Sunday, March 28, 2010
Things have changed in the last three years. I’ve become much busier. I need to streamline my life and really decide what is most important. To be honest, I tell myself I am going to just write a quick blog post. But then I end up spending hours on the Internet writing and then reading all my favorite bloggers or exploring new ones. That isn’t a bad thing really. But when it interferes with my ability to get enough sleep, or keeps me from spending time with my family and friends it is a problem. “Virtual” relationships, be it on Blogger or Facebook, should never replace the real face to face relationships of my family or my friends. HIPAA restrictions have gotten much stricter at work. Blogging is not worth losing my job.
So as much as I have enjoyed these three years blogging, I am going to stop. I will probably leave the blog up for awhile. But eventually I plan on taking it down. Maybe I will compile it into a book to tuck away on my shelves and remind myself of these past three years.
Thank you to my readers. Thanks for your comments that have taught me. Thanks for your support. Thank you for the adventure. Oh. I almost forgot. Yes, the wedding went very well. All my children are officially married. I am officially an empty nester. Maybe that is why I feel a need to change my life right now.
Wednesday, January 6, 2010
Sunday, December 6, 2009
Sunday, November 29, 2009
Wednesday, November 18, 2009
I did have a wonderful weekend relaxing at Catalina Island with my brother and his wife. Spent Sunday in the mountains with friends. My soul needed that. I'm trying to realize that I have to change my expectations. My schedule isn't going to get better, patients will always come in with lots of problems on their annual exams. I need to stop getting frustrated about both of those. It's just the way work is right now. I'm trying to find the little joys in my day.
For instance: today my student saw all the patients for the morning. She is doing fantastic. I am having to give less and less direction. Today she inserted her first IUD and was so proud of herself. My postpartum mom was beaming and showing off her adorable baby girl. It was so great to share in her joy. I had a patient who is ready to address her weight issues and signed up for a weight management program. I had a great new OB couple who are from Russia and one from Mexico. I love having the telephone translation line. We got our next shipment of H1N1 vaccines so we can finish vaccinating our moms. We laughed so hard at lunch I had tears in my eyes (gallows humor, but a great stress reliever none the less).
This picture is of a flower that was growing by the side walk in Catalina. It reminds me to grow where I am planted. For now anyway, that's what I am trying to do.
Thursday, November 12, 2009
Sunday, November 8, 2009
Denial: The diabetic who refuses to check her blood sugar, who says"But I am really healthy other than my diabetes" and then comes to see me because she is peeing all the time. She is sure it must be a bladder infection, or a problem with her bladder. It can't be that her blood sugar is elevated and that makes her kidney's overproduce urine in an attempt to lower her blood sugar. Her normal urine culture and large amounts of sugar in her urine don't convince her. The normal bladder exam doesn't convince her. She wants me to fix her problem. And gets upset when I say the way to fix it is to get her blood sugar under control. The teenager who doesn't want to believe she has placed herself at risk for an STD and doesn't want tested or to use condoms. And then cries six months later when I say she has Chlamydia or even worse, an STD I have no cure for.
is a common complaint...but they didn't take the medicine like they were instructed. You can't take a 10 day antibiotic for one day and expect it to cure your severe bladder infection. If you want to get better, you should probably come to your appointments. If you aren't getting better, you should probably come to your appointments so we can try a different treatment.
Lack of personal responsibility: The problems they are having are not their fault. They tell me it is my fault. Or it is their parents or spouses fault. I see a huge lack of willingness to accept personal responsibility for their own health. I see many patients who want an instant fix for their problems. They don't want to hear that it will take effort. They want instant cures, something that doesn't inconvenience them, isn't uncomfortable and that requires no effort on their part. If they didn't take the medicine, it isn't their fault. If they didn't go get a test done, it was because it wasn't convenient enough. Or the patient who "has to be seen right away" but can't make any of the appointment times we offer. Then tell us we are refusing them access to care.
What do I see in patients who do get better? Honesty, personal responsibility, and persistence. But that is a blog for another time...