Nearly There, Medicare, WHO, Fear
Graduating in 1 month and 1 day. My clinical is going great, but it's been really draining each day too. It feels like...home, or a home. I used to work there as an aide 3 years ago, and it remains the best place I've ever worked. Just a pity it's in farmington, NM. This pretty much sums up the town (I pass this almost every day):
Being surrounded by such great healers has been constantly inspiring, and I'm exposed to so many types of patients and ways of treating certain conditions from stroke to central cord injury that it is really going to make my clinical skills ROCK more. The best part is I know I can do this, and that I can be really, REALLY good at it. I've been encouraged to continue to full PT when I am ready and I have been absolutely blasting away any and all expectations. My midterm was nearly all 100's out of the 20 Standards of Practice Visual Analog Scale (sidebar: WHO COMES UP WITH THESE NAMES?!)...And since it is the same scale used for my final it means I am already functioning at entry level! BAHAHAHA! Cower before my skilIs! Lol
I'm even learning some Navajo! I can now say Pain(Nesguy), Sit up (EZ), Stand tall (Ken-toh!), again (naa-na), good (gjoon'ay) and a few qualifiers to make it a question (adding "eesh".
Documenting for Medicare, after doing billing for 6-12 patients a day, I can safely say is what you'd imagine raising a demon would be like. Specifically: full of insanely complex rule books (with exceptionally cryptic and vaguely angry looking charts), making sacrifices to the right deity (known joyfully as the ICD-9 codes) in the right order and time, and if you mess it up you'd be in better shape getting raped. By a shovel.
This whole process of course is now digital and somehow better but real life translates to "fuck. 2' of program lockdown as this thing tries to gather enough resources to print a single piece of PAPER and I have only a couple minutes before the electrical stimulation is done on Helen".
However I can think and write in this:
"GT to increase funct. during ADLs/IADLS req. amb, end., and BLE str. comp. Ambx120' c FWW req. Min A for BLE foot advancement with LLE step-to gait, s normative pelvic rot., c compensatory strategies to facilitate hip flexion due to weakness s/p 10 day THR c prior debility."
Jumping topics, We had a shaman come to us Friday and anyone who wanted was able to get healing. She said I have a great energy, but am possessing a "negative" energy that is not of me called WHO that would look like a tiny machine if given form. To clear it, I must say "Go." both in my head, and outloud with my feet planted into the earth to clear me of this and return it to the place where negative energy is supposed to go. No, Really.
Cannot sleep for life of me. 3AM at the moment, need to get up in 3 hours but my mind is racing. I don't know where I will be in a month. I want to move back to Alaska, but might end up taking a small travel assignment for a couple months in portland or something first if work is not available. I just know I will be able to make a living wage. I bet my first paycheck over 2K is going to be fucking fantastic.
END OF LINE.
Being surrounded by such great healers has been constantly inspiring, and I'm exposed to so many types of patients and ways of treating certain conditions from stroke to central cord injury that it is really going to make my clinical skills ROCK more. The best part is I know I can do this, and that I can be really, REALLY good at it. I've been encouraged to continue to full PT when I am ready and I have been absolutely blasting away any and all expectations. My midterm was nearly all 100's out of the 20 Standards of Practice Visual Analog Scale (sidebar: WHO COMES UP WITH THESE NAMES?!)...And since it is the same scale used for my final it means I am already functioning at entry level! BAHAHAHA! Cower before my skilIs! Lol
I'm even learning some Navajo! I can now say Pain(Nesguy), Sit up (EZ), Stand tall (Ken-toh!), again (naa-na), good (gjoon'ay) and a few qualifiers to make it a question (adding "eesh".
Documenting for Medicare, after doing billing for 6-12 patients a day, I can safely say is what you'd imagine raising a demon would be like. Specifically: full of insanely complex rule books (with exceptionally cryptic and vaguely angry looking charts), making sacrifices to the right deity (known joyfully as the ICD-9 codes) in the right order and time, and if you mess it up you'd be in better shape getting raped. By a shovel.
This whole process of course is now digital and somehow better but real life translates to "fuck. 2' of program lockdown as this thing tries to gather enough resources to print a single piece of PAPER and I have only a couple minutes before the electrical stimulation is done on Helen".
However I can think and write in this:
"GT to increase funct. during ADLs/IADLS req. amb, end., and BLE str. comp. Ambx120' c FWW req. Min A for BLE foot advancement with LLE step-to gait, s normative pelvic rot., c compensatory strategies to facilitate hip flexion due to weakness s/p 10 day THR c prior debility."
Jumping topics, We had a shaman come to us Friday and anyone who wanted was able to get healing. She said I have a great energy, but am possessing a "negative" energy that is not of me called WHO that would look like a tiny machine if given form. To clear it, I must say "Go." both in my head, and outloud with my feet planted into the earth to clear me of this and return it to the place where negative energy is supposed to go. No, Really.
Cannot sleep for life of me. 3AM at the moment, need to get up in 3 hours but my mind is racing. I don't know where I will be in a month. I want to move back to Alaska, but might end up taking a small travel assignment for a couple months in portland or something first if work is not available. I just know I will be able to make a living wage. I bet my first paycheck over 2K is going to be fucking fantastic.
END OF LINE.