Wednesday, December 4, 2013
22 Minutes
Saturday, November 30, 2013
Enough's Enough
I decided that enough was enough. The beach called us and we listened.
About four weeks ago, the COO of St. Gonzo's announced his upcoming departure. With two senior administrators gone, I figured it was now or never for a MUCH-needed break. I don't sleep past 3:30 a.m. anymore. I work so much my eyeballs blur and the bags under my eyes resemble soybeans. I'm grateful for the chance to inspire great change in healthcare but I'm getting a little tired of the cold sweats that spontaneous appear when I'm more than 21" from my phone.
One of our very best friends, Mr. Vera (husband of Vera) had a massive heart attack. Then he walked around for about five weeks and even visited Jack and I in Indy. He had 100% blockage in his right coronary artery and we're not sure how he's still with us today. After a harrowing visit to the cath lab, they cleared the blockage and he is at home recovering.
Yet, he keeps sharing his story with me, forcing it to sink in. You see, the reason we're such good friends with Vera and Mr. Vera is because they are the opposite to Jack and me. Vera and Jack are the chefs who love experimenting with homemade herb rubs on fabulous steaks. While they're dinkin' around the kitchen, Mr. Vera and I talk shop. He's a hospital administrator and at one point, we had about the same position at our respective hospitals.
That's why I'm suddenly scared. And very glad I'm on my way to the beach without the proverbial access to work email. I can easily, far too easily, see myself in his shoes and no one's going to take care of me and my awful work/life balance but me.
I've suddenly become good friends with my chief radiologist at work. We have a sisterly vibe and she's one of the few people in my life who's willing to call me out. SHE even pulled me aside and told me to cool it. Over dinner one night last week, she shared some tidbits from her own life, about her experience with crumbling relationships because people are just too busy. It's during those times that I feel really grateful for Jack. He's my Type B, relaxed Joe who forces me to slow down (except when he steals my iPad and I chase him around our new house!). Point being: Jack has been telling me for years to "chill the heck out."
Healthcare is only getting more difficult as we have to do so much more with fewer staff and resources. I hate Obamacare (just sayin' it outright: it MAY help the overall structure of the healthcare landscape - but it will take at least 10-12 years to do so. We're already seeing adverse selection in the insurance exchanges, huge shortages of primary care physicians, and retail price wars for hospital outpatient services. All this does is result in hospitals receiving far less in reimbursement for services, increased self-pay/bad debt/charity care, and overall declining payor mix situations. IF hospitals survive the next 10 years, healthcare will look far different. I will either be some c-suite exec at the height of my career or combing the beach with a metal detector so that I can piece together enough change to buy a Corona on the beach by my tent. Either way, I would like to be alive at that point).
Hence my Bloody Mary and suitcase full of sunscreen and gossip rags. I need a few days where the biggest decision of the day is "Beach or pool?" Or "should we go eat off-the-boat fish for lunch or for dinner?"
I don't want to end up in the cath lab before I'm 40. I know I won't be saying "MAN, I wish I worked MORE hours" on my deathbed. I want to enjoy the fruits of my hard work while I'm still young and stupid enough to bodyboard (or paddleboard!) in the surf.
I'm going to try this thing all the kids are talking about: Chilling the Heck Out.
And with that, I can see the Gulf from my window.
Monday, November 5, 2012
Vanna and Stuffing Buns
I'm irked by a couple things lately...First, this election. I'm not going to cast my vote here publicly, but both sides need to pull their heads out of their rears and follow the example George Washington set back in the day. We need a humble, unassuming, unegotistical (is that a word?) president. One who helps people pull themselves up by their own bootstraps and practices isolationism. We have enough problems in our ol' U. S. of A to be dabbling in others' affairs. I believe in Keynesian economics. And I believe in vanilla-frosted cupcakes.
I'm glad the battle will be over tomorrow. Peace sweet peace.
The second thing irking me is the incessant onslaught of Christmas ads already. When did the "holiday season" start at midnight on November 1? I actually saw a few Christmas ads (*cough* *cough* TARGET, K-MART) before Halloween. Why is this happening? Don't the twinkling lights and magic of Christmas seem most appropriate, um, around Christmastime? While I am nearly finished Christmas shopping (hold your applause; I have not even bought, let alone started the 179 Christmas cards I have to write), I do not appreciate Christmas abuse. Let us have some advent and some O Come, O Come Emmanuel before the proverbial Christmas cookie hits the fan.
Okay, departing the soap box now.
In other news, I saw Nurse Starbucks for the first time in years this past weekend. We met at a gourmet burger bar halfway between her outlet mall and my house. Jack's "burger" was the best; it was Thanksgiving dinner in a burger. The buns were made of pressed stuffing. This low-carb gal couldn't help but sneak multiple bites of the Thanksgiving burger...and the chocolate beer stout cake that followed! It's very welcome to meet friends with whom you only text or email. You forget they have a voice and when they call you on your cell, you're like, "Why do you sort of sound like Vanna White?!"
Just kidding, RN Starbucks!
Saturday was more of the same with Jack's clients from work. We took a trip to a nearby winery and were blessed with a waiter who loved Notre Dame football more than we did. The three OT game proved very trying for our appetizers and he constantly ran back and forth to update us on the score. It was faster than the guys' cell phones, as they bent down in prayer nods, studiously updating the scores. That waiter got a great tip, especially with the "celebratory" bottle of vino he gifted the table. Thank goodness those Irish keep pullin' it out!
So here's to the ending election, premature Christmas ads, good wine, and great friends. Great friends (and who are we kidding- great wine) get us through the crud life throws our way.
Now. I have to get back to my lists. I literally made a list of my lists. But I'm grateful for every opportunity and feeling blessed that I'm too busy and life seems taxing. It's a Rock Tumbler, making me into something shiny and (hopefully!) pretty. We're all in this together.
My favorite quote as of late:
"It’s amazing what you can accomplish when you don’t care who gets the credit."
— Harry Truman
Thursday, April 26, 2012
Moving
Does anyone have any valium I could borrow?!
So yesterday started out light. I sat down in my office a little before 8:00 and at 8:13, two gentlemen from maintenance came by and asked when I'd be ready to move.
I set my coffee down and allowed my bleary-eyed haze to clear. Moving?
Moving?
I knew I was changing offices, but I sure-as-Hades didn't know it was today!
It was just time- I have two very nice offices and spend time 50/50 in them. I carry my entire house on my back between campuses and it is impossible to stay organized with two "home bases." Plus, I know the director of Facilities well and he promised me a window if I consolidated down to one office.
Score!
So I threw my stuff in boxes, filled up a dumpster, shredded enough paper to coat Manhattan, and moved.
Old Office A:
Old Office B:
New Office C, as seen from my desk, in the height of the insanity:
New Office C, as I fought the temptation to cry and hide under my desk until the paperwork rotted away:
New Office C, after a five-hour teleconference (hey, I was careful to pipe up every half hour or so!):
So I'm home now, at one campus, with all my junk in one place. The best part? The first time I've had real estate with a window. That afternoon sunshine is wonderfully refreshing and I think I can finally replace my fake ficas tree with a real tree!
Saturday, May 14, 2011
Tuesday, September 21, 2010
Potatoes!
[Insert big, long sigh here.]Day One of MPH training is complete!
"MPH" stands for "Mister Potato Head." And it was the simulation used to help a group of hospital directors figure out how to use Lean methodologies in their departments. We know we're not cranking out patients here, but many of the methodologies used in factories actually relate to the hospital setting.
It is pretty hilarious to see all these uptight and proper people, flailing through a Mr. Potato Head assembly line (picture hands, glasses, and noses flying everywhere), to replicate a manufacturing environment. We created the first assembly line to be purposefully slow and bottleneck-y and we let the group create process changes that would streamline the assembly process.
Except that when we allowed them to make changes to the process, we also increased the productivity demands and made them output more product with less time. That's *exactly* what happens in the hospital!
Soon, even the stoic, old-school directors were laughing and joining in the fun. The day consisted of other activities and break-out sessions, but MPH was the conversation point of the day. I don't think anyone will look at a MPH the same way, ever again.
I know I won't...especially after setting up the simulation and seeing 30+ naked, blank potato heads in a Rubbermaid box! Aaugh! Aaaaugh! My eyes!
Thursday, July 1, 2010
No Shoes, No Shirt, No Problem
Monday, March 22, 2010
Reflection: One Year
This is the one year anniversary of Just Keep Swimming.So while I'm only one year into this blog and 10 months into my newbie administratorship, I feel a lot more "at home" with myself than I ever have. My marriage feels stronger than it ever has before. I know who my true friends are. I know who in my family truly supports me. And I know that, despite the stress, pain, and frustration, I will just keep swimming.
Sunday, March 7, 2010
Vacation Plans
This is my 299th post. Wow. Have I really had that much to say?Only 60 more days!
Monday, February 22, 2010
Limits of Sanity
"This is not the day to be a snooze-button abuser. Get your butt out of bed and get on the highway. This morning's commute will surely test the limits of your sanity."
Instead of rolling over for a six-minute snooze, I rolled my eyes, dug deep into my energy bank, and hit the shower. Snow? No problem! It's the end of February, this cold, white crap can't last much longer!
However, clearing 6 inches of 100 pound-per-square-inch snow off my car really tested the limits of my sanity. I cannot believe I actually (albeit briefly) entertained the idea of an associate administrator position in Fairbanks, Alaska! If I ever do something that drastic, just tie me to a chaise lounger on the beach because I've obviously gone past the limits of my sanity!
Saturday, January 16, 2010
Bodyboarding in Antigua
I should quit my hospital administrator gig and become a travel agent.Sunday, November 15, 2009
Vacation Tidbits
On the first night, I got up in the middle of the night to use the restroom. I didn't have my contacts in or glasses on, so I groped my way through the dark bedroom to the bathroom. I saw something scuttle by the shower door. Through my blurry/sleepy vision, it looked like a two-inch long...bug...or something. OH MY GOODNESS, what if it's a roach and this place is infested? It was a very nice condo, but you never know! Oh NO, we have roaches! Big, prehistoric ROACHES!
I scrambled back to bed and shook Jack awake to go in there and investigate. He let out a man-shriek and yelled back that the "roach" was just a "lizard." PERFECT! I love sleeping with salamanders! It was a baby, just a tiny lizard, but STILL. I don't like creatures that aren't invited.
On the last full day, SkyBlue and I went parasailing. Oh, did I mention that my folks went on vacation with us? We had a great time, made phenomenal memories, and best of all, no one killed each other. One of Mom's greatest fears and wildest dreams was to go parasailing. Except that the weather didn't cooperate, delivering high winds most of the trip (thank you, Ida!). On Friday, the winds subsided enough to allow us a safe flight. After the bone-jarring boat ride out to the Gulf, the skipper informed us it was far too dangerous to fly over the Gulf. So we turned around and went out to the bay side of the island. Another 20 minutes of jaw-clenching, stomach-churning, gut-wrenching boating, we arrived at our destination. In 20 mph winds (and 4-6 foot seas), we grabbed onto the bar and were hoisted up by the sails. We soared higher...and higher...and higher until I really thought we were going to snap off the rope and sail on to The Great Beyond (it's next to Bed, Bath, and Beyond).
Saturday, November 7, 2009
Friday, October 23, 2009
Lunchtime Procrastination
Would anyone blame me if I just drove to O'Hare and hopped on the next flight to Tahiti? Or Fiji? Or Florida? Or let's be honest, a cabin deep in the woods that doesn't have cell phone reception? Actually, I don't think you get cell phone reception in Fiji. The water under your hut would surely disrupt the signal. If the water didn't, the margaritas surely would.Thursday, August 20, 2009
Budget Bootcamp
I'm having such a good time in Budget Bootcamp! After completing the administrative budget, I've been attending other departments' budget approval meetings to "fill in the gaps." I 'get' the main premise behind the balance statements, but I'm going to ask my almost-CPA pal, Kassie, for some help in understanding EBITDA. I know it's "earnings before interest, taxes, depreciation, and amortization," but I don't know what it means. I know you want a positive EBITDA, because that means you have a positive cash flow…but when is the positive cash flow adequate? When is it lacking? How do you decide what the optimal ratio is? And when are you going to tell me to just be quiet and move onto something that won't lull you into an immediate comatose state?![Kassie, will you explain this to me, off-line?]
Anyway, I'm sitting in on all these budget meetings and I really feel my knowledge base growing. I'm trying to anticipate the questions and not let my mind wonder too much. It's unfortunate that the finance conference room overlooks the highway, so there's always a lot to watch.
ADD is never a problem. No thanks, I'm happy with Sprint as my long-distance provider!
Thursday, August 13, 2009
No Time For You! Two Weeks!
I knew it would be a few days until I could post something (although I racked my brains trying to come up with fodder that would actually be interesting to you!).On Tuesday, I participated in seven straight hours of meetings. One of the biggies was the Systemwide Muppet Practice Administrators' meeting. This meeting was so far over my head; I just looked over my shoulder and waved. As the CEO of BeakerGroup invited me to the meeting, I blasted exactly 459 questions his way. After our discussion, I started to better understand the differences between hospital life and practice administration. I won't bore you with those details, though!
So then yesterday, I went to BeakerGroup and learned all about actual life in the practice. I was able to shadow the CEO and even some of the nursing administrators as they put out numerous fires. Our daily census at St. Fozzie's hovers around 300 inpatients per day and BeakerGroup sees that many patients in two hours. It's a madhouse over there, but it was a fun madhouse. A funhouse! The Beaker CEO was fabulous and he invited me back for a week, in case I decide to specialize in practice administration. Ummm....yeah...thanks.
Tuesday, June 23, 2009
Just Keep Golfing
First, THANK YOU to all of you who voted in the last few hours that I should Just Keep Swimming. I appreciate this feedback. Blogging is weirdly therapeutic to me and I hoped it was just a smidge entertaining, too!Monday, June 15, 2009
Putting Out Fires
Well, I had another weird experience today. I learned how to put out fires. Like, literally.Sunday, May 17, 2009
Taking a Deep Breath
Saturday, April 25, 2009
Rollerblading > Paper Writing
Okay, so the rollerblading excursion I discussed this morning didn't go so well. I was caught in a quite-random pop-up thunderstorm. Have you ever gone rollerblading through lightning, thunder, gale winds, and horizontal, driving rain? Yeah, me neither.So I dried off and came home to finish the last two papers of this degree. I finished the 30-pager last week (which ended up being more like 40 pages). However, these two papers proved muoy challenging because this professor is fond of "upper" word limits. He'll ask us to describe the factors of this economic recession or the state of ethics in America (or some other ambiguous topic) in 1000 words or less. That's tough! You have to get the biggest effect from each word and I cannot tell you how many times I used the "word count" function of Word! However, they're finished and to celebrate, Jack and I are visiting my folks, SkyBlue and Lou tonight. I think margaritas are in store...for me, for having finished, and for them, for putting up with me and my stress!
P.S. I would like to personally thank Yoshi and Nurse Starbucks, for their motivation and encouragement today. Yoshi threatened me via text and Nurse Starbucks emailed me, telling me to "write like a champion" today. THAT was awesome and I made a mental note of that tagline! Thanks!





