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Thats easy for you to say, because its unimportant to you even if you did make

me laugh by that statement. I prefer my life to be neat and organized in every

way possible. Chaos is not my best friend and I hate that little devil. I lived

in chaos in my childhood and I cannot handle it now. It highly disturbs me and

throws me into the past where I always got the fire end of the stick. Call it an

inner panic, if you will. It causes the same reaction as it did when I was a kid

and my gut gets twisted all in a knot and I feel like I am going to lose

something.

Debbie K.

Being organized

Personally, I don't consider it a goal to be organized. Being

organized is like trying to teach a pig to sing - it is a waste of

time and it annoys the pig.

- Dan

Send questions and/or concerns to ModOasis-owner

" Stop Walking on Eggshells, " a primer for non-BPs, can be ordered via

1-888-35-SHELL () and for the table of contents, go to:

http://www.BPDCentral.com

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1 of the best things that has helped me 2 b not like nada is 2b a

bit more organized and structured.

i have 2 watch it though so as 2 not b ocd about it and make order

an ends rather than a means -meaning it is a means to a bit more

sanity and yet things will of course get frazzled and disorganized

such as when you give birth and have surgery and no time to b as

tidy as b4. u roll w/the punches knowing its not the past nada

chaos, but normal people's entropy- big difference.

my 2 cents

kere

> Thats easy for you to say, because its unimportant to you even if

you did make me laugh by that statement. I prefer my life to be neat

and organized in every way possible. Chaos is not my best friend and

I hate that little devil. I lived in chaos in my childhood and I

cannot handle it now. It highly disturbs me and throws me into the

past where I always got the fire end of the stick. Call it an inner

panic, if you will. It causes the same reaction as it did when I was

a kid and my gut gets twisted all in a knot and I feel like I am

going to lose something.

> Debbie K.

> Being organized

>

>

> Personally, I don't consider it a goal to be organized. Being

> organized is like trying to teach a pig to sing - it is a waste

of

> time and it annoys the pig.

>

> - Dan

>

>

>

>

> Send questions and/or concerns to ModOasis-owner

> " Stop Walking on Eggshells, " a primer for non-BPs, can be

ordered via 1-888-35-SHELL () and for the table of

contents, go to:

> http://www.BPDCentral.com

>

>

>

>

>

> -------------------------------------------------------------------

-----------

>

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Debbie,

My abhorrence for organization comes from Nada. She is compulsive

about neatness. When I was a kid I sometimes spent my entire

weekend in my room doing nothing because she wouldn't let me out

until I cleaned it to her satisfaction, which was impossible.

I am not absolutely totally disorganized, but any attempt to get

organized really triggers me.

Sounds like your Nada was at the opposite extreme, and we are both

triggered by what Nada wanted.

- Dan

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> Personally, I don't consider it a goal to be organized. Being

> organized is like trying to teach a pig to sing - it is a waste of

> time and it annoys the pig.

>

> - Dan

Good one! I'll have to think about that for a while. I know this

pig is REALLY annoyed by it. By the way, I can't sing. lol!

Tammy

well on my way to BTDTGTTSATH

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I have to say that we are in 100 % agreement on this. I feel for what you went

through as a child. My Step-adopted dad had grounded me so much that I would not

have seen the light of day until I was 18 or older. And I was only 12 years old.

Of course this only applied to when it was convenient to them. So.. I would wait

until mother was sleeping in and go in and ask her if I could go to my friends

house next door. I wouldn' t leave her alone until she said yes. She would have

said yes to anything I wanted to do even if it was to set fire to the house as

long as I left her alone to sleep some more. I asked her if she was awake. When

she actually got out of the bed she was mad at me and told me I should have

waited until she woke up. I reminded her that she had said that she was awake.

She had no recollection of it, but my sisters backed me up on it. My step

adopted dad got mad about it, but he gave her hell and not me. I think those

times are the only ones I didn't get a beating for doing something.

Now, I have had to lower my standards somewhat with my kids. I read books so

that I wouldn't screw up too badly with my kids. The books told me to let them

have their room their way and just shut the door. So I do. But about once a week

I can't stand it anymore. I make them pick up their room, sweep the floors and

make their beds. Once in a while I insist they mop their rooms. I do insist that

they keep their drawers in a certain manner, and I do insist they keep their

clean clothes up off the floor and put up. But I don't always look under their

beds or behind their curtains. I don't want to know whats under there. Since we

live in a very old house out in the country the roaches do come in out of the

weather. If the roaches get into their rooms, they will clean it without me

saying a word. Its called the law of natural consequences and I love that Law.

It works for me and not against me.

Debbie K.

Re: Being organized

Debbie,

My abhorrence for organization comes from Nada. She is compulsive

about neatness. When I was a kid I sometimes spent my entire

weekend in my room doing nothing because she wouldn't let me out

until I cleaned it to her satisfaction, which was impossible.

I am not absolutely totally disorganized, but any attempt to get

organized really triggers me.

Sounds like your Nada was at the opposite extreme, and we are both

triggered by what Nada wanted.

- Dan

Send questions and/or concerns to ModOasis-owner

" Stop Walking on Eggshells, " a primer for non-BPs, can be ordered via

1-888-35-SHELL () and for the table of contents, go to:

http://www.BPDCentral.com

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Debbie,

My mom would stay up all night with her boyfriend and crash as soon

as she came home from work. It was the opportune time to ask for

something because she was too tired to get mad about it.

I read an excellent book years ago about the virtues of 'natural

consequences' for kids. I learned not to make a rule about things

unless it becomes a problem and that it's okay to have different

rules for different kids (posted on the fridge) if necessary, because

all kids don't have the same problems. For instance, I had to

severely limit my daughter on video games, TV, and the computer

because she would spend all her time doing those things - sometimes

all night if she thought she could get away with it (My husband is a

lighter sleeper than I am and he would wake up at 3:00 a.m. and she

would be text messaging on the computer). So, I made a rule limiting

her to one hour a day for all three. If she broke the rule, she lost

the privilege for one day for every 5 minutes she went over her time

limit. It worked until she was about 16, then it got really bad, but

that's another story. I don't have that problem at all with my son.

He varies his activities very well on his own, so I don't limit him.

He has several friends whose parents won't let them play video games

during the week - only on weekends. He thought that was ludicrous

until I explained to him that maybe for his friends, it was a

problem. He hadn't thought of that.

I think considering your background, you are doing a great job with

the kids. BTW, I checked out Flylady - it's worth a look. I had to

sit and do some self-therapy before I could commit myself to trying

it. Too many old tapes want to interfere. Gotta go, time to shine

the sink!lol!

Tammy

> I have to say that we are in 100 % agreement on this. I feel for

what you went through as a child. My Step-adopted dad had grounded me

so much that I would not have seen the light of day until I was 18 or

older. And I was only 12 years old. Of course this only applied to

when it was convenient to them. So.. I would wait until mother was

sleeping in and go in and ask her if I could go to my friends house

next door. I wouldn' t leave her alone until she said yes. She would

have said yes to anything I wanted to do even if it was to set fire

to the house as long as I left her alone to sleep some more. I asked

her if she was awake. When she actually got out of the bed she was

mad at me and told me I should have waited until she woke up. I

reminded her that she had said that she was awake. She had no

recollection of it, but my sisters backed me up on it. My step

adopted dad got mad about it, but he gave her hell and not me. I

think those times are the only ones I didn't get a beating for doing

something.

> Now, I have had to lower my standards somewhat with my kids. I read

books so that I wouldn't screw up too badly with my kids. The books

told me to let them have their room their way and just shut the door.

So I do. But about once a week I can't stand it anymore. I make them

pick up their room, sweep the floors and make their beds. Once in a

while I insist they mop their rooms. I do insist that they keep their

drawers in a certain manner, and I do insist they keep their clean

clothes up off the floor and put up. But I don't always look under

their beds or behind their curtains. I don't want to know whats under

there. Since we live in a very old house out in the country the

roaches do come in out of the weather. If the roaches get into their

rooms, they will clean it without me saying a word. Its called the

law of natural consequences and I love that Law. It works for me and

not against me.

> Debbie K.

> Re: Being organized

>

>

> Debbie,

>

> My abhorrence for organization comes from Nada. She is

compulsive

> about neatness. When I was a kid I sometimes spent my entire

> weekend in my room doing nothing because she wouldn't let me out

> until I cleaned it to her satisfaction, which was impossible.

>

> I am not absolutely totally disorganized, but any attempt to get

> organized really triggers me.

>

> Sounds like your Nada was at the opposite extreme, and we are

both

> triggered by what Nada wanted.

>

> - Dan

>

>

>

>

> Send questions and/or concerns to ModOasis-owner

> " Stop Walking on Eggshells, " a primer for non-BPs, can be ordered

via 1-888-35-SHELL () and for the table of contents, go

to:

> http://www.BPDCentral.com

>

>

>

>

>

> --------------------------------------------------------------------

----------

>

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Tammy, I think the quote about teaching a pig to sing came from Mark

Twain.

I am serious about learning to sing (it beats the heck out of trying

to be organized). I have been in our Baha'i choir for several

months, but it is mainly social and half of us can't hold a tune. I

just joined a large choir which is working up a very difficult piece

(Misa Tango by Bacalov). It will be a lot of work to come up

to their standard, but it is part of my recovery too.

- Dan

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<< For instance, I had to severely limit my daughter on video games,

TV, and the computer because she would spend all her time doing

those things - sometimes all night if she thought she could get away

with it >>

Tammy, this one is an example of " choose your battles " for me. My

stepson spends almost all day and night glued to the TV or the

computer, when he isn't at school. He does manage to find enough

time for homework. My wife and I agreed with him to limit the time

but she refuses to say anything to him about it and I am not going

to give her another chance to say that I am rigid controlling person.

When I see him doing much, much less physically than I did when I

had a broken leg, it doesn't help my body identity problem at all.

But the new medication seems to be helping on that, I could be

seeing the light at the end of that tunnel now. (If it is a train

it will take care of the problem anyhow.)

- Dan

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  • 4 years later...

I agree with what you have said, Jean. I

would add to the tools to help you: calendar (duplicate schedule for Dr. Reminder,

tickler or whatever you wanna call it.

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

www.PinnacleFamilyMedicine.com

From: [mailto: ] On Behalf Of Jean

Antonucci

Sent: Tuesday, December 02, 2008

8:07 PM

To: practiceimprovement1

Subject:

being organized

new thread

would like to hear opinions

today on a call someone talked about how organization was not her

strong suit

I get home and there is an email to me form someone else who

says the same thing

One person says this l eads to low self esteem " I just cannot get my

work done "

Yikes

docs doing good work who i do not measure up to and

they have low self esteem...!

So i ask my husband , who is like NOT remotely organizationally

inclined shall we say, but he is a doc

I would like to hear from others what useful tools work to keep the

naturally unorganized among you

on track?

Ideas i have heard so far

- make lists

- use various tools to help you-- call yourslef / email yourslef

- delegate and forget about it with only spot chekc

- be flexible in what you think organization is ( eg AM

huddle withe satff vs do it for the next day at 5 pm if that

works better)

other suggestions?

Jean(highly organized :) )

--

If you are a patient please allow up to 12 hours for a reply by

email/

please note the new email address.

Remember that e-mail may not be entirely secure/

MD

ph fax

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Jean:

Maslow's hierarchy is a great framework to use- here is a wiki link that does a nice job: http://en.wikipedia.org/wiki/Maslow_hierarchy_of_needs

One example of applying it in our goal to help patients ... a patient is unlikely to work on losing weight (which they perceive as a self esteem issue) per our advice, if they have not achieved the security of a steady job or secure housing.

Re: organization... I love this topic- so often I feel like I am on the precipice of being organized, and then I'm knocked back down the mountain on the wrong side. But here are some ideas. I think what you are asking is not so much what do organized people do but what process should someone like me use?

The FlyLady is a website that helps folks become organized housekeepers... much of the advice applies... start small (clean your kitchen sink every night before bed)... the equivalent would be clean off the top of your desk daily (after probably spending a saturday to get it clean in the first place)... but ONLY work on establishing that one habit for an entire 30 days before tackling anything else.

Then do other tasks that are overwhelming in small bites- I've applied this to my piled up dictation which I"ve whittled down and completed. First, I decided to work on just finishing each day's dictation on the day of the visit. This is now the cardinal rule so I never am getting farther behind. Second, I would decide to do a set number of backlogged dictations that did not seem overwhelming... perhaps 3-5 at a time, or if I had lots of time, would set one hour to spend on backlogged dictation. Break it up in small chunks. I have only a small backlog left in this process and its working. My next step is to work towards having my dictation done for 80% of my patients by the time they walk out of the exam room.

How to decide what to do when there is too much to do? Put your effort into improving the processes that take too much of your time... remember the 80-20 rule... 20% of your work takes 80% of your time. Look at what tends to backlog or take too much of your time and revise, evaluate, revise, evaluate your process. When 20% of your work is now streamlined, it may only take 40% of your time and you have that "left over time" to enjoy or apply to your other backlogged work in the same way. Whining that you can't let any tasks wait is silly because so many of them are already falling through the cracks (I used to whine that I had so much to do I couldn't take the time to get organized... I sounded like my patients who tell me they cannot exercise becasue they have no time). It is a choice and it can change your life for the better!

Lastly, I can be productive but I am also a terrible procrastinator. I hate to admit that I have delayed calling folks back- either because I just don't enjoy talking to certain patients or because I wasn't quite certain what my plan should be for them.. But I have learned now to make those calls the first ones I do.. usually the plan is clear once I begin talking to them and clarify a little more (and wow- that takes less than 5 minutes but the time I would spend looking at their message, flipping through their electronic chart would drag me down and add to the backlog). And even the patients I don't love talking to aren't so bad... particularly using someone's tip for the list about prefacing the call by telling them you have only 5 minutes to talk between patients.

Carla Gibson

Um

Doesn't this fall under chapter 5 of the How's Your Health book—Problems Are Meant To Be Solved? The problem solving module is not just for our patients but for us as well. In fact, by using the module on ourselves to solve our little dilemmas we can then easily teach our patients how to do it. The cool part is that it is already part of the curriculum. J

As for low self esteem…isn't that why many of us went in to medical school and we continue to strive to be high achievers? Sure we can't seem to make it up Mazlow's hierarchy, but we sure are productive little neurotics. By the way, my experience is that "fear of death" also ranks high on the list of unspoken med school motivators. Interestingly, that one seems to fade the older you get even though the self esteem thing persists. Hmmm…

[Practiceimprovemen t1] being organized

new thread would like to hear opinionstoday on a call someone talked about how organization was not her strong suit I get home and there is an email to me form someone else who says the same thingOne person says this l eads to low self esteem "I just cannot get my work done" Yikes docs doing good work who i do not measure up to and they have low self esteem...!So i ask my husband , who is like NOT remotely organizationally inclined shall we say, but he is a docI would like to hear from others what useful tools work to keep the naturally unorganized among you on track?Ideas i have heard so far - make lists- use various tools to help you-- call yourslef / email yourslef- delegate and

forget about it with only spot chekc - be flexible in what you think organization is ( eg AM huddle withe satff vs do it for the next day at 5 pm if that works better) other suggestions?Jean(highly organized :) )-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax

-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax -- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax

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That right there is a GREAT POST... put it in the Hall of Fame. Someone giving clear

pointers on what has worked. Funny, each of the points you make, I can nod my

head and say, " yep, I know that " or " yes, that's worked for

me. " But the challenge continues to be the continuity of the effort to

make it a habit.The idea of better streamlining is another example of

Covey's Important/NonUrgent work that should be the primary focus of our

energies. -- that idea of important/non important and urgent/not urgent

does not mean you actually " organize " things like that. Rather, we should

listen to our gut and know what fits which category, then actually carry through on

it. Covey also talks about blocking times for the most important things (put big

stones in the schedule first, then fit the little stones around those).Finally, the point of procrastinating is also a big one for me. It drives me

nuts actually. One of the most helpful things for me was reading a good

explanation of what often makes us procrastinate, and that has helped me understand

myself more so I can more often take the pressure off and just get to the

task. PROCRASTINATING often relates to our desire to do something perfectly

and we tell ourselves that if we don't have enough time to do something perfectly

right now, we have to put it off to when we will have the time... but we never have

the time because other things (that we also want to do perfectly) get in the

way! Basically, it's another example of " pefect being the enemy of

good! " So, understanding that better has been helpful in my battle

with procrastinating... but the struggle rages on! ;-)TimOn Wed, December 3, 2008 11:28 am

EST, Carla Gibson wrote:

Jean:

Maslow's hierarchy is a great framework to use- here is a wiki link

that does a nice job: http://en.wikipedia.org/wiki/Maslow_hierarchy_of_needs

One example of applying it in our goal to help patients ... a

patient is unlikely to work on losing weight (which they perceive as a

self esteem issue) per our advice, if they have not achieved the

security of a steady job or secure housing.

Re: organization... I love this topic- so often I feel like I am on

the precipice of being organized, and then I'm knocked back down the

mountain on the wrong side. But here are some ideas. I think what you

are asking is not so much what do organized people do but what process

should someone like me use?

The FlyLady is a website that helps folks become organized

housekeepers... much of the advice applies... start small (clean your

kitchen sink every night before bed)... the equivalent would be clean

off the top of your desk daily (after probably spending a saturday to

get it clean in the first place)... but ONLY work on establishing that

one habit for an entire 30 days before tackling anything else.

Then do other tasks that are overwhelming in small bites- I've

applied this to my piled up dictation which I " ve whittled down and

completed. First, I decided to work on just finishing each day's

dictation on the day of the visit. This is now the cardinal rule so I

never am getting farther behind. Second, I would decide to do a set

number of backlogged dictations that did not seem overwhelming...

perhaps 3-5 at a time, or if I had lots of time, would set one hour to

spend on backlogged dictation. Break it up in small chunks. I have only

a small backlog left in this process and its working. My next step is

to work towards having my dictation done for 80% of my patients by the

time they walk out of the exam room.

How to decide what to do when there is too much to do? Put your

effort into improving the processes that take too much of your time...

remember the 80-20 rule... 20% of your work takes 80% of your time. Look at what tends to backlog or take too much of your time and revise,

evaluate, revise, evaluate your process. When 20% of your work is now

streamlined, it may only take 40% of your time and you have that

" left over time " to enjoy or apply to your other backlogged

work in the same way. Whining that you can't let any tasks wait is

silly because so many of them are already falling through the cracks (I

used to whine that I had so much to do I couldn't take the time to get

organized... I sounded like my patients who tell me they cannot exercise

becasue they have no time). It is a choice and it can change your life

for the better!

Lastly, I can be productive but I am also a terrible

procrastinator. I hate to admit that I have delayed calling folks back-

either because I just don't enjoy talking to certain patients or because

I wasn't quite certain what my plan should be for them.. But I have

learned now to make those calls the first ones I do.. usually the plan

is clear once I begin talking to them and clarify a little more (and

wow- that takes less than 5 minutes but the time I would spend looking

at their message, flipping through their electronic chart would drag me

down and add to the backlog). And even the patients I don't love talking

to aren't so bad... particularly using someone's tip for the list about

prefacing the call by telling them you have only 5 minutes to talk

between patients.

Carla Gibson

Um

Doesn't this fall under chapter

5 of the How's Your Health book—Problems Are Meant To

Be Solved? The problem solving module is not just for our patients but

for us as well. In fact, by using the module on ourselves to solve our

little dilemmas we can then easily teach our patients how to do it. The

cool part is that it is already part of the curriculum.

J

As for low self

esteem…isn't that why many of us went in to medical school and we

continue to strive to be high achievers? Sure we can't seem to make it

up Mazlow's hierarchy, but we sure are productive little

neurotics. By the way, my experience is that " fear of death "

also ranks high on the list of unspoken med school motivators.

Interestingly, that one seems to fade the older you get even though the

self esteem thing persists.

Hmmm…

[Practiceimprovemen t1] being

organized

new thread would like to hear opinionstoday on

a call someone talked about how organization was not her strong

suit I get home and there is an email to me form someone

else who says the same thingOne person says this l eads to

low self esteem " I just cannot get my work done "

Yikes docs doing good work who i do not measure up to and they

have low self esteem...!So i ask my husband , who is like NOT

remotely organizationally inclined shall we say, but he is a docI would like to hear from others what useful tools work to

keep the naturally unorganized among you on track?Ideas i have heard so far - make lists- use various

tools to help you-- call yourslef / email yourslef- delegate

and forget about it with only spot chekc - be flexible in

what you think organization is ( eg AM huddle withe satff vs do it

for the next day at 5 pm if that works better) other

suggestions?Jean(highly organized :) )-- If you are a patient please allow up to 12 hours for a

reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph

fax

-- If you are a patient please allow

up to 12 hours for a reply by email/please note the new email

address.Remember that e-mail may not be entirely secure/ MD Farmington ME

04938 ph fax

-- If you are a patient please allow

up to 12 hours for a reply by email/please note the new email

address.Remember that e-mail may not be entirely secure/ MD Farmington ME

04938 ph fax

---------------------------------------- Malia, MDMalia

Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton

Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com--

Confidentiality Notice --This email message, including all the attachments, is

for the sole use of the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the intended recipient,

you may not use, disclose, copy or disseminate this information. If you are not the

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