warriorsavant: (Composite)
I think the Paw Patrol sticker looks very suave and professional on my shirt pocket. Let's see how many patients notice. Evil Secretary and T noticed, but I hadn't pulled on my lab coat yet. It just peeks out a tiny bit with the coat on.

Space

Mar. 7th, 2019 01:29 pm
warriorsavant: (Dr. Injecto)
The final frontier… no, wait, this is a work post, not a Star Trek post. It's personal/working space. There's now three of us in the office, and it works better with having the new, slightly bigger office. My old office was very compact and efficient, but there just wouldn't have been any good place for a 3rd person. Now, when no one immediately needs seeing, Evil Secretary has her space at the front desk, T has hers in Room 3, and me in Room 5. Room 5 is specifically designed as my back office. I did have one in the old office, but it was visible from the waiting room, so no privacy if I was on the phone. Room 3 is meant to develop into the procedure room, and where T is going to see "her" patients, plus where we'll do surgeries. For the former, that roster is growing very slowly, but at least it is growing. For the later, I did get the extra exam table, but am waiting on some other equipment. When T is not there, she follows me to see patients in Room 1 and 2, and stays with them to do whatever minor procedures that are within her scope of practice after I leave and see the next patient. Not quite down to the rhythm of that specifically allowing me to see more patients every hour, but again, moving in that direction. The office is still fairly compact and efficient, but we have enough space to feel spacious, and more to the point, to have psychological space when needed.

(For those who care: Rooms 1 & 2 are the basic consultation/exam rooms, I don't have separate rooms for those two acts; Room 3 is T's room, which is moving towards being the procedure room; Room 4 is the phototherapy machine room, which T also usually takes care of now; Room 5 is my back office.)
warriorsavant: (Springtime in Canada)
Serious snow was reported for today, in fact for starting late tomorrow afternoon, which in fact it did. Very light day at the office yesterday, since some patients apparently thought that might they should cancel their morning appointments. Unfortunately, it seemed all the late afternoon patients came, so even if was a very light day, we ran over. By noontime yesterday enough patients had cancelled for today that I decided to shut the office. No point in the three of us fighting in through the weather to see the less than dozen patients who were actually booked (which would probably equal half-dozen actually showing up).

By this morning, all schools and daycares were announced closed, and even university classes were cancelled. I'm told that there are about the same number of snow days for schools whether you're in the far north of Canada, or the mid-Atlantic region of the US. The difference is how much snow it takes to close things: a few meters in Nunavut, down to a few millimeters in Virginia. I did go to the hospital for my regular clinic in the afternoon. T was supposed to come also (she's updating our database and taking pictures for lymphoma clinic), but she texted me early this morning that she couldn't even get out of her driveway. I ended up taking the metro. I wasn't bad, maybe 45 minutes, but not crowded. Clinic was reasonably full. I suppose partly b/c no one can ever get through by phone to cancel, plus since it's hard to get an appointment, people actually keep them come hell or high water. There were a few no shows & cancellations, but we replaced them with people who showed to book an appointment. I had 6(?) trainees (3 residents and 3 students), so clinic went really quickly, and I got in some good teaching. Definitely worth going in.

Last night, after I got the kids (and Nom) to bed, I wasn't really tired, so I read and played on my computer, and generally relaxed. At one point, I poured a glass of something nourishing, sprawled in an armchair, and looked out the window at the falling snow, our street having a pleasant picture-post-cared glow about it.
warriorsavant: (Chimerae)
DuckDuckGo. Does anyone else use this? It's an alternative search engine to The Borg. Their claim to fame is that they don't keep track of you/don't create a profile that follows you around. So far, their searches seem to give reasonable results, but I haven't done a head-to-head comparison with other search engines.

Office & Staff. Evil Secretary was actually out sick for almost 2 days. She takes sick days about once every 7-8 years. I came in Monday and she looked green, told me she'd just thown up, and needed to go home. Fortunately we have T on board now. Even though she's here as a nurse, she has secondary duties of filling in when ES isn't here. Also fortunately, it was a little slow, so she jumped in and did just fine. Yeah, lots of small things weren't perfect, but so what, this isn't her primary job and she's only been here a month. ES had initially told me she thought she'd need to come in for 1 day to clean up whatever mess was left, but there wasn't any. Good. Not having reliable back up of ES has always been a slightly worrisome issue for me, but this is another instance of T seeming to work out well.

RAMQ, fighting with. That's the government medical insurance bureaucracy in Quebec. Despite all our complaining (both as patients and providers), they generally get things done with a minimum of fuss. Had a couple of issues that I had to fight with them about yesterday, which is to say had to get on the phone with someone. Doesn't happen often (as best I can tell, most doctors in US spend more time fighting with gov't and/or insurance companies than actually seeing patients), and at least I got to speak to a human being.
     The Good. A patient who was falling between the cracks. He has horrible psoriasis, was put on one of the new biological medications with great results when he lived in Ontario. He moved back here, and the requirements are a little different, and I've been trying for > 6 months to get him approved. Discussed with them for 10 minutes, and today got the approval. They generally figure that if a doctor is willing to take the time to call them directly, it must be important.*
     The Bad. Only "medically necessary" acts are insured, which is reasonable. (Some of the backstory is not reasonable, but irrelevant here.) For example, a cyst that is not inflamed, infected, or physically troublesome is not covered for removal, so the patient has to pay. They may not like the cyst (or other benign growth), but the world is full of things one doesn't like, and that doesn't mean someone else has to pay for it. Anyhow, removed a cyst from a patient this past summer, duly warned him he'd have to pay for it, which he seemed to accept, duly charged him… and then he complained to RAMQ asking for reimbursement. Last fall they sent me a nastygram, asking for my notes on the patient and my justification. I sent that back, including a direct quote from their manual. They just sent me a letter saying basically, "illegal charge, we're collecting it back from you with a penalty." I spoke to someone who took the info, "and will get back to me." This is seriously annoying, but I am going to smack them down. If I let it go, besides the money immediately involved, it sets a really bad precedent. I've gotten the Assoc. Derm. Quebec involved, and they will help me for the same reasons. We'll win, but annoying.

*More on fighting for patients. It's part of the job. I'd hate to have to do it for every patient. Frankly, wouldn't have time to earn a living if I had to do that, but every 2-3-4 weeks, something comes up and I need to do it. It comes with the turf. Sometimes it really shouldn't be my job on a particular patient, but if he/she has been bounced around enough times, and is sitting in my office, I figure that morally it has defaulted to being my job, and I'll at least take the time for find out who should really be the one to see him/her, and make sure it happens.
warriorsavant: (Default)
"Ooh, you're givin' me the fever tonight...." I don't often quote rock songs, mostly because I don't know that many, but when I have a chance to, I like to show it off. The quote is the opening line to "Fire and Ice" by Pat Benetar. It also describes my day.

We've been having icy rain. At least not a million below zero, but equally unpleasant, plus snarls traffic really badly. It took me over an hour to get home from the hospital last night, a trip that usually takes 20 minutes. This morning the driveway was a sheet of ice, patients were late, and even Evil Secretary was late, which happens about once every 7-8 years.

The fire part? Well T put some instruments in the autoclave (sterilizer - normally Evil Secretary's job), and didn't know she needed to put the wrapped instruments on a special rack/tray first, so the wrappings were touching the hot interior of the autoclave and caught fire. No damage done, but an unpleasant odor lingered for an hour or so.
warriorsavant: (Springtime in Canada)
As noted, miserably cold in these parts. Over the weekend, we turn down the heat in the office since we're not there, don't want to waste. Not down to zero, but low. Monday, it took hours to come up to "room temperature." Tuesday, even though we'd left the heat on overnight, it was still cold. Partly it was just so cold outside, partly every time someone opens the outer door, cold air spills in (there is an entry area, but not perfect), and partly the heat in the common areas of the building (my office is in a 7-story condo building) was out, so we had cold walls on all 4 side of my office, and our heating couldn't keep up. By noon, with the day having warmed up a bit, and the sun coming down, it was a bit better. I left the curtains open in the exam rooms (unless someone was actually undressing) to get more sunlight (and therefore heat) into the rooms. Even at home, despite the house being well-insulated and having a good heating plant, the rooms still didn't come up to proper temperature (although much better than the office). I turned up the heating in the basement, which helped. The basement has separate baseboard heaters; we usually keep the temperature lower there than the main floor (again, why waste), but with its being that cold, turning up the heat in the basement warmed up the floor of the ground floor to normal temperature. Today I brought a space heater into the office so Evil Secretary (who faces the entry doors) could keep her feet toastie, but it is warmer today.

New Nurse

Jan. 17th, 2019 02:07 pm
warriorsavant: (Composite)
Have hired a nurse (LPN), henceforth T. (Sorry, am out of clever names for people.) Had tried someone over the summer (I think I posted about it), but she didn't last. That one had just moved back to town (after a divorce?). I think she was trying for a job in an OR, but took the position with me to pay the bills until she could find what she really wanted. T already had a job, but one that wasn't that interesting (nursing home), so moved up to working for me (he said, modestly). She's a bit older, her kids are out of the house (interestingly, both in Canadian Forces). Seems enthusiastic, shows up early, takes copious notes. For now, having her slows me down, because I have to teach her everything, but am a big believer in "see one, do one, teach one." That is: watch me do 1-2 with explanation, then do 1-2 while I watch, then just go do it. No one thing is that complicated, but there's a lot of different things to throw at someone all at once. Some things I sort of expected her to know, like assisting at office surgery, but she doesn't. I realize that those were things she probably learned in her training, but hasn't used since then, so she's re-learning them. Slowly she'll learn, and we'll build a formal SOP/office manual. I think she will work out. For the moment, since she's slowing me down, it's costing me money, but the plan is to slowly grow the roster of what she can do for me, instead of with me, and she'll bring money into the office, as well as upgrade the level of service.
warriorsavant: (Venice)
Last day before we break for the holidays. I love my work, but need a break. Usually on the last day we close at noon, then Evil Secretary and I go out for lunch. We'd accidentally already booked some patients at the end of the day, and didn't really feel like sitting in a restaurant, so we just blocked off 2 hours mid-day, and I brought in lox and bagels (and all the trimmings, and a toaster) and we had that for lunch. Also a bottle of wine (only 1-2 glasses each, since had to work later). Had lunch, and a walk (last pleasant day for a while), and a good gab. For the rest of the bottle, if patients were pleasant, we offered them a small glass of "holiday cheer." Good way to finish the working year.
warriorsavant: (Meh)
Yeah, that would be the euphemism for yesterday's office; this is a family publication, Gentle Readers. As follows, with whimsical and dark humor.

Read more... )
warriorsavant: (Default)
Had a power outage in the building today. Apparently they were doing work, and didn't warn me this was going to happen (some people seem to have gotten the word). Since I had a visual specialty, that made things rather interesting to say the least. Fortunately large windows (with discrete shear curtains). Also fortunately wasn't needing to cauterize any bleeding, so managed. (BTW, can't wait for Revenue Canada challenging my writing off dry cleaning bills. "Now, doctor, do you really claim dry cleaning as a deduction?" "Yes, it was to get blood off my shirt.")
warriorsavant: (Chimerae)
Had to work today. My office in the morning (and Bob was on a pedestal in the back of the reception area, looking over Evil Secretary's shoulder. In the afternoon, my hospital clinic, but it wasn't heavily booked. Usually I'll spend an hour afterwards with the students, teaching/talking about patients we've seen. I warned them that today had to be cut short because had to take the bambini trick-or-treating. (I also told them to save their questions and I'd answer them next time.)

Unfortunately, it was a cold, rainy night, which might be atmospheric, but not pleasant. The kids were wearing their jackets over their costumes. Otherwise, ours is a good street for trick-or-treat Many of the families really, really do up their houses. Wallstreet was scared of a few of the decorations, and is really too young to understand, so Nom took him home after a few houses. Hedgefund went to a dozen or so. She was a little scared at a few of them, but was okay b/c I was with her. (I was dressed as myself, what with my being so scary I keep myself awake at night for fear I'm hiding under my own bed.) She ran into a few friends from day care and said "hi" to them. (We've been impressing on her the importance of the social niceties, and she's really picked up on that this year.) She actually enjoys giving out candy as much as she enjoys getting it, so after we went out, we sat on our front porch and gave out candy. Some people came up to me, but I redirected them to her. Around 7:30, we ran out, which was around when it is starting to die down (pun intended) anyhow. I think Wallstreet will enjoy it more next year, and we'll probably have the energy to decorate.

"Routine"

Oct. 18th, 2018 08:38 pm
warriorsavant: (Chimerae)
Busy day at the office, but I'm feeling dissatisfied. Things felt too routine. Yeah, first world problems. I should count my blessing; most of everything that everyone does is routine, and at a far less interesting level than I do. That is true, but also irrelevant.

Cancer is a scary word, but there are cancers, then there are cancers. The most common form of cancer of any organ system is the basal cell carcinoma (BCC) of the skin. It is also the least serious, and barely qualifies as a cancer. Put it this way, if you could put cancers on a scale of 1 to 100, this is a 1. It grows slowly, and almost never metastasizes. In short, it would take years, if ever, to kill you. That having been said, an oozing ulcer 6-inches/15-cm across is unsightly and unpleasant. *understatement* Still, when they are small, it's fairly routine to destroy them, maybe 5 minutes.

Squamous cells carcinoma (SCC) is a notch up. However, the first stage, "in-situ," also called Bowen's disease, can sit at a completely superficial level for 20 years before invading. And that having been said, nobody could say if a given one will sit for 20 years, or invade tomorrow, so certainly worth treating, but again, fairly routine to destroy, maybe 5 minutes.

Actinic Keratosis (AK) is considered "precancerous," but that too is an exaggeration. Maybe 1:1000 per year will turn into an SCC, but probably 300:1000 will just resolve spontaneously. Again, the catch is not knowing which one will convert. Still, having that risk, Medicare will pay to treat them, but scarcely exciting.

Benign lesions are no longer covered by Medicare, as part of the changes they abruptly initiated Jan 2017. (I don't disagree with dis-insuring them, it was the abrupt and chaotic way they did it.) Since not insured, I can charge the patient for it, and I never object to getting money, but again, completely not exciting.

Short attention span and easily bored. My kids must be rubbing off on me. Okay, I've always been that way. Not sure how I made it this far. That most be why I'm constantly doing other things at the same time: teaching, military, now trying to get into research. Can't really complain even if all I did was sit in my office: it's more interesting and pays better than most gigs, but today just felt totally unsatisfactory.
warriorsavant: (Time)
Two weeks ago, I started taking Fridays off instead of Mondays, and I'm completely disoriented. I do know what day it is, I haven't become demented, but the day always feels wrong, and the "what I will be doing tomorrow" is off.

Taking a day off goes back to when I was in the National Guard and later Reserves. That "one weekend a month (small print footnote: unless we deploy your butt to Afghanistan or Iraq)" applies to the junior troops. Senior leadership is more like "2-3 weekends a month, and some of those will be 3-4 days long." If I hadn't started programming in "extra" days off, I would have been working 26-28 days/month, and getting VERY cranky. Since the 3-4 day weekends would include the Fridays, and even 2 day weekends meant I would be traveling home and arriving late Sunday evenings, it made more sense to take off Mondays instead of Fridays.

Sometime after I got out of the Reserves (on Veterans Day 11-11-11), I thought I should start to work a normal 5-day week. Actually, come to think of it, I had someone sharing my office on that extra day, then she left, so it was a bit later than that. I enjoyed having those long weekends, but somehow felt I "should" work a normal 5-day week. Nom told me I shouldn't. I felt I should. I felt virtuous. I also seriously missed having the 3-day weekends. I told Nom she was right, and cut back to 4 days, keeping the Mondays off schedule. But really, there's a reason most people who work 4-day week take off the Fridays. Too many things are closed on Monday (eg, if I want a lunch date with my lovely wife, most restaurants are closed Mondays).

All that having been said, I am disoriented. It is Sunday night as I type this, and I'm indignant that I have to go to work tomorrow. I'll go in, and be convinced that my hospital day (Wednesday) will be the next day. On Friday, the first day of my weekend, I will keep thinking that that should be Saturday, and not understanding why every place isn't on weekend hours. It's sort of like being jet-lagged. Not the fatigue, just the feeling that everything is happening at the wrong time, but in this case the wrong day. I suppose in a few weeks, I'll adjust, but for now it feels weird.
warriorsavant: (Composite)
These all involving excisions. All did well in the end.

1. A gentlemen who informed me right up front that he didn't like needles, wanted me to proceed, but said he thought he'd better lie down. Since either he'd suddenly turned albino, or else was about to faint, I thought that was a good idea. He apologized profusely. I told him not to, I was just appreciative that he had the good sense to lie down first, as I don't pick up people over the age of 5.

2. Another excision that I'd planned to take 15 minutes, took three times that long. When Evil Secretary mentioned that to me later, I pointed out that that wasn't bad for something I'd never done before. It was a nail surgery, building on what I'd learned when we brought in the world's top nail expert. Much of stretching one's self involves taking skills one already has, adding in new knowledge, then doing something just slightly different. Do that enough times, and one ends up with a vastly expanded skill set. It just takes a while, keeping calm, and thinking through problems when they aren't going the way one planned.

3. A very elderly lady with a melanoma on her back, who was mostly oriented (but not completely). She chatted almost non-stop during the procedure. Usually that's annoying, but for someone with my interest in history, it was fascinating to hear some of it, such as her father's having fought at Vimy Ridge (in WWI - look it up). Then, knowing that I'd been in the military, she asked me "which war did you fight in, doctor, the 1914 one or the 1939 one?"
warriorsavant: (Composite)
Am I ever going to retire? What does that mean anyhow? How do work life and personal identity interrelate?

This thoughts inspired by a friend's posting (https://jillianpage.com/2018/07/22/retirement-one-foot-in-the-grave/#comment-11807) Most of this is from my reply to her post, with some quoting from another reply.

"Retirement," like many labels, seems to be all-inclusive in its description, whereas it really just means "ceasing to work at a certain well-defined job." I think that goes hand-in-hand with defining yourself as what you do for a living (farmer, lawyer, journalist, etc).

Admittedly, what you do for a living, for most people, is how they spend the majority of their waking hours, and often an important part of their identity, but the be all and end all of their existence, if they don't want it to be.

Another reply to that posting (regb1957) gave a good list things one can "do" in retirement. If your health is good, you can carve out another career for yourself, if you want to. If you want to be at the beck and call of someone else that is. Retirement means you won’t have to, you can do things you want to do, when you want to do them. Write a novel; start a business; campaign for xxx rights; get more deeply involved with local politics, whatever.

All good points, but even that begs the question of if we should define ourselves by what we "do" rather than what we "are."

I think in general people retire later when they enjoy their work. As you know, I'm not going to retire anytime soon, having 2 kids to put through medical school (and they are not even in kindergarten yet). Even if that were not a factor, I like what I do, so can't see giving up doing it any time before 80-? 90-? The key is to recognize when you are no longer capable of doing it well, and stepping down at the height of your game (at least when still in good form), not been pushed out for incompetence. In another 10 years will likely slow down a bit, but not stop.

Even that, again, pushes the question of "who am?" to be answered by "this is what I do for a living." As you know, Gentle Readers, I am a professional (in the older meaning of "learned profession") and that does come with a sense of identity more than most jobs, but I get to largely keep that identity even after retirement. I have multiple identities (as we all do), but sometimes have to remind myself that father/husband/family man is as much my identity as what I do for a living.
warriorsavant: (Venice)
I'm on vacation. Had a jam-packed off Friday. I was expecting that, as there are always people I want to see before I shut down for 2 weeks, so the week before, and especially the day before, I shut down, are always packed with last minute issues. I'm not going anywhere, it's more of what we in these parts call as "staycation," a.k.a. "going to Kitchen Inn," or in French, "balconville."

Started off the vacation with a great show. Montreal is big on festivals. Trying to prove we're a first-ranked megacity. We ain't, but we have fun. All summer there are different festivals: jazz, comedy, movies, etc. This week is Montréal Complètement Cirque ("Montreal Completely Circus"), and last night there was a free show of Phénix (https://montrealcompletementcirque.com/en/program/shows/phenix/ ). Picnic in the park, and watch juggling, dance, acrobatics, and more. Most circuses in Montreal are inspired by Cirque du Soleil; maybe most around the world now. More fantasia, more choreography. I think needed in the modern world. A century ago, could watch someone juggle 3-4 balls and be totally fascinated. Now we've all seen better on television, so need more than the simple acts/actions. Children and adults (we met some friends there) all really enjoyed.

We went via Metro, which was a first for the kids. They handled it well. Good. They're urban kids, they should be comfortable on the Metro. More comfortable in Montreal than NYC, because Metro here is rubber tired and therefore doesn't hurt the ears. (That's one of the things I no longer appreciate about NYC. I don't mind the bigness and crowds, I don't like noise to the level of phyically painful. Put dang rubber tires on the subways, or otherwise engineer them better.) Not all the Montreal Metro stations are stroller friendly, but I find strollers do fine on the wide escalators. For the stations that only had stairs, we just looked around for some young man looking friendly and reasonable strong to help me carry it up or down the stairs while Nom herded the kids.
warriorsavant: (Renovations)
First a literal one. The fire alarm went off in my office building. Understand that it is a condo building, with offices/businesses on the ground floor, and 6 stories of residential units above that. Fortunately very nice weather, so we all congregated outside. The building is along the Canal, surrounded by what is a rather long, thin, Federal Park, plus the office across from mine is a bike shop cum café and they have a terrace. Actually did a consultation on one or two of my waiting patients, who didn't have to undress; we just stepped "into my office" (ie several steps away from anyone else). In the end, it was a false alarm caused by dust from renovations getting into one of the detectors. (They are supposed to cover the detectors during the workday and uncover them when they leave. I know, having just done 2 sets of renovations.) I asked one of the fireman if false alerts happened frequently at this building, and he just nodded with a disgusted look on his face.


Second a metaphorical one. Had a message to call lawyer xxx at firm yyy. Calls from lawyers rarely good. Especially when I googled firm yyy and noted they were "
Un cabinet au service des usagers du système de santé du Québec" This is French for "Ambulance chasers." Turned out they were looking for someone to do Medical Expertise for Dermatology. Sorry, folks, but keep looking. One could argue that they are in the service of justice and I should help them, but "service of justice" sometimes is the same as "hired gun," depending which side of the table (courtroom) one is sitting on. It's rather like Satan asking the Preacher Man for help harvesting souls, "because they're sinners and they deserve it." We have an adversarial legal system, and they're the adversaries. Come to think of it, I believe the literal translation from the Old Hebrew of Satanactually does mean "Adversary." It is actually Ha Satan, "The Adversary." From my admittedly limited readings of the Old Testament, Satan is not the adversary of God, but of Man, more of what we would call today (un-ironically), a "Devil's Advocate."


warriorsavant: (Meh)
In Patrick Taylor's Irish Country Doctor series, the young protagonist, Dr. Barry Laverty, is introduced to his mention, Dr. Fingal Flahertie O'Reilly, when the latter physically evicts a patient from his office because he hadn't washed his smelly feet before wanting them examined. I'm not sure the College des Medécins would appreciate my doing likewise, but it was tempting today. There's a reason we keep a bottle of air freshener handy.

Don't sit in my chair. Really, it's not hard. The chair in front of the desk is mine, it's my office, you don't sit in it. Also, don't move the furniture. I thought carefully about the layout of the office, and the placement, and there's a reason why things are where they are. Don't move them. Not even moving the patient's chair, especially not 2-3 feet backwards. But really, keep out of my chair.

It's rare that a patient faints, but does happen. Super rare that we don't see it coming. Usually they're still in the exam room, I see them looking pale & sweaty, and quickly have them sit or lie down. Rarely they make it up to reception, and Evil Secretary is very good about spotting the signs and running around the desk and having them sit down. Only once that I can think of did someone give no warning. He (she?) was standing at the reception desk, talking, looking perfectly fine, and suddenly went out. Today it was the daughter of an elderly patient. Daughter looked at me, said, "Mom is feeling faint, can I get her some water." I said there was a glass by the sink, while quickly helped mom to sit down… when daughter fainted without warning. She was fine besides being embarrassed, but only second patient in this many years to faint without warning.
warriorsavant: (Warriordaddy)
The kids were lying in my lap. Combined body mass physically weighs maybe 50-60 lbs*, but all that cuteness functionally weighs 500-600 lbs and so hard to move out from under.

Usually I leave for work before the kids are up. I go kiss them goodbye. Wallstreet doesn't even stir. With Hedgefund, I tell her I'm leaving for work and I'll see her later. She nods in her sleep, but is aware I'm doing it. (If I don't do it, she is very upset when she wakes up that I didn't say goodbye to her.)

I start my own office at 0730h, which is earlier than most of my colleagues, but later than a few. The early hours are good for people who want to come before work or school, or are coming off the night shift. (I also take my lunch earlier so that I'm available during other peoples' lunch hour.) I've been debating starting earlier, and leaving earlier (or even - *gasp* - working a few more hours), but not changing anything for the moment. The other day was our monthly cutaneous lymphoma clinic at the hospital, which starts at a normal hour. Time enough for them to wake up. Time enough for them to crawl up onto the bed with me and lie in my lap, holding my hands, and smiling happily at their time with Papa. Time enough for Papa to consider retiring on the spot, rather than break their hearts by going off to work. Lots of "I love you," "stay home with us," "kiss goodbye." Even Wallstreet who isn't that much into being kissed. *Sigh* Keep working until they graduate from Med School, bah humbug.

*Technically should phrase that as "body mass physically weighs maybe 50-60 lbs in Earth's gravitational field."
warriorsavant: (Quebec sait faire)
(Entirely separate concepts today. Was going to make it Communications, Commute and Cappuccino, with the "Communications" being WS talking, but thought he deserved his own post for that.)

Commuting: the garage door on my office building jammed (again) the other day. I was going to go home for lunch, but couldn't drive because couldn't get my car out. The concierge told me there was a taxi office just up the street. Went there. Long story short, "you have to get the app to call us." Jerks. I'm standing right there, you have drivers and taxis just sitting around, but you won't take my business because I don't have the "app." Fortunately there was a taxi from another company nearby so I went with them. Borrowed Nom's car to go back to work, then back home at the end of the day to get her and the kids. The next morning took the Metro to work. Not really bad, but just that little bit longer and more annoying which reminded me why people usually don't take mass transit when they have the option to drive: walk to the Metro station, wait for the train, (fortunately didn't have to change lines), go 2 stops, walk from the Metro station. Three times longer than point-to-point driving. In nice weather, if I'm feeling energetic, I might walk to work some days, it would be 30-40 minutes.

Cappuccino: The commercial unit across the hall from my new office had their "soft" opening. That is to say, they were sufficiently moved in that if you walked in, they would accommodate your business, but not fully up and running. It is a bicycle rental/repair shop, convenience store, and café. Not as weird as it sounds. They are on the side of the building that fronts the scenic bike path along the old Lachine Canal. The owner has bike repair/rental place about further up the bike path, but this is meant for higher-end bikes. Also, being on the path is a good location if bikers, joggers, or strollers want a cold drink, a snack, or a coffee. I'm happy to have a place in my building that offers same. I have a fridge and a coffee maker in my back office, but they have cappuccino. Frankly, not the best cappuccino, but it is there. They will have a terrasse outside. Montreal is big on terrasses during our - limited - good weather. Their main entrance is from outside along the path. However, if you live or work in the building, and have key fob for the front door, it will also let you into their store directly from the inside hallway. Very clever on the owner's part, as it makes him the convenience store for the building too.

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