Tag Archives: RDP

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Keyboard supervisor

Elwha supervising me at the keyboard.

In high school I took typing for dummies. I was terrible at it and slow. Many women were avoiding typing classes in the late 1970s because they did not want to be secretaries. I wanted to be a writer and knew that I was a terrible typist. I also could not spell my way out of a paper bag. My mother was quite dyslexic and did not care. Once I had to sound out a word at the store from her grocery list: “LETIS”. Oh. Got it. Her letters are wonderful, not only interesting and creative spelling, but also wandering tenses and subjects.

We got our first electronic medical record in the early 2000s. We went from looking up labs on a computer and using a computer for maybe an hour total per day to full on eight hours a day. My shoulders and the nurses’ shoulders all locked up and we all filed for Workman’s Comp. I had to work with physical therapy to get my shoulders to unlock. My nurse pointed out that all problems were treated as “User Problems”. That is, WE were the problem, not the program. I realized that having the doctors who love computers pick out the program, learn about it for a year, and then teach us in two days and go live was a massive mistake. None of us understood it nor did we understand any of the computer lovers’ terminology. We rapidly quit asking questions because we didn’t like being treated as morons. Every person who was not a computer lover figured out their own work arounds. Two years later, the computer lovers tried to get us to standardize what we were doing. It’s not very surprising that we resisted and hated them. We had had to figure it out on our own with no help and we were very cynical and disbelieving that they would now “Make it easier.” Nope, they didn’t.

If I were to do it over again, the team picking the electronic medical records would include a couple of older doctors who hate computers. One of the selling points to the computer lovers was “you can write your own templates”. Our response was “We would rather be boiled in oil.” Three years after we got the system I asked the head computer lover doctor to write me a template. It was generic. Patient is complaining of (a problem) (more than one problem). The (problem) has been present for (a day, two days, a week, a month, a year, too long). The problem is (getting worse, the same, getting better). And so forth. Because we had all sorts of problems that did not have a template. My computer lover doc rolled his eyes, but set it up for me.

I also asked the clinic CFO WHY they didn’t set up typing lessons for the doctors who couldn’t type. I watched one of our group hunt and peck with two fingers. “You want them faster, right? You’ve said we could do the whole note in the room. How can they if they can’t type?”

“We are not giving them typing lessons.”

“Well, I think that’s misguided.” Ok, what I meant was that I thought it was STUPID.

Another selling point was that we could finish the note in the room. It turned out that I could do the note in the room after I had fought with the program for two years. It consistently took me 25 minutes. Then they ramped up the schedule and set us all at 20 minute visits. I started running late all the time. I told the front desk, “I’ve been told I should get the note done so I am. And if it takes me 25 minutes, that is what it takes.” Once the hospital kicked me out, I started my own clinic and did 30 minute visits. This did not make me rich but it made me a heck of a lot happier.

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For the Ragtag Daily Prompt: keyboard.

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Rethinking lawns

Lawns are being rethought. People are planting meadows or strips of meadow, for bees and insects. They need corridors and it helps with plant diversity and the health of the earth. A lawn with pesticides has a huge issue of a depauperate fauna, that it is just one sort of grass. The pesticides will kill insects as well as “weeds”. We have to redefine “weeds” and value the diversity of meadows and wild places and insects. I am hoping that my lawn will be taken over by thyme and oregano and parsley, all of which are spreading in my yard. Half of my yard has been wild and unmown since 2007 and the local deer and birds love it. Plant a meadow or let part of your yard go wild! We need the diversity.

The photograph is from the wild part of my yard in August 2022.

For the Ragtag Daily Prompt depauperate.

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Release the Kraken!

I chose measly for the Ragtag Daily Prompt because there is a measles outbreak. Great. Another outbreak? Yes. Parents are behind on bringing kids in for Well Child Checks and kids are behind on immunizations, so measles.

Measles is way more infectious than Covid-19 and is spread by coughing and droplets. Per the CDC: “Measles is one of the most contagious diseases. Measles is so contagious that if one person has it, up to 90% of the people close to that person who are not immune will also become infected.” Read here. Immunizations are at 18 months and age 4-6, two shots. That will make the vast majority of children immune but not quite all. No immunization reaches quite 100%. Measles unfortunately can have some awful and serious complications including death. If your child is behind, get them immunized as soon as possible!

If some has the measles, the rash, they are measly. That is one of the definitions of measly.

Measly weasely
You are so teasely
Your heart has a rash
Our friendship is hash
You toss me like trash
Your heart just smashed
You are so measly
Weasely teasely

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I keep wondering if the earth is annoyed at the way people are behaving. Perhaps she has said, β€œRelease the Kraken!” But the most efficient Kraken turns out not to be a giant monster attacking New York City, but Covid-19, influenza, measles and strep A. Invasive strep A is out there too. Having had strep A pneumonia and borderline sepsis twice, I very much do not want invasive strep A.

It’s the little things that get us, right? Viruses, bacteria. Measles is a virus, like influenza and Covid-19. Strep A is a bacteria. I had very bad influenza in 2003 that put me out for two months. I read about influenza and thought, oh, we will have another pandemic and in fact we were overdue. They come about every fifty years. My children heard quite a bit about it. My daughter said she wondered if I was a little nuts until the ebola outbreak and then she decided that I was probably and unfortunately correct. The only surprise for me was that it was a coronavirus instead of influenza. That and that humans behave in very interesting and often dysfunctional ways when they are stressed: and the same ways as in the 1918-1920 influenza pandemic. Logic flies out the window replaced by panic, magical thinking and rumors and people happy to take advantage of others. Selling fake cures, refusing masks, refusing immunizations and denying that it is happening at all.

For the Ragtag Daily Prompt: measly.

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blue border

We visited my two aunts and my uncle in Roanoke, right after Christmas. My aunt and daughter and I went for a walk. It was a bit cold but beautifully sunny. This bridge looked so beautiful against the border of the blue sky.

It seems odd sometimes to me that people are so frustrated with immigrants. Don’t we all move if we think there is a better job, or better homes, or opportunities for our children? To escape violence or discrimination or war and to try to help families and ourselves. What is a border to that hope?

For the Ragtag Daily Prompt: border.

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Small cat

The kittens were new in 2021 and are so much bigger now. Elwha is the biggest cat I’ve ever had. Tiger face and shoulders. They were a bit malnourished when I got them and Elwha grow out rather than up at first. He was also very worried about food and ate very fast. It took a while for him to trust that more food would come. So far so good and he is much more mellow now.

And they both love to go outside on harness and leash. I have to take them one at a time, because I can’t effectively carry both if one of them freaks out. Elwha is much more likely to freak out than Sol Duc. The recycling truck is particularly scary. Also people, dogs and SUVs.

Early on, when everything was new, Elwha jumped into the bathtub and howled, because he landed in water. He had previously found it empty. I had to rescue him and he was very upset. He spent a full thirty minutes cleaning himself.

Very happy New Year’s Eve. Be careful out there and I hope the New Year brings joys. I am hoping that this will be our last really bad Covid-19 winter, though we may need to do yearly vaccines.

Here is a tea-cat, Hot Kitty, in a teapot that Helen Burling Ottaway made. She was my mother and the poem on the teapot is mine. You can read it here. We drank a lot of tea growing up.

For the Ragtag Daily Prompt: new.

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hide, spider!

Elwha would happily hunt the spider if it was on the inside.

As an amateur spider identifier, I think this is a Cross Orb-Weaver. Here is a site about Washington State Spiders: https://spiderid.com/locations/united-states/washington/. See the Ragtag Daily Prompt for a close up.

Where do the spiderlings go when it snows? Here is Sol Duc exploring the snow very early on the first morning of new snow.

And here is Over the Rhine. The third song includes the line “Let it fall like snow.”

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hands together

These hands and the other hands that finished this difficult puzzle together on Christmas morning. We even found the missing piece, under my son’s pile of loot! We did start this one two days before Christmas. It’s a stinker.

These hands that make eggs benedict, and hug me, and hug each other. These are some of the things I adore, the owners of these hands.

For the Ragtag Daily Prompt: adore.