games, maps, flashlight
Tuesday, August 26, 2008
Monday, August 25, 2008
Sunday, August 24, 2008
Panacea81
Lauren Luke AKA Panacea81 on YouTube and her blog is a makeup Cinderella story.
I first saw Lauren's videos when I was looking for reviews on mascara.
Mah Scah Rah, her accent sings.....She's from NE England, had an Ebay store, then video how to's. She hawked products from Barry M and often talked about Mac and Bare Essentuals mineral makeup. If you take a look at her videos she was flown to NYC and is being given the opportunity to have her own line of cosmetics.
The funny thing about Lauren, she doesn't think shes beautiful.
She's quite stunning actually. She has a crooked smile but it adds to her charm.
Check her out, it's worth your time.
Watch at least one and catch her signature "Zoom Zoom".
I first saw Lauren's videos when I was looking for reviews on mascara.
Mah Scah Rah, her accent sings.....She's from NE England, had an Ebay store, then video how to's. She hawked products from Barry M and often talked about Mac and Bare Essentuals mineral makeup. If you take a look at her videos she was flown to NYC and is being given the opportunity to have her own line of cosmetics.
The funny thing about Lauren, she doesn't think shes beautiful.
She's quite stunning actually. She has a crooked smile but it adds to her charm.
Check her out, it's worth your time.
Watch at least one and catch her signature "Zoom Zoom".
Breathing is nice
It's lovely to have an ephiphany, especially when it's in regard to your health.
I noticed something this last week.
I was nearly late for work three times last week.
The "tardies" are forced to park far away.
I was scurrying across the parking lot and noticed that I was walking at a good clip. Much faster than I would think a chubby girl could.
HA!
The TINY, oh so freaking tiny bit of weight that I have lost since January is frustrating. The WONDERFUL part of this stinking journey is my health is obviously changing for he better.
I was NOT out of breath walking across the parking lot.
I did not sweat walking across the parking lot.
It is nice to notice.
Okay, so "they say" I have sleep apnea. My lung function has definitely improved.
I HATE my CPAP machine. I really do. I don't think I am sleeping better. I am still sleepy when I wake up, isn't everyone? I do have to wake up at 5am though.
Co morbidities of obesity are many.
Joint pain, hypertension, diabetes, crapped out lung function, sleep apnea.
I hate that term.....or rather I hate that I have it.
I'm essentially too fat for my trachea and the tissues surrounding my trachea.
Slap in the face, but I did it to myself.
Watch out self, it;s CHANGING!
Why isn't the change good enough sometimes, the timeline?
Yes, I know, the weight didn't come on overnight. blah blah blah
Feelin' good today!
I noticed something this last week.
I was nearly late for work three times last week.
The "tardies" are forced to park far away.
I was scurrying across the parking lot and noticed that I was walking at a good clip. Much faster than I would think a chubby girl could.
HA!
The TINY, oh so freaking tiny bit of weight that I have lost since January is frustrating. The WONDERFUL part of this stinking journey is my health is obviously changing for he better.
I was NOT out of breath walking across the parking lot.
I did not sweat walking across the parking lot.
It is nice to notice.
Okay, so "they say" I have sleep apnea. My lung function has definitely improved.
I HATE my CPAP machine. I really do. I don't think I am sleeping better. I am still sleepy when I wake up, isn't everyone? I do have to wake up at 5am though.
Co morbidities of obesity are many.
Joint pain, hypertension, diabetes, crapped out lung function, sleep apnea.
I hate that term.....or rather I hate that I have it.
I'm essentially too fat for my trachea and the tissues surrounding my trachea.
Slap in the face, but I did it to myself.
Watch out self, it;s CHANGING!
Why isn't the change good enough sometimes, the timeline?
Yes, I know, the weight didn't come on overnight. blah blah blah
Feelin' good today!
Friday, August 22, 2008
Myrtle Beach
Decided to forego returning to the beach for a few weeks.
Myrtle will still be there.
I can make great money up here in NY.
Walking club is taking off. I actually think I LIKE walking again.
I hope to be running soon.
I thought I would be ready for the Komen half marathon in October @ SixFlags Great Adventure in Jackson, NJ. I am in NO WAY ready for that.
My run/walk sprints have slowed significantly.
Trying a new route tomorrow.
I'll map it over at mapmyrun.com.
Grab your new credit cardApply for the Discover® Open Road Card today! link goes direct to application
Go get some new shorts or sweatpants, yes you chubby girls too!Click here for activewear and casual clothing in the latest designs for real women! It's all at Junonia .
buy your new sneaks and join me in walking towards health.
Myrtle will still be there.
I can make great money up here in NY.
Walking club is taking off. I actually think I LIKE walking again.
I hope to be running soon.
I thought I would be ready for the Komen half marathon in October @ SixFlags Great Adventure in Jackson, NJ. I am in NO WAY ready for that.
My run/walk sprints have slowed significantly.
Trying a new route tomorrow.
I'll map it over at mapmyrun.com.
Grab your new credit cardApply for the Discover® Open Road Card today! link goes direct to application
Go get some new shorts or sweatpants, yes you chubby girls too!Click here for activewear and casual clothing in the latest designs for real women! It's all at Junonia .
buy your new sneaks and join me in walking towards health.
Thursday, August 21, 2008
Oceanic dump of the Pacific Rim
3.5 million tons of JUNK. Plastic soup. An area twice the size of Texas a thousand miles off of North America?? I have to read more about this.
I heard about this a few years ago and like many busy overconsuming Americans I read about it, switched to glass containers, then forgot about it the next time a case of bottled water went on sale at Stop&Shop.
OMGoodness. I stink! I'm getting more stainless bottles from LLBean.
I have Nalgene bottles but now they are supposedly dangerous to drink from.
This Oceanic floating mess is killing us slowly.
Tiny bits of semi degraded plastic chips not quite settling, not quite floating in the ocean.
Plastic sand the man on tv is calling it.
We have really screwed up this planet.
Jellyfish, fish, birds, turtles all geting caught up in plastic twine and shopping bags.
If they don't die from being suffocated they are dying from ingesting the plastic chips/slush. If they don't die...hmmm..they are food for the next on the food chain...then up and up and up until some couple splits grilled Sea Bass in Cape Cod.
Their children have nosocomial symptoms but are basically healthy, or ARE they?
Their children, grandchildren....hmm...I wonder.
At least I'll be dead in 30, 40 or 50 years.
I heard about this a few years ago and like many busy overconsuming Americans I read about it, switched to glass containers, then forgot about it the next time a case of bottled water went on sale at Stop&Shop.
OMGoodness. I stink! I'm getting more stainless bottles from LLBean.
I have Nalgene bottles but now they are supposedly dangerous to drink from.
This Oceanic floating mess is killing us slowly.
Tiny bits of semi degraded plastic chips not quite settling, not quite floating in the ocean.
Plastic sand the man on tv is calling it.
We have really screwed up this planet.
Jellyfish, fish, birds, turtles all geting caught up in plastic twine and shopping bags.
If they don't die from being suffocated they are dying from ingesting the plastic chips/slush. If they don't die...hmmm..they are food for the next on the food chain...then up and up and up until some couple splits grilled Sea Bass in Cape Cod.
Their children have nosocomial symptoms but are basically healthy, or ARE they?
Their children, grandchildren....hmm...I wonder.
At least I'll be dead in 30, 40 or 50 years.
Tuesday, August 19, 2008
Toys, gifts, Xmas is coming FAST!
Elmo, Wii, Wii fit, Optimus Prime.
What will the big toy be for this upcoming holiday season?
Little faces everywhere will
yearn for the must have, need it now, Johnny has one toy.
For the adults, do they want the camera, the sat radio, the new bike, the treadmill?
It boggles the mind!
I have friends starting, and some completing their lists already.
I am a late shopper. I am not that organized.
Last few years over 80% of our holiday shopping was done online.
Toys, electronics, even clothes all bought online. Buy now, wrap later. There is too much going on during the holidays to have to worry about shopping.
Many retailers have online coupons or shipping specials so check in frequently.
Shop toys
What will the big toy be for this upcoming holiday season?
Little faces everywhere will
yearn for the must have, need it now, Johnny has one toy.
For the adults, do they want the camera, the sat radio, the new bike, the treadmill?
It boggles the mind!
I have friends starting, and some completing their lists already.
I am a late shopper. I am not that organized.
Last few years over 80% of our holiday shopping was done online.
Toys, electronics, even clothes all bought online. Buy now, wrap later. There is too much going on during the holidays to have to worry about shopping.
Many retailers have online coupons or shipping specials so check in frequently.
Shop toys
Netflix
Filled up the truck again today. It cost over $70 dollars.
It is becoming ridiculous.
I understand prices rising but last year we paid a dollar LESS. Seems to me too big of a jump in prices.
I'm supposed to be happy I suppose because prices have fallen in the last few days.
Contemplated going to the movies last weekend but the nice movie theater is 15 miles away. Gas for the drive plus stopping for dinner proves too costly lately.
I think we'll just up our Netflix to get one extra video.
We have the plan where we can rent two at a time at $13.99.
Plans start at $4.99.
The great thing about Netflix is there is no hurry to return, nor penalty for late movies.
We actually hadn't gotten to the last movie for more than three weeks.
We had gotten a few rounds of single movies being sent in that time.
Open the mailbox, there's a movie.
When you're finished, throw it into the pre paid envelope which is provided, then pop it into the mailbox.
How simple is that?
You can sign up for Netflix here. Try it FREE!!
It is becoming ridiculous.
I understand prices rising but last year we paid a dollar LESS. Seems to me too big of a jump in prices.
I'm supposed to be happy I suppose because prices have fallen in the last few days.
Contemplated going to the movies last weekend but the nice movie theater is 15 miles away. Gas for the drive plus stopping for dinner proves too costly lately.
I think we'll just up our Netflix to get one extra video.
We have the plan where we can rent two at a time at $13.99.
Plans start at $4.99.
The great thing about Netflix is there is no hurry to return, nor penalty for late movies.
We actually hadn't gotten to the last movie for more than three weeks.
We had gotten a few rounds of single movies being sent in that time.
Open the mailbox, there's a movie.
When you're finished, throw it into the pre paid envelope which is provided, then pop it into the mailbox.
How simple is that?
You can sign up for Netflix here. Try it FREE!!
Friday, August 15, 2008
Six Mile Run -- Walk
Well, uploading my walk/run into Nike+ and read somewhere on the site that people are using mapmyrun.
I signed up.
I THOUGHT I uploaded the walk/run here but it isn't working.
Nice , if it works.
Jury is still out.
I signed up.
I THOUGHT I uploaded the walk/run here but it isn't working.
Nice , if it works.
Jury is still out.
Sunday, August 10, 2008
I can see it too
The moon, although not full, sparked a pleasant memory tonight.
I said to someone once in a past life....oh, about 11 years ago...
Me: "I tell ya' what"
Him: "What?"
Me: "Look up"
Him: "Okay, what am I looking for?"
Me: "Look at the moon, can you see it?"
Him: "Yeah, I see it"
Me: "I see it too, see, we aren't that far away"
Him: "Yeah"
I loved you....thanks for the memory
Finally....in the groove
Ahh to day was one of those days when everything just works.
Woke up, made us a great healthy breakfast.
Farted around reading email for about an hour then headed out with the camera and new tripod and shot loads of pictures.
Princeton is lovely. I love walking around town people watching.
It's prettiest in the Fall.
Today wasn't as hot as it has been. The humidity here has been wicked.
I suppose it is better than being South(which I will be in a few weeks).
Summers in the South nearly kill me. When I am not working, I'll take it but when I am working and having to brave the heat....NOT GOOD!
Back to today.
I got back from the shoot around 2p.m.
I needed to get my walk/run in.
Strapped up the Polar F11 HRM, threw on my Nike+ sneaks, grabbed the Ipod and went out.
I keep forgetting to clip on my Omron Pedometer. Although I am tracking with Nike+ I like to see the steps displayed throughout the day. I am also in a walking group from WalkingSpree and the "tube".
I intended on taking my normal route however today was so pretty I went further.
Hey, I could stroll or sit down if it got to be too strenuous.
Guess what?!
It was GREAT!
I even got in running at least once every 5 minutes.
Been doing a lot of introspection lately with my contemplating Lapband.
My battles with my doctor and my many appointment with sub specialists are providing me with "cause for pause".
Pause for Sestamibi and possible hypoparathyroidism
Pause for a leaking ventricle and possible heart disease
Pause for Stress Thallium
Pause for Sleep studies and Cpap machines
Pause for protein drinks and calorie restriction
Pause for shin splints and sore ankles
My "whys" and "hows" are being redefined everyday with each new roadblock.
Been thinking a lot about Randy Pausch, his dying and his "Last Lecture".
I bough this book on CD (for my long drives) and a few copies of the book.
It is small, 5x8 maybe, and is rough cut. The pages are "torn", not clean crisp edges.
I'll give them as Christmas gifts.
He wrote/said -- and others have said the same but it's worth repeating.
"Brick walls (in this case my roadblocks) are there for a reason. They give us a chance to show how badly we want something."
In my seeking surgery I have, once again, recommitted to strive for a healthy lifestyle.
I USED to eat well.
I USED to exercise regularly.
I USED to take the time for my hobbies.
I USED to feel pretty great a lot.
I'm doing all of those things again. Not perfectly but I am doing them more often.
Today, I was in the groove and it felt great.
Check out Coastal Select
Woke up, made us a great healthy breakfast.
Farted around reading email for about an hour then headed out with the camera and new tripod and shot loads of pictures.
Princeton is lovely. I love walking around town people watching.
It's prettiest in the Fall.
Today wasn't as hot as it has been. The humidity here has been wicked.
I suppose it is better than being South(which I will be in a few weeks).
Summers in the South nearly kill me. When I am not working, I'll take it but when I am working and having to brave the heat....NOT GOOD!
Back to today.
I got back from the shoot around 2p.m.
I needed to get my walk/run in.
Strapped up the Polar F11 HRM, threw on my Nike+ sneaks, grabbed the Ipod and went out.
I keep forgetting to clip on my Omron Pedometer. Although I am tracking with Nike+ I like to see the steps displayed throughout the day. I am also in a walking group from WalkingSpree and the "tube".
I intended on taking my normal route however today was so pretty I went further.
Hey, I could stroll or sit down if it got to be too strenuous.
Guess what?!
It was GREAT!
I even got in running at least once every 5 minutes.
Been doing a lot of introspection lately with my contemplating Lapband.
My battles with my doctor and my many appointment with sub specialists are providing me with "cause for pause".
Pause for Sestamibi and possible hypoparathyroidism
Pause for a leaking ventricle and possible heart disease
Pause for Stress Thallium
Pause for Sleep studies and Cpap machines
Pause for protein drinks and calorie restriction
Pause for shin splints and sore ankles
My "whys" and "hows" are being redefined everyday with each new roadblock.
Been thinking a lot about Randy Pausch, his dying and his "Last Lecture".
I bough this book on CD (for my long drives) and a few copies of the book.
It is small, 5x8 maybe, and is rough cut. The pages are "torn", not clean crisp edges.
I'll give them as Christmas gifts.
He wrote/said -- and others have said the same but it's worth repeating.
"Brick walls (in this case my roadblocks) are there for a reason. They give us a chance to show how badly we want something."
In my seeking surgery I have, once again, recommitted to strive for a healthy lifestyle.
I USED to eat well.
I USED to exercise regularly.
I USED to take the time for my hobbies.
I USED to feel pretty great a lot.
I'm doing all of those things again. Not perfectly but I am doing them more often.
Today, I was in the groove and it felt great.
Check out Coastal Select
Friday, August 8, 2008
Thursday, August 7, 2008
A little bit of Vanilla Heaven!!
Ok, so I liked the BSN Lean Dessert protein shakes.
I had NOT thrown in frozen bananas in to the mixer!
OMG!
Ok, I have to put this into an ice cream maker.
It truly tastes like ice cream!!
BSN Lean Dessert Protein Shake, 1.39 Lbs., Whipped Vanilla Cream
I had NOT thrown in frozen bananas in to the mixer!
OMG!
Ok, I have to put this into an ice cream maker.
It truly tastes like ice cream!!
BSN Lean Dessert Protein Shake, 1.39 Lbs., Whipped Vanilla Cream
Tuesday, August 5, 2008
Nothing LEAN in the taste!
I LOVE when the postman leaves a package outside of my door.
In searching for the perfect, or less revolting protein drink/shake I have been trialing many different brands.
Today's DELICIOUS find is BSN Lean Dessert Whipped Vanilla Cream.
Can you say WOW!
I have to get more of this and fast!
In searching for the perfect, or less revolting protein drink/shake I have been trialing many different brands.
Today's DELICIOUS find is BSN Lean Dessert Whipped Vanilla Cream.
Can you say WOW!
I have to get more of this and fast!
What is SMUGMUG
Well....
Last year I was gifted a beautiful camera.
It is the Canon 40D.
It came along with two lenses.
The whole kit, although exciting has become a little intimidating!!
I was "into" photography way back a lifetime ago in highschool.
We had a little darkroom and I had a tiny Minolta fixed lens camera.
I loved everything about developing film and capturing my vision.
Further learning beyond the basics fell by the wayside. Sad huh?
In having this new camera in my life you can imagine I went shoot crazy!!
Then came the photo editing.
BTW, it being a DIGITAL SLR only made it better...or worse..lol for me!
I have thousands of pics which I try to edit when I can.
The winners....are kept on CD, an external HD and uploaded to the internet.
I looked around for a new place to hold my pics online.
I stumbled upon SMUGMUG and signed up for their FREE TRIAL.
Fell in love with the site and quickly signed up permanently.
Check it out, you'll be happy you did!
Promise
Last year I was gifted a beautiful camera.
It is the Canon 40D.
It came along with two lenses.
The whole kit, although exciting has become a little intimidating!!
I was "into" photography way back a lifetime ago in highschool.
We had a little darkroom and I had a tiny Minolta fixed lens camera.
I loved everything about developing film and capturing my vision.
Further learning beyond the basics fell by the wayside. Sad huh?
In having this new camera in my life you can imagine I went shoot crazy!!
Then came the photo editing.
BTW, it being a DIGITAL SLR only made it better...or worse..lol for me!
I have thousands of pics which I try to edit when I can.
The winners....are kept on CD, an external HD and uploaded to the internet.
I looked around for a new place to hold my pics online.
I stumbled upon SMUGMUG and signed up for their FREE TRIAL.
Fell in love with the site and quickly signed up permanently.
Check it out, you'll be happy you did!
Promise
Monday, August 4, 2008
FOUR FREAKIN CALLS
Have called the freaking office FOUR times since last week.
Can you say pissed off!?
Can you say pissed off!?
Sunday, August 3, 2008
Well didn't that suck...
...last week that is.
What is it?
The road to hell is paved with good intentions?
Life is what happens to you while you are busy making plans?
INTENDED on really pushing through the week and logging at least 15 miles.
Wasn't I supposed to be running straight by now?
I'm lucky if I do 1 minute intervals.
What did I do in reality? 8, MAYBE.
PLANNED on keeping strict on carbs(no, not eliminating them) and what did I do?
BREAD, BREAD and more bread.
What is it?
Why is it?
Who knows?
I sure don't.
Great news though, I get to try to do it again tomorrow.
I GET to. That's the prize!
There are some who do not have tomorrow.
The world said goodbye to Randy Pausch.
Great man. I'm glad I heard about him.
I'm glad I saw the Last Lecture.
This week WILL be a week of kicking ass though.
I will call the Dr and surgeons offices and get the thing rolling!
What is it?
The road to hell is paved with good intentions?
Life is what happens to you while you are busy making plans?
INTENDED on really pushing through the week and logging at least 15 miles.
Wasn't I supposed to be running straight by now?
I'm lucky if I do 1 minute intervals.
What did I do in reality? 8, MAYBE.
PLANNED on keeping strict on carbs(no, not eliminating them) and what did I do?
BREAD, BREAD and more bread.
What is it?
Why is it?
Who knows?
I sure don't.
Great news though, I get to try to do it again tomorrow.
I GET to. That's the prize!
There are some who do not have tomorrow.
The world said goodbye to Randy Pausch.
Great man. I'm glad I heard about him.
I'm glad I saw the Last Lecture.
This week WILL be a week of kicking ass though.
I will call the Dr and surgeons offices and get the thing rolling!
Thursday, July 24, 2008
Firing the Pulmo too!
Thought I wrote about this.
The Pulmo appointment was last Tuesday.
Now he is also a pain in the ass!
I am, aside form being overweight, basically healthy.
I breath fine, I can walk up a flight of stairs and not die.
I exercise everyday.
Why on Earth they WANT to find something, anything wrong I don't know.
He has been an ass about the sleep study crap.
Anyhow, I did my two sleep studies which he ordered.
He said months ago he would then write my evaluation for me to give the surgeon.
Nope!
Another roadblock. His rules have now changed.
Are they in cahoots? I wonder!
He wants me to wear the CPAP machine for two months B E F O R E he will write the evaluation.
WHAT?
WHAT?
WHAT?
I sat there stunned!
"I did the studies, I need the notes"
Gives me a number, someone will be getting in touch with me about getting a machine (BTW, hasn't happened yet)
Well, I go to the desk, and GET my copies of the sleep studies. I don't need anything more from him to submit.
ALL OF THIS so far has just been to SUBMIT my shit to insurance for clearance.
I'll worry about getting his notes and letter another time.
I faxed the copies of the sleep studies to the surgeon.
This has been a comedy of errors. And damned frustrating!
I work in this industry. I can only imagine how frustrating it must be for someone with no medical background.
The Pulmo appointment was last Tuesday.
Now he is also a pain in the ass!
I am, aside form being overweight, basically healthy.
I breath fine, I can walk up a flight of stairs and not die.
I exercise everyday.
Why on Earth they WANT to find something, anything wrong I don't know.
He has been an ass about the sleep study crap.
Anyhow, I did my two sleep studies which he ordered.
He said months ago he would then write my evaluation for me to give the surgeon.
Nope!
Another roadblock. His rules have now changed.
Are they in cahoots? I wonder!
He wants me to wear the CPAP machine for two months B E F O R E he will write the evaluation.
WHAT?
WHAT?
WHAT?
I sat there stunned!
"I did the studies, I need the notes"
Gives me a number, someone will be getting in touch with me about getting a machine (BTW, hasn't happened yet)
Well, I go to the desk, and GET my copies of the sleep studies. I don't need anything more from him to submit.
ALL OF THIS so far has just been to SUBMIT my shit to insurance for clearance.
I'll worry about getting his notes and letter another time.
I faxed the copies of the sleep studies to the surgeon.
This has been a comedy of errors. And damned frustrating!
I work in this industry. I can only imagine how frustrating it must be for someone with no medical background.
I am firing my PMD.
I went to both the Pulmo and my PMD last week.
I have been so insensed I could not write about the experience clearly.
Walked into another monthly visit which should have been my last.
Should have walked out with a nice tidy little letter and a few copies of my progress notes from the last 6 months.
Last visit (June) I gave her the outline letter the Bari surgeon wants. It is simple. List the 6 months weight, attach copies of 6 progress notes along with an evaluation/recommendation for LapBand.
I gave her a month! I have been in the medical field for over 15 years. Seven of those years were behind the scenes dealing with patients charts and studies/audits. I KNOW it takes a few days to get everything together.
When I gave her the sample letter-outline she said she could not do it "today". Got it, I understand.
I DID, however expect it to be done a MONTH later!
Okay. so I step on the scale, she smiles and notes the weight then asks me," how are you coming along in the surgery process"? "Uhm, I cannot even SUBMIT Doc until you give me the progress notes and the referral for LapBand!" "I can't do that today" she says again.
Then she takes out a script and jots down the 6 weights on it along with the ICD code for morbid obesity. WHAT THE F*CK!? I told her that the surgeon will not accept this.
"You know I do not approve" she said. "I know" I told her again.
I am now seathing. I want to rip her head off. Okay, the fix is simple, she is now fired. She is no longer my doctor.
Upon going to the desk to schedule my next appointment (which she wants just before surgery, HA! If I ever get her fkn copies!) and ask the girls for copies of my last 6 progress notes. I work with and know many doctors and will just go get a new one. I have all of my sub specialty results proving some co morbidities. Take that with the progress notes and I should have no problem. Right?
W R O N G!
NONE, none, not one progress note has been transcribed yet, NONE, since January!
WHAT?
She uses a tick sheet. Sort of a cheat sheet which she later, I guess, dictates the notes to be transcribed.
Uhm, SIX months?
Yes she works alone now, but uhhhh I am relying on her notes for this submission.
It's been a week.
If by next Monday the surgeon doesn't have my paperwork form my PMD I will enlist one of my Dr. friends to put some heat on her.
The surgeons coordinator is pretty organized and I suppose is used to working with difficult doctors.
Writing this I am getting pissed off again.
I'm off most Thursdays so perhaps I need to make a phone call!
I have been so insensed I could not write about the experience clearly.
Walked into another monthly visit which should have been my last.
Should have walked out with a nice tidy little letter and a few copies of my progress notes from the last 6 months.
Last visit (June) I gave her the outline letter the Bari surgeon wants. It is simple. List the 6 months weight, attach copies of 6 progress notes along with an evaluation/recommendation for LapBand.
I gave her a month! I have been in the medical field for over 15 years. Seven of those years were behind the scenes dealing with patients charts and studies/audits. I KNOW it takes a few days to get everything together.
When I gave her the sample letter-outline she said she could not do it "today". Got it, I understand.
I DID, however expect it to be done a MONTH later!
Okay. so I step on the scale, she smiles and notes the weight then asks me," how are you coming along in the surgery process"? "Uhm, I cannot even SUBMIT Doc until you give me the progress notes and the referral for LapBand!" "I can't do that today" she says again.
Then she takes out a script and jots down the 6 weights on it along with the ICD code for morbid obesity. WHAT THE F*CK!? I told her that the surgeon will not accept this.
"You know I do not approve" she said. "I know" I told her again.
I am now seathing. I want to rip her head off. Okay, the fix is simple, she is now fired. She is no longer my doctor.
Upon going to the desk to schedule my next appointment (which she wants just before surgery, HA! If I ever get her fkn copies!) and ask the girls for copies of my last 6 progress notes. I work with and know many doctors and will just go get a new one. I have all of my sub specialty results proving some co morbidities. Take that with the progress notes and I should have no problem. Right?
W R O N G!
NONE, none, not one progress note has been transcribed yet, NONE, since January!
WHAT?
She uses a tick sheet. Sort of a cheat sheet which she later, I guess, dictates the notes to be transcribed.
Uhm, SIX months?
Yes she works alone now, but uhhhh I am relying on her notes for this submission.
It's been a week.
If by next Monday the surgeon doesn't have my paperwork form my PMD I will enlist one of my Dr. friends to put some heat on her.
The surgeons coordinator is pretty organized and I suppose is used to working with difficult doctors.
Writing this I am getting pissed off again.
I'm off most Thursdays so perhaps I need to make a phone call!
Sunday, July 13, 2008
re calibrating....and Nike+ ipod sensor
grrr
Nike + is supposed to log the last five walks/runs!
The code is copied correctly, it just has issues...
Anyhow, recalibrated the Pod. I am walking faster and my stride has changed.
Also, the pod had been off by as much as .3 miles once I went over 3 miles.
NOT good when I get to be real serious about logging.
It was .03 difference today after 2.68 miles. I can live with that for now.
Nike + is supposed to log the last five walks/runs!
The code is copied correctly, it just has issues...
Anyhow, recalibrated the Pod. I am walking faster and my stride has changed.
Also, the pod had been off by as much as .3 miles once I went over 3 miles.
NOT good when I get to be real serious about logging.
It was .03 difference today after 2.68 miles. I can live with that for now.
Saturday, July 12, 2008
Finally
Finally got through to the Pulmonologists office, his Bklyn office anyhow.
His other office number would ring off the hook.
SOMETIMES I would get the service but they can only tell me what office hours they have.
Tuesday appt to get final results form the two sleep studies along with an order for CPAP machine I suppose.
I just need the damned letter/evaluation for my insurance.
He suggested PFT's the last visit months ago.
What a sham.
I still think he and the sleep lab owner/Dr. are either related or friends.
Called the surgeons office to make a psych appt. The Psychologist no longer goes to their group to see patients.
ANOTHER roadblock.
Maybe the universe is trying to tell me something?
I am dropping lbs very quickly. So quickly in fact that I ask Marty to test the scale. Nope, it is correct.
WTF? I am eating basically what I always have ( I never ate poorly..just too big of a portion).
I am exercising my ass off though....but nothing too crazy.
The only difference with this attempt and the last five or ten are:
My back, although it hurts, is not a constant 10+. It actually hovers around a 3-4-5 on most days.
My foot (R) and heel pain still flare up but only in the O R.
I am trying to get more sleep.
If anyone has a clue as to why weight is coming off now...I'd be interested.
Oh, the biggest changes are I am utilizing MANY tools in this weight loss attempt.
1} Nike+ Ipod sensor
2} Omron Pedometer
3} Polar F11 HRM
4} Uploading and tracking on all of the above websites
5} Spreadsheets tracking all data
6} Food diaries
7} Frequency
They do get overwhelming when I think about all of them...but when I am hooked up I actually like the data tracking.
His other office number would ring off the hook.
SOMETIMES I would get the service but they can only tell me what office hours they have.
Tuesday appt to get final results form the two sleep studies along with an order for CPAP machine I suppose.
I just need the damned letter/evaluation for my insurance.
He suggested PFT's the last visit months ago.
What a sham.
I still think he and the sleep lab owner/Dr. are either related or friends.
Called the surgeons office to make a psych appt. The Psychologist no longer goes to their group to see patients.
ANOTHER roadblock.
Maybe the universe is trying to tell me something?
I am dropping lbs very quickly. So quickly in fact that I ask Marty to test the scale. Nope, it is correct.
WTF? I am eating basically what I always have ( I never ate poorly..just too big of a portion).
I am exercising my ass off though....but nothing too crazy.
The only difference with this attempt and the last five or ten are:
My back, although it hurts, is not a constant 10+. It actually hovers around a 3-4-5 on most days.
My foot (R) and heel pain still flare up but only in the O R.
I am trying to get more sleep.
If anyone has a clue as to why weight is coming off now...I'd be interested.
Oh, the biggest changes are I am utilizing MANY tools in this weight loss attempt.
1} Nike+ Ipod sensor
2} Omron Pedometer
3} Polar F11 HRM
4} Uploading and tracking on all of the above websites
5} Spreadsheets tracking all data
6} Food diaries
7} Frequency
They do get overwhelming when I think about all of them...but when I am hooked up I actually like the data tracking.
Sunday, July 6, 2008
Monday
New day, new week...keep on keepin' on.
Loads to do. Need to get on the Cardio's back regarding getting my precertification for the Thallium Stress test.
Totally forgot to make the psych appointment. I'll call tomorrow.
My surgeons office has a Psych who comes in and gives the evaluation. Hey! Whatever works.
The Dell crapped out on me when I was in Myrtle.
I have tried to reload Windows at least four times.
We wiped out the hard drive and tried all the tricks of the trade.
This is when it is advantageous to have Marty be in the field. He wasn't, however, able to fix it.
Off to Dell in the mail.
Pisses me off that a brand new computer does this. It's a machine afterall.....it's supposed to work.
If the computer age happened during our parents young adulthood you KNOW they would be workhorses...and would last for YEARS!
Everything is made like crap anymore.
Body has made a new setpoint which is nice.
A long weekend of not so careful eating has not caused me to gain weight.
NICE!
Now it's time to turn things up and get down another ten.
Ta'
Loads to do. Need to get on the Cardio's back regarding getting my precertification for the Thallium Stress test.
Totally forgot to make the psych appointment. I'll call tomorrow.
My surgeons office has a Psych who comes in and gives the evaluation. Hey! Whatever works.
The Dell crapped out on me when I was in Myrtle.
I have tried to reload Windows at least four times.
We wiped out the hard drive and tried all the tricks of the trade.
This is when it is advantageous to have Marty be in the field. He wasn't, however, able to fix it.
Off to Dell in the mail.
Pisses me off that a brand new computer does this. It's a machine afterall.....it's supposed to work.
If the computer age happened during our parents young adulthood you KNOW they would be workhorses...and would last for YEARS!
Everything is made like crap anymore.
Body has made a new setpoint which is nice.
A long weekend of not so careful eating has not caused me to gain weight.
NICE!
Now it's time to turn things up and get down another ten.
Ta'
Thursday, July 3, 2008
Echoooooo
Had an Echo this morning.
Tech showed and told me of a Tricuspid regurgitation.
GREAT, something else.
"Everyone has leaks though" she said.
Yes they do but when you see YOURS on the monitor it is a little disarming.
Called to find out about my Stress Thallium appointment and was told that I have to call the Dr.
I was to be given a pre cert # and I wasn't.
Well fuckadoodle. It's the holiday weekend. No one is around in the office.
Went to my primary last Thrusday. It was SUPPOSED to be my 6th month visit...and the springboard into submitting my paperwork to the insurance company.
Nah, she (my Dr) has other plans it seems.
She is VERY much against this surgery. She has been very vocal about it.
If she gives me more trouble about going forward I will just take my 6 months of weight tracking progress notes, fire her as my primary and trot on over to another Dr. Thank goodness I work in the industry and know many of them.
The Pulmo's office keeps calling me to make an appointment. The results form my second sleep study are in..... I have called the freaking office for a WEEK and no one answers. SOMETIMES the service answers...they just tell me when the office is open.
I chose my PCP because a few years ago my PCP who was also my Endocriologist (the best Dr I have had aside from my OB/GYN) started to only see peds. On my mothers recommendation I started seeing her Dr. Eh....no great impressions but I am my Dr in my eyes..and she would "do". She has her own agenda though. Likes HER referred testing sites and sub specialists. Perhaps it is because I am in the healthcare field but many of the Drs she has sent me to are sub par ( IN MY OPINION and experience). The place she sent me for the sestamibi and Dexa...CRAPOLA, her old partner who I had to see when she was unavailable... CRAPOLA...and the Pulmo(I would and should have gone to another) CRAPOLA....and last but not least....the Cardio ...CRAPOLA..I knew him a decade ago (less fat than I am now) and he was less grumpy and more attentive...maybe he just doesn't like fat people...maybe he is just an old bastard....
Man I am grumpy...but these are not the team I would be choosing.....I am changing PCPs after this banding crap is over....maybe a few months out though so she can see the results and change her mind.
So, I'm taking my tired, tricuspid leaking self to bed early. I have a splitting headache.
No walking tonight unless the pain goes away.
Tech showed and told me of a Tricuspid regurgitation.
GREAT, something else.
"Everyone has leaks though" she said.
Yes they do but when you see YOURS on the monitor it is a little disarming.
Called to find out about my Stress Thallium appointment and was told that I have to call the Dr.
I was to be given a pre cert # and I wasn't.
Well fuckadoodle. It's the holiday weekend. No one is around in the office.
Went to my primary last Thrusday. It was SUPPOSED to be my 6th month visit...and the springboard into submitting my paperwork to the insurance company.
Nah, she (my Dr) has other plans it seems.
She is VERY much against this surgery. She has been very vocal about it.
If she gives me more trouble about going forward I will just take my 6 months of weight tracking progress notes, fire her as my primary and trot on over to another Dr. Thank goodness I work in the industry and know many of them.
The Pulmo's office keeps calling me to make an appointment. The results form my second sleep study are in..... I have called the freaking office for a WEEK and no one answers. SOMETIMES the service answers...they just tell me when the office is open.
I chose my PCP because a few years ago my PCP who was also my Endocriologist (the best Dr I have had aside from my OB/GYN) started to only see peds. On my mothers recommendation I started seeing her Dr. Eh....no great impressions but I am my Dr in my eyes..and she would "do". She has her own agenda though. Likes HER referred testing sites and sub specialists. Perhaps it is because I am in the healthcare field but many of the Drs she has sent me to are sub par ( IN MY OPINION and experience). The place she sent me for the sestamibi and Dexa...CRAPOLA, her old partner who I had to see when she was unavailable... CRAPOLA...and the Pulmo(I would and should have gone to another) CRAPOLA....and last but not least....the Cardio ...CRAPOLA..I knew him a decade ago (less fat than I am now) and he was less grumpy and more attentive...maybe he just doesn't like fat people...maybe he is just an old bastard....
Man I am grumpy...but these are not the team I would be choosing.....I am changing PCPs after this banding crap is over....maybe a few months out though so she can see the results and change her mind.
So, I'm taking my tired, tricuspid leaking self to bed early. I have a splitting headache.
No walking tonight unless the pain goes away.
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