Re:

December 15, 2005

How is that possible? Are you still in business? Are you taking

insurances? Are you collecting for every visit? Are you trying to get by

on too few patients/day? The " micro practice " concept can only be taken so

far & literally before the dollars just don't add up.

What about less than zero, for the poll?

December 15, 2005

It can happen easily. There are costs associated with opening a business. Income can be less than expenses for a while. Been there. Brock DO wrote: How is that possible? Are you still in business? Are you takinginsurances? Are you collecting for every visit? Are you trying to get byon too few patients/day? The "micro practice" concept can only be taken sofar & literally before the dollars just don't add up.-----Original Message-----From: [mailto: ] On Behalf Of Naureen A.MohamedSent: Thursday, December 15, 2005 9:41 AMTo: Subject: What about less than zero, for

the poll?

December 15, 2005

It can happen easily. There are costs associated with opening a business. Income can be less than expenses for a while. Been there. Brock DO wrote: How is that possible? Are you still in business? Are you takinginsurances? Are you collecting for every visit? Are you trying to get byon too few patients/day? The "micro practice" concept can only be taken sofar & literally before the dollars just don't add up.-----Original Message-----From: [mailto: ] On Behalf Of Naureen A.MohamedSent: Thursday, December 15, 2005 9:41 AMTo: Subject: What about less than zero, for

the poll?

December 15, 2005

It can happen easily. There are costs associated with opening a business. Income can be less than expenses for a while. Been there. Brock DO wrote: How is that possible? Are you still in business? Are you takinginsurances? Are you collecting for every visit? Are you trying to get byon too few patients/day? The "micro practice" concept can only be taken sofar & literally before the dollars just don't add up.-----Original Message-----From: [mailto: ] On Behalf Of Naureen A.MohamedSent: Thursday, December 15, 2005 9:41 AMTo: Subject: What about less than zero, for

the poll?

December 15, 2005

Sure, if “a while” means 3 or

4 months then I agree totally. But if you are open for 1 year+

& still running negative numbers then it seems to me that things just are

not gonna fly. If I personally had been losing money after one year I

would have changed course.

What about less than z! ero, for the poll?

December 15, 2005

It depends also where you open the practice. In some places it may take over a year to break even. I am in a similar situation, with negative income after 2 months and I do not think I will make money before 12 months but I was prepared for this. I am still doing locum tenens 4 days/ mo just to pay my lease. I am new to the area and marketing is very time consuming. Actually, I am spending more time marketing than seeing patients. It took me 6 months to be on staff at one hospital and I was just approved for the local PHO. If you have to pay student loan, mortgage, daycare... you have to think very well where the money will come from. I do not have that problem. I don't have any employees and my husband helps with all the computer stuff, he even designed and hosts the website for the practice. So, we have to be realistic, location and community ties are very important.Sure, if “a while” means 3 or 4 months then I agree totally. But if you are open for 1 year+ & still running negative numbers then it seems to me that things just are not gonna fly. If I personally had been losing money after one year I would have changed course. -----Original Message-----From: [mailto: ] On Behalf OfAbby WarshowskySent: Thursday, December 15, 2005 10:18 AMTo: Subject: RE: It can happen easily. There are costs associated with opening a business. Income can be less than expenses for a while. Been there. Brock DO wrote:How is that possible? Are you still in business? Are you takinginsurances? Are you collecting for every visit? Are you trying to get byon too few patients/day? The "micro practice" concept can only be taken sofar & literally before the dollars just don't add up.-----Original Message-----From: [mailto: ] On Behalf Of Naureen A.MohamedSent: Thursday, December 15, 2005 9:41 AMTo: Subject: What about less than z! ero, for the poll?

June 19, 2006

Hey

Good to hear from you, sounds like you are nice and busy - good for you! Enjoy your training course this weekend, you will pass!!!

Look, I know I have nothing to complain about but I still do. I hate being in debt, but then I figure I am better off than most because I live at home. If I was paying rent or mortgage I would be living in a cardboard box at the moment. But as a teacher once told me *very cheekily* a girl need never starve because she is sitting on a goldmine, I am sure it wont come to that for me, oy!

Nx

June 27, 2006

The brain is calling for calories, go and eat those baked beans, LOL.

Nx

June 30, 2006

Hi

If you dont mind me asking, why and how did your stomach get into the bad state that you posted about just now ?

I am awaiting surgery next month for a band replacement and was wondering...

Thanks..

Re: Confirmation of earlier post> Maree

Maree

Thanks for the update. I am going to have to be the one to come in and comfort Ghyll. I know what it is like having the band removed. It is disappointing and made me sad, however I know that despite the disappointment of facing life without the band is terrifying, its still joyous to be alive. And in time, there is every possibility that with the stomach repaired that she will be able to look at her next move.

I went to see my GP this afternoon and re-read the letter that my Surgeon wrote when I had my band removed. I was a mix of joy and sadness – knowing that my stomach was in such horrific state, but heartened to know that it was repaired and I have recovered and I am now re-banded. I realise that re-banding is not an option for our Ghyll – but there are alternatives and I am sure that once she is strong and healed, she will be looking at those options.

Nx

No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.9.7/379 - Release Date: 6/29/2006

July 10, 2006

You are doing real well. Just remember small and chew the heck out of

everything. It takes ages to get use to only eating a small amount, we are

so use to eating large quantities. Don't worry sweetie it will happen.

I watched the rugby on Saturday night as well, my very first game I have

ever watched.

Love

Cheryl

_________________________________________________________________

Discover fun and games at @ http://xtramsn.co.nz/kids

July 23, 2006

Hiya

Good to hear you are getting a smidge out. Take it easy, perhaps some soup for dinner just to rest your stomach and then try again tomorrow. I was thinking what you said about it being a matter of retraining yourself, I guess that yes it is in essence, but you also have to ease yourself into it and be happy and comfortable. It has to be manageable, so getting a bit out is a good place to start.

Nx

August 4, 2006

Thanks

I brought in the Kraft spray cheese in a can and some coke from Hawaii last year and I didnt declare it. My girlfriend brought in Mayo and they made her get rid of that becasue of the egg in it. I didnt even think of the cheese until I got home and then thought I might have done a bad thing...

Nx

August 22, 2006

> Are you in Sydney? > And I DO BELIVE....I only have 3 people in front of me on the public> Hospital waiting list. YEAP..

Hey Sabine... how good is that! You are nearly there, and I am sure it will come around very quickly.

Mel

August 22, 2006

Hello ,

Treasure all these things. I wish I would have still all these old treasures.

Unfortunately I left everything in Germany. Because we travelled a lot.

And than I got a phone call from a friend, that I still had boxes in their garage, and there I found a photo book with all these pictures from my parents and my brother in black and white and when I was a baby. I was so happy. Brought straight away these great looking old style frames and put a few pics up. I love it.

And my granddaughter was able to see her Oma ( granni) when she was a baby.

I live opposite the lake Maquarrie and and 10 min walk to the beach .

It is beautiful. I love the water.

Are you in Sydney?

And I DO BELIVE....I only have 3 people in front of me on the public Hospital waiting list. YEAP..

From Sabine

August 23, 2006

Hello ,

What is a decent meal without speck.

You can add toward nearly everything.

Do you buy it at the deli, in a piece or did you found a butcher? It is sometimes hard to get.

Well I am not a real beachy person, I only love the water, it calms me.

It is hard to walk in sand, and I cant go in swimmers anyway, if someone sees me...

The beach will be empty haahahahah....

Have good evening from Sabine

August 24, 2006

Yes this red cabbage is Rotkohl. In germany we have it as sidedish with meat.

Sometimes you have to add a small apple or onions a bit sugar and salt and cook it for a while,than it taste delicous.

Try it Sabine

-- Re: Labskaus

Yum! I love corned beef, loved mash potatoes and love beetroot and eggs. It would be nice with that red cabbage that is slightly sweet bit like sauerkraut, not sure what it is called. Thanks Sabine!

Nx

September 8, 2006

Hello everyone, My name is and I'm new to the

group by about 2 weeks. I also live in D.C., although

slightly south of the scum and villany. I recently

completed my residency Upstate New York and am excited

to learn as much as possible from everyone. I will be

attending on the 28th. I'm looking forward to meeting

everyone.

, DO

__________________________________________________

October 7, 2006

Hiya

You might be spot on with the weight issue playing a factor in recovery this time. I was 30kg lighter than I was with my initial banding and it was perhaps what enabled me to get moving quicker. I remember being in bed that night and laying on my side – not something you can normally do immediately post op – and the nurse commenting on that. But I wasn't in pain and I was feeling good.

In any case I am glad that you are on the way to feeling good. No STP is a real bonus, I am inclined to say congratulations because it is such a lottery whether you get it or not – so good on you for not, LOL.

Nx

October 7, 2006

Hey

The rebanding went fine after the initial 'hiccup'. Prof said it all went smoothly. As for pain this time, thank heavens I dont have the awful shoulder pain which I got the first time! OMG it was terrible...and lasted the whole 16 months of my first banding! Touch wood (or whatever else for luck) that it keeps at bay for me this time

I found that getting up and out of bed being alot lighter really helped me...its the first thing I noticed actually. For that, I am eternally grateful to bandy number one

Today I am feeling great...have been doing a few things in the house - not lifting stuff though ! Feel good and have had just a couple of panadol this morning. I get a treat later on...a real banana milkshake mmmmmm at over $15 a kg, I am honoured !!!!

159/63/67

Re:

Hiya

How are you going with your re-banding so far? I felt (my opinion only) that I was better coping with things the second time round. I guess for me I had the anxiety of what things were going to be like, and as usual the imagination had run away with itself. The second time it was a bit like I had an over night stay is a hotel... oh and came home with another band.

Nx

October 8, 2006

Hiya

Welcome to the group! Congratulations on your decision to go with the band. I started my journey 3 years ago at 124kg; I got down to 67kg then my band came out. Second band and I am sitting at 95 or something and I am looking to loose another 20 kg in the next 6 months or so.

I can appreciate that you have anxiety issues, who wouldn't? I mean the prospect of putting yourself thru major surgery is daunting. But I would and have done it twice. I am on my second band and I would go back again in a heartbeat.

I know it was perhaps the best thing I have ever done for myself, I would love to shout it from the rooftops – but I realise that everyone has a different path to follow. You will choose what is right and the right time to go ahead with any weight loss surgery that you think is your best option. Another option from going with an appointment is to go to an information night that the different surgeons hold. This is generally a very informative and casual setting – no one on one with a surgeon. It might be a good way to familiarise yourself with how the procedure would go and who you would be dealing with. All the best, please let us know what you choose to do.

Nx

November 12, 2006

Larry: What disease and what management? How are you tracking things? Larry Lindeman wrote: We recently stumbled on something useful. We have recently started some chronic disease management.To readily identify who has diabetes prior to the visit we have been printing out a patient summary on every patient the day before their visit. It was an easy way to plan ahead who needs what. Our patient summary lists the

patient demographics along with a problem and meds list. Our ma soon discovered that it was useful to have the patient review this when they arrive to make sure that their address and insurance information is accurate. We then noticed that the patient was also reviewing the diagnosis and meds lists for accuracy. When I saw the patient they were telling me any meds they had gotten from the specialist that I didn't know about. We also give a copy of the patient summary to the patient after the visit to any one who is travelling or anyone who wants one. I would like to start giving people a flash usb drive with their summary in pdf format to keep with them on their keychain in case they end up in the er. We will probably start this next year. By the way I am finding chronic disease management both rewarding and disappointing. I love improving the care of my patients but I am disappointed at myself at all the patients I

am discovering that have fallen through the cracks.Larry Lindeman MD Cheap Talk? Check out Yahoo! Messenger's low PC-to-Phone call rates.

Everyone is raving about the all-new Yahoo! Mail beta.

November 12, 2006

Larry: What disease and what management? How are you tracking things? Larry Lindeman wrote: We recently stumbled on something useful. We have recently started some chronic disease management.To readily identify who has diabetes prior to the visit we have been printing out a patient summary on every patient the day before their visit. It was an easy way to plan ahead who needs what. Our patient summary lists the

patient demographics along with a problem and meds list. Our ma soon discovered that it was useful to have the patient review this when they arrive to make sure that their address and insurance information is accurate. We then noticed that the patient was also reviewing the diagnosis and meds lists for accuracy. When I saw the patient they were telling me any meds they had gotten from the specialist that I didn't know about. We also give a copy of the patient summary to the patient after the visit to any one who is travelling or anyone who wants one. I would like to start giving people a flash usb drive with their summary in pdf format to keep with them on their keychain in case they end up in the er. We will probably start this next year. By the way I am finding chronic disease management both rewarding and disappointing. I love improving the care of my patients but I am disappointed at myself at all the patients I

am discovering that have fallen through the cracks.Larry Lindeman MD Cheap Talk? Check out Yahoo! Messenger's low PC-to-Phone call rates.

Everyone is raving about the all-new Yahoo! Mail beta.

November 13, 2006

Hi Larry,

I've been doing this also and find it a great help.

Shirley Pigott MD

We recently stumbled on something useful. We have recently started

some chronic disease management.To readily identify who has diabetes

prior to the visit we have been printing out a patient summary on

every patient the day before their visit. It was an easy way to plan

ahead who needs what. Our patient summary lists the patient

demographics along with a problem and meds list. Our ma soon

discovered that it was useful to have the patient review this when

they arrive to make sure that their address and insurance information

is accurate. We then noticed that the patient was also reviewing the

diagnosis and meds lists for accuracy. When I saw the patient they

were telling me any meds they had gotten from the specialist that I

didn't know about. We also give a copy of the patient summary to the

patient after the visit to any one who is travelling or anyone who

wants one. I would like to start giving people a flash usb drive with

their summary in pdf format to keep with them on their keychain in

case they end up in the er. We will probably start this next year. By

the way I am finding chronic disease management both rewarding and

disappointing. I love improving the care of my patients but I am

disappointed at myself at all the patients I am discovering that have

fallen through the cracks.

Larry Lindeman MD

November 13, 2006