Tuesday, May 12, 2015

'Urgent" thoughts


THE 12 DAYS OF URGENT CARE  (to the tune of the 12 days of Christmas)… sing it with me

On my first day of urgent care, the public brought to me

a trail of vomit from the front door

on the second day of urgent care, the public brought to me

2 kids with head lice

And a trail of vomit from the front door

On my 3rd day of urgent care, the public brought to me

3 I have chest pain

2 kids with head lice

a trail of vomit from the front door

and so on…here’s the final chorus 

On my 12th day at Urgent Care the public brought to me

12 cough, congestion

11 think its strep throat

10 freaky rashes

9  sprained my ankle

8 need a drug screen

7 I have fever

6  I sliced my finger

5 pit bull bites

4 it hurts to pee

3  strep throat

2 kids with lice

And a trail of vomit from the front door

 

 

LOL.. such is the life of an urgent care front desk person.  I have truly enjoyed the “variety” of my job though while mopping up vomit and itching after checking out the rashes and head lice I have questioned my sanity.  The fast pace is challenging and the time flies by.  I thought we would serve maybe 3 or 4 people in a hour or so but in the 6 weeks I’ve been there, I can only think of one or two days that we didn’t have  at least 75-80 people in a day.  The weekends are particularly hectic since most doctors’ offices are closed and it’s not unusual to see 80 people in a 7 hour period.  

I know I will get some flak from my friends with pit bulls for putting that dog breed in my little ditty above, but the truth is we have at least 2-3 dog bites a week, once 2 in one day and of the approximately 10 bites I have checked in on the days I’ve worked (so there are probably many more) with the exception of one which was a German Shepard mix, all have been pit bulls and all have looked like a piece of mangled meat.  These aren’t just your average broke the skin and a small puncture wound.  Of those say 10 bites, maybe 3 have been strangers to the pit bull, but most have been family members who got in the way of a bone or a toy.  Most heartbreaking was the teenager who came in with a bloodied hand sobbing hysterically because she had just dropped off her mangled Boston Terrier at the vet before coming in to take care of her own wounds.  Walking her dog, she had encountered a pit bull and had tried to break up the attack.  To those of you who are offended by this soapbox on what you will say are gentle as a lamb family pets, I am sorry.  Gentle…… until they aren’t.  I realize that any dog breed has the propensity to bite for no reason at all.  Heck, Quincy would bite if walked to close to his dog bowl on a bad day, but the sheer number of pit bull bites in the amount of time I’ve been working at Urgent care and at just one urgent care facility makes me a little wary of them.
There have been days that I have wanted to cry.  Those days when a woman comes in with bruises and a black eye and claims she fell while looking nervously at the man who brought her in...those days when a child comes in with an injury that the drugged out mother can't explain...the day that a mother signed in her deaf adult son and then left to run errands and we had no way to communicate other than through what felt  like a game of charades....the gory injuries like the man with the nail though his hand when his nail gun malfunctioned or the restaurant worker who sliced off his fingertips along with the onion.  The particularly sweet little man with dementia who came out of the bathroom, pee cup in hand but pants still pulled down around his knees for all to see.  The drug seekers that scream obscenities at us when the doctor refused to prescribe a narcotic.  And always the sadness I feel when I have to turn away someone that has no insurance and no money to pay the fee.  Every once in a while someone will come back up to the front desk after seeing the doctor and thank me for being so patient with them when they've taken forever to fill out the forms.  And it always puts a smile on my face when a child finds the perfect sticker in the sticker drawer at checkout.  Especially the teenage "children".  Hearing a mom read a book to her sick child while they wait, watching a man with his arm around his wife or holding her hand as she waits her turn.....or the 93 year old woman who said she wouldn't know if she had a drug allergy because she'd never taken so much as an aspirin in her entire life...its all part of my day.  The smiles, the frustrations, the uncomfortable moments, the sadness, the anger.  Humanity.

For the most part, I love the job   Some things better than others.  Love the pace , not so fond of a hyper critical supervisor who takes every opportunity to point out anything you have done incorrectly instead of applauding the fact that her staff has just handled paperwork for 20 customers in an hour and not one complaint. I really do enjoy the work.  After the last experience where I’d rate the management on a scale of 1-10 with 10 being the worst in terms of style and compassion and respect a 14, this one at a 5 is bearable.   Lunch breaks are erratic because there is  never a lull in the action and it’s hard to walk away when there is Standing room only of sick people needing to be checked in asap.  And let’s just say that the words “15 minute break” were put in the manual by someone who obviously lives in “lala land”.  Though I do  plan to start taking them regardless at least on the 12 hour days I work for my own personal health.  Checking my blood sugar and eating a snack shouldn’t be something I compromise on. If I’m passed out I can’t check people in, right?
 

After 10 years in management, I have found that being an hourly, non-management employee has both plusses and minuses.  It was quite difficult at first for me to overcome the pride and accept that I was not in charge and that no matter how menial the task or how disrespectfully I was treated, I was not in a position to question the directive or suggest a different tactic in getting what you want from an employee.  The overtime is awesome in that  I am paid for it when I work 60 hours instead of it being “salaried” which means you work long hours and the proverbial “it’ll be a wash because some days you can leave early or not be docked for taking time off for a dr. apt etc.” never happens.  And clocking out and not thinking about it until you clock back in has its advantages.  Instead of continually worrying how to address a problem, or market the company more effectively, or fixing a payroll issue or revamping the schedule because someone quit, I simply clock out, come home and live my life free of “work issues”. 

I may make a lot less money now, but ultimately I am much happier because I have time to walk and to enjoy time with Joe and watch the birds and the squirrels and the rabbits outside my window in the RV.  Selling the house in Muskogee and moving into a 390 square foot RV was a huge step for me. I thought that I would be miserable.  Instead, I have found the joy in the simple life.  Things don’t matter and now I buy what I need, not what I want.   Same with the money I make at my new job.  I thought I’d miss the salary but I actually have more money in the bank than when I made more.  Not completely sure how that worked out other than I know every time in my life that I got a raise, it seemed to be swallowed up by another “thing”.  When I took the cut in pay to get out of the “rat race”, we set up a budget and it has been surprisingly easy to stick to.  Walking for stress relief has replaced eating for stress.  Watching the birds has replaced going to Kohls to shop, etc.  The more I have simplified my life, the happier I have become. 

Used to be when I told people that I live in an RV, with no debt, and 2 old cars and happier than ever they questioned my sanity and my sincerity.  3 years in to this “adventure” the tide seems to be changing.  As people hear my tale of a simply life of simple things and simple pleasures and simply no crushing debt keeping me awake at night, they are more apt to say “wow that sounds awesome” than to say “what a weirdo”. What works for us might not work for everyone but it’s our little slice of paradise.

“freedom’s just another word for nothing left to lose”   It’s a good feeling.  If I lost everything, I’d still have everything.  I’m living the dream.

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