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LadysSolo 5,145 Views

Joined Dec 17, '06. Posts: 237 (71% Liked) Likes: 618

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  • Jan 21

    Been there, did that. Jut remember, none of us are perfect parents, we all just do the best we can. And seeing your parents work helps kids to realize that school is THEIR job and they have to do their best at school (again, not perfect, just doing the best they can.) And a perfectly clean house is NOT a priority, anything clean enough that you don't get a disease is clean enough.

  • Jan 19

    I am 61 years old now, plan to stay full-time until 64 or 65, and then to do part-time until age 70 (kind of ease into retirement.) I have been full-time since age 16, and in one of my previous jobs I saw many people who had done factory work starting at age 18 quit as soon as they had their 30 years in and they were dead of an MI within two years. My mom quit completely as soon as she could, and was in the throes of Alzheimer's disease within 3 years. So I figure easing into it is the best way. So health continuing as it is, that's the plan..... I have so many hobbies and interests that my friends say Alzheimer's disease has no chance!

  • Jan 11

    One word answer - NO!!! Longer answer - We just received a corporate letter basically informing us that others have it worse. Makes you feel good that your employer strives to stay just above the bottom in how you are treated, doesn't it? Never strive to treat your people the best, strive to stay just above the pit.......retirement can't come soon enough......

  • Jan 7

    I am told by my employer that I document too much. Having had to give a deposition once, I now document so any attorney looks at my documentation and decides it is not worth it to sue me. I will NOT shorten what I believe is necessary documentation (I also want to be able to look at my notes if I ever AM sued and be able to remember who it was.)

  • Jan 7

    One word answer - NO!!! Longer answer - We just received a corporate letter basically informing us that others have it worse. Makes you feel good that your employer strives to stay just above the bottom in how you are treated, doesn't it? Never strive to treat your people the best, strive to stay just above the pit.......retirement can't come soon enough......

  • Jan 7

    I am told by my employer that I document too much. Having had to give a deposition once, I now document so any attorney looks at my documentation and decides it is not worth it to sue me. I will NOT shorten what I believe is necessary documentation (I also want to be able to look at my notes if I ever AM sued and be able to remember who it was.)

  • Jan 7

    Ruby, thank you for saying what I was thinking to the OP - these are RARELY totally one person's fault. Usually it is a systems error, or there is more than one person involved but one person usually ends up feeling responsible. It may help to think of all the places that the cascade of events could have been stopped, had this or that happened, to lessen the self-blame. And I agree with counseling, to help put the event in perspective and help you to move on.

  • Jan 7

    Ruby, thank you for saying what I was thinking to the OP - these are RARELY totally one person's fault. Usually it is a systems error, or there is more than one person involved but one person usually ends up feeling responsible. It may help to think of all the places that the cascade of events could have been stopped, had this or that happened, to lessen the self-blame. And I agree with counseling, to help put the event in perspective and help you to move on.

  • Jan 7

    Ruby, thank you for saying what I was thinking to the OP - these are RARELY totally one person's fault. Usually it is a systems error, or there is more than one person involved but one person usually ends up feeling responsible. It may help to think of all the places that the cascade of events could have been stopped, had this or that happened, to lessen the self-blame. And I agree with counseling, to help put the event in perspective and help you to move on.

  • Jan 2

    Pt strongly encouraged to (insert whatever reasonable request here) in order to improve (whatever is going down the tubes.) States not interested (actually stated "H**L no!")
    Pt discovered with O2 sat in 70's when leaving bathroom without assistance, strong odor of tobacco smoke noted.
    Pt reinstructed on importance of following diet restrictions (due to DM II, pancreatitis, whatever.) Continues to have family bring in (insert fast food of choice here.)
    I could go on for days......

  • Jan 1

    What several have said is correct - she was going to go septic before you got the x-ray, it was already in progress. An hour or two earlier on the antibiotic was not going to change the inevitable. The fragile elderly can change in a heartbeat, and can crash quickly, their bodies can hide what is going on pretty well. Hang in there, you did fine.

  • Dec 29 '16

    I am sorry it makes you feel like a criminal David40836, but when I was doing primary care, I had pain med contracts with ALL my chronic pain patients. I explained to them at the start that this is the way it has to be, and if they want/need the meds, they need to comply with the contract. The ones NOT selling their meds had no issue with it, the others (and I heard all the stories, "my child dumped my pills in the toilet," "I had company and someone stole all my pills," "I had them in the glove box of my car and my car was stolen," etc.) left. I was already nearly 100% certain who would be okay with the contract and who wouldn't. I always tried to work with the patients as to need, but I often required physical therapy as part of the contract. I understand chronic and acute pain (I worked in oncology for 23 years) but I also am not a fool and have no desire to have my compassion taken advantage of. And I totally agree we need non-addictive pain meds.

  • Dec 29 '16

    I have had fractures (foot, hand, pelvis) and extra-strength acetaminophen was more than sufficient. So do not assume the provider does not know what he or he is doing, it may be enough. It also may not be, everyone is different

  • Dec 29 '16

    I am sorry it makes you feel like a criminal David40836, but when I was doing primary care, I had pain med contracts with ALL my chronic pain patients. I explained to them at the start that this is the way it has to be, and if they want/need the meds, they need to comply with the contract. The ones NOT selling their meds had no issue with it, the others (and I heard all the stories, "my child dumped my pills in the toilet," "I had company and someone stole all my pills," "I had them in the glove box of my car and my car was stolen," etc.) left. I was already nearly 100% certain who would be okay with the contract and who wouldn't. I always tried to work with the patients as to need, but I often required physical therapy as part of the contract. I understand chronic and acute pain (I worked in oncology for 23 years) but I also am not a fool and have no desire to have my compassion taken advantage of. And I totally agree we need non-addictive pain meds.

  • Dec 29 '16

    I am sorry it makes you feel like a criminal David40836, but when I was doing primary care, I had pain med contracts with ALL my chronic pain patients. I explained to them at the start that this is the way it has to be, and if they want/need the meds, they need to comply with the contract. The ones NOT selling their meds had no issue with it, the others (and I heard all the stories, "my child dumped my pills in the toilet," "I had company and someone stole all my pills," "I had them in the glove box of my car and my car was stolen," etc.) left. I was already nearly 100% certain who would be okay with the contract and who wouldn't. I always tried to work with the patients as to need, but I often required physical therapy as part of the contract. I understand chronic and acute pain (I worked in oncology for 23 years) but I also am not a fool and have no desire to have my compassion taken advantage of. And I totally agree we need non-addictive pain meds.


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