye” night in my Thursday tennis league, I decided to give it a try. After a tough day in the lab, I fought the construction traffic on I-90, navigated a few detours and wrong turns, and made it out to East Dundee, not far from that old family favorite, Santa’s Village. Meeting up with Roger for a bar burger and a brew, he gave me the low down on what to expect. The rules, the rituals, and the characters. But even forewarned, I wasn’t quite prepared.

Wandering among the tables was the Adjudicator. Sporting a monogrammed judicial robe, long silver blond hair and a well lined face, this was the master of ceremonies, giver of clues, and hurler of barbs and insults. He is also the Keeper of the Names. Every regular player eventually earns a nickname. There is Irish Mike, Ms Jeopardy, Family Doc, Thirteen, my teammates Driller and Two-Wheels, and twenty or so more players whose names I could not keep track off. As a newbie I was not officially entitled to a name, but after I earned the Adjudicator’s respect with a well timed Alex Trebeck jab, I soon progressed from “PathDoc” to “Dr. No-Name”, to a mutually satisfying “Dr. NO”.

At 7:45 my $7 entry fee was collected, the Adjudicator mumbled a few comments and before I realized it, the contest had begun. Some questions were barked, some were whispered, all were accompanied by a never ending flow of shtick and banter. The crowd knew what to expect and how to respond, screaming out “Nine” in unison for the ninth question of each round, chanting “cities” when that word was mentioned. No Bingo caller ever had a more appreciative audience.

We played six or seven rounds of 10 questions each, some rounds centering around a specific topic (Gene Wilder movies, the Cubs), others more random. There was a “sounds” round which teammate Roger aced, and a picture round of nine public figures, each flashing their middle finger at someone. The 10th picture in this round was the appropriately named Dita Von Teese, whose curves apparently make an appearance at each night of trivia. I admit to costing my team a point during the picture round, convincing my teammates that the lady rocker in picture 8 was Linda Ronstadt, while the correct answer was Grace Slick. How could I have thought sweet Linda would be giving anyone the bird?

Despite my Ronstadt-Slick blunder, at the end of the evening the Official Scorer declared our team the champion with 69 points.  Each member of the foursome raked in a cool $24. Barely enough to cover dinner and the entrance fee, but as Roger predicted, I did have fun.  And $24  easily surpasses my lifetime tennis earnings…

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Held Hostage for Headphones, Swedish Style

Destroyed HeadphonesJust like Apple, I think cords suck. Long before the Lords of Cupertino decided to remove the headphone jack from the newest iPhone,  I determined that the best way not to tangle with cords when I run was with Bluetooth headphones. Being a diligent market researcher I polled the Web for rankings of various wireless headphones for runners. The rankings led me to the Swedish company Urbanears and their Hellas model. Easy enough to order online, and within a week or so my shiny blue ‘phones had arrived, were synced up with the iPhone and I was able to run cord-free. Heaven!

A few months later I noticed that one of the ear cushions for the Hellas was missing. Since we were busy packing up  before the interim move, the house looked like a tornado had hit, and I could not find the ear cushion in all the debris. I’ve lost or worn out ear cushions with previous headphones, and can usually replace them with a quick order for new cushions on Amazon Prime.  Total cost, about $5. But with Urbanears, I couldn’t find the right cushion on Amazon, so I emailed the manufacturer directly. Following is the slightly edited transcript of the subsequent multiple email communications.

Me: Dear Urbanears: I have lost one of the ear cushion from my recently purchased headphones and would like to buy a replacement. Can you tell me how to do order a set?

Urbanears: Dear Sir: We regret to inform you we do not sell the ear cushions individually. However, you may be eligible for a warranty replacement of the headphones. Please send us documentation of your purchase.

Me: Dear Urbanears: Attached please find a copy of my purchase order. I really just want a new cushion.

Urbanears: Dear sir: We are pleased to inform you that based on your purchase order you are eligible for a warranty replacement of your headphones. Please send us a picture of your headphones demonstrating the problem.

Me: Dear Urbanears: Please see the attached picture of my headphones. The red arrow points out the fact that I really did lose a cushion. Wouldn’t it be easier just to send me a couple of new ones?

Urbanears: Dear Sir: Thank you for the photograph. We agree that you are missing a cushion. We are pleased to tell you that you have met all our requirements and sent us all the evidence to enable us to send you replacement headphones. In order to expedite this please do the following. Grasp your headphones, bend at the right hinge and snap off the entire earpiece. Then please cut all wires leading to the earpiece and cut them. Send us a photograph that also includes the date of destruction.

Me: Dear Urbanears: Attached is the photo you requested (see above.) It broke my heart to assassinate a perfectly good set of headphones when all I really needed was a cushion, but I guess you have your Swedish socialist business model instead of our capitalist one. Long live the EU!

Urbanears: Dear Sir: Thank you for the photograph. Your new headphones are on their way to you. It is a pleasure doing business with you and we hope to keep you as a valued customer.

Two days later I received the new headphones. My only problem now is getting the iPhone Bluetooth to sync with them. And oh yeah, I found the missing cushion in my gym bag…

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How to Survive an Interim Move

New House 9-07-16It’s just apartment house sense,

It’s like apartment house rents,

Remember one man’s ceiling

Is another man’s floor.

See that picture? That is our new house. One thing you may notice immediately is that it is not in “move-in” condition. It is coming along. The stucco, the last phase of the exterior, is in the process of being applied. The interior has a fresh coat of primer on all the walls, and that goes a long way toward making the house look like our future home. Architectural details are being finalized for the staircases, the deck is being planned, floor boards have been delivered, and there is talk that the HVAC will be installed soon. So there is definite progress. But we closed on the old Long Grove home last week, so we faced moving day, and the beginning of our stay in our apartment-away-from-home.

It was a hard week, both physically (95% of our belongings packed for storage, 4% donated or junked, the rest transported by us to the apartment), and emotionally (deciding what you will need for the next three months, tearfully saying goodbye to your home of 26 years).

The interim apartment is a furnished two-bedroom “executive” apartment in a low rise building complex. It is a mixed bag.

  • The apartment is on the first floor, so it was an easy move in and easy to walk Max-BUT  not much privacy.
  • The apartment is furnished so we didn’t need to bring much other than our clothes-BUT we still brought too much “stuff” so had to store a lot of boxes at Michael’s house.
  • The apartment was freshly painted and power cleaned-BUT for the first week the paint fumes and cleaning solvent smells were migraine headache inducing.
  • The commutes to work for me and for one of Barb’s jobs are shorter-BUT it is a longer drive for Barb’s two day a week position.
  • We found some nice walking paths-BUT the overhead high tension power lines may mutate us as we walk.
  • Cable TV is provided, and I was able to hook up Netflix and Amazon-BUT the apartment is very dark and somewhat drab.
  • Kitchen space is limited-BUT Sunset Foods has plenty of prepared meals.

So, dear friends, what can you do to help us pass this time? Send us some good recommendations for binge TV watching, and meet us at Walker Brothers or Wildfire for dinner. Early and often!

 

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How to Blog – 100 Memories, from American Airlines to Family Feud

We are closing in on 100 episodes of “Downsize, Maybe” since the blog began appearing in ChicagoNow. Over 32,000 reader hits (I know, some sites do that in 20 minutes.) The name of the blog refers to our construction project, but regular readers know that we have talked lots of things in addition to whether the windows should have muntins, or how high should the ceiling be in the loft. Some politics, some medicine (particularly laboratory based) and some attempts at humor or satire have found there way here. As the century mark approaches I thought I would look back at some of my favorite pieces as well as some of the most widely read ones.  Each is linked to the original posting. Feel free to read, reread, or just browse.

And there were many, many more. So thanks to all the readers, the commenters, the e-mailers, and the biggest thanks to Barb, for never once saying “Why did you write that???”

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Five Things We Have Learned About New Home Construction

kevinIf you build it…

…they will come.

It has been fifteen months since we started this project.From an idea, to an empty lot, then a plan. The excitement of a hole in the ground, and finally a real structure. We have walls and ceilings. We have plumbing pipe and electrical conduit, insulation and dry wall. Each room has its shape. The main floor, loft and basement each have their own flavor. The finished product, while not quite in sight, will soon be rising over the horizon. Thanksgiving in our new home may yet be possible.

What have we learned so far? Five rules we can share:

Raff Construction Rules

  1.  Raff’s Rule of Time Frames: In a construction project, time is meaningless. Financing delays, weather delays, contractor delays. All can make the project schedule evaporate. Balancing patience with cracking the whip is an art, as is finely tuning the good cop-bad cop approach. Learning to laugh also helps.
  1. Raff’s Rule of Hidden Surprises: In a construction project, you never know what is going to hit you next. Soil borings are great, but they aren’t perfect. Who knew about that one corner of the lot where the ground water level was higher than the borings predicted. And who would have known about all the extra water-proofing, sump pumps and architectural changes that higher water lever might lead to. I still don’t understand all the mechanics and engineering involved, but somehow our basement seemed to grow and grow.
  2. Raff’s Rule of Perspective: In a construction project, things look different when built then they did on paper. Perfectly adequate spaces on architectural drawings have a tendency to shrink when walls and ceilings close in. Sometimes the issues that arise are remediable. In our entrance foyer a change in lighting plans and furniture arrangement will solve the “problem.” Sometimes the issues are less remediable, as with our mud room coat closet that now looks much more like a broom closet. That’s OK, who ever wears a coat in Chicago?? We were given a warning on this before we started. A friend suggested we have the architectural drawings rendered in three dimensions. We didn’t do it. Our bad.
  3. Raff’s Rule of Ca$h Out: In a construction project, dollars flow downhill. The Hoover Dam couldn’t stop the tide of dollars rolling to the sea. Barb has found some cost savings measures, including finding the perfect floor tile at a warehouse type store we weren’t expecting much from. But since one of the reasons for making this move is to make my commute to work shorter, it is poetic justice that every change we make will just mean my retirement will move further into the future. As I have said before, it is all just karma.
  4. Raff’s Rule of Find the Fun: In a construction project, the opportunities are endless. Barb and I aren’t construction virgins, but this was the first time we really had total control and say over virtually every detail. Yes, that leads to sleepless nights and sometimes endless flip-flops. But it also gives the ultimate satisfaction when the bits and pieces do fall together and the vision that began 15 months ago starts to come together. Peace awaits us.

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In Tribute: My Mother and Aunt, the World’s Longest Sibling Rivalry

simon and garfunkleOld Friends,

Sat on their park bench like bookends.

Paul Simon- 1968

It is not very nice, but we call them “mushrooms.” Those elderly folks nudging their Oldsmobile’s and Cadillac’s along in front of you in the right hand lane, their white-grey puffs of hair just visible from behind, clouds above their seat backs. There were two of them in the car next to me, and as I sped ahead I could read GEMINI on the vanity license plate. Two sisters, two who would never be alone.

The ladies were not my mother and aunt, but twenty years ago they certainly could have been. Although they were not twins, in fact they were six years apart, my mother and her older sister lived the intertwined life of a love and sibling rivalry that stretched from cultured Vienna to Mayor Daley’s Chicago, from Freudian therapy to Aricept and Namenda.

My aunt Paula and mother Litzi were born in Vienna in 1913 and 1919, bookending the Great War. They didn’t speak much of their early lives, or perhaps I didn’t ask enough questions, so my knowledge of that time is sparse. I know they idolized their father, a small, quiet, artistic man holding a civil service job “with the railroad.” Paula, as the eldest, carried the imprimatur of the bright one, progressing through the best schools with the highest marks. My mother, perhaps a bit jealous, became the behavior problem. I believe it was an incident with a kitten that led to her visit with Sigmund Freud’s daughter Anna, a practicing child psychoanalyst. Ms. Freud was herself the youngest of six children, and apparently well versed in sibling rivalry. I can only surmise that whatever assistance she provided for my mother didn’t quite take.

Mom’s family was of the secular Jewish variety, but following the Anschluss in 1938, no Jew in Austria was safe. Paula was the first to escape, using little-spoken of family connections to receive a visa for the US. We recently stumbled across some of her documentation, chilling to see the Nazi symbols, surprising in the lack of the word Jüden. My mother and “the parents” were required to take a more circuitous route, including a year in England where my mother worked as a maid and somehow found herself spending a night in jail for some never clearly explained offense. Eventually they received the necessary papers and joined Paula in Chicago.

First in Hyde Park and then in Rogers Park, the family, including husbands for both of the sisters, stayed close. But there was one very significant difference. Paula, childless, continued her education, and having inherited her father’s artistic talent, earned a Master of Fine Arts Degree from the Art Institute of Chicago. She went on to become a leading art educator, taaching art history and becoming Assistant Dean at the Chicago Academy of Fine Arts. And Litzi? She became a mom. Linda and I were both born in the 1950’s, five years apart, and were her focus. We were public education, public transportation kids, easily the equivalent of a full time job.

The sibling rivalry entered the stage of “you have an education, and a job, and travel” vs “you have children and grandchildren.” Then the losses started coming. First Paula’s husband Poldi died of congestive heart failure, barely a month after saying the HaMotzi (blessing over bread) at our wedding. The next 15 years were a heated triangle, with my father resenting Paula and Paula resenting my father. After Dad passed away the ladies were alone together. Paula, who began to drive at age 60 on Poldi’s death, was the chauffeur, my mother was the grumbling passenger. The mushrooms were on the loose. They were inseparable, except for Paula’s activities at the Evanston Arts Center.She spoke fondly of her Print Class teacher Audrey, who was also a writer. It was not until many years later we made the connection between teacher Audrey and Audrey Niffenegger, the author of “The Time Traveller’s Wife.”

My sister’s tragic death in 1999 knocked the teeter-totter of its fulcrum. Mom’s sadness kept her from continuing to cover up just how much Paula’s ability to care for herself in her own apartment had faded. Barb and I intervened, insisting on, and assisting in, Paula’s resettling in a senior citizen apartment. Mom followed into her own apartment in the same building a few months later. It was environment in which Paula, as always the more sociable of the sisters, thrived, while my mother stewed. Paula still “had wheels,” and it was only after she drove my mother into a brick wall that we belatedly pulled her keys.

That car crash precipitated the slow decline that eventually led to Paula’s dementia and death. Mom’s final years followed a similar path, although we did discover the  cocktail of Aricept and Namenda that gave her an extra year or two of fairly good mental status. In the final moment of symmetry, the same devoted care giver was with each of them as they passed peacefully away.

Seeing those Gemini sisters slowly driving along brought it all back. May your sibling rivalry never keep you apart. Mushrooms rule!

 

 

 

Going for Gold in a Different Competition

Team LaboratoryI have never been a super fan of the Olympics, but like many of you I have been thrilled by the grace, strength and joyfulness of the US Women’s Gymnastic Team. The incredible aura they project, and their spirit of camaraderie and affection for their coaches has made watching them a pleasure. So in honor of the US team and the Five Olympic Rings, I thought I would explore the five part team that provides the results that leave our laboratory every day. Though I will describe them separately, just as the Olympic Rings are linked, so is each part of our team, all interdependent on each other.

In our first ring, we have our lab assistant team. While lab assistants vary in duties and titles at various labs, in our enterprise they are the like the springboard that gets the Olympians onto the balance beam. They get us going!  Arriving to the lab early in the morning, they are the first to get a look at the days specimens, matching containers, labels, test orders. As I have mentioned before, keeping patient identities correct on specimens is Job One. Our assistants are also responsible for the Gross Description of our biopsy specimens, counting the pieces of tissue in each jar, measuring the dimensions of each piece and preparing them for processing.

Our second ring, keeping the fast pace,  goes to our histology and cytology staffs. The histology team takes our biopsies and through multiple steps converts human tissue to ultrathin stained slices on glass slides. Patience, concentration and a deft hand are key, especially when operating the rotary microtome, the lab equivalent of the delicatessen salami slicer.  Our cytology staff is responsible for preparing urine specimens (yuck-but we ARE a urology practice) for bladder cancer evaluation. We use basic tests that are almost one hundred years old, as well as much more sophisticated tests that examine individual chromosomes as we help our clinicians battle this common malignancy.

The middle ring, the tent pole, is for our technologists in the areas known as “clinical” pathology. In a hospital or large commercial lab, this may constitute thousands of tests on blood and other body “fluids.” In our more specialized lab, we focus on a a handful of relevant blood tests, including PSA and testosterone, and bacterial cultures of urinary tract specimens looking for the microbes that causes pesky urinary tract infections. We also perform a special test to cut down on the risk of infection in men who will be undergoing prostate biopsies.

Pathologists get our next ring, heading for the home stretch. Trained physicians with extensive experience in laboratory medicine, it is our job to interpret the various findings in the lab, make diagnosis on the biopsy specimens, and generally guide the lab in the direction that best serves our clinical colleagues and their patients, while maintaining the lab accreditation by guaranteeing we meet all applicable laws and regulations. It means wearing a few different hats and keeping a cool head.

The final ring, the one that gets us across the finish line, belongs to our administrative department. Fielding questions from the clinicians offices, resolving discrepancies, managing the endless stream of consultation requests, they make sure the right result goes to the right physician for the right patient. As we know, the job is never done until all the paperwork (or electronic report) is completed.

Five rings, five squads working  together. Our team may lack a stirring theme song, and we don’t have the time to stand up on a podium, but in our behind the scenes way we earn gold medals every day.
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Trump for Veep? Why Not?

selena donIn a New York Times opinion piece, Matt Latimer, a former speech writer for President Bushes I and II suggests that Mike Pence, Republican Vice-Presidential Nominee, should convince Donald Trump to resign his candidacy making Pence the new presidential candidate. Latimer gives all the usual reasons why we don’t want a Trump Presidency including a lack of “negotiation, diplomacy, discipline, finesse and some semblance of intellectual curiosity.” What the piece doesn’t do is tell Mr. Pence what to do with Trump after he steps down. As a dedicated viewer of the antics of Selena Meyer and Tom James on the HBO series Veep, I think the answer is obvious. Just as Tom and Selena more or less changed places on the ticket, why can’t Pence and Trump do the same?

Think of the opportunity! Pence, the conservative governor that the Republican establishment can get behind. Trump, the mad attack dog on the loose. No one takes a VP candidate seriously, the candidate can say whatever escapes his or her lips without critics warning about nuclear warfare and end of the world catastrophe. And unlike Sarah Palin, a previous wild card VP candidate, Trump has a national following.  His fan club should stick with him through a humiliating demotion, as long as Trump gives it the right spin.  He can declare that he is easily the greatest person ever to run for Vice President. I can see the polls soaring already.

Now just suppose this strategy works and we wind up with Pence/Trump taking office next January. Trump as Vice President is perfect to follow in the footsteps, and missteps,  of Selena Meyer. Snub foreign officials, make embarrassing proclamations, hire a staff of fools, nincompoops and losers. Who cares? He is only the Veep. In the words of Johnny Carson “Democracy means that anyone can grow up to be President, and anyone who doesn’t grow up can be Vice President.” Johnny was foreseeing my scenario without even getting into his Carnac the Magnificent garb.

What’s that you say? Trump would still be only one bullet, one Booth or Oswald, from the Presidency? We can solve that too. Before making the deal, Pence can  require Trump to provide a signed, notarized letter, securely held in a mayonnaise jar on John Robert’s porch, abdicating any claim to the Presidency. The Chief Justice can produce this immediately upon a Pence fatality and following the Order of Presidential Succession, swear in House Speaker Ryan as the next President. Sounds like a plan to me!

One last thing. If you watched the last episode of Veep you know that when Meyer/James pulled the President/Vice President flip flop, they lost anyway. Do you think I would  I be so sneaky as to suggest a losing strategy to the GOP?
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