Please send your thoughts and prayers...

Yesterday around 11:00 a.m., in a town near me, a guy went to the hospital where his ex-wife was a nurse, called her outside to talk to her, and shot her 5 times.  She was flown to a bigger hospital nearby, but later died.  They found him last night trying to cross the Canadian border. 

There are 2 small girls involved (5 & 9) who can use all the prayers we can offer right now. 

• Please send your thoughts and prayers... - sm
  • Wow, just saw on the front page of my paper the same story. SM - nn
  • Geez, this was on the front page of my paper - sm - SamST
    • Where did this happen? - OMG
      • Shamokin, PA - nm
  • PS: This guy was a police chief, and they were only in their early 30's. - nm

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...and ((((HUGS)))) from Ambi, Max, Q-Tip, Baby, & Tequila (my "kids").

Keep us posted, k?

guess, that all we could do for now.

We've never even actually met him in person, but he is my husbands best friend's only sibling and my husband's friend was going through such a horrible time waiting and wondering that he couldn't even go to work. We only wish everybody could have good news.

Thanks again.

I just learned that my boss's daugher-in-law and grand-daughter were involved in a horrendous car accident. The DIL suffered many fractured bones, on top of a pre-existing MS condition. However, the grand-daughter may die, and even if she survives she will likely have severe brain damage.

Can those of who you believe in a high power keep this family in your thoughts and prayers?

Just e-mailed your request to my church who has a prayer group that meets everyday and prays for the requests that are sent in.  Have also sent a few of my own on the way.  Hope all works out. 

Patti

Please let them know that my prayers are with them, knowing already that God's healing work is with them already.  Thanks for letting us know.

Blessings

Maggie

You are in my prayers and hopefully someday the resentment and bitterness will be gone from your heart.  Good luck in your life. 

nm

While I feel empathy for her family wondering what happened and wanting closure, frankly I'm tired of hearing about the case on the news, and that we have tied up FBI and even the military resources to look for her.  We have people that go missing in the US every day... and people visiting countries disappear - and you only hear about the ones who have families that are rich or well connected with the media. 

In my town there's a college girl who has been missing for over a week and it finally made the newspaper in a small blurb today.  This girl missed a flight to visit her family for a vacation and hasn't been seen or heard from since then, and her family says this isn't like her and that she was excited about the vacation.  Are they getting the attention this chick in Aruba is getting?  No.... because they're an average middle classed family.

I do know how you feel.  There are a few things I've done to cut that type of sress down...

I'm not sure what your company is like, but for mine, we have a primary account, and many people also have secondaries (mine is so busy that I don't usually need back-up work, so I have one major account).  It pulls from several clinics, but with a pool of about 20 or 30 dictators, after awhile, you get the hang of even the hardest ones.  There are some dictators that are just really bad, and I struggle with.  When I can't figure something out, rather than spending 10 hours searching and struggling, I use blanks.  I give it a good faith effort, as best as I can, and then I move on.  Since I usually clip along at a good pace and am pretty confident in 99% of the work I do, I don't let myself feel bad for sending something to an editor, if I truly don't know what it is.  Of course, I do the research, but if I'm looking for something for more than a few minutes, it's been too long.

You may need to look for a different account/specialty or even a new company, if you think that is the problem.  I know that, at one point, I ended up moving from a difficult but high-paying account to an account that paid less, but I was more comfortable with.  I ended up making more with the lower-paying account, because I wasn't having to stop every 2 seconds, and I wasn't tearing my hair out, and ending up in tears at the end of the day.  Of course, people should move up as they feel ready for that, but perhaps you need a workload that doesn't create so much extra work for you.

Those are just some thoughts, but you CAN do it.  Be proactive in finding a situation that works for you.  You are more of an asset to your job when you are comfortable and not stressing and struggling.

Hang in there!

 I would want to know what type of docs run the clinic - whether anesthesiologists, physiatrists, ortho, neurology, etc, as this will guide the typical direction of the dictation.   Because pain med Rx writing is always under scrutiny, there will probably be a fair amount of repetition for every pt on medicolegal issues.  Most, but not all, of my experience is with neuro/physiatry-based pain management.   For both these, I found the doc more likely to do further workup, which leads to much longer and involved reports. In the middle would be those docs who do extensive review of the patient's history and only minimal further testing.   The extreme other side of the coin are those, what I call, in/out pain clinics where the pt shows up every 30 days, re-signs their drug contract, has their BP checked and leaves with a new Rx.   I would always expect the initial H/P to be extensive and the f/u notes relatively brief.  Typically lots of phone call documentation and referral/followup letters or information.   Anesthesiologists lean more toward a lot of injectable therapies, blocks, epidurals, etc., at least initially, putting more of an op bent on their practices. 

As far as interesting, pain patients are very repetitive in their complaints and their needs.  Typically,  by the time a pt gets to a pain management practice, the cause of their pain has already been extensively worked up.  There are true chronic pain sufferers and those who are drug-seeking only.  Things do get interesting with the latter because they are very creative when it comes to trying to con or manipulate the docs.   If I were in your shoes, my first question would be what speciality of docs run the clinic.  As far as job security, it is way up there for legit practices.  More often than not, the average family doc is not willing to prescribe pain meds beyond a certain amount of time/quantity and feel forced to refer the pt to a pain  management practice in order to protect themselves from the medicolegal aspects of the business.    Hope something here helps - best of luck to you.