I lost them somewhere

Yesterday my new boss sent me an itinerary of how my first day is going to go. It’s packed. I’m a little worried about 10am-11am, when we’re going to discuss the ideal Practice Manager position,  Laurie’s vision and core values.

Vision I have no problem with. I am your go-to visionary person. If anything I see too  much of the big picture, and not enough of the details.

But my core values? I joked today that I lost them about four years ago…and then fell silent, because it’s true. I attended a lecture by Shawn McVey in 2008 or 2009 about authenticity (very similar to this article) and I remember thinking “this is what I have lost sight of. This is what I’m missing.” I suspect now that it was a source of a lot of my stress and anxiety about working at this (my current) practice. The practice itself didn’t have firm core values (aside from the obvious) and the target was constantly shifting.

This new job is going to be a culture shock I think.

What I said at work today

Or, how you can tell that I have less than two days left:

Last week we did a mast-cell tumor removal on a big Labrador (he weighs over 110lbs). The doctor warned the owner to keep an e-collar on him to prevent licking, but the owner objected and said he wouldn’t tolerate it. So the doctor suggested boxer shorts (it works well, I’ve put them on Bender before). We stressed the importance of not allowing the dog to lick else the sutures wouldn’t hold together and the incision could become infected.

Fast forward to yesterday: the dog came in because his incision was gaping open and looking infected. The owner admitted to our receptionist that the dog had been licking at it “for a few days” but told the doctor (a different one than the one that did the surgery) that he’s only started licking at it a day or two ago. At any rate the dog needed another full anesthetic to have the incision debrided and resutured. When we entered the invoice, it came to nearly the same amount as the original surgery, but the doctor and I decided that we’d discount it for the owners. Since the surgery was done in the last afternoon we elected to keep the dog overnight because he was groggy.

This morning the husband called to ask when he could come and get his dog, and I told him that we had to wait until the doctor came in so she could check the incision one last time. He was not amused, but seemed to understand. Then we had this little exchange:

“I want you to tell Dr. [Awesome Doc] that when my car’s engine needs to be rebuilt for a second time the mechanic doesn’t charge me.”

Before I could even think about what was coming out of my mouth, I heard myself say (very cheerfully) “yes, but you probably didn’t lick your engine until it didn’t work anymore.”

Silence.

“So, you’ll call me when I can come and pick him up, then?”

“Yes we will.”

We discounted his bill from $675 to $200. We didn’t have to, we just thought since they had spent almost that much on the original surgery (and histopathology) that we’d cut them a break. And this is what we get? Jackass.

Oh and for the record: I doubt that a mechanic would rebuild an engine for the second time for free if it wasn’t his fault that it blew up again.

Therapy, retail or otherwise

When people say they have a therapist, what do they mean? A counselor, a psychologist, something else?

I think maybe I would benefit from some sort of therapy (shut up, you!) but I have no idea where to start looking for someone or where to even start talking about stuff. I have come to the conclusion that I am Messed Up (and so are you, probably) and would like to know how I can either be less Messed Up or deal with my Messed Up-ness a little better. When I hear someone saying anything about their therapist it almost sounds decadent to me; it’s what people who live in fancy apartments in New York City do. Or women who go to the spa and have their nails done regularly.

I don’t know why I equate mental health with a luxury service, but hey we’ve already established that I look at things a little skewed.

I’ve had a few good months dealing with my anxiety, maybe due in part to the fact that I’m leaving the biggest source of my stress (my job). Naturally, then, my anxiety manifested itself this past weekend in a new and disastrous way.

*sigh*

Anyways, yeah. Sometimes it feels like it would be good to unburden myself on a professional.