From commonplace to uncommon, masks.
Requested to put together a mask montage: still didn't have any effect. Waste of time.
August 16, 2021: have to be crazy not to be influenced by a Pandemic. This is art, chaos, tragedy, redemption...
![Picture](/uploads/1/0/3/5/10352942/published/img-1801.jpg?1660075497)
Cancer is the ultimate bully. As you survive and stand up to it, you live longer.
Death is the inevitable , spherical ball of non-light chasing me since age 23.
"The 5-year survival rate of patients with stage IB, IIA, or IIB cervical cancer was 77% for patients treated with concurrent radiation therapy and chemotherapy, compared to only 50% for patients treated with radiation therapy alone."
CANCER DID NOT WIN WHEN MY SWEET LOVER HAD SURGERY IN 2018. THUS FAR AT FOUR Years HE IS COMPLETELY CURED. YEAR 5: many return lesions and surgery, and still jumping into the car to go raving!!!!
Read the Marie Claire article by Alexandra Robbins, April 27, 2015, about the profession of nursing and bullying and hazing. As the article points out, bullying is not to be confused with telling individuals how to prevent harm or do their job in a fastidious manner. 😓
TEAM STEPPS AND MEDICAL PTSD. FOR-GIVE-NESS. Inspired by the person from a place in So Cal who uses e mail like a whip with thorns; also informed by attending a conference and hearing an ethics conference speaker. Those who still get off on being bullies are advised to read this, because I could use real names elsewhere.
and In the following descriptions of personal experiences with violence in Southern California health care to workers, facilities and years are disguised. Being hurt in health care was a given as it was in daily life.
One could avoid it for a time but violence comes looking for a victim.
What's all this about domestic violins?
No Rose its "violence".
Oh.
Digression helps the pain. MOST RECENTLY IN 2018 MAKING SOMEONE WANT TO LEAVE THIS PROFESSION- PEOPLE COMING UP BEHIND AND TOUCHING, POKING- TAKING ORIGINAL WORK AND DELETING IT, CHANGING ASSIGNMENTS, QUESTIONING WORK AND SIMULTANEOUSLY BEHAVING LIKE THAT TO SEVERAL OTHERS.
HA . HA.
GONE.
GONE.
GONE FROM OUR MIDST, YOUR LOATHSOME BEHAVIOR STILL AFFECTS EVERYONE.
Why isn't there always a debriefing for incidents such as being kicked in the chest (N 1990) or screamed at (S, 1973, V, 2001) or being hit in the head (Dr. G, S-he did it to others I know; 1973, V, an administrator 2002) or being assaulted (S, 1974 ICU- by a patient and his father and in the corner by Dr W) or being called out for an other individual's incompetence, as in predecessors' leaving errors. I was told "you are paid to take blows for the hospital" or "it's lucky that family isn't sue-ing you" or "suck it up". I recall a star chamber scenario where an actual spotlight was used in the eyes of a care provider by the team inquisitors asking questions. I remember not allowing a colleague to use my hair brush (I was being treated for lice I picked up in a campsite bathroom) and being verbally assaulted (S, 1975). I will never forget your name or face, but I forgive you.
I watched her bestie get forked in the hand by a patient who did not put up with that nonsense. That patient eventually was deceased during care (V 1980s). The system works-or does it? What are we to do, and how are we to characterize the price paid by those individuals who want to work in safe, tension-free environments free from being attacked somehow? Consider intern and resident suicide, but it is not about doctors today, it is about my work and what I know from years caring for employees.
Traumatized healthcare staff, nurses who have taken blows, psychiatric unit staff who must fight daily battles when escalation occurs-physical battle-need help. Sick individuals deserve kind helping not retribution, so often the payback comes to the caregiver.
Even paper-pusher health workers suffer retribution.
When one rebuilds programs such as infectious disease control in 2016 modern healthcare, one must be able to anticipate and deal with fallout from individuals who likely contributed to the problems. They get really angry and act out, threaten, make loud and rude comments, isolate or often ostracize the people who are helping to fix the problem (A 2012,2015-6)
Some of these lapsed programs incurred a fine (M, 2012) or worse (M, 2014, V, 2018).
Isn't a safety valve built in to allow worker's compensation leave for individuals suffering from PTSD after violent incidents? Yes, it is common at a good hospital. The great facility I just left had a program for respite allowing healing and rest, routine office work for workers to decompress. Many of them spoke with me informally telling me how they appreciated not being in their work assigned area for the moment. All returned to work, able to function with lessons learned. There is a medical PTSD questionnaire.
In a session about workplace bullying presented at CSUN years ago, the tool was used to frame nurses' discontent with one another and how that manifests. The acts of humans giving care to one another were character: in a bullying atmosphere, instead of love-hate; rather than hugs, hits and smackdowns; extra work or poor shifts to those who rebel or fight the system, or do not act as the favorite or fawn over those in power. Control is not exclusively female to female or male to male-, and "mail" is also a tool for praise or abuse of one another. It can be a material piece of evidence but the management is deaf and blind again often unless actionable consequences occur.
Is it dysfunctional to push away those individuals who state they care for you, but act completely differently? If you both hate and like them, are you then "bipolar"?
An actual person who still runs a program suggested a visit to a psychiatrist to have treatment for a messianic personality disorder, since our job together was to rapidly save people from death due to impossible odds. Later I learned that individual was under treatment for that exact disorder. Now that DSM IV is larger there may be greater opportunities to label and brand one another with pathogenicity-where is the uniting principle of love?
Where is the uniting principle of love?
One could avoid it for a time but violence comes looking for a victim.
What's all this about domestic violins?
No Rose its "violence".
Oh.
Digression helps the pain. MOST RECENTLY IN 2018 MAKING SOMEONE WANT TO LEAVE THIS PROFESSION- PEOPLE COMING UP BEHIND AND TOUCHING, POKING- TAKING ORIGINAL WORK AND DELETING IT, CHANGING ASSIGNMENTS, QUESTIONING WORK AND SIMULTANEOUSLY BEHAVING LIKE THAT TO SEVERAL OTHERS.
HA . HA.
GONE.
GONE.
GONE FROM OUR MIDST, YOUR LOATHSOME BEHAVIOR STILL AFFECTS EVERYONE.
Why isn't there always a debriefing for incidents such as being kicked in the chest (N 1990) or screamed at (S, 1973, V, 2001) or being hit in the head (Dr. G, S-he did it to others I know; 1973, V, an administrator 2002) or being assaulted (S, 1974 ICU- by a patient and his father and in the corner by Dr W) or being called out for an other individual's incompetence, as in predecessors' leaving errors. I was told "you are paid to take blows for the hospital" or "it's lucky that family isn't sue-ing you" or "suck it up". I recall a star chamber scenario where an actual spotlight was used in the eyes of a care provider by the team inquisitors asking questions. I remember not allowing a colleague to use my hair brush (I was being treated for lice I picked up in a campsite bathroom) and being verbally assaulted (S, 1975). I will never forget your name or face, but I forgive you.
I watched her bestie get forked in the hand by a patient who did not put up with that nonsense. That patient eventually was deceased during care (V 1980s). The system works-or does it? What are we to do, and how are we to characterize the price paid by those individuals who want to work in safe, tension-free environments free from being attacked somehow? Consider intern and resident suicide, but it is not about doctors today, it is about my work and what I know from years caring for employees.
Traumatized healthcare staff, nurses who have taken blows, psychiatric unit staff who must fight daily battles when escalation occurs-physical battle-need help. Sick individuals deserve kind helping not retribution, so often the payback comes to the caregiver.
Even paper-pusher health workers suffer retribution.
When one rebuilds programs such as infectious disease control in 2016 modern healthcare, one must be able to anticipate and deal with fallout from individuals who likely contributed to the problems. They get really angry and act out, threaten, make loud and rude comments, isolate or often ostracize the people who are helping to fix the problem (A 2012,2015-6)
Some of these lapsed programs incurred a fine (M, 2012) or worse (M, 2014, V, 2018).
Isn't a safety valve built in to allow worker's compensation leave for individuals suffering from PTSD after violent incidents? Yes, it is common at a good hospital. The great facility I just left had a program for respite allowing healing and rest, routine office work for workers to decompress. Many of them spoke with me informally telling me how they appreciated not being in their work assigned area for the moment. All returned to work, able to function with lessons learned. There is a medical PTSD questionnaire.
In a session about workplace bullying presented at CSUN years ago, the tool was used to frame nurses' discontent with one another and how that manifests. The acts of humans giving care to one another were character: in a bullying atmosphere, instead of love-hate; rather than hugs, hits and smackdowns; extra work or poor shifts to those who rebel or fight the system, or do not act as the favorite or fawn over those in power. Control is not exclusively female to female or male to male-, and "mail" is also a tool for praise or abuse of one another. It can be a material piece of evidence but the management is deaf and blind again often unless actionable consequences occur.
Is it dysfunctional to push away those individuals who state they care for you, but act completely differently? If you both hate and like them, are you then "bipolar"?
An actual person who still runs a program suggested a visit to a psychiatrist to have treatment for a messianic personality disorder, since our job together was to rapidly save people from death due to impossible odds. Later I learned that individual was under treatment for that exact disorder. Now that DSM IV is larger there may be greater opportunities to label and brand one another with pathogenicity-where is the uniting principle of love?
Where is the uniting principle of love?
Health Care Q and AMO Q AND A | (can't attribute to any person) these are fax gems, way...pre health care reform. Remember these days? If not you DO NOT want to go back there...1990s, 1980s 1970s, lists of people who could or could not have dialysis, transplants etc.
Lists of people with AIDS, Cancer, Heart disease, etc. "non-compliant" with meds was a sentence to not being seen. And happy little pink, green, red, and white pills danced all over the place. What does HMO stand for? This is actually a variation of the phrase "Hey Moe!" It's roots go back to a concept pioneered by Dr. Moe Howard, who discovered that a patient could be made to forget about the pain in his foot if he/she was poked hard enough in the eye. I just joined an HMO. How difficult will it be to choose the doctor I want? Just slightly more difficult than choosing your parents: you insurer will provide you with a book listing all the doctors who were participating in the plan. Those participating are either those who will see you, but are no longer part of the plan, those who are no longer accepting new patients, and a third option: you could pay a very high deductible if you use insurance at all, and contact the doctors on the list who have an office within three hours of driving distance. Do all diagnostic procedures require pre-certification? No, only those that you need. What are pre-existing conditions? This is a term used by the grammatically challenged when they want to talk about existing conditions. Can I get coverage for my pre-existing conditions? Certainly unless they require any treatment. What happens if I try alternative forms of medicine? You'll need to find alternative forms of payment. My pharmacy plan only covers generic drugs but the trade brand works the best. I tried the generic equivalent and got a stomach ache. What should I do? Poke yourself in the eye. What if I get sick and I'm away from home? You really should not do that. I think I really need to see a specialist but my family doctor insists she can do the little procedure in her office. Should I take a chance? That is the opportunity for the doctor to "practice" medicine and you should agree. All you are risking is the $10 co-payment: why not let her have a shot at it? Will health care be any different in the next century? No. But if you call right now, you might get an appointment by then. __________________________________________ Fighting Dementia In the 1990s around 10% of living US developed dementia. Hint from the article in NEJM (Albert Einstein College of medicine) : use-it-or-lost-it notion for brain health: dancing was a sole activity in combination with mind exercises, to preserve health and lower a risk of onset of dementia. inspiring the following verses... "why are we here?": Rick Bleak, 2006 Do You Mind? I don't mind. Why don't You mind? I do not want to obey you. I don't think so. You don't know. _________________________________________ The excitement of a novice learner, the Amazing Amazon JaniceJanice you will always be highly regarded and loved..
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Organizational ExcellenceGaius Petronius (d.66 AD)We trained hard... |
but every time we were beginning to form up into teams, we would be reorganized. I was to learn later in life that we tend to meet any new situation by reorganizing, and what a wonderful method it can be for creating the illusion of progress while producing inefficiency and demoralization. ________________________________ Joel Wachs (NYC) once an LA councilman: wise sayings... 1. Treat the public with courtesy and respect. 2. Give clear and concise instructions. 3. Always explain the reason for delays. 4. Respond quickly especially to phone calls. 5. Avoid using "insider" or bureaucratic jargon. 6.Be a good listener. 7. Never direct people without being certain the referral is correct. 8. Occasionally take time to stand in line and greet the public. 9. be receptive to suggested improvements and never say "because that's the way we've always done it". 10.Never say "that's not my job". Instead, find out whose job it is. _______________________________________ IP’s are All That and Lagniappe by Conserving Your Healthcare DollarsWhen requested to complete a cost analysis for a project, we encourage everyone to know how much a return on investment (ROI) can be, in order to be cost effective with the budget. Many infection preventionists are so disempowered in the current state of affairs in their institutions they may not even have access to their own budget or be able to use their own department’s money as they prioritize. It is rare to have a free standing infection control/epidemiology department in control of financial authority. Some have authority for up to $5,000.00 of expense, no questions asked, and other IPs must plead to get anyone to loosen purse strings to finance signage, trial products or other needs. That’s part of our professional standard of practice-having resources and reporting when one does not have them. Staying flexible and informed is a hallmark of infection preventionist practice. Here is a way to make a statement and then justify it, when meeting financial imperatives. For the ROI of a data mining program, I stated: "It saves over $50,000 a year of nursing time to use this program to count devices and lines.” How can I know this? Do this math: Baseline: 2 shifts, 9 units, looking at each patient: does he/she have a new line or device today? During this shift do we need to count and document in the log?
Assume that nurse performs 1 observation and documentation per patient per shift, 13 units. Multiplied X 2 per day: day and evening shift. Multiplied X average number of devices on the unit: ventilators, urinary catheters, central lines. Average RN salary at $ 38.00 per hour, and with a 15minute observation for devices: $9.50 per hour. My calculations worked out to an assessment and documentation cost of between $15,000 to $18,000 a month along with the cost of a little binder, printing and so on based on a census of around 400 patients, including NICU, per month. If a person does not look for a device or a line, that person will not recognize nor document the device. IP’s simply need to know: is there a line: Yes or No; is it recorded: Yes or No; and is there an Infection associated with it: Yes or No. Studies of line and device infection frequently omit the total number of devices used during an individual patient care episode, as NHSN only requires a count of one line per day per patient. Cost accounting, return on investment and calculating expenses is a necessary part of managing in today’s healthcare environment. Nursing is instructed to consider “savings” as a means to portion an amount devoted to one aspect of patient care, into another aspect of patient care. In this instance, rather than depending on manual calculations, the computer is used. Computers and software are already purchased and hours made available for data analysis, whether the count was performed manually or electronically. From the 1970’s up to now, compare a cost of $100,000 a year of a data-mining program to that of CMS retaining a 2% share of their market basket reimbursement quarterly from a hospital, as a consequence when the device count isn’t done or cannot be validated. Our practice for patient safety represents a value for the function above many others in healthcare. Consider how heartening it is to tell a hospital leader that infection prevention actually represents a cost-savings benefit to them, while stopping infections. As my family in Louisiana says: “Lagniappe!” (you can look it up): when they also wash their hands, I say “Couldn’t get much better of a job than Infection Prevention and Control!” |
Brother Crow ? Mother Crow ?
The Morrigan was a shape-shifter: priestess of war and sovereignity. She has been known by many names throughout Ireland, Britain and Wales
(this source is an older net excerpt and I didn't make note of it's location. I find it confusing and wordy).
Morrigu
Morgain
Morgan
the Morrigan
She is the Lady of the lake, the Goddess of Water and Magick-the Phantom Queen-Goddess of War, Fate and Death and Battle, Strife and Fertility.
As well she is a Moon Goddess, the Queen of the Fairies, the Goddess of Rivers, Lakes and Fresh Water, and the Patroness of Priestesses and Witches.
With immense straight bursting forth she comes to the battle field, wreaking revenge, associated with night, prophecy and victory through magic rather than battle.
She takes the form of raven or crow.
This protectress was able to draw on a person's inner strength and then empower this person to confront his or her own challenges and face insurmountable odds.
I resonated with Morgain La Fey in written accounts of King Arthur, and did not understand the reason, although I face/have faced insurmountable odds and mortal danger.
(this source is an older net excerpt and I didn't make note of it's location. I find it confusing and wordy).
Morrigu
Morgain
Morgan
the Morrigan
She is the Lady of the lake, the Goddess of Water and Magick-the Phantom Queen-Goddess of War, Fate and Death and Battle, Strife and Fertility.
As well she is a Moon Goddess, the Queen of the Fairies, the Goddess of Rivers, Lakes and Fresh Water, and the Patroness of Priestesses and Witches.
With immense straight bursting forth she comes to the battle field, wreaking revenge, associated with night, prophecy and victory through magic rather than battle.
She takes the form of raven or crow.
This protectress was able to draw on a person's inner strength and then empower this person to confront his or her own challenges and face insurmountable odds.
I resonated with Morgain La Fey in written accounts of King Arthur, and did not understand the reason, although I face/have faced insurmountable odds and mortal danger.