Dinah, ClinkShrink, & Roy produce Shrink Rap: a blog by Psychiatrists for Psychiatrists, interested bystanders are also welcome. A place to talk; no one has to listen.
Why thank you.I thought the psychiatrists would appreciate the post.Rob
Glad you guys linked to that post - it was a good read! :)I left a comment with one that I think represents payment for nursing services well....P4NAWTP - Pay 4 Nursing Along with Toilet Paper - nurses don't have a separate bill for inpatient care - it's included in the "room charge" hahaTake care,Carrie :)Word Verif: mrzmudoh (Mr. Zoom Dough?) lol
Lily: Your comment is now deleted, but I was going to suggest you move to Baltimore, psychiatrists here charge much less.I'm trying to remain in denial about this whole Pay For Performance thing. My guess is that like most other forms of well-intentioned paperwork, it won't document successful treatment, but simply a doc's capacity for filling out even more forms and dealing with more buraucracy which takes time away from patient care.I've become a cynic about these things.
Dr. M. is a professor at UT Southwestern. He is in charge of the residency program. I figure that is what I am paying for.I don't mind spending the dollar$, but, yes, I want results.As a matter of fact, I am moving in with my father in June so I can afford everything.Should I offer him bonuses as incentives? Just kidding.I think I am a tough nut to crack. I have also had several psychiatrists so I don't have a good track record. He has 34 years experience as a Shrink so I am counting on him to get some work done on me.My last appointment I told him I was looking for another Shrink (which I was)and he asked me how I found him deficient and I told him. He seems receptive. I have repeatedly asked him, "Can you help me" and he always answers a resounding "yes."I know it takes time, but I am tired of feeling bad, of having such a huge divide between who I am and who I want to be.Mental illness has ruined my life. It has shredded my dreams and messed with my health.I want to stay alive for the sake of my family, but if things could be a bit better than that it would be a nice bonus.
I want to stay alive for the sake of my family, but if things could be a bit better than that it would be a nice bonus.Oh how I can relate to that statement. I'm living, but at what quality of life? I'm speaking more of my headaches at the moment. They've been so bad lately - and for the past 6 years, things have not gotten a bit better - just kept on getting worse. I would give anything to have things improve just a little - even if it didn't go away completely. When I had a couple of weeks where I felt good back in July of last year, I was happier than I had been in years. And if I can't have the pain improve even a little, then I'd like to see other things in my life at least pick up a little - it's hard when it seems like everywhere you turn, it's not what you'd hoped....Hang in there,Carrie
Exactly. That's kind of why I deleted my comment about this post. I feel like Roy is so priviledged, so lucky, so blessed. I mean, at 30 he has accomplished soooooo much ;)I hope you get to feeling better, hon. I actually am less depressed and less anxious, but I still feel empty and bored.Alas, one cannot have everything!I hope the pain goes away.BTW, congratulations on making it to Grand Rounds!LilyPS Roy's voice, zexy.Roy's voice with a mouth ful of cookie-dough, NOT zexy.Clink with a mouth full of cheese, zexy. ;)Dinah, I am jealous of your kids. You're a kind and loving Mom, I can tell. I would have been yelled at if I had interupted a podcast and maybe even hit with a flying shoe!
I have a hard time imagining how one really assesses performance. You can't assess it on outcomes, because different providers/different populations have different levels of risk.Sure you can say everybody with CHF and an EF <40% should be on an ACE Inhibitor or ARB, but how do you really assess that? And how do you comensate for it? I'm all for P4PBOOCP (Pay 4 pulling babies out of cramped pelvises).Hm.. maybe I should comment over at the original post. Or maybe I should get some actual work done...
Lily-Sorry the cookie-dough mouth came through. (some things I can't resist)
Oh, Roy, you know I'm teasing. Everyone has to fall off their pedestal sometime ;)The three of you are perfectly adorable and smart and kind.You're real people. I like to pretend my shrink is a real person too.Lily
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