Tuesday, May 31, 2005

What D&D Character Are You?

I Am A: Lawful Neutral Elf Ranger Druid


Alignment:
Lawful Neutral characters believe in the triumph of law and order above all else. It does not matter whether the leader is for good or evil; the leader will be followed, because the order they provide is the most important thing.


Race:
Elves are the eldest of all races, although they are generally a bit smaller than humans. They are generally well-cultured, artistic, easy-going, and because of their long lives, unconcerned with day-to-day activities that other races frequently concern themselves with. Elves are, effectively, immortal, although they can be killed. After a thousand years or so, they simply pass on to the next plane of existance.


Primary Class:
Rangers are the defenders of nature and the elements. They are in tune with the Earth, and work to keep it safe and healthy.


Secondary Class:
Druids are a special variety of Cleric who serves the Earth, and can call upon the power in the earth to accomplish their goals. They tend to be somewhat fanatical about defending natural settings.


Deity:
Silvanus is the True Neutral god of nature. He is also known as the Patron of Druids. His followers believe in the perfect balance of nature, and believe that nature's bounty is preferable to any other 'civilizing' method. They wear leather or metallic scale mail, constructed of leaf-shaped scales. Silvanus's symbol is an oak leaf.


Find out What D&D Character Are You?, courtesy ofNeppyMan (e-mail)

Monday, May 30, 2005

Speaking of the Hawks...

This article raises the question of a WR cut, either of Engram or Robinson, to free up cap space for another experienced linebacker. Peter Bouleware would certainly be a great addition, and the personal ties are there. We need real linebacker help, immediately.

The drawback of losing Robinson is his potential, which has so far been wasted. He still has the speed, he's still young, and he's been physically healthy. If he can get beyond his personal problems, start catching passes and show up on time to team meetings, he could be amazing. He has a contract year coming up; maybe that will motivate him into the next level. After all the time and energy Holmgren has invested, one hopes the payoff is coming this year. In my heart of hearts I think it's time to stop throwing good money after bad and let him loose. Maybe he'll take the dropped passes with him.

Bobby Engram, in contrast, is what he is. He's a stable slot receiver. He'll never be great, but he's good, dependable, and a great guy for a team's third slot on the chart.

All this instability at linebacker and wide receiver is making me nervous. Again I'm a little annoyed that they drafted a center (Chris Spenser) with their first round pick.

My Birthday

I had a birthday today, and it's been a good one. I tricked people into coming to brunch by telling them it was a Memorial Day Brunch. Heh. Actually I did mention it to most of them. It was really just an excuse to invite people over. We have a good house for entertaining, and we were due.

The coolest girlfriend in the world got me season tickets to the Seahawks. Whoopee!

Somalia warlords clash in Baidoa

Rival Somali warlords have clashed in Baidoa, killing at least 15 people over plans to relocate the government - now based in Kenya - to the city.

Game maker Ubisoft fights back

I hope Ubisoft can hang on. I think the competition between these game designers is a good thing, and Ubisoft makes good stuff.

Saturday, May 28, 2005

Live Journal

Live Journal irritates me because I have to log in every time I want to read entries from my friends list. As a result, I read those less often. I've never felt comfortable with the LJ interface. I always feel like I'm fumbling through menus, trying to find what I want.

I'm very fickle that way. A little annoyance keeps me away unless some other force compels me to trudge on.

blog as second memory

Just this week I used my blog to track and confirm a correction in a sports article about Trent Dilfer. The article mentioned that he'd been acquired by the Browns 'via free agency,' when in fact he'd been traded for a 4th round pick.

While I would love to have a deeper, more regular readership, writing this blog for others won't keep me going. What keeps it going is writing and documenting what interests me. Happily, I'm finding this useful in the real world, in real time.

I've also looked back to remind me of Xbox game titles. I only wish the contents system and search engine was more useful and accurate.

Thursday, May 26, 2005

Cormac McCarthy!

Has a new novel coming out on July 19th!

Star Wars Quiz

Dolphins: Williams contacts NFL about reinstatement

I don't care about the Dolphins, and I don't really care about Ricky Williams, but this story is too good to miss. I'm sure he needs the cash. If he's smart he'll come back for a year or two, stay clean, save his money, then retire forever. In the mean time, he needs to avoid knocking up any more girlfriends, otherwise he'll never have the cash to retire.

Unlike Garcia, Dilfer bonds with Browns

Jamal Lewis coping well during prison term

Lewis is doing exactly the right thing. He's making the most of having nothing but time; he's preparing for his time back in the world.

I'm sure it's easier to keep your head on straight when you have an NFL career waiting for you upon release. His situation is very different from other men in his situation. Men doing time for drug charges who have nothing to return to except for poverty.

Monday, May 23, 2005

Strategies for Better Patient Flow and Cycle Time

SUGGESTED READING
Mastering Patient Flow to Increase Efficiency and Earnings. Woodcock EW. Englewood, Colo: Medical Group Management Association; 2000.
Lean Thinking: Banish Waste and Create Wealth in Your Corporation. Womack JP, Jones DT. New York, NY: Simon and Schuster; 1996.
The Machine That Changed the World: The Story of Lean Production. Womack JP, Jones DT, Roos D. New York, NY: Harper Perennial; 1991.
The Goal: A Process of Ongoing Improvement. Goldratt EM, Cox J. Great Barrington, Mass: North River Press; 1985.

Saturday, May 21, 2005

Narcotics Activity

I've been witnessing probably narcotics activity in my neighborhood. I left a message on the Narcotics department line today.

I plan on keeping an eye on license numbers and descriptions of individuals.

I've already witnessed my neighbor handing cash to someone out in front of a nearby minimart.

I've had enough, and I'm getting involved. Don't worry, I plan on being discreet. I don't mind making my presence known, but only if there's some gain (testifying at a trial, for example). Until then, I'd rather they didn't know I existed, or at least not that I see what they're up to.

Friday, May 20, 2005

Summary of work projects

Since our JCAHO inspection, I've been trying to build a team to help me sort out our closet of medical supplies. Over a year ago, two clinic areas were merged, and all of their supply carts were jammed together. As a result, there have been large redundancies, askew par levels, and other inefficiences.

Since I have no formal medical training, and don't personally use any of the supplies, I wanted direct nursing input on the ideal layout of the supply carts. I spent a good deal time and effort managing schedules, soliciting help, and generally trying to put this together. In the end, one nurse pledged two hours and a second said she'd stop by and at least help with her insight.

On the day when it was finally to come together (Wednesday), something came up at home, so I had to do some scurrying around and had to leave the plumber (I had reason to believe she was trustworthy, but still, it's discomforting to leave a stranger alone in one's home) alone in our house in order to get to work for kick-off. I didn't want to leave the nurses waiting, and after all this time, I couldn't just reschedule.

I was then stood up and wound up 'pulling a Kendra' and doing it all essentially by myself. If I'd known it was going to work out that way, I could have done it six weeks ago. Times like these, I have great sympathy for George W's approach to the Iraqi invasion. Consensus building does not work (I joke! Mostly.)

There are a few things I need to remember to do soon. I'll need the updated list to do it right.

More table paper
move those top shelf syringes over with the other syringes
adjust otoscope specula pars - no way do we need that many of all those sizes
follow up on the derm biopsy kits
follow up on the blue cover thing for derm
add small masks
write an alphabetical catalog

I also want to get rid of another cart. We have a few empty drawers, and a few high pars; I believe we can merge the smaller cart into the others. Alternately, I could switch out a large cart for a smaller one.

Friday, May 13, 2005

Feedback

I gotta read that Managing Change book. Here's some feedback from yesterday's trial. I don't accept that shifting one room would have been a huge problem. In this case it would have increased the walking some, but not much. In fact, the other available rooms were closer to the waiting and patient arrival area.

Everybody thinks they're special.

While I think it could work for most clinics it will not work for general surgery when we have 4-5 surgeons in clinic.
It is to difficult for us to have to track down the rooms when we are trying to get between 25-30 pts seen in the first hour. While the attending is seeing one pt the resident will be seeing the other pt in the other room so that the flow runs smoothly and we get pts seen. Yesterday someone did use one of the rooms and it was okay because we had another room to use seen as how Surgeon X was out, but had he
been in clinic this would have been a huge problem.
PCC
X

Core and flex rooms

Assign # of rooms per zone instead of specific rooms, especially for afternoon.

Allow clinics to opt out?

What does success look like?

Separate bins for each zone

Color-coded cards (flags are coming)