Doc's Progress Notes
Week of October 23, 2000
Last Updated: 10/29/2000 at 7:38 PM PST
I am resurfacing for a short note. Many things are happening around here and there has been no time for updates for the last several days (a week?). I did have a very busy weekend on call, more details later. My practice is getting large enough that I am not finishing my day as early as I was a year ago when I started this page so I do not have the time to write as much as I did then. For that reason, my updates will continue to be slightly sporadic and short most of the time.
Also, I do read my e-mail, not always daily, and I will answer but it may not be within 24 hours. I have some patient stories to tell from this weekend and I will get to them within the next couple of days. Until then, see you later.
It seems like a long time since I last updated this page and it has been, now that I look back over the past week or so. I see that I did not get to the patient stories from last weekend when I was on call and now most of those have been forgotten. Some may pop back into my mind as I write this update, however.
My practice continues to get busier and busier. That translates into me taking longer and longer to finish my day. I cannot leave the office until I have finished everything that I think needs to be done that day. That will include phone calls and dictation. With me having a larger practice now, that means I have more and more patients in the hospital at any given time and I do not have time in the mornings anymore to get ahead of my day. Now I am arriving at the office from the hospital just in time to see my first patient. That is good, I wanted to be busier and more successful, but it is bad in that I am getting home later and later. Some nights I am having to go back after some event my son or daughter is in and finish the day's dictation. That takes time away from doing this page which is why there are days with no update and those kinds of things will likely continue for the foreseeable future.
Yesterday, we got the outside of the house prepared for winter. All the outdoor patio furniture went into the garage for the winter and the leaves got raked up and put in the compost pile. In addition, we burned some more brush. Now, we just need to till up the garden and cut down some weeds so we will have a cleared out area to put grass on at some point in the future. Stephen actually helped us yesterday so he could go to a movie last night with the girl who is calling him all the time. I don't even know her name but I think she is a year behind him in school.
Friday was a day off for me after working last weekend. I ended up being at the office and hospital, then making nursing home rounds all morning. I even had to get up at the regular time to get in and get everything done. After all that, Stephen's team had a game in Camas, WA Friday night that I went to. I went by myself as Delanae wasn't feeling well. It rained off and on for the entire game and Stephen's team lost. He did ride back with me however, so not all was lost. His team's final regular season game is Friday night and it is against the other high school here in town. They have to win this game against their biggest rival in order to make the playoffs. There should be a big crowd there Friday night.
Tomorrow, I have my annual evaluation with our medical director. It seems like I just had one of those but I guess it has been a year. After that, I have at least two patients to see in the hospital, then a full day in the office. Tomorrow night is Stephen's last junior varsity game for the year and it is here in town. It is not supposed to be raining tomorrow night which is a break this time of the year. Tuesday night, Halloween, I am on call. Wednesday is the day that our electronic medical record software package goes live for us. That means our prescriptions will be faxed from the system or printed, no more handwriting prescriptions. I have been waiting for this moment for almost three years. It will be an exciting day. Thursday, I have a meeting, via video teleconferencing, about security and privacy issues for our corporation. I am the only physician on the corporate wide task force to look at this problem and the rules and regualtions being issued by the federal government in regard to protecting an individual's medical record. Our corporation is being very proactive in looking at this now rather than waiting until the final rules are in place. Luckily, my position on the task force is mostly advisory in nature, the chairpersons of the various workgroups have a huge job.
Wednesday will also mark my one year anniversary writing this journal. Many things have happened over the past year and it is sometimes fun to look back at previous entries to see how much has changed. The overall format has not changed and there are some format changes that I need to make once I have some time(?). I need to make the archives page look a little more organized and I need to update the picture at the top of this page since I now have facial hair again. I write very little about computers anymore and more about what is happening in our family life. I do try and keep writing some about the patients I am seeing but not as much as I did earlier. Part of that is because I no longer have time to enter some thoughts at work, all my writing of this page is done at home now. Hope those of you who read this will come back again and thanks for stopping by over the last year.
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