All posts by dalesangelsinc

New Beginnings #WestWardFro

It has been a while since my last post, so what exactly have I been up to.

I have practiced as a physician, worked primarily as a implementation specialist on a government contract. In my job search I have completed over 100 different applications, caught recruiters trolling my resume for leads, using me to get contracts but never officially hiring me…I discovered that the job description I wrote for my old job was copied verbatim and posted to the new hire profile on LinkedIn necessitating me blocking this person and half dozen others, removing my resume,  and rejecting and blocking most cold contact recruiters. Someone actually attempted to make my going back into practice full time as some type of setback, and if my experience was somehow equivalent to theirs, when in fact we were light years a part. I have witnessed the election of the dumbest individual to the US presidency and the last installation of the Star Wars franchise being disappointing, but through it all I have not caught a case.

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In the past 9 months I have truly established myself as a Dallas Cowboy Superfan with the clothes, accessories and tricked out Cowboy Ops Truck…File May 09, 3 24 03 AM.jpegBeastLa in Redwood Forrest

 

I bought said truck in Dallas TX at Autoflex, Terry Hill and his crew are the bomb!! Went back on line bought a used travel trailer for scrap plus taxes, hitched it to BeastLa and pulled it to Oregon to start as the new Pediatric Nocturnist at Bay Area Hospital. Yes, I pulled it and drove all 3000 miles white knuckling it through Donner’s Pass(yes of the cannibalism story) April Snowstorms?? Chain Advisory??I am from the South we buy tires because they are big and cool not for this weather…File May 09, 3 25 57 AM.jpeg Me, the black chick with a ‘Fro drove through tip warnings and flood warnings all across the Midwest.

My best friend told me I am like a family of 10 Jamaicians because I always have 3 jobs, and it’s true, not to long after I started with Bay Area, I received and accepted a CMIO position.File May 09, 3 18 15 AM

Deja Vu as we approached Seattle Washing May 2017

My team went to Hollywood for dinner and did the touristy thing. By visiting Graumann’s Chinese theater

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The ‘Fro in front of  Graumann’s May 2017

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Star Trek Original Series Cast Member Cement Plaque, Graumann’s May 2017

 

I really love Ramen and will eat it any chance I get

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Best Ramen, Pasadena May 2017

I realize multiple things about myself, management of information will always be part of my life and I can make a career of being a practicing provider and Lead for EMRs. It will be my lifeblood. But I also think as technology evolves, providers that are current and can truly leverage experiences across the continuum of medicine and technology will be needed. In this economic climate no one, vendors or health systems, can nor should they justify large staffs that make no tangible contribution to the IS departments or efficient and meaningful usage of technology.

I think I have more adventures awaiting me as I settle into my new found home state, and I can’t wait!

 

Sabotage??? After the Coast Guard said it was closing its Epic contracts and setting invoices, the EHR maker posted to its website a reaction piece titled Epic and the U.S. Coast Guard: the Facts where the company said the storage area network housing the software project was “inexplicably corrupted with no root cause,” and twice deleted by employees of Leidos, the Coast Guard’s partner tech support partner for the project, immediately prior to go-live. Epic also said there were hardware procurement delays, a change to the datacenter, re-contracting issues and a federal investigation, all of which pushed back the project timelines.

http://www.healthcareitnews.com/node/538061

The Back Inside Back 40…Inches

Why?

Initially it was out of boredom. I wanted to see if the posts on Facebook, Garden from Kitchen Scraps, were true.

IMG_0010.JPG    Lettuce and green onions

IMG_0003 2.JPG  More Green Onions

I was between assignments and I had time to think. Why are organic vegetables so expensive? I am not at the Maui Wholefoods so why is a container of organic spring mix 5 bucks?

IMG_0007 3  Beginning Arugula

You have to be present you still have to make sure it has the correct balance, moisture, seeds ready to grow…It is a constant state of necessary renewal, it takes a lot of arugula to make a salad. It has a distinct taste.

IMG_0002  Arugula Gone Wild

I envision multiple boxes of salad leaves. I envision a few Aerogardens with tomatoes and peppers.

IMG_0006 3  Tomato and Jalapenos

Then I went to Lowe’s and even with all the seeds and then again at Walmart Superstore and how limited we were in all the vegetables available. The stores are dedicated to what sells when the largest section should be dedicated to produce, herbs, and fruits which I know are perishable. I remember the tomatoes and Chinese greens I raised a few years ago and wondered, could I bring this all to Oregon? Viet Nam and Middle East have peppers and spices I want to taste and cook with.

IMG_0009Basil All Day

IMG_0004Purple Basil

Then it became all about learning and being dedicated to self sustainment and preserving variety. So I rejoined Seed Savers. Saving Heirlooms One at a Time  There are such a variety of seeds that could help with immune health and arthritis that can be used to cleanse the GI tract, so much and available and less expensive than at Trader Joes or Whole Foods, and I won’t always have access to these spots. So now why do I grow? Because I am cheap but I like variety and I know I have to increase the green leafy in my life. The challenge Is to keep it going. I really don’t want to be dependent on the $8 a bunch merchants. I respect their ability to earn a living, but if I can do it myself, I will do it.

 

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Live from DC it’s Felicia!!!

So I’m here a full day early and what a day it has been!! I am going to go on record to say I am still salty with American Airlines in spite of getting here on time and getting from DCA to hotel on Metro was a solid experience!! These little brown birds are psychotic, they are so mean to each other and have no fear of humans.

During this post, I can’t be as chatty, because I am in the M Lounge at the Marriott Marquis and I don’t think the other guests would appreciate geek speak into my Dragon Anywhere app…I am looking forward to the first actual day of meeting and will plan to attend classes next meeting. I discovered how jammed packed and distracting this entire area is. I had an amazing lunch at Ping Pong. There is a whole new area with Hermes, Dior and LV surrounding an eternity pool…The Smithsonian, Martin Luther King’s, and the Washington Monument all very close. Blackboard, American Medical College, the VA Administration are all on the same block. I have had my iPad Pro a little over 1 month and I have already lost that blasted pen. I went to find a replacement at the ATT store in Chinatown and the manager and I grew up in Virginia Beach and graduated from Bayside High!! 6 degrees of separation wow!!! There is so much here, where do I start?

Well first things truly first…I came here for this…

http://www.physicianleaders.org/classroom/Course/L-SUMM-04-2016/

I have to complete Social Media Training and my CAPM Bootcamp…ugg!!! I am so far behind. Well I am signing off for now. Off to the Smithsonian to hit the spots I didn’t hit during my last time here…I wonder if there are any cherry blossoms left?

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Physician Mobility?

Distracted practice

In my day to day, I am Queen Multitasker. I look like the guy in the photo trying to balance phone calls, note taking, and all the multimedia gadgets required of someone in my administrative position. Unfortunately, I know a fair number of colleagues look like this guy instead of the fitted one button coat, they are in their lab jackets in a hospital or office near you.

So what should happen to reduce the juggling of the gadgets? Can we balance accessibility and still practice efficiently? Can we foster 2-way patient interactions and still respect provider downtime? Yes, Yes, and Yes.

I believe it’s a combination of having multiple platforms integrated and optimized for the use of a busy and efficient provider. So what’s out there? We are an iOS world for now(Apple Rules, Android Users just get over it) If most consumers are like me, Steve Jobs’ company has gotten lots of my money over the years. There is the Apple watch, an Apple phone, as well as a tablet either surface or iPad Pro(The gold Ipad Pro is pretty but the verdict is still out on its usage in-house) but do any of these devices make the physician more efficient? Which front end dictation tool should be utilized and optimized? Nuance ™  apps it particularly Dragon Anywhere™ which I’ve been experimenting with more in the previous several weeks is particularly useful input tool.  I found in comparison to previous forms of Dragon™, Siri on my iPhone actually worked better than the previous iterations of the front end dictation tool really previously released by the company Nuance™. But there has been a marked improvement with the release of the Dragon Anywhere tool™. For a nominal subscription fee you have a hardware light version of Dragon™ on your phone. It has a more robust command structure as well as powerful editing tools in which you can enjoy the accuracy in the hardware heavy version of this tool.  I find that my ability to transfer and copy text into a Word document and then easily save it to my cloud Dropbox is almost seamless and then I can actually update the text and repeat that within less than 30 seconds. It has made my ability to post my blog a lot easier. I  still have to go back to my laptop/tablet to make the final corrections and formatting just because I find it easier but it actually has been a godsend as far as my ability to be able to create this post. (FYI, I’m using Dragon Anywhere™ to create this post.) I would suggest that you number 1, have the latest updates on your phone, have a subscription to office 360, and you can ensure that the embedded mic within your phone actually works well. The microphone on the iPhone has excellent noise canceling capabilities however what I have found is my Bluetooth, the accuracy has been affected by the LG 750 even up to LG 760 with a Bluetooth device.  You may actually have a better chance with a wired Beats™ as well as the white earbuds that actually come with your iPhone. I would also ensure that your screen saver or power saver mode is set to a minimum of 15 minutes or so before the  screen locks.

I am a iOS geek through and through.  However, the Surface 3 with Windows 10 and Citrix 14.3 from a healthcare information systems perspective actually affords the end-user the best experience and will truly increase their efficiency. And is also necessary to have a tool either like Dragon 360™ medical or Dragon Direct™. When Windows 10 was released someone told me you will experience a loss of functionality, but could not tell me exactly why. If the device is correctly imaged, with properly formatted applications, and Office 2016, it will only enhance your experience not detract from it. I just wish people that don’t have the full story and can’t give you clear directions on how to change something,  they need to take Madea’s advice and go and sit down somewhere and be quiet. We providers are under pressure from a regulatory standpoint to document thoroughly to tell the full story and to allow proper charges to be created and submitted in a timely manner. And from a business stand point, we are tasked to see as many patients as possible but still provide quality healthcare.  We should have the properly configured tools to allow us to maximize our time interacting with our patients and fellow staff members,  not inputting data into the EMR. Futuristic Complex