Take it to a blog and spare the rest of us the pity party. nm

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Why don't one of you MQ whiners start a blog so the rest of us with the good sense NOT to stay with a crappy company don't have to see your "poor me" posts. It is not that we read them, it is just a pain to have to navigate around them. If you don't have the sense God gave a goose and leave a company that treats you so shabbily, then you deserve to be there. Just don't subject the rest of us to your pity parties. Someone start a blog, where you can all go and whine to each other, while your kids "starve". Btw, if your kids were starving, it would be your faults for not getting a job that would buy your groceries and pay your bills.

In the meantime we are trying to deal with the situation we have found ourselves

You can go on to whatever it is that makes you happy. Obviously you need to stay out of this.

If the house is $200 more monthly than you wanted to spend, that tells you that the purchase is not something you are totally comfortable with. Why don't you consider finding a home that you like equally as well that may not be quite as new that is a little less expensive. If you are deadset on this particular house- you mentioned a roommate, your brother. Do you really want your brother living with you and your three kids. What happens when he wants to bring over female company? What happens if this female is someone you don't particularly care for? How old is your brother? Is it possible he may decide to leave in a year or two to get married or just to have his own space?

As far as you remaining in your current situation because you can't leave- this is nonsense and you know it (not being harsh). I am a firm believer that everyone should be as happy as they can be in their home life. You should be able to be happy at home if you're not happy anywhere else. I guess that's why I live alone. I'd rather be lonely and bored sometimes than be miserable and unhappy. I will not tolerate anyone else's nonsense. If I were you, I'd consider purchasing a home, but I'd purchase on that is within my financial limits. You can only depend on yourself as far as finances go. Your brother could change his mind at anytime.

Also, when you do move - don't get weak and let this person later move in with you. I understand that he is the father of two of your children - but don't waste your time. I know this is cliche' but life really is too short. I wish you the best and hope that you make the decision that is right for you and your children.

Husband had health problems, we had 2 businesses, and then 9/11 hit and both businesses had NO income but we had lots of overhead! Ended up having to close businesses, declare bankruptcy, sell off almost everything, but managed to keep the house and an old vehicle with 200,000+ miles. Still paying the IRS. Believe it or not, it eventually gets better, although at one time I was hoping the IRS would just put us in jail for the taxes we couldn't pay so that at least we could have regular meals!

I just looked at your transcription blog. I love it! I had added to my favorites. What a great idea.

or do you have one? It would be a place for you to write like you have here. Just wondering.

I mentioned this a few messages below, but the blog has its first post. I am NOT supporting any Ad things on there and will not be making anything off this.

If you have a link that would be useful to others to write their gov't reps, companies, news sources, etc, feel free to post them or e-mail me so i can get them up there. I am also looking for any news stories or any information we can get. One way or the other, we might be able to make a difference.

who says what he REALLY thinks about the JCAHO. Funny, I found it on Google when I typed in JCAHO and q.i.d. since I wasn't sure what to do about q.i.d. ........

The Death Star of American Medicine

I wish I had written this (JCAHO Unplugged; registration required), because it gives voice to the feelings that I (and probably 99% of the physicians in this country) have about the Death Star of American medicine -- JCAHO. A few excerpts (emphasis is mine):

That is why it really upsets me to watch the JCAHO people walk through my hospital like they were navigating a toxic waste dump. What upsets me even more is the utter paralysis of normal activity that occurs months before their visit and the huge sums of money spent on mock drills and consultants to prepare for the JCAHO invasion. JCAHO (the Joint Commission on Accreditation of Healthcare Organization) arouses more fear in hospitals than MRSA gone wild, and their "visit" has a greater institutional paralytic effect than circulating a neuromuscular depolarizing agent through the ventilation system.

A few unsigned verbal orders, or an anesthesiologist carrying a syringe of Anectine in his or her scrubs, or not locking up I.V. bottles of normal saline will result in conditional or provisional approval, and failure to take remedial action within 30 days may result in the death penalty, which for the hospital means bad PR, and more significantly, loss of all federal money. That's right, you can get the chair for parking tickets in the JCAHO world.

It doesn't matter that the hospital admits 50,000 patients a year, saves countless lives and performs daily miracles. Write q.i.d. twice and you can get your liver transplant someplace else.

A response by Russell Massaro, MD, FACP, Executive Vice President Accreditation and Certification Operations, JCAHO, follows Dr. Cossman's screed. The only thing I can say about it is that he makes clear that unannounced surveys will be forthcoming in 2006. Oh, joy!

A lot of the press in the past few days has been discussing issues such as oversight, accountability, and clearly expressed legal authority. JCAHO operates without any real semblence of these niceties, and does so with all the subtlety of a bureaucracy run by Darth Vader. Watching hospital administrators lose bowel and bladder control the minute a JCAHO inspection is brought up has always reminded me of Vader's underlings wilting in his presence --- and for good reason. Without the JCAHO seal of approval, they cannot operate an otherwise well-run, caring facility. The organization, as it was originally intended, was designed to ensure a basic level of safety for all hospitals. It has now become yet another "certifying" agency which must come up with new "critical" problems to fix in order to ensure its ongoing existence (those of you who have gone through the most recent mental masturbatory experience of banning QD and QID in orders know what I mean). What is most galling to me, however, is that hospitals must fork over a hefty sum for these frequent torture sessions, and the inspections are done not by practicing physicians or nurses, but by folks who long ago gave up the difficulties of actually caring for patients for the safety of a clipboard to hide behind.

Maybe I have my metaphors mixed up --- JCAHO comes in like the Death Star, but leaves no room for different institutions to solve problems in their own way. The JCAHO mantra can really be translated as "Resistance is futile. You will be assimilated!" As a result, I suppose JCAHO is really The Borg.