Posts Tagged ‘self-advocacy’

A New Experience

April 10, 2018

“Would you care for any tea or water while you wait,” I was asked as I checked in today at the One Medical office at 10th and Irving.

That was not a question I was expecting.

Nor the lush quiet, the lounge furniture which was modern and clean and the waiting area that was sunny and vibrant with plants.

I was also not expecting the bathrooms.

Well fucking done.

Big, clean, stocked with feminine hygiene products and condoms.

That’s right.

The lighting was low and soft.

The music was unobtrusive.

And.

The doctor was on time.

There was no wait.

I was seen at the time of my appointment and escorted back to a really clean, well-appointed, tech heavy exam room.

My doctor was great, attentive, sympathetic, eager to help me out.

I mean.

I have not had this experience ever with a facility.

And it was in such stark contrast to the shit show offices I have been seen in recently that it was almost a shock, I thought I was on a movie set for rich people with good insurance.

It was a lovely shock.

I am super grateful that I signed up for the service.

And that my employers paid for the membership fee.

Granted I did not get what I wanted, which was a solution right fucking now to the reflux and the discomfort I have been experiencing, but I got an immediate referral to a GI specialist at Sutter Health.

In fact.

My doctor assured me that not only would I not have to figure out whom to go to, I wasn’t going to have to figure out if said GI accepted my insurance, the administrative team would take care of figuring that out for me.

He recommended I download the One Medical App on my phone, which I did, and ping!

In coming message right there.

“We’re very tech heavy here, you can do everything from you phone and the app, you can e-mail, make appointments, get your referrals, get refills on medications, the app will make it really easy for you to use the facilities,” he relayed to me as he was taking my history.

I gave him a very thorough history of what has been happening with the reflux and he did say that I needed to be seen by a GI, but that he also wanted to make sure that there wasn’t anything that could be possibly missing in the picture.

He also covered ground I have already gone over, what foods to avoid, smoking, drinking, weight loss etc.

He said that though there was nothing wrong with my weight there might be some room for weight loss which could alleviate some of the symptoms, but that what he was hearing was that it needed to be addressed faster than reasonable weight loss, if that was the only thing that was needed, to rectify the reflux.

And.

I’ve lost 4 more pounds since the last time I saw a doctor.

I was really surprised.

I know I haven’t been eating as much, but I was really surprised.

I don’t feel like I’ve lost weight, although there is a bit of a difference in my face, because I have been experiencing some bloating with the reflux and my stomach constantly feels full even when it’s not.

I have to maintain an eating plan as a part of my food recovery but truth is I have been eating less, I have been entirely skipping my evening snack now for two weeks, and I have been eating a lot more salads as they are supposed to help with the reflux.

Though honestly, nothing has.

The diet changes have done jack shit.

And I relayed that as well, but he still did a very in-depth look at what was going on.

He let me know that as a member of One Medical I would get two free full physical exams each year and another service which I’m not remembering right now.

I’ve been scheduled to go in for that in May.

The doctor whose office I was referred to will be contacting me tomorrow to set up an appointment.

I am going to ask for the soonest they have and hopefully get in really quick.

My new doctor also prescribed a different reflux medicine which I have taken today.

No real difference from what I was already taking, but I’ll keep trying it and we’ll see what happens.

Over all it was a really good experience and I am so grateful to not have to go back to see the doctors that I was before.

I am still experiencing the reflux pretty badly today, but I feel relieved to be on the right road to addressing it and to have a team behind me that really was all about customer service, being helpful, and making sure that my needs are being taken care of.

The doctor had great bed side manner and he told me that I could explore finding other primary care providers, but I said, no, I wanted to work with him, he was comfortable, I didn’t feel any weirdness, he was respectful, and he’d done such a compassionate job of listening to me express the discomfort that I was in, there was no need to find a different doctor.

Very happy with One Medical.

Very, very, very.

Now, fingers crossed I get into the GI quickly and get the situation taken care of.

I am ready for more relief.

Seriously.

Taking the Damn Day Off

November 28, 2017

Well.

I’m not sure if I’m going to take the entire day off.

But.

I’m considering it.

My birthday is three weeks from today.

It’s a Monday, so it’s not a night I’d be out swinging a big stick and having a huge party.

But after some discussion with my solo supervisor today, I realized, which I had been feeling in the back of my head and in my heart, that I don’t want to see clients on my birthday.

In fact.

It sounds just atrocious.

Nothing sounds like a bigger bowl of self-pity to me.

I just don’t want to go there, self-pity it’s just not for dessert any more.

I told one of my clients tonight that I would be unavailable and she took it just fine, and I did not disclose it was my birthday, just simply stated I would be out of office.

No freaking big deal.

My other client cancelled tonight.

Because.

Hahahaha.

It’s her birthday.

So.

I will take her cue and not see clients on my special day either.

I’m tempted to take the whole day off, but I’ve not any vacation time left and I think it might actually be sweet to work with my charges that day, my little lady bug turned five yesterday and I got to have a sweet afternoon with her at school pick up and beyond and giving her the birthday present I had gotten her.

She loved it.

We had a tea party and wore princess crowns.

Although she looked at me when and said out of nowhere, “you’re not really a princess,” she cocked her head and paused, then added, “you’re really a queen.”

Oh my god little girl, make my heart just melt.

I must know how to carry a crown!

In fact, ha, I am remembering now what my best friend back in Wisconsin told me once, “You have a really regal way of carrying your face.”

Royalty.

I’ll take it.

Anyway.

I just know that it will better for me to not take clients that night and who knows, maybe take myself out to dinner and a movie or just dinner, it is a Monday night after all, or to the Imperial Day Spa or Kabuki.

Just not to my internship.

I have supervision in the morning, I can’t get out of that, work I’m 50/50 on taking off the day, but the night, damn straight, I’m going to do it.

Nothing about it feels wrong.

What, I realize, was feeling wrong was the idea of seeing clients on my birthday, I’m in an unpaid internship seeing 8 clients a week, it’s ok to take my fucking birthday off.

My clients will live.

And.

I won’t be pissy and sad and in self-pity and be upset with myself.

That might be the best birthday present I can give myself.

Although I could give myself a tattoo.

Heh.

I’m always angling for a little more ink it seems.

I’ll definitely be getting one in January, another birthday, or more of anniversary you could say, I’ll be turning 13 (years sober), so definitely I’ll be adding another star to the entourage I have.

I’ve also been thinking that I would get it as a “Lucky 13” star.

A big star with “Lucky 13” written through it.

Not sure yet, and still plenty of time to figure that out.

But yeah, the birthday in three weeks.

“You’re going to be 45!” She said, to me as she sipped her tea, “I know that because you’re the same age as me except with a four in front of it.”

God I love this little girl.

She is something else.

I’m so lucky to work with this family.

I’ll be renegotiating my contract with them next month as well, signing up for another year with them.

I’m hoping that they will offer me a raise, I’m pretty sure they will, and if not, I’ll negotiate a cost of living wage, which is appropriate for living in San Francisco, that’s for sure.

They are great people to work for and really do appreciate me, I got the nicest text from the mom today after work when I was doing some client advocacy work at my internship.

It’s good to be appreciated.

I do like hearing.

I do not need the validation, I know I do a good job, but it’s still nice to hear, it’s always nice to hear.

It’s like when someone you know loves you says they love you, you know they do, but it feels special anyway, no matter how many times it’s been said before, it’s still sweet to hear.

Oof.

I just got hit witht the tired.

It was a good Monday, especially when I think about how nice it was to celebrate with my charge her birthday, and also to just make it through the beginning of the week.

It’s going to be a big one.

Therapy before work tomorrow, work, two clients in the evening.

Wednesday I just have work, but I’m hoping to get a good chunk  of homework done, I need to finish up the online portion of my Pharmacology and Human Sexuality class done.  I think I can get it done Wednesday between work and my evening commitment.

Thursday is work and two clients in the evening, Friday the same.

Saturday is maybe yoga if my ankle is feeling up to it, and group supervision and homework, I’ve got to start a paper if not get one completely finished.

Because Sunday I’m in dress rehearsal for People Who Usually Don’t Lecture.

The show is one week from tomorrow!

My goodness, it’s sneaking up fast.

Ack.

That reminds me!

I have to ask out of work an hour early next Tuesday so I can be at the show when the producers want us there.

I think I may have figured out what I’m going to wear.

Heh.

Although, damn it, I’m going to have to sneak in a manicure and some eyebrow waxing.

Yikes.

Maybe Sunday in between the dress rehearsal and my last CBT Webinar.

Sigh.

Oh for fuck’s sake, I have a lot to do, not going to think about it anymore tonight.

I did enough for today.

The biggest being the decision to take my birthday night off.

Self-care.

Self-advocacy.

Shit.

I even sound like a therapist.

Ha.

Huge Relief

September 10, 2017

To change my mind.

To see where I was taking on too much.

To apologize and make an amends to a friend.

To get honest with my person and with myself.

To see where my priorities lie.

To let go.

To surrender.

Such relief.

I have been grappling with something for a few weeks now and I suspect that recent events in my life, like letting go of the idea that I have to go to Burning Man every year for the rest of my life and that I always have to be working toward something, coalesced this afternoon as I rode my scooter into my internship.

I don’t want to do the Aids Life Cycle Ride.

Let me clarify.

If I wasn’t working 40 hours a week, interning 15 hours, and going to graduate school full-time I would be totally down with doing the ride.

But.

I realized.

I am working so hard already and to commit to another commitment seems fool hardy, prideful, and unrealistic.

I like to believe that I am superhuman.

“You don’t have to be Super Carmen,” my person told me, “Carmen is good enough.”

Fuck me.

I forget that all the time.

As if I am not constantly trying to self-improve, do better, live harder, go bigger, I am not enough.

And.

Good fucking grief.

I am enough.

I also realized that I had self-sabotaged myself by committing to do something that would make me re-arrange my already super full schedule and in effect make it so I would not have any days off.

NONE.

Yes, that’s right, I would be working full-time, seven days a week, for the next 10 months.

Fuck that.

I deserve to let myself have a little down time.

To love and be loved.

To not go crazy in my last year of my Masters program.

I mean.

I’m still working six days a week, I’m not slacking.

I rode my scooter to my internship and thought, it’s ok to change my mind, it’s ok to see where I bit off too much and it’s alright to acknowledge that maybe I knew this all along.

That maybe I didn’t buy the road bike when I had the chance because I really knew I didn’t want to do the ride.

I think I was setting myself up to give myself an out.

I had run into my friend who convinced me to ride again a week before I went to Burning Man and his talks about doing training rides made me feel nauseous.

How the hell was I going to fit it in?

I started to consciously let myself know that maybe, just maybe, it would be ok if I changed my mind.

I actually think going to Burning Man really helped me with that.

I realized there, at the event, on a very deep level, that I work really hard to work really hard on my vacations.

Maybe.

Just maybe.

Instead of busting my ass, granted for an amazing cause, and I don’t regret the $95 I dropped to register, it’s a gift that I wouldn’t ask back if I could have it back, to bust my ass on my vacation.

Maybe.

I might want to actually have a vacation.

Like.

Lay on a beach.

Or.

Sit in a fucking cafe and read a book, people watch, drink coffee at ridiculous hours and not worry about getting up at the crack of dawn to ride 100+ miles and then come back from a seven-day ride, for which I would be using my vacation time, to go right back to work.

I mean.

Maybe I want a real vacation.

And.

Then.

When I said it out loud, when I got on the phone with my person, I got to my internship a little early simply so I could have time to talk with my person, I felt the biggest most amazing relief.

I knew in that instant that it was the right decision for me.

“Honestly, doll, I’m relieved to hear you say this, I was wondering when you were going to come to this realization.”

OH my god.

I love that he doesn’t judge me, that he didn’t tell me to not do it, that he let me have my process, and then to have it reflected back to me with honesty, well, that was that.

I’m not doing the Aids ride.

And I am ok with it.

We talked a lot about things happening in my life and I shared about a great deal of joyful things and it was so good to catch up.

I also talked about doing a trip for my graduation.

What that might look like.

Barcelona.

Paris, maybe L’Ile de Re, where my friend has a family home, off the West Coast of France, especially since she was such an important part of my first two years in the program.

That it might be really nice to see her and celebrate the accomplishment.

She was also the person who has said time and again how much I would like Barcelona.

In fact.

My savings account, I have two, one is my prudent reserve, and the second, my travel savings, is called Barcelona.

Not “going to Burning Man” again next year.

Not “doing the Aids LifeCycle ride and spending over three thousand dollars on a bicycle, gear, and who knows how many countless hours on the training.”

NOPE.

It’s named, “Barcelona,” because when my friend mentioned how I should go I thought, that would make a great graduation trip.

So maybe instead of sabotaging my dream with stuffing in more than I can handle, it’s ok to admit I made a mistake.

I told my friend tonight face to face and sat down and talked to him.

He totally got it, and then he added, “I totally honey potted you into agreeing, you know I did, don’t feel bad that you can’t, it’s ok.”

It’s ok.

Sigh.

Fuck.

Thank you.

I apologized again and hugged him and that was that.

I need to apologize to the three people who donated and then I think I’m clear.

I’ll also contact my ride representative and rescind the ride number, the ride will fill up and someone else will get to ride in my stead.

And.

I also contacted my assistant director, who is in charge of scheduling my clients and said, I need to not take clients on Saturdays.  I can do a consult now and then, but no clients.

At least for this semester.

I feel a lot better.

Much clearer.

Much cleaner.

And so relieved to be just regular old Carmen.

Super Carmen gets to put her cape back in the closet for at least today.

Thank God.

It needs a dry cleaning anyhow.

Ha.


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