Laguna Honda Hospital Resident

Laguna Honda Hospital Resident

Thursday, August 30, 2012



---I’m sure that you all heard about the grass ALWAYS being greener in the other fellow’s yard. I heard a new version of that with same beginning, but with this addition - ‘’try watering your own grass and see how green IT WILL GET.’’
---We can see that if we maximize what we do have it may rival that which you see in someone else’s possession. You would have to reassess the situation…at the very least. The truth that I do see is that we are usually quick to compare what we have, with our neighbor. But, with the addition it shows how we are quick to judge ourselves WITHOUT having ALL the evidence.
---We usually do not know what our potential is because we can be so busy sticking our nose into the affairs of others. It is NOT usually about doing our best work, but being sure that we are ‘’keeping up with the Joneses.’’
---At a time of global warming and the drought situation, we can be glad that the saying isn’t just about lawns of grass. It really is about maximizing who we are. AND…what better way to start than to accept yourself ‘’as you are.’’ Accepting yourself…faults and all…is far better than waiting until you feel acceptable + perfect. Because, as I’m sure you know…you MAY wait forever. Take Care.

Tuesday, August 28, 2012

Susan Cain: The power of introverts: TED TALKS: documentary,lecture,talk

---An important perspective for those of us who work better alone. There seems to be a push of trying to make everyone a joiner or one who belongs. When there are many in our society who don't enjoy being in the midst of something all of the time. I, myself, do enjoy being alone a lot. I can relate to the picture painted by Susan Cain of someone who enjoys being alone and the realm that my imagination plays. I can be very introverted, but like to have activity to relate to. I enjoy having a choice of both, introversion and extroversion.

---One final thought on the subject...for now. It is the situation of having or NOT having a roommate. I, without-a-doubt, like a situation that has as much alone-ness as possible. Being in a copacetic environment is the first priority that I would make, over anything else. Luckily, things at present are okay, but it is frightening when I see some of the matches that do exist. I think that the design of the new hospital failed in that regard, also. One can easily see that privacy was NOT a priority when the new LHH was built. If anybody really does think that ALL is fine...then I challenge them to move in and see if it easy to flourish in the present environment. I know that it doesn't sound like it, but I love this place...I just think we could do so much better with an attitude upgrade. I include myself in that...most times. (If anyone seriously wants to discuss things...please feel free to approach me about it.)

Monday, August 27, 2012

James Hollis PhD Finding Your Own Path on LIVING SMART with Patricia Gras

---The very beginning is out of sync with itself, but corrects that very soon. I'm sure that the topic is one that we can easily relate to...NOT just in ourselves, but in folks that we know or residents in our charge.

---At the end he speaks of having many questions of life and not just a bunch of answers. As it says, ''life is NOT a problem to be solved, but more of a mystery to be lived.''

Saturday, August 18, 2012

Brené Brown: Listening to shame

---Another wonderful talk by Dr. Brene Brown. She makes a distinction between guilt and shame. She, also, talks of how shame is different for men and for women. Well worth listening to. A very different way of seeing a resident, a loved-one or yourself...than you possibly have seen before. Kudos for being courageous enough to listen.

Thursday, August 16, 2012

TEDxKC - Brené Brown - The Price of Invulnerability

---A great talk. She speaks of how vulnerability gives meaning to your life. It is the birth place of all the good things. As a culture she talks of how we are doing the opposite and numbing.

Sunday, August 12, 2012

Spent a few days at SFGH

Was like aluminum foil and cavities or
why I yelled + screamed a lot at SFGH
---My most recent General Hospital stay, I returned to LHH, yesterday, can be explained in this way: I had a mouthful of cavities and the General Hospital staff that I dealt with each had a ball of aluminum foil. Some gave me none. Some me as much as they could. Some situations were really fabulous and some needed tweaking.
---I went over there in pain. When I maintained a certain position, the pain was less prevalent. Only I could determine how to move, which was very little, to keep the pain away. If I moved quickly I felt attacked by the pain. It was like having cavities, but keeping everything asleep so as to not stimulate the cavities to begin hurting. All was well…until something occurred to stimulate the cavities. That something was usually someone who had as his intention - to help me. There were plenty of them. Remember that this is a hospital that I’m talking about.
---They drew blood many times, took (painful) x-rays a few times - only painful because of the contorted ways I had to position myself to get them. They used the sliding board instead of believing me about how I can transfer if you stop attacking me with the sliding board. And…for good measure restraining movement of my right arm and hands using a tight grip (this is claustrophobic as well as painful. It brings me to a panic situation…almost immediately.)
---I usually do pretty well in circumstances that I am in. I am a pretty smart guy when given half-a-chance. I have adjusted pretty well to the hospital in which I live. I have adjusted pretty well to my compromised physical condition(s) and try not to rain on other’s parades when they are in progress.
---Pain comes, usually at those times something surprises me that I didn’t anticipate. If I’m told what is happening and am kept abreast of the situation and in that way allowed to be part of it, I can usually muster up enough of, whatever is necessary, to get through it.

This Makes Me Wonder: I do fine if left to my own devices and can do many things, but they might not be the same way that most people do them. The big difference between a day at LHH and day spent at SFGH recently is this: They communicate with me at LHH and keep me in the loop of what they are doing or going to do to me. At SFGH many treated me as if I knew nothing and I was just fanaticizing when I told them that there were some things that they shouldn’t do because of pain and that there are some things that I can do for myself.

---It takes time to develope relationships. Staff and Resident should be assessed where they stand numerically. That would give some kind of testimony to there ability to communicate. With, myself, it doesn't take very long to assess the possibilty of relationship with the person in question. Over time the situation seems to improve. It is first encounters with closed-minded folks, that are most difficult.
---Many times they got angry with me when their expert came up with a plan to reduce the pain for me…and it didn’t work. Even if I know exactly how I would handle the situation…my suggestion is the one NOT chosen. Being flat on a gurney or bed or anywhere…is a thing I can’t do. And…lastly, they're were the ones who tell you that they are here to help, NOT hurt you…and end up hurting you, anyway.

---Truly, all would be prevented if the ''offenders'' would learn to LISTEN better and believe more the one that they are treating.

SUMMARY: I went to the hospital in pain. I couldn’t breathe properly. I had pain when I would NOT breathe shallowly. The objective was to relieve the pain…and it’s gone. I think that we would have saved added pain time if they had discussed each procedure with me before diving right in without my even knowing who they are. AND THEY SEEM TO ALWAYS GRAB MY RIGHTARM. (I have a movement disorder where my rightarm and fingers have been affected. This is all due to the stroke that I had in 2002.) Most of the people there were nice to me, but there were times when my concerns were NOT considered due to time constraints or worse. The worst would be a negative attitude toward the patients or the situation that they are in. They should work on that in there own time…but, work on that, please. Maybe the answer is to do something else. It may just be a bad fit to be in this field.
---This is a tough one I know. Please learn to listen to the patient/resident. Contrary to some belief system somewhere, they don’t lie about everything all the time. To the defense of staff members…you would be held libel if your charge fell NO MATTER what he may have told you. That is a hard one that needs real discussion.
---There are NO hard and fast rules that cover everything all-the-time. DISCUSSION and DIALOGUE with each client and don’t assume much either way. ALLOW him to participate in the procedure by letting him know what you’re doing. HE MAY BE ABLE TO HELP.
---Every encounter should have a beginning, middle and ending. The patient should be told that you are through for now if you are. Don’t assume that he should know that. Some things that are done are completely foreign to us. With, myself, I can’t see what you’re doing all-the-time so just by getting up tells me nothing other than you’ve stopped doing what you were doing for some reason.
If some of these things are done I know it will be better for me and some others. I won’t be chewing on as much aluminum foil and there shouldn’t be the extra pain that seems avoidable. All I’m really saying is - let’s work together and listen to each other. I had some great encounters despite the ‘’less than good ones’’ during my stay in SFGH. And, each wonderful time involved dialoging and working together. The days of the doctor working on un-savvy, knocked-out clients isn’t always every case. We have to find a new normal here, also. Maybe we should find a new normal in the attitude towards the underserved population than what is used, too. It is not just me…there are too many who fit in this mold. I believe that we would find it with dialogue. Take Care.

If it sounds like I'm only griping...I apologize. I had a tough time.

Friday, August 3, 2012

Vivian Imperiale to SFBOS:'One unintentional bruise, does not an unfit o...

---Technically, Vivian I., is my immediate boss. This piece is from a 2 minute public comment that she gave on an issue that is on the minds and hearts of the board of supervisors at present. When Vivian feels strongly about an issue she goes into action. I hope that Ross M., realizes how extremely fortunate he is to have Vivian on his side.

---Vivian runs the PREP program at LHH of which I am a part. She edits the newsletter (The INSIDER) that I write for and runs the General Store where I work. The Residents' in the PREP program respond very positively to Vivian. She is set to retire at the beginning of the New Year. We all wish her well with whatever endeavors she pursues. I have a feeling that her plans don't involve her becoming a couch potato. KUDOS Vivian.