sorta gloomy outlook on our careers...
http://health.yahoo.com/news/reuters/us_doctors_usa_survey.html
http://www.cnn.com/2008/HEALTH/11/17/primary.care.doctors.study/index.html
Tuesday, November 18, 2008
Monday, November 3, 2008
One of my favorite story lines of this election season.

The pertinent excerpts from Gen. Colin Powell's Meet the Press appearance:
- "I'm also troubled by, not what Senator McCain says, but what members of the party say. And it is permitted to be said such things as, "Well, you know that Mr. Obama is a Muslim." Well, the correct answer is, he is not a Muslim, he's a Christian. He's always been a Christian. But the really right answer is, what if he is?"
"I feel strongly about this particular point because of a picture I saw in a magazine. It was a photo essay about troops who are serving in Iraq and Afghanistan. And one picture at the tail end of this photo essay was of a mother in Arlington Cemetery, and she had her head on the headstone of her son's grave. And as the picture focused in, you could see the writing on the headstone. And it gave his awards--Purple Heart, Bronze Star--showed that he died in Iraq, gave his date of birth, date of death. He was 20 years old. And then, at the very top of the headstone, it didn't have a Christian cross, it didn't have the Star of David, it had crescent and a star of the Islamic faith. And his name was Kareem Rashad Sultan Khan, and he was an American. He was born in New Jersey. He was 14 years old at the time of 9/11, and he waited until he can go serve his country, and he gave his life. Now, we have got to stop polarizing ourself in this way. And John McCain is as nondiscriminatory as anyone I know. But I'm troubled about the fact that, within the party, we have these kinds of expressions."
Thursday, October 9, 2008
Thursday, September 18, 2008
applying for privileges
I just spent a frustrating last 2 hours completing a 2 inch stack of papers for CHO privileges. is there anything more redundant and frustrating?
I don't know what my primary malpractice carrier or coverage amount will be
I don't know my UPIN, NPI, Medical #, blah blah blah, or all these other acronyms.
I can't remember my undergraduate school address
I can't believe after writing a $300 check, sending in all my letters of reference, photocopies of all my most important documents, the CFMG requires me to do another application????
I don't understand why they cant just get the same freakin' info from the Med Staff Office at CHO....jeez
And if I am gonna sign some document, I'm gonna try to answer everything. So, hopefully "unknown" is an acceptable answer for CFMG, Blue Shield, Medical, etc.
I don't know what my primary malpractice carrier or coverage amount will be
I don't know my UPIN, NPI, Medical #, blah blah blah, or all these other acronyms.
I can't remember my undergraduate school address
I can't believe after writing a $300 check, sending in all my letters of reference, photocopies of all my most important documents, the CFMG requires me to do another application????
I don't understand why they cant just get the same freakin' info from the Med Staff Office at CHO....jeez
And if I am gonna sign some document, I'm gonna try to answer everything. So, hopefully "unknown" is an acceptable answer for CFMG, Blue Shield, Medical, etc.
Wednesday, September 17, 2008
The current view of our candidates
Sorry, more political stuff I found funny.
------------------------------------------
I'm a little confused. Let me see if I have this straight.....
* If you grow up in Hawaii, raised by your grandparents, you're 'exotic, different.'
* Grow up in Alaska eating mooseburgers, a quintessential American story.
* If your name is Barack you're a radical, unpatriotic Muslim.
* Name your kids Willow, Trig and Track, you're a maverick.
* Graduate from Harvard law School and you are unstable.
* Attend 5 different small colleges before graduating, you're well grounded.
* If you spend 3 years as a brilliant community organizer, become the first black President of the Harvard Law Review, create a voter registration drive that registers 150,000 new voters, spend 12 years as a Constitutional Law professor, spend 8 years as a State Senator representing a district with over 750,000 people, become chairman of the state Senate's Health and Human Services committee, spend 4 years in the United States Senate representing a state of 13 million people while sponsoring 131 bills and serving on the Foreign Affairs, Environment and Public Works and Veteran's Affairs committees, you don't have any real leadership experience.
* If your total resume is: local weather girl, 4 years on the city council and 6 years as the mayor of a town with less than 7,000 people, 20 months as the governor of a state with only 650,000 people, then you're qualified to become the country's second highest ranking executive.
* If you have been married to the same woman for 19 years while raising 2 beautiful daughters, all within Protestant churches, you're not a real Christian.
* If you cheated on your first wife with a rich heiress, and left your disfigured wife and married the heiress the next month, you're a Christian.
* If you teach responsible, age appropriate sex education, including the proper use of birth control, you are eroding the fiber of society.
* If , while governor, you staunchly advocate abstinence only, with no other option in sex education in your state's school system while your unwed teen daughter ends up pregnant , you're very responsible.
* If your wife is a Harvard graduate laywer who gave up a position in a prestigious law firm to work for the betterment of her inner city community, then gave that up to raise a family, your family's values don't represent America's.
* If you're husband is nicknamed 'First Dude', with at least one DWI conviction and no college education, who didn't register to vote until age 25 and once was a member of a group that advocated the secession of Alaska from the USA, your family is extremely admirable.
OK, much clearer now.
------------------------------------------
I'm a little confused. Let me see if I have this straight.....
* If you grow up in Hawaii, raised by your grandparents, you're 'exotic, different.'
* Grow up in Alaska eating mooseburgers, a quintessential American story.
* If your name is Barack you're a radical, unpatriotic Muslim.
* Name your kids Willow, Trig and Track, you're a maverick.
* Graduate from Harvard law School and you are unstable.
* Attend 5 different small colleges before graduating, you're well grounded.
* If you spend 3 years as a brilliant community organizer, become the first black President of the Harvard Law Review, create a voter registration drive that registers 150,000 new voters, spend 12 years as a Constitutional Law professor, spend 8 years as a State Senator representing a district with over 750,000 people, become chairman of the state Senate's Health and Human Services committee, spend 4 years in the United States Senate representing a state of 13 million people while sponsoring 131 bills and serving on the Foreign Affairs, Environment and Public Works and Veteran's Affairs committees, you don't have any real leadership experience.
* If your total resume is: local weather girl, 4 years on the city council and 6 years as the mayor of a town with less than 7,000 people, 20 months as the governor of a state with only 650,000 people, then you're qualified to become the country's second highest ranking executive.
* If you have been married to the same woman for 19 years while raising 2 beautiful daughters, all within Protestant churches, you're not a real Christian.
* If you cheated on your first wife with a rich heiress, and left your disfigured wife and married the heiress the next month, you're a Christian.
* If you teach responsible, age appropriate sex education, including the proper use of birth control, you are eroding the fiber of society.
* If , while governor, you staunchly advocate abstinence only, with no other option in sex education in your state's school system while your unwed teen daughter ends up pregnant , you're very responsible.
* If your wife is a Harvard graduate laywer who gave up a position in a prestigious law firm to work for the betterment of her inner city community, then gave that up to raise a family, your family's values don't represent America's.
* If you're husband is nicknamed 'First Dude', with at least one DWI conviction and no college education, who didn't register to vote until age 25 and once was a member of a group that advocated the secession of Alaska from the USA, your family is extremely admirable.
OK, much clearer now.
just as I'm about to sign out....
Sunday 4:45PM
- waiting for Mia to give her sign-out on my little nuggets in the NICU.
- "Code Blue" rings over head.
- hmmm... am I supposed to go to this? Well the charge RN went so I'll hang back.
- a minute later, "Code Blue. OR C."
- hm... a code in the delivery OR? This can't be good. They probably need like a peds person there right? I better go.
- turns out it was the wrong overhead announcement. It was an asystolic infant and they were supposed to call the Neonatology staff on their respective phones.
- as I come in with the Neo (Lily) and Elaina Oteyza (PL-2), it was a crash C-section, coding baby with ALS RNs, intubated. Gave 2 rds of ET Epi, 3 rds of IV Epi after getting a UVC inplace, several mls of LR. 17 minutes go by and still no heart rate. Called code. Had to help deliver the news to the spanish speaking father.
- hopefully not foreboding the rest of the year.
hope everyone is doing well...
- waiting for Mia to give her sign-out on my little nuggets in the NICU.
- "Code Blue" rings over head.
- hmmm... am I supposed to go to this? Well the charge RN went so I'll hang back.
- a minute later, "Code Blue. OR C."
- hm... a code in the delivery OR? This can't be good. They probably need like a peds person there right? I better go.
- turns out it was the wrong overhead announcement. It was an asystolic infant and they were supposed to call the Neonatology staff on their respective phones.
- as I come in with the Neo (Lily) and Elaina Oteyza (PL-2), it was a crash C-section, coding baby with ALS RNs, intubated. Gave 2 rds of ET Epi, 3 rds of IV Epi after getting a UVC inplace, several mls of LR. 17 minutes go by and still no heart rate. Called code. Had to help deliver the news to the spanish speaking father.
- hopefully not foreboding the rest of the year.
hope everyone is doing well...
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