Friday, December 30, 2011

2012 (almost)


I guess we will find out if the Mayans and/or Roland Emmerich are right and the world will cease, but I am betting that maybe a culture that counted on human sacrifice to appease their gods was not terribly prescient, but I guess we will find out in December.

There is little to add to my work drama of late. They are still planning on laying off 400 people (or otherwise eliminating those positions by inducements to early retirement and hiring freezes) and there is still no clear answer as to how many of our team might be affected. You can worry about it, but it isn't going to change anything. So, in the interim, we are moving from 'no flexing no matter what' because we wanted to preserve the notion that every hour is necessary to 'get the eff out of here as soon as you can.' So, I ended up flexing out about 40% of this past week. Left early on Monday, cancelled on Tuesday, worked all day Wednesday and left a hair early the last 2 days. Thankfully Tia is not dealing with the same, so it isn't like we will be in the bread line anytime soon. Not sure how long the flexing will continue though.

Other than that, had a nice holiday weekend (bummer that there was no 'holiday' extended time off, but nothing can be done about it) and am looking forward to a, hopefully, fresh start with new adventures in the coming year. Until then, cross em that my neck doesn't hit the chopping block.

Happy New Year!

Saturday, December 17, 2011

reckless


Continuing with our new annual tradition, my employer announced that they will be laying off 400 people (or at least 400 FTE, which is the same thing cumulatively). It remains unclear if any of these will be from my department or not, though of course the speculations are running wild (as they should be since my department is considered auxiliary). At this time last year everyone in my department was interviewing to keep their jobs, and quite a few were eliminated. This year, the threat hangs over the department once again. Some holiday traditions I would gladly abandon.

Interview netted nada. At this point, though I haven't heard word one, I am pretty sure I was not selected for the position. It isn't that big a deal, but it would be nice to be the one making the choice instead of being made for me.

Will be spending even more time at the Park in the next couple weeks. Getting very tiresome, but I am reluctant to say 'no' (see above) at this point in time. I wish we had more patients.

In other news, Tia and I saw a play over the past weekend at a local theater. The acting was fine and the set pieces were simple but versatile, but god help me it was effing weird. As succinctly as I can state it the play was about the following: An over-exuberant excessively garrulous woman begins by exclaiming her love of Christmas on Christmas eve. Her husband, appearing distressed, tells her she ought to run because he hired a hit man to kill her that night. She runs. She meets a guy at the gas station pay phone and, wearing nothing but her nightgown and robe, boards his car and they head to his home where he lives with his paraplegic deaf/mute wife. She moves in with said couple and starts to work at their nonprofit with them. They go on a game show where the don 'planet' hats and win $100K. Her estranged husband sees her on said show and finds her the following Xmas. Her husband finds the deaf/mute die from poison champagne (and the deaf/mute was neither, only pretending to be so for her husband). The main gal now runs away with the guy she met at the quick stop, who proceeds to drink nothing but champagne for a year. He dies the following year on, you guessed it, Christmas day. The main character then becomes a mute herself for 6 years living in a shelter. She speaks once and then goes to a talk show where she watches the guest on the show get shot by a man in a ski mask. She then goes back to school and becomes a psychologist. A patient walks in who turns out to be her son (and her other son turns out to be the shooter from the talk show). He becomes her patient on Christmas eve. The end. Should be interesting to see their interpretation of twelfth night.

As always, more news when it becomes available.

Thursday, December 08, 2011

the interview/work as usual

The interview with KP was, well, long. It was a four person panel interview that entailed a round robin of questions from a 2 page long (front and back) worksheet of sorts that they asked questions off of and, presumably, rated my answers. The questions varied from the inane basics of patient care to questions more obtuse and much much more specific in nature. I am not sure how well I did, nor what it means if I did particularly well. I know they are planning on making a decision next week and, should I be selected, it remains unclear on whether or not I would accept. I would certainly consider it though, especially after another day like today.

Nothing unusual about today really...just the perpetual schizophrenic nature of the job. To try to distill down the hours of meetings, might prove less than revealing, but the idea is that I need to schedule more patients and schedule them in a more condensed way somehow. I need to do this despite having no actual patients to schedule, on account of us always being closed, never having adequate staffing, and being nearly invisible to most clinics who might otherwise refer to us. We plan to solve this issue by wishing it were different I guess. Will it actually ever be different? The magic 8 ball says to 'ask again later'.

Oh yeah, and we will be closed tomorrow so I can help at the Park again. Bah!

Friday, December 02, 2011

Tales of clinic closures


Just a quick post:

Starting to flex again at work. Not just me but everyone. Low census. Not a big deal really, but it was weird to come back from vacation and then work a 3 hour day. Is a pleasant surprise when it doesn't occur often.

Closing the clinic again on Monday for at least part of the day. Will be going to the Park for at least a portion of the day if my clinic stays slow. Because, you see, they are busy. Hence, we close my clinic. If patients/doctors call..............tfb. Yet another way to 'expand the clinic' by making it more exclusive' through diminishing operating hours and limiting the amount of patients. Maybe it is a coherent plan after all.

Interview on Tuesday night for the IV job with KP. Sounds like it will be a panel interview. Will be interesting to see how it goes and, if it goes well, what that will mean. Of course, I will write about it here.

Tuesday, November 29, 2011

Bend


It has been some time since we have been down to Bend. There is much to like, but there isn't much to Bend. It's compact. Quaint. But, because it is a tourist destination, there is more there than would normally be the case in a town that side. Either way, absence indeed makes the heart grow fonder.

As for Cricketwood, it was as nice as ever. The rooms are comfortable with all the amenities you could want (or think of really), the place is neat and well kept, and the owners are always friendly. But, most of all, we go for the incredible food. Between the cookies every night (with beverage choice), the morning coffee/tea service, and what has to be the most incredible selection of breakfast food outside of a full service restaurant, you definitely get your money's worth. If you are ever in Bend, I cannot recommend it enough.

The weather, as always seems to be the case, was clear, crisp, and cool. Mid 50s and sunny. Just wonderful. Why can't they have actual jobs there?

Back in Portland, some moderate 'news'. I had an interview today with KP outpatient infusion. Unfortunately, it was not a good fit on either side. The infusion part I have plenty of experience with. But, they also wanted ostomy care, foley catheter care, wound care, and pediatric experience. Honestly, I am not sure how many people will hit all the points. However, I was frank with them that it wasn't experience that I had and wasn't something I was altogether interested in. They also let me know that I wouldn't be a fit. On the upshot, they are sending my resume along to the infusion department. An interesting possibility.

Then, the same afternoon, I got a call from the hospital IV team with KP. The position in question is a part time and overnight. The upshot is that it is a foot in the door with KP, the pay (with differential) would be about $7 an hour more (potentially more than that if I work a weekend shift) and at the part time position I could still make a good salary. Plus, the benefits (and retirement) are better. The downside, obviously, is that the hours are pretty awful (1045pm to 730am). They at least block schedule, so I would (assuming I interview and am offered that is) work 2 in a row, then off for 4, then on for 4, off for 4. Ostensibly, I can flip my schedule and readjust it as needed. More to come as events warrant of course.

See you in December.

Monday, November 21, 2011

Revenue

I haven't posted much lately. It isn't that there is nothing to post (time spent with friends and family doing enjoyable things like eating delicious food), but largely because I have been feeling a lot of fatigue and generally kind of down. It is the winter after all and the recent time change has made it all the more abrupt. Frankly I already miss the sun..........and I know I have a LONG way to go before it returns to us for any length of time.

So, rather than dwell in my general malaise here on this board, I will just say I am working on it. Vitamin D supplementation started. Digging out the SAD lamp. Exercising when I can get the time/motivation to coincide. Plus plenty of beer and wine (not sure if that is a long term solution, but it helps short term :)

Other than that, work continues to confuse me. I am getting help when I need it now, which is a pleasant change of pace. Even managed a blood transfusion that went pretty well (I have done many previously, but none since the install of the new computer system which does not make easy work of charting/ordering blood products). Overall I think it will help the bottom line as well as my sanity. Of course, I also learned that the amount of revenue I am supposed to generate and the amount of revenue I do generate are not equivalent. I am, evidently, running at about 75-80% of what counts as break even. Hence the new found focus on generating more revenue...........er, or so I thought.

You see today I was informed that I ought to reschedule my Friday patient because they need me at the Park to help out due to under-staffing and over booking. Additionally, I am going to be away for a few days in Bend, so we are going to close those days as well. In summation, we are going to close Thursday to Wednesday and generate $0 in revenue. The 'cost' to operate the clinic remains static however (even if you deduct the cost of staffing it..........which isn't factored in). In order to break even, we need to see about 3 patients a day (obviously dependent on type of infusion, but it works as an approximation). Seeing no patients not only hurts that day, but generally causes a level of consternation amongst both my patients and the providers who refer to me.

As usual, there isn't much I can do about it. I still figure it is just a matter of time until it ceases to be worth operating and, at that point, I guess I will have to consider what my options might be. For now, I am just trying to make it to the weekend.

Saturday, November 05, 2011

doors


Since this blog was (is?) supposed to reflect my work life/nursing experience, I thought it would be an opportune time to reflect back on my new (is it still new?) career.

It began inauspiciously with a brief, and horrid, experience at a local hospital (I won't name them but it resides in Oregon City). The memories are fuzzy, but I mostly remember it for what it was not rather than for what it was. What it was not was organized. I ended up being 'mentored' by an average of 4 different people a week. That alone would not have been horrid had those 4 had any overlap during the week. Instead, I built no foundation with any of them nor they with me. So, they had little idea of what I knew (not much) and what I needed to learn (cavernous). The words frantic, harried, and nauseated come most readily to mind. I didn't last long, but I was kind of glad for that as I fit the position as poorly as I fit a pair of 28" skinny hipster jeans. I openly wondered what the hell I had gone and done with my life.

Thankfully, the day I decided to quit the hospital gig I got an interview with an outpatient allergy clinic, which shortly thereafter turned into a job. It paid less, the benefits were not great, and the hours were a bit haphazard, but I liked it for the most part (as much as one can like a job anyway). I learned a lot about working with patients, practiced some skills I would need in the profession, and worked with a pleasant group of people. Only, A + B did not equal C unfortunately. I was not earning enough to pay for all those loans I took out to get my shiny new career and the benefits quickly began to erode as soon as I became eligible for them. At the time, Tia was not making nearly as much either, so we couldn't afford for me to not make much. Also, Tia's benefits were eroding as quickly as my own. Those things and the fact that the doc I worked for was pregnant (meaning we would all be taking a month long leave unpaid). So, after about 7 or 8 months, it was time to move on.

Getting into a hospital job is no easy feat. It isn't necessarily related to skill, experience, or knowledge.....though all are helpful. It is as much related to who you know as what you know however. So, when my classmate Bob got an IV job out of school at the hospital, it was an unlikely stroke of luck. The way the application process goes for new nurses is akin to sticking your name on a hat. They took every person who applied to the internship program (which numbered in the hundreds) and stuck them on a spreadsheet which ended up being 7 pages long (this per my manager). They then handed this out to the hiring managers who then picked off the list. Also per my manager, a LOT of those doing the hiring did not consider anyone from out of area because it meant that we would not have done our rotations in this hospital system. As fortune would have it, Bob was picked for an interview doing IVs (though he had not pre-selected it), utterly at random. He got the job.

He started at the hospital at the same time that I started at the clinic. Through my connection to him, I was able to get an interview for an open position that was half clinic/half out in the hospital working with inpatients. I had a lot to learn (still do) but I was able to really learn how to work in the clinic without a doctor present, how to place central lines, put in IVs and an array of infusion meds I had never heard of let alone worked with. After about a year of this, the hospital starting having budget problems as well (thanks to a continually poorly functioning economy) and my hours were repeatedly slashed. Additionally, management conflicts were occurring within the department and outside of it. And I was working a lot of odd days and alternating weekends. I thought maybe a change would do me some good.

Unfortunately that change turned out pretty badly. The only intelligent thing about it was staying within the same hospital system. The job I accepted promised me 36 hours a week (4 full days and one half day) and they delivered on that much. However, they also told me I would be working alongside doctors (a half truth), helping with procedures (a full on lie), and still have the opportunity to work with patients (lets call it a half lie). What it actually was 36 hours a week staring at a computer screen with a headset on talking to patients about their bowel problems. I worked alongside doctors in that I sent and received emails from them all day long regarding patients. After a short while, I dreaded waking up and heading in to work. To make matters worse, we were perpetually short staffed meaning that calls for the dozen doctors were parsed between just 2 of us (and a half day a week each with no one else to pick up the phone calls). It was an endless stream of horrible days. Thankfully, I generally try to stay on good terms when I leave places........something that came in quite handy.

Just about the point I was ready to walk away from the triage job and wait tables if need be rather than sit there for one more day, they realigned my old department and, through some serendipity, the clinic position remained open. I found out later it was because it was largely unwanted (a fact I find amusing since I feel the same way about the floor positions largely), but it fit my skill set well. It was truly a messy transition (which you can re-read if you like) and there was little 'training' to speak of. But, thankfully, it was more about knocking off the rust than it was learning an entirely new position and, in time, the pieces came together.

So, a little more than 3 years in, it has been an uneven ride, but so far I will call it a success. I am no one's boss, but I have very little oversight and a lot of independence, not something I thought would come so soon. I would like to do more, but for now I am content to let it ride until the next door opens in front of me. Only time will tell if it is something better or worse to go through it.

Sunday, October 30, 2011

The end of October

Sometimes blogging is easy. Sometimes there is so much going on that the only difficulty is finding the right words to describe them without omitting some major plot points along the way. Other times, life rolls along in a series of mostly congruent days that blend together to such an extent that they are hard to distinguish from one another. Did we have the fish on Tuesday or Wednesday? What day was the day the patient showed up maddeningly early......or late.....or not at all? And is any of this even remotely interesting enough to document? Hell, I am getting a little sloe eyed just typing it.

When there is little to talk about, there is always the weather. So far, is hasn't been too gray. The sun has appeared far more than it has not and what rains we have had have largely occurred while I slept. It gives me hope (tenuous) that this winter will prove less downbeat and overcast (though La Nina may have something to say about that.

Of course, I am particularly sensitive to it. It doesn't take many of those days before I start to feel a bone deep sense of, well, I guess it is hard to describe. It isn't so much that I feel it like any other emotion.........but more like it subtracts something from me. It deducts a sense of genial well-being and overall optimism and amplifies that dark part of us all that sees every nick, crack and imperfection. That part of you that knows, without a doubt, that if you wake up with a sense of foreboding about the day (generally arbitrarily) it will be a shitty day. The glass half empty part.

The even keeled amongst us deal successfully with this sort of thing routinely. I generally do as well. Yes, some days are black, some are white, but most are shades of gray and one event rarely color a day in it's entirety. But, when the weather turns gray and damp, the black bleeds over. To fight it this year, the prescription is simple (yet oh so difficult). Must go to the gym and get the endorphins going. Must try to get out even if the weather is practically begging me to lie in bed. Mostly I just must try to do what I can to not let it get to me.

Got my SAD lamp ready. Bring it on.

Friday, October 21, 2011

the first fall cold

It just isn't Fall unless I get sick..............or Spring, or Winter (you get the point). Anyway, I spent today largely prone and only moving when circumstances compelled me to. Hopefully this is a passing thing. Thankfully, Tia picked me up some good meds, so mostly I just feel a bit spaced out and tired, but not altogether terrible. Yeah meds and yeah wives who run and get them for you before work!

We have mostly been reestablishing our routines and starting the slide into early sunsets and overcast days. My goal this year is to try not to let it get to me. It is the same goal I have every year though, so no promises. There is just something completely wrong about the sun disappearing for so many days (weeks) at a time. I would I just viewed it as an irritation, but physically it get to me as much as any virus would. But, best to start with optimism and proceed from there.

Work remains about the same with it's minor dramas that I rarely hear about until far after the fact and still an overall shortage of staff (and evidently no 'viable' candidates per the supervisor). The wound care side of things if shifting though, which may directly affect me. They share the office with me and do their own thing as I do mine but work as my second nurse for emergencies. As such, they can't leave while I have patients running.......even if they have nothing whatsoever to do. It makes no sense other than we share the same boss. They work as a pair, with one doing the inpatient (hospital) side and one the outpatient (clinic) side of things. Since one of them will be moving over to another hospital, it means they will need to replace her. Only, the plan is evidently to make both of them less than 40 hours a week. In discussions, of which I have not really been a part of, they have evidently talked about closing their side of the clinic a half day weekly. This means that I could not schedule anyone then which leaves me a few options (that I presented to my boss).

My push is to extend the clinic hours, but make it a 4 day a week proposition. I would work 9 hours 4 days a week and open up an hour earlier than I do presently. It makes sense because, for reasons that fail to make any sense to me, the wound care nurses (and again, they are my second nurse) start and end their shifts an hour earlier than I do already. Option B would be to match their half day in the clinic. A further option would be to stay on the same schedule and work the floor the other half of the day we close the clinic. I badly want it to go back to a 4/9 though because it would mean only a minimal financial impact, would give me a full day off during the week so we don't have to cram all our errands in on the weekend, and would largely restore my sanity because I could plan all other appointments on that day and plan to work towards other goals, hobbies, etc as well. Of course, I won't hold my breath. Things seem to change not at all for the most part........or with a whiplash inducing suddenness. I will post an update of course.

The only other thing of note is a general conversation I had with my supervisor. The conversation centered around my asking about a certain medication they want to infuse in the clinic. I called the woman who 'runs' one of our other clinics (and used to be my supervisor) and she advised me that she had never given that med and that she would feel uncomfortable doing it without a second IV nurse. When I brought this up with my supervisor, she seemed to think that the wound care nurses were the second nurse and that should be good enough. She was also concerned that things might eventually come to a head with certain doctor's offices who want to send patients that I refuse to see without a second IV nurse. Initially this kind of pissed me off because I already see some patients that are a little 'iffy' to be doing with wound care as my second and I have to run out regularly to get meds, run labs, etc that are not located anywhere near my clinic. So, I do what I have to do, but god forbid something happen when I step out. But, the truth is that likely NOTHING will be done to change things because: A. no one wants to work the clinic and B. because of point A, they pretty much leave me the alone to make those decisions because if I leave no one wants or knows how to run the clinic. And, honestly, if push came to shove I would just refuse and make them force me out. I am not going to put my license and the patient's safety in any doubt when no one else is willing to do the same.

More to come as always.............time for the night time cold meds in the meantime.

Tuesday, October 11, 2011

Living on East Coast time

I love to travel. I also hate the actual traveling portion of that equation. I know many other people agree. You have to go through a ridiculous amount of security, you spend hours on layovers, the seating is cramped, they barely bother to entertain you en route and you no longer get even the barest semblance of food (though they have oddly reverted to giving out full cans of beverages), and due to the baggage fees now everyone is trying to carry on an egregious amount of baggage (which also means you are screwed if you aren't an early boarder). Overall it is a joyless experience for something that is, when you think about it, pretty freaking amazing. I mean, for all the misery, you are still being put aloft at over 6 miles up in a heavy steel winged tube with hundreds of other passengers and able to travel thousands of miles in a matter of hours. So, while I may complain, it beats the hell out of driving it.

Coming back has been a bit of a shock to the system. Work was honestly better than I expected with a couple light days and a not overly abundant amount of notes and leftover new orders to deal with. It is mostly the time change (I keep wanting to go to bed around 8 or 9 and waking up well before the alarm clock) and the weather change (the sun stayed back East evidently). So, weirdly, though I know it has more to do with the time of year and being on vacation, I can't help but kind of miss Florida just a little bit. I am sure visiting again in the midst of July would cure that quickly, but the winters sure beat the hell out of the ones here. If I could just figure out a way to snowbird.

Speaking of crazy dreams, Tia just turned me on to a new blog that looks pretty interesting. It is a Portland couple who are working on amassing funds, eliminating debt, and pursuing their shared dreams of quitting their cubicle dwelling gigs to take a year to travel the world. Fascinating stuff. I told Tia it was to her peril to have introduced me to the idea. Like pouring gasoline on the flame of my wanderlust. hmmmmm.

So Many Places

Sunday, October 09, 2011

Vacation!


Vacation is possibly the most wonderful word in the English language. It connotes nothing less than happiness, freedom, and high caloric foodstuffs. Vacation is like pizza...........even a bad pizza is still pizza. And, lest we forget, it is most certainly not being at work. Win win!

This vacation was assembled more or less due to convenience. Tia had a conference in Orlando that went from Sunday til Tuesday. So, herround trip flight was paid for, as were hotel transfers, baggage fees, and 4 days at a nice resort hotel. So, why not extend it and take me along for the ride?

The plan, which I followed through with happily, was for me to enjoy the hotel amenities while Tia attended her obesity conference. The hotel largely accommodated. We stayed at a Marriott resort/conference center hotel which had 6 pools, a water slide, at least 3 hot tubs, a golf course (damn shame I don't golf), a state of the art gym (seriously as good as any I have paid to be a member of), and a number of restaurants on site. However, it was also an expensive cab ride (so we learned) to get to pretty much anything else around it and you were not going to get anywhere on foot. As you may assume, they took full advantage of the fact that you were stuck there to jack up the price of any and all services. Internet was $15/day (comped for conference attendees), parking another $15/day for self parking and even more for valet. But, mostly they caught you on the food. It is a shame really, because it is a beautiful resort and one you could easily spend days at just hanging around the grounds and yet I would never be compelled to go back because, despite a price tag of $239/night, very little was included. For half the price you can get much much more.

By contrast, we spent the second half of our vacation at a Best Western near the entrance of Universal (we walked the mile from our door to the entrance of the park itself). The hotel had a laughably small 'fitness room', an average pool, and slightly lackluster furnishings (though it was clearly recently renovated). However, it was also about the same cost for three nights there as one at the Marriott, they threw in free parking, free internet, and a free breakfast. Oh yeah, and if you wanted to use it, a free shuttle to the theme parks at well. And they boasted about 6-8 restaurants within a half mile radius (some within 100 yards). It wasn't high end, but it was far better than I thought it would be and I would definitely go back should I be compelled to visit Universal in the future.

On to the theme parks!

- We began with Discovery Cove on Wednesday. The weather could not have been more idyllic (the entire trip through Friday honestly.....low to mid 80s with scarcely a cloud and low humidity). The park doesn't consist of much. You pay a flat fee and it includes all day access to a large saltwater pool full of stingrays with 6 foot wing spans (seriously impressive and always within touching distance), schools of colorful fish, and a shark tank. You also get to swim in a freshwater lazy river and hang out in an Aviary with the most social birds I have ever seen (they land all over you while you feed them). Probably the most fun part of the day, and maybe the trip, involved us playing catch with some birds that are related to terns and will fetch sticks from the air if you throw them, even taking them from your hands on occasion. Additionally, admission includes unlimited food, beverages (even grown up ones), and snorkel gear. Plus, there are a limited number of people allowed through the turnstiles daily. For additional money, you can have a 'dolphin experience', but we felt badly about it and skipped it. Overall, I would say it was really pleasant, but for the price it isn't something that I can recommend without some caveats, but we really liked it.

- Day 2 found us at Universal Islands of Adventure. It is the newer of the Universal theme parks and has a large array of rides including the new Harry Potter themed area. The park looks great, with the most minute details taken care of (like the trash cans in the Dr. Suess themed area, which were oddly shaped and brightly colored). The rides varied in there levels of success, though all were similarly nonsensically plotted (usually some variation on the theme of going along with the hero on a quest of some sort). The nice part was, as we had hoped, the theme park was largely empty. The longest we waited for a ride was 30 minutes for the Potter ride, but most were less than 5 or 10. We started the day getting drenched on two water themed rides and the rest of the day drying off in the warm sun on the rest of the rides. We ended up doing everything but the hulk themed roller coaster (I have been on it before and found it a bit lurchy) and finished up shy of the park closing. Most notable was the new Potter village, which was very well done and highly detailed (even had Moaning Myrtle talking to you in the bathroom), and the Poseidon adventure.

- On our final day, we went to Universal Studios. The weather finally turned a bit and we had bands of rain that whipped through the area every hour or so. The park was busier since it was Friday, but there was less to see and do so that worked out (plus most rides are fully indoors). Oddly our 2 favorite rides were there, The new Simpson's ride was the most impressive (as was the Shrek 4D, in spite of an utterly nonsensical holding area that seemed entirely devoid of any connection to the ride itself). Also, our least favorite ride, the Mummy roller coaster which was incredibly short and not exceedingly well done. Additionally, they probably ought to just kill off the T2 attraction as it is increasingly dated (especially when Arnold Schwarzenegger is on screen). Overall, still worth it in the context of the discounted pass for multiple parks, but would probably lean towards Islands of Adventure if you had to choose just one to throw money at.

More to come as always.

Monday, September 26, 2011

What's better than a raise? An unexpected raise!


If work were a playground implement, it would surely be a teeter-totter with all its ups and downs. The clinic has been unusually slow of late, so I have been trying to help more on the floor which does little more than reassure me that I am right were I need to be in the clinic. It isn't that it is awful out there, but my god is it different. Essentially, it is just me pushing around a cart and trying like hell not to get lost as I quite literally do not know where I am going most of the time, especially if it is a rarely visited area outside of the normal rounds to begin with (like CT.......evidently somewhere in the labyrinth on the first floor diagnostics side......I assume anyway as no signage exists). Then, the PIV starts themselves are often a high degree of difficulty, with one usable arm and littered with bruises from previously blown IV sites leaving you with nearly nothing to attempt at all. You definitely run the gamut from success to abject failure within most hours if not within the shift itself. In short, I will take my cocoon like clinic thank you very much!

Now I just need more patients to show up. I suppose some could be scared off by the fact that we close haphazardly when I am elsewhere, can't take certain patients because we don't have a second nurse, and turn away patients fairly frequently when I am busy and cannot get another RN here to help. Not exactly a business model that ensures success. I mean, would you go to a restaurant that turned you away one day because a server called in sick and so they couldn't seat you even though the restaurant wasn't full? Or if it closed without any seeming reason just because? Or what if they told you they could seat you, but not your partner? I know I would be looking elsewhere to eat. Especially if there was a restaurant right next door that had few of the same complications.

But, to the good, we did get a raise (or will get one starting in October) after a survey of other hospitals concluded that we were underpaid. While I understand nursing is a skilled profession and we do a lot of things that most people would not want to do, I can't say that I felt underpaid at any point since I have starting working in the hospital. Nor can I say that, looking around, our pay structure is lower than other hospitals. However, it evidently must be so as I am certain they wouldn't just be gifting us such a thing. As such, I will happily take my 4.8% raise and be quite content.

Tia's job is unfortunately moving in the other direction. She is over funded for her position, and there seems to be no let up in sight. Her job is different in that she is funded by percentages on different projects. So, in essence, she works for quite a few different people because of it. So, person A may fund 65% of her time and person B 35%, which would work out well. However, she also has person C for 25% and person D for 15%. So, when you get down to it, she has 40 hours to do 56 hours of work a week. I can't say I truly understand how it works, because to me it would seem like they would logically cap this number at something like 100% (reasonable) or 110% for short durations if needed and make that a hard cap. So, if you want or need to work on person's D's project, you have to reduce your time on another project accordingly. The other variable that makes that difficult however is that the projects don't have consistent start and end points and percentages vary within the span of a project as well. In short, it is a logistical nightmare. Suffice to say, it is all driving Tia a little batty, especially since the person with the bulk of her project time is rather unyielding and seemingly hopelessly daft. The kind of person whom would give you a dollar and then say she wants 2 items that each cost 75 cents and then suggest you find a way to make that happen.

In other news, we finally broke down and bought 2 real honest to goodness bicycles after coming to the mutual conclusion that our current bicycles, while in every sense bike-like (wheels, pedals, and all that good stuff), were woefully insufficient for our purposes. Now, I am not going to contend that I am a 'bike person', but in order to work towards becoming one my ride needs to be one I don't dread with every fiber of my being. We started out with some cheap bikes from, I believe, Kmart. The price is lost to me, but I know they cost less than $175 for the pair. They rode about as well as you might expect. I suppose it was quicker than walking, but only just, and far less pleasant. After selling them off, we bought some nicer bikes, more than doubling our initial investment. However, though they are twice as good (perhaps more) than the cheap pair, they were still heavy and a struggle to ride. Certainly, at no point, were we compelled to ride them for any purpose other than to work and to home and even then not with regularity.

As is my wont, I started to do some research and gather opinions. There is consensus about getting what you pay for, but not necessarily how much you should pay. From experience we now know that buying the cheapest bike is not necessarily the most advantageous decision. The same could be said of shoes, or cars, or on and on really. But, there is also a decrease in the utility of that statement over a certain dollar figure. A nice, solid pair of Danskos will last you a few years of very routine wear and, for this you will pay about $120. Or, you could buy a $50 pair of shoes that will last you 6-8 months. Or, you could by a designer pair of shoes for $500 that will last just as long as the Danskos but have more flash. For me, it is worth it for the Danskos, not for the designer shoes. I have no compunction to say, ride competitively so the benefit gained from spending more than $12-$1500 for a bike would be marginal for me (and they evidently go up to $10K). We finally settled on visiting an outlet of one of the local bike shops and, hopefully, we have found our matches in the $600 range (originally $850). They are lighter than our old bikes by far, have better components for easier shifting, more gears, and have a better power to effort ratio. In short, by far and away the nicest bike I have ever owned. Now I just need to get some spandex!

Sunday, September 18, 2011

Let's get down to brass tacks, how much for the chimpanzee?

What does the title have to do with anything? Well, nothing. Just misdirection. Something to get you to read wondering about how one goes about purchasing a chimp or thinking about reading/watching Fear and Loathing. Either are good avenues for fervent imaginings. Certainly better than the droll recounting I will probably give you here (despite far better than that intentions).

I have been shy of my usual verbal self of late. No explanations. Sometimes the words just leave. I like to think they go somewhere fun, because usually they return fully energized (if somewhat scatologically prone).

So, without further ado, lets head full bore into the week that was (and what a week it was)!

Work was work, though slower and more methodical than it has been (and continues to be this week). Was and remains a nice change of pace, though I remain confused by the fact that I can't just call it a day early without some penalty (so long vacation time). I am on board with them paying me for time I am not here, but not with my time. In that case, I am in complete accord with the idea of me not being here and them not paying me for said time. Seems a good agreement and uncomplicated at that since they already don't pay me for the 2/3 of every day I don't spend within the confines of these walls. But, something is clearly lost in translation. Any translators out there?

Life has been pretty fun of late. I tend to get bogged down in the 2/3 (must be the fraction du jour) of the year that the weather vacillates between indifferent and mind-numbingly depressing and give short shrift to the beautiful season(s) in between. The time spent out doors working on the yard (and in my case red/bleary eyed), riding bicycles, jogging, hanging out on restaurant patios, going to parties, eating at cart pods, and generally just being outside.

We spent last Friday night out at said cart pods with current friend and former Realtor Joleen (I say former only because we don't need her services presently, though I would use her again). Cartapalooza 1.0 was born that day (and hopefully will breed many more). At Cartlandia we sampled sliders from a burger savant (something was off about him, though he made a damned fine burger.........especially since he professed to not eating meat) and I got my taste of the weird (as is my predilection) after ordering a lengua (tongue) taco for a buck and then asking what buche might be. Turns out it is pig stomach. Well, if you know me you know it had to be tried. Overall, not a fan. Not bad really, but texturally a bit odd (crispy/chewy). Leaving there we headed for greener, or fried greener, pastures, but were denied fried green tomato BLTs (much to Tia's chagrin) when the cart proprietor informed us they were out of supplies and closing up shop. Joleen grabbed a, per her, mediocre Italian pastry and we were off again to A la Carte on Division and 50th, probably my favorite stop of the group. So many choices, but many were a bit on the heavy side, so we all decided on a Fondue It cart that had some amazing chocolate fondue with fresh made zepolies to dip in it (think mini donuts). Joleen and her date opted for the cheese/sausage combination. They also got a deep fried, chocolate covered piece of bacon with various spices adorning it. Sadly, not a winner. We finished up in a food daze at the last pod group, not having the stomachs to pack in any more despite the tempting options of Whiffies Fried Pies and Potato Champion beckoning (as well as a wood fired pizza place in a cart).

Saturday night we had a great dinner out with Tia's work friend (and my current best foodie buddy) Jen and her partner Cindy at Grain & Gristle. It is a solid meat and potatoes type of place with solid food (like the yummy lamb sandwich with picked onions). We then headed to OMSI to check out a free Yelp event at the museum (the main exhibit was old video games). Free booze, free food, and free access to the museum made a fun, and somewhat informative, evening.

Sunday was football and the aforementioned yard work that, despite the fact that I kind of enjoy doing it, it clearly has no affinity towards me. I was enveloped in a Benadryl haze from about 4pm onward.

So, if you are similarly afflicted, living in the Pacific NW that is, I urge you to soak up every last ray of sunshine and get out there while the getting is good. Cause you know it won't be for much longer.

Next time we'll talk chimpanzees.

Sunday, September 11, 2011

Its too damn hot

I suppose there is no such thing as a perfect weather city. I know there are some that come close (San Diego) and some that are so distant from such weather no amount of money could lure me there (Fargo). It is well documented in this blog how much I hate the winter weather here, but generally the summers are pretty damned ideal, even if they are only that way for a short time. The last week or two we have had our annual heat wave, with temps routinely in the 90s. Its funny how that used to not be such a big deal to me (hell, 90 was relatively mild for a summer day in south Florida), but now I wilt in temps that elevated. Another reason I always tell people that 'I am indoorsy'.

But, to thwart the heat, I try to get up and do my runs early. Today while out jogging, I noticed a car with a windshield banner with 'Pimpin aint Eazy' across it. This was maybe 3 blocks from our house. We also have the 'pickers of Piedmont' who come up our driveway to gather recyclables. And then, within a dozen blocks or so, the periodic shootings we read about in the paper. Conversely, all our neighbors are long time residents, and some with very young kids. The newest restaurants are always opening up within the same dozen or so city blocks and there are numerous flip jobs selling quickly in the neighborhood. This, of course, is pretty much East side living. You have to make the trade-offs you are happy with........unless you can afford not to make them at all (we can't). Will be interesting to see how things evolve.

Work is still kind of a drain. I wish it weren't, but I am at the point where a vacation is more or less a necessity than a luxury (though it is that too). The point that all the minor irritations start to become major ones and the only thing you can think of getting the hell out of there at the end of the day. It isn't as though anything has changed, but it is more or less much of the same and therefore just stagnant as ever. I was just told to 'close the clinic' on the Monday and Friday of my vacation because they 'don't have anyone who can work' on my behalf. How can I hope to make anything of the clinic when it is repeatedly evident that it is expendable? I am somewhat surprised that they don't just close it altogether because clearly the revenue stream is not one they are concerned with.

Back to Sunday ticket. What a fun free new toy.

Monday, September 05, 2011

How did it get to be September?

There is (was?) a TV ad for an insurance company (and I have no idea which one, so clearly not the most effective ad) that states "Life comes at you fast." It could not be more accurate.

We have now been in our new house for more than a month. In that time we have managed to pull a compost bin full of weeds and ivy 2 to 3 times over (and counting), paint most of the upstairs rooms and a wall downstairs, buy and assemble a seemingly never end pile of Ikea (or Ikea analog) furniture, hang shelves, and randomly move things from room to room in a seemingly fruitless attempt to find homes for everything we own (which still leaves us with more than 2 completely empty rooms save for some boxes/totes in one and our foster cat family in the other). It is, by degrees, both enjoyable and frustrating, but always takes more time and energy than you think. That said, it is thus far a HUGE quality of life improvement over the last 2 rentals.........at least in my opinion. Of course, we would have been fine with much less space too, probably 25-30% less really. But, its hard to really complain about that.

I spent a day last week (and a few hours the week prior) at the Hood in Gresham. They are the last group to 'go live' on Epic and, hopefully, it won't be another handful of treks out there. I won't hold my breath though. But, all in all, the gal who runs the clinic out there is much savvier, so I don't believe the need will be as great. We shall see.

We tried out a new HH place this past Saturday called Tapalaya, which is a tapas style restaurant with a New Orleans theme. It was somewhat hit and miss, but overall pretty damn good. The drinks were amazingly simple, tasty and cheap ($3 for a Hurricane and $2 for Martinis along with a slew of other discounted libations). The food had some pros and cons. The good: the crawfish fritters were quite good, they had Crystal hot sauce on every table, and the catfish on the po boy was flaky and moist. The bad: the mac and cheese tastes like something I could make at home without any effort (unlike the one at Besaw's which is INCREDIBLE), the bread on the po boy wasn't toasted which meant it started to get soggy quickly, and the beet salad was scant and fairly bland. Will have to try it again.

Saw Super 8 over the weekend as well, admittedly largely because of the Hurricanes at Tapalaya which put driving out of the question. I had heard good things about it though and, ultimately, I would tell people not to go out of their way to see it. Just so-so and immediately forgettable.

I'll leave this random assortment with another song which kind of reminds me of The Flaming Lips by a band called City Light (I have no idea what, if anything, the video is related to though).

Tuesday, August 23, 2011

workadian rhythms


There is a certain rhythm to a work week and a job in general. I don't want to say you get used to it, but you adjust to it just the same. The way you roll in in the morning. The general pattern of sitting down coffee cups and booting up computers. For me, the way I set up the clinic for the day and prepare myself for whats to come.

The past 2 weeks, my schedule has been arrhythmic. I have spent more of the past 10 days at the Park than at my own clinic. I have little idea of where things are or where they go, how things are set up or broken down, and even how and when to schedule patients. It is like staying with friends or relatives. They have different kinds of peanut butter and cereal, you can't figure out where they keep the extra toilet paper and, while you are welcome, you know you really shouldn't be digging through the medicine cabinet even if you are just trying to find the Q-tips. In the end, while it is nice visiting and all, you kind of miss your bed, your cereal, and knowing exactly where the toiletries are located. With that said, it is still really nice to finally have actual conversations about work issues, bounce ideas off of one another, and generally share some actual camaraderie. I won't miss the commute though. God I hate the commute. And then our clinic out in Gresham will go live. Best not to think of that at the moment.

Speaking of work, today was a hooky day! There is something grand about not being at work when you are supposed to be at work. To be fair, I had only 1 patient scheduled in the clinic (and that was not a time intensive one). Mostly, I was just wrung out though. So, Tia (likewise wrung out and playing hooky) and I spent the day at the spa getting massages and drinking tea and then headed over to 23rd for Happy Hour at the venerable Besaw's (who evidently hold the very first liquor license in the state of Oregon back in 1916), where we ate our fill of pretty damn good food, 2 adult beverages apiece, and dessert for under $35. Highly recommended.

Allergy shots part deux have begun with no ill effects other than a generally mild flare up of my allergies in the evening (which could be attributed to pretty much anything). But no anaphylaxis or large red bumps the size of citrus fruit on my arms.

Some random things:

- Wickles Pickles are truly amazing. Spicy hot, sharply vinegary and sweet all at once. Crazy addictive. And no HFCS or other odd ingredients to boot. Plus, you can get em at Safeway.

- Lana Del Ray and her song Video Games (diet mtn do is also good). Kind of going through a more mellow phase with music and her stuff does remind me a lot of Cat Power. Also digging the Bohemian strangeness of Lykke Li which reminds me in some ways of Mazzy Star (though the latter is far more ethereal).

- Reading a fascinating, if a little overly detailed, history of Scientology called Inside Scientology. Whatever you think of the 'religion', it is an intriguing account of it's creator along with the rather strange and illegal tactics they used to suppress negative press over the years. Yikes.

Til next time.

Saturday, August 20, 2011

er, trying to think of something

I REALLY want to post more often, but I also don't want to post just because I haven't in some time. But, nothing extraordinary has happened that comes to mind.

We did try an interesting new restaurant called Cruzroom, which has the oddest/yummiest fusion tacos I have yet had. A typical example:
Mac Taco ~$3.25:
Fried pickles, slice of applewood bacon, special sauce slaw, cheddar cheese, and onions all served on a corn tortilla.
Certainly not something you would find at Taco Bell. Overall, it was quite good with some bigger hits than others. As other people have written, the service is spotty and pretty slow. On the upshot, we ended up with some free sides because they just kept dropping things off at our table.

Continuing with the food adventure for the evening (Tia, Jen, and myself) we headed to the new and already jumping ice cream spot called Salt and Straw, which lives up to the Portland code of serving local and natural ingredients. Much like the Cruzroom, this is not your typical fare however. With flavors like pear and blue cheese, brown ale and candied bacon, and three berry bbq, there isn't a straight up vanilla to be found. However, most flavors were quite good, though a few we sampled I found rather unpleasant (the aforementioned strawberry BBQ). Still nothing topped the thai spiced ice cream I had at Cool Moon.

Accompanied Tia to the chiropractor the other day (partly because we have only the one car and I had to go to the Park to help out and partly because I was interested). I am not sure what I think of the whole thing after being in there. Is it legitimate or not? I guess we will find out soon enough, as Tia is supposed to be going in weekly for the next month with a promise of 'a 50% improvement' in her back pain. I am skeptical, but I hope it works.

Work is the same as always. There was a recent opportunity posted that looked appealing (3-12s working the floor at the Park), but more experienced candidates are already clamoring for it. I would very much like to drop my hours down (or at least move to 4-10s) to get some breathing room away from work, but it looks like it isn't in the cards at the moment.

Looks like we are going to break 90 for the first time this summer. Seems like a good time for a nap. Yay for central AC!

Friday, August 12, 2011

5K


The couch to 5K is complete. We actually didn't make it through the entire program as yet (we needed another 4 weeks or so), but we did both finish a 5K and that was the original goal. It bested, but a good bit, the longest I had ever pushed my crappy lungs to do. Our shared 'goal' was to finish it in under 40 minutes, a goal we both achieved. I had hoped to make it in under 35 if possible, and I managed to do that as well, finishing in 32m 37s, which surprisingly works out to a 5.7 mph pace. I definitely pushed it much harder than the normal 5mph pace we set on our jogs. The most difficult portion really was the inclines, of which we don't have many around our house. I am not going to exaggerate and call them 'hills' per se, but they definitely presented a new challenge. I am proud of us both for finishing and hopefully that will be a good start to keeping in better exercise routines..........at least until the winter hits and we hibernate again.

One of the many things I find peculiar about Portland is that it seems to be run by people with a certain disdain for cars. I guess that keeps Portland weird and prevents it from becoming to much like Seattle, which isn't a bad thing. On the other hand, it is a bit perplexing at times. A few weekends ago, they closed one of the bridges going downtown to roll out fake sod on it and have a picnic (I am not making this up) and this weekend they will be closing almost all of them on Sunday so people can ride their bikes on them. Evidently, the fact that people might need to get downtown to, you know, spend money and stimulate the depressed economy takes a back seat to the idea of pretending we live in some weird post-oil future where bikes are the only mode of transport.

Work continues its weird cycles. I find myself most recently torn between being the 'go to' guy and being the department bitch. It is a tough line to walk. On one hand, I am accruing responsibilities that make me more indispensable. On the other hand, I don't want it to seem like anything that can be given to me, I will gladly do. Most recently I have been tasked with going down to the Park to 'help them' as they are 'sinking' with the new EPIC conversion. I am not stating it is easy or without frustration, I know I dealt with a LOT of it. However, I also had no one to turn to in the department in general or my clinic specifically. So, I was forced to learn it on my own. They have all had the same training, and have all spent an entire day up at the clinic with me and NEVER work in the MP clinic with less than 3 total staff. So, ostensibly they could ask one another, the Epic staff that flit about the hospital, or call me. However, that is evidently not workable, so I am to go down there on Monday to help out. And then the following M, T, Th. and then, perhaps, the following Monday after that.

On one hand, I guess I should feel good being the person best equipped to teach them. On the other hand, their solution to me going down there to help is to just 'close' my clinic for those days, which makes me upset because it seems that we are doing damage to my job to preserve the MP clinic. Bah!

Got allergy re-tested this past Monday which wasn't exactly illuminating (I am allergic to stuff, and lots of it!), but will hopefully be a step in correcting or at least mitigating my hyper-histamine response to everything. Shots start in 10 days, and then go on for 3-5 years. Initially 1 to 2 shots a week and then spaced out as far as every 3 to 4 weeks or so. Not bad........I hope anyway. The response rate is about 75%. Lets hope I fall within it.

Time to get back to the never ending list of house stuff. More blogging when I can next hit the pause button.


Thursday, August 04, 2011

grin and bear it


Sometimes in life you go through phases of 'grin and bear it'. I am kind of rolling through one of those now. Not that things are particularly bad because they certainly aren't, but with the perpetual unpacking, assembling, painting, and cleaning at the new house along with the training for the 5K and biking to work along with a relatively busy time in the clinic with the usual absentee level of assistance, I am just dragging. My body aches in general with my hamstrings taking the worst of the abuse and some days are certainly worse than others. I have been having a lot of headaches as well, probably related to the overwhelming amount of stuff swirling about.

All I can think of, and might need to soon pursue, is taking a LONG weekend. I am technically going to have one this weekend, but I am discounting it because: 1. I will not be allowed any antihistamines after Friday AM...............which is a sure recipe for a horrible weekend most of the time (fingers crossed it is a 'mild' one and I don't spend the weekend surrounded by an ever increasing mound of tissues and various sprays and drops) and 2. Monday, my extra 'day off' will involve 2 hours of allergy testing likely followed by a large dose of Benadryl (and then likely followed by an extended blackout-like nap). On the plus side, this will hopefully be the start of shots that will make at least a minor dent in my symptoms.........although they historically have not. Either way, it is worth a second shot with a new doctor and new set of ideas on treatment. Plus, this time we are taking other steps like having no carpeted surfaces upstairs, no pets in the bedroom, air purifiers, and a large plastic hamster bubble that I roll around in (and heck, its just plain fun for the whole family!). We shall see, and I shall post on it.

As for the house, it is starting to more or less resemble a place someone might live and less like a place that you might see on an episode of Hoarders. Gone are most of the boxes, totes, and assorted trash that we will start piecemealing into our weekly trash pick up like the main character from Shawshank Redemption, Andy Dufresne, taking pieces of his prison wall out to the yard in the rolled up bottoms of his jeans. Or just break down and pay the extra fees for the extra bags of trash. Tough call really. Thank god for garages!

Speaking of garages, getting power to ours will evidently not be as easy, nor as cheap, as we had hoped. So, it will also not be happening nearly as quickly. Maybe by the fall. Maybe. Shocking mostly because the garage is less than 2 yards from the house. But, as we found out when they came to hook up our DSL internet and found ZERO phone lines in the house with which to do so, its the little things that stymie. Of course, the phone situation was an easy fix, for $99 that is.

Not much other news to tell of other than we are (the royal 'we' as it is mostly Tia) now fostering a momma cat and her six 4-week old kittens. They are truly as adorable as they are smelly. People always ask 'how can you give them back?' The answer is generally pretty easily. Kittens are cute, but they aren't formed personalities..........so you kind of get what you get so to speak when they grow up. In between, you get a whole lot of torn up furniture, curtains, and the like. So, yes they are adorable, but no it isn't hard to hand em all back over and start with a new group.

Saturday, July 30, 2011

moving on............and on.................and on

There are few life events more stressful than moving that don't involve some kind of physical or emotional trauma (and I could reasonably argue that moving encompasses minor degrees of both). Even after the process of transporting one's worldly possessions from one locale to another, there is the much longer/inherently slower process of unbundling that which was so carefully at first and haphazardly towards the end, packed. Every new nook and cranny requires consideration because, as it becomes baldly apparent later, where you put things initially is largely where they permanently reside. Arbitrarily, it seems not to matter if you are moving from small to big or big to small, there seems to always be something that used to fit somewhere that no longer does. Our new place has a small kitchen (a bachelor kitchen perhaps), without a lot of room for things like a wok, let alone a blender, crock pot, or any other of the wide varietal of kitchen accoutrements. Conversely we moved from 1.5 bedrooms to 4, so we have a few rooms with quite literally nothing in them. It is truly a puzzle............and I am not very good at puzzles.

But, by far the most stressful part of unpacking is the near constant sense of what I refer to as 'possession displacement disorder' or more commonly the 'where the (expletive) are/is my (object)?' This occurs with alarming frequency and seems to take a long time to improve overmuch. Generally the lost object is most easily located under the largest pile and the rapidity of its location is inverse to its immediate need. Some kind of lesser Newtonian Law I imagine. Or perhaps Murphy's.

The other part of moving that I am increasingly starting to loathe is the building of new furniture. Tia and I are fairly capable people and yet it is astounding how frequently we manage to put something together backwards. Well, I would say it was astounding except the directly are generally quite vague about the specific details of assembly with often little similarity between the twee 2 dimensional sketches of what you are building and the decidedly different looking actual pieces. And some things, our roving bookshelf for instance, really test both patience and imagination. It is why, in my far off dreams, I truly consider having 'made it' financially is having furniture delivered already put together. I guess it wouldn't be largely composed of particle board and about 20% of the cost though. Suffice to say, I am not quite there yet.

But, there is a light at the end of the tunnel. Things are gradually finding their way to their new homes and the pieces are finally starting to resemble the whole. Then we can start of the yard.

On Biking:

I really thought I was getting in better shape. We have been jogging for more than a month now and are starting to make some not inconsiderable gains. I have even lost a few pounds along the way. But, clearly, biking and jogging use very distinct muscles. As we are now about 2.5 miles away from work, walking is no longer viable.........but biking most certainly is. However, my body begs to differ. There is a hill (mountain?) about half way to work (and half way to home) that, though clearly gradual, seems inexplicably difficult to crest. However, once over it, the rest of the ride is quite a breeze. I know it will just take time and it truly does feel good to exercise in that way in the morning.........but getting passed by people in flip-flops who are clearly in poor physical shape is a touch embarrassing.

I had thought I might write more.............but more boxes and totes remain. More to come as always.

Monday, July 18, 2011

Jesus loves chickens



It ain't easy being Jesus. Mostly because the beard and wig are itchy. I am sure there were other difficulties than that for the actual JC (the whole persecution and nailing to the cross come immediately to mind), but in my Jesus costume it was mostly the itchy thing. Well that and it is hard to drink a beer with a faux beard.

Why did I dress up as Jesus you might wonder (and if you don't wonder, I am left to because that certainly falls out of the bounds of a normal weekend...........that or I just seem like the type who would dress up as a deity for giggles)? For a good friend's party with a theme of gods and monsters. It was really a lot of fun. Tia god her inner goddess on with her Athena themed attire and there were many Pans, a smattering of roman/Greek gods, a wolfman, Buddha, Vishnu, and a variety of others. That and lots of good drinks and food. Really fun.

We also spent our time last weekend wandering around looking at chicken coops on the annual 'Tour de Coop' on the East side. The East side is a many varied thing here in Portland. Full of a huge variety of eccentricities, neighborhood alcoves, and great local eateries that butt up against perpetually 'up and coming' neighborhoods, a surprisingly high recent spate of gang slayings, and general downtroddeness. The suburbs it aint. But, neither is it truly 'urban' in any real sense of the word. It is a place where some people have the most fascinating obsession with chickens though.........while just down the street they build brand spanking new apartments for recovering junkies. Ah Portland..........never shall ye be fully gentrified.

But, back to chickens and how I found myself actually considering the notion of becoming a somewhat urban farmer. We happened upon it when one of Tia's mentees and my coworker both mentioned that they had their own chickens and coops. We even got to sample some of the fresh eggs, which with no exaggeration I can say are very different from even the most organic, cage-free, hormone free eggs you can buy at the store. These things were about half yolk, and as brightly yellow as Kraft macaroni and choose powder. They were also delicious. So, with no real knowledge of chickens, we got ourselves a guide and saw some chickens (the best coop we saw is pictured above). There were 20+ coops on the tour, and we only managed to find our way to about 5 of them, but it was quite eye-opening. Some of the cages were reclamation projects fashioned from bits and parts and another was designed and built by an architect. Most housed a few chickens, but one woman had 23 of them (you are permitted to have 3 without getting a city permit evidently). The more fascinating part were how informed the owners were. I had no idea there were so many sizes and types of chickens............nor that the phrase 'pecking order' was based on the actual behaviors of chickens. It was illuminating and really weirdly interesting. On the other hand, it is a pretty big thing to undertake, and at a fairly steep cost, for some eggs. Delicious as those eggs might be.

The move continues to lurch forward in fits and stops as most packing and moving does. Tonight will be the final push. The time where you stop actually packing and just start throwing random things into boxes without any semblance of theme just to get them into something for the movers to take over. Of course, all of this is happening on the back side of work days, while trying to get things organized in our new house (getting in new flooring, cleaning, painting, etc). Thankfully Tia continues to be a dynamo and Diane continues her unblemished record of being a champion mover and all-purpose house setter upper. So, with fingers crossed, hopefully Saturday evening will find us unpacking all those carefully packed and haphazardly thrown together boxes and embarking on our 9th residence together since 2007. And, with luck, it might even have power, water, cable, and all the other things we have set up......or at least tried to. Maybe we should pray about it..................hmmm, time to put the beard and wig back on I think.

Thursday, July 14, 2011

things


Work

I have never really taken a lot of pride in my work. I think I work well with others, I actively try not to stir up trouble or engage in much slagging of co-workers or organizational structures, and do what I am supposed to do without the need of constant supervision. In most ways I am a pretty good employee. But, mostly I just see work as a means to an end. I work so I can afford to live and, hopefully, do some fun stuff along the way. If this job proves tolerable and pays reasonably well, all the better.

So, it is with some degree of reservation that I must admit that I am getting rather, well, good at what I do. I might even be taking a measure of pride in it. I am not sure what to think about that though. Is it a sign of a latent 'grown-up phase' or of a mental imbalance? All that is certain is that generally around this point I start scrambling for a way out.

Instead, I am trying to start to take ownership of my job. With that comes a litany of holy-crapitude like taking on additional responsibilities, coming in early certain days to make sure I, and the clinic, are ready for a 9 am patient, and worrying about things if I am out for a day. It is kind of freaking me out honestly. Maybe it is a mental imbalance after all. More to come as events warrant as always on that front.

Running

Who would have thought that I would actually enjoy running? Well, enjoy might be an overstatement. I enjoy eating fried things, taking long weekend naps, and reading.........running is definitely a level below, but I still like it. It feels like, well like accomplishing something. I might even feel 'good' afterwards and feel less than that on days we don't run. I think the mental imbalance argument is picking up steam.

Home Ownership

Whoa! Today it is finally 'official' with all the 'I's dotted and 'T's finally crossed. True, it won't be for another week and some odd days before we actually move in...........but it will happen at this point. I am both incredibly excited to have a place to spread out, personalize, and relax in/work on and incredibly freaked out by the idea of mortgage payments, taxes, and upkeep repairs. It truly feels unreal at this point considering how long ago it was that we had our inspection and made all the original agreements. Even seeing it a few days ago with our Realtor was bizarrely like seeing it for the first time............as we had either not noticed or forgotten so many of its details. Now we just have to hope all the loose ends come together for moving in........oh yeah, and pack. We need to do that too.

So, in summary, I am starting to feel some actual pride in my work, I am enjoying running outside, and am excited to take on a 30 year mortgage (at least for the time being). Yup, time for intense therapy. No question about it.

Sunday, July 10, 2011

God I hate moving

For someone as apt to move as do pretty much anything, I really truly hate it. I guess in my dream moving world, whatever didn't fit in a car would just stay where it was and I would re-buy the stuff wherever I ended up. Of course, even with the rather modest amount of stuff that Tia and I tote around with us, it doesn't make sense. Especially when you factor in our average move time at about 6 months (with our record being just a hair under a year.....a record I hope we eclipse with this move).

There just always seems to be something. Wilsonville was too far from everything when I was no longer going to work in Salem. Our apartment off Capital was nice on the surface, and trash just beneath it (aided by the fact that the owner paid bills late and services were perpetually in limbo). Our King City house was too large and, again, too far from where we really wanted to be. Our new downtown pad was overly expensive, overly crowded, and in the end overly mold ridden. Our Fargo triplex has walls that are akin to Japanese paper doors and block no sound at all and though we fit in it, we only do so like someone slightly overweight trying to fit into their high school prom dress.........it just aint pretty.

Suffice to say it was with no little hope that we went to visit our soon to be new abode today after hearing the former tenant left it some time ago and were crestfallen to see how the back yard has fallen into jungle-like conditions since we last saw it some 6 weeks ago. We are now planning an interior walk through tomorrow hoping the inside looks significantly better. After signing dozens upon dozens of papers and forking over a, for us anyway, considerable sum of money, we just expected it to look like, well, like when we last saw it. Here is hoping tomorrow is much much better than the first time we walked into our current place. Otherwise, we better start formulating plan B............and with haste since we are 3 weeks from no place at all.

Sunday, June 26, 2011

13,000 feet and falling fast


Yep, that picture is Tia and I (Tia with the pink parachute and me with the green). For her 30th birthday, we skydived (skydove?). Hopefully something we will both remember for a long time.

When you tell people you are going to be jumping from an airplane, it usually elicits one of two distinct responses "Why would you jump out of a perfectly good airplane?" or "What are you nuts?" Both are valid points. For the former, I have no answer. To the latter, I say 'very likely.'

The process of getting to the point where you are on the precipice of falling 2.5 miles with a man attached to your back (and a parachute attached to his) is less rigorous than one would assume. You would think it would take some level of skill to skydive..........and it probably does for the person whom you are attached. However, as the attachee, you need know little more than how to fall evidently.

When we arrived, we were handed a packet of 2-sided papers, about a dozen or so sheets long that we were required to sign. They said, in effect, that leaving a plane 13000 ft from the ground is actually quite dangerous (go figure) and, should anything go wrong be it the fault of the pilot, plane, instructor, equipment, bad luck, serendipity or will of the gods you, nor anyone you have ever known or been even loosely affiliated with, will sue. Needless to say, confidence inspiring this was not. I began to fixate on the old Road Runner cartoons where Wile E. Coyote would invariably put his misplaced trust into the hands of the Acme company and, while falling from a cliff would pull his parachute strings only to have a kitchen's worth of cookery come flying out. I very carefully examined anything for signs of Acme's presence and was at least reassured to find none.

After filling out our packets, we were called into the 'instruction room'. The instructor sat up at the front and the dozen or so would be jumpers were perched around the edges of the room. The instruction, and I mean that word in the loosest possible sense, concluded in less than 5 minutes (likely less than 3). In essence, crouch down and fall out of the plane door (and don't hit your head on it) hands crossed over your chest. Your tandem will 'tap you' at which point you go into an arched position. Finally, when you lad, put your legs straight out and curl toes in. We then signed saying we understood and filed out. In my head, I thought, well surely we are going to practice this some in the next room with our gear on right? Wrong.

The next step entailed us getting into our gear and meeting our tandem. This was done quickly and we were out the door in a field near the landing strip. There were some faux plane doors that I thought we would practice in. But, within a few short minutes, a plane pulled up and we began to board. At this point I realized that the training was complete.

We boarded a small prop plan and sat astride two benches that led out to the door. Our tandem person behind us and the tandem person of the next person in front of us. Tia was set to jump next to last........and me last. I was a bit worried about this, thinking that it would be tough watching everyone else leave the plane and still have the resolve to do so myself. What I learned when we got to that point is that the process of leaving the plane, from first to last, was well under a minute.

Each of the professionals had on an altimeter with large dials and digital readouts. When we passed the cloud line, my tandem (Mike) told me that was the height at which we would pull the chute. I was surprised because I had thought we were nearing the actual jump height. We were not even half way there.

When we arrived at about 2 miles up, Mike began tightening various lines and connections. At 11,000 he asked if I was ready (if you say 'no', you head back down with the plane.......and if not my pride, my wallet would certainly have dissuaded me from following that path........not wanting to pay over $175 to fly for 30 minutes in a prop plane) and I responded in the affirmative, though I truthfully had no concept what would ever make one ready for such an absurd thing. But, I was ready enough to get that far, why not go the rest of the way. At 13,000 feet, the door was opened and the first jumper, her tandem, and a camera man edged to the door. In a blink-and-you-miss-it moment, they were no longer at the door. In rapid fashion, at a rate of one every 5-7 seconds, the plane quickly emptied. Tia edged to the deck and was gone. It was now my turn.

In truth, you have little time to consider the notion of being perched on the open doorway of the plane. Only in retrospect can you appreciate it. You have no concept at all of how high you really are. In fact, until we stood on the ground after our jump and watched as the next group dropped from the sky from an airplane that, from the ground, was so far up as to be barely discernable.........a veritable dot in the sky, did we truly comprehend what we had done. But, perched on the doorway for what could not be more than 2 seconds, it is all a scramble. The next instant you are falling at 120mph towards the earth with the wind seemingly rushing up at you. In the space of a 45 seconds, you fall the equivalent of 8000 feet. Then, the parachute opens and you go from facing the earth to an almost upright sitting position. The wind stops and the rushing sound of it quiets and you, for the first time, can really see around you. Within the next 5 minutes or so, you are on the ground.......touching down as gently as if someone sat you down slowly from a high chair.

I am not going to say it was a brave act or a stupid one, but it is a memory that I hope Tia and I will take with us for a long time. I am sure I won't soon forget it.

http://www.skydiveoregon.com/tandem-freefall.php

Tuesday, June 21, 2011

Sitting on my hands

Tom Petty said it best, "the waiting is the hardest part." I agree of late, though I know it is financially prudent to wait things out. I am of course referring to our soon to be new home. We close in the middle of July, but the ink has long dried on all the documents. We could, based on everyone involved telling us/encouraging us, close earlier. However, every day earlier we move in is another day we pay rent/mortgage to two places. So, every day is about $50 (possibly more if you include all the accoutrements of modern living like water, sewer, garbage, internet, cable and the like. Still, I can't help but think about it. Every time I hear my neighbor bounding up and down the stairs in the entirely graceless way he does (coming down in echoing thuds like someone twice his size), I think about it. Every time I hear his fiancé' through the wall yelling something to him downstairs, I think about it. Every time I look at the crumbling tile around the bathtub, the wood rotting away on the deck, or start to feel a wee bit claustrophobic because our place is so small that leaving something like the vacuum cleaner out in the living room causes it to feel overwhelmingly 'cluttered', I think about it.

But, I try to remember that patience is a virtue...........one I am trying hard to attain (except while driving as that is an entirely lost cause). But still, I can't help but think about the laundry list of things we have or want to do with the house, the spaces we will have to fill, and the people we need to contact to get things done and feel, just a little bit, excited. That is until the reality of ownership comes crashing down upon us. Until then though, the warm glow remains.

Other than the above, we are fully into week 1 of couch to 5K training. It is going pretty well so far and I hope it continues the same. It is easy, but not too and the recovery times are adequate. In many ways, unlike the P90x, it feels doable. It isn't trying to command all your time and energy, just some of it (it is nearly impossible to commit to 90 minutes a day, after work, of high intensity exercise, 6 times a week. I have a hard time committing to a movie that long on a work day honestly). It doesn't begin in the middle and stay there. It doesn't assume you are coming from a high level of fitness to start with (and even if you were, it really is for people who measure fitness in single digit body fat numbers and wear sleeveless shirts to the mall). But, for people like me who needs a rolling start to undertake a fitness regimen, it is ideal and allows for further expansion like a 10k (which is about as far as I really care to take any running regimen). Now if I can just more consistently regulate a diet that vacillates from green salad, fruit, and lean proteins at lunch to "hey that pub menu looks tasty" for dinner I would be doing pretty well. Maybe I will work on that next. That is unless I see a nice pub on the way home.

Sunday, June 12, 2011

on the current state of work

I have refrained from posting much about work lately. Largely because it has become rather less than noteworthy. I still have no additional help. I still defer patients to other clinics because of it. The floor staff is still too short of full staff to help much at all. However, it is getting a bit worse now, or will soon.

The realignment that happened in January left quite a few people unhappy because they didn't get positions they wanted and those who did aren't necessarily happy with their selections either. So, there have been a lot of changes. A lot of people moving out and on to other positions in the department as they open and to other positions period often enough. What this has meant is perpetual under-staffing on the floor of EM. This has been burdensome, but manageable. Or was.

We had 3 charge nurses. One full time, and two others that alternated the off days of the full time charge. One of the part time people left a month ago. Now, the full time person is leaving (this Friday is his last day). That leaves just one part time charge RN. Not good. Additionally, two other full time nurses just put in their notices as well. We were down 2 others due to personal leave and another that was open and yet to be filled. We are entering a period of extreme under-staffing.

Largely, what happens on the floor does not affect me any more than my clinic load affected the floor. I didn't get help before, and I most certainly won't now. What it does though is make the goal of expanding services that much more remote. However, it does give me carte blanche to continue to dictate scheduling without regard to anything but my own limitations, because the cavalry aren't coming. So, I will need to just plan to be going it alone for the foreseeable future. Not a fate worse than death or anything, but disappointing as I had so many grander hopes for the clinic and myself. Grander than biding my time and eking through the days and trying to fly under the radar. Oh well. Better than triaging for damn sure!

So, I return to work tomorrow (after a long sick 4 day weekend.............god I hate being sick. Is there any way to feel less fulfilled with a day away from work than to spend it half asleep and half wishing you were?) kind of, if not really sad, downhearted. It seems like my department will never 'get there'...........and even though we were never all that close, it is a bummer to slide back down to being so far away from having full staff.

Saturday, June 11, 2011

On the Prius


After spending a week in a Prius, I can say that I do get their appeal. Though they are bland to look at, not terribly fun to drive, and looking out the rear window requires as much guesstimation as anything else with its small bisected rear glass, it does sip gas. On our 900 miles of driving over significant elevation changes, we averaged over 49mpg. Impressive even over flat earth. So, there is that. If you value that above all else, I don't think much compares. Still, it would take a lot to get me to ever consider buying one.

I am not in love with my current car, the Mazda 3. I like it fine, but it is a bit less engaging driving than I had hoped. After driving my Rabbit, which was small, fun, and very peppy, the Mazda seemed overlarge and somewhat sluggish considering its Zoom, Zoom moniker. However, after spending a week in a Prius, the Mazda feels like trying to tame a jet engine. I get it now. It is all in the comparison. I am of average height, but put me next to an NFL lineman and I will look incredibly wee. Put me in a room full of midgets and I will appear towering. The Mazda feels like a true, unadulterated sports car now that I have spent a week in a Prius. Of course, it does get about exactly half the gas mileage.

But, beyond the fuel conservation, there is little to like in the Prius. It isn't attractive and it isn't remotely 'fun' to drive. The braking is mushy and the acceleration is below average. What was, I think, most surprising, was the interior. I knew there would be tradeoffs for good gas mileage, but I didn't think those tradeoffs would be seats with no lumbar support and the lack of features like automatic headlights (they might not come on a Yaris, but even a base level Prius is going to cost you in the low/mid 20s). It has a fun electronic dash with different levels of display, but aside from that, meh. Give me a TDI any day.