Tuesday

Off today, there were too many people and I opted to take the day off.   The JCAHO inspection is in the works this week..   Which is the national accreditation standard of the USA.   The hospitals pay big bucks for them to come and inspect and critique.   It is completely manditory, BUT, if you're not accredited the insurance companies will not pay for your services.   It is very expensive and a PITA.   I think that they are so far out in left field they dont know the score.   Every two or so years they show up.  What was well and good the last few times is now verboten.....I think they cause pain and aggrivation to justify their existance...

Heard from my longtime good friend.  It seems her nephew is missing in Afghanistan.  I really feel sorry for her husband and his brother.  In the 1970's his brother, who was also career Army was killed in an accident.   Why does thing like that happen.???   I think of all the scuzz balls and misfits breathing air that are a waste of protoplasm and try to understand why good people have to die like that.........................  

I hope there really is a hereafter because that is the only way that some of this SHI* makes sense.  (Like People in California who murder their wives and get off scott free because juries dont "Understand that DMA stuff" )  If they cant get the spelling right how in the world can you undertand what in the world is going on.  I think the most stupid people are picked for the juries.  The lawyers want people they can lead and influence not people who have grey matter in their heads.  They don;t want people who are able to think.

 

Saturday

It has been a while since I last wrote here.  My daughter was home for the weekend.  She has 2 weeks of classes and 1 week of finals.   Dear Lord, please let her get her this.   She  borrowed money for this semester and has some  "ownership"  in this semester.  I think (I hope ) she realizes that if she quits she will still owe, $6,000. Or there abouts.  She says she is doing good, I hope that is the case.   Once you have your degree in place it can't be e taken away.  You can go to grad school or become a bum, it is still there.

 

Yesterday was a real bummer at work.  One of the "colorectal" surgeons made a career of a laparoscopic appendectomy   We got called at 8 and got done at about 2 am.  She should have  'opened"  the belly.  This poor fellow flew in from Dallas for Thanksgiving and ended up in the hospital with a ruptured appendix.   That is a real pain.  She was a sick as could be.  It had already ruptured.

Did nothing much today.  But I decided to go for a daily 30 minute walk.  There is a route thru the plan and I did it today,.  Hopefully Chuck will decide to come with me.  I think he is thinking about since I had invited him.  I want to prevent osteoporosis, DM and HTN.  I guess it is easier to prevent that deal with it after after you already have it.  

I wanted to go to the mall but had to come home and take a nap.  After I woke up I could see the clock but didnt know if it was 3:00 or 12:15.  It was the later and I could sit for a while longer.  Had to call Chuck and ask what time it was...................

I am also in trouble with ICU buy will save that for tomorrows writing..........

 

Monday

Today was a do nothing day.   I had to make copies and take them to the atty.   The tax on the estate is due and that has to be tallied.  Then when I got home I had to figure out how to load the games on my PDA.  Chuck tried and I tried.  It was after that he suggested contacting the company that I found the answer in the FAQ section.  Seems it wasnt comatable with my PDA and I had to hit the button and enter the security code to install the program.   Gads.......................

It is 9:40 and later than I am usually up, I was waiting for my dtr to pop up on line so I could get some idea wha time she was planning to come back tomorrow........

Ten pm is my usual bedtime and I et cranky if I am up past it.......................Maybe when I am retired I will be able to stay up later and and get up later.

 

 

 

 

 

 

 

Sunday

Where did this week go?????  Have been off all week and have off on Monday and Tuesday.   Because I am oncall on Friday.   This year I am on call TWO days after the Holiday.  I am also on call the Sunday after Christmas.   We need to hire some non Christian anesthetists. 

My dtr is coming home on Tueday.  But, alas, the other person (who lives in Cleveland wants Friday off) So Emily has to drive back on Friday.   Thanks a lot to her (Heidi)  She has only  a few weeks of classes left.....................I am still hoping all goes well.

Either tomorow, or probably Tuesday, I will have to give this house a good cleaning.  Chuck will be working Tues so I am pretty sure that will be the cleaning day.  It is to be cold, and he has cleaned out the ashes so probably will have a fire.   There will be 18 people .   Having the ususal meal.  I told me daughter that I copied and out all the recipes I use and put then in a small photo book.  So when I die she will know what I used.   She would have no clue where to get the ones that I use every year.

Got my new Palm pda.  Got it fired up and ready to go.  My old one had only 8mb and this new one has 32mb.  So, then, why does the same stuff I had on the old one take up about 16mb on the new one????  I always thought the same stuff wold ocupy the same space????  That is a real mystery to me....

There is some scientific fact involving this, maybe, even a law of physics, but I realy dont know  what it is..

 

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The new one is SO much brighter and my old eyes can see it SO much better.  I had to go and find a bright light and stand under it just to read the old Palm. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wednesday

Back to pt today.  My neck and back feel really good.   I have determined that things that aggrivate it are, sitting looking up at the monitors and sitting at a computer screen that is too high.   My personal computer is just at the right level so it doesnt bother me to type at it.  Maybe I can get my boss to lower the monitors  HAHAHAHAHAHAHAH..................The monitor screen (computer)  at work is too high, I can just avoid it for long periods of time.

I decided to start my Christmas shopping and now I really dont have a lot of people to buy for since my parents and in laws are all deceased.  That is sort of depressing and sad....................I just have to get things for my daughter and something unusual or unique for Chuck.   I need some HINTS in tha area.....................

Only a few weeks of school for the dtr.  I will be glad when this is over.  It has been a nerve tingling time since last May............................I hope by now she got her resume all done and went over to the student center.  <SPAN id=sp-4 title=" NCI, nib, nil, nip, nit, nix, MI" style="BACKGROUND: url(undefinedimages/bg_spellingErr.gif) yellow repeat-x left bottom; PADDING-BOTTOM: 2px; COLOR: #000" _backupTitle="null"> know she was looking at it on line.  If there is ever a contest for the biggest procrastinator in the world I will nominate her and she will win hand down........At her age she should be doing all this with out parental involvement.   She hates it when I "nag" or what she perceives as nagging, but, when will she get the idea that if she did things and I knew she was going to do it, I wouldnt have to remind her.  Quite frankly, I get tired of reminding her of things she should do by herelf.

 

Monday

Another day off  with nothing going on.  WEnt to Sams and got a ham and cheesecake.  They have one that is four flavors in one cake.   It tastes really good.  At least everyone eats it up.

I am looking at new Palm Pilots.   The one I have is so dark, it is hard for my old eyes to read in the or.  They now retail for $199 and I am hoping they come down before Christmas.  The problem with it is that it is a "plain jane"  Which is exactly what I want .  The screen is brighter and in color.  Chuck has one.   They all now have cameras and cell phones, I just want something to keep my medical programs in it.   I really dont need one that will also scratch my back............................I also had subhunt and torpedo on it but somehow that dissapeared.  I thught it was on the work program but it isnt there.   Maybe I downloaded from some PP compatable game, free of course, web site.....  Can't remember it was a few years ago.

Back to PT tomorrow.  Have been doing my exercises but still have some tightness   Maybe those trigger points do need injected......its pretty bad when you are considering a shot....................

Monday

It is nice and quiet here today.   We just havn't got started on the day.  On cal Saturday and was busy the whole day.  Had a ectopic pregnancy in the evening who was bleeding and needed to be done asap.  

This poor woman had only been in this country for 3 months.   Although her command of English was pretty good  I ws thinking how afraid she must have been to be in a new country and really not have a clue the way things were done in an American Hospital.   All went well, but I can imagine how she felt.  We all tried to ressure her and do our best to make her feel comfortable.

Toda we are going into the City of Pittsburgh.  It is a small enough city that you can park centrally and walk all about it.  The problem is the Major Missmanagement of the city government.  Mayor Murphy is antagonistic and does just the opposite of what should be done.  Actually he zigs when everyone else is zagging.  I rarely go into the city.  The parking tax is the highest in the nation,  I can expect to pay $10 to $12 for a few hours downtown.   The city oficials want to know why people don't shop down there.   ITS THE PARKING, STUPID.  I can park at any mall and do it for free and have more stores.  Two department stores have left and the city planning commission has some bright (oxymoron) idea that they can control who goes in and it has to up to some magical plan that they have developed.  Business has inquired and have been turned down by this commission.  The city is in debt with the only way to bale them out in INCREASE TAXES AGAIN.  They are guilty of financial mismanagement.  The only wasy HRH Murphy got reelected was that he "bought off"  the fire fighters union, a day or two before the election by promises of higher wages and no layoffs........

Glad I dont live in the city, because they are expecting to raise the property taxes aain.  Right now they are spending about $15,000 per pupil and they need more.  They could be sending them all to private school at that rate and they would recieve a better bang for their buckat that.
 

 

 

 

Wednesday

It is the middle of the week, don't know where the time went.  Spent a day out.  First a hair cut, then looking for  an article in the newspaper.  I couldn't find it.  The only thing I can figure is that the article I saw was in the earliest paper and the one in the library was the final.

On to the mall for some major window shopping and a light lunch.  Mostly I got a lot off walking done.   Then to pt and the therapist told me that I would probably have to do the stretching exercises for the rest of my life, on a daily basis.   When I question that she said "You brush your teeth every day, dont you"   I guess I will just have to make it part of the routine.  She seems to feel that my sitting and raising my head up to look at the monitors is part of the problem.   And they keep making them higher and higher. 

And lastly off to my doctors who informed that my labs were all good.  About to check out at the doctors and found the check I had written to my hair dresser................gads back to her place..........................

Back to work tomorrow,.  It is a very light schedule.  Maybe the student and I can work on the case presentation.  Have to call a restraurant and schedule for the presentation.  But I need a place that has a screen and can accomodate  a power point.  Glad I don't know how or have the software to do that or I would have that to do too.

 

Saturday

It has been a long week.  Working 3/12 hour days.  At least I had a break inbetween.   At 3 I feel sad when everyone goes home.  Actually, it wasn't too bad.  I didn't have to stay later than my alloted shift.

The big pain is now the "Pixis"  system.   Some mental giant decided that this was the way to go.  To get any drugs or supplies you have to access the machine and put in your password.  With the drug side, it doesnt recognize a name, you have to decide if you want generic or brand.   Plus the person who programmed it doesnt call the things what we call them.  The bright idea of this of course was the administration because this is surely for their convenience not the people who are doing the work.

Of, as usual, no one consulted the people doing the work.  Plus now the carts have to be locked, which is a good idea.   Before, alll our supplies were on a large general cart that our aide took to each room and fill what you needed.   Now they have to be dragged out and filled in the workroom.   Those carts are VERY hard to manouver.  Everyone is suppose to take your cart to the work room at the end of the day and it will get stocked.   Plus you lose time signing in and have to open the locked cabinets and take what you need.

In actuality that is not what happens.  Sme rooms get done late, or peolple dont take them out.  Or when your room is finished you have to go and relieve someone else and then have another room to do.  We have one aide, what we really need it 2 full time and probably a part time to cover after 5 till 7.  I hope the bugs get out of it because this is driving me and everyone else CRAZY.

My daughter started her pt job.  Working at Brookstones.  She will finish school in about 4 to 5 weeks.  I wish she would get her resume done and start submitting it.   I think she is afraid of doing this.  I, for one, do not plan on supporting her the rest of her life.............................

 

Tuesday

Yesterday was one for the record books at work..   When there is a fire drill, the announce a Code Red and then al the doors shut and you have a protocol to follow.  Yesterday afternoon there was a code red, the doors shut, and you couldn't really tell where the "fire" was.

So, after going out of the workroom there were lots of maintenace people and people with fire extinguishers in the hall.  Seems that in one of the room (3) there was a misty smoke and smells of an electrical burining.

There were smells above in ICU and Next door in OB.   The fire deprtment arrived in full regalia with their axes and a heat cam.   You couldnt do anything.  The operations that were in place continued and the ones t go didnt start.  They spent more than an hour looking for  the source of it and decided that it was the smoke from the taring..... I certainly hope so