I need an MD or DO.


Thanks to Medicare stupidity, I need an MD or a DO to sign off on home health orders or on DME — home oxygen, a hospital bed, a wound vac, etc.

Anyone out there willing to sign off on these?  I’ll happily pay you more than the Medicare rate along with a stipend.  Given that most of my patient population is elderly, this is a really important thing.

You will have access to all my records via the electronic health system so you can sign on the electronic orders, and review my notes regarding patients.

You do have to have a US NPI though.  :)

Hospitality violation


My neighbor, whom I’ve written about before Here.  Came over today to buy some eggs.  Three dozen eggs.  She paid cash for them.

Now, I’m never really happy to see her, she wore out her welcome a while ago by constantly begging for food when she was here.  That finally stopped when we started telling her “No, we need that for lunch at work.”  Well mostly stopped.

Let me give you some more history and background.

She was discharged from her own medical practitioner last year because of drug shopping.  She came to me to gripe about it, and I told her they have that right.  She is the one who agreed to the terms when she began going there, she has no one to blame but herself.  She then tried to say she has the right to get a second opinion and I agreed with her, but told her she is the one who signed the contract, she maybe should have read it a little more closely before deciding to get a second opinion AND filling a narcotic script from the other practitioner.

She has no job, no visible means of support, yet she gets tattoos regularly – she is covered from neck to feet.  She says people just give them to her, my husband says she is trading sex for them (which might actually be true).  She worked for many years as a stripper.

She has tried to tell me for a year that there is something wrong with her thyroid (there’s not, I saw the tests myself), that there’s something wrong with her sinuses (she saw a specialist who told her there’s nothing wrong), that there’s something wrong with her heart (there’s not, she had an angiogram but before that for months her excuse for lying in bed all day was chest pain), that she has anxiety and insomnia (but when asked how much she sleeps she says about 12-15 hours per day), that she can’t lose weight and feels tired all the time (yes you probably do, you sleep too much and you don’t exercise – and you’re nearly 50!).  There’s a word for this:  malingerer.

She says she can’t get a job (well probably not, your top lip is pierced twice and your bottom lip once, your head is partially shaved and neon red where the hair is actually growing, and your tatted from neck to toes).  This is rural Arizona.  That crap is seriously frowned on.

Today was the final straw.   Nearly every time she comes over here she tries to use me as a free second opinion.  Today she asked me about doxepin.  And tried to tell me she’s going to try to get on Adderall.  Which is legal meth.  I lost it.  I told her flat out that I’ve known her for a year and she does NOT have ADD.  Or ADHD.  She said that yes she does, she took a test and it said she probably does (one of these on line self tests mind you).  Now seriously.  Think about the previous two paragraphs, what I’ve said about her, and tell me if that looks like ADD/ADHD to you.  She’s spent the last year bitching about her heart, her metabolism, her fatigue, her sinuses and NOT ONCE about anything remotely compatible with ADD.  Other than the changing focus on different body parts when they are proven to be just fine, mind you.

I actually began yelling at her.  “Bull $h!T!!  Bull $h!T!!  No you do not! You F*ing do not!  I’ve known you for a year, you do NOT have ADD!  You took a F*ing self test, they’re very easily manipulated to get the results you want!  You just want F*ing legal meth!”  I basically threw her out of the house.  I actually told her right before I shut the door in her face that she just wants it to sell it.  Which is probably a huge hospitality violation.  But really.  Does coming over and bouncing a bogus diagnosis of ADD/ADHD off your practitioner neighbor when you’re purportedly there to buy eggs really count as visiting?

I seriously think she wants the meth so she can sell it – there are several people here in the community who were getting it from the previous physician (who has since gone on to more lucrative pastures) and were selling it as well as using it.  I know there’s a market.  And I know who was selling it.  And she can’t get a job, so the logical thing would be to fake an illness in order to get a controlled substance for sales purposes.

Man I get sick of the people who are bleeding the system dry.  I work 6 days per week, and I have insurance that I can’t use because the deductible is $6500.  My husband doesn’t even have insurance, we can’t afford it.  I’ve been to the doctor maybe once for an actual physical since we’ve been together (nearly 20 years) and twice for employment related physicals, and maybe 3 times for urgent care type issues.  He’s been to the doctor three times  for a physical (all employment related) and once to the emergency room for an allergic reaction.

Our neighbor goes to the doctor, courtesy of the taxpayer, at least once a month!  And gets very expensive medications prescribed, for which she pays nothing, courtesy of the taxpayer!  And then proceeds to refuse to take them.  And there’s no reason she can’t work other than the fact that she deliberately makes herself unemployable!  These are the people who are breaking the system, not the hard working poor people who really do need a little help.  And believe me, I live in a very low income community.  I know which of my neighbors work and which are milking the system.  For all the good it does.

I actually do not have words for the amount of anger I am feeling right now.  And a little shame that I let her get to me.

 

 

 

 

 

 

 

 

 

 

 

How modern medicine has set us up for a looming cancer epidemic


This is long but well worth the read. I’ve been vaccinated against, and also had, most of these childhood diseases: chickenpox, measles, mumps, pertussis (this one really sucked), scarlet fever (no vaccine, just a strep infection). Which just goes to show that the vaccines are 1. not as effective as everyone assumes, 2. don’t last as long as everyone assumed (though they are coming to realize that now as more people like me get vaccine preventable diseases), 3. have unintended consequences.

The Seneca Effect

Last year I wrote an article that pointed out that viruses are not per definition malignant. Many of the viral pathogens to which we are exposed should instead be seen as symbiotic organisms, that perform important functions for our health. The effects they cause include a long-lasting protection against cancer.

Unfortunately, it is easier for us to detect the acute effects of a viral infection than to detect the long-term role that viral infection plays in our health. As a result, modern medicine has led us to make a number of decisions that are ultimately detrimental to our health.

I recently encountered a study that provides a long list of cases where childhood natural infections with diseases we now vaccinate against was associated with a reduced risk of cancer. Even viruses like Influenza are mentioned in the literature as playing an important role in “teaching” the body how to cope with future…

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It may be time to boycott YouTube.


Huh.  I just discovered today, via looking around at various videos, that for anyone who has turned off the advertisements for their own videos, they no longer load or play without interruptions.  Like constant buffering interruptions. But the ones with the annoying advertisements play like butter – smooth.

Time to maybe start either a campaign to have everyone turn off the advertisements in their videos or boycott YouTube altogether.

I cannot tell you how very SICK of Dove commercials about strong women being proud of their looks and hair I am.  Who gives a flying $%)%(?

 

Tough call.


Probably going to sound like a really stupid thing.
I called the police on the couple next door. I heard their little girl screaming a high piercing shriek over and over like she was witnessing a murder, then I heard the mom screaming, and heard her saying “Get off me! Stop it! I can’t believe you did that, stop it, get off!” Over and over. And more that I don’t remember.
I walked over to the house and banged on the door (well first I knocked but there was so much going on they didn’t hear me). When the dad opened the door I said “Getting a little loud in there. Getting a little physical. I advise you to knock it off.” He said OK and basically slammed the door in my face.
Turns out a cousin died of a drug overdose and everyone was pretty over wrought.
I don’t feel good about calling the police, but I also don’t feel good about leaving a woman and two small children in possible danger if they were being physically threatened or abused in any way.
It was a tough call.

wyrd. It’s a thing.


So I’ve been working 6 days a week for several months now, since the beginning of February.  I have to say I’m getting more than a little burned out.  I work 3 days a week for another provider and 3 days a week building my own business.

This has been QUITE the learning curve.  I have a subscriber who is a physician in Canada who I envy because he has no concept of the hoops that must be jumped in order to become credentialed AND contracted with the insurance companies here in the US!  Suffice it to say they seem to, from my point of view, have a slew of employees that get paid a very good wage to do a whole bunch of nothing much.  And blow lots of sunshine.  And pass the ball.  But not actually come through and do what they say they will.  Not all, mind you.  Some have been exceptional.  And some employees have been quite exceptional.  But overall….yeah.  Just wow.

So the reason this is about wyrd is because of two (well three really) things that intersected in the strangest and most wonderful way today.

  1.  The credentialing/contract thing.  And the continuing non responses.  I have a friend who is helping me out of the goodness of her heart.  She has been involved in contracting/credentialing for 40 years.  She knows her stuff and she believes in my business and what I want to do for our community.
  2. My son.  He works for a business in our closest big city, where he started out as a data entry person and is now a vice president.  Hard work, dedication, and literacy *are* rewarded on occasion.  He has contacts in high places thanks to his position.
  3. I’m a devotional polytheist.  And I believe in making offerings to my ancestors, the land spirits, and the Gods because I’m grateful.  That’s all.  To me the whole Germanic gifting cycle is us being grateful for what we have, not in order to get anything.  It’s not a transactional relationship.  And if you think it is, then you don’t understand the gifting cycle.  Now, when you need something that’s different, and a different thing, and not directly related to the gifting cycle.  At least not to me.  No tit for tat in my devotions.

So how these all intersect is that my friend and I had a very frustrating and relatively unfruitful day following up on these contacts I signed months ago with no provider privileges in sight.  Which means no ability to bill and get paid for the work I’ve already done, even as an out of network provider.  Which I was promised I would be able to do when the contracts were finalized.

And a phone call from my son.  In which he had some questions about my university, and about my degree program, and what was involved (for reasons which shall go unsaid).  And his frustrations.  And I shared my frustrations with him, and named names about insurance companies we dealt with today.  I did NOT realize when I was dumping on him that he actually is on a first name basis with some of the very top power players with the same insurance companies.  But I found that out in short order!

Long story short.  Son and friend were put into contact.  Son and friend are pulling strings on a level I would quite simply be unable to accomplish on my own.  Things are going to happen now that might have taken a year or more without them both working on this.

And how does that relate to the gifting cycle, or to wyrd?  Well, if you’re a heathen you already know.

Quite simply, I firmly believe that my gifting prompted a return – not as a transactional relationship, but as an outpouring of blessing for my devotion and offerings.  I also believe my investment in my children, my insistence on personal responsibility and work ethic – even when they were VERY sadly off track, has paid off.  Not that I expected that, I’m just glad they are happy and feel successful in whatever they do.   But the fact that others recognize them for their dedication and responsibility is an amazingly reassuring thing.

And my wyrd, the web that I have woven using the ancestral heritage, and adding my own actions, has made my luck good.  I’m able to call on the help of friends, the help of family, and the help of people I don’t even know to aid myself to serve my community (and make a *small* living doing it).

This is what it’s all about.  My gratefulness meter is just about pegged out.  And my pride in my children is too.

 

 

Broth: Real Chicken Soup the BodySoul


I recommend to my patients with upper respiratory infections and with GI bugs on a regular basis that they eat REAL chicken soup, made with the bones and the skin of the chicken.  It’s mucus thinning, cough suppressing, soothing to the mucus membranes (including those in the GI tract), provides needed water (as long as you don’t douse it with salt) and comforting.

Good broth resurrects the dead. – South American Proverb   I’ve been reading recipes from Anglo-Saxon English times and from Gotland Sweden, during the ninth century. I always wond…

Source: Broth: Real Chicken Soup the BodySoul

Gene splitting. Or something.


So.  Have been in a sort of an argument with the writer of a Folkish Asatru blog.  I think I quite upset him by saying that I don’t think you have to be white to worship the N. European Gods.  And that I would rather raise a horn with an honorable Black Man ™ than with a white guy without honor and full of hypocrisy.  Which was not aimed at him, but at the Fearless Leader of HUAR.

I also said that in America, given our history, it’s quite likely that said Black Man ™ has more than a dollop of N. European ancestry in him.  So if he wants to worship Odin, or Freyja, or whoever, I’m not going to question him on it.  Because I am an actual polytheist.  I believe the Gods have agency.  And agendas.  And they choose who they choose.  They call who they call.  I’m sure many have been called, but few answer. ETA  I do think the call is a LOT easier to hear if you share the same ancestry with the Gods, and a LOT easier to answer.  Those who do, though, have been bestowed a GREAT gift, in my opinion, by those Gods.

Said writer said I am right, that he and other folkish heathens have no desire to limit people from worshipping the N. European Gods, that said folkish heathens simply have no desire to worship with said Black Man(tm) – mind, he did not say those exact words.  But that was the gist of it.  He also said he would not worship with me (gist again).  Because of what I said. But I find it interesting that he never said he wouldn’t worship with a white guy without honor, which was the point of my response in the first place.

Which leads me to ask:  is the color of one’s skin more important than their deeds?  How white do you have to be to be in his tribe?  Is looking white enough, or do you have to produce a pedigree?  How about a cheek swab?  What if you have a wop in the wood pile, as my father in law likes to say?  Does that exclude you?

ETA after reading Stormwise’s comment.  I think I should clarify: I DO think many of those who *appear* to be without Scandinavian/Germanic heritage do in fact have it. I DO think those of those who “look” of another race are hearing the call inherent in their genes, especially here in America. And I DO think an understanding of the history, lore, culture, and values are an important part of the religion. You can’t have orthopraxy without some understanding and “buy-in.”  You certainly can’t have orthodoxy without it! Dogma….another thing entirely.

And what if you’re 100% lily white, Swedish and German in heritage, with grandparents who emigrated and homesteaded here, but you are also a narrow minded jackass who can’t be trusted not to beat his woman and his children, and cheats on his wife?  (I know this person personally)  What if this guy is a straight up racist jackass who calls Mexicans ‘beaners’ and African Americans ‘niggers’  and tries to teach his kids to do the same?  Is this guy OK because of his heritage, even though he behaves without honor?  And if I say that I care more about the deeds of someone, about how they treat themselves and their families and their neighbors and their bodies, and how well they keep their word, than I do about the color of their skin, that makes me not OK to worship with?

Puttin’ it out right here:  I am NOT universalist.  I do NOT believe Asatru is for everyone, any more than Druidism is for everyone.  Or Zoroastrianism is for everyone.  Or Yoruba.  I think we all can agree what universalist religions have gotten us….a couple thousand years of massacres of native peoples because their God is so greedy for ALL the worshippers he orders his followers to kill those who don’t want to worship Him.

Do I think there are cultural differences that sometimes simply cannot be surmounted?  Oh, of course, without a doubt!  And that’s an important factor in a religion like Asatru, where ancestry – and culture, and values, and mores – play such a huge role.  For instance:  Voudun.  I respect the hell out of it.  Believe in the reality of the Gods they worship as much as I believe in my own.  But that religion is not mine, I don’t understand much of the culture, those Gods don’t speak to me, because it’s not for me, I’m not from those people and I know it.

I DO believe in the science that supports genetic expression and epigenetics, and I believe in spiritual inheritance from our ancestors.   Hel, I even believe in genetic memory, I’ve experienced enough times of knowing something I just really shouldn’t know to prevent me from dismissing that out of hand.  I DO believe in the importance of honor.  And honoring one’s ancestors.  And doing what you say you will do.  And being a responsible member of one’s community.  But apparently just saying that I place so much value on the values of our ancestors, means I am not welcome in some Asatru circles, because I would not exclude someone who met the standards of those values, based on the color of his skin.  And I certainly don’t want to go back to the times, not that long ago, when someone had to “pass” as white in order to gain acceptance in society at large.

When I was a child we moved 18 times in 11 years.  I always felt different, uncomfortable, like I didn’t quite belong.  Every time I would finally feel like I understood what my place was, or could be, we moved again.  I was a quiet kid who felt more comfortable in the woods, making a camp, or being in a tree with a book, than with other kids my own age.  I spent my childhood soaked in the fairy tales of Europe in every iteration I could find.  Between the moves and the family, I spent a lot of time watching tribalistic behavior, watching cliques develop and break down, figuring out who would stand by their word and who would not.  I learned to see the true value of people based on their deeds, not their status. And I sure as hell learned to read their bodies and their eyes!  So perhaps I place a lot more value on quietly DOING the right thing than being the LOOK of the right thing as a result.  I don’t make friends easily.  I have a lot of friendly acquaintances, very few friends.  I don’t give friendship lightly.  The ideas of Inner and Outer yard are innate to me.  I grew up with them.

It’s funny but the older I get, the more value those same sorts of people who would have never considered me as friend when I was young, now find that appearances can be deceiving and that deeds actually do matter.  I find myself part of a tribe of people who all happen to value those same virtues.

Ironically, it is my understanding that some of the most vociferous opponents of Americans worshipping the Old Gods come from …. Norway.  And Denmark.  Because American peoples’ ancestors left the Old Country and left their rights to worship the Old Gods there when they left.  And BTW we’re not Norse enough:)