Having a Twitter Break

Jun. 29th, 2017 11:01 am
miss_s_b: (Mood: Sorry)
[personal profile] miss_s_b
The deluge of awful news is just too much for me right now. Sorry.

(no subject)

Jun. 29th, 2017 06:58 am
legionseagle: (Default)
[personal profile] legionseagle
This is the DVD commentary for Underground, requested by [personal profile] ffutures. There's no point in denying it; I'd looked forward very much to Torchwood: Children of Earth and for about three and a half days it lived up to its promise. Then it abruptly fell off a cliff. It wasn't, for me, the death of Ianto (though that was a stupid death if ever I saw one) but by the smug nihilism of RTD's vision at that stage. The mawkish Gwen straight-to-camera piece about how Earth didn't deserve the Doctor, Frobisher's murder/suicide, and the absence of any form of loyal opposition was just so typical of RTD's approach, including the female politician who unblushingly proposes class-based genocide and is rewarded with the keys to Number 10. Suffice it to say, any fic which came out of that experience would be fix-it fic of some sort or other. But even for fix-it fic you've got to have some gleam of hope to cling onto. The only gleam of hope in COE seemed to me to come from Lois Habiba, who had done the best she could to retain her integrity in difficult circumstances, and would surely have a price on her head after that. She needed a place to hide and she needed a team she could be part of and who would back her. And that led me to remember another female character who had also got everywhere by being a temp, who had also had an unsatisfactory ending and who also needed both those things. And by the time one's got two temps, both of them highly skilled, one starts thinking of a typing bureau...

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

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

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

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

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

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

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

Of course, all that goes out the window if D's health takes a turn for the worse – or for that matter if any other emergencies emerge. But right now I'm hopeful that later this coming month I'll be able to be around more and be shoving more posts out the door. Here's hoping.

Krikkit

Jun. 28th, 2017 09:10 pm
hollymath: (Default)
[personal profile] hollymath
The other day Ali, one of my WI chums, messaged me and another one, Tas, to remind us of something we'd forgotten about: at one of our first committee meetings this year we got chatting about cricket and I mentioned the tickets to the Women's World Cup final that I have (only a few weeks now! can't wait!). Ali looked into other matches from that, to see if we could go see something at Old Trafford or whatever, and Tas asked if we could see Sri Lanka because she's from Sri Lanka.

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

"Somerset, I think?"

"Far away, anyway!"

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

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

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

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

So yeah, I guess, look out for me on TV on Sunday?

The Blood is the Life for 28-06-2017

Jun. 28th, 2017 11:00 am
miss_s_b: (Default)
[personal profile] miss_s_b
miss_s_b: Vince Cable's happy face (Politics: Vince - happy face)
[personal profile] miss_s_b
Definitely not standing: Jo Swinson, Jamie Stone, Layla Moran, Wera Hobhouse, Tom Brake, Tim Farron, Alistair Carmichael, Norman Lamb, Ed Davey
Probably not standing: Stephen Lloyd, Christine Jardine
Probably standing:
Definitely standing: Vince Cable

... Oh arse.

Look, coronations are bad. The "candidate" does not get examined, does not get their feet held to whatever fire the membership is stoking, does not have to state any positions before the crown is lowered. Recent political leaders who have had a coronation rather than an election include TMay, Arlene Foster, and Gordon Brown. We do not want to be in that company.

But even if coronations were ok, the coronation of someone who's published views are 1, so often at odds with the membership and 2, so changeable depending on who he is talking to... Lads, this is really, really, REALLY not good. And given the article I linked to in the very first piece I wrote on potential leadership elections after the GE, this whole situation smells really fucking funny and I do not like it one bit.

I'm in conversation with a bunch of other senior Lib Dems members of the awkward squad to try to do something about this. I mean, if there was a proper election and the members decided that Vince was the best person, that's one thing, but this is just a subversion of party democracy, and I hate it. Eurgh.

But if we can't do something about it... I don't know. The scissors are feeling very close to my membership card right now.

ETA: OfC given the legendary efficiency of the LDHQ membership department, if I were to cut up my membership card and send it back we'd probably have had another 2 general elections before they got round to processing my resignation...

Meme

Jun. 28th, 2017 09:03 am
legionseagle: (Default)
[personal profile] legionseagle
Gacked, this time round from [personal profile] moetushie and [personal profile] el_staplador.

Pick any story I've written, or, in the case of my longer, chaptered works, any chapter from any story I've written, and comment to this post with that selection. I will then give you the equivalent of a DVD commentary on that snippet: what I was thinking when I wrote it, why I wrote it in the first place, what's going on in the character's heads, why I chose certain words, what this moment means in the context of the rest of the fic, lots of awful puns, and anything else that you’d expect to find on a DVD commentary track.

My fic can be found here or here
siderea: (Default)
[personal profile] siderea
Constant readers will recall that I wrote a three-part post titled, "Why You Can't Find A Therapist, No, Really". I posted Part 1 on Sept 1st and Part 2 and Part 3 on Sept 30th of last year.

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

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

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

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

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

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

Um.

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

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

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

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

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

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

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

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

I have many other fine suggestions – I swear many of them even aren't just suggestions you pay me more money! I'm happy to talk more about reforms in mental health care.

Dear Brain (III)

Jun. 28th, 2017 12:53 pm
megpie71: Photo of sign reading "Those who throw objects at the crocodiles will be asked to retrieve them." (Crocodiles)
[personal profile] megpie71
Dear Brain,

Yes, I know I've been horrible for the past couple of days. I haven't done the Right Things in the Right Order, because on top of everything else I didn't get functional early enough this morning to be able to do the dishes before the water got cut off[1]. Yes, Steve did the dishes. It wasn't because I am a Horrible Person Who Can't Do Things Right. It was because it was 8.30am, and the water was going to need to be turned off at 9, and I hadn't even started my breakfast by then, much less finished it. It wasn't in any way a critique of my ability to do the task in general, but rather a reaction to the way things were happening on this specific day.

Yes, I know there wasn't any laundry to do today. Steve did it all yesterday. Again, a reaction to one particular day, not a critique of my ability to do things ordinarily.

Yes, I decided to go shopping for groceries. Yes, the mall was noisy, and you were feeling on edge, so you decided to go straight to one overload, no waiting, and make me as cranky as all get-out. No, buying the Tim-Tams wasn't a Bad Thing to do, it was a reaction to the fact we're wanting comfort, and Tim-Tams are comfort food. Yes, I did have to spend more than $20 on fruit and vegetables, and no, this isn't going to bankrupt us. There were a lot of things which needed to be replaced (you may have noticed?) which is why this week it was a big spend. No, that isn't a critique of the fact it's been a bit over a week since we last shopped for anything. Things happen, and those things happening is not a judgement on us specifically.

Now, if you could just settle down and stop throwing a tantrum about everything under the sun, I would greatly appreciate the peace and quiet inside my skull so we can have a much-needed nap.

Sincerely,

Meg
(owner of a brain which is currently a cranky toddler)


[1] The pipes in our area are being replaced, and the water board has asked us to please shut off the water to the house between 9am and 3pm, as well as drawing any water we felt we needed before that earlier.
siderea: (Default)
[personal profile] siderea
Oh god I didn't know it was possible to be this wet without actually wading into a body of water.

Update on the Washing Machine

Jun. 28th, 2017 08:14 am
megpie71: Avon standing in front of Zen's dome, caption "Confirmed" (confirmed)
[personal profile] megpie71
The nice man from the washing machine repair firm found he had time enough after finishing his last job of Tuesday to come out and deal with our washing machine yesterday evening, about 4-ish. Which means we now have a working washing machine again. No idea why it wasn't working, but apparently unplugging all the leads inside the machine and plugging them all back in again seemed to do the trick, so I suspect what happened is it essentially shook something out of contact. For a nearly twenty year old machine (we got it when we were in Canbrrra, so it's heading on for "old enough to vote") it's doing quite well.

Disconcerting combination

Jun. 27th, 2017 09:55 pm
sollers: me in morris kit (Default)
[personal profile] sollers
i have just had the second long day of a 10 day Welsh summer school. I am reading while half watching the programme the others in the family have on. I am dozing and they get mixed up.

OK, have to do something about dates, but "Only Fools and Horses" and "Rivers of London" crossover, anyone? ,

ETA This was the episode where Granddad stands in the gentrified London docks and talks sadly about what they used to be like; Del is wildly impressed by the Yuppie flats, but Granddad walks off closely followed by Rodney, equally sad, while Del doesn't even notice they have gone.

State of the SB

Jun. 27th, 2017 11:22 am
miss_s_b: (Mood: Drama queen)
[personal profile] miss_s_b
Hate everything.
Having cashflow problems, some of which are my fault, and some of which are other people's fault, and all of which are beyond my control and therefore incredibly frustrating.
Cashflow problems meaning I am having to cancel on commitments, which I hate doing.
Politics in general is full of arseholes who keep arsing.
Work is frustrating, because I can't do the things I need to do for various stupid reasons (also beyond my control).
Have had no sleep and lots of pointless arguments with members of household, which means I am dangerously low on spoons, grumpy and frazzled.
And to top it all, my right tit is a big scabby painful mess.

Here's hoping you lot are all a bit happier...

Dear Brain (II)

Jun. 27th, 2017 12:40 pm
megpie71: Simplified bishie Rufus Shinra glares and says "The Look says it all" (glare)
[personal profile] megpie71
Dear Brain,

Yes, I know I wasn't able to do the laundry. However, I contend that having the fscking washing machine break down is an acceptable excuse for not doing it. I have called a repair person, they're coming out on Thursday, and it was Steve's decision (completely unprompted by me) to pick up all the existing laundry and wash all of it at the laundromat. I've checked: he wasn't doing it to say "You're Useless And Should Be Ashamed Of Yourself (And Also Dead)". So do you think maybe you could kindly shut the fsck up on the matter?

I swear, that icepick is starting to seem attractive. Steve is suggesting I see about taking you back to the shop for a refund.

Sincerely (and exasperatedly)

Meg

Dear Brain,

Jun. 27th, 2017 08:03 am
megpie71: Animated "tea" icon popular after London bombing. (Default)
[personal profile] megpie71
Dear Brain,

Yes, I know I haven't Done All The Things and it's coming up for 8am. However, I have achieved far more than I would have this time two weeks ago, where I wouldn't have even got out of bed by this time. So how about you stop nagging me about stupid stuff, and I'll stop wanting to remove you with an icepick, okay?

Sincerely (oh, so sincerely)

Meg

Yesterday

Jun. 24th, 2017 09:26 am
hollymath: (Default)
[personal profile] hollymath
Had one of those "feel like I didn't do anything" days yesterday but I did loads of stuff.

I think I felt like that because I did spend the morning in my pajamas wasting time on Twitter. But also, I was fielding comments on a Lib Dem Voice article introducing our new group, Lib Dem Immigrants (which I am super excited about). Unfortunately, anything about immigration attracts some trolls, even if it's as innocuous as "here's a new internal party body" (I did like that we also got a comment saying "we waste too much time on internal party shit!"). I found this set of comments dismaying for an interesting new kind of separating the wheat-from-the-chaff approach to immigration: even the people telling me they want to end freedom of movement and other such things tell me that they support me having rights, and right away, because I married a British citizen. Hm.

Anyway, I eventually made myself do a bit of tidying, sort out the room booking for Plus's AGM at Autumn Conference (which I don't know if I'll be able to go to because I can't afford accommodation, which is making me very sad), call up our soon-to-be-ex-home-insurance-company which gosh that phone call made me glad of because it was agonizing, get a Plus parcel ready to post and send it off, go to the shops to buy boring things like a light bulb, stand precariously on a too-short ladder to replace the light bulb, go see my friend Katie for a couple of hours, come back via a different shop to buy dog poo bags which we were suddenly out of, and watch Lego Batman with Andrew which we'd been trying to find time and energy for all week.

That is an okay day. I didn't do all the things I wanted to do, but I did a lot of good things.

Today I'm going to see fictive-nephew (who's almost eight already, how is that even possible) in some local am-dram production, and then Games Night has restarted so I get to see my Brighouse people twice in three days! This should be a good day too.

Well it's not Watergate....

Jun. 24th, 2017 08:30 am
legionseagle: (Default)
[personal profile] legionseagle
...except in the sense of the cover-up being worse than the original offence, but the strange goings on at Holman Fenwick and Willan's Christmas Quiz have livened up what was otherwise a rather dull crop of stories over at Roll on Friday.

(The most interesting thing which happened recently in the legal world prior to Quizgate was the merger between Bond Dickinson, a firm memorable for one associate complaining that "I have more chance of being savaged to death in the gents loos by a walrus than I have of making partner at Bond Dickinson" during a RoF Quality of Legal Life survey, and Womble Carlyle , a US firm, creating a "transatlantic giant" to be called Womble Dickinson which, as per a lawyer I bumped into at a recent course on digital rights confirmed, is as a result in the middle of a mass exodus of talent, since it's bad enough being expected to work US legal hours on a UK legal salary, but having all your peers at other firms singing, "Remember you're a womble" at you on every conceivable opportunity puts the cherry on top of the shit sundae.)

Anyway, Holman Fenwick are a traditional shipping firm, and those always have a bit of a reputation for excessive machismo, especially the "wet" shipping specialists, and as per people chipping in in comments, the partner in question has the reputation of being the biggest wanker in a tough field. When his team won the Christmas quiz by a large margin, it was whispered in the ears of HR that there might have been dirty work at the crossroads, and, indeed, it transpired that the quiz question and answer document had been opened on said partner's computer hours before the quiz commenced.*

Where things then took a turn for the worse is that the partner alleged that it wasn't him, squire, his computer must have been hacked. And while cheating on the Christmas quiz barely registers on the list of batty things I've heard of partners in law firms doing in my thirty-odd years in this profession (in no particular order, these include but are not limited to: ordering one's trainee to iron one's jodhpurs in time for hunting at the weekend, throwing a Company seal at the head of a trainee, ordering a trainee to mouth-siphon petrol out of another car in the office carpark during a fuel shortage, resulting in hospitalisation of said trainee, asking a dark-skinned and a light-skinned secretary at a Christmas party, "Well, girls, how do you feel about cafe-au-lait?", inviting two interviewees to a brothel as soon as the interview had finished with the words, "Well, now that's over, let's go and get our nobs polished" ....) allegations of hacking into partnerial computers** get the IT team really interested, officially because it threatens the integrity of client communications, but really I suspect because it gives them a chance to give the thing a right going over in the hope of being able to go "Good God, I'm glad you brought us in. The same person who framed you for the Christmas quiz must have also tried to frame you for the possession of porn! Look, this file here --and here -- and here -- there's terrabytes of the stuff! We'll have to extend the search to all your mobile devices too, I'm afraid."

Anyway, I'm going with "watch this space."



*HFM clearly take a Kingscote-like approach to security of examination questions and the like. It would never have happened in the Airedale Quiz league, in which I played for about five years.

** Which is usually like taking candy from a baby, tbf; I once many years ago took advantage of the habit one of our partners had of leaving his computer logged on and unlocked while he went off on hours-long gossip sessions with the other team partners to send round an email warning the department of the dangers of leaving one's computer logged on and unattended, and then departed on holiday before the fallout happened.

Weekly Update 24 JUN 2017

Jun. 24th, 2017 09:07 am
megpie71: Kerr Avon quote: Don't philosophise at me you electronic moron; answer the question (don't philosophise)
[personal profile] megpie71
I made a bit of a change to my routine this week - instead of staying in bed until I was ready to wake up on my own (which was about 8am, if not later) I set an alarm to get me out of bed at 6am. Why? Mainly because I was finding the 8am wake-up time meant I felt as though I was getting nothing accomplished in the day - I was having trouble getting dressed before 10am, having trouble getting the housework completed before my spoons ran out at about 2pm, and overall just feeling as though I wasn't getting anywhere. Since the switch to a 6am wake-up, I've been feeling much more positive about the amount of stuff I'm getting accomplished in the day (same amount as previously, it has to be said - I just feel more positive about it), particularly since I'm managing to get a certain amount of it done before 10am, and most of the housework completed prior to noon. My spoons still largely run out around 2pm, but I feel better able to manage things before then.

In the wake of the (much-delayed) delivery of an actual Perth Winter this week (cold, wet, grey, windy) I got all enthused and bought a new tarpaulin to cover our clothesline. The previous one had deteriorated to a set of holes, loosely held together by blue raffia, over the course of the past twelve months (well, a bit less than that, actually - maybe about ten months all up?), and it wasn't doing the necessary job of keeping the clothesline dry during rainy days. Given we don't have decent facilities for drying clothes inside the house on rainy days (we don't own a clothes dryer, and we can't afford to have a heater running all day in order to dry things off) we need the cover provided by a tarp over the clothesline. There are other reasons for the tarp as well - our clothesline is situated under the overhang of a neighbour's jacaranda tree, and jacarandas, while being lovely trees for the most part, drop leaves in late winter, purple blossoms in late spring, and are favourites of the local bird life all year round (who drop things I don't want on my nice clean laundry at all). So we pulled off the old one yesterday and lashed down the new one, and since I bought a good quality one which is UV-stable and has a 4-year warranty, it should hopefully work to keep things dry and clean for at least the next year or two.

What else happened this week? Oh, we got the renewal on the lease, which I have to print out so we can sign it and initial all the pages, before returning it to the real-estate people. So I'll probably do the printing out today, and we can get all the signing and initialling done over the course of the next couple of days and hand the wretched thing in on Monday.

The Blood is the Life for 23-06-2017

Jun. 23rd, 2017 11:00 am
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[personal profile] miss_s_b
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