Lab week was so much fun! I say was, bc I took tomorrow off to pack for Spain and France, we leave on Saturday. I had a near panic attack on Monday - histology is so unpredictable and even though our plane doesn't leave until 12:43 I did not want a full day of work with possibly leaving a shit ton of cases for my partners to finish off if I couldn't on Sat am. Too much to cram in. You have a lot of three man days left, said Shaver, so I peeled off a day from my vacay in August. Only one case to finish tomorrow, then I'm off for two weeks.
Lab week started last Friday, when Hope asked if one of the pathologists wanted to go get the proclamation at the Capitol and get our picture taken with the Gov. I had no clue this ever happened. Why do we need a proclamation? I asked as she drove Angel and I downtown. It's just a thing we do every year, in order to make it official. It was terribly unorganized. A hipster with a messy dirty blonde bun didn't know anything about it, and the guy she promised would showed up 20 minutes later with his tight jeans and We The People tattoo was equally flummoxed. It's ok, Hope said, we can get it later.
There were five groups of people - we were about 10-15, some from Baptist, some from UAMS, and it was nice to meet the medical director of OBI. Oklahoma Blood Institute, it used to be, but bc we work so closely with them it changed recently to Our Blood Institute. More inclusive. She was a charismatic young woman who asked me if I would help her get affiliation with Baptist - she was having trouble with BHPP. I went to Carla (head of blood bank) and Mackenzie (our admin) on Tuesday to advocate for her and hopefully that will get the ball rolling.
They arranged us in front of a fireplace and arranged another group in front of a fireplace across the room. It was like an assembly line. Sarah came in at the last minute, the photographer shot our pic, and she moved on to the next group. One of the gals from UAMS told me at least Asa sat with us for 20-30 minutes and asked about lab issues. Talked to us. When I was telling a pulmonologist the story in the Dr. Lounge Friday afternoon, he said we are just a stepping stone for her political ambitions. I agreed, she doesn't really care. A true politician would have thanked us for our work during Covid (this was the first time we revived this tradition since Covid). Without the lab, you are only guessing, said one of the coffee mugs I bought for lab week. Carla showed me a statistic this week - 70% of clinician decision making about patient care is based on lab results. We are not the sideline, we are the frontline.
Had med exec committee Monday night and it was full of acronyms, like alphabet soup. I had to lean over to Julia Goodwin, chair of OB, during the discussion on FPPE. What is that (I'm terrible about reading the topics emailed to us in advance)? Forced physician performance evaluation. We are just starting it, a way to monitor physicians who are deemed faulty, not the immediate revoking of privileges if you are putting patients in danger or are inebriated on the job but to do a six month monitoring of those in the grey area.
There was a long discussion. Do we in med exec need to get involved? Or can PRC (peer review committee) and credentialing handle it? Ultimately we decided it needs to start in PRC and be handled by a chief or a designee of the chief and the chief can present the findings to credentialing. Revoking or denying privileges is a big deal, so it needs to be handled correctly. The head of credentialing was there, and he appreciated our input as we talked about issues that hadn't been raised yet in their committee. Later, when they were talking about bringing experts to improve ST (I mangled that I think there is another letter I forget) Julia saved me once again. Sterile Procedure in the OR.
Sarah, who runs the morgue, was in charge of a lot of the doling out of my lab merch. She loved it. This was the best lab week since I've been here in five years! Finally, I told her, we are included again. It used to be so fun, but we've been iced out with changes in personnel. Our AP vendors delivered today. Corky's for lunch and take home dinners - there was food for days (too bad I hate BBQ but Jack and S are reaping the benefits). It's like the Freshman 15, Laurie said this morning, only Lab Week 15. Yes, I laughed, there has been a lot of food. Cupcakes, Potbelly, cookies, Papa John's. Our vendors aren't like drug reps - they don't give us exotic vacations to cause an opioid crisis, they are just molecular and lab machine people. It's all above board.
I planned lots of things on Sunday - errands and treadmill but my body said Fuck No low energy you are going to be a couch potato. So I binge watched Beef and recommended it to Jack. The last two episodes are some of the finest TV on the planet. Monday Hal had almost finished it (no spoilers! Of course not, I said) and Kimberly's son's in-laws were watching it and Shaver had started it.
I was walking back to my office on Tuesday after dropping off a consult to Shaver and Hal surprised me by jumping into the hallway with his hands clasped in a gun shape aimed at me. The juicy stuff grows in the shade! He said. (I may have mangled even that one, but you get the GIST - Gastrointestinal stromal tumor LOL). I laughed. You are going to have to help me, I said. I don't remember movie or TV quotes. Hal and Staggs are like encyclopedias, I can barely remember the Succession from the night before and often google it the next day for a recap. I finished Beef! Oh yeah, I said, I remember that now. We recounted the last two episodes for 20 minutes and laughed until we got exhausted. Happy Thursday, much love, Elizabeth.