Work Stuff

Watching a Platelet-Rich Plasma Injection

My nurse has plantar fasciitis in both feet, though her left is worse than her right. I know, by the end of the day, she’s hobbling around and in a lot of pain and has to sleep with an ice pack on her feet at night. I can’t imagine what she has to endure and I’m very thankful I don’t have that problem.

This has been going on for quite some time though when she was pregnant with her girls, the pain only got worse.

She has seen a podiatrist for treatment options but our own neuro radiologist (who is AN EXCELLENT DOCTOR) offered to do a PRP injection on her.

A PRP injection  is a platelet-rich plasma injection.

What is platelet-rich plasma?
Platelet-rich plasma (PRP) is a patient’s own concentrated platelets. PRP contains a large number growth factors. These growth factors stimulate healing.

What are the goals of a PRP injection?
When PRP is injected, it can aid the body’s natural healing of injuries. The goal is not only to relieve symptoms but to create actual healing. In some cases, PRP may reduce the need for medication and/or surgery.

She wanted me to accompany her and I went. I knew I would feel awkward, and I did, but I went because she’s the daughter from another mother and I wanted to be there for.

I watched as a fellow nurse drew her blood. She seemed nervous. I’ve never drawn blood (thank goodness), but I can imagine it’s nerve wracking to draw blood on a fellow professional. I know my nurse has had to draw blood from our doctor before and she said she was really nervous.

After her blood was drawn, it was put into a centrifuge and spun at high speeds to separate the platelets from the blood.

It was fascinating to watch the nurse put together a sterile environment with all of the syringes he would need for the procedure. I helped, but mostly I feel like I was in the way. But it didn’t seem to bother the doctor that was there with her.

When it’s done, the liquid that has been separated from the blood looks like thick urine making really thick blood.

The doctor numbed her up and then injected her platelets into her foot. The doctor’s nurse helped to distract my nurse but I was left to watch the actual procedure. He was repeatedly stabbing her in the same area while slowing injecting the platelets.

It was a little disturbing to watch but fascinating at the same time.

After it was over, I brought her the wheeled knee walker she will be using to get around for the next two weeks as the doctor has recommended that she not be on her feet for two weeks, after that, she can walk around but will need to wear a boot.

She will be back next week to help with clinics, it will be interesting to see how she navigates around the clinic and helping patients with any surgeries we schedule.

It’s times like that, when I get to watch procedures, that I’m thankful that my job doesn’t require any type of blood draws or other procedures. Not because I can’t do them, I’m sure with training and practice I could, but because I really don’t WANT to that sort of stuff on people.

I’m a spoiled medical assistant, no doubt about.

Work Stuff

Monster Doctor

I hesitate to write this post. I don’t want you to get the wrong idea about the medical field, or more specifically, neurosurgery, but I feel I must talk about this because it HAUNTS me.

I don’t know if anyone outside of Texas would really know about this case. I certainly never heard of it until my PA started talking about the podcast and how we MUST listen to it. (Actually, my doctor might have been the one to bring it to my PA’s attention, I’m not sure).

The name of the podcast? Dr. Death.

It’s a true-life horror story of Christopher Duntsch, a neurosurgeon who maimed, and in two cases, killed, over 30 people in a two-year span.

33 Patients. A Charming Surgeon. A Spineless System.

We’re at our most vulnerable when we go to our doctors. We trust the person at the other end of that scalpel. We trust the hospital. We trust the system. Dr. Christopher Duntsch was a neurosurgeon who radiated confidence. He claimed he was the best in Dallas. If you had back pain, and had tried everything else, Dr. Duntsch could give you the spine surgery that would take your pain away. But soon his patients started to experience complications. And all they had to protect them was a system ill equipped to stop the madness. From Wondery, the network behind the hit podcast Dirty John, DR. DEATH is about a medical system that failed to protect these patients at every possible turn. Reported and hosted by Laura Beil.

In case you’re not aware, I am a medical assistant that works in a neurosurgery clinic. We have nine surgeons in our practice, eight neurosurgeons and an interventional neuro radiologist (he specializes in aneurysms). I’m very blessed to work with some of the best doctors in the country, in my opinion. They are all awesome and they are all excellent surgeons.

So, listening to this podcast REALLY hit home for me. Too close to home. I feel like it’s changed my perspective in regards to my job, the doctors I work with and the medical field as a whole. I frequently got goosebumps listening to what this crazy man did to people.

But it’s almost more alarming that he didn’t stop even after being confronted with the results, he refused to accept the reality that he was hurting people, and that he was allowed to continue to maim people.

In a nutshell, this man graduated from med school in neurosurgery. In addition, he had a PhD in research developing some serum that would regenerate cells in the spine and in essence, make spine surgery unnecessary in some cases.

There’s no question he was smart. You would have to be to graduate from medical school and become a spine surgeon.

However, he reportedly became addicted to drugs and there was a witness account of how he would be up all night partying, then put his lab coat on and go to to work the next day.

And this was during his residency.

“Over the course of two years, Christopher Duntsch a.k.a. Dr. Death operated on 38 patients in the Dallas area. Of those 38, 31 were left paralyzed or seriously injured and two of them died from surgical complications.”

One of those patients? Was his best friend Jerry Summers.

Mr. Summers had neck surgery. Duntsch botched his surgery so badly not only is he a quadriplegic today, but Duntsch nearly decapitated him due to drilling out nearly all of one vertebrae.

He placed screws into muscle. He drilled “ping-pong” sized holes in vertebrae. He completely destroyed nerve endings. He killed one side of the thyroid in one patient and I believe put a hole in the same patient’s esophagus.

Listening to this story made me physically sick.

How can a person purposefully do these things to other humans? How does a person not SEE what he’s done and STILL continue to operate as if nothing is wrong?

The man is pure evil.

In the case of Mary Efurd, she was on the operating table when his previous patient was hemorrhaging, BROKE SCRUB, which means, he left the operating room and compromised the sterile environment and the patient’s back was still open with her spine exposed, to argue with the hospital administration to allow him to operate, once again, on the dying woman because he was convinced he could fix her.

One of his patients came in for a follow up and when Duntsch looked at the patient’s scans, he noted a foreign object was in her spine. That turned out to be a sponge he left in the patient.

He diagnosed another patient with a malignant tissue and that turned out to be the patient’s normal muscle tissue.

It just goes on and on. And the whole time I’m just sitting there, flabbergasted, that 1. he continued to do surgeries even though he KNEW he harmed other patients so that to me means he was intentionally doing it, 2. that the operating staff allowed it to happen, though there is a story of one resident surgeon physically putting his hands over Duntsch and telling him to stop, he was dangerous and he wouldn’t work with him ever again, 3. that someone didn’t report him to the medical board, it took getting the police involved before he was stopped.

It’s so disturbing on so many levels. Are doctors really that untouchable??

Listening to this real-life horror story has really changed my perspective at work. I think I take my job even more seriously now and it awes me that so many people put so much trust in my doctor and his team. It’s humbling, quite honestly.

I can’t imagine the pressure that realization is to doctors.

And it concerns me that there doesn’t seem to be a checks/balances process in place for a situation like this. Granted, this was a one-of-kind tragedy and I pray nothing like this ever happens again, but how effective is the disciplinary actions for when something doesn’t go right?

I also put myself in the shoes of his office manager and the nurses that worked with him in his clinic. How could you ethically work with a monster like this? I know his office manager did end up quitting and telling anyone who would listen what was going on, but still, IMAGINE THE STRESS AND THE GUILT OF IT ALL.

And how must Duntsch’s parents feel when they found out what their son had done to people? I truly can’t fathom it.

It’s a shocking story but one we can learn from, I think.

I just pray, we do.

Work Stuff

The Difference Between a CNA and a CMA

In case anyone was curious to know the difference between the two positions:

CNA (Certified Nursing Assistant)

The requirements for becoming a CNA vary from state to state. So you may need to certify again if you move or take a job in another state.

CCMA (Certified Clinical Medical Assistant) – This is me

If you’re earning your Medical Assistant Certification (CCMA), your certification will be nationally accredited and not tied exclusively to a state-run certification or license. That said, some states have specific scope of practice, training or other licensing requirements to perform specific skills such as x-rays. You should make sure you know whether your state is one of them.

CNA tasks are mostly clinical

Certified nursing assistants perform mostly clinical duties related to the patient. Common duties of a CNA include:

  • Collect laboratory specimans
  • Provide bedside assistance
  • Assist with daily activities of living (bathing, dressing, eating)
  • Monitor, record & report changes in patient health
  • Maintain a clean patient environment
  • Provide comfort to patients

CMA tasks can be either clinical or administrative or both – (This is what I do)

Medical assistants perform both clinical AND administrative duties. They are one of the most versatile members of the ambulatory health care team. Common duties of an MA include:

  • Check patients in and out upon arrival and departure
  • Answer phone calls and questions
  • Perform basic billing and coding procedures
  • Assist providers with exams and procedures
  • Assist with minor surgeries
  • Administer injections or medications
  • Work in the electronic health record (EHR)
  • Perform EKG, phlebotomy and laboratory procedures
  • Take patient vital signs
  • Help patients stay up-to-date with preventative testing
  • Perform health coaching or patient education

It’s hard to outline a “typical day” for an MA because each day is different, and there’s little repetition. Moreover, MAs work in a variety of settings and help many different types of patients. If you’re someone who likes variety in your day, becoming an MA could be a good fit for you

CNAs work with nurses

Certified nursing assistants, also called nursing aides — as the title implies — primarily assist the registered nurse (RN) or licensed practicing nurse (LPN). Because they serve as direct caregivers, they are most often employed by nursing homes, residential care facilities and hospitals.

CMAs work with a variety of providers

With a broader skill set, medical assistants assist a variety of providers including physicians, nurse practitioners and physician assistants. They typically work in medical offices, clinics, urgent care centers and may work in general medicine or specialty practices. It isn’t typical to see MAs in the hospital, but with the need for healthcare workers increasing the opportunities for MAs are growing and changing rapidly. (Source)

It still surprises me that I’m a Certified Medical Assistant. I never had any desire to go into healthcare, never envisioned myself doing the job, and yet, here I am.

I don’t even like people that much, ya’ll! How did this happen?

And yet – why do I enjoy it so much!?

Work Stuff

Pick Your Battles

I work with a lot of alpha females. In fact, other than our doctors/PA’s, we have ONE guy that works in our whole clinic.

The females that I work with are smart, fierce and work hard to get the job done and to do it to the best of their ability. We have to all have strong personalities in order to handle our very strong, very smart neurosurgeons. (Who have NO patience for stupidity, to be honest). I don’t mind it, in fact, I sort of enjoy it.

However …

Since we all have very strong personalities, we also have to learn to accommodate and adjust to those personalities.

I have definitely chilled out over the years. I wish I was this “calm” and “zen” when the boys were little – I put impossible expectations on them for which I regret today.

But I have a ways to go. My mantra for this new year, “PICK MY BATTLES.”

I have a tendency to be high strung anyway, especially when I’m at work. I want everything to go smoothly so I’m both nowhere and everywhere at once. I’m hyper-aware of my surroundings and who is where at all times. this helps me to plan the clinic day, keep the flow going, and it works, but it’s also exhausting.

By the end of the day, all of my mental energy has been sapped and I just want to sit, absorb the quiet, not talk and stare at the wall.

I go into zombie mode.

And that works for me.

However …

There is drama at work. How can there NOT be when we have so many women with strong personalities. There are days that we don’t get along, or we perceive a slight when in fact, it’s really not that big of a deal. People snap and are snarky and bitch and moan about situations that in the big scheme of things, are simply not that big of a deal.

At least, in retrospect.

This is apparent whenever we are all in “bitch” mode, blowing off steam and our male doctor simply shrugs and puts things into perspective. Suddenly, is it REALLY that big of a deal?

A little testosterone goes a long way.

I have to work hard to shove my ego into the corner at times. Do I get worked up along with everyone else? Of course, but I also try and look at all sides because it’s not all about me. Is it easy? Oh hell no.

It’s not about being the loudest, but the smartest when it comes to conflict.

If I’m going to get involved in a problem, I want to make sure I’m heard and taken seriously.

I can take this stance because I’m older. The majority of people I work are much younger so I feel like I have an advantage from that standpoint. Sometimes I’m the voice of reason, sometimes I’m the irrational one I need someone to bring me back to earth.

I could care less what someone says about me or if they like me. I truly don’t care. Take it or leave it. Sure, it’s more fun to have fun but ultimately, we’re there to do a job, do it and we’ll get along just fine.

But I do get worked up over injustices. People taking advantage of others. People making excuses for piss-poor work performances because they’re too lazy to learn and do it right. People being holed away from the watchful eyes of management to spend their time on their phones the entire day and making their team partner do all the work.

I’m a hot head and I tend to mouth off when I’m really annoyed or worked up. But I’m going to work on doing a better of job curbing that response and looking at all sides of the issue before flying off the handle.

  1. It’s a more mature approach
  2. My blood pressure will thank me

So. My 2019 mantra?

PICK. MY. BATTLES.

 

 

Work Stuff

Christmas at Work

Happy New Year!

It’s 2019! Next year I will have been married for 30 years. WHAT?!

That in itself is mind blowing, but when I stop to think of the number of years I’ve been on this Earth, it doesn’t feel real. I’ve been alive since 1965. It’s now 2019.

THINK ABOUT THAT FOR A MINUTE!

It SOUNDS old but I honestly don’t feel that old. Well, most days. There are days my body creaks and moans a little more than others.

I honestly think it’s mostly because I work with so many young people. They keep me young. And my job (medical assistant for a neurosurgeon) requires that I’m constantly on my feet a few times a week so that helps, I suppose.

Work is going great. I love what I do (most days) and of course my team is phenomenal. I do have a weird dilemma though – the nurse I work with has discovered my blog. *waves* I freaked out at first and hid my blog for a time but now I’m back and I guess it is what it is. I never write anything that I wouldn’t tell someone to his/her face, but still, it’s weird to make myself vulnerable in that way. I don’t really talk much about myself, my life, my thoughts/feelings much at work so to have someone read these thoughts, here, where I just sort of do a brain dump, is … strange.

At any rate, here we are and hello! to anyone reading this in my real life right now.

Welcome to my internal madness.

The doctor I work for is amazing. He actually invited all of us to his house this past week for a Christmas lunch. His house is gorgeous. It’s brand new, he just had it built, and it’s full of impressive technology and gadgets. The decor is a bit on the minimalist side, which we all knew that was more his style, but personally, I would have liked to see a bit more warmth scattered throughout the house. When we saw his son’s messy bedroom and his attic (which is a space above his garage on the 2nd floor) and saw all of his boxes, cobwebs and other knick knacks, I breathed a sigh of relief; they are not robots after all.

Because let’s face it. We all like nice things and to have our things in their proper places but all people are messy on some level, it was nice to see his level of messy.

We had delicious Mexican food and ate our lunch on their gorgeous dining room table in front of a wall of windows that overlooked their front lawn. We then had dessert in their modern kitchen and breathed in crisp December air after he opened up a full wall of windows that overlooked his backyard. It’s an impressive house.

We then sat down and opened gifts. I feel like my doctor liked the gift I gave him.

It’s an eyeglass holder.

I bought it because we’ve all been talking about glasses lately at work, getting our eyes checked, where the best places to buy eyeglasses, and then showing our new eyeglasses off whenever we buy them and my PA mentioned my doctor didn’t really like his contacts and was back to wearing his glasses and I stumbled across this gem.

I think he liked it. Who knows if he’ll actually use it. But it was good for a laugh.

I bought my PA, nurse and secretary a ring light to clip on to their cell phones. In theory, it’s supposed to help make your selfies look better. My nurse took a pic with it and then without and I think the pic with it looked better.

It was super cheap and I’m going to buy one for myself, but I think they all liked them.

My PA made a longitude/latitude picture for us. They match the colors in our rooms at home. It’s the longitude/latitude of our residence. It’s super cool and Kevin is going to hang it up in the family room sometime soon.

My nurse gave us cute “party of ….” pictures. The number matches the number of people in our families.

My secretary gave me a book, (which I found on Unlimited Kindle and put on my Kindle) and some yummy chocolates.

My doctor gave me a CUTE little Bluetooth speaker to put in our “new” office at work (we actually just swapped spaces with another team but it’s new to me and my nurse) and a jug of protein, mixer cup and protein bars (which I’m keeping at work because I like to eat a protein bar on clinic days because momma ain’t got time to eat in between patients).

My doctor’s wife, who gave me a hug (*squee!*) and his adorable youngest daughter, hung out with us the whole time we were there and it was great to get to know them a bit better. Even though I’ve worked for my doctor as his MA for nearly five years, I don’t really know his family very well. I mean, WHY would I. But it was nice to see a different side to his life.

Our clinic hosted a Christmas open house for surrounding doctors and hospital VIPs. It was the brain child of our PA. She’s super talented and such a hard worker and her and my nurse did the bulk of the work. And WORK they did. We had 14 Christmas trees. In addition, my PA made wreaths to hang around the clinic and my PA’s mom made EVERYONE in the clinic their own stocking to hang up on our individual pods. Close to 800 save the dates / invitations went out and I think we ended up having nearly 300 people attend. We hired a Santa and the kids had their pictures taken with him. We had a hot chocolate station, a cookie-decorating station, a “sign a card for the troops” station as well as a refreshment / finger food station. Everyone walked around to each station. 

This picture is all of our nurses with Santa. Again, an AMAZING group of women. The picture below is one of our PA’s sitting with our Santa.

It’s safe to say that “Buddy the Elf” was a HUGE hit with the kids. We even had pom-pom snowballs that the kids had fun throwing at Buddy, who ran all over the clinic with the kids chasing him.

It was a hugely successful evening and the first of many open houses to come, I’m sure.

It took a lot to persuade the hospital to allow us to throw the open house, but in the end, I think it ended up making our neurosurgery department shine.

I know everyone had a good time planning it then working it.

Me? I was a runner. I constantly walked around to make sure everyone had what they needed at each station. I refilled the cookie tray, made hot cocoa and made sure Santa and our photographer had enough water. (I wracked up 15000 steps by the end of the night).

The last few weeks, with Christmas and New Year’s Day falling on Tuesdays, it’s been a ghost town at our clinic.

But not without some drama.

I think people are a bit bored and stir crazy. When we’re all busy, we’re really not paying attention to one another so a lot of things go unnoticed or not reported. But when we’re slow, well, some things stick out more.

Our management team is great, but they aren’t very proactive or timely with any sort of disciplinary actions. We have some people who spend the majority of their days on their phones and others that come up with every excuse in the book as to why they didn’t do something. Management is very aware of these individuals and yet … nothing happens. I realize that these things take time, that there are certain procedures and protocols, but I feel like stress levels are high right now. Who knows what sort of changes will happen in the new year.

Me? I’m perfectly happy with the team I have and I feel incredibly lucky to have them in my work life. I had enough drama with my old nurse, I’m DONE with drama and I’m minding my own business. I’m focusing on doing the best job I can do and everyone else is on their own. I have neither the time, nor the patience, to deal with sub-par associates. All I can do is report it to management, what they do with that information is up to them.

You can’t change people, all you can do is change the way you react to people. You have to think that way or you’ll drive yourself crazy. And honestly? Life is too short to be stressed out all the time. So I’m on a mission to stay chill. My blood pressure has been on the rise again and I’m working on getting it under control again. I need to start walking/exercising again as I know that is a large part of why my blood pressure is wonky again.

I’m looking forward to a new year and new adventures.

Work Stuff

Insert Coffee to Begin

insert-coffee
And MAN, do I need to coffee to keep up at work! Read on …

Hi. I’m still alive, always lurking in the background and avoiding my blog because every time I sit down to write and I see that little blinking cursor, I freeze up and go brain dead. But I feel like life is starting to settle down and I have found my new normal, so I feel ready to start sharing my life again.

Work is good. My new nurse has been working with our team for over a year now and things are settling down into a routine. I feel like we all work extremely well together, we all get along, we make each other laugh, patients compliment us as a team, we throw fun little parties, we make an effort to eat lunch together at times and we genuinely like each other.  I hope this continues for a very long time. I feel like after the two years of hell I had with a super crappy, crass, rude/crude nurse, I deserve some fun times at work. And I’m having fun, I truly am. I ADORE the people I work with and I don’t mind going to work each day. In fact, I really enjoy it.

If I haven’t told you, I work in a neurosurgery clinic. I feel like it’s the perfect balance of patient interaction. My doctor sees patients in the clinic two times a week, and when he’s in surgery the rest of the week, I manage the phones and make sure tests are scheduled and we’re ready for the next batch of patients for the upcoming week. I love this balance because I truly don’t think I could handle working in a family medicine clinic where they see patients every day. I generally don’t like people. I know that’s sort of a shocking thing to say considering I’m in healthcare, but I can only handle listening, sympathizing and being nice to people for so long before I’m simply DONE. I truly enjoy helping people and it’s SO REWARDING to see people feel so much better after having surgery, but being at everyone’s beck and call for 45 hours per week just sucks the life out of you.

But, as I mentioned, I have a phenomenal team who all pitch in and pull their weight. I trust them and I hope they trust me. Somehow, we get the job done. We have perfected the way we do things and our clinics run like clockwork. So much so, in fact, that my boss has asked me to put a clinic prep “guide” together to teach my fellow medical assistants. I guess the doctors, (not my doctor, thankfully), have been complaining that things aren’t being done fully or correctly and they want changes. I’m flattered my boss is asking me to do this and I’m glad to help in any way I can, but if people aren’t willing to make those changes, then no amount of “teaching” will help them. I guess we’ll see how it goes.

We’re planning some fun stuff in the upcoming weeks at work. We have two birthdays coming up, our medical secretary and our physician’s assistant. The nurse and I have been shopping for presents and we’re planning on “themed” food days. For example, our doctor’s birthday was the first of June and we had a “beach” party because he mentioned how he really wants to take his family to someplace like Mexico but he’s afraid of exposing them to “bad” people so we brought the beach to him. I think he really enjoyed himself. Here’s a picture of our beach party:

beach-party

Starting on the left side: Nurse, Doctor, me, secretary and physician’s assistant. Our facial expressions KILL me! LOL (By the way, see the matching scrubs? Our doctor bought us matching scrubs for Christmas – how cool is that??)

As you can see, we like to act goofy.

Then we had a 4th of  July party. We actually had the party on the 2nd and here’s why. Since 4th of July was on a Wednesday, and we have clinics on Wednesdays, we tried really, really hard to talk our doctor out of having clinic on Monday, then some of us could take a few vacation days off. But for whatever reason, our doctor didn’t want to do that so we thought, “okay, fine. If we have to work on that Monday, then we’re going to have a party, damn it.”

And we did. Our doctor, and another doctor from another team, bought BBQ meat from City Butcher and we all brought in side dishes. I brought in deviled eggs and Snicker-doodle cookies. and though it’s always a challenge to try and find time to eat together on clinic days, we managed to do it. It’s so fun to let our hair down and just be goofy and funny. It blows off steam and we bond a little bit more as a team.

Here’s our 4th of July party picture:

4th

God Bless America, I love these people! LOL The nurse and the PA are hugging me because I jokingly said, “I don’t know what to do with my arms” since I was in the middle.

Here are few older pictures:

workgroupBB

This was when our nurse came back from maternity leave. She actually surprised us one day in clinic. We were setting things up and she walked in and said, “I’m back bitches!” I squealed like a stuffed pig and hugged her. (Which is sort of a big deal because I don’t like hugs – at all). So, we were all feeling a bit stupid and giddy in this picture. It was a very good day.

This picture is our PA’s birthday last year:

workgroupA

Yes. We made t-shirts because we love her so much.

We’re a fun group, what can I say?? We enjoy each other. I don’t know if our doctor really knows how to take being surrounded by so many crazy, alpha females, but damn, we have fun.

I’m so, SO thankful we have a fun group. I hope none of us goes anywhere for quite some time.

In the meantime, we’re planning a few more parties. The entire clinic is dressing up for Halloween. The year before last, our group dressed up like the Wizard of Oz, I was the scarecrow (of course), our old nurse was Dorothy, our secretary was Glenda the Good Witch, our PA was the wicked witch and our doctor was the Wizard of Oz but unfortunately, he wasn’t able to participate because his dad passed away a few days before Halloween. But we had a yellow brick road around our part of the clinic, a huge Wizard head, a house, a tornado, haunted trees and a hot air balloon. It was pretty incredible and OF COURSE we won the costume trophy that year. We didn’t dress up last year, it fell on a surgery day and our team wasn’t together (I was sort of glad, I actually hate dressing up), but THIS YEAR, it’s going to be a blast.

The entire clinic, (well, the teams that have clinic on that day and since it falls on a Wednesday, that would include us), are dressing up in time period costumes. Each team got to pick a time era and our team chose the roaring 20’s. I GET TO DRESS UP LIKE A FLAPPER!! I can not wait! We’ve already picked out our dresses on Amazon – they are all going to be the same kind of dress but different colors, and we found a “flapper” set of accessories to go along with it. Including candy cigarettes! I’m pretty sure I already have some shoes that will work.

It. Is. Going. To. Be. A. Hoot.

Our doctor is game, so our PA is going to find some wingtip shoes, suspenders, tie and a gangster hat for him to wear.

Oh, don’t you worry, we’ll take pictures.

Then, for Christmas, we’re not dressing up, but we’re decorating our clinic for a Holly/Jolly Open House. We plan on having five (?) themed Christmas trees, a hot chocolate station, a “decorate-your-own-cookie” station, an area for the kids to do a craft and watch snippets of “Elf” while their parents rub elbows with our doctors, a station for people to write notes to our soldiers and a LIVE Santa where we will have a photographer taking pictures. The clinic is throwing this shin-dig to help promote neurosurgery to referring doctors in outlying areas. Since patients have more of a choice on where they can go now with insurance changes, (which, I’m not a big fan of OBummer care, but giving people a choice on where they want to go is a good thing), it’s forcing everyone in healthcare to compete and step up their game to provide better service. Capitalism is a good thing, people!

In addition, we’ve had two new doctors start in our clinic and a slew of new faces to staff those teams and I’ve been busy helping to cover those new doctors as well as train new people. It’s been busy, we plan on getting busier (because the hospital hasn’t approved to hire another MA for our newest doctor yet, which means we’re all having to take turns to fill in and help out) but I wouldn’t have it any other way. Everyone is so incredible and I’m so blessed to work with each and every one.

I have to confess, this time two years ago, I didn’t know if I would be able to stay in my current job. I was miserable and so stressed out that it was affecting my health but I’m glad I stuck it out because honestly, I’ve made some pretty incredible friends and I’m really having a lot of fun – which is a rarity in today’s working world.

 

Work Stuff

Just Breathe

Today is the reason I’ve gone ahead and planned our next vacation in April.

The nurse that I work with now is on maternity leave, which leaves me, myself and I pulling up the slack. That’s okay, I can handle it, she’s only going to be gone for 10 weeks.

Seven weeks and 1 day left.

But who’s counting.

I’m doing two jobs now, hers and mine. Oh sure, I have other nurses helping out, I have a covering nurse every day, but let’s be honest, their doctors come before mine; I would be the same way. So, my doctor is counting on me to take up the slack. I braced myself for this, I’ve been down this road before.

Only the last time I was by myself I was RELIEVED to be rid of my nurse. My past nurse was a nightmare, my current nurse is a dream come true.

I prayed so hard for a good nurse to replace the one I had and God answered my prayers.

Yesterday was crazy. Our doctors are usually out of the office the last two weeks of the year and this year was no exception. My doctor returned to the office on Wednesday and of course, I spent all day Thursday playing catch up, calling patients back, working patients in for next week (did I mention my doctor was on call Wednesday, too? Well, he was).

I got a lot done today but I still have a lot to do. Who am I kidding, it’s a never-ending cycle. I had a patient just show up today, she expected to get her sutures removed, she was too early. My doctor sees his post-op patients at two weeks as opposed to his partners who see their patients at four weeks. Our patients get their staples/sutures removed at their post-op appointments. This patient was not very happy with me since she drove an hour and a half and her husband took off work. She wasn’t mad at me, she was mad at the person who told her it was okay to come in.

This is what happens when you don’t care enough to help patients, it trickles down to the next unsuspecting, and dare I say, undeserving person.

I smoothed the waters but after an already hectic morning, it set my teeth on edge. I tend to have very little patience for ineptitude anyway, let alone I don’t give a shit attitudes.

True story, I don’t like talking on the phone. I don’t really like people all that much though if you were ever to meet me you would not believe that statement. I have a “persona” when I’m at work, I’m switched ON. I become a different person. I don’t necessarily dislike this person I become at work, it’s just EXHAUSTING to be this person at work. I hear so many stories, I field so many questions, I smooth so many waters that by the time I get home from work, I’M DONE. I can’t stand the thought of seeing another person or speaking to another person.

Poor Kevin.

Hence the reason I’ve been MIA on this blog for the past several years.

But at the same time, my job is rewarding; I wouldn’t trade it for the world. Yes, it’s stressful, yes, you’re never, ever caught up, but it’s deeply satisfying and it’s never boring. I’m constantly being challenged and I feel bored if I’m juggling at least four balls at once.

Speaking of stressful, I feel I’ve aged ten years this past year. The two years I was stuck with the worst nurse in the history of nurses really broke me. I feel like my face sags more and I definitely have more wrinkles. Even Kevin has commented on it. Stress really does age you.

But even though I look stressed, I don’t really feel that stressed anymore. I’m comfortable with what I’m doing, I’m confident that I know my doctor and his preferences, I’m comfortable around my team members and I love my doctor’s new nurse – she is truly a spectacular nurse.

I’m confident things will settle down and we’ll have more of  a routine once my nurse comes back from maternity leave.

But right now? I need to remind myself to stop, relax and breathe. Life is too short to stress about the small stuff.

Just breathe.

Work Stuff

Gone at Last

Where to start …

Work has consumed me. There have been so many changes this past year – it has at once flown by and yet it feels like time has stood still. And by that I mean, it’s the same day-in-and-day-out. The type of work I do is very repetitive, rooming patients, taking blood pressures, interviewing patients, scheduling appointments … but the patients and their individual problems, needs and personalities, mix everything up so I’m NEVER bored.

I now consider working my hobby. Does that sound weird? Nearly every waking moment I’m either thinking about work or preparing for work. Not the work itself, really, but I feel like I’ve spent so much time physically and mentally preparing for every work day that I’m determined to make it pay off. In fact, I put so much time and energy into my work day, giving 150% of ME into my job that I’m entirely knackered by the weekend and all I want to do is mindlessly watch YouTube videos or play Sims 4 – anything that doesn’t require any mental energy.

I’m not sure it’s entirely healthy to be that invested in my job, but I feel like it keeps me young, it also helps that I work with 20-somethings, as well. I’m always on my feet running around and really don’t sit that often and it certainly taxes my pea brain. Our brains are muscles and need to be stimulated – I feel like this job will keep me on my toes enough that hopefully I never have to worry about Dementia or Alzheimer’s. Yes. I think about those things. Getting older REALLY, REALLY, REALLY bothers me. I think my biggest fear, and I hesitate to even write it because if I write it then will it come true? Is becoming old. Like so old I can’t control my body or my mind. So old that I become a burden on our sons. Or so old that I’m no longer able to live on my own without assistance.

I’m very determined to not allow that to happen.

My dad’s dad passed away a few months ago. He lived on his own until about two-ish years ago when he was finally unable to get around without assistance and he went into a nursing home for veterans. I never visited him at his home. In fact, I hadn’t seen my grandpa in many (decade?) years. I have no excuses – I simply didn’t take the time out of my day to see him. I’m very selfish with my time. This is not a good thing and I feel like a bad person for admitting it but it’s true. I have many, many regrets when it comes to my family and to this day, I can’t really explain why I’ve been the way I’ve been – a recluse. Which is puzzling to me because I’m a realist and brutally honest with my feelings and openly recognize my flaws. Though I suspect the reason is there, bubbling under the surface, I’m just refusing to acknowledge it, either here or to anyone, really.

I admired my grandpa. He was a very stubborn man. He hobbled around on a bad hip for a number of years, by himself, with very little complaint. He fought living on his own and continued onward after my grandma passed away. And I know her passing was a terrible hardship on him – he worshiped her. I like to think I have my grandpa’s stubborn streak. I REFUSE to allow my aging to get in the way I live my life or how my family lives their lives.

I hadn’t really planned on talking about the aging process in this post but I’m allowing my thoughts and feelings to dictate this post so here goes: getting older absolutely terrifies me. I already feel like my body is not really my own anymore. I used to be able to control it and of course, I continue to control it today, but there has been a noticeable shift. Ever since I went through “the change” my body has been thrown off kilter. I’ve noticed more aches and pains since menopause. I tire so much more easily and I’ve been playing around with supplements because I know my body is not producing the nutrients I need anymore. I’ve seen, firsthand, what osteoporosis does to bones and what terrible things it can do to people – it can back people into an impossible corner – bones so brittle they literally crack and are so thin that surgery is not an option because it’s counterproductive to put any sort of hardware in bones that won’t sustain it. So I’ve been taking calcium and Vitamin D religiously.

I’ve been taking Flaxseed daily because I read somewhere that it mimics estrogen and it’s good for your heart and I honestly feel better when I take it – I can definitely tell when I forget to take it for a few days. I’m not anemic anymore since I no longer bleed every month but there are days I can’t even lift my arms I’m so fatigued, so I know it’s time to take some iron and I feel better. My nerve endings are so sensitive sometimes that I know it’s time to take Vitamin B, which calms them down. Your body talks to you, you just have to take the time to listen to it.

I’ve been under so much stress at work – I’ve never been under this much stress in my life. It sucks the very life out of me at times – and yet, I THRIVE on it. I can’t imagine being a doctor, or even a nurse, to be honest – I just don’t think I could handle the stress though now I fully appreciate why doctors are fanatics when it comes to exercising – because it helps counteract the amount of stress their bodies sustain.

Sidenote: I’m back to using my treadmill – even walking 30 to 45 minutes several times a week HELPS SOOOOO MUCH.

I’m a Medical Assistant. And the job itself is not really all that stressful, but, when you work with someone who doesn’t do her job, it becomes extremely stressful. Because I’m a perfectionist, you see. I am not wired to do a half-ass job. I want people to rely on me and know that if I’m doing a job, you can bet I’m doing it to the best of my ability. I want people to know they can count on me – that I’m loyal, dependable, helpful, fun, and good at my job. The doctor and PA I work for are amazing. They are truly amazing people and they inspire me daily. Our team, as a whole, is organized, efficient and patients seem to like us, at least, according to the scores we get. (Yes. The government scores doctors and their pay is directly proportional to how good their scores are – Medicare/Medicaid patients that is. On the surface, that sounds great. But when the government starts telling the doctors how they can/can not practice, then it’s not that great anymore and ultimately, the very patients they are trying to protect suffer. But that sums up government, doesn’t it. ). But when you work with someone who is clearly lacking work ethic, the whole team becomes stressed and strained.

So, I’ve been doing two jobs, off and on, (mostly on), for two years. TWO. YEARS. Working late became routine for me. It was unusual for me to arrive home before 7:00 PM most nights. I had a new normal, unfortunately. No. I didn’t HAVE to work that late most nights but if I didn’t, then I would begin the next day even further behind because then I would have to finish up the previous day’s work before starting the current day’s work. And because I was fighting an uphill battle, our phone calls were out-of-control. We were getting, AVERAGE, 30 to 40 calls PER DAY. And that stressed me out even more.

Yes. I complained. Yes. We had numerous “team” meetings, though the team meetings basically consisted of one person being told she needed to do better. And it would get better, for a time, before this person slipped back into her lackluster work ethic and ended up spending more time eating and shopping than she did actually working. I tried to be understanding and helpful at first. And I kept my thoughts mostly to myself. But after a while, it became clear that I was being taken advantage of and I ended up in the ER, twice, due to chest pains. (And after a stress test and a wearing a holster monitor for three days it was determined it was likely a panic attack).

And then I became angry. I can’t believe I allowed an annoying, less-than-intelligent female to cause me so much grief. The stubborn streak I inherited from my grandpa kicked in. In my mind, allowing one person to affect me so much was allowing this person to have some power over me and I simply will not allow that to happen. EVER. So, I was on a mission to make some changes. I was no longer going to cover for this person. Every mistake she made, every time she procrastinated on something, I went to management about it. I took screen shots, I kept running tallies of things she put off for days, and shouldn’t have. Times were ugly because this person would get called into offices and lectured and still, STILL, she continued to laugh it off and/or have a ready-made excuse as to why things weren’t being done and/or why she was rude to patients.

There were areas I kept my hands completely out of in order to give herself more rope with which to hang herself. I was done stepping in and saving the day. And yes, it bothered me GREATLY and it was really hard not to take control and make things better and yes, it truly bothered me that patients had to suffer as a consequence, but if I wanted things to change, I had to allow these things to happen. I was confident that her piss-poor work habits would eventually catch up to her, and they did. Unfortunately, I can’t go into details as to what exactly happened, but suffice it to say, it was very bad and potentially dangerous. She finally got written up. But again, things did not improve. I think this girl had been so used to being compared to an “I Love Lucy” character and laughing her mistakes/antics off, that she truly thought it would save her – that people would just shrug and say, “Well, that’s _______ for you.”

No. Just no. That is not acceptable, especially when we have patients who are counting on us and trusting us to take care of them.

Finally. Finally. The doctor had had enough. He was having to step in and smooth the waters one too many times. He spoke to management. And the next thing I knew, she was being told she wasn’t a good fit and to find a new position elsewhere.

I had mixed feelings. On one hand, I was relieved. I felt like a huge weight had been lifted from my shoulders. On the other hand, I had such guilt. For though I wasn’t the one who was making the mistakes and had a piss-poor attitude, I felt responsible because I went out of my way to make sure the proper people knew about her screw ups.

She continued to work for our clinic for four weeks after she was told to find something else. Since she wasn’t technically “fired” and didn’t have any vacation time she could cash in and use, she stuck around for four weeks while she interviewed for a new position. She was present when we started interviewing a replacement nurse. She was present when our entire team went into another room to discuss the applicants’ pros and cons. She was present when these applicants were shown around our clinic, given the “tour”, if you will. To say this was an awkward four weeks would be putting it mildly. And since I was the one who had to see her every day and continue to work with her, it was hardest on me.

Which stressed me out even further.

I started having chest pains again though I told no one. I didn’t go to the ER because I knew what was happening – I was having panic attacks. I finally bit the bullet and looked up my chart and read the holster monitor report back when I wore it when I went to the ER two years ago. (I don’t have a PCP so the ER doctor didn’t have anyone to forward the results to so I never got the results). I just wanted to make sure that I wasn’t damaging an already weakened heart by NOT seeing a doctor. Everything was normal. Yes. My heart pauses at times, (skips a beat), and paused a total of 34 times in one hour at one point but apparently, it was still within the normal range so there was no cause for alarm. (Which seems weird that your heart pausing 34 times in one hour is still considered “normal??”) But the doctor recommended either magnesium and/or beta blockers for my chest pain so I thought I would throw in my magnesium with my other supplements and see how that worked. It worked, for the record. I haven’t had chest pain since starting magnesium.

This all happened in January of this year.

I was never so glad to see a month end in all my life.

This nurse and I are not friends – all ties have been severed which doesn’t bother me in the least. Not even a little. Yes. I’m a cold-hearted bitch. Tell me something I don’t know.

Look. Whenever a company is lucky enough to have me as an employee (*snicker*), I will give my employer 150%. The company is investing time and money in me, I’m going to deliver. I’m not working to become BFF’s or talk, endlessly, about my personal life with someone. Sure. If we get our work done and we have some laughs along the way, then BONUS. But to show up to work and expect to do little to nothing and be handed a paycheck? No. That’s not the way it works, or should work. As long as you do your job, then I don’t have a problem with you. It’s when you don’t do your job, that’s when the gloves come off and I get aggressive.

Our new nurse didn’t start until the beginning of March, this month. I can’t even begin to describe the night and day difference between these two women. This new nurse is enthusiastic and eager to do a good job. She cares about people and wants to help them. She’s happy to be a nurse and there is genuine joy in her. It’s such a breath of fresh air. We had a heart-to-heart the other day when our doctor/PA left for the day. She asked what she was getting into the middle of, that she had heard some things. I was completely honest with her. I told her what I just told you – do your job and we won’t have a problem. She said her interview was all about me, about how much they expected her to help me and to keep on top of my duties, to call patients back in a timely manner and to be proactive and keep on top of surgical requirements. I felt embarrassed when she told me that, I also felt honored and humbled. It’s nice to know the doctor/PA recognized the hell I’ve been living for the past two years and were trying to do everything they could to make my life easier. After it was announced the other nurse would be expected to find another position, my doctor and I had a sit down chat. He made me feel good in that he had no intentions of losing me. It made me feel appreciated.

I’ve been off the past few days, it will be interesting to see how she has done without me. Which is not to say she can’t do her job without me – any MA would be able to easily step in and do my job, but I got the feeling I was her anchor since she hasn’t really had a chance to hang out with the other nurses yet and learn the ropes. I feel sort of protective of her. She’s young though has been a nurse for a while and I guess it’s the mothering instinct in me to want to see her do well and be happy in her new job. I’m not completely heartless, you see.

My doctor is on vacation this week – he’s spending time with his kiddos for spring break, hence the reason I took a few “mental health” days off, but I’m looking forward to going back to work tomorrow and working with her. I have a lot of prep work ahead of me – getting ready for next week’s clinics and there’s a schedule I need to work on as my doctor has text me to say he will need to leave early next Wednesday so I can adjust his clinic schedule, but I’m approaching this change with fresh eyes and an open heart. I feel like Satan has really tested me these past few years and for the first time in months, I feel like I can breathe and genuinely smile again.

Work Stuff

Four Weeks of More Work and More Stress

I like to think I get along with everyone – and I guess I do, on the surface. I try to get along with everyone, but I would be lying if I said I liked everyone I work with.

I do not. In fact, there is one person at work I pretty much despise. She is everything that I can’t stand in a person.

She’s loud.
Rude
Obnoxious
Callus
Ignorant
Clueless
Self-centered
Egotistical
A little crazy
Lacks empathy
Lacks a filter
Short-attention span
Turns conversations back to her – every – single – time
Insecure

She reacts instead of interacts.

Everything about this person grates on my every last nerve. Just breathing the same air as her make me want to punch something.

But here’s the kicker, I have to work with her. And she has a sense of humor, and she makes me laugh.

And I feel a bit sorry for her – her life is not perfect. She has made bad/difficult choices in her life and she’s living with those consequences now.

I grit my teeth and get along with her. What choice do I have? I try and see the good in her, I try to be patient with her. I try and set a good example when I’m around her by being patient with people, with trying to point out that patients are not black and white, that you have to read between the lines with people and sometimes it’s more about what they DON’T say rather than what DO say.

She will sometimes speak to me like I’m an idiot. Or beneath her. And believe it or not, I’m not a confrontational person – I tend to just let it slide off my back, but this chick? Not so much. We have been called into the office numerous times to air out our differences with our manager as witness because listen here, chicka, you’re not pulling that “I’m better than you” ‘tude with me. It’s not gonna happen. Those conversations have been awkward and have made this girl cry, but BUCK UP SISTER – it’s time to grow up.

It’s not easy burying my thoughts and quelling my words. There are days I have to literally walk away and take a breath because her harsh attitude makes me crazy. Her priorities are not right because when I’m at work, that is what my sole focus is, to do my job to the best of my ability. It’s not to make friends, it’s not to crack jokes and be funny, it’s not to put stuff on the back burner and constantly say, “I’ll get to it tomorrow.” It’s not to text friends and family even though I get there is family drama to sort out.

When you’re at work and you’re working with me, do your damn job.

Period.

End of discussion.

Can we have some laughs? Sure. That picture above is proof that I can be a nutcase with the best of them, but by the end of the day – is the job done?

But then this girl got some bad news, potentially life-changing news, and I felt like an asshole for disliking her so much. We still dislike each other, but I’m not cruel – I’ve listened as she vented and worried and I tried to offer her some solid advice.

Again, I’m not an asshole.

And I’ve prayed for her. This potentially life-changing news was borderline dangerous and I wouldn’t wish it on my worst enemy. Though I intensely dislike this girl, she’s a human being with responsibilities and she doesn’t deserve potentially life-changing circumstances.

We have a grudging respect for each other, (well, I think she does for me because I’m pretty much the only person who stands up to her and her bullying personality, I still can’t stand her), but we talk. Or rather, she talks and I listen, (I rarely tell anyone I work with much about my personal life – it’s my personal life, butt out). She’s young enough to be my daughter, but only just, and I suppose her immaturity and self-centered personality is something her generation has grown up with, but I am trying to “train” her, if you will, into seeing life from other perspectives – it’s not all about her. I know that’s shocking, and I think it’s been shocking to her, but I feel like I’m making progress, I guess.

She has gone to a few appointments and thank God, her news is not as bad as it was first made out to be. It’s something that can be fixed. I’m glad for her. I’m glad that she will have her surgery and it will work out to include her vacation so she will be out of the office for four weeks to recuperate. And I hope she comes back to work with a new attitude – though I’m not holding my breath.

Again, it’s someone I work closely with so her being gone will directly affect me and normally, I would be stressed out by this news. But you know what? All I feel is relief. It will be a breath of fresh air not to have to listen to her brash voice and deal with her piss-poor people skills. It will put more pressure and work on me, but I’m ready for it. In fact, I’m embracing it.

I would rather deal with more stress and more work than deal with this individual.

How sad is that?

Work Stuff

Fractured

Sorry about the graphic parts of the above video, but this is what happens when there’s trauma – it’s messy, gross and painful.

Our doctors actually see a lot of spinal/skull fractures. We would never see an open fracture because if someone presents to the ER with an open spinal fracture, they are likely paralyzed. If they present to the ER with an open skull fracture, they will likely require brain surgery stat.

The fractures we see in the clinic are people who had an accident, fell off something, or were involved in an MVA, (motor vehicle accident), or someone simply tripped over something and fell flat on his/her face.

There’s not much you can do when you fracture your spine – both surgically and literally. When you fracture your spine, you have technically broken your back but not severe enough for paralysis. Most of the time, it’s a hairline fracture and you will be required to wear a brace, sometimes for several months, to allow your bone to grow back. If you do not wear this brace, and you make the fracture worse, then you CAN possibly make that fracture worse and crack it in two.

Then you’re really in trouble.

No one likes wearing the brace. In fact, if the fracture is severe enough, our doctors will sometimes offer surgery in order to go in, brace the spine with rods to hold it in place, and then they come back and have the rods removed once the fracture heals. They don’t do this very often – I’m sure the circumstances has to be just right, but for some people, it’s preferable to wearing a very restrictive brace for weeks/months.

I’ve found that people are on the extreme ends of the spectrum when it comes to fractures. On one end, you have the people that are completely freaked out and are convinced one wrong move will render them paralyzed. And yes, sometimes fractures are that severe and you have to be very careful, but often times, it’s not as bad as one might think. These people are afraid of everything and are very tense.

Then you have people that are supposed to wear a brace and don’t. Those are the ones who aren’t taking the fracture serious enough and don’t seem to realize – a brace is there to prevent you from making the fracture worse. And again, if the fracture gets worse, you’re really in deep doo-doo.

If you have a cervical (neck) fracture severe enough, or close enough to your brain stem, you may have to wear a halo.

The ring is attached by four bars to a stiff, lightweight vest that fits around your chest. This keeps your neck and spine moving as one with your body so the spinal injury can heal. Most people wear a halo for 6 to 12 weeks. You can expect your neck and back to feel stiff or sore at first.

I had to assist a PA in removing one of these bad boys one day. When you wear a halo,  you have to wear it for weeks, and you can’t wash your hair, and it’s very hard to bathe at all. So when patients come in to have their halos removed, they stink.

BAD.

And their hair is greasy and stinky. It was enough to almost make me gag.

The halo part that goes around the skull is literally screwed into the skull on all four sides. I used what looked like a small crescent wrench and loosened the screws. I loosened all of them a little at a time until we could finally slip it off the patient. The patient will have holes in his scalp which will scab over and eventually heal and fall off. So they must be careful when he/she can finally wash his/her hair.

Removing the halo was both gross and fascinating and I’m glad we don’t have to do those very often. But I’m glad the PA gave me the opportunity to remove it, at least once.

Patients with fractures don’t normally require surgery but they must be monitored. We usually see fracture patients back about 4-6 weeks after the injury with an xray prior to see how the fracture is healing. If it’s slow to heal, because the bones are weak, or the patient hasn’t been wearing his/her brace, then the doctor will have them come back in another 4-6 weeks with another xray until he/she is finally released from the brace and the fracture has healed enough not to cause damage.

I thought the part in the video above, how the calcified bone surrounds the injury and makes new bone was interesting. I didn’t know that part, Isn’t it fascinating how our bodies heal themselves?

It’s funny how we evolved like that, huh. (Inside joke between me and Kevin – every time something fascinating happens with the body, Kevin likes to snicker and make fun of evolution – which we obviously don’t believe in).

Fractures are painful an there is little you can do for them other than suffer through them until they heal. I always feel sorry that come in with fractures as we don’t do anything other than monitor how they are healing. Our doctors don’t prescribe pain medication  unless patients have had surgery so we get a lot of upset patients when they come in to see us.

You can’t really avoid fractures, enough stress and your bone will simply snap, but you can keep your bones strong so that they are less likely to snap. A lot of times, if fractures take a long time to heal it’s because the patient smokes (which SEVERELY limits healing of any sort), or the bones density is poor and the bones themselves are brittle.

I’ve started taking calcium, magnesium, zinc and vitamin D every day now. I mentioned in another post how my body was simply aching whenever I went to bed and I’ve noticed it doesn’t seem to be aching as much since I’ve started supplementing my diet.

So seriously, if you’re getting older, pay attention to your calicum/vitamin D intake. You could save yourself from a broken hip later in life.