Archive for August, 2006

Like a punch to the gut…

Tuesday, August 22nd, 2006

Tuesday morning, the Daily News ran an article featuring comments by two of our local state legislators. (Read it if you missed it…) It was rough stuff, difficult words to see in print. My initial reaction to it was emotional, visceral. And then I thought about it during the day, thought about what the article said, what they said. I don’t know anything about Texas politics, the state budget, economics—I can’t comment there. I have no doubt our elected officials have been getting many, many calls and messages, mostly from “us.” They represent us, the people, our interest is their interest, all for the good of the community.

So I thought about the comments, especially the ones questioning why less than 40% of us get our care at UTMB, implying (to me and maybe many of you) that the care we offer leaves a lot to be desired. I’m part of that 38% that lives on the island and gets all my care at UTMB. My two kids were born at UTMB and have received all their care here. My wife forfeited her appendix to the venerable Sally Abston here. Why did I have that reaction? Because I choose to go to UTMB for my care, and I’m proud of the care my family has received and proud of the people who have provided it. It’s not a compromise. I’m not short changing my family or ignorant of choices a few miles up I-45. I’m not parking a Ford in the GM lot. I’m not ready to discredit our entire clinical enterprise on the basis of a naked and unexplored statistic. Why don’t more of us come here? I love UTMB, but if I lived in Clear Lake, I may not want to haul my wife and kids 45 minutes to and 45 fro’, especially if there was a good community doc in the neighborhood. Or I might not be comfortable having someone I know handling some embarrassing personal condition. And yes, we’ve held the mirror up to ourselves and been very critical—a difficult thing for anyone to do. We know access can be an issue. We know our buildings are old and tired. I know chances are the fellow in the examination room next to me  drives a 1980s pickup, not a BMW. He works hard but may not have insurance. I’m proud my UTMB doctor will treat us with the same respect and compassion.  

These may be bumpy times, and no one in Galveston, Houston or Austin can say with any clarity exactly what sits ahead in our path. But I’ll continue to put my faith and my care in the hands of my UTMB colleagues, and have no regrets about it.

(As a footnote, a few pages later in the same edition of the News, this letter from a grateful patient ran. And patient satisfaction scores are up. I’m feeling better.)  

University Plaza update

Monday, August 21st, 2006

It looks like the contractor working on University Plaza has “lit some fires.” They’ve been working late each night, and it looks like they worked through the weekend: they poured a stretch of concrete that married the new road with the existing stretch of 6th St. at Market. When I walked in this morning, a fellow was wiring up the new street lights. FOAM sent me a site map that shows what the new traffic pattern will be, and I posted it this afternoon. Take a look. For those who are on the other side of campus (or off campus), I’ll try and get some photos  online. The project is looking good. The roads and sidewalks are supposed to open in a couple of weeks, and the garage early in October (last I heard).     

Faculty Compensation Plan in under 500 words

Monday, August 21st, 2006

I’ve alluded to the angst that’s been churned up over the Faculty Compensation Plan. I’ve been meaning to take a shot at outlining it for my blog readers; I’ve been a fly on the wall at enough faculty meetings to have a basic grasp of how the plan is structured, what it’s meant to do, and what hasn’t worked or is causing the most concern. Now, that overview’s been done for me, courtesy of the Daily News and John Stobo, who spells out the main points of the plan in a guest column that ran Sunday. For the majority of us, it’s probably all we want/care to know. The faculty who are affected need more detail, and those who don’t already have it, have been promised it soon. I would have never believed anything could overshadow Navigant. This did. The perfect storm.    

The Baby Doc’s battle cry: “Buck up”

Friday, August 18th, 2006

I took my own advice (for a change) and went to the Employee Service Day celebration at Levin Hall Thursday afternoon. It was the best hour I’ve spent at work in a long time. If you walked into that ceremony with any doubts about UTMB’s future, you left without them. Why are we going to be successful, whatever obstacles or challenges may block our way? We’re going to succeed because of our people. Period.

Sure, we have our stars. We have our leaders and administrators. Great docs and researchers. People with names we all know. They’re important, and we need them. But our real strength, I say, doesn’t sit there. The foundation of our organization, its heart and its soul and its muscle and its spirit, was sitting in that auditorium, in the nurses and technicians and clerks and teachers and countless other working people who, day in and out, make UTMB a great place. Those people, tucked away in far-flung corners of campus, from TDCJ to the Materials Management Warehouse, from the PCP to Lipton, in Admin and the Towers, Old Red and MRB, in Shearn Moody and across Southeast Texas and all points between, they care about UTMB, care about their colleagues, care about the people they serve. They know what they do is important, and they won’t fail. And that made me feel good.

Dr. C. Joan Richardson was one of the hosts, and I admire her more than my words can express. What she does is magic, the way she can rally people with common sense, a reminder of what’s important, and a calling to a higher purpose. She was the one who said, in her best West Texas drawl, that what we needed to do now was “Buck up!” She followed that with some sage advice: “This isn’t the end, this isn’t the beginning of the end…if anything, it’s the end of the beginning.” She’s right.

My hat’s off to all the backstage players who make Employee Service Day work, to the team in ODT&R, the video and production group, our campus photographers, our hardworking audio/visual team, the crew in Catering, an army of volunteers, and many others. Y’all done good (in my own West Texan). 

If you missed the ceremony, it’ll be broadcast next week on campus TV and I’ll try to get a webcast set up. It’ll make you laugh, it’ll make you cry, it’ll make you believe once again in what we can do together.    

It’s ALIVE! Rumors or Trumors II

Friday, August 18th, 2006

I really resisted bringing Rumors or Trumors back. I know a lot of people loved it, but like a bad friendship that lasted a long time, it was fun for a while and then it wore me out. I’m taking one for the team, my contribution to the cause. Thanks to the Rumorettes (the folks who promised to help with it), I’m thinking we can keep it updated with a lot of fresh content. There’s no shortage of material; we had about 12 rumors submitted within two hours of adding the link to iUTMB, and our goal is to do at least weekly updates. (If you submitted a question to the FIP site, we’re also still working through a backlog of those. We posted a few more yesterday.)

Now, a special bonus for pep talk readers. Once the decision was made, Rumor Trumor II came together pretty quick, in about a day. We considered two different graphic approaches. The one we ultimately chose was basically a continuation of the original, chosen because it would be familiar to campus. They say, “If it ain’t broke, don’t fix it,” and we didn’t. But I really liked the second option. We showed it around and I think it scared some folks. Creative credit goes to my twisted partner in crime Mark Navarro, fastest Photoshoper in the west. Take a look and enjoy.   

You mean we’re not just making it up?

Thursday, August 17th, 2006

If you’ve been reading my blog for a while or heard Dr. Stobo at any of the recent Town Meetings, you probably already know the backstory on the Financial Improvement Plan (“FIP,” among us friends): the challenges looming in health care are many, and if we as an institution hope to be around and be successful in the future, we have to start making changes now, today. “Yada Yada,” you say. Hang with me. One of those challenges that Stobo talks about is shrinking reimbursements. Payers, especially public payers who provide the lion’s share of our current revenue, want to pay less, and they continue to move steadily in that direction. There was an Associated Press story today that received a lot of play nationally, about shrinking Medicaid reimbursements and how much harder it’s getting for Medicaid patients to find doctors who’ll care for them. It’s worth a quick read.

Hey, let’s not forget to say thanks

Wednesday, August 16th, 2006

Tomorrow (Thursday, Aug. 17) is Employee Service Day. I think it’d be easy to let the bad mojo sweep us over, to look at this with a cynical eye and blow it off altogether. That would really be unfortunate, because we’re celebrating ourselves. The people getting recognized have worked hard, done well, put in some years. My friend down the hall is one of them. I’ll be there to cheer her on, because she and others deserve it, plain and simple, all other things aside. And from time to time, a little party and a slice of cake is good for the soul. 2 p.m., Levin Hall. Happy Employee Service Day.  

Rising from its ashes…

Wednesday, August 16th, 2006

Well, it’s official, and you heard it here first: the Rumors or Trumors web site is being brought back. It’ll be a new but familiar site. Watch for a prominent link on iUTMB by the end of the week. I’ll also set a link from my blog. Sharpen your digital pencils. I know there’s a maelstrom of stuff swirling around out there, and some of it is pretty wild.  

Stunned into silence

Wednesday, August 16th, 2006

Yesterday’s announcement about the Dean of Medicine stepping aside for a few weeks came as a pretty big surprise to me (and probably most of you). What’s it mean and what’s behind it? I don’t know. I think those answers would have to come from Dean Parisi. I could probably come up with a short list of challenges and issues that standing on the sidelines, I thought had a bearing, but it’d be conjecture. Sharing that would not be just to the dean nor fair to my readers (who will likely have their own opinions and hear plenty of rumors). So for now, let me sit, wait, listen, digest. In silence.

As for what happens next, Drs. Anderson and Watson will do a good job minding the store in Dr. Parisi’s absence. We’ll take it a day at a time. Things will work themselves out.

Speaking of rumors, there have been a few repeated calls to bring the Rumors Trumors site back. The proponents are gaining some traction. Will the “Rumors Guy” be resurrected? Stay tuned.

From the “Enjoy it while you can” file…

Monday, August 14th, 2006

I went kayaking with some friends from UTMB early Sunday morning. We paddled a spot that was new to us, in a quiet corner of Brazoria county. We launched at a fish camp that looked like a fish camp should look, patched together, worn and friendly, with a dog on the old pine floor and a screen door that slapped when you shut it. The $2 boat launch fee operated on the honor system. It was a muddy bayou with trees and alligators and some gar rolling when we got too close. We saw four boats in three hours, lots of space, lots of sky. As Galveston booms, as property values soar and the skyline gains altitude, as pastures turn to subdivisions and we get “discovered” by chain restaurants and more visitors, it’s good to remember that not that far away, life carries on at a slower pace, one set by the flow of the bayou and the sound of an old fish camp juke box.