Me Bee-utiful Office...!!!!!

[AJMD429]

...being packed up and moved...



I really, really, really HATE 'moving'.

Really...

A lot...

Immensely...

But "that which fails to kill me only serves to make me stronger"...

(...or almost dead - unsure which...)

[Dave]

Where are you going?

[Blaine]

Did you get that ball-breaking phone bill taken care of??

[mack]

Doc, that's just an office, shouldn't be too hard. Maine General just moved the whole hospital, and in only one day!

[Sixgun]

That's a nice trash can you got there Doc! My in-laws use the exact kind in their deer processing business. ----6

[jeepnik]

Always remember, "A clean desk is the sign of a sick mine". Your mental health is assured.

[AJMD429]

Just moving a couple miles. Combining forces with two other doctors, so the worst isn't the physical move, it is the 'personalities' of all the staff who have to start cooperating as a team.

Supposedly the phone bill thing will in fact be taken care of per some of the same tech suggestions you guys had. Thanks for asking...!

It should be a good thing in the end, just a messy process (kind of like processing a deer...!)

[Birdman]

Good luck with your new "adventure". You being the type of guy who seems to have an occasional opinion, I'm sure your input will be heard.

[AJMD429]

Well, it's been over a year, and it hasn't killed me (yet). Got a paycheck last week (first in over a year of working 65 hours a week as a physician). I've decided that Anthem is the AntiChrist, because they have proven deceptive, dishonorable, and dishonest. (They are essentially the reason I got no pay for over a year.)

Good news is we have a faithful herd of patients, they are getting top-notch care, and we are starting to have an occasional profitable month. Now to pay back the $220,000 I had to borrow to pay overhead and taxes the past year...

We don't make much money on it because we do it near our cost, but we are able to do Cardiopulmonary Exercise Testing (WAY more able to pick up early heart disease than the ten-times-more-expensive 'Treadmill Test' of nuclear or echo type). We also can do ECP-bed therapy, which improves function of angina patients better than stenting arteries or bypass or drugs (that is the province of my internist partner-in-crime, due to his extensive experience doing intensive care medicine). Our lipid clinic is doing more state-of-the-art work than any other one within several zip-codes, and so I think we're really in a position to help people.

Now all we have to do is figure out what patients actually CARE about getting the best care, vs. the ones that just want to do whatever keeps them from spending any out-of-pocket money. The latter group are of course being written-off by the insurance companies because it is cheaper to humor them with 'no-copay' services that will be inadequate and lead to a $250,000 failed ER visit/admit for MI than it is to cover a few hundred dollars a year in preventative care that might postpone that MI by a couple decades.

[3leggedturtle]

Do you plan on putting an aquarium in it?

[AJMD429]

Do you plan on putting an aquarium in it?

I always thought it would be cool to have one with piranha or large snapping turtles, and sell white mice to the kiddies for 50 cents. Probably the parents would get upset though...

[Sixgun]

Doc,
Diligence and hard work always pays off. Good for you Doc!

On to your statement about some people doing what they have to do to keep from spending out of pocket money...........

I REALLY WISH MY DOCTOR WOULD LEAVE ME ALONE.

It's call after call ...reminder after reminder.....I says to him, "doc, I feel great, why do I have to keep having a test for this and a test for that?" He tells me..... (We get along GREAT)......."it's all about preventative care". I never remember my dad doing anything special and he felt great until the day he died...at 79......yea, I know, 79 ain't much today....his parents both lived to 96.......I'll be happy to call it quits at about 70.....life gets boring as you age.-----6

[Griff]

Life is not boring! It's people that are boring! Chronic pain is a sure-fire buzz-killer tho!

[AJMD429]

Life is not boring! It's people that are boring! Chronic pain is a sure-fire buzz-killer tho!

'Chronic pain' is all fake, made-up by malingering patients who are drug-addicts. Even patients with multiple sclerosis don't have real pain, according to numerous 'pain specialists' I've talked to. Unless the radiologist who reads your spine MRI says "Oh my gosh, I've never seen anything so bad - was this patient even alive...???" then your pain should be controlled by something SAFE like a bunch of steroids, tons of nonsteroidal antinflammatory medications (if they kill your kidneys, you can just go on dialysis), antiepileptic medications that make you fall asleep while driving, non-narcotic meds that make you hallucinate (...you see, hallucination is only 'bad' if you want it to happen...), and days and days of missed-work so you can get repeated nerve-blocks.

The only alternative to all those safe, inexpensive, and convenient things is the HORRIBLE alternative of taking a few hydrocodone every day. Thank God ('er I mean, Government; I keep getting them confused), we now have politicians who stand as moral and medical experts, to make us stupid doctors (and pharmacist-doctors, like me) realize that all pain patients are drug abusers, and should be treated like drug abusers. You see, if we prescribe fewer pain medications, then there will be fewer heroin overdoses. Makes sense, right...???

I gotta go; time to go to a seminar on "How Global Warming led to Record-breaking Cold Weather"...

[3leggedturtle]

Do you plan on putting an aquarium in it?

I always thought it would be cool to have one with piranha or large snapping turtles, and sell white mice to the kiddies for 50 cents. Probably the parents would get upset though...

I have kept alot of snappers from the size of quarters till they get about the size of your hand. Watching them stalk and eat/tear up minnows is amzing, Perch are a great fish to keep and feed guppies to also.

[MingoKid]

Life is not boring! It's people that are boring! Chronic pain is a sure-fire buzz-killer tho!

'Chronic pain' is all fake, made-up by malingering patients who are drug-addicts. Even patients with multiple sclerosis don't have real pain, according to numerous 'pain specialists' I've talked to. Unless the radiologist who reads your spine MRI says "Oh my gosh, I've never seen anything so bad - was this patient even alive...???" then your pain should be controlled by something SAFE like a bunch of steroids, tons of nonsteroidal antinflammatory medications (if they kill your kidneys, you can just go on dialysis), antiepileptic medications that make you fall asleep while driving, non-narcotic meds that make you hallucinate (...you see, hallucination is only 'bad' if you want it to happen...), and days and days of missed-work so you can get repeated nerve-blocks.

The only alternative to all those safe, inexpensive, and convenient things is the HORRIBLE alternative of taking a few hydrocodone every day. Thank God ('er I mean, Government; I keep getting them confused), we now have politicians who stand as moral and medical experts, to make us stupid doctors (and pharmacist-doctors, like me) realize that all pain patients are drug abusers, and should be treated like drug abusers. You see, if we prescribe fewer pain medications, then there will be fewer heroin overdoses. Makes sense, right...???

I gotta go; time to go to a seminar on "How Global Warming led to Record-breaking Cold Weather"...

Amen Brother! I renewed my DEA license this month for the "privilege" of prescribing needed medication for my patients. I despise having to go online to let bureaucrats know what I intend to prescribe. These are the same nitwits that can't fill a pothole or do their own jobs, much less mine. They can however make life miserable for those who don't agree with them! Pelosi Nuggets!

[vancelw]

Do you plan on putting an aquarium in it?

I always thought it would be cool to have one with piranha or large snapping turtles, and sell white mice to the kiddies for 50 cents. Probably the parents would get upset though...

I'd pay to see that...maybe even supply the POOR kids some mice. That wouldn't work in Texas though...some kid would have that turtle yanked outa there in no time....turtle soup for supper. Fish trap would take care of the rest overnight.

(I was 12 before I realized you weren't supposed to fish with a .22 )

[Sixgun]

Doc,
Your great! It's a fortunate thing to have you as a member.----the 6

[J Miller]

Life is not boring! It's people that are boring! Chronic pain is a sure-fire buzz-killer tho!

'Chronic pain' is all fake, made-up by malingering patients who are drug-addicts. Even patients with multiple sclerosis don't have real pain, according to numerous 'pain specialists' I've talked to. Unless the radiologist who reads your spine MRI says "Oh my gosh, I've never seen anything so bad - was this patient even alive...???" then your pain should be controlled by something SAFE like a bunch of steroids, tons of nonsteroidal antinflammatory medications (if they kill your kidneys, you can just go on dialysis), antiepileptic medications that make you fall asleep while driving, non-narcotic meds that make you hallucinate (...you see, hallucination is only 'bad' if you want it to happen...), and days and days of missed-work so you can get repeated nerve-blocks.

The only alternative to all those safe, inexpensive, and convenient things is the HORRIBLE alternative of taking a few hydrocodone every day. Thank God ('er I mean, Government; I keep getting them confused), we now have politicians who stand as moral and medical experts, to make us stupid doctors (and pharmacist-doctors, like me) realize that all pain patients are drug abusers, and should be treated like drug abusers. You see, if we prescribe fewer pain medications, then there will be fewer heroin overdoses. Makes sense, right...???

I gotta go; time to go to a seminar on "How Global Warming led to Record-breaking Cold Weather"...

Hey, I sorta resemble that! I've even got a spinal MRI to show ( actual film ) and I still can't get any pain relief meds. Drs here are scared to death to prescribe even Tramadol. Old age, heart defects, high blood pressure ... that ain't gonna kill me ... nope, the pain is.
Ibuprofen mixed with Naproxen Sodium in high doses is probably gonna do me in sooner than later if the pain don't.

AJMD,
Do you have an "after" pic of the new office?


Joe

[sore shoulder]

You see, if we prescribe fewer pain medications, then there will be fewer heroin overdoses. Makes sense, right...???

What we will and do have Doc is more criminal association by people looking for pain meds, which creates a larger criminal element, which in turn requires more LE to combat it. The social and legal costs of drug related problems would be exponentially less if we legalized all of it, and treated those with addiction problems. It's like Prohibition taught us nothing. It's funny, my Canadian friends tell me you can still by Tylenol with Codeine in the aspirin isle at the supermarket, and apparently there's no huge Tylenol problem. The war on drugs is one of the worst policies we've ever engaged in and it created and funded several layers of para military LE and government agencies while creating an entire unstoppable illegal drug industry. This is the unintended consequence of blindly legislating morality.

Hope you get your debts paid Doc, thank you for taking the high ground and setting an example.

[mack]

Life is not boring! It's people that are boring! Chronic pain is a sure-fire buzz-killer tho!

'Chronic pain' is all fake, made-up by malingering patients who are drug-addicts. Even patients with multiple sclerosis don't have real pain, according to numerous 'pain specialists' I've talked to. Unless the radiologist who reads your spine MRI says "Oh my gosh, I've never seen anything so bad - was this patient even alive...???" then your pain should be controlled by something SAFE like a bunch of steroids, tons of nonsteroidal antinflammatory medications (if they kill your kidneys, you can just go on dialysis), antiepileptic medications that make you fall asleep while driving, non-narcotic meds that make you hallucinate (...you see, hallucination is only 'bad' if you want it to happen...), and days and days of missed-work so you can get repeated nerve-blocks.

The only alternative to all those safe, inexpensive, and convenient things is the HORRIBLE alternative of taking a few hydrocodone every day. Thank God ('er I mean, Government; I keep getting them confused), we now have politicians who stand as moral and medical experts, to make us stupid doctors (and pharmacist-doctors, like me) realize that all pain patients are drug abusers, and should be treated like drug abusers. You see, if we prescribe fewer pain medications, then there will be fewer heroin overdoses. Makes sense, right...???

I gotta go; time to go to a seminar on "How Global Warming led to Record-breaking Cold Weather"...

[Old Savage]

Organization!!

[mack]

Organization!!

Is one "before" and the other "after"?

[Old Savage]

Somebody just doesn't know how to use that function then didn't know how to fix it.

[J Miller]

OS,

If someone went in and cleaned and organized my work area I'd be lost. I'd have to toss it all and start over.

Joe