Monday the world started back up again. I was good, centered and grounded, spent Sunday relaxing, mediating and paying all my bills and starting my 2011 account keeping.... I got lots of sleep and was the first one at work bright and early.
I still have a dry cough... maybe fighting something... I was able to have 2 lunch hours because someone canceled something so I ate on the first one and actually fell asleep for an hour while waiting for the second appointment. It actually wasn't 2 lunch hours, I am paid on retainer when not being used. In other words, in the majority of my work, I am often paid just to be available at specific times. Then the last hour of the day got canceled and I got dismissed.
People do not always conform to schedules, but a LARGE part of MY job IS is all about scheduling. I can't do my job unless the 2 parties who I am working for are in sync... and you know how people are... people have to pay for my time if they are using me or not, or else I am likely to go elsewhere. I am often paid to wait, especially for Dr.s who do not realize the expense it takes to keep me there.
Some people think I just hang around because I have nothing better to do and one Dr. even asked me while I was interpreting a patient's appointment "So, what do you for a living?" .... talk about stupid....
Anyhow... I don't need to explain. They don't pay me to explain, and people who assume they are the smartest person in the room do not want to hear an explanation, I have learned this from prior trial and error, nor do they deserve one and I relish being in the glow of an arrogant ignorant. It makes me smile.
If people are open to being educated I try and explain a few basic things about roles and functions and things... however when they are doing what they are actually supposed to do, they are HYPER conscious of time, it is when they are NOT doing what they are supposed to do that the time becomes secondary, so my input is often not only ignored, but unwanted.
Fortunately, most of the people I work with are very open and understanding of the concept that we are actually a team. It is only the specific medical situations, the MEDICAL HIERARCHY and the MEDICAL INDUSTRY where time is sensitive and unexpected things happen and generally the largest problem is the scheduling and the being where someone is supposed to be, where I and the patient or patient's family are, at the proper time...
The general social attitude and cultural, pathological perspective of the state of "Deafness" and also the idea of the "helper" role in society are also highly responsible for the misconceptions of these people. Education is lacking however humanistic courses, interpersonal relations courses and diversity training are finally being incorporated in to good medical curriculum.
The reasons that doctors went from the person who came to your house to hold your hand when you died to the powerful force in culture they are today are strictly economical, and political, fostered of course by science and research which is not a bad thing however monetary greed (AMA) and the idea of Capitalism vs. anything else are very strong influences.
And of course the BIG SYSTEM.... A lot of people are still students ( residents ) and don't think I don't hear them giggling and having their little coffee klatch while "presenting" while I am standing there and the clock is ticking away. I often have to go tell them I'm leaving now to end it and make my point. They have to call someone and argue with them... I am but an agent with a dispatcher who runs a schedule.... to get someone to come and finish later if that is how it has to be..., sorry... I am nice and all and they usually come then and finish...
Of course claiming "medical necessity" or sending a patient to the ER trumps everything else but then they might be asked to make the decision about which other patient or Dr. to "bump".
Actually ER is not such a big deal for us. People are triaged and if not serious they can wait. If it is "serious" they are often incoherent anyhow or unconscious...
We also use machines where people from all over the country can be pulled up on a screen, however, since it is smack dab in the "melting pot" of Manhattan, and for a few other reasons, the majority of population we serve cannot use this service due to unique communication/linguistic needs.
We have many foreigners and persons with no formal education whatsoever and persons with other disabilities going on as well as linguistic barriers which pose specific problems which are not often seen in the society at large. Many of these people communicate in a style or have needs which are unique to the individual and it takes context and background to provide the proper information.
Some people may actually have "no language at all" but no one will assert that claim as we are not actually trained to make that determination, however we can certainly admit that communication is rudimentary at best.
We often use a trained actual Deaf person to be a Primary Interpreter and I put it into English from the Deaf person. This is because Visual People understand Visual Communication on an innate level that people who have ever had functional hearing can never attain due to neurological mapping and visual memory, spatial relationships and spatial memory and the the way someone has grown to view life and the world.
There are commonalities that Visually oriented people all experience and share that people with hearing do not and are often not aware of.
I have no power here nor do I cause tension. I have a good personality for that I am quite non-confrontational and good at manipulating professionals by putting ideas into their heads and making them think it was their idea in the first place.
Nurses chat about last night's Dancing With The Stars while I wait for one to ask someone if they are allergic to eggs...
Common sense says I could just ask them and then give the answer to the Nurse however roles, systems, laws and safeguards, and for good reason, prevent me from doing so.... I cannot sign the chart unless someone else does the talking and listening..
Someone else is waiting for me, other patients, Dr.s, Nurses...
They need to do away with the white coats in my opinion....The were created specifically to place Dr. and patient at a distance and to give Dr. power. They should all wear scrubs, clear ID's and coats of various colors, indifferent, for protection when dealing with patients.
Anyhow... I finished the Stephen King book, "Under The Dome" and all I can say is Mr. King is a MEAN MEAN MAN....
I'm going to read the Patti Smith autobiography "Just Kids" about she and Robert Mapplethorpe in the early days in the city. She just won the National Book Award for it. I have 3 autographed copies but I have to buy a non-signed copy to read....
I sold like a 1000 $ worth of Christmas ornaments on eBay so I am thrilled at how much space I have created in my closets!
Anyhow.... the morning ablutions; shit, shave and shower are calling me ......
How's your new year going??
( this was updated on 1/5/11 to be a significantly different and new post )
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