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Good Choice, Bad Choice: Fālyər

Failure (fāl yǝr) noun

1. Lack of success synonyms: nonfulfillment, defeat, foundering, debacle

2. Informal: flop, megaflop, dud, ne’er do well, dud, busted flush

I’ve been quiet on the blog lately and usually when I’m quiet, it’s because something has happened that must be processed through my 5 phases of Realization:

  1. Disbelief
  2. Inner scolding
  3. Rationalization aka Flimsy Excuse-making
  4. Acceptance along with inner scolding
  5. Realization = moving forward, along with occasional bursts of inner scolding

The reality is this: I did not meet my wellness goal of lowering my BMI. In fact, I’ve stayed exactly the same in terms of BMI.

  1. Ms. Disbelief says, I can’t believe 12 months have gone by!
  2. If I’d shown some willpower, I’d be in great shape today says the Scolder.
  3. At least my BMI didn’t get worse, according to Rationalizing Ann.
  4. It’s my own fault for not taking this seriously, now I need to commit and try again.
  5. Realization: I have the tools, I know what I need to do, I’ve learned a lot about what motivates me and now I’ll put it all together and succeed. I can’t continue to be a busted flush ne’er do well.

There’s a little trick I play on myself that’s worth about 100,000 calories. (This is top secret information.) This is what happens: Let’s pretend I’ve had a good day of exercising and eating well. I praise myself. I prowl around the kitchen, making a mental list of the locations of all of the high calorie foods. Then, I wait for my husband and teenagers to clear out. When the coast is clear, I quietly pocket a cookie, scarf a spoonful of ice cream, or chug a chocolate milk. Then I scoot off, almost smug in my knowledge that I’ve gotten away with it again!

And what exactly have I gotten away with? NOTHING. While I’ve been able to host secret hoovering sessions, the resulting pounds are visible to everyone. Somehow, eating non-healthy foods in private is similar to the belief that breaking up a cookie into small pieces reduces the caloric intake: No witnesses, no calories. It never happened folks! My capacity for magical thinking is boundless.

Over the past month, I’ve been declining unhealthy foods and replacing them with better choices. I’ve skipped the cinnamon rolls and taken the watermelon slices instead. I’ve made myself get out and walk more, do more yard work and generally be wiser about how I spend my hours. I KNOW what I need to do, I’ve LEARNED how to build and use the tools toward better health, and having that knowledge is simply not enough.

If you’ve been following my blog, you know how much I like quotes. Here’s a good one by Legouvé “To live is not to learn, but to apply.”

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  Disclaimer: This blog discusses my personal wellness goals and is in no way a soapbox to tell anyone else how to eat, exercise and/or live their lives.

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CEO Viewpoint: It’s our diamond anniversary

Keith Gnagey, CEO

Keith Gnagey, CEO

I’m approaching my two year anniversary with the hospital and the hospital just passed its 75th year anniversary. This is the perfect time to share the latest news about our hospital and clinics and talk about some of the changes we have seen.

It’s been a busy two years, with a lot of positive growth and change. For those of you who have visited recently, you will have seen a number of physical changes. We have a new X-ray unit and fluoroscope along with a completely remodeled X-ray room. Our lab draw room has a new adjustable draw chair (courtesy of the Teton Springs Foundation) plus new paint and cabinets. We have repainted and re-furnished the Driggs Health Clinic waiting area. Our Victor clinic has a new ramp. The exterior of the hospital has been spruced up with plants and mulch to replace the gravel. The OR will be painted this weekend.

There are some less visible changes as well; a new ice machine for patients, a pharmacy hood allowing us to support chemotherapy, a new OR bed, and new OR lights. These are not just cosmetic changes; these are investments in your County-owned building. We continue to maintain and improve the hospital, extending its life and making it a more valuable asset for you. Thank you to our Hospital Foundation, multiple charitable groups, the TVHC employees, and others for helping to fund these items.

We’ve added new service lines for cardiology, expanded pain management, general surgery, orthopedics, and neurology. More and expanded offerings are coming this year. Telemedicine is in use; we have been supporting tele-psychiatry, and we just added tele-burn and tele-stroke. These telemedicine additions enable patients to stay here and get care from experts who are based at the University of Utah Health Center and other larger hospitals. We’ve built good working relationships and formal affiliations with UUHC, and with our regional hospitals that enable better pricing on things we buy (by buying jointly), expand the service lines we offer, and improve clinical quality.
We’re focused on our clients and patients. We have required all staff to take training on how to improve their customer service skills. The painting and improvements have been chosen carefully to reflect a standardized design and color palette to offer an atmosphere that is soothing and healing. We’ve achieved a higher, measurable level of accuracy and speed in our patient billing. Your comments and suggestions have generated a number of these process improvements.

We continue to help people understand how to get insurance under the Affordable Care Act and enrolled over 129 families in health insurance. We have increased our outreach to the Hispanic community by employing more bilingual staff and offering awareness programs and materials that focus on their needs. We’re also reaching out proactively to our community with a Community Paramedic Program, providing preventive care to patients in their homes. We are working with Fire on this program to maximize the use of local resources. We’ve also announced to the Ambulance Service District that we would jointly bid with Fire for the next contract to provide ambulance service in the county. By working together we can maximize our training and capabilities, while not increasing our cost to the taxpayer.

Many people were worried when hospital leaders and the Board of County Commissioners agreed to convert the hospital from a county operation to a private non-profit. As we have demonstrated, we have kept the doors open, increased the services we provide, continued to invest and improve in the building that the county still owns. We publish operational statistics and community reports on our website for public review. Our IRS-990 (think of that as the 1040 tax form that a non-profit files) is now complete and will be posted on our website. On that form, you’ll see a list of TVHC’s charitable expenditures that have been made on behalf of our community.

Teton Valley Hospital first opened its doors May 7th 1939. Seventy-five years later, we have a terrific facility, great staff and a strong, supportive community.

Thank you for continuing to show the spirit that built TVHC so many years ago. As always, we welcome comments and suggestions. Please reach out to me at kgnagey@tvhcare.org or 208-354-6355.

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Good Choice, Bad Choice: The Right Attitude

Ann Loyola

Ann Loyola

If you read my last blog about “Polarity” (and if you haven’t, you really should) then you know that I had signed up for a workshop to learn about champion thinking, and hopefully develop the tools to get out of my own way as I continue my journey toward wellness.

The group was small which made it difficult for me to hide from facilitator Christine Heilman, PhD.  I was the only non-athlete in attendance, and the only person dressed in business-casual instead of jeans and a knitted cap. In other words, I was well on my way to finding excuses to excuse myself.

Being a mind-reader, Christine promptly began our session with some uncomfortable statements about people who isolate themselves from progress through self-limiting beliefs and self-doubt.   She said that everyone is seeking ways to enrich the quality of their lives and that she would review basic mind-set tools for accomplishing that.

For the next hour, we did some group exercises, engaged in discussions, and learned about ACE:  A = Attitude, C = Concentration, E = Execution (as in “get it done” not as in “let it perish”).  I came away from the workshop feeling that I had learned something valuable and no, I won’t go into a bunch of details about the training because you should contact Christine and put yourself in her mind-reading gaze.

Do you like sayings?  I sure do.  Do you like mangling famous quotes unintentionally?  Me, too.

And here’s my new favorite, as shared by Christine:

Having the right attitude means choosing to believe in your ability.

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