Self Criticism and Some Instructions on Life

I just re-read this one and I needed that little kick to get myself going again! Plus an update, I did release a copy of Bird-by-Bird in the Portland, Oregon area awhile ago; I hope someone found it and is enjoying the read.

Random & Rhyme

I recently started reading Anne Lamott’s, Bird by Bird: Some Instructions on Writing and Life and coincidentally one of my favorite blogs, BrainPickings posted an article, The Definitive Manifesto for Handling Haters: Anne Lamott on Priorities and How We Keep Ourselves Small by People-Pleasing. The article calls out items from the book and some commentary from Ms. Lamott’s Facebook page.

What makes Anne Lamott’s Bird by Bird: Some Instructions on Writing and Life (public library) so timelessly rewarding and one of the greatest books on writing of all time is that besides her wisdom on the craft, Lamott extends enormous sensitivity to and consolation for the general pathologies of the human condition — our insecurities, our social anxieties, our inner turmoils. Among her most powerful and memorable meditations in the book is that on how our perfectionism kills the creative spirit — something she revisited recently in a short…

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Health Care Cost Rant

Another health care cost rant. I wrote late last year about the high cost associated with a hospital stay and this is another high cost situation that really ticks me off.

Since the issue that put my husband in the hospital was a bad drug interaction between an anticoagulant and a heart regulating drug, he had to be taken off the heart drug and be put on an old-fashioned anticoagulant – Warfrin. This requires frequent blood tests and regular visits to a clinic which is a pain in the butt in and of its self, but the part that really makes me crazy is the bill for it.

The test takes place in what amounts to a small office with a desk, a computer, 3 chairs and a tiny tray of test items and takes a total of about 5 minutes, for the use of this room they charge our insurance $195.13 – you gotta be frickin kidding me!  $195.13 for the room only, the technicians time and the test are a separate line item. Our total co-insurance cost is: $25.04 and our insurance company actually pays them $141.86. So a $232.67 bill gets adjusted down to $176.90. $176.90 for a 5 minute test that involves pricking his finger, seeing where is anticoagulation level is and giving him his pill schedule for the next two weeks. So conservatively, they turn that room over 10 times in an hour or let’s even say 5 times in an hour, that is nearly $750/hour for that room or easily $7,500/day for a 10′ x 10′ room alone. For 4 days in ICU they say the bill was about $15,000 “retail” or about $3,600/day and that is a room with tons of equipment that is 4 times the size and a bathroom.

Ok, my rant for the day, but still don’t these things seem out of whack? Or am I wrong?

“Follow the pencil!”…today’s historic Paris unity march

Nous sommes tous Charlie! We are all Charlie.
Thank you for a great article Caitlin!


By Caitlin Kelly


They came in wheelchairs and on crutches.

They came carried in baby slings.


They came — like Richard Smith, former editor of the British Medical Association Journal who I randomly met this morning at the cafe at St. Pancras Station as we were both about to board the 8:19 Eurostar to Paris — from other countries to show their solidarity. He decided, last-minute and spur of the moment, he had to cross the Channel to lend his support in person.

They came in six-inch stilettos and black leather trousers, teens to seniors, a river of humanity that started flooding across the city by 1pm heading to Place de la Republique.

I am Charlie, I am Arab but not Muslim, I am Jewish, I'm a cop, I'm North African...I am Charlie, I am Arab but not Muslim, I am Jewish, I’m a cop, I’m North African…

I joined them today — although to say that I marched would be inaccurate. There were far too many…

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