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Aces again

I am singing: “You are coming up ACES!”

Ok, but, hopefully not. Because I am talking about ACE scores, Adverse Childhood Experiences. See the CDC website, this is all based on a ginormous Kaiser study in the 1990s.

Here: About the CDC-Kaiser ACE Study |Violence Prevention|Injury Center|CDC

Yep. A very very interesting topic for a rural family practice physician.

For the Ragtag Daily Prompt: ACE.

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Getting rid of stuff

This is not my forte. I was raised by pack rats and I have genes from both sides. My OCD tendencies are confined to patient charts and keeping shoes in their original shoe boxes. Otherwise my house is piler pack rat. Piler, not filer. Filing is boring. My office managers have to be Queen Filers to keep me in line. Both of them were, too.

Cleaning out the clinic was difficult. I found stuff I didn’t know I had, of course. What to do with the metal speculums? Keep for posterity or in case we run out of oil? I don’t actually know where the speculums went, they went off with a friend who is helping.

In retrospect, I think my mother would have made paper mache ducks with speculums as beaks and wish I’d kept one. Ah, well.

Weird shelves, microwave and printer.

Someone bought the weird shelves. The microwave’s owner picked it up. We had three printers running at any one time except when one would die and we’d only have two. This printer went home with me. New and old computers went home with me because one has to wreck the hard drive because HIPAA. My house currently looks like a computer/printer/scanner/file cabinet graveyard. It’s annoying.

Home office guest bedroom.

Besides this messy room, there are also 8-10 more boxes of stuff moved down to the basement. I have to keep patient charts for ten years or until they are 21 for minors. I have paid a company Big Bucks to take that over. I have to keep business records for 7-10 years depending on if it’s state or feds.

Well, I’ll sort it before I’m dead, or else my kids will.

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Quimper Family Medicine contact information

Quimper Family Medicine is closed.

For Medical Records, here is contact information:

Spectrum Information Systems

PO Box 739

Enumclaw, WA 98022

phone 206-686-3821

fax 206 686 3840

The contact information for billing is by mail only:

Quimper Family Medicine

PO Box 1053

Port Townsend, WA 98368

I had the fax number set up to fax to the cloud, but Century Link botched it massively. I spent an hour on the phone with them a week ago Thursday and couldn’t fix it. Good it wasn’t in person, because I wanted to break things. They screwed up the change of address, didn’t send me a bill, didn’t sent me the email to activate the damn thing, then passed me off to someone else who hung up on me. My thoughts about Century Link currently are quite dark and not publishable on a family friendly blog.

Empty clinic right before closing.

I miss my peeps. You people, friends and patients.

empty waiting room and front door of a clinic
Empty clinic waiting room and front door.
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Quimper Family Telemedicine

Quimper Family Medicine is open and half or more visits have gone to telemedicine.

People are staying home, and hooray for that, many thanks to everyone who is trying to protect themselves and others. We have seen our patient numbers drop by more than half. We have intensified cleaning and discuss whether a clinic visit needs to be in person or can be via telemedicine. I am using VSee, Zoom and in a pinch, Messenger. At the same time I am still seeing some patients in person. We are extending refills, putting off labs, trying to walk the tricky balance of sharing decisions for each particular person.

Many thanks to everyone who is working with us. I am deeply thankful for all the people who are staying home and also for the people working in the grocery stores, supplies, garbage, electricity and medicine. Thanks to the Health Department and to the University of Washington lab and to Jefferson Healthcare’s Covid-19 testing. Thanks for the stimulus package that just passed and I hope will help everyone.

The photograph is Mount Baker on a hike with my daughter. It’s not in sharp focus, just like what will happen in the next week or two is not in focus.

Be careful out there.

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RDP Tuesday: ancestor

For our Ragtag Daily Prompt this delightful Tuesday, the word is ancestor.

How does ancestor strike you for a Tuesday? Tell us a story! Tag it with ‘RDP’, ‘Ragtag Daily Prompt’ and ‘ancestor’. Post it with a pingback to this post. Check in with other writers and posters for inspiration and community.

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Mundane Monday #207: change

For Mundane Monday #207 my prompt is change. Here is one of my beloved great blue herons in the winds of change.

Well, dear folks on WordPress, I have life things going on that are interfering with my blog.

This will be the last Mundane Monday post unless someone else would like to take over. Many thanks to the people who have contributed.

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Last weeks prompt was opening.

KL Allendorfer contributes with a musical opening.