Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 CacÅ, cacÄre was the chief Latin word for defecation. [edit] Etymology The word has a distinguished Indo-European parentage, which may perhaps relate to nursery words or children's slang that tends to recur across many different cultures. It would appear to be cognate with the Greek noun κοπÏος, kopros, meaning " shit. " It also exists in Germanic; English " poppycock " derives from Dutch pappe kak, " diarrhea " . It exists in Spanish, Catalan, Portuguese, British English and French as well, caca being childish slang for excrement (similar to American English " poop " ), and in Spanish and Portuguese it also derives in the verb cagar ( " to shit " ), a word whose level of obscene loading varies from country to country. German kacken, Dutch kakken, Czech kakat, Lithuanian kakoti, Russian какать (kakat'), Icelandic kúka etc. are all slang words meaning " to defecate " , most of them having roughly the same level of severity as the English expression " take a dump " . [edit] Usage Catullus 23 contains the lines: Culus tibi purior salillo est, nec toto decies cacas in anno. ( " Your arse is purer than the salt-cellar; you probably only take a dump ten times a year. " ) Catullus 36 contains the lines: les Volusi, cacata carta, ( " ls of Volusus, letters which have been defecated on, " )--i.e. " worthless writings " . [edit] Synonyms and metaphors While cacÅ, like any other word relating to malodorous bodily functions, is used scurrilously and abusively in Latin literature, the word cacÄre in its literal sense may not have been deeply offensive to the Romans. Few synonyms are attested in Classical Latin; the word dÄ“fÄ“cÄre comes much later. (In Classical Latin, faex, plural faecÄ“s, meant the dregs, such as are found in a bottle of wine; the word did not acquire the sense of feces until later.) And Kaka may refer to: People: Kaká ( Izecson dos Santos Leite) (born 1982), Brazilian football player Kazimierz Deyna, (1947-1989), nicknamed Kaka, Polish football player Kaka Hathrasi (1906-1995), Hindi satirist Kaka Joginder Singh (1918-1998), Punjabi politician no Bezerra da Silva, aka Kaká, Brazilian football player Other: KÄkÄ, native New Zealand parrot Norfolk Island KÄkÄ, extinct parrot Kaka Point, New Zealand Kaka, Central African Republic Kaka, Togo From: [mailto: ] On Behalf Of Kari Sent: Saturday, August 23, 2008 1:33 PM To: Subject: Re: tightening up the front and back end Our office has about 750 active charts, just Mike the MD and me the MA. We have struggled with phone calls but have been able to cut them about in half by making a few changes. 1. give your patients parameters. Our voice mail says, whether you are a pt or a medical office, make sure your message leaves ALL the info we will need to process your request. (Dont make me call you back to figure out why you called.) We say, call before 10am if you want a same day appt, but we'd rather you book online. If you need something handled today, you need to let us know by 12noon. That was the biggest breakthrough for me because it meant I could listen to the voice mails after 12, but unless it was really urgent, I felt free to ignore 'til the next day. It helped us get out the door, and prevents the multitude of calls by people who figure if they call at the end of the day you will take care of it cause there are no more appts. We let them know we prefer them to email instead of voicemail. Emails are just so much easier to deal with and easy to save to their chart. We have gotten a few specialists offices to let us schedule our patients by setting up secure onebox email accounts for them, then Mike sends over the consult and office note and recent labs and they email back an appt time. This is so wonderful because we have never had these offices call and say, " we are seeing your patient and we have no medical records blah, blah " because everything is right there. Faxing stinks so anytime anyone will let me email stuff instead I jump on it. 2. we have more patients than we had a year ago, but half the phone messages. Most folks just need to be educated to how an IMP office works versus what they are used to. I say, look folks, it's just me. I check you in and out, make referrals, schedule tests, deal with your ins co, answer emails and phone calls, schedule appts, preauth tests and medications. We do this so you can have more face time with your Doctor, which is the only real thing of value in your Dr's appt, yes? If you want long appts and same day appts and 24 hour access, you need to be part of the team, cause that's the only we can do it. If it needs Dr Jewetts attention, it probably needs an appt. Not perfect, but it is better. Good luck, Kari > Kathy. > Ouch. i undrstand- i have days like that of course .but not the > energy to type it all. > I thought though that caca was spelled with a c ? > " bull kaka " > > > > On Sat, Aug 23, 2008 at 9:28 AM, Kathy Saradarian > <qualityfp@... > wrote: > > I think this general advice is all great. But sometimes you just > have a bad day and that was what we were having yesterday. Each > call was a unique problem and a unique patient. But this time of > year people have sudden " emergencies " like needing a sports > physical or just having the form signed by the school physician > who is on vacation and you are covering them. > > > > Part of the problem was that I was covering another doctor and > everything had to be done yesterday as we were leaving for 1 weeks > vacation, then only coming back for 2 days and gone again. The > guy who just developed Guillan Barre was released from the > hospital and needed referrals to a neurophthalmologist. Another > lady was told by the wound care center that she should have a > graft be in the hospital for 1 week and then in rehab and she > wanted to talk it over with me as she trusts me. Thing is she is > a 400 lb agoraphobic and hard to get out of her house and her kids > have to bring her. Trying to get Levmir Flex Pens for diabetic > starting insulin. Denied by insurance so now call in insulin and > syringes. Been playing phone tag for weeks. Fax machine was down > so finally got that up and running Thursday, crush of issues. > Pharmacy faxes back the prescriptions and calls to say he has the > Flex Pen and which is it going to be we have to straighten this > out and they didn't get it for him and now he has appt for > diabetic teaching and doesn't have his insulin (I don't know why > they need to have 4 days noticed to get Levemir, that in and of > itself is ridiculous. Order med on Medicaid patient and guess > what, it requires a preauth. Home health aid of quadriplegic > patient calls at end of day on Friday that patient is sick. WE > offer to add her to end of day and she doesn't feel like leaving > the house. Another patient LPN calls while I am in with last > patient that yesterday, when she was driving, her face suddenly > got red, itchy and swollen and her eyes swollen and she has been > taking Advil and thinks it's an allergic reaction but what should > she do? Meanwhile, patient that I have already referred to GI > whom she is seeing for complications from choledocodudenostomy > comes in with severe attack of pain (walk in, patients backed up 4 > deep already) Sent to ER. Has a dilated duct. I say to call > gastro, he won't admit only consult. She has no other medical > problems for me to treat. That is bull kaka. Get another call > from Caremark for 3 month renewal of BP med I already called in to > local pharmacy 2 weeks ago because he ran out and is 4 months late > making an appt. People call for refills I gave them last month > at their OV, or Caremark files them but still sends patient a note > that they are out of refills because they can't handle getting > them before those last 2 weeks. I have not been able to figure > out why this " refilling at the OV " stuff doesn't work. Pharmacy > always says " we didn't get it " but they did. It's not just one > pharmacy either though some are worse than others. > > > > You just can't anticipate days like this, you can't prepare, you > can't fire every patient who decides to have a bad day on the same > day. You have to deal with it. It's not people trying to get > appts, mostly it's people refusing to make appts. > > > > > > Kathy Saradarian, MD > > Branchville, NJ > > www.qualityfamilypractice.com <http://www.qualityfamilypractice.com> > > Solo 4/03, Practicing since 9/90 > > Practice Partner 5/03 > > Low staffing > > > > > > > > *From:* > <mailto: > > [mailto: > <mailto: >] *On Behalf Of *Myria > *Sent:* Saturday, August 23, 2008 9:06 AM > *To:* > <mailto: > > > *Subject:* RE: tightening up the front and > back end > > > > " Entitlement patients " may need to be set up with once a month > visit or even every 2 weeks then wean them to monthly and then > every other month.....or keep them on monthly if needed. Many of > these patients don't trust doctors and are scared they haven't > been heard about their needs. It takes time to build that trust. > Office visits is the time to use. I've even built a " contract " > with patients to limit phone calls or letters or e-mails or > whatever is overwhelming. This in effect helps the patient learn > how to prioritize without fear of not having needs met. Once that > trust is established the phone calls drop off completely in most > of these patients. Make a check off list for the patient: refills > check, referral check, explaination about A1C check. They can > start a new list for the next monthly visit. > > > > All I can say is " yeah, I hear you. " That's why I can't work it > alone. Too many phone calls and other stuff. And I actually had > a Senior Rep at Horizon ask me why I would want to close my panel > and stop accepting new patients. Like, there is too much work > already? Does that make sense? > > > > > > Kathy Saradarian, MD > > Branchville, NJ > > www.qualityfamilypr actice.com <http://www.qualityfamilypractice.com/> > > Solo 4/03, Practicing since 9/90 > > Practice Partner 5/03 > > Low staffing > > > > > > > > *From:* Practiceimprovement 1yahoogroups (DOT) com > <mailto: > > [mailto:Practiceimprovement 1yahoogroups (DOT) com > <mailto: >] *On Behalf Of *drsof99 > *Sent:* Friday, August 22, 2008 9:47 AM > *To:* Practiceimprovement 1yahoogroups (DOT) com > <mailto: > > *Subject:* [Practiceimprovemen t1] tightening up the front and > back end > > > > I am being bombarded by calls now. My MA and I are both on the > phone or > with patients and I have a answering machine on that picks up > while we > are busy. I am finding it more difficult to pick up the messages from > the machine. Whenever we think we are done, there is another message. > > I am also finding it more difficult to be able to get to the practice > management stuff...following up on claims, sending bills,etc. My > nurse > is trying her best but she too is being stuck with referrals and pre- > auths from insurance companies, along with the faxing of stuff and pt > stuff. > > I am torn. I am busy enough to warrant a PT recpetionist, but am > trying > to keep my costs down. Quite honstly all this extra work and phone > calls is burning me out and I know my nurse is feeling it too. I > deperately need help streamlining things-the " entitlement " > attitude of > some of the pts is driving me crazy! > > > > > -- > If you are a patient please allow up to 12 hours for a reply by email/ > please note the new email address. > Remember that e-mail may not be entirely secure/ > MD > > > ph fax > > > > > > > -- > If you are a patient please allow up to 12 hours for a reply by email/ > please note the new email address. > Remember that e-mail may not be entirely secure/ > MD > > > ph fax > > Quote Link to comment Share on other sites More sharing options...
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