new york adventure

I’m really acclimating to New York City, when I lived here we were way out on Long Island with occasional drives into Queens for family torture affairs. Now my son lives just across the river from Manhattan (photos coming)

Today we headed to the city early for breakfast the coffeeshop

and the next stop on our adventure was Fishs Eddy

Stop, go back and click on that link

I bought these for my god daughters egg cup collection

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I like these…!!THUMB_homgbcat

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I really like those!! Among a few hundred things they had…

doesn’t that make you wish you had clicked on that link?

The rest of the trip later

 

I survived Amtrak

Actually it was pretty good, all 19 hours! packed but nice crowd, no broken toilets or ventilation disasters, arrived 15 minutes early although several people were miffed that they closed the snack bar a full 3 hours before arriving at Penn Station…

I was able to write most of one of my papers for school and based on a question from one of my fellow students, Ms. Smarty Pants, I am further along on the “big project”, so there!

Today is Easter, it’s supposed to be 70 degrees- so you will find me walking around Manhattan and Central Park-pictures to follow.

Healthcare 1.0

Strolling through Twitter today after seeing stuff like this_74314465_tim18Blc9ZFgCIAEahhB

I invariably run across the equivalent of saying “you’re fat”~ to paraphrase the usual rhetoric

~healthcare in the USA is more expensive, with shittier outcomes than every other country on the planet and millions of Americans go bankrupt without insurance~

What’s the point?? Every healthcare system is close to the breaking point, held together by the dedication of its staff.

Here’s my 6 ideas for supporting healthcare in any country!

  1. Support fundraising events at your local hospital. Call and see what’s going on. At my hospital we have supported charity events like St Baldrick’s, but we also have volleyball  & baseball games between departments to raise money
  2. Organize, join, participate in and support healthy habits- a 5k run, smoking cessation, a walking club
  3. Take your business (doctor’s appointments) to your local hospital instead of to the fancy, shmancy hospital across town. Sure, be vigilant, ask questions but if you have insurance they will be glad you are there.
  4. Find out what their infection rates are. In the US, that would be on Hospital Compare. Be educated about current best practice-visit the CDC website for lots of healthcare resources.
  5. Support Nurses!!! Say please and thank you, ask questions and listen to what they tell youalways-thank-your-nurse
  6. Stop complaining about your wait, the waiting room chairs, the foreign staff~unless you are seeing a witch doctordownload (1)

Let’s stop pointing healthcare fingers-images (4)

who’s best, cheapest, slowest…take responsibility for your health and respect those that dedicate their lives to helping you stay healthy.

 

 

 

infection control games

It’s getting almost impossible to be motivated about my job. This week there are just two of us in our office-in some ways that’s a good thing big cause our “looks better on paper” colleague is off this week so at least she is not interfering.

I will be off next week and my “worth her weight in gold” colleague will be stuck with the interfering one.

As if we aren’t far enough behind we had to deal with a patient that was found sleeping in a grocery store (homeless) and her only health problem was a serious infestation with….lice, bedbugs and scabies! the issue was the nurses, doctors and social workers decided a good way to determine if the treatment had worked was to move the patient to a clean  second room?!

When I was talking to the very enthusiastic first year resident, I mentioned that it would have been helpful if someone had let Infection Control know about this lady so we could advise them…he told me he didn’t know we had an infection control department

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Yes, that was my reaction. I said excuuuuuuse me? Have you ever been to a hospital that didn’t have infection control??? So, he stammered on…duh, ummm, buhhh…she’ll be leaving today….

yeah, right…

She didn’t leave and today I got a call from the administrative assistant to the Vice President for Health Affairs. This admin lady very nicely said that she just got a message from a Dr…Chris… asking me to call him back about a patient with lice. Seriously??

The roundabout story on this is that because we have no associate director, her phone messages have been diverted to an admin person who is now off taking care of her mother so her phone messages are being diverted to her admin boss…who happens to work for the head honcho MD.

When I sent out some directions on how to find the contact information for my “non-existent” department. I was told the required 4 clicks of a mouse was a little “cumbersome”. I held back from responding-so is making 4 unneccessary phone calls to leave a message and wait for a call back.

The topper was that Dr C asked me how to clear the patient, should he do a full exam?? My favorite response in my head to stupid resident questions is~which of us went to medical school??? Yes, Doctor you should examine the patient, make a  decision and then document your medical assessment in the patients chart. That’s how we do it….

The whole point is that I don’t really do my job anymore. I spend my time doing all this stupid, crazy stuff.

Vacation, here I come!

 

 

What’s your vice?

I think it only fair that after several posts about the struggles my son was going through, I share a view from the other side. I’ve never tried to hide my life as a single mom and try to be honest with myself and everyone else that my kids did not have the best of me growing up. I was so torn between supporting a disintegrating husband/marriage and just plain working to pay the bills, it was survival most of the time, plain and simple.

I went to England for various reasons~exploring something new, running away from old pain, coming out of a dark place.

Unfortunately, my older son got lost in the shuffle, I need to step up and make up for that.

My son has a typical story, starting smoking pot young, kept smoking pot, wanted and tried to quit many times and when he finally got serious about quitting, he got anxious, depressed and paranoid.

Be neither proud nor ashamed of your vices

Obviously in the whole scheme of things I wish none of my kids would have any “issues” but the reality is there is a whole spectrum of “vices” including gambling, heroin, extra marital affairs, alcohol, shopping, eating disorders, obsessive-compulsion, self-harming…

Smoking pot is pretty middle of the road and as the whole country goes “legal” it’s important to remember that there are plenty of legal vices so it’s just a matter of degree. I go shopping, have a drink and buy a lottery ticket but I don’t spend money I don’t have or drive home drunk.

I know from experience that it is a fine line between between recreational pot smoking and being dependent on smoking pot. Happy to say my son has, after several months of distress, quit smoking pot and is pretty much a new person! Engaged, motivated, relaxed~

I am heading back to New York on Friday ~on the train~ to spend next week with my Easter baby on his 30th birthday. With an interview at New York Presbyterian Hospital. More big decisions!!!

 

 

what a weekend

No doubt this has been a brutal winter!  Just hopping in the car was impossible without excessive planning

 

and layers..images

images (1)….layers of shirts, sweaters, coats, hats, scarf..don’t forget gloves…boots…earmuffs….

This last weekend has been fantabulous~~windows open, just jump in the car or head out for a walk, in a t-shirt~~that’s it!!

A brief thunderstorm this afternoon but lots of gardening. everything just feels better, lighter.

We are anxiously checking the plants we planted last fall…before the deep freeze. It’s sort of a waiting game to see what survived but enough is coming up to give us hope.

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