Home Forums Discussions General Discussion Tomastoria

Well, Tom, I hope your last day at the office was a good one. I do not know you personally but can tell from the posts on this forum that you care deeply for the people you have taken care of for all these years. I hope you can enjoy retirement and get as much pleasure from spending time on yourself as the rewards of caring for others over the years has provided you. Post here as you can and want we will read about any adventures. Stay tuned to hear about our adventures or misadventures as it may be with Harris and Amazing Charts!

Thanks, ChrisFNP
My wife, a NurseMidwife and FNP and I had interesting and personally fulfilling careers in a medical practice that was based on personal relationships with patients and mutual responsibility. We were always "on call", for example, but rarely did any patient abuse that privilege. We had a good run, we lasted 35 years -- now it is time to move on to something else before succumbing to the bitterness of an old age that can't adjust to the new corporate world.

Modern corporate practices seem to emphasize relationship and responsibility to the corporation, not the patient, and a sort of wedge can be driven between patient and doctor.
This development is not a new phenomenon -- James Burnham wrote "The Managerial Revolution" in 1941, detailing how a managerial class has come to dominate all the traditional power brokers without needing any of the specialized knowledge or financial clout of the groups they were gaining control of. That was in 1941, and it has progressed to almost total bureaucratic control in every field of endeavor in the USA. The medical profession seems to have finally totally ceded control of the profession to the "managers"

I am actually relieved to have given up that (probably imaginary) control -- looking back, I am sure I have overestimated my own importance -- and will be pleased to spend more time watching my grandkids navigate the shoals and rapids of early adulthood.

Thanks to all who have created and participated in this forum. I have learned a lot, and have often been amused.

Tom,

It's been an honor knowing you and seeing your posts. Feel free to drop in once in a while to check on us.

JamesNT

Thanks James
I am going to stay tuned to this board, and may yet need to consult you professionally.
Since I am going to be the records custodian, I may find myself in over my head!

I have so appreciated all the help you and Sandeep and Indy and all the other incredible brains out there have so graciously provided over the years.

It doesn't look like one universal export program will be sufficient -- everyone seems to want something different. Mostly we use tools in AC to print the last 3 years of records to Updox and then send them by fax or copy to flash drive. Some patients or doctors' offices want "everything"
and we add more items like correspondance with specialits and wayback labs and X-rays and tell them it's everything. We haven't had any complaints.

Tom, It's been a pleasure to interact with you on the board over these years.
I hope retirement is as enjoyable or more than practice.
Check in from time to time

I've been away for periods on the board just because I've been busy, no real great excuse as we all are busy but time slipped by.
I'll try to interact more