There are a lot of important things happening here.
A week from tomorrow I officially lose my last big client. That means an additional loss of my income by 90%. This does not make a cheerful OHN. Before long, I won't be only-half-nuts....I will be full-blown-nuts. If people in this country knew what was really going on with health care, you would run screaming into the night.
A simple example of one issue......say you have a pesky little breas.t cancer. You see your doctor. He sends you to a surgeon that you aren't sure you like, but, heck, your family doctor sent you there so he must really like him. Yeah....not really.
Most likely your family doctor has a short list to pick from because he is in association with a large medical center, or the same "group". In our area the C.leveland C.linic, U.niversity H.ospitals, or S.umma Care System are the three biggies that are sucking up ALL the doctors. If your doc **belongs** to the Clinic, he isn't going to refer you to U.niversity, even if U has the BEST oncologist for your cancer. Sad and wrong on so many levels.
**yes, I mean belongs, because once you join them, you are on a salary that is commensurate with your numbers of patients seen, surgeries performed, number of referrals to others in your association etc. So, in effect they do own your doctor.
This last account I had was forced to join the Clinic. You are wondering how a physician can be forced?? Simple. If you don't join, and you are a specialist (ortho, uro, gyn etc) your referrals dry up. Specialists rely heavily on physician referrals. So unless they want to just hope for referrals by old patients (" hey Bill...go see Dr. Feelsalotofprostates, he is great") they are screwed. No patients means no practice.
Ironically, my last account...is a wonderful man that HATES the fact that he will now be salaried and told what paintings he is allowed to hang in his office (no, I am NOT kidding, there is actually a list he is to select from that are accepted by his new "boss"). He will be forced to use their internal charting system so OHN is out. I honestly think he feels almost as badly as I do about it.
So, there's that.
S3 got his license this week. Need I say more? He is a great kid, extremely careful, but very very green. I give it till Christmas before I get the call that a portion of my car is deformed in some manner.
S1 told me he is going to ask his girlfriend to marry him. My first question was if she was pregnant. She's not. Apparently her parents are freaking out that she is basically living with him and said they wouldn't mind if she was engaged. I tried to explain to S1 that there needs to be a little bit better reason to get engaged, than getting her mom and dad off her back. S1 will be 22 this week and she is 21. They are wonderful together, and most likely WILL end up together, but sheesh....
S2 is overloaded with school, internship, and work. The whole time he was ranting, I was thinking "yep bud, get used to it...it's called life")
Oh, and it's cold here. 31 as I type this. This means that our gas bills will soon be hovering in the $350 a month range. Not good. I may have to dig out the fishnets, hit up G.oodwill for a miniskirt, and find a profitable corner.
Oh, and two weeks before I found out that the client was going to be gone, we ordered about $3000 worth of replacement doors (entrance and sliders) for our house. (much needed as when we have a blowing snow, we actually get poofs of it in our kitchen, after years and years and years of boys and animal use, and the main entrance door has been slammed so many times it is a miracle it still closes....so while it is crazy timing, it hopefully will at least help with the heat bills) Of course, the opening isn't standard size so we had to special order. ugh.
Well, the complaint list could take all day to write and the title of this was a few quick things. Hey, if nothing else I will have more time to fill up this space. OH that reminds me...the writing gig, it fell through. I checked a little deeper and found out some things that made that little bell ding in my head that said don't do it. So I'm not.
Have a happy day :-)