To the patients in the lobby complaining about waiting…

I work in a doctor’s office as one of the nurses. In our office we have 6 providers at one time. it is a very busy office.

i’m not sure if it was just that kind of week but every pt that I brought back to the exam room complained about the waiting time. by Wednesday hearing the same thing over and over again I needed to write about it to get my frustrations out. I have been working on this post for a couple of days because I kept rewriting thing to not sound like a bitch. lol.images (1)

so this is to everyone that complains about waiting in the doctors office lobby.

Just to clarify to anyone:

I know when you come into a doctors office it is for a reason. your sick, your child/husband/mother/grandfather/grandmother is sick. they need taken care of. I’m not saying that you aren’t important because you are but I want you to understand it is not intentionally the doctor, nurse, receptionist, or images (2)anyone else to make you wait for you appointment.

To the patients that are complaining… I know that all you see is the receptionist. please do not take your frustrations out on them. most the time they don’t know exactly what we are doing in the back. we know the door closes back to the exam room and you can’t see either but we promise you we are busy.

To the patients that are complaining…you might think the doctor is in the exam room way to long when a patient walks out and your thinking that they don’t look sick! just remember, not all sickness is visible. that pt could be here to talk about how they are fighting depression because they just lost their spouse or they were just given a horrible diagnosis like cancer. there are many different reasons that people come into the office, just remember they come in because they think it is important and we are here to take care of them no matter how small. we do it for you.

to the patients that are complaining …yes, the doctor walked out of the exam room and you are wondering why am I still waiting?!? it is because at the desk we are calling pharmacies because we just found out that one is out of your medicine and we need to send it to another but that one doesn’t accept your insurance so we have to send it to another one but that one is way to expensive so we are sending it to another one. we deal with this all the time! you don’t see it because we make sure you don’t.

to the patients that are complaining … we know that you need your medication. but when the pharmacy comes back and states that you need a PA (prior authorization) from your insurance company, we aren’t the ones that are delaying your medication. we get the request for the PA, send it immediately to the PA department who specializes in getting these completed. IT IS YOUR INSURANCE THAT IS NOT PAYING FOR IT. NOT US! it is also NOT THE DOCTORS fault that your insurance is not paying for the information. we usually know what insurance will pay for what medication but THEY CHANGE ALL THE TIME!

to the patients that are complaining… everything takes time to complete. referrals to another specialist are the worst. we know you need to be seen by a certain time and we are doing everything that we can to get you seen. the doctor notifies us to make sure you are seen right away. we are calling the specialist and giving them all the information verbally then we have to fax all your chart information. usually the specialist then has to review your information to see if the would even like to see you. once they agree they give US the date. yes, it might be 2-3 weeks later but it ISN’T OUR FAULT. it also isn’t the specialist fault. they are seeing people as well. they are making sure everyone is seen and trying to get you in. don’t let me get started on insurance… you need to see a certain specialist but your specialist has to be an hour away because of your insurance. AGAIN ITS YOUR INSURANCE!

to the patients that are complaining… we know when your appointment is. the doctor knows when your appointment is. yes, you might be waiting a little longer because the doctor is still at the hospital. yes, your time is important. but think for just one minute. if your loved one is in the hospital wouldn’t you want your doctor to spend just a couple more minutes to explain the situation to you?? or what happens if you just lost your download (4)loved one and you want to talk to the doctor? what If that pt in the hospital was your CHILD, you would want that time. yes, we know you are waiting but it isn’t because the doctor is being lazy or taking their time. they are dealing with millions of things going on in the hospital.

there are lots of other things that I can bring up to you about why patients complain. again, i’m not trying to sound mean that patients don’t matter. but just because you don’t see something doesn’t mean we are not doing anything for you. on a daily basis I am dealing with any where from 20-30 pts A DAY! I am calling them, filling medications, triaging, giving injections, etc. I love my job and I would not change it for the world, I just wish that patients would understand that everything that goes into an office visit. I didn’t even touch on the little things that we do.. like ordering labs, renewing medications, ordering injections and administering them.

after writing this I feel so much better. I got my frustrations out. now i’m off to work to start it all over again. images

 

 

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When you need to buy groceries pork chop throw meal

We need to go grocery shopping. And I don’t mean I have a fridge and cabinets full of food and I don’t feel like we have anything kind of grocery shopping… I mean we need to go grocery shopping because I have no milk, bread, potatoes, or any kind of meat like beef, chicken, or pork (I used the last today).

we are on a very tight budget and I am waiting until Thursday to go grocery shopping because I want to use up what we have in the fridge…also because we are on a tight budget.

today I found pork chops in the freezer. yes, I did a dance in front of the freezer because I found them under like 5 bags of vegetables and you know vegetable soup gets old.

after dancing in the kitchen… ok I danced my way to the cabinets I pulled out sliced potatoes, carrots, mushrooms, gravy mix, and cream of celery soup.

I know that canned vegetables sometimes are not the best… but like I said we needed to go grocery shopping. the only fresh vegetable that I have in my fridge is the green pepper in the drawer that I can’t bring myself to throw away yet. prob because then my drawers would all be empty.

in a large baking dish I put the pork chops down first. seasoned with salt, pepper, and garlic powder.

drained the vegetables and put those on top of the pork chops. i put the pork chops on bottom because everything is from a can and i didn’t want them to squishy. seasoned as well.20170822_174806

in a measuring cup, mixed the cream of celery soup with 2 cups water and two packages 20170822_175455of gravy mix. ok…. cream of mushroom soup would have been better but i had mushrooms already in the pan plus i was kinda making a pork stewy thing that a lot of the time you add celery to…so why not?!?

poured over the meal. cover with Reynolds wrap and put in 20170822_175809the oven at 350*

 

 

 

 

 

 

while it was cooking I popped some biscuits in the oven as well as made some mashed potatoes up quickly. another realization that you are probably thinking… why the two 20170822_182538potatoes… well I live with two boys that loooove potatoes. plus, we didn’t have anything else other than couscous and that didn’t sound to good lol.

 

it cooked for about 30 minutes in the oven. i had the bf pull it out and he was silent while he pulled off the Reynolds wrap. i asked what was wrong and he looked at me and said… “it smells good, but is it? pork stew?” my response was, “pork stewy thing.”

according to the bf, kid, and a friend (that came over because it is Tuesday and we watch Americas got talent) they all said it tasted delicious. i thought it was good but i was expecting more flavor. the gravy mix did not thicken like i thought it would. oh well… i guess i need to go grocery shopping. 20170822_191738

 

New Business ….adventure?

Have you heard of thirty-one?????

well, if you haven’t… go look it up! I love totes, purses, and wallets! I love how I can customize my day by what bag I am using. I love them! thirtyone4

recently, my sister in law had a facebook party for thirty-one. her host introduced me to becoming an independent consultant. thirty one

to become a independent consultant you have to either pick one of two options. the first option is to pay $99 for your first enrollment kit. OR you can pick to sign up for $1. I choose the $1 because I wanted to figure out is this really for me. I signed up for a $1 and then pay $14 each month to keep my website going for people to place orders.

i’m excited to start this adventure as an independent consultant but scared in the same time. i’m more excited then anything!

I love the quote that you hear a lot surround thirty-one. it is a way to empower women to be independent. “she is clothes with strength and dignity; she can laugh at the days to come. ” Proverbs 31:25.

thirtyone2the products are awesome that thirty-one offers. you have multiple kinds of totes, purses, and wallets.

my launch party is aug 18 to aug 25. my mentor is actually the one that is hosting my first party. she is the one that promotes it and runs it basically. my goal is to have at least a $600 party so that I can get my business up and running!

if you are by chance reading this blog and really love thirty-one and would like to order from me… then just comment below an I will get you the information!

The BREAKDOWN by B. A. Paris

“If you can’t trust yourself, who can you trust?”

thebreakdown

If you have read anything by B. A. Paris, you know that her new book The Breakdown, is going to be phenomenal. I loved her book, Behind Closed Doors, and wanted to read this one when I found out about the release.

with all B. A. Paris books and really any psychological thriller, you do not want to give to much information away to others.

All I will tell you, is that this book sucked me in! I started it one night to read about 4 chapters and did not want to stop.

The Breakdown is about Cass who passes a car in the middle of the night. she passes a when it was storming outside, not wanting to get wet or hurt in case it was a set up. it was dark, in the woods, winding rural road. when she passed the car, Cass saw that there was a women in the car who ends up being found dead. when she thinks back on the night, she doesn’t know why she is so upset. could she have helped her? what would have happened if it was a set up and someone was going to take her car? she could have been hurt or even murdered herself? her husband didn’t want her on that road and she did it anyways to save a couple of minutes.

every day since passing the car, Cass can not forget about the woman. she could have saved her, right?

every day that she thinks about the woman, Cass is forgetting other important things in her life. agreeing to buy a present for a friend, where she left her car, taking her medications, setting her alarm codes, and tons of other things.

but then the calls start coming. the calls that are silent.

thebreakdown2

 

New Happy Planner/budget planner

I’m an organizational freak. ok, I do slack off at times. I love to be crafty. I love bullet journaling. If you know about bullet journaling, a moleskin journal would make sense to you. that was what I was using and designing my layouts each week. I was getting so in depth in my layouts and putting so much time and effort that I was not even using them. gasp! it is bullet journaling problem #43! ok, I made that up. but it’s true!

I have so much bullet journaling supplies that I didn’t want to give it up entirely especially with work schedules, bills, kid stuff, selling thirty-one and just every day junk I needed help!

I recently bought a new planner from micheals on sale! I was drawn to the pretty flower cover

originally, I was not going to go with the predated planner but after looking this planner started in july, so I really only lost about a month.

each month has a overlook of the month page, a monthly spread, and then broken down into weeklies. below I inserted a slideshow !

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while at micheals I was tempted by the inserts that they have for happy planners. I found a budget one. in the budget packet, there is enough for about 6 months. each month comes with a monthly spread (prob wont use this really but I have to put it in for the other pages), expenses, monthly budget in a glance, bills, and finally a budget review page.  look below another slideshow!

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I have not wrote in it yet. I’m doing that today. yes, I know. i’m suppose to be writing down my tasks but I have been doing other things today on my day off!

do you plan? what do you use? are you simple or like a lot of design?

Kid reward system

Hey everyone! I know that I have been missing for the past couple of weeks but it has been a busy couple of weeks! we went boy scout camping, getting ready for school, and now on to the second week of school getting into a routine.

we don’t have issues with discipline or behavior to much… well ok, we have a 10 year old boy that is everything like his father! lol. he is a chatty kid and in school it tends to get him in trouble.

the fiancée and I talked about the kid and how we didn’t really want to give him an allowance for chores, grades, or doing good in school. don’t get me wrong, it shows kids how to manage money by reward and consequence. but how we saw it, we never were given an allowance because as a family you help out around the house, this including chores. we don’t want me to think about the chores as a punishment but what he does to contribute to the family.

I know a lot of people may or may not agree with this. my own mother doesn’t agree with it. she says he should have an allowance for chores and grades because then he sees what happens when he is good. I was like “Mom, I never got an allowance!!!”

so instead of rewarding with money we decided to do something different. I put together a couple containers that I bought from the dollar store. really everything came from the dollar store, I think I spent about $7. 20170813_190601

what I bought at the dollar store was four containers, two packages of pom-poms and popsicle sticks that are colored.

we knew that the kid was getting points in school based on his behavior. if he was given a warning or points were taken away we were notified thru an app on our phone.

the kid likes to talk. he is a talker. its not really a disruptive talking per the teacher but more like he wants to help other kids and he talks. last week he was telling us that he was doing very well in school to come to find out that he is not… he was being warned every day because of the talking. we knew it was coming. we were hopeful it would not be a problem. the lying was the other big issue. he wasn’t telling us the truth. he knew that we might not know what is going on in school if we didn’t ask the teacher. what he didn’t know was that I was in contact with the teacher all week and I found out that no…he was not doing very well and continued to lie to his dad and I.

after a couple of days of looking into ways for discipline that would work for him we came up with a reward and consequence jars. each day he can get pom-poms from his dad or I.

pom-poms are rewarded with no warnings in school, no points taken away, chores done correctly with no reminders, no back talking, putting clothes away correctly, etc.

when he gains pom-poms, he can “cash” them in for popsicle sticks based on how many he has. each color of popsicle stick was assigned a number (red 160, orange 125, yellow 100, green 75, blue 50, purple 10). he can “cash” in any day or at the end of the week. we explained that if he waits he could gain all 160 pom-poms to gain a red popsicle. on each popsicle I have labeled rewards based on how many pom-poms and how long it could possibly take him to achieve them. the reds are worth more, some of the rewards are going out to movie and dinner, dinner to his place of choice, $10 to spend. the rewards go on from there. you can see in some of the pictures what I wrote on them.

we are hoping that doing this is showing him that when he is doing good in school as well as expectations around the house are done then he can benefit from them.

now, I don’t want you to think that he goes without. he does not. if we go to the store and he sees something that he would like to have, we buy it depending on the situation and if we think that he deserves it at that time. we will continue to do that but this gives him something special knowing that he did this because of his good actions. does that make sense? or only in my head??!

for bad behavior like warnings, points being taken away, not doing chores, back talking, lying, etc then he has a consequence jar. in the past couple of years, we had consequences for his actions and usually they lasted the rest of the night. he suffered and we suffered. if we had something planned then we couldn’t do it because we didn’t want him to think that we forgot about what he did, but then we started suffering and fighting.

this new thing that we are doing does not take away from the action that deserves a consequence. if we feel like a behavior deserves more than just one popsicle stick or more than just no tv but losing other things then we have that option. we are the parents after all! lol

instead of going on colors by severity of consequence I just wrote on plain popsicle sticks. I’m hoping that it gives him some kind of control over his action. instead of us telling him what is going to happen, he draws from the container to find out what happens. 20170815_121122

I am hoping that this reward system works well and doesn’t come back to bite us in the butt!

have you ever done anything like this before for your kids?

anything that you can add or help me would be much appreciated!

 

 

 

 

 

 

 

my version of chicken tikki marsala

disclaimer: I have never cooked tikki marsala or ate it before. I’m sure the real version and not from a can is so much better. plus I’m not sure if I made it correctly.

to begin I cubed chicken breast. had about 3 lb all together.

diced up an onion and pepper.

coated the chicken with flour, pepper, and salt

cooked that until brown with the onions and pepper.

then I added the sauce…yes from a jar. I let that simmer until done.

I also served it with rice

it was good. a lot spicy then i was expecting. I told the guys it smells like pumpkin cooking. I wish we had places around here that has this meal available. I need to look into making it from scratch.

have you ever had this before ? do you like it ?

adventures of a curvy girl- get your butt in gear

hello everyone!

I have not been blogging very often in the past 3 weeks. I have been so busy with work, the kid, working out, getting ready for school, camping and life.

while I have been busy, my healthy eating has diminished. why? I have no idea. I feel like I’m not able to eat healthy because we have been so busy.

i also took a week off exercising due to boy scout camp for 4 days… which is an exercise in itself.

school is starting this week and I’ve been thinking I need to get the family on a schedule. a schedule not only to help get things done but one that I can easily follow.

my plan is to get back on track of doing body pump monday, Wednesday and Friday. I would love to do piloxing from 645 to 730 on Tuesday and Thursday but with the bf schedule and kid going back to school I’m not sure how this is going to be possible.

I know, I know sounds like excuses. I’m envious of families that do all kinds of things in the week including eating healthy and working out.

How do you do it ????

Lost and found sisters by Jill Shalvis

I was in need of a feel good romantic book after reading lots of dreary books.

lost and found sisters by Jill shalvis hit that category spot on.

Quinn Weller has everything, a loving family, the perfect job, and a boyfriend ready to marry her. but after losing her sister Beth, in a car accident two years ago, she hasn’t felt the same. she feels empty and that something Is missing in her life.

when a lawyer tracks her down to tell her that she is really adopted and that her mother passed away, she can not believe what she is hearing. she finds out that no only did her mother have brief contact with her but she left her an inheritance…and a sister.

Quinn leaves L.A for wildstone California to see her sister. along the way she finds comfort in a handsome and sexy guy. does she stay in wildstone and live outside her comfort zone or move back home?

if you are a fan of jill shalvis, colleen Hoover, Susan mallery and Kristin Higgins then you are going to love this book.

I read it in one day!

the child by fiona barton

if you have read *the widow* by fiona Barton, you will not want to miss *the child*.

this book has lots of twists and turns.

there is am old house in London that is being demolished that reveals bonys of a baby that was buried.

kate, the journalist, wants to give the child the attention she deserves and writes a story.

as she digs into the story, she finds out that there was a baby that was stolen from a maternity ward years ago.

the story gets deeper as she looks into stories and the people that live on the same street.

the plot ends up around 3 women with an even shocking ending.