Office Politics/Leadership Development – Page 3 – Dr. Plastic Picker
 

Category: Office Politics/Leadership Development

Sometimes the best solutions are cheap.

January 28, 2021

by drplasticpicker

Thank you to everyone for the virtual and real sympathy yesterday after my adventures with Moderna #2. Now almost 48 hours post vaccination, I am better after 3 doses of tylenol 1000 mg. My body feels like it ran a marathon, just exhausted but refreshed after actually sleeping and Mr. Plastic Picker brought home Rubio’s fish tacos and the fish taco was very healing. Someone in high school once told me fish was brain food, and since then I always think that when I eat fish – even if it’s from a fast-casual place.

The sympathic messages were very appreciated and healing. Please text me if you need similar sympathy, as I’m happy to text back some encouraging messages now that I’m done with Moderna #2 post-vaccine experience. Many of my real MD friends are about to embark on their experiences. This is a common shared experience for us, which is relatively uncommon in general but so much more frequent since the COVID-19 pandemic started.

I have been thinking about frugality and the importance of being truly fiscally responsible. Yesterday as I was trying to make it through the day, I was alternatively moaning in bed without anyone to attend to me (Mr. Plastic Picker was at work, my usually attentive tween daughter was at blended school, my teen son doesn’t hear anything and he’s a teenage boy and I’m his middle aged mother, and my in-laws are hard of hearing) except our crazy poodle-mix puppy. I did rest in bed, which was good to catch a few extra hours of sleep. I did take some tylenol 1000 mg doses, because after the first time it brought relief – I said why not??!! and took two more doses as I’m confidant that my body is teeming with spike protein antibodies. Just half kidding. I did take a total of 3 doses in the 48 hours. But in between my delirious social media posts about generating your will as I was thinking about my own eventual demise, texting my friend Usa who is the troop cookie mom this year for more cookies, and passing out again on the bed – I did do several things that I know were very healing and they were very cheap. The most relaxing things yesterday that helped me feel fundamentally better were sitting outside in the sunshine for a bit, and watching the birds at our two bird feeders. I looked at my small little container garden to see where the onions, sweet pea plant and succulents were at in their journeys. And then twice yesterday I did a few yoga stretches, once in the afternoon on the artifical grass in the warm sun and last night before going to bed. I turned on ocean waves as well before I went to bed and I had a good nights sleep. And now I feel better.

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Our Girl Scout Troop’s Plant-based recipe. The interpretation of what plant-based means depends on the person.

January 26, 2021

by drplasticpicker

I was completely overwhelmed last night. There is a bit of political tussel at work about committee responsibilities. It’s easy being Assistant Boss because that’s the title I have, and I’ve reached a point in my career where I realize the titles are not that important. The important part is that I have specific responsibities in areas of our organization that actually mean money. I have to make sure we meet certain metrics, state required projects need to be completed, clinical quality measures reached. And if we don’t meet these metrics or get these state required quality projects completed, it means millions of dollars in fines. We are also a bonus driven organization, so when the physician group meets certain metrics than there are certain calculations to our compensation that happens. Sometimes I look out at departmental meetings and a fellow physician will be spouting nonsense about appointment times slots and 15 minute this and 30 minute that or why they aren’t included in certain meetings, and I’ll go into a trance and stand there and nod but I retreat into my own inner universe. I’ll think to myself “penny wise, pound foolish” and think about my networth or about the plastic pollution crisis or about my EMR inbox and the patient results I need to respond to. So much of the world is penny wise and pound foolish. I need to retreat into my inner universe at a lot of meetings, so I can just stand there, keep my mouth shut and move our department painfully forward.

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Kumquats. Rediscovered and reimagined.

January 15, 2021

by drplasticpicker

I am really happy this morning. I am really happy because I have always had so many kumquats in my life. Kumquats are a citrus and the kumquat tree is relatively easy to grow. It bears these small little fruits that you can eat the entire thing including peel. My mom has given me kumquats. Friends have given me kumquats. We have a kumquat tree and my mother-in-law always has them in a square plastic container of food from the garden that we need to eat. She puts it in the center of our large kitchen island to prompt the family cooks to use that ingredient. There are always kumquats.

But we should appreciate our kumquats because through the power of Ecosia, I now know that organic kumquats are $10 a pound. Isn’t that crazy? $10 a pound when I’ve neglected previously gifted kumquats. I know kumquat trees are relatively cheap as I see them at the local home improvement stores a lot yet the organic fruit is $10 a pound. We have two kumquat trees in our front yard. We also have a lemon and lime tree. We always have fresh lemon and lime, and now kumquats.

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Lovely breakfast

January 10, 2021

by drplasticpicker

I love anyone who feeds me. I think this is true for everyone. Especially if you feed me home-made fancy waffles with Belgian sugar pearls (which I had never heard of before). The expresso had no sugar and no cream and it didn’t need it, because it had this lovely waffle to go with it.

I’m sitting at my kitchen table a bit later in the morning than usual. 7am. I have to drink my coffee first. I’m finally using the Starbucks Hiroshima Mug Nurse Lan gifted me years ago. I don’t know why, but I had saved it in it’s new packaging for several years. I’m not sure if I didn’t think I deserved to drink out of such a nice mug or that I wanted to use up the old ones. But at some point it seemed ridiculous especially since the house is so decluttered from our almost 2 year long minimalism streak, to not use something that was lovingly gifted to me. Also I have a Instagram friend FamilyThemes who always profiles their mugs, and it seemed to me we should enjoy not only the coffee that comes in the mug and the mug itself – which I think is her entire point.

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Trying to grow different things.

January 7, 2020

by drplasticpicker

What a horrendous day yesterday. I was expecting to have a Georgia Senate Election party, and had far-fetched dreams of making peach cobbler for desert. The senate still flipped but then there was an attempted coup in Washington. Seriously, as attempted coup by a bunch of idiots who were taking selfies. They were domestic terrorists which shows the world how stupid terrorists are. I came home after a normal morning clinic and having tried to deliver good care and actually to attend to departmental needs and concerns, and I expected to have a “We Flipped the Senate” party with Peach Cobbler in honor of Georgia. Instead I fell asleep on the couch in the afternoon watching live-stream CNN, as the newscasters just sounded like my Facebook Feed friends. I wonder if I can become a CNN analyst?

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Is he okay? He didn’t show up for his shift.

December 15, 2020

by drplasticpicker

“I’m OK.” We use this reply so much. Your supervisor essentially called you out and reprimanded you unnecessarily and incorrectly (not my department) and you said, “I’m OKAY.” Your beloved aunt is now dying of pancreatic cancer, and you say “I’m OK.” Your family is in big financial doo doo partially due to personal decisions and mostly due to larger societal factors, and you reply “I’m OKAY.” It’s the first holiday season since someone died, and you are sleeping in a crappy call room eating crappy turkey from the cafeteria while COVID-19 is ravaging the ICU. How are you doing? “I’m OK.” But Dr. Plastic Picker now asks, are you really? Are you really OK?

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Halloween ended with Beyond Beef Nachos with a Sour Cream web (so vegetarian?), and Turkey Mummy Dogs (Pollotarian?). Anyway, it was delicious and homemade.

November 1, 2020

by drplasticpicker

I will never forget this Quarantine Halloween 2020. It was the Saturday before an historic election where so much is on the line. I am as anxious as everyone and sometimes I want to empty the contents of my stomach when the images of what ifs crosses my mind – especially if this election does not go our way. It’s also the last weekend before we venture into the third wave of COVID-19 infections, and pediatricians are worried about children becoming secondary victims of FLU-VID (when flu and covid clash). No matter how much one debates COVID-19 impacting children, influenza’s disproportionate effect on children is as much accepted truth as anything in the world. Influenzae kills kids especially babies and asthmatics. So this fall is a frightening moment for us all, including your local litter-picking pediatrician. Vaccine rates are plummeting nation-wide.

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Making Huckleberry/Blackberry Pie Bars helped me think through my presentation.

October 22, 2020

by drplasticpicker

Two unicorn-like things happened yesterday. I made Huckleberry/Blackberry Pie Bars from scratch, and I convinced fellow middle and upper managers to provide flu and HPV vaccines at our “flu tables.”

When I was in 8th grade in Junior High, we took US History and for some reason I was assigned the project of making a colonial-era dish with huckleberries. My partner for this project was also a fellow student from a immigrant-nonEuropean background. We had no idea what huckleberries were. This was well before the internet. We used blueberries. The dish did not turn out quite what we expected. I always had this nagging question, what were huckleberries? I stored it in the back of my subconscious for the next three decades. I honestly thought the recipe probably didn’t work out because huckleberries were likely more like a cranberries, or maybe they were more of “nutty” or a savory berry.

And then one of my close highschool friends now lives in Montana, and placed on facebook a picture of his huckleberry bush and I was amazed! There was the unicorn ingredient that I had always wondered about. There was the mythical food that separated me from being truly American, and understanding colonial history. My friend dropped off a tupperware with about 1 1/2 cups of huckleberries and sent a recipe via Facebook of a suggested recipe. His wife is a nutritionist, so I take his food recipe suggestions seriously.

A few days passed, and I kept on thinking about the huckleberries. Presentations. Work emails. COVID-19 Pandeimc. There are things that get in the way of the things we want to do it life. But yesterday morning I had a pressing presentation on HPV vaccination efforts in our HMO, and needed to convince power-brokers outside of pediatrics to lend me some resources. I had slept on the presentation a few nights and visualized all sorts of storylines for my presentation. Sleeping I thought about it. Plogging I thought about it. I talked about it with Mr. Plastic Picker a few times. RN Plastic Picker had already done her part of the presentation, and I had about 7 minutes to fill. I had the right audience that was virtually captive, and I needed to make it worth their while.

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I do need to finish my plastic golden turtle.

October 8, 2020

by drplasticpicker

Time has slowed down for me. Other than litter-picking and making home-made apple-cider vinegar, that is my new super power. Time has slowed down. Yesterday was an odd Wednesday. I usually work in the mornings and am “OFF” in the afternoon (but who is really OFF right?). But we had a “Diversity” Leadership Meeting that was virtual in the morning, and then I worked in the afternoon. I was incredibly upset after the Diversity Leadership meeting which had over 500 attendees. It was a corporate attempt to address racial justice in health care. Our HMO is light-years ahead of everyone, yet we are all so behind. I made some comments in the chat box about hiring more black doctors, but was dismissed as being too political by another physician leader. I know when to push and when to stand back plus I was one of 500 attendees. It was not the venue to waste efforts. So I just listened laying in bed.

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Second batch of Vegan But Butter.

September 24, 2020

by drplasticpicker

I felt overwhelmed yesteray at 430PM. I had a full packed day of morning clinic. I was happy to finish relatively on time, and had 20 minutes to make it home before my virtual meetings started. The truth is yesterday afternoon the rest of the department was OFF not working and not at meetings. I sat through meetings from 1230 to 430PM. The meetings were all about really important things like vaccination campaigns, and spreadsheets, virtual care, reducing racial and health inequities, mediCAL Performance Improvement Projects, perceptions of medical home, perception of bonding with primary care doctors, and on and on. This is important stuff and actually potentially is a decision to spend tens of thousands of dollars to evert millions in fines, and to publish our work to deploy virtual care as a way to reduce racial and health disparities. As I half dozed off at 230PM laying on the couch listening to the meeting, some comment by someone woke me up. I’m the only front-line MD that actually attends these meetings (some from other departments with their name of hte projects have never shown up) and then I start talking and spouting out ideas. The team is fantastic, but at the end of the day when the meeting is over – I have to do my part to actualize these ideas. I have lots of friends in our department that want to help, but when those ideas and proposed projects are swirling in my brain and I was the only one that attended the meeting and I’m the only one with the ideas and I haven’t yet fully articulated them to my colleagues – it can be overwhelming. I feel alone sometimes.

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