Saturday, February 28, 2009

One Little Check Box

Kiel was going to drive me to the MRI, but at 6am on a quiet and cold Saturday morning, I didn't have the heart to wake him up. I dressed warmly and snuck out of the house, pulling the door locked behind me. The drive was quick, what with little traffic, even though snowflakes sifted down with some regularity.


After a bit of a delay at the Parking Garage (apparently the shift change causes queues), I entered the main doors of Strong, took the Silver Elevators to the ground floor, and followed the red "R" signs to Radiation. A sign on the door directed weekend patients to another door, and I entered an absolutely empty waiting area. No one was in the receptionist's area, so I wandered down the hall and called out. No answer.


That's OK. I am in no hurry. A well dressed gentleman entered, talking on his cell phone. He breezed past me and I wondered if he were one of the technicians. He wandered down the same hall, opened every door, then turned around and exited the waiting area still talking on his phone. He never even glanced in my direction. Hum.


Finally, the receptionist showed up lugging a huge bag, her coat still buttoned close about her from the cold. She mumbled an apology about getting stuck in the line for the parking garage, and opened the window. Name. Type, type, type. Birthdate. Type, type, type. Answer phone. Answer nurse. Fold papers. Slap two ID bracelets on my arm. One with my vital info, the other red to alert people of my IV dye allergy.

They call me back. I mention the prep I had taken, the prednisone Benadryl cocktail. The nurse looks at my paperwork and frowns. She says she will be right back and disappears, leaving me in the waiting area for about ten minutes. I am impatient. Let's get this thing over with. I have a paper to write for class. She reappears with another person, and they are having an animated conversation. The box for contrast is not checked. Its definitely blank.

Turns out the insurance company did not approve the contrast. Only an MRI. No point in doing that since they are looking for cancer. They suggest I call the insurance company Monday, but don't advise me to have the MRI without the contrast. Otherwise they won't get the information they need for the bone biopsy. What?

No test? Good grief. I already took the prep! I'll have to go back to the drawing board and begin again. I stand there a few minutes in confusion. I revved up my mental preparedness and spent time giving myself a pep talk for nothing? What if I can't take the prep again right away? We are talking steroids here. My mind is going a mile a minute.

I realize the two ladies are staring at me, waiting for me to respond. OK. I'll go quietly. Its not like I actually want to have this test anyways. I apologize for breaking the appointment. They nod. Its not like they don't have lots of other stuff to do. I wander down the empty corridor, not sure whether to celebrate my reprieve or be mad at the snafu.

Friday, February 27, 2009

Prep Day

More tests. Sigh. At least I have had MRI's before. Last time I got kind of dizzy from the contrast stuff. Its called Gadolinium, and in its natural state, quite toxic. Of course, they don't give it to you unprotected. It does give you a weird taste in your mouth, but last time I felt quite dizzy and thought I was going to pass out for a few minutes. Basically it makes your insides light up.

So now they "premedicate" me with Benadryl and Prednisone. Last time I took Prednisone, I was fighting off a horrible cold and sinus infection, and it gave me a great energy boost! I could feel it working about 3 or 4 hours after I got it and it stayed effective for about ten days. So tonight I get to take the power pill! I am looking forward to feeling better. I think it helps the swelling to go down.

I guess you could call it the lymphoma drug of choice. Just don't get hooked. Other than that, make sure I have music to listen to and I should be good to go.

Thursday, February 26, 2009

Communications Audit

Audits are on people's minds these days what with taxes coming up and all. So the words Communications Audit caught my attention. Sounds impressive, yes? Let's take an inventory of our communications, account for all the ways we talk to each other. Inspect how we are conveying information to see if we can improve.

One of the business classes here assigns students to perform one in the local business of their choice. I asked the faculty person to put the library on the list of possible sites. My goal was to see if we could improve our communications inside the library. Amongst each other. A result of having moved into a facility where our offices are at some distance from one another. And incidentally, it would be nice to look at how we communicate with our users as well.

Surprise! We are doing fairly well internally, but externally, we are abysmal. The poor student who was interviewing me made a few timid remarks about her honors paper and how difficult is was for her to find the resources she needed to address her topic.

What started out to be an audit turned into a research session. She was amazed to find that there is a lot of material available if you just know which sources to use and what the right words are. These days its about focusing, eliminating and paring down your search results, not increasing them.

After our session, she wanted to know if we could send an email to all the students to tell them about our wonderful resources and invite them to come to a few classes. And that brought us right back to the communications audit. I handed her the flier listing the classes we are offering. She was floored. She had never seen it, didn't realize the importance of coming to one of the classes. As she read through the list, she admitted that she should have taken most of them.

So we aren't getting out message out. How does it help anyone if we spend a ton on money on excellent resources but no one uses them because they don't know we have them!!??!! What other resources do we have that are going to waste because no one knows about them?

I suspect she will help get the message out. A happy customer is the best PR. She emailed me after our chat to tell me that when the class assignment for a PR plan is due, she is planning on handing in one for the library. Hoorah! Maybe if you communicate the right message to the right person, things change. Sure sounds promising.