The Blood is the Life for 28-06-2017

Jun. 28th, 2017 11:00 am
miss_s_b: (Default)
[personal profile] miss_s_b
miss_s_b: Vince Cable's happy face (Politics: Vince - happy face)
[personal profile] miss_s_b
Definitely not standing: Jo Swinson, Jamie Stone, Layla Moran, Wera Hobhouse, Tom Brake, Tim Farron, Alistair Carmichael, Norman Lamb, Ed Davey
Probably not standing: Stephen Lloyd, Christine Jardine
Probably standing:
Definitely standing: Vince Cable

... Oh arse.

Look, coronations are bad. The "candidate" does not get examined, does not get their feet held to whatever fire the membership is stoking, does not have to state any positions before the crown is lowered. Recent political leaders who have had a coronation rather than an election include TMay, Arlene Foster, and Gordon Brown. We do not want to be in that company.

But even if coronations were ok, the coronation of someone who's published views are 1, so often at odds with the membership and 2, so changeable depending on who he is talking to... Lads, this is really, really, REALLY not good. And given the article I linked to in the very first piece I wrote on potential leadership elections after the GE, this whole situation smells really fucking funny and I do not like it one bit.

I'm in conversation with a bunch of other senior Lib Dems members of the awkward squad to try to do something about this. I mean, if there was a proper election and the members decided that Vince was the best person, that's one thing, but this is just a subversion of party democracy, and I hate it. Eurgh.

But if we can't do something about it... I don't know. The scissors are feeling very close to my membership card right now.

ETA: OfC given the legendary efficiency of the LDHQ membership department, if I were to cut up my membership card and send it back we'd probably have had another 2 general elections before they got round to processing my resignation...

Daily Happiness

Jun. 28th, 2017 02:21 am
torachan: ryu from kimi ni todoke eating ramen (ramen)
[personal profile] torachan
1. This morning and early afternoon was ridiculously super hectic, but thankfully things died down and I was able to get out of work at a reasonable time.

2. Some people at work got me a birthday cake today, which was totally unexpected and a nice surprise. :)

3. Look at these Molly paws!

oursin: Photograph of small impressionistic metal figurine seated reading a book (Reader)
[personal profile] oursin

What I read

Finished A Banquet of Consequences, and, okay, family that makes the Starkadders look like the Waltons at the centre of the plot. But at least Havers is somewhat on the way to rehabilitation and not being transferred, and while I am not convinced by Lynley's new affair (I consider his new squeeze is entirely prudent to maintain high boundaries), I don't think I ever wanted to have at him with a codfish at any point in the narrative.

Allie Brosh, Hyperbole and a Half: Unfortunate Situations, Flawed Coping Mechanisms, Mayhem, and Other Things That Happened (2013), found in a local charity shop. Raced through it though on reflection not sure that it wouldn't be better read in doses.

Gave up on the romance about marrying an earl.

On the go

Max Gladstone, Two Serpents Rise (2013) - still not quite feeling it for the Craft Sequence - it's well-done, it's not doing anything I dislike, and yet somehow I feel unabsorbed.

Also picked up in a local charity shop, Jeremy Reed, The Dilly: A Secret History of Piccadilly Rent Boys (2014), which is really, really, annoying. It could be a much better book if the author wasn't so in love with his gosh-wow prose and his vision of the sexual outlaw, not to mention, checking his bloody facts - there were two chronological bloopers in the first 20 pages, a Tory politician described as a Labour MP, a confusion between the Stones' Hyde Park concert and Altamont. Also, how can anyone possibly tell if 'most' late Victorian homosexuals were being blackmailed? The book comes from a publisher I had previously considered reputable, but does not seem to have been copy-edited (this might have done something about the Did Not Do His Research factor and the annoying repetition of favoured phrases) or proof-read, and given that some passages appear to have been written while stoned and there are sentences which are not and places where you think, that is so not the word you want there, this would have improved one's reading experience considerably. There's some really interesting material there but unfortunately the generally cavalier attitude to checkable facts makes me a bit sceptical about his ethnography of gay London, or rather, the gay West End, from Wilde to the era of AIDS. I'm also wondering whether there is any unacknowledged debt to e.g. work by Matt Cook and Matt Houlbrook.

And, finally released this week as ebook (there were hard copies at Wiscon but I was in travelling mode), Liz Bourke, Sleeping with Monsters: Readings and Reactions in Science Fiction and Fantasy (2017).

Up next

No idea.

siderea: (Default)
[personal profile] siderea
Constant readers will recall that I wrote a three-part post titled, "Why You Can't Find A Therapist, No, Really". I posted Part 1 on Sept 1st and Part 2 and Part 3 on Sept 30th of last year.

The clinic I work for as a contractor recently paid me, for my last pay period, an amount of money that was four times my typical earnings. Admittedly, how much I actually get paid fluctuates pretty wildly, but I figured I would have noticed having either 4x in arrears or having seen 4x as many patients as usual. But I'm paid via direct deposit, and the corresponding statement saying what I was getting paid for is put in my mail box at the clinic, so I had to wait till I was back in the clinic – today – to pick it up and find up why I was getting all this money.

The statement mystified me when I got it. It was two whole pages of pairs of canceled previous payments and replacement payments and at first I couldn't make heads or tails of it, and then I realized that I was looking at a statement where almost all the patient sessions listed had happened in 2016.

As I mentioned, last month, for the first time in decades, we got a raise. A big raise. Not big enough to be adequate, but big enough to be astounding. It was, we thought, effective starting May 1.

No. Turns out the raise was retroactive. To – apparently – Oct 1, 2016...

...The day after I posted the final sections of "Why You Can't Find A Therapist, No, Really".

Rumor has it that the raise – more properly, the increase in rate paid by at least two of the Medicaid providers – happened because MassHealth (Massachusetts Medicaid) leaned on them to do so, to fix the emergent strike.

Um.

MassHealth? Are... are you there? Are you reading my journal?

If so, thank you! (If not, still thank you!)

I have a few other suggestions for things you could fix!

For instance: I'm currently doing an amazing job (or so my chart reviewer wrote) doing care coordination with a big medical team involving four clinics, three hospitals, and family all involved in the care for a patient with an emergent psychotic illness. I can do that because the patient has MBHP, and MBHP pays for case coordination if it's extramural. I'd like to point out that it's insane that if I have a 15 minute conversation about the diagnostic formulation for a challenging and high-risk case with an in-house psychiatrist, I don't get paid for it (and neither do they), but if I do the same thing with a psychiatrist at a different clinic, I do. How wack is it that I literally wouldn't be able to afford to spend the sort of time on this case that I did (and continue to!) if the patient hadn't coincidentally decided he didn't like my clinic's available psychiatrist and went and found himself another one through his PCP. Surely this can't be the incentive system you want me or the patient (or the psychiatrist) to be functioning under – one where patients are incented to get their psychiatric care from an entirely different facility from their therapist.

And thank goodness that he had MBHP, as pretty much an amazing fluke. No other MassHealth payers pay for care coordination at all. If this guy had been on NHP or Tufts/BMC when he came down with schizophrenia... I shudder to think. Do you realize how much I've been on the phone with MGH's ER and APS and social workers and psychiatrists at local mental hospitals in the last six months?

Don't you think there should be some sort of provision for what happens when someone presents with a psychotic disorder? Like, when a provider slams the big red "R/o Schizophrenia" button, the payer has to start paying for some case coordination? (I'd also recommend that for substance abuse cases, where patients can manipulate providers around meds; and in mandated reporter cases, where you should probably have payers pay therapists for their time filling in DCF/DPPC/DES or whatever.)

I have to think that the time demands of handling such a high-risk case are part of why some – maybe many – therapist are leary of working with psychotic or other high-risk patients. I've been there. I've twice spent four hours – half a work day – keeping a patient in crisis calm and coordinating with the BEST team and then the hospital, and never saw a dime for any of it. Who wants to bring a patient onto their caseload, for whom the total compensation divided across the total hours of work for that one patient come to less than minimum wage?

And I'm just talking about care coordination – I'm not even talking about CPT 90839 and 90840 which last I checked were still universally unfunded. Funding that would be way cool.

I have many other fine suggestions – I swear many of them even aren't just suggestions you pay me more money! I'm happy to talk more about reforms in mental health care.

More CritRole

Jun. 27th, 2017 11:37 pm
aris_tgd: Jon Snow "Now, gods, stand up for bastards." (Jon stand up for bastards)
[personal profile] aris_tgd
Episode 54: Holy balls.

More things )
conuly: (Default)
[personal profile] conuly
If you want to be intensely spoiled for next season, clicky clicky. I can't wait!

Edit: Yeah, the nod to a certain government official — we thought we were being cute, and now, I find myself longing for George Bush, wishing we could have George Bush back in the White House and remembering him fondly.

Yeah, Rob, you and me both. Never ever dreamed I'd be nostalgic for those days.

Wednesday 28/06/2017

Jun. 28th, 2017 07:54 am
dark_kana: (3_good_things_a_day official icon)
[personal profile] dark_kana posting in [community profile] 3_good_things_a_day
1) Car will normally be fixed today. Minor problems but they needed to be solved. So we're going to pick it back up this evening.

2) Dinner at boyfriend's mother's place this evening. 

3) Refreshing water. 

(no subject)

Jun. 28th, 2017 01:43 am
alwaysbeenasmiler: (Madoka/Homura♥Every now and)
[personal profile] alwaysbeenasmiler
Brief update (amid everything that I have to do still!) - there will be a longer update eventually, or maybe not-- blame my ENFPness

1.) We are in our house, all moved in (but definitely not settled)
2.) INTERNET! (after a few weeks of roommate flaking out, which reminds me, NO MORE ROOMMATE)
3.) Cats are doing well, they fucked with Owen today and hid from him for a majority of the day-- so I kept getting texts from him going "Where is L.I.T.A-- idk)
4.) Oh yes, last but not least-- I am engaged! Owen proposed to me on sunday and now I have a pretty Claddagh ring (which is exactly what I wanted). So, homeowners and engaged in one fell swoop-- it's like so many life events at once (no, I am not pregnant)

Hopefully you guys are doing awesome! I missed y'all!

Now to download Stormblood and watch that eat up my life!
kjata: mcr ((cos) this ain't a room full of suicide)
[personal profile] kjata
My mother brought home a two month hold puppy this afternoon. Infested like whoa with ticks, so attacking blood-sucking insects with tweezers is now a thing I've done. Just finished bathing her in tick shampoo like an hour ago, planning on doing another round tomorrow afternoon.

Her temperature is up, so if she doesn't cool down after she's been debugged, I guess to the vet I shall go. Again. Ahahaha.

I posted pix of her here and here if you want to see what a smol german shepard, great pyrenees mix looks like.


Got more shit on the Summer Sale, and have refunded two games already. The first was Dominique Pamplemousse which I played 17 minutes of and realised when I exited that I will never ever open that game again, and the second was The Witcher Adventure Game because learning how to play was like trying to decipher an alien language that consists solely of charts of hieroglyphs and a set of sticks that emit raspberry noises when rubbed together.

On the other hand, I now have Dragon Age: Origins and Baulder's Gate queued to download, so heeeeyyyyyyy. Gonna get my RPG on, yeah boyz.


Was supposed to write tonight. Oh well, guess I'll go play a game and cuddle the damp and upset newbie instead. Gotta figure out a name for her, cos jokingly calling her Gozer doesn't cut it. Before long that actually will become her name, and then what. What is left then. Other than getting another dog to name Clortho to join the ranks of Zuul and Gozer, oh my god I don't even like Ghostbusters that much what is this madness.
mindstalk: (Default)
[personal profile] mindstalk
"Jumping spiders can see the moon." Awesome eyes, apparently. https://www.theatlantic.com/science/archive/2017/06/jumping-spiders-can-see-the-moon/529329/

Cabbage white sex life https://www.theatlantic.com/science/archive/2017/06/butterfly-cabbage-white-vagina-dentata/530889/

Papa John's peppers https://www.thrillist.com/eat/nation/papa-johns-pizza-peppers-pepperoncini-pepper

What happened to the Greenland Vikings (2015). Leans toward the settlements existing for the walrus ivory hunt, and being abandoned after the rise of elephant ivory, the Black Death, and oh yeah, a century of cooling climate. http://www.smithsonianmag.com/history/why-greenland-vikings-vanished-180962119/

Hearing voices and how culture can affect dealing with non-standard neurology. (Psychic, weird, or schizophrenic?) https://www.theatlantic.com/health/archive/2017/06/psychics-hearing-voices/531582/

10 year old article on "positive psychology" http://harvardmagazine.com/2007/01/the-science-of-happiness.html

11 year old article on behavioral economics http://harvardmagazine.com/2006/03/the-marketplace-of-perce.html

Decline of front bench seats in cars https://jalopnik.com/why-front-bench-seats-went-away-1776706852

1660s air pollution https://en.wikipedia.org/wiki/Fumifugium

Jared Diamond on hunter-gatherer childrearing. http://www.newsweek.com/best-practices-raising-kids-look-hunter-gatherers-63611

Suffragette martial arts http://www.atlasobscura.com/articles/suffrajitsu

Nice table of Gospel events https://en.wikipedia.org/wiki/Gospel_harmony#A_parallel_harmony_presentation

Mussels that live on asphalt volcanoes https://www.theatlantic.com/science/archive/2017/06/the-mussels-that-eat-oil/530775/

How New Zealand got PR elections http://www.sightline.org/2017/06/19/this-is-how-new-zealand-fixed-its-voting-system/
minoanmiss: Minoan lady holding recursive portrait (Recursion)
[personal profile] minoanmiss posting in [community profile] agonyaunt
http://www.sfgate.com/entertainment/article/Dear-Abby-Serial-father-keeps-chummy-11237805.php

Dear Abby: I recently met a 28-year-old father of three I~Rm interested in. He seems wonderful. He's a hard worker, takes care of his responsibilities and is an amazing father to his children. They~Rre all still very little, but they're great kids. The only thing that~Rs been on my mind lately is he has a lot of baggage. Those kids are from three different women. He gets along with all of them very well, to the point that they sometimes do stuff together with the children. They go out to places, or sometimes he invites them over to his place to swim in the pool. I understand that he has to maintain a healthy relationship with his exes for the sake of the children, but I never thought it would be this 'healthy.' I have never experienced something like this. I appreciate him being up front about everything, but I can't stop thinking about it. Am I overreacting?
Three's Company


Dear Three's Company: I don't think so. While I admire the man's devotion to his children -- not to mention his skilled diplomatic ability -- it does appear that he has a problem making a lasting commitment to a woman. Unless you would seriously consider joining this 'harem,' I urge you to religiously practice contraception. If you would like children in the future, it would be better to approach it with someone who isn't as marriage-phobic as this young man appears to be.
twistedchick: General Leia in The Force Awakens (Default)
[personal profile] twistedchick
Are we seeing the end of the Left and the Right, as we know them?

Americans who can find North and South Korea on a map are more likely to prefer diplomacy to war.

Which country is our strongest ally? After dumping (on) Britain and Europe, Republicans are leaning toward Australia.

Being forgetful may mean your brain is working properly. Do I really have to remember the essay I wrote for the NYS English Regents exam?

Supreme Court Justice Sonia Sotomayer's dissent warns that the US is turning into a prison state. She's not wrong. Read this.

Body shape analysis with kittens.

Obama on the Trumplackofcare bill. Ignore the grandiosity of the webpage and drop down to the speech. And the Congressional Budget Office's crunched numbers show 22 million would lose health care. Essentially, it is the cynical and uncaring RetroRepublicans trading lives for tax cuts.

And an editorial on why people are in politics, and how this week will define them. Quoting behind the cut: )

June Sundown Healing Arts Newsletter

Jun. 27th, 2017 09:35 pm
sonia: Presence After Trauma cover (Presence cover)
[personal profile] sonia
Even if we missed out on learning how to be calm as babies, it is not too late for our nervous systems to learn about rest and regulation as adults.
Find Calm: Practice Rest and Regulation

New book response at Curious, Healing. Have you read this? Comments welcome!
Video on co-regulation
Bonnie Badenoch, psychotherapist and professor of interpersonal neurobiology, warmly explains co-regulation and polyvagal theory in her video How to Feel Safe in Your Relationship. Thanks to Donna Norfolk for the link.

Curious, Healing is a blog, and you're welcome to comment there or here about the books. The articles don't have a comment section. You're welcome to comment here or send me email with any thoughts.

If you want the monthly newsletter in your inbox, along with news about my practice, you can subscribe here.
sovay: (Psholtii: in a bad mood)
[personal profile] sovay
I have had an absolutely rotten day, in which I think I can safely say that the best thing that happened to me was getting rated a "Yiddish flirting expert" by YIVO in an online quiz. (I mean, I don't know about that, but I can certainly read Yiddish well enough to translate those pick-up lines. I'd love to know where they came from.) I am also entertained to learn that the Massachusetts Historical Society has been tracking John Quincy Adams across the sea thanks to his daily habit of recording latitude and longitude on transatlantic voyages. Other than that, I wish it had been logistically possible for me to spend the day in bed.

[edit] After watching Vincente Minnelli's The Band Wagon (1953), I actually feel better. I love when that works. The "Girl Hunt Ballet" is even funnier if you have spent the last year and change immersed in pulp fiction and still bounced off Mickey Spillane.

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