And just like that...we are empty-nesters.
Southern Belle and family have a one-week house-sitting gig. It is close enough that Handsome Hombre will commute to work.
We expect to see Quicksilver on a daily basis as SB started her regular job this week.
BLT sandwiches
Steve, the older gentleman in the Emergency Room waiting room suggested Bacon Lettuce and Tomato sandwiches on Sourdough bread as the ultimate summer meal.
I believe that all hypothesis should be tested.
Steve might be right.
Emergency Room Discharge papers
It turns out that our little duckling was separated from some of the pages of his discharge directions before he hobbled back out into public.
One page that we had said that he could return-to-work today.
Another had him on pain-meds that prohibited him from driving or using heavy equipment. That was nominally a three day prescription.
That page was missing from the package as was the one that had greased-the-skids with the follow-up with the Ortho-guy.
It is a very small thing, but it would have been very helpful as we were trying to make heads or tails out of the printouts if every sheet had a "Page X-of-N" in the footer. We would have quickly figured out that we were missing pages and it would have been far easier to rectify.
If any of you work in Emergency Room then you know it is a goat-festival at times. You also know that aftercare, or lack of aftercare, kills patients. Antibiotics, anticoagulants, pain meds, hydration, moving around...improper use or non-use can kill people.
Spending a little bit more ink at the bottoms of the pages is a very small cost although the computer coding to ensure that each sub-departments "dump" is consecutively numbered might be a challenge.
Great! Now BCBS is going to add a 15 dollar 'page numbering charge'to my monthly premium!
ReplyDelete(/sarc)
When being discharged from the ER, mind the instructions, or at least ask your handlers to mind them.
ReplyDeleteMy mom has an old saying:
“Little kids = little problems. Big kids = big problems.”
Hard to fathom how he is still a big kid, failing to own important shit like ER discharge papers.
You and Mrs ERJ are saintly in looking after your adult aged children Joe.
The most incompetent lawyer in the world would be able to nullify a contract had he signed it an hour after taking a couple of Norco.
DeleteIt seems unreasonable to expect every person to be able to keep their poop-in-a-group after the same.
You'd be amazed at how often some pencil necked geek in IT screws things up regarding all the various programs and electronic systems that must work concurrently and correctly in healthcare. It's a wonder we can get anything done. And every week those high IQ idiots make a change to their systems that slows the actual healthcare providers down even more.
ReplyDeleteThe way I read your comment is that you agree that it would be hard to implement but you make no mention of whether it would be of value to the patients if it were well implemented.
Delete"You'd be amazed at how often some pencil necked geek in IT screws things up regarding all the various programs and electronic systems that must work concurrently and correctly in healthcare."
ReplyDeleteOut in RealWorldLand, there are aging geezers arranging their medication schedules and transportation providers to allow going postal over exactly this.
Every #!&% doctor's office thinks they're so %@$#* special they need their very own data system. Even, or especially, those quacks attached to a local or regional data system; think: MyChart, which Epic (the wizards responsible for the abomination) has metastasized across the country.
I'm certainly not a fan of centralization, or of cookie-cutter software, but until one gets far enough into the weeds inside a medical specialty for it to matter, every #*%@& thing is the same - name, address, height, weight, DOB, BP, etc., etc. yet every single one of them has unique data systems with unique field formats and layout and database structure.
The only people worse for data management than the Medical Industrial Complex is law enforcement. Well, them and IBM, none of whose major legacy systems can talk to each other.
Pre Wuhan scam, we had a nice deli/kitchen service in our building, and they made a great BLT which I called a Bacon Sandwich because they did not skimp on the bacon.
ReplyDeleteThe first time I ordered the BLT, they asked what kind of bread I wanted.
I went outside the box and selected "French Roll".
best BLT ever.
In my household, we use sourdough a lot and do use it for BLTs.
Very versatile bread.
Engineering Problem I would value your thoughts on: I have water I need to redirect over a small hump (3 foot). Going with gravity would require excavator (going around) and/or cement sawing a line through my the concrete floor of my barn. This is on the table for spring of 2025, but it is fall of 2023.
ReplyDeleteThought: Bury a 3A auto on/off pump in some gravel in my yard to pump water over hump. Pump has 3m head, so good for 1 yard np. Pump costs 30 dollars, appropriate sump pump would cost 300-400 and require jackhammering based on space currently available (this is a test project) (I have rented jackhammers twice this year, and I think I'm done with jackhammers for 2023).
My plan is to bury it at, say, 20 inches and then wrap a few windings of submersible fixed draw heater strip tape around it (to prevent or mitigate freezing). Leave the tape on 24/7, let the pump run off a GFI with waterproof power supply.
Any obvious problems or lateral solutions that come to mind?
An alternative to the heat-tape might be a snap-disc thermostat so it does not try to power-up below 40 degrees...although 32-to-40 might be when you have the most snow-melt to deal with.
DeleteI am at a disadvantage since I don't have a clear picture in my head of the layout.
-Joe