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Getting there

“The discontent and frustration that you feel is entirely your own creation.” 

Stephen Richards


I believe this, wholeheartedly.  But it’s a big pill to swallow.  How can I protect my feelings/reactions from being a reflection of what’s going on around me??  Of course, the answer that I need focus on what I do about it. Which means I have to take responsibility for being the architect of everything that goes on aaround me.  Not that I haven’t before, but I haven’t used this fact to temper my emotional response when things go bad. So, to that end, I started a huge “reconfiguration” of my Franklin office.  As I stated in my previous post, I let an employee go that had been with me for 7 years, and since that post the person that was paid to supervise the staff has been demoted.

I don’t hire staff without a good deal of consideration, including working interviews, checking refere
nces, etc.  But apparently none of this is enough to predict behavior.  I will use other testing of prospective empolyees before hiring again.  I’m nervous because I don’t want to mess up again, but excited about getting someone truly dedicated to this business and the patients for whom we are responsible.

I  found a new EHR to work with AdvancedMD. The AdvancedMD EHR made my workflow terrible. Previously, I focused on my frustration re their EHR, now I have chosen to focus on the new EHR (Nexus) which seems pretty great so far.  Wish me luck!


3d rendering of the arrow show the solution

Bitch Blog- Better beginnings



“One of the best ways to start off your day on the right foot is to begin your day by thinking about the things you are grateful for.”

-Senora Roy

Today will be better.  I will focus on the things for which I am grateful while continuing to work on solutions.  I will avoid allowing anyone to get me off track with regard to my personal vibrations.  I figured if I actually list the things for which I am grateful, I am forced to think about them, and avoid being dragged down the rabbit hole of despair.

What I am grateful for today

Today is an absolutely beautiful day. I can see the rolling green landscape of Williamson county from the comfort of my desk. It is absolutely breathtaking when I stop everything else, clear my head, and just take it all in.

My 18 year old daughter Carmen is in Los Angeles for an internship.  One of the projects with which she is involved is the “save the river” project.  She wondered “why are they trying to save a dirty old river?” During the presentation she realized most people of downtown LA never see nature in their day to day lives. They see concrete.  In that moment she realized how much she had taken for granted by growing up in Williamson county, where nature is literally all around us.

Since then, I notice the piece of heaven God has given us here in the South.  It is literally an Eden for me if I would only open my eyes and focus on IT and HIM, rather than the negative.



Bitch blog


I’ve decided to apply the old adage “physician, heal thyself” by starting a daily blog.  Hopefully this “doctor’s blog” will be cathartic, and help me achieve some level of contentment and peace.

So here we go.

Today was difficult. It was an administrative day, which starts with a staff meeting of all employees from both locations.  I had to remind most of my staff the reason we work as hard as we do; and the reason one employee must go, maybe two… or three.

I have to let an MA go that i care about a great deal. She has worked for me for almost the whole time I’ve been in business (six years). She is loyal, funny and I enjoy her company.  But what have suspected for some time now (but didn’t want to believe) was proven beyond a shadow of a doubt today.  She does not care about people.  I found out orders I had placed as far back as February for procedures patients need to stop their pain were not even started.  I also found out the person that should have been supervising her was only asking if she had completed her tasks, but clearly never verified a single thing.  

I feel duped and extremely disappointed. Why did i let her work for me for so long? Why doesn’t she care about the patients, or the business or ME? Surely if she did, the rest of the staff would not have spent the ENTIRE day trying to fix the mess.  It will take the rest of the week to fix it.  She put us all in a very difficult position. 

And on top of it all, a patient that I’ve known for years was rude to the most patient and kind person I know.  Someone that was trying to help her.

Trying to stay positive.. I’ve decided to focus on the three invaluable employees that do “get it” and try, once again, to hire better.
I think I will start a gratitude journal.  I don’t want to bitch blog every day.  That’s depressing…




Sugar Addiction – Kick It Before It Kicks You

Sugar Addiction – Kick It Before It Kicks You

Who doesn’t enjoy a nice cold fizzy soda or a sweet and chewy candy bar? From television ads to grocery store checkout lanes, we can’t seem to get away from these tasty treats. Maybe that’s why an estimated 93 million Americans, almost one-third of the population, are living with obesity. When just one soda a day with its 17 teaspoons of sugar increases a child’s chance of becoming obese by 60 percent and an adult’s chance of developing Type II Diabetes by 26 percent, how can the problem do anything but continue to grow?

While it’s technically not an addiction, the habitual overconsumption of sugary products is driven by many factors, both internal and external. Internally, your brain cells consider sugar a reward that provides quick fuel. Externally, the average American child is exposed to an average of 10 food-related advertisements every day, 98 percent of which promote products high in fat, sodium, and sugar.


Socioeconomic Challenges

Accounting for nearly 38 percent of the over 300 million people in the United States, individuals who racially identify themselves as non-white are at a higher risk for sugar-related health issues. Those watching Spanish-language programming see 49 percent more ads for sugar-containing beverages than those watching English-language programming. As opposed to one in seven white children aged 2 to 19, one in every five black children is considered obese. Furthermore, it is estimated that 45 percent of overweight or obese American children between the ages of 10 and 17 is poor, of which over 58% identify as non-white.


It Starts With You

Despite the associated hurtles, only you can kick your sugar addiction. There are plenty of fad diets out there that call for a sugar detox, but you must be careful. Even healthy foods, like fruit, dairy, and grains contain starch and sugar. If you consume any sugar- or starch-containing foods on a daily basis, like most Americans, cutting out these foods too quickly or altogether can result in a dangerous downward spike in blood sugar, leaving you feeling exhausted, shaky, and actually in need for more sugar.

The most effective treatment for sugar addiction is the slow incorporation of a lifestyle change, consisting of increased hydration and decreased sugar intake. It is important to remember poor diet is not always the only factor putting you at a higher risk for obesity and other related diseases, so talk to your doctor today. Improving and maintaining your body’s health is a lifelong commitment, but the following steps are a good place to start:

  • Retrain your taste buds by cutting out one sugary food per week.
  • Choose sweets containing naturally-occurring or raw sugar, like fruit or milk.
  • Eat a variety of low-fat protein throughout the day.
    • You’ll feel fuller and more alert longer because protein takes longer to break down than sugar.
    • Introduce lean meats, like chicken and turkey, or complementary proteins, like peas and beans, into your diet.
  • Avoid artificial sweeteners; they’re sweeter than regular sugar, so they actually make your cravings worse!
  • Stay full on fiber, hydrated with water, and get plenty of exercise and rest.

Following these tips can help you kick your sugar addiction before it kicks you!


Brain in a Dish – The Future of Alzheimer’s Research

Brain in a Dish – The Future of Alzheimer’s Research

Alzheimer’s disease, the most common form of dementia, is estimated to affect 5.3 million people of all ages in the United States today. The biggest impact is on those aged 65 or older, accounting for 96% of all Alzheimer’s cases. That’s one in every three seniors, of which over two-thirds are women. While so many are living with the disease, only about 45 percent know it. On the other hand, about 90 percent of the more than 15 million Americans living with cancer are properly diagnosed.



It’s impossible to be treated for a disease you don’t know you have. With a new case developing every 67 seconds and no currently available FDA-approved treatment options that have proven to slow or reverse the disease, the prospect of being diagnosed with Alzheimer’s is frightening. That’s why researchers continue to work diligently toward understanding this sixth-leading cause of American deaths.

Since the discovery of the disease in 1906, Alzheimer’s researchers conducting pre-trial experiments only had mice to work with. However, this disease is particularly human-specific, so the disease developed in the mice is an imperfect model for testing. This led to complications in the data and setbacks in the development of new treatments.


One Small Step for Two Neuroscientists, One Giant Leap for Alzheimer’s Research

As publicized in October 2014, neuroscientists Rudolph Tanzi and Doo Yeon Kim of Massachusetts General Hospital in Boston may have found a way around the mouse problem. The two researchers managed to culture human brain cells, or neurons, in a commercially-available stem-cell gel in a petri dish, wherein they formed actual neural networks. Moreover, when introduced to Alzheimer’s-causing genes, the cells responded exactly as those in a live human brain, forming the two defining features of the disease: plaques, like clumpy Brillo-pads, and tangles, like little bowls of spaghetti.

The petri dish model isn’t perfect. Real human brains have defense mechanisms like immune system cells that have yet to be introduced in Kim and Tanzi’s research. However, this model is the first ever to allow human Alzheimer’s research without the cost and ethical limitations of human clinical trials. Moreover, the lack of immune systems cells is not necessarily a bad thing, as it models the brain of a person with an immune system weakened by age or other diseases.

Tanzi has plans to test over 1,200 drugs currently on the market and 5,000 still in development. He and his colleagues are also using the petri dish model to investigate the protein responsible for plaque formation, which they believe to be beta-amyloid. The big picture is clear: any drug that could potentially prevent or reverse Alzheimer’s in humans can now fully prove its effectiveness in humans.


To learn more about Alzheimer’s treatment, please contact KCA Neurology. 615.550.1800.