Tuesday, September 1, 2009

My friend Lu

My friend Lu ...
You know what happens when a friend really "gets you." It is incredibly invigorating and at the same time painfully honest. So... Lu and were talking about my future and the future of Choice Care. Am I going to continue to pursue "marcy care" or can I step back .... and allow this "thing" to grow by brining others on board to join me in a more collaborative effort. Wow... it is so hard for me to give away any control. I didn't realize what how narcissistic I am. That's painful.
So I'm thinking on this one ... If I could just step back and open up ... maybe I could make a bigger difference. More to come.

The day ended when I read a column from the Annals of Internal Medicine ... entitled "Is There a Doctor in the Home?," written by Roy C Ziegelstein, MD. I was so angry that I called husband Lance from the car, screaming all the way home.
The story ... Dr. Ziegelstein wrote a column about his patient who emailed him from his hospital bed. The patient was in the hospital for evaluation of chest pain and this Dr. "z" (note little z) is his cardiologist. Dr. "z" thought it was so cute that his patient wrote him .. and that his patient had chosen this method of communicating with him. Dr. "z" went on to comment about the 47 million uninsured without a medical home and whether doctors will ever be able to coordinate care again. What? Why didn't Dr. "z" get off his bottom and go visit his patient? Why was his patient forced to see a hospitalist? Why didn't his patient think to call his own doctor when he had chest pain? Why didn't the ER contact Dr. "z" directly when the patient arrived at the hospital? We can do this ... Doctors can do this... I do this every day .... Patient should EXPECT that we will be there. How said that Dr. "z" didn't understand that he is the problem ... He is too busy writing letters in the Annals of Internal Medicine and not busy enough talking to his own patients...

And now .. today ... what a yucky one .. I just got off the phone with Sprint and Verizon ... I cancelled my accounts with Sprint and Verizon trying to consolidate all my phones on AT&T... I cover my dad's phone... etc. Long and short ... and you need to know this.. as soon as you pay your bill in full in order to "close the account," they re-open your account and re-bill you. Oh My .. and then they send you to collection. I am reporting this to the public utility commission.... I can't believe the swindle ....
so beware....

I think maybe it is the phone service that needs reform ! I know .. ain't goin' to happen ... but I can dream....

Onward...

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