June 29th, 2017
marahmarie: my initials (MM) (Default)

Since I've gone out of my way to pick apart a malware how-to on PCWorld that had too much text/too many steps just to reboot into Safe Mode (conversely, I think my version *still* leaves out selecting Safe Mode before Restart, so I might have gone a wee bit too minimal!, but I'll run through the steps again to make sure)* I figured I'd offer folks a contrast to show how much "fun!" a tutorial can be.

Mine are rarely "fun!"; my nerves get so wrecked getting things right there's not much left over for "fun!". So do as I say, not as I...anyway, Adam Clark Estes at Gizmodo, who I ran across after my own how-to attempt (any title with the words "If You Dare" makes me wanna dare, so I looked even though I don't have Apple-anything to see if he'd get into installing it on Parallels - which shows how little I know about Apple/Mac/iOS) gets it right. Maybe I should try to hire him? After I win Lotto?

Though his style isn't mine, and I prefer mine for Reasons, you have to admit he hits the right notes, like this:

Until the software gets an official release, you can expect your phone to be a big pain in the arse, featuring all kinds of new adventures like crashing apps and awful battery life. So you should consider running the new software on a secondary device, in order to avoid ruining your day-to-day phone usage.

And this:

If all this sounds fine to you

I like this for a few reasons: a) he's not losing sleep wondering if you should. b) You're good with it? So is he! Which sounds kind of re-assuring.

And, finally:

Once you're all updated, have a blast. Impress your friends. Expect everything to crash! It will be annoying, but you'll feel so cool in your annoyance.

I loled.

His how-to is also quite short (maybe that's the difference between how much harder Windows is than Apple-anything? Windows isn't hard to use/tweak/take apart for me, but I doubt my ease with it is on par with much of the population's).

In fact, his how-to is so damn short if I quote much more maybe I'll get in trouble, so just go visit the link (and if you're an iOS user and try it let me know how it goes - though I am not, so I can't help it if it all goes south).

* Ran through the steps on my PC again after posting and nah, it's fine, it's just that the final Restart boots your computer directly into Safe Mode - there are no other options on that screen because it's just that easy...(but seriously, my nerves do get shot making sure of things like this).

marahmarie: How to Even, for Dummies (how to even)

Mind you, in the mid to late 70s I was anything from 7-10 years old.

I had shoulders.

Sometimes they were bare.

I didn't choose my clothes, my mom did. But I happened to like having shoulders, so this was no problem.

The teachers in my (small, well-to-do, perhaps slightly liberal) public school said nothing.

The kids said nothing. They bullied me (I was reed-thin and always sick, which doesn't go over well with bullies, believe you me) but not for that.

The neighbors said nothing.

Back then I did things like: walk for miles unattended, hang around a nearby train station because I liked watching people more than I liked watching trains, and wander through the woods either alone or with boys my own age. While I was a girl.

No one said a word. About my shoulders, nor any of the other stuff I did.

But shoulders? Are apparently a reason to be tortured.

Shoulders? Going off on them now is a thing.

So I guess I had a particularly amazing childhood, considering.

I'm not talking about my shoulders getting me tortured now, either - I'm talking about Ivanka Trump's. She wore this stunning, cheapo off-the-rack dress that showed off her shoulders.

They were bare.

It was too much for people to take.

She's caught almost nothing but hell for it, since (some praise, but mostly hell).

And I don't understand.

I refuse to say, "Well, at least it's not her bottom or breasts" because it's sexist to suggest those areas should not be shown off, too. That's the absurdity of this: we're going off on shoulders now? What's next? Ears?

In light of this, if my mom were here, we'd go shopping to buy up things with no shoulders and take our shoulderless selves out on future dining, shopping and sightseeing jaunts like, "Take that, shoulder sexists, we're a two-for-one. And you won't say a word, because we know how to carry ourselves".

I just. Cannot. Even. With this horseshit.

And I am kind of a prude - not when it comes to how to dress, more in other areas - so I really can't even.

June 28th, 2017
siderea: (Default)
Today was the big day: we signed the contract with an assisted living facility and got the keys to her room. We can start moving things in immediately, she takes up residence July 12, two weeks from today.

Update re beds: D has decided she wants her full bed in there, at least to start, so it looks like we're not getting a temporary or new bed at this time. Thanks everyone for your suggestions! They were very helpful! Also, she has a week to change her mind about this plan.

After the signing, which was a 2+ hour process, we went out for lunch, then adjourned to her place and measured furniture.

Due to dealing with her move, I'm going to be somewhat hosed over the next two weeks. (If you have a favorite moving company that does small moves on the North Shore, feel free to mention in the comments. I have two recs already, but I could stand to get quotes from one or two more. Also, I feel nervous about trying to book movers in 14 days or less, so want a pool of leads at hand.)

I was hoping to get at least one post out this month, but right now I'm so exhausted I can't see straight, and I have lots of patients tomorrow and part of Friday, which is the last day of the month. We'll see.

The good news is that in the middle of July, whatever my availability had been, it (knock on wood) should be substantially improved. Not only will we be getting D settled, I have a bunch of patients all going on protracted vacations, so my clinical caseload will be temporarily lightened.

Once D is moved, we'll need to start worrying about what to do with her house, but there's no urgency on that. I think that while there's some minimal stuff that we'll get out of the way, G and I are planning on taking a nice break from Dealing With Things And Evacuating Houses for a little while.

Of course, all that goes out the window if D's health takes a turn for the worse – or for that matter if any other emergencies emerge. But right now I'm hopeful that later this coming month I'll be able to be around more and be shoving more posts out the door. Here's hoping.
supergee: (pissed)
posted by [personal profile] supergee at 07:15pm on 28/06/2017 under
Jim Wright summarizes the Republican approach to health care in six words. Wouldn’t it be nice if we could get across to a few million Trump voters how willing the Republicans are to let them get sick and die so their superrich cronies can keep more of their billions?
hollymath: (Default)
posted by [personal profile] hollymath at 09:10pm on 28/06/2017
The other day Ali, one of my WI chums, messaged me and another one, Tas, to remind us of something we'd forgotten about: at one of our first committee meetings this year we got chatting about cricket and I mentioned the tickets to the Women's World Cup final that I have (only a few weeks now! can't wait!). Ali looked into other matches from that, to see if we could go see something at Old Trafford or whatever, and Tas asked if we could see Sri Lanka because she's from Sri Lanka.

"They are playing...in Taunton," Ali said, and Tas clapped her hands in anticipatory delight before asking where Taunton is.

"Somerset, I think?"

"Far away, anyway!"

And then, probably not entirely coincidentally, it dropped off the radar for all of us.

Until now! Ali not only reminded us of this but had looked up ticket prices (only £10; it's criminal that tickets sell for so much less if it's women playing sports than if it's men, but it's handy for me because I'm poor, so I'm conflicted...) and best of all she's willing to drive there and back on the day.

In America a hundred years is a long time, and in England a hundred miles is a long way. While I would've grown up thinking nothing of a road trip like this -- it wouldn't happen all the time, but it wouldn't be hugely remarkable either -- here, people don't drive to somewhere 200 miles away and back in the same day. So I feel really lucky that Ali is willing to do this, especially as I of course can be no help with the driving and I don't think Tas drives either. So for the price of admission and chipping in for petrol, we're suddenly having this amazing day out.

I was so excited as we were planning this that I was chair-dancing. Tas is so excited because she's planning to bring her Sri Lankan flag to wave, which my Anyone But England self couldn't be happier with (though I think that applies more to men's cricket; I've never felt such animosity to the women's team...). I think Ali has an English flag to bring, anyway. Also she's bringing a friend she used to play cricket with (she plays cricket!) and when Tas said the one time she's seen cricket she got on TV because she and her Sri Lanka flag were with a British friend of hers with a British flag, Ali said "If any of my friends who are current/former women's team players are going, they can get a bit raucous too! We've been mentioned on the Sky Sports a number of times..."

So yeah, I guess, look out for me on TV on Sunday?
supergee: (cthute)
posted by [personal profile] supergee at 03:54pm on 28/06/2017 under
redbird: full bookshelves and table in a library (books)
james_davis_nicoll: (Default)
posted by [personal profile] james_davis_nicoll at 12:41pm on 28/06/2017
Note: link leads to facebook.

[added: link nuked due to pay issues and reaction to questions about pay]

Lindy Mechefske posts
Thrilled to be working with Ruth Wood on an anthology of transgender stories. We are interested in stories from anyone under the transgender umbrella as well as stories from the people close to them. We are looking for stories from people anywhere in the world so please share this widely. Submission details below.
PLEASE SHARE WIDELY! Read more... )
pink_halen: (Default)
posted by [personal profile] pink_halen at 09:09am on 28/06/2017
I've collected quite a few of these so for the next few days I'lm going to do a music series.
Some are quite evident and others may take some thinking.

Read more... )
james_davis_nicoll: (Default)
supergee: (gargoyle)
posted by [personal profile] supergee at 07:10am on 28/06/2017 under
supergee: (coy1)
posted by [personal profile] supergee at 06:11am on 28/06/2017 under
Nude cover (no bits shown) of large, strong Black man leads to nationwide panic.
rmc28: Rachel smiling against background of trees, with newly-cut short hair (Default)
I'm forty years old today. My second birthday Since Cancer.

I've not done much about it: cakes in the office yesterday & I may get a takeaway tonight rather than cook.  I am vaguely thinking of doing Something on the weekend that includes 1st October (my arbitrarily-declared Happy Being Alive Day) but I haven't worked out what Something will be yet.  In the meantime, a good friend is holding a party on Saturday so I'm going to enjoy being part of their celebration instead of organising my own right now.
siderea: (Default)
Constant readers will recall that I wrote a three-part post titled, "Why You Can't Find A Therapist, No, Really". I posted Part 1 on Sept 1st and Part 2 and Part 3 on Sept 30th of last year.

The clinic I work for as a contractor recently paid me, for my last pay period, an amount of money that was four times my typical earnings. Admittedly, how much I actually get paid fluctuates pretty wildly, but I figured I would have noticed having either 4x in arrears or having seen 4x as many patients as usual. But I'm paid via direct deposit, and the corresponding statement saying what I was getting paid for is put in my mail box at the clinic, so I had to wait till I was back in the clinic – today – to pick it up and find up why I was getting all this money.

The statement mystified me when I got it. It was two whole pages of pairs of canceled previous payments and replacement payments and at first I couldn't make heads or tails of it, and then I realized that I was looking at a statement where almost all the patient sessions listed had happened in 2016.

As I mentioned, last month, for the first time in decades, we got a raise. A big raise. Not big enough to be adequate, but big enough to be astounding. It was, we thought, effective starting May 1.

No. Turns out the raise was retroactive. To – apparently – Oct 1, 2016...

...The day after I posted the final sections of "Why You Can't Find A Therapist, No, Really".

Rumor has it that the raise – more properly, the increase in rate paid by at least two of the Medicaid providers – happened because MassHealth (Massachusetts Medicaid) leaned on them to do so, to fix the emergent strike.

Um.

MassHealth? Are... are you there? Are you reading my journal?

If so, thank you! (If not, still thank you!)

I have a few other suggestions for things you could fix!

For instance: I'm currently doing an amazing job (or so my chart reviewer wrote) doing care coordination with a big medical team involving four clinics, three hospitals, and family all involved in the care for a patient with an emergent psychotic illness. I can do that because the patient has MBHP, and MBHP pays for case coordination if it's extramural. I'd like to point out that it's insane that if I have a 15 minute conversation about the diagnostic formulation for a challenging and high-risk case with an in-house psychiatrist, I don't get paid for it (and neither do they), but if I do the same thing with a psychiatrist at a different clinic, I do. How wack is it that I literally wouldn't be able to afford to spend the sort of time on this case that I did (and continue to!) if the patient hadn't coincidentally decided he didn't like my clinic's available psychiatrist and went and found himself another one through his PCP. Surely this can't be the incentive system you want me or the patient (or the psychiatrist) to be functioning under – one where patients are incented to get their psychiatric care from an entirely different facility from their therapist.

And thank goodness that he had MBHP, as pretty much an amazing fluke. No other MassHealth payers pay for care coordination at all. If this guy had been on NHP or Tufts/BMC when he came down with schizophrenia... I shudder to think. Do you realize how much I've been on the phone with MGH's ER and APS and social workers and psychiatrists at local mental hospitals in the last six months?

Don't you think there should be some sort of provision for what happens when someone presents with a psychotic disorder? Like, when a provider slams the big red "R/o Schizophrenia" button, the payer has to start paying for some case coordination? (I'd also recommend that for substance abuse cases, where patients can manipulate providers around meds; and in mandated reporter cases, where you should probably have payers pay therapists for their time filling in DCF/DPPC/DES or whatever.)

I have to think that the time demands of handling such a high-risk case are part of why some – maybe many – therapist are leary of working with psychotic or other high-risk patients. I've been there. I've twice spent four hours – half a work day – keeping a patient in crisis calm and coordinating with the BEST team and then the hospital, and never saw a dime for any of it. Who wants to bring a patient onto their caseload, for whom the total compensation divided across the total hours of work for that one patient come to less than minimum wage?

And I'm just talking about care coordination – I'm not even talking about CPT 90839 and 90840 which last I checked were still universally unfunded. Funding that would be way cool.

I have many other fine suggestions – I swear many of them even aren't just suggestions you pay me more money! I'm happy to talk more about reforms in mental health care.
June 27th, 2017
james_davis_nicoll: (Default)
posted by [personal profile] james_davis_nicoll at 11:31pm on 27/06/2017
Fig thinks everything is the best thing ever, especially the completely adorable orange cat. Who would like the stranger to stop gazing affectionately at him.

Ibid, on the other hand, won't come out from behind the toilet.
redbird: apricot (apricot)
siderea: (Default)
posted by [personal profile] siderea at 09:29pm on 27/06/2017 under ,
Oh god I didn't know it was possible to be this wet without actually wading into a body of water.
supergee: (thumb)
dewline: (Default)
james_davis_nicoll: (Default)
posted by [personal profile] james_davis_nicoll at 04:55pm on 27/06/2017 under



Freelancer! From the distant future the Factions bring you our Mutant Chronicles Bundle featuring the 2015 Third Edition of Mutant Chronicles, the dieselpunk techno-fantasy RPG of future darkness from Modiphius Entertainment. With its fast-playing, cinematic "2d20" system designed by Jay Little (Star Wars: Edge of the Empire), Mutant Chronicles 3E is a thrill ride across a Solar System beset by megacorporate intrigue and the invasion of a terrible alien force.

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