I found this drawing the other night while the kids were going to bed. Daughter made it. She said she and her friends play a spy game at recess and she drew the map. She sounded out all the words herself. Both husband and I were giddy with excitement when we looked at it and told daughter that we wanted to keep it and frame it. Daughter would have none of that, “But I need it for recess!!!” She promised us she’d take care of it and when she was done with it we would get to frame it. I really really hope she takes care of it. Of all her drawings to date, this one is so much a keeper that I will be forever sad if it gets destroyed.
Daughter’s Map of Evil. Graveyard, Evil Castle, Evil Gate, Ghost Town, Sauron, Zombie. “X” marks the treasure.
My professional trust has been shaken. There was an incident at my office last week. A patient was given a test result over the phone by one of our front desk staff without consulting with the physician (wasn’t me) first. This patient was told his results were all normal but in fact one critical result was not yet reported and he wasn’t told that. So he was under the assumption that all if his tests were back and reported as normal. You can imagine his surprise when he was called back a few days later and told that the one test he wanted a result on was in fact was never done by the lab and he needed to repeat it.
The physician, my colleague, was quite upset by the encounter and rightly so. This physician confronted out staff and explained in no uncertain terms that any test result given to a patient must first be authorized by the attending physician. Obviously the assumption is that our staff are not trained in interpreting results nor would they know if all tests that were done were in fact reported back.
Yet on that same day, this colleague was covering lab results for another colleague (not me) and instead of reviewing the labs as requested, the physician delegated the task to the front desk staff. “Please look at Dr.X’s labs and tell me if there’s anything abnormal I need to look at.”
On the one hand, the front staff is not competent to give test results to patients without express consent from the attending physician while on the other, the same staff member is competent enough to review test results for the physician?
I have reviewed this physician’s labs on countless occasions when they’ve been away on vacation. I have stayed late doing so as I have an equally busy practice. I am flabbergasted that this physician would actually delegate this task to our staff when they told our colleague they would review the labs. I don’t even know how to address this with the physician, I am so disappointed and upset.
2. My right knee aches a bit. This better not be the start of something.
3. I’m hungry.
4. English breakfast tea tastes so much better in my new fancy mug.
5. My 6-year-old looks like a hockey player this morning.
7. Waiting 48 hours for a patient’s test result is slow torture.
8. I’m still on the wagon, so to speak, and am very proud of myself.
9. I am so proud of my 3.5-year-old boy. He wrote his name for the first time and is wearing big boy underwear to preschool today. Apparently he’s been dry at school for a few weeks now, it’s just his lazy parents preventing him from being completely toilet trained. Oops.
I ran 5 km today. First time in almost a month, I am embarrassed to say. November is pretty much going to go down as one of the worst months of running I’ve had since plagued with injuries last spring.
We had daughter’s birthday party today. She insisted on decorating her cake and she did a fantastic job.
And now I sit down to enjoy a piece of that cake with a warm cup of tea.
I’ve spent the last 9 hours at a very intensive course on the essential approaches to palliative care. It’s been a really long day with a lot of information. I’m glad I attended but after last week’s conference, I am all learned out.
I have to make my daughter’s birthday cake tonight and I really need a run but I have a headache and I just want to curl up on the couch and take a nap.
But I sat on my ass all day at this conference, drank too much coffee and ate too much food so I need to run. This month has been awful for running due to one illness after another and with the colder weather it takes a little but more motivation to get going. I know I have to though. I finally reached my goal of being able to fit into my most favorite pair of jeans and I have been feeling really good about that. After three kids I am damn proud of how I look and feel and to maintain that I have to keep up the running. So no more excuses!!