Friday, December 5, 2008

…12/04-08: thrill, or be thrilled

32º in ABQ; 66% humidity at 6A…Code Yellow: Moderate Air Quality; someone stole cell phones from Manzano High; I fell asleep last night, and never woke up until the alarm sounded; yesterday, Rail Runner experienced problems in Valencia CNTY, forced to stop near Rio Bravo; NM political landscape may change, and Diane Denish will choose her own replacement; Thornburg Mortgage share prices fall to twenty cents; entire state is at, or below, freezing; NM GOV & Lieu. GOV held AM press conference; will Bill preside over the 2009 legislative session, or will there be a transfer of power?; Bill, the ‘economic diplomat’; Torrance 911 service is down; I am constipated; Bill & Diane, presenting a ‘united front’; Brad cut his own hair, then cut mine; NM is ranked number 29 in terms of health care: in 2007, it was number 38; we now have a new kitchen light with a cover, plus the dryer has been cleaned of lint;

at any time, on any day, the number of children at UNMH changes; but don’t question decisions, or disobey orders; never know how long a child will be confined; forgot about ‘Bliss’; good way to keep weight down; I deliver on time, but so many TES edits [not mine] & PDI requests; accept change; what do numbers represent; teamwork, a flawed concept; tired being ‘harassed’ by JoAnn; above all, remain calm & quiet; more interrogation regarding date of admission & initial visit vs. observation; more phone calls & E-mails; always remember to enter PICN; finished Rounds before 9A; MGR wants to be informed when Kay calls; many MOD 25 TES edit that appears on E/M line entry; so Brent told Aaron to contact Kay & Candace, and Kay contacted me this AM, and the discussion has lasted until late in the day; has MGR escaped from being blamed, constantly under scrutiny, longer than myself; and at the end of the day, my MGR was still supporting my decision; so I should accept their answer based on nothing more than blind faith, with no documents to substantiate their decision; MGR sided with me, ‘chewed out’ Kay; my decision is also backed by other Coders; am I leaving early tomorrow?; Holly on the lookout for new kitty we can adopt; I have many impromptu meetings with doctors while on Rounds, or anywhere else; talk about one person, and I could be in trouble; JoAnn said we all make mistakes; no more meetings to rehash old problems, that don’t produce solutions; have enough O/T, need to take time off…but at 10:53 AM?; Myrna has an APPLE PC; Jackie is ill; I asked the advice of Dr. Anaya re: residents being allowed to contact specialists for consults…the answer: yes, they can; I put the observation CPT codes on the PEDS I/P billing forms in 2008;

N Rockies snow, in Detroit & Minneapolis; temps from 10s to 70s; damp along the E Coast; rain from New Orleans to Nashville; MS, AL, DC; I-64, I-65, I-75, I-96; Pittsburgh; San Fran fog;

MT tree will light the White House; sell ads on CA exams, commercialization, paperwork publicity, rates based on tests vs. quizzes; the ‘Yes, We Can’ opener; The Big Three arrived via cars; now asking for $34 billion, or else, a Great Depression’; suspending ‘job banks’, unpopular with UAW members; tap into the billion dollar bailout; ‘never wore a leash, just like my master’; $846 million in sales, an increase from past years, on Cyber Monday; the 3-D football game?; the ripple effect when car dealers close: no one even looking at new vehicles; 900 car dealerships have closed during 2008; 31.5 million Americans using food stamps; another Bush heading for Congress, as a FL SEN; woman refused to take calls from Obama, thinking it was a prank; bus with students collides with truck along I-39 in IL; a high energy drink in France named after PRES Elect; the energy efficient White House tree; gay marriage vs. religion; the holiday lights are turned on at Rockefeller CTR; Commerce oversees FCC, job creation & economical growth, he could increase trade with Latin America; 300K people depend on dialysis; secrets of security scams; Wal-Mart sued after worker crushed to death; carpool to Capitol Hill; Clinton vs. the Constitution; AT&T, DuPont, Viacom & Credit Suisse cut jobs; &now, 60% oppose auto industry bailout; yellow, the color for 2009; buy the best by Bose; stagnant news; the hybrid bailout or bankruptcy of the Big Three; Chrysler went broke in the 1980s; GM may be bankrupt by the end of the year; people skeptical that the bailout begging will end; mortgage rates gong down: mortgage applications going up; the White House tree was officially lit tonight; humble men, arriving in hybrids or electric cars; as goes GM, so goes the nation?; a real possibility of collapse; culture, money & power converged in Miami, at a lavish art event thrown by UBS, the bank that is facing corruption charges, after setting up secret accounts for the filthy rich; 4.6 million homes are for sale; the Bush family has bought their own home in Dallas; the DOW went down; Hillary has a big campaign debt;

Russia ship passing through Panama Canal, a sight not seen since WWII; mixed foreign markets; India on alert; threats against three cities’ airports; PAK leader will not turn over anyone, prove they are truly Pakistani citizens; Canadian leader has suspended Parliament; terrorist promised $4K to his family; cholera epidemic in Zimbabwe; Dame Diana Rigg is 70 years old; reindeer salami?; another cruise ship stranded off the coast of Antarctica;

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