WORK SHOP....

When you sit near the front and bring your own camera, you don't wind up on other peoples cameras y'see.

This is the ICD10 workshop held in Albany, OR on 9-16-11 at the Expo building.   ICD10 is a diagnosis coding system originally invented by the World Health Organization to track statistics of disease outbreaks around the world. The USA has plowed through various versions of ICD8 and ICD9 and ignored the fact that the rest of the world is using ICD10 but not US.  Until 10-1-2013.  Yep, that is the magic date when Medicare will no longer accept bills coded in ICD9 and we must ICD10.  I was educated in the basics and while the guidelines are similar to ICD9, it will be difficult at first to get this pounded into my head.  Hey,wait a minute! Aren't you retiring someday?  Yeah, well about that.   Our contract coder really REALLY wants to retire before 10-01-13.  The only other people interested work in the business office, so I'm it.  I am hoping/prayer that we go with the Ingenix encoder with computer assisted coding so that I won't have a fart attack on 10-01-13. 

MORE WORK ON THE BUILD

The view above is next to the street, they are gradually building up so that the 360 turn around on the upper level can be completed.
Lots of very large dump trucks bringing loads of rock, dumping the rock, then a skip loader kind of thing daintily scraping the rock over the side to the lower level.  The guys below are tamping with rollers and putting down layers of membrane, that dirt ain't going anywhere.

A layer of brick work or stylish cement block has been put on the north side of the building, nice huh?  Also they are loading fiberboard of some kind in through the windows.

Wednesday parking very congested.  My ride gets me there and back to home.  Today it was quadruple parking at times what with the MRI van and patients.

Different level same view just off Fifth street. Very fast work.

This is the same view closer to the new building where the 360 turn around will drive right up to the entrance to the lab.  Handy.

Brick laying.

The workmen started putting stone work up on the north end of the building this week, very pretty. 

The parking lot has been an absolute zoo.  Triple parking etc.
Thank goodness I still got my ride on Wednesday. 

Also a couple days ago I woke up from an extremely colorful dream.  I was inside a Japanese style house.  As I walked outside onto the porch area, I could see many people using very colorful bits of paper making what appeared to be a giant origami.  There was a river running by the left of the house and some one was putting baskets into the stream and pushing them away with a long pole.  The baskets were filled with wrapped bundles.  Further upstream was a lovely Moon bridge.  As I looked up I saw a bi-wing airplane flying over head, I think it was made of bamboo.  It landed to the right of the house, folded its wings neatly up and over the body of the fuselage and putt putted over to park by the house.  I looked up and the house was situated in a beautiful little valley, the hills were shrouded in the morning glow of pink sunrise all misty and water colored.  I looked many of these symbols up at the dream interpretation site.  Origami generally means creativity.  Air planes landing means a plan has come to fruition.  A calm river means one is going with the flow.  A bridge means a transition point.  My oh my.  Well very entertaining.  No sound though. 

tastes better than it looks.

Went shopping for ingredients for tamale pie.  I could NOT find frozen onion rings, so I experimented with a bag of those cute itty bitty baby potatoes.  These must be miniature Yukon Gold as they were still quite firm once cooked up.  I had three nice fresh tomatoes that I diced up and tossed along with the other ingredients.  I think it will taste better tomorrow, it just looks odd but smells wonderful!

Oooh, isn't it pretty?

These are some of the beams that have been craned into place on the roof of the new hospital building.  I went outside this morning and took this as the sun cleared the mountain in back of us.  Lovely day in the neighborhood.  We will be able to see the beams from inside the atrium once it is all enclosed. 

Very busy Tuesday

We received an official e-mail notification that no parking was allowed on the north side of 5th street, that is because there was a huge delivery of glue-lam beams. The crane was parked on the lip of land next to the current ER entry and swept several beams onto the building all day long.

They finally pried all the boards off the new cement wall that will eventually be back filled with rock and dirt and become the top floor ER entry.  That's gonna take a couple truck loads of dirt, 
I hope the dump trucks decide to drive between the two buildings rather than through the new parking lot, either way it will be a delicate operation. 

Oh yeah, the ladies in the department gleefully pointed out that  I made the front freakin' page of The World.  Gah!! Slow news day.

We had a nice little ceremony at work today....

A topping out ceremony.  Mr. Z spoke, a guest minister said a Power Prayer and we all scrambled to sign the beam, which was then hoisted into its final spot on the top of the building. 

Yeah I signed a building.  And from here it looks like all of our signatures are upside down.