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| Yes, that is snow on the mountains, on August 1st. |
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| Fun but underpowered for climbing mountains. |
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| The average altitude is about 6,000 feet, at nearly 11,000 feet the climate and terrain had changed. |
![]() |
| Yes, that is snow on the mountains, on August 1st. |
![]() |
| Fun but underpowered for climbing mountains. |
![]() |
| The average altitude is about 6,000 feet, at nearly 11,000 feet the climate and terrain had changed. |
I am busy, but consistently crossing gotados off the list. Google is telling me gotados is not a word. It is short for things I got to do. I am far from caught up, but moving steadily.
I have started the process of signing up for retirement, a multi step process, I need to keep chipping away at.
Four people have told me, I am working too much, and I should chill before my head explodes. I am reminding myself, and others that I have limits, boundaries. Then I wake up early, log on to work early, then work late, I missed my treadmill-hour one day last week because work just kept coming in. Who schedules meetings for 9 AM or 4:30 PM?
For a couple of years, I reminded my sweet bear that he was not the saviour of the department he retired from, now he is reminding me of the same. We put a part of ourselves into our work. It matters, we believe in what we do, and why it is done. We worry about it, and sacrifice for it. But work is not a sensate being, it does not always return our love. Business is largely a matter of the numbers, and accounting has no heart.
I am breaking a couple of unwritten rules at the office, collaborating and sharing risk and reward with other departments. Increasingly each department is seen as a separate business, with its own budget, that lives and dies on it's own numbers. I keep encountering questions about a plan to split projects with another department. What if the return to the department is not exactly proportional to the effort. We could be making a profit that shows on someone else's ledger at the end of the day. We are all a part of the same whole. A rising tide floats all boats. I have grown weary of the numbers. I won't miss that part of the job. I hate that part of the job.
So how is my mood? Overstressed, obsessed.
Wind power is rapidly developing. It is not without its challenges. The early carbon fiber blades are not recyclable, something that is being engineered into the newer ones. When a windmill fails it can go out of control, a few of them have caught fire. Still safer than Chernobyl, or Three Mile Island. Birds fly into windmills, but many more birds are killed by exhaust from fossil fuel power plants, hydroelectric changes fish life. Balancing out the least harmful, I think renewables are safer. Short of turning off the lights, and living in the heat and cold, and turning off our electronics, we need something. If we all returned to the stone age and cooked over an open wood fire in the middle of the cave, we would cut all of forests down and die in a cloud of woodsmoke.
Rechargeable electric cars are getting better by the day. With renewable energy from solar and wind, we can power them. They are the future. Range is improving daily, in ten years we will wonder why we didn't power cars this way before. Smart phones have only been around 20 years, and something like 40% of the world's population, and over 95% in developed countries have one within arms reach.
Self-driving cars are being tested and perfected. When automobiles were first traveling the streets, some cities passed laws that a flagman had to walk ahead of the car, to warn pedestrians and horses. They were seen as a danger. Think of some of the driver you see around you, a Commodore 64, had more memory and processing capacity, todays self driving cars have to be safer. Fear not the future, unless we die today, it is where we will live.
If we could find enough chairmen, we could go back to sedan chairs. Talk about limited range.
Maybe the ancients had it right, we should worship the sun, the giver of light and life.
Well that was fun to write, looking at the image, describing it, drawing meaning from it.
Exploring the correlation between health care and age, I have had the pleasure of getting to know a bunch of medical doctors, not in a doctor patient role, but as professionals collaborating on research and policy.
There is a reoccurring conversation, usually held off the record, often an after the second martini conversation about money and health care. Many have a genuine fear of losing jobs, if they speak up on the job, or in print, or if their name is somehow associated with what they know to be true.
There are two concerns. Sometimes they can't get approval for payment to practice the best medicine for their patient, and at other times they are compelled to order tests and treatments, because insurance will pay for it, even if they believe it is not the best medicine. Simply put, the insurance companies and other payers, control the medicine they can practice.
This deeply bothers a lot of docs. I read an article recently about mental health among health care providers and a primary driver of poor mental health is fighting with insurance companies and corporate practice managers about what treatment they can provide, and what treatment they are compelled to provide. How bad is it, doctors in the United States have a high risk of suicide.
A couple of years ago, my sweet bear laughed so hard, that he passed out. A call to his doctors office, recommended a visit to the nearest Emergency Department. The evaluation there found nothing wrong, it is simply something that happens sometimes when people are over stimulated - and instructions to follow up with his doctor. The doc was honest, in saying I am going to refer you for all of the standard follow up tests, several thousand dollars worth, but odds are the tests will simply confirm what we know, there is nothing wrong, you just laughed too hard at a YouTube video. And that is exactly what the tests revealed, nothing. But the insurance paid, and paid, and every test that would be paid for was ordered, done and paid for.
The doc has two factors driving this, if he didn't order the tests, and they missed something, he could be sued for malpractice because the standards of care justify all of those tests, and a practice manager who is urging every test that insurance will pay for, because well that is what pays the salaries. What happens to docs that don't order all covered tests and treatments, they are rated poorly, don't get raises, and are likely to be assigned the duties that no one wants to do (The midnight to 8AM shift every Saturday night.)
At other times docs are told they can't try that treatment, or order that test, because insurance won't pay. Medicine is both a science, and also an art. Often the docs are not sure what is happening, they are offering scientific guesses. And at times they would like a little more information to base that guess on, but if it is not in the standard treatment protocol, they are limited in the data they can have to base their best guess on.
It is a backwards system, where panels of experts and insurance executives determine what your doctor can do or not do.
How bad is it? The two best doctors we have had the past 8 years, have both left the active practice of medicine for research and teaching. Jobs that are not controlled by insurance companies and practice managers.
If we want better medicine, we need to put the doctors in charge of what they recommend. The docs need to be able to confer with their patient and decide what is enough and what is too much.
We have a shortage of doctors. Accrediting medical schools is left to a professional associations. Want to lower the cost of medicine, get the insurance companies and practice managers out of the picture and open more medical schools, oversupply the marketplace with doctors.
The flip side of this is abysmal salaries for young doctors. In the USA, these are the overworked and underpaid interns that provide the majority of hospital care, in the UK it is the "junior doctors" who are the backbone of the NHS, who make less money than a manager at Starbucks.
Thinking about this, some of the things that bother us, upset us because of the frame - the surroundings they are in. I wrote recently about a conference that we are planning for next spring in south Florida, and I got an email from an old friend saying there was no way she could attend because it was in Florida. It is not the conference, she was complementary of the program and our efforts to keep it alive, it was the frame it is in. Anyplace but surrounded by Florida.
Sometimes ugly content, in a nice frame is loved, despite the content. Back in early 2015 I had a work trip that was 4.5 full days of training, in five days, in four different cities. Most days were 12-14 hours, including a flight to the next venue at the end of they day, dinner and checking into another hotel. It was a grueling schedule. It was also in Hawaii. The frame, the surrounding paradise, offset the difficult content (I will never take on an agenda like that again.)
Sometimes it is the content, sometimes it is the frame, sometimes it is both. This fits into so much of life. Think about the content, think about the frame. The content is more important than the frame. As MLK said, "judge by the content of the character."
I will admit it, I miss going back to school. When I was growing up, August and September were harvest season on the farm, weather permitting we worked 10 hours a day, 7 days a week from when we started processing honey, until the last barel was shipped to the bottlers. Going back to school, lessoned the workload Monday through Friday. And living in the middle of nowhere, school was social contact with someone outside of the family. The house I grew up in is still 1.5 miles from the nearest paved road.
I finished high school, moved to Florida and couldn't really figure out what I wanted to be when I grew up. So I put off college for a few years. Then I realized that if I ever wanted to move up in the workplace, I needed more education, and I was driving by a college campus on my way to and from the office. I pulled in one morning, signed up for classes a couple of evening a week, and returned to school one fall. It was life-changing. By pure chance, I had the class with the right professor, who recognized a few things, and gave me sage advice far beyond his years. I found my strengths, addressed my weaknesses, and really started to enjoy school. A year or so later, I took a semester off to get married and move into the first house I built for myself. It took me a couple of years, to get my act together and start back again, I missed it every fall. It felt so good to be back in the classroom. One of the professors there inspired me to go to law school. After a couple of semesters I transfered to Rollins, and really started to bloom. I learned how to learn at Rollins, how to change my views of the world. And I met my sweet bear, who had his first faculty appointment there.
I had a couple of years off between finishing at Rollins and starting law school. The first year I felt a little extra free time, the second year I missed returning to classes. I have vivid memories of law school. I was in my 30's and knew how lucky I was to be able to go to graduate school, as a full time student - with no work responsibilities. Up until that time I had almost always worked and gone to school at the same time. I had three wonderful years, expanding my world, preparing me for the work I have done for the last 25 years.
And every fall, I still kind of miss going back to school. Maybe next year I will scratch that itch. I think it is time for some art classes.
Burt Routans Voyager is in the Smithsonian, the record for around the world without refueling. And the gondola of the balloon that flew around the world. That museum has been undergoing a massive renovation and expansion, it is starting to reopen, I can't wait to see the renewed space. The old space was spectacular, the new space should be fabulous.
One of the few regrets I have was chickening out on a chance to ride in a Lear jet from Florida to Arizona and back. It was taking boat parts to Arizona, and coming right back. It would have been a fun ride.