Saturday, September 20, 2008
Friday, September 19, 2008
The Waiting Place
LifeWorks Volume 12 No 9 September 2008
When you are getting ready to move time passes with the gush and ripple of a snow-fed mountain stream. It was like that for him as summer passed and the days shortened. Like an ageless schoolboy, he still measured time in sequential fashion, by use of clocks and calendars, by the passing seasons and the sports they brought. There was basketball in the winter, tennis in the spring, baseball in summer, and football in the fall. But with letters to write, notices to post, charts to duplicate, forms to complete, property to lease, furniture to pack, work to complete, and farewells to bid, there was no schedule for him this fall. The press of the move brought unexpected blessings—there was no time to grieve the pain of departing and those friends soon departed.
He had come here October 1, 2000 to take a position no one else wanted. He was the only psychiatrist on a ten-bed unit in a rural hospital. This unit, considered inconsequential to academic centers, serviced an area bordered by Houston to the south, Austin-Temple to the west, Waco to the north, and Lufkin to the east.
He worked seven days a week, Monday through Sunday. Everywhere he went he carried a cell phone. Calls for his services came throughout the day and night. After 343 days, he persuaded the administrator to find a locum tenens doctor to give him a break for a few days. When the hospital bureaucracy realized that no one else would work such onerous hours, the administrators became a little kinder and gave him a few more days off each year.
For the first time in his life, he sensed that he was filling a void that few in his profession would consider worthy of their efforts. He felt blessed by a wonderful staff—Jeff Baker, Susan Bice, Felicia Carmouche, Jan Childress, Barbara Courser, Sharon Davila, Shirley Higginbotham, Carroll Johnson, Kelly Kyle, Donna Patterson-Paddock, Liz Peterson, Carol Davis-Rios, Norma Rivas, Lyne’ Taylor, Brigitte Turner, and Stephanie Quintanilla—all took pleasure in helping each other help others. The administrator, Michelle Comeaux, who made certain that the unit received the highest praise from the Joint Commission and other hospital inspectors by precise dedication to bureaucratic rules and regulations, epitomized the staff’s diligence.
They were an informal and loving group who put patient care first, helped each other be the best they could, and had fun working together. Almost all the staff had a strong non-judgmental Christian faith. While they respected other religious faiths and those with no spiritual beliefs, they felt unreluctant to pray for and with their patients.
Mornings were spent in staffing. He would sit at the head of the conference table, the social worker to his left, and the nurse across from him. The patient would sit on his right. The patient’s case would be reviewed each day. Suggestions for therapy were completed and medication adjusted. Many times family members of the patient joined the group.
He felt confident with the nurses and clinicians, because each had the knowledge and assurance to suggest approaches to treatment and changes in procedure. They all recognized nuances in human behavior. The night nurses, those lonely, loyal warriors who had the awesome responsibility of protecting the patients’ health while the day staff enjoyed home and hearth, received the highest respect. The skill of the staff persuaded him to remain year after year despite the pull toward family and beautiful vistas.
Neighbors and friends provided consolation for family separation. God and her church comforted his wife. Bible study groups and the renewal of the church vows to uphold worship with “prayers, presence, gifts, service, and witness” sustained her. She received special joy from the choir and their music. The warmth of friends that seemed irreplaceable kept them rooted to a spot they considered impermanent.
This staying thing was odd. He and his wife wanted to return to the Mid-Atlantic States to be closer to their family. The pull toward their children made sense. Staying at a provincial hospital didn’t. He interviewed at several eastern medical centers, but couldn’t find a hospital—large or small—in the Carolinas that satisfied him.
Ambivalence overpowered him. Each time he was on the verge of moving, he remembered his staff, his friends, and his church, and stayed. Eight years after he had come to this rural hospital, he could look back upon his experiences with a deep and sumptuous tranquility blemished by a reluctant conscience to return to a cool and verdant land.
He sat in his front parlor on a Sunday afternoon. It was cold and foggy that February afternoon and he had no desire to go out. A light drizzle penetrated the air. He had not felt too well since he played tennis with his son during the Christmas holidays. He fancied that the clock ticking in the kitchen, tolled for him.
The thought of his children wrapped a cold vapor around his heart. He could no longer tolerate his selfishness at keeping his wife from her loved ones. She brought him a cup of tea. “Please sit with me for a while, he said. “I want to read you something.”
You’re off to Great Places! You’re off and away!
You have brains in your head.
You have feet in your shoes.
You can steer yourself
any direction you choose.
Do you dare to stay out? Do you dare to go in?
How much can you lose? How much can you win?
Simple it’s not, I’m afraid you will find,
for a mind-maker-upper to make up his mind.
You can get so confused
that you’ll start in to race
down long wiggled roads at a break-
necking pace
and grind on for miles across weirdish wild space,
headed, I fear, toward
a most useless place.
The Waiting Place…for people just waiting.
Waiting for a train to go
or a bus to come, or a plane to go
or the mail to come, or
the rain to pour or the phone to ring, or the snow to snow
.
You’ll escape
all that waiting and staying.
You’ll find the bright places
where Boom Bands are playing
There is fun to be done!
There are points to be scored.
There are games to be won. Today is your day! Your mountain is waiting.
Outside the drizzle had stopped. The setting sun gave the sky a pink luminescence. Raindrops dripped off the philodendron. She sat very still looking at far away places. “We’re moving back home to the kids, aren’t we?”
Thursday, September 18, 2008
Time's Friend
What a friend we have in time--gives us children, makes us wine, tells us what to take or leave behind. Friends I will remember you, think of you, pray for you, and when another day is through I'll still be friends with you.
Tuesday, September 16, 2008
In Times of Distress
Monday, September 15, 2008
A Checklist for Doctors Moving Their Medical Practice
A friend is moving his Medical practice from one state to another. He was amazed at the requirements for making a move. He has to:
- Notify his patients that he has seen in the past two years by letter that he is changing his practice
- Notify the Texas Medical Board
- Publish a notice in the newspaper of the greatest general circulation in each county in which the physician practices
- Place a written notice in his office
- Notify the DEA
- Notify the Texas Department of Public Safety
- Notify Medicare
- Notify Medicaid
- Notify Champus
- Provide medical records to physicians/and or the patient
Sunday, September 14, 2008
No Water, No Electricity
Saturday, September 13, 2008
The Moon Shines on Everyone
On September 12, 2008 the moon was three days from being full. People somewhere would look up at the darkened sky and say "What a beautiful moon." Within a 500 mile radius of Galveston and Houston, no one saw the moon. A Hurricane cloud was in the way. Hurricane Ike made extensive damage to the Island and to Houston and west of the eye that passed through Madisonville, Huntsville, and Lufkin leaving very little damage in its wake in College Station, Texas. The wind blew hard enough to blow a portion of our fence down. A small 15' pine was felled. Four shingles blew off our ridge line. Electricity and our generator was down in our little hospital in Grimes county so our four patients were moved to the Rehab unit in Bryan, but that was the extent of our personal damage. Next time I will look at the moon with a different perspective: "What's happening to those people who live 500 miles away from me who are looking at the same moon?"
Thursday, September 11, 2008
Hopeful Words
Wednesday, September 10, 2008
The Insomniac Millionaire
Tuesday, September 9, 2008
TIME TO SAY GOODBYE
When I'm alone
I dream of the horizon
and words fail
I know there is no light in a room where the sun is absent,
If you are not here with me.
I'll go with you
to countries I never
saw and shared with you.
I shall experience them.
When you are far away
I dream of the horizon
and words fail.
And, yes, I know
that you are with me;
You, my moon, are here with me
My sun, you are here with me
Time to say goodbye.
Monday, September 8, 2008
Children Get Older Too
With my love walked up valleys and down
Climbed a mountain and turned around
Saw my reflection in sun shining souls
The heart’s joy brought me down
Reflections in the eye
Where is love?
Can the child in my heart go with the ride?
Can I sail thru the changing ocean tide?
Can I handle the seasons rearranging?
Well, I’ve been afraid of changing
Cause I’ve built my life around you
But time makes you bolder
Children get older
I’m getting older too.
Take my love, send it around
Climb a mountain and turn back down
If you see my reflection in sun shining souls
May the new destinations make it shine on?
If you see my reflection in sun shining souls
May the new directions make it shine on?
Friday, September 5, 2008
Skip the Complaints
The paper work this move requires has been incredible. First, I had reams of paperwork to complete and thousands of telephone calls to make to get my Virginia license.
Then Carilion called to ask for the same material plus 584 more pages to complete for their credentialing. And they called back and wanted a fax number of every place I have ever worked including Internship and Air Force. They have another huge form for me to complete for physical illness and promotion material. And then they sent 18,999 documents for me to sign so they could get the insurance money I make for them.
(Does working for someone take away incentive? ----not for me because I am in this business to help others, but I can see how giving the profits to someone else while you do all the work can be deflating, especially when a lot of unnecessary paperwork is required for each procedure.)
They there are all of the changes in rules and regulations at Carilion and a huge staff and dozens of psychiatrist I will need to monitor and help. I'm afraid the new job will flood me with long, frustrating work with much less pay. When I was younger, I thrived on new challenges. Now I don't know if I have maintained the energy I once possessed.
And most disconcerting, is loss of our church home, our many true, trustworthy, and fun friends, my mother, and Craig, my incredible staff.
I’m developing stress symptoms---I’m not sleeping well. I am losing my temper over insignificant things, not reading my Bible, not praying daily, not reading books, not exercising.
I wished I had invested my money more wisely. If I had taken the advise of just two people and if I had gradually added money to two of the investments they recommended and not sold them prematurely, I would be a multi, multi, multi millionaire so I wouldn’t have to work until I am 70+.
I’m having a pity party when there are billions in the world who are starving and being tortured with each passing minute. And just think--When I get to the pearly gates St. Peter can pull this information off the Internet and show me what an ingrate I have been.
One thing that sustains me is you, Wende, --you are the darling of my heart and a special child of God---loving, loyal, understanding, forgiving, encouraging, consistent, a unique individual to whom God has given the full quotient of 10 talents. And then there is supporting, encouraging, consistent, loyal, and inside-and-out beautiful Vicki who has sustained me through good and bad times. And Lori and Lindsey, sweet little girls, and Greg who is just about becoming my best male friend. And Brad my amazingly talented, ebullient, and funny son...Andrea...Alex.... Annie...my mother...and of course Jesus and the Holy Spirit. When I think of all of you, the paper work and challenges of a new job become a little mosquito.
I will say this, however: After Jesus had been in the desert for 40 days and the Devil had given Jesus 67,125 papers to complete before he could work with God, Jesus may have joined the Devil's team.
