Friday, November 26, 2010

Black Friday

My plan for today was to buy a 2-carat diamond bracelet from Macy's. Do I have any need whatsoever for a 2-carat diamond bracelet? No, of course not. I was going to buy it because it was on super-sale for Black Friday for $99. And there's a small part of me that wanted to know what it was like to have 2-carats of anything on my person. And other than work clothes, I have not spent any money on myself since getting promoted. In all honesty, I just wanted to splurge. I actually went online last night and added one to my shopping cart. Second thoughts crept in, though, and I didn't actually buy it.

Today, after doing 3 loads of laundry, cleaning all the bathrooms and mopping the floors, vacuuming the stairs, cleaning the kiddo's bedroom and changing sheets, I thought, "What the hell?" And I went online to finish my purchase.

The bracelets were sold out.

It wasn't meant to be, I guess, but I was still pretty bummed.

In reality, $99 buys more than a week's worth of groceries and I do have to go grocery shopping tomorrow or Sunday. I'll feel pretty good about that. But I know I would have felt even better if I was grocery shopping with 2-carats of diamonds on my wrist.

Thursday, November 25, 2010

Thanksgiving

I'm sitting here at the end of the day, quietly contemplating all that I'm grateful for this year.

  1. (23) My health. The cancer has stayed away and this past July marked one year of being cancer free. That by itself leaves me feeling overwhelmingly thankful.
  2. (24) Self-discipline. There are a lot of things that I don't feel like doing, but I do them anyway. If I skipped even five things a week that I didn't feel like doing, life as I know it would fall apart pretty quickly.
  3. (25) My job and health insurance. 'Nuf said.
  4. (26) Our military men and women who are busy at home and around the world to keep safe. And our local community service providers--firefighters, paramedics, police, etc.--who do so much for us.
  5. (27) God. Even when I'm mad at Him.
  6. (28) Family. I just wouldn't be at this same level of crazy if not for my crazy sisters.
  7. (29) Friends. One good friend in particular who gets me in a way that no other friends have since I was a kid.
  8. (30) Aflac. People say supplemental and disease-specific insurance is silly, but I was diagnosed with cancer at 31, so I say it's a good thing. And with what I've received from them after filing my cancer claims, my policy has paid for itself more than ten times over.
  9. (31) My amazing daughter who I love with my whole heart.
  10. (32) And my husband, who I still love, even when I feel like punching him. Like right now.

Many wishes for a safe, peaceful and blessed Thanksgiving to everyone.

Monday, November 22, 2010

Restless

I just randomly changed my blog design. I like it.

The pace I've been running at lately is getting out of hand and I've been left with a nagging feeling of restlessness and resentment. I'm good at multi-tasking, but honestly, things are starting to slip through the cracks. I'm forgetting small things, but some of them are important. That bothers me a lot, and people who know me well know that my memory is pretty sharp. It's disturbing that I find myself losing my train of thought or forgetting things that need to be done. I suspect that lack of restful sleep is a big part of it. I haven't been able to really rejuvenate in a while. I have a few days off this week for the Thanksgiving holiday, so I'm hopeful that I can get in a few nights of good rest.

There have been a lot of arguments in my household lately. I think that's where the tug of resentment is coming from. Personalities and priorities have been clashing quite a bit in recent weeks and part of me feels like a good fight would clear the air. I feel like if I could yell and scream a little (or a lot), maybe, just maybe I would feel heard. Maybe I would finally feel like what I say is important. Or even if not important, at least somewhat valuable.

I was thinking about my faith recently and how God tends to work in ways I don't understand. I remind myself to duck, to get out of the way and let Him come out swinging for me, but I haven't been so good at that lately. I drag myself up too soon and He ends up smacking me in the back of the head. I do kind of have a headache tonight. Just sayin'.

Right now, I have a kiddo who wants to snuggle with me and that seems like the perfect way to end this not-so-perfect day.

Monday, November 15, 2010

Serving the Veterans Who Serve Us

As the daughter of a U.S. Army Veteran, I was raised with a keen awareness of the sacrifices our military men and women make for our country. Last week, on Veteran's Day, I was driving back to work after lunch when I went past the local funeral home that was conducting the services for a local fallen soldier. I drove past just in time to see the casket exiting the building. The gleaming hearse was open and waiting. Hundreds of people hovered nearby, including the dedicated motorcycle riders who stood as silent guard, giving the family privacy. News helicopters hovered in the air. Throngs of people lined the streets for miles, silently waving American flags. Children carried signs, thanking this young man for his ultimate sacrifice.

Tears were abundant...my own included.

The irony did not escape me when I remembered that I would be giving a presentation on a new project for work. The funding would go to serve U.S. Military veterans who are homeless and mentally ill. This is a general transcript of my presentation:


Good afternoon, my name is Martha and I’m the Director of Behavioral Health at [x] Services. I’d like to thank everyone here today for the opportunity to present our proposal for a new project.

Some of you are familiar with [x]’s Behavioral Health program, but for those of you who aren’t, our department serves individuals who are homeless and mentally ill. Many of these individuals also have substance abuse treatment needs. These individuals have long, often decades long struggles with their illnesses and have lived in shelters and on the streets, have gone un-medicated or under-medicated, with long histories of psychiatric hospitalizations. Some individuals go years without even being diagnosed, until perhaps some type of tragedy or near-tragedy occurs and they are hospitalized. Many have been institutionalized or have been served in nursing homes.

Part of this population that we serve includes U.S. Military Veterans. These veterans struggle with the same issues that I just mentioned, but their struggles are unique, in that they’re often accompanied and compounded by service-connected disabilities, as well as combat-related traumas. Historically, this has been an under-served population—lack of funding, lack of available local resources and services. Many of us have seen and worked with older veterans. It seems like there’s a stereotype of Vietnam veterans struggling with their illnesses, but the truth is that it goes far beyond a stereotype. Years go by and, we see the need for services continuing to increase, from veterans who fought during the Persian Gulf War, as well as now, as our veterans return from overseas assignments, including Iraq and Afghanistan. Individuals may not be getting mental health services for any number of reasons, including fear of stigma and lack of available services. Waiting lists for medical care, substance abuse treatment and mental health care are common.

For this new project, we are proposing to serve additional veterans in our program. We have a history of cooperative relationships with [y] Substance Abuse Treament Facility, the Veterans Assistance Commission and Hines VA Hospital. We receive referrals from these agencies, but we also get referrals from community outreach and shelters, as well as cold calls from individuals who desperately need services.

As part of this project, we will provide rental assistance, along with mental health and rehabilitation services. We have solid working relationships with over 70 landlords in the [z]County area, who provide us with safe and appropriate housing for the individuals served in our programs. The individuals we hope to serve in this project will have an opportunity to select a home—it may be an apartment, a duplex, townhome or house, depending on the needs and choice of the individual. Their choice may be related to wanting to be close to family, close to transportation, close to work, or any other number of factors. Once they select their home from what is available at that time, they’re provided with necessities upon moving in, including furniture, bedding, kitchen and bath items, toiletries and other items they may need to get started in their new home.

All of this is fantastic, but it’s not just about four walls and a roof. While we believe that having a home is an integral part of managing symptoms and recovering from the effects of long-term mental illness, we do recognize the actual value of housing stability and what it brings—a permanent address, in some cases reuniting families, and the comfort of actually having a place to call home. We also know that services are critical in ensuring the success of the individuals we serve. Veterans served in this project will have a case manager and case worker who provide case management services—assistance with benefits and entitlements, assistance in accessing medical and dental care, accessing educational and vocational resources, as well as any other resources the individual may need.

Additionally, veterans will also have access to an array of mental health services that are tailored to their individual mental health needs. There’s no cookie cutter treatment. We serve individuals, and as such, their treatment plans are individualized. We recognize that mental illness doesn’t occur exclusively in-office between 8am and 4:30pm. That’s why our staff provide community support and in-home services. We work with people on everything they may possibly need—independent living skills (budgeting, cooking, home care, personal hygiene, time management); we work on symptom management (recognizing triggers, identifying and coping with symptoms), managing psychotropic medications (understanding what they’re taking, what it’s for, how to self-administer, understanding dosages, storage and safeguarding of medications), socialization skills (communication, assertiveness, building relationships), adaptation and functional skills (problem-solving, stress management, anger management, self-esteem managing feelings), and also education and work-readiness. We will help them with transportation, making and keeping appointments and we will strive for them to be as stable, independent and self-sufficient as possible—and we provide the services to get them there.

In addition to those services provided by our staff, veterans will also have the option of therapy and psychiatric care. While some of our veterans choose to receive their services through Hines VA, they are aware of and always have the option to access our on-site therapists and consulting psychiatrist.

Another unique feature is that veterans may also choose to participate in our on-site PSR program (psychosocial rehabilitation, which is psychiatric day treatment). PSR staff will help these veterans with the same issues that our CH staff work on in their homes, but these services are more intensive and provided in a group setting by trained staff. The peer support is valuable, and for many individuals, including those we hope to serve with this new project, it helps in avoiding psychiatric hospitalizations, as they are receiving daily psychiatric treatment, but in an OPT setting.

Our agency also provides crisis intervention services and all individuals, including these veterans that we're hoping to serve, can access a crisis worker or our consulting psychiatrist after-hours through our department’s crisis line.

That’s a summary of we already do, and what we hope to continue to do with this new project. Our new project includes leasing and operational costs. Support services will be provided through DMH funding/MRO billing—so we are not asking for any administrative costs as part of this proposal.

We already serve a population of veterans and it would be an honor to serve additional veterans, especially considering all that they have done to serve us.


I'm proud to say that we're getting the funding. Here's to our veterans!

(I encourage you to scroll down on the left side of my blog to pause the music, and then watch this video. Many thanks to the veterans who made the ultimate sacrifice for our freedom.)

Thursday, November 11, 2010

Ummm...

Sorry, couldn't think of a title. It's been quite a week and I'm so glad tomorrow is Friday!

Saw Hottie Doc on Monday and was so glad that everything came back fine. He's funny--he walks in the room, all happy and perky, getting everything ready for the procedure, asking how I am. My response? "Look Doc. It's Monday morning. I'm wearing a black sweater, black knee socks and no pants. And you're about to violate my bladder with a video camera. The way I see it, my day can only get better from here."

Work has been crazy busy, but I'm not complaining. It certainly beats the alternative! The only problem I'm having right now is that I've been so sick! I can barely keep up during the day because I'm so exhausted. Even after a full round of antibiotics and prescription cough medicine every night, I just can't seem to shake this bronchitis. It's annoying, the cough keeps me awake when I should be sleeping and it wears me out during the day. Booooo.

I've got a post started about Veteran's Day...not done yet, but hopefully I can get that posted tomorrow. Should be a little more meaningful than this mindless rambling.

Sunday, November 07, 2010

Up Close and Personal

Tomorrow morning, I get to see my *favorite!* doctor for my 3-month cancer check-up. Good old Hottie Doc will be poking around my bladder with a video camera to make sure I'm still all clear.

Have I mentioned how much I dislike these appointments? Uncomfortable, embarrassing and kind of painful. Awkward, to say the least. It ain't normal for someone to be all up on my insides like that. Way too close and way too personal.

But on the up-side...and there's always an up-side...I'll be done by around 8:45am and the way I see it, the worst part of the week will be done! AND I can totally trump anyone else at work who complains about not having a good Monday morning. Boo yeah!

Tuesday, November 02, 2010

Flu?

I haven't had to deal with a flu virus in 9 years. The last time I caught the flu, I was knocked on my behind for a week. I hadn't gotten a flu shot since then.

I am knowledgeable and practical. I am fully aware that I cannot get the flu from an injectable flu vaccine. The virus is dead and all it does is cause an immune response to then protect me if I'm exposed to the live flu, right?

Well, I got a flu shot this year. I did it in support of my little girl, who really needs a flu shot every year because of her breathing problems. I got my shot maybe 4 weeks ago.

Since last Friday night, I've been a big ball of pain and fever. It hurts to move. It hurts to talk. It hurts to breathe and blink. Can't eat. Keep coughing. Sore throat. No stuffy nose, which is good. All I want to do is sleep. I have not been to a doctor, but I'm pretty sure this is a flu bug. It's not a cold, that's for sure. And I need to get well by Monday, because I see Hottie Doc for my next bladder scope and I can't get it done if I'm sick!

I cancelled class tonight and I'm giving serious consideration to taking the day off work tomorrow so I can just rest. In fact, I think I might take a hot bath and then go to bed. A 7pm bedtime tonight sounds good.