tag:blogger.com,1999:blog-26666124.post1322396374604790874..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: P4PUnknownnoreply@blogger.comBlogger10125tag:blogger.com,1999:blog-26666124.post-5176791698424018722007-03-13T14:32:00.000-04:002007-03-13T14:32:00.000-04:00Oh, Roy, you know I'm teasing. Everyone has to fal...Oh, Roy, you know I'm teasing. Everyone has to fall off their pedestal sometime ;)<BR/><BR/>The three of you are perfectly adorable and smart and kind.<BR/><BR/>You're real people. I like to pretend my shrink is a real person too.<BR/><BR/>LilyDrivingMissMollyhttps://www.blogger.com/profile/11476761316928942301noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-68174144254798342172007-03-10T18:21:00.000-05:002007-03-10T18:21:00.000-05:00Lily-Sorry the cookie-dough mouth came through. (...Lily-Sorry the cookie-dough mouth came through. (some things I can't resist)Steve & Barbhttps://www.blogger.com/profile/16543746132388754693noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-39973631121580893122007-03-09T15:02:00.000-05:002007-03-09T15:02:00.000-05:00I have a hard time imagining how one really assess...I have a hard time imagining how one really assesses performance. You can't assess it on outcomes, because different providers/different populations have different levels of risk.<BR/><BR/>Sure you can say everybody with CHF and an EF <40% should be on an ACE Inhibitor or ARB, but how do you really assess that? And how do you comensate for it? <BR/><BR/>I'm all for P4PBOOCP (Pay 4 pulling babies out of cramped pelvises).<BR/><BR/>Hm.. maybe I should comment over at the original post. Or maybe I should get some actual work done...Midwife with a Knifehttps://www.blogger.com/profile/04309579302399381913noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-12553572973965538932007-03-09T11:41:00.000-05:002007-03-09T11:41:00.000-05:00Exactly. That's kind of why I deleted my comment a...Exactly. That's kind of why I deleted my comment about this post. I feel like Roy is so priviledged, so lucky, so blessed. I mean, at 30 he has accomplished soooooo much ;)<BR/><BR/>I hope you get to feeling better, hon. I actually am less depressed and less anxious, but I still feel empty and bored.<BR/><BR/>Alas, one cannot have everything!<BR/><BR/>I hope the pain goes away.<BR/><BR/>BTW, congratulations on making it to Grand Rounds!<BR/><BR/>Lily<BR/><BR/>PS Roy's voice, zexy.<BR/><BR/>Roy's voice with a mouth ful of cookie-dough, NOT zexy.<BR/><BR/>Clink with a mouth full of cheese, zexy. ;)<BR/><BR/>Dinah, I am jealous of your kids. You're a kind and loving Mom, I can tell. I would have been yelled at if I had interupted a podcast and maybe even hit with a flying shoe!DrivingMissMollyhttps://www.blogger.com/profile/11476761316928942301noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-80095447556939739832007-03-08T22:33:00.000-05:002007-03-08T22:33:00.000-05:00I want to stay alive for the sake of my family, bu...<I>I want to stay alive for the sake of my family, but if things could be a bit better than that it would be a nice bonus.</I><BR/><BR/>Oh how I can relate to that statement. I'm living, but at what quality of life? I'm speaking more of my headaches at the moment. They've been so bad lately - and for the past 6 years, things have not gotten a bit better - just kept on getting worse. I would give anything to have things improve just a little - even if it didn't go away completely. When I had a couple of weeks where I felt good back in July of last year, I was happier than I had been in years. And if I can't have the pain improve even a little, then I'd like to see other things in my life at least pick up a little - it's hard when it seems like everywhere you turn, it's not what you'd hoped....<BR/><BR/>Hang in there,<BR/>CarrieNeoNurseChichttps://www.blogger.com/profile/16120931307124798416noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-17692455592345415962007-03-08T18:03:00.000-05:002007-03-08T18:03:00.000-05:00Dr. M. is a professor at UT Southwestern. He is in...Dr. M. is a professor at UT Southwestern. He is in charge of the residency program. I figure that is what I am paying for.<BR/><BR/>I don't mind spending the dollar$, but, yes, I want results.<BR/><BR/>As a matter of fact, I am moving in with my father in June so I can afford everything.<BR/><BR/>Should I offer him bonuses as incentives? Just kidding.<BR/><BR/>I think I am a tough nut to crack. I have also had several psychiatrists so I don't have a good track record. He has 34 years experience as a Shrink so I am counting on him to get some work done on me.<BR/><BR/>My last appointment I told him I was looking for another Shrink (which I was)and he asked me how I found him deficient and I told him. He seems receptive. I have repeatedly asked him, "Can you help me" and he always answers a resounding "yes."<BR/><BR/>I know it takes time, but I am tired of feeling bad, of having such a huge divide between who I am and who I want to be.<BR/><BR/>Mental illness has ruined my life. It has shredded my dreams and messed with my health.<BR/><BR/>I want to stay alive for the sake of my family, but if things could be a bit better than that it would be a nice bonus.DrivingMissMollyhttps://www.blogger.com/profile/11476761316928942301noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-91229496169491910012007-03-08T17:42:00.000-05:002007-03-08T17:42:00.000-05:00Lily: Your comment is now deleted, but I was going...Lily: Your comment is now deleted, but I was going to suggest you move to Baltimore, psychiatrists here charge much less.<BR/><BR/>I'm trying to remain in denial about this whole Pay For Performance thing. My guess is that like most other forms of well-intentioned paperwork, it won't document successful treatment, but simply a doc's capacity for filling out even more forms and dealing with more buraucracy which takes time away from patient care.<BR/><BR/>I've become a cynic about these things.Dinahhttps://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-24795399755283524222007-03-08T13:40:00.000-05:002007-03-08T13:40:00.000-05:00This comment has been removed by the author.DrivingMissMollyhttps://www.blogger.com/profile/11476761316928942301noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-90394852867691990992007-03-08T11:15:00.000-05:002007-03-08T11:15:00.000-05:00Glad you guys linked to that post - it was a good ...Glad you guys linked to that post - it was a good read! :)<BR/><BR/>I left a comment with one that I think represents payment for nursing services well....<BR/><BR/>P4NAWTP - Pay 4 Nursing Along with Toilet Paper - nurses don't have a separate bill for inpatient care - it's included in the "room charge" haha<BR/><BR/>Take care,<BR/>Carrie :)<BR/><BR/>Word Verif: mrzmudoh (Mr. Zoom Dough?) lolNeoNurseChichttps://www.blogger.com/profile/16120931307124798416noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-37807221409070458242007-03-08T10:37:00.000-05:002007-03-08T10:37:00.000-05:00Why thank you.I thought the psychiatrists would ap...Why thank you.<BR/><BR/>I thought the psychiatrists would appreciate the post.<BR/><BR/>RobAnonymousnoreply@blogger.com