Strategic Acceleration

Kathy Marshall — Mon, 15 Mar 2010 06:17:45 +0000

In the Sea of cyberspace.

It can be very refreshing when you find something really special.

Like the polished diamond already sparkling from the mine.

This is to the “True diggers”, you know who you are.

The “I can do” club understand this post.

I now watch the crowd trying to outdo each other on twitter, facebook, etc.

As I have found my rhythm and discovered the key.

I step into a different plane of thinking.

It is called “Having a Focus” club.

Clarity is the foundation.

Knowing what you want to accomplish.

Strategic IQ

The Ratio of Strategy versus Tactics

How strategic is your organization.

Easy to get caught up in the treadmill.

Are you Helping your team become more focused?

Get your vision and focus your efforts.

People should list their main objectives.

Get clear and focused.

Then you can become more productive.

Ex. Nourish your people in your data base.

Strategic Acceleration

Succeed at the speed of life.

Listen to Tony Jeary

Let the games begin.

Kathy Marshall

Compliments International

kathyjmarshall@gmail.com

281 770-4916

Can’t you just call something in for me?

Kathy Marshall — Fri, 12 Mar 2010 12:49:19 +0000

Yesterday was an interesting day in the fact that everyone had about the same illness.

You know the allergies with a slight touch of a sore throat, mixed with a few ear infections.

Several of the patients absolutely felt miserable because of the congestion and sinus pressure.

It is definitely not a comfortable feeling when your normally clear sinus passages are clogged, swollen and tender.

I enjoy seeing the healthy sick.

That is what I call them.

Some come in because their parents brought them and others because they just can’t stand feeling bad anymore.

My sole purpose is to give them treatment without antibiotics and give education when it is viral.

When it is bacterial we treat and stop the infection in it’s tracks.

I had one patient that presented to the clinic that was different from the pack.

Basically he was returning for follow up.

He had self medicated himself with antibiotics.

Different antibiotics over the course of 6-8 weeks because he could not seem to stop the supposedly bacterial infection.

This patient presented with severe intractable diarrhea, up to 20 times per day, to include severe abdominal pain, bloating, lack of appetite and fever.

I knew I would be longer with this patient so I sat down and listened closely.

You know, in any business you do, you must learn to listen.

If people think you are listening, then you get there attention.

This patient had a history of chronic infections, was a smoker, thus I knew the infections this patient was getting were being caused by more resistant bacteria.

The problem was the persistent diarrhea that would not resolve.

Finally, we tested the patient for a particular colitis called C. Difficile Toxin, which was positive for this patient.

We treated the patient with Flagyl, an antibiotic that treats bacteria that do not like the air, called anaerobic bacteria.

The good news was that the patient did slowly recover and had an outstanding outcome.

The reason for this story was to hone in on the issue of patients treating their infections on their own.

I will repeat, never, never, never treat your infections on your own.

Why am I telling you about this?

Well about 5 years ago, I remember being called in for a consult (when I worked for an infectious disease specialist) for a very healthy 23 year old college graduate. The patient had developed C.difficile colitis because he kept taking antibiotics anytime he felt a hint of a sore throat infection. He would only take the antibiotics for a 2-3 day period and then he would stop.

He had been doing this practice for the last 5 years. His mom was an office manager for a large family practice clinic locally, so it was no problem for him to get samples of antibiotics.

This young man required surgery to remove part of his large intestine, because of his past self medicating.

This theory is exactly why your MD requires to see you when you get ill, instead of just calling out a script to your local pharmacy.

It is along these same guidelines often I recommend live culture yogurt to replenish the normal flora in your intestine while you are taking your recommended antibiotics.

This post is really here to help folks that get upset with their medical doctors when they are forced to make an office visit for a simple sore throat.

Your MD/PA/NP are just doing his/her job to provide you the best of medical care.

I have more stories to bring you so stay tuned.

The Medical Connection

Kathy Marshall PA-C, MS

Welcome to Kathy J Marshall.com!

Strategic Acceleration

Listen to Tony Jeary

Can’t you just call something in for me?