RE: IMPS

[Guest guest]

I would like all of you to know that after one month of practicing within the IMP model with me, my husband is again resembling the caring man I married 17 years ago and he actually SMILES at work again. He's sold...you should hear him tell folks about the advantages of this system!

Lynette I Iles MD 301 South Iowa Ste 2Washington IA 52353 Flexible Family Care'Modern medicine the old-fashioned way' This e-mail and attachments may contain information which is confidential and is only for the named addressee. If you have received this email in error, please notify the sender immediately and delete it from your computer.

[Guest guest]

Tim,

So what happens when you do take the extra

batting practice and still have a zero average for an entire season (as this

happened to me)? Humility is a wonderful lesson, but is quite painful for a 12

year old. J

Re:

IMPS

Good points Jean.

I don't do the off-list/phone contacts with folks like you do (I'm a

" failure " at that!! ;-), but I would like to share a

perspective.

In the standard office model, we can " blame " others, or the system in

general, for problems. But in an IMP model we are not as well protected from

our own inadequacies/flaws ... we are all human of course. So the

IMP model will potentially appear to amplify our personal problems

(procrastination, perfectionism, etc) and that hard-cold-truth can hurt.

But we need to be realistic and keep trying to improve those faults. I

personally have about 55 flaws that are obvious from time to time. 53 of

them I try to ignore/deny, but those other 2 are trying to be improved

.... a pretty good ratio if you ask me!

Point is, we have to make the right statements and ask the right questions to

keep improving. Change the statement to, " wow, the IMP model is

helping me realize ways I can really do better, " or perhaps " great,

because of feedback from Gordon, I've got the tools that I can use to provide

better care! " (remember, Gordon was my chief resident back in

the day... he's given me some real painful feedback in my life!)

Since it's Spring, and I'm coaching little league baseball, I'll use an

analogy. Consider a baseball player who strikes out 3 times in a game.

With the next game, he has a clean slate. But what's important is what he

does between games. He can sit and mope about the 3 strike outs, but then

he's more likely to do the same thing the next time. Or he can take some

extra batting practice, get feedback from the coaches about his swing and

hitting, etc, so his chance of getting hits the next game actually improves.

We need to do that over and over and over again in both our offices and our

lives!

And we are fortunate to have this list and bunch of folks to use to help us.

Finally, consider herself and you'll realize we can improve and do

anything... her TYPING has improved so much I find it personally motivating to

keep improving myself!!! ;-))

Tim

so, umm

I have noticed that for weeks now as I talk/email etc to many IMPS I am just

floored by how many of you tell me

" I am a failure as an IMP "

" Gordon thinks I am a failure "

etc etc.

If you ar e reading this you may think this is about YOU but I cannot tell you

how much of this I hear from ALOT of you.

Would you guys buck up??

I am the whining depressed one ok? let's get our roles straight

Do you like need all hugs or what?( NAncy is my surrogate hugger talk to her at

camp)

This

group is made up of the best thinking hardest/creative working most

transformitive caring good medicine practicing set of docs in the

country.

I am sorry we all get discouraged but ya gott a stop saying that stuff.

You guys are totally wonderful!

well I am sure that solved everything.

Jean

--

If you are a patient please allow up to 4-8 hours for a reply by email/

please note the new email address/

e mail may not be entirely secure/

MD

ph fax

----------------------------------------

Malia, MD

Malia Family Medicine & Skin Sense Laser

6720 Pittsford-Palmyra Rd.

Perinton Square Mall

Fairport, NY 14450

(phone / fax)

www.relayhealth.com/doc/DrMalia

www.SkinSenseLaser.com

-- Confidentiality Notice --

This email message, including all the attachments, is for the sole use of the

intended recipient(s) and contains confidential information. Unauthorized use

or disclosure is prohibited. If you are not the intended recipient, you may not

use, disclose, copy or disseminate this information. If you are not the

intended recipient, please contact the sender immediately by reply email and

destroy all copies of the original message, including attachments.

----------------------------------------

[Guest guest]

Ah, but it's the effort that counts when it's all said and done.If things

don't work out, but you did put in the effort, so be it - que sera, sera - etc.But if it doesn't work out and you didn't try to improve, the feeling deep in your

gut will tell you the opportunity was missed.We've all got our tales of

successes and missed opportunities. That's how life works. The challenge is to keep

making the effort.Tim

Tim,

So what happens when you do take the

extrabatting practice and still have a zero average for an entire season (as

thishappened to me)? Humility is a wonderful lesson, but is quite painful for

a 12year old. J

-----Original Message-----From: [mailto: ] OnBehalf Of Malia, MDSent: Friday, May 09, 2008 10:38AMTo:

jnantonucci@...;practiceimprovement1 Subject: Re:

IMPS

Good points Jean.I don't do the off-list/phone

contacts with folks like you do (I'm a " failure " at that!! ;-), but

I would like to share aperspective.In the standard office model,

we can " blame " others, or the system ingeneral, for problems. But in

an IMP model we are not as well protected fromour own

inadequacies/flaws ... we are all human of course. So theIMP model

will potentially appear to amplify our personal problems(procrastination,

perfectionism, etc) and that hard-cold-truth can hurt.But we need to be

realistic and keep trying to improve those faults. Ipersonally have about 55

flaws that are obvious from time to time. 53 ofthem I try to ignore/deny, but those other 2 are trying to be improved... a pretty good ratio if you ask

me!Point is, we have to make the right statements and ask the right

questions tokeep improving. Change the statement to, " wow, the IMP model

ishelping me realize ways I can really do better, " or perhaps

" great,because of feedback from Gordon, I've got the tools that I can use

to providebetter care! " (remember, Gordon was my chief resident back

inthe day... he's given me some real painful feedback in my life!)Since it's Spring, and I'm coaching little league baseball, I'll use ananalogy. Consider a baseball player who strikes out 3 times in a game. With

the next game, he has a clean slate. But what's important is what hedoes

between games. He can sit and mope about the 3 strike outs, but thenhe's more

likely to do the same thing the next time. Or he can take someextra batting

practice, get feedback from the coaches about his swing andhitting, etc, so

his chance of getting hits the next game actually improves.We need to do

that over and over and over again in both our offices and ourlives!And

we are fortunate to have this list and bunch of folks to use to help us.Finally, consider herself and you'll realize we can improve and doanything... her TYPING has improved so much I find it personally motivating tokeep improving myself!!! ;-))TimOn Fri, May

9, 2008 9:49 am EDT, wrote:

so,

ummI have noticed that for weeks now as I talk/email etc to many IMPS I

am justfloored by how many of you tell me " I am a failure as an

IMP " " Gordon thinks I am a failure " etc etc.If

you ar e reading this you may think this is about YOU but I cannot tell youhow

much of this I hear from ALOT of you.Would you guys buck up??I am the

whining depressed one ok? let's get our roles straightDo you like need

all hugs or what?( NAncy is my surrogate hugger talk to her atcamp)Thisgroup is made up of the best thinking hardest/creative working mosttransformitive caring good medicine practicing set of docs in thecountry.I am sorry we all get discouraged but ya gott a stop saying that stuff.You

guys are totally wonderful!well I am sure that solved everything. If you are a patient please

allow up to 4-8 hours for a reply by email/please note the new email

address/e mail may not be entirely secure/ MD115 Mt

Blue Circle ph fax

---------------------------------------- Malia, MDMalia Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of theintended recipient(s) and contains confidential information. Unauthorized useor disclosure is prohibited. If you are not the intended recipient, you may notuse, disclose, copy or disseminate this information. If you are not theintended recipient, please contact the sender immediately by reply email anddestroy all copies of the original message, including attachments.----------------------------------------

---------------------------------------- Malia, MDMalia

Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton

Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com--

Confidentiality Notice --This email message, including all the attachments, is

for the sole use of the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the intended recipient,

you may not use, disclose, copy or disseminate this information. If you are not the

intended recipient, please contact the sender immediately by reply email and destroy

all copies of the original message, including attachments.----------------------------------------

[Guest guest]

Is that chorus in my head getting loud again? The ones that are always yammering away at how bad I am, I mean. Once in a while I'll hear an encouraging peep, but those are few and far between ... I'm sure those you aren't hearing those ones, Jean.

I feel bad because I missed ANOTHER phone call. I think I should sign up for the next IMP cohort... what are we on 6 yet? Because I have not really kept up all that well.

That's why I feel like a bad IMP. But I am really trying my best. And overall, I think I give pretty darn good care.

Lonna

Subject: IMPSTo: Date: Friday, May 9, 2008, 6:49 AM

so, ummI have noticed that for weeks now as I talk/email etc to many IMPS I am just floored by how many of you tell me "I am a failure as an IMP""Gordon thinks I am a failure"etc etc.If you ar e reading this you may think this is about YOU but I cannot tell you how much of this I hear from ALOT of you.Would you guys buck up??I am the whining depressed one ok? let's get our roles straightDo you like need all hugs or what?( NAncy is my surrogate hugger talk to her at camp)This group is made up of the best thinking hardest/creative working most transformitive caring good medicine practicing set of docs in the country.I am sorry we all get discouraged but ya gott a stop saying that stuff. You guys are totally wonderful! well I am sure that solved

everything. If you are a patient please allow up to 4-8 hours for a reply by email/please note the new email address/e mail may not be entirely secure/ MD ph fax

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

[Guest guest]

Great story!

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

www.PinnacleFamilyMedicine.com

From: [mailto: ] On Behalf Of Lynette Iles

Sent: Friday, May 09, 2008 9:57 AM

To:

Subject: Re:

IMPS

I would

like all of you to know that after one month of practicing within the IMP model

with me, my husband is again resembling the caring man I married 17 years ago

and he actually SMILES at work again. He's sold...you should hear him tell

folks about the advantages of this system!

Lynette I Iles MD

301 South Iowa

Ste 2

Washington IA 52353

Flexible Family Care

'Modern medicine the old-fashioned way'

This e-mail and attachments may contain information which is confidential and

is only for the named addressee. If you have received this email in

error, please notify the sender immediately and delete it from your computer.

[Guest guest]

you may not spell very well, but you have a great way with words.

so, ummI have noticed that for weeks now as I talk/email etc to many IMPS I am just floored by how many of you tell me " I am a failure as an IMP " " Gordon thinks I am a failure "

etc etc.If you ar e reading this you may think this is about YOU but I cannot tell you how much of this I hear from ALOT of you.Would you guys buck up??I am the whining depressed one ok? let's get our roles straight

Do you like need all hugs or what?( NAncy is my surrogate hugger talk to her at camp)This group is made up of the best thinking hardest/creative working most transformitive caring good medicine practicing set of docs in the country.

I am sorry we all get discouraged but ya gott a stop saying that stuff. You guys are totally wonderful! well I am sure that solved everything.Jean

-- If you are a patient please allow up to 4-8 hours for a reply by email/please note the new email address/e mail may not be entirely secure/ MD

ph fax

[Guest guest]

Thanks for the good news. I'm still working in a walk-in clinic,

preparing to open my IMP late this summer, and I CAN'T WAIT!

Sometimes I don't even recognize the witch I have become, actively

resenting the patients who come here for care when I'm too busy. I

especially pity the poor, unsuspecting souls who have the NERVE to

come in during the 12th hour of my shift! If evil thoughts could

kill, they would be flattened! I can't wait until every patient I

see is precious to me (money in my pocket, as well as someone that I

have a relationship with) and I have some control over my hours. ---

Sharlene

>

> I would like all of you to know that after one month of practicing

within

> the IMP model with me, my husband is again resembling the caring

man I

> married 17 years ago and he actually SMILES at work again. He's

sold...you

> should hear him tell folks about the advantages of this system!

>

> Lynette I Iles MD

> 301 South Iowa

> Ste 2

> Washington IA 52353

> Flexible Family Care

> 'Modern medicine the old-fashioned way'

> This e-mail and attachments may contain information which is

confidential

> and is only for the named addressee. If you have received this

email in

> error, please notify the sender immediately and delete it from your

> computer.

>

[Guest guest]

I've always enjoyed the hallway conversation with harried colleagues when

I run into them in the hospital.

" So how's that weird practice of yours going? " they ask.

" Great! Why don't we get together for lunch and catch

up. "

At that point their eyes bulge or they squint at me, because of course

they don't have time to go out to lunch.

Gordon

At 10:23 PM 5/11/2008, you wrote:

Whenever I feel down the thing

that cheers me up the most is to call my friends who still work at my old

practice, that is if I can ever get anyone to answer the phone there.

Most offices are so dysfunctional its nice to know that while we are not

perfect we are so much better than almost anyone out there

Larry Lindeman MD

Roscoe Village Family Medicine

2255 W. Roscoe

Chicago, Illinois 60618

Good points Jean.

I don't do the off-list/phone contacts with folks like you do (I'm a

" failure " at that!! ;-), but I would like to share a

perspective.

In the standard office model, we can " blame " others, or the

system in general, for problems. But in an IMP model we are not as well

protected from our own inadequacies/flaws ... we are all human of

course. So the IMP model will potentially appear to amplify our

personal problems (procrastination, perfectionism, etc) and that

hard-cold-truth can hurt.

But we need to be realistic and keep trying to improve those

faults. I personally have about 55 flaws that are obvious from time

to time. 53 of them I try to ignore/deny, but those other 2

are trying to be improved ... a pretty good ratio if you ask me!

Point is, we have to make the right statements and ask the right

questions to keep improving. Change the statement to, " wow,

the IMP model is helping me realize ways I can really do better, " or

perhaps " great, because of feedback from Gordon, I've got the tools

that I can use to provide better care! " (remember,

Gordon was my chief resident back in the day... he's given me some real

painful feedback in my life!)

Since it's Spring, and I'm coaching little league baseball, I'll use an

analogy. Consider a baseball player who strike

[Guest guest]

I would like to invite a physician to join this group. He is in solo practice in a small town in California and does house calls (for my 90 yr old father!). Please let me know how to go about inviting him to the group. Thank you, Aenor Sawyer

Re: IMPS

I've always enjoyed the hallway conversation with harried colleagues when I run into them in the hospital.

"So how's that weird practice of yours going?" they ask.

"Great! Why don't we get together for lunch and catch up."

At that point their eyes bulge or they squint at me, because of course they don't have time to go out to lunch.

Gordon

At 10:23 PM 5/11/2008, you wrote:

Whenever I feel down the thing that cheers me up the most is to call my friends who still work at my old practice, that is if I can ever get anyone to answer the phone there. Most offices are so dysfunctional its nice to know that while we are not perfect we are so much better than almost anyone out there

Larry Lindeman MD

Roscoe Village Family Medicine

2255 W. Roscoe

Chicago, Illinois 60618

Good points Jean.

I don't do the off-list/phone contacts with folks like you do (I'm a "failure" at that!! ;-), but I would like to share a perspective.

In the standard office model, we can "blame" others, or the system in general, for problems. But in an IMP model we are not as well protected from our own inadequacies/flaws ... we are all human of course. So the IMP model will potentially appear to amplify our personal problems (procrastination, perfectionism, etc) and that hard-cold-truth can hurt.

But we need to be realistic and keep trying to improve those faults. I personally have about 55 flaws that are obvious from time to time. 53 of them I try to ignore/deny, but those other 2 are trying to be improved ... a pretty good ratio if you ask me!

Point is, we have to make the right statements and ask the right questions to keep improving. Change the statement to, "wow, the IMP model is helping me realize ways I can really do better," or perhaps "great, because of feedback from Gordon, I've got the tools that I can use to provide better care!" (remember, Gordon was my chief resident back in the day... he's given me some real painful feedback in my life!)

Since it's Spring, and I'm coaching little league baseball, I'll use an analogy. Consider a baseball player who strike

Plan your next roadtrip with MapQuest.com: America's #1 Mapping Site.

[Guest guest]

Hi Aenor

Have him send a message to:

-subscribe

with a line or two that describes his interest in the group (this is so

we can weed out the inappropriate).

Gordon

At 11:45 AM 5/12/2008, you wrote:

I would like to invite a

physician to join this group. He is in solo practice in a small

town in California and does house calls (for my 90 yr old father!).

Please let me know how to go about inviting him to the group. Thank

you, Aenor Sawyer

Re: IMPS

I've always enjoyed the hallway conversation with harried colleagues when

I run into them in the hospital.

" So how's that weird practice of yours going? " they ask.

" Great! Why don't we get together for lunch and catch

up. "

At that point their eyes bulge or they squint at me, because of course

they don't have time to go out to lunch.

Gordon

At 10:23 PM 5/11/2008, you wrote:

Whenever I feel down the thing

that cheers me up the most is to call my friends who still work at my old

practice, that is if I can ever get anyone to answer the phone there.

Most offices are so dysfunctional its nice to know that while we are not

perfect we are so much better than almost anyone out there

Larry Lindeman MD

Roscoe Village Family Medicine

2255 W. Roscoe

Chicago, Illinois 60618

Good points Jean.

I don't do the off-list/phone contacts with folks like you do (I'm a

" failure " at that!! ;-), but I would like to share a

perspective.

In the standard office model, we can " blame " others, or the

system in general, for problems. But in an IMP model we are not as well

protected from our own inadequacies/flaws ... we are all human of

course. So the IMP model will potentially appear to amplify our

personal problems (procrastination, perfectionism, etc) and that

hard-cold-truth can hurt.

But we need to be realistic and keep trying to improve those

faults. I personally have about 55 flaws that are obvious from time

to time. 53 of them I try to ignore/deny, but those other 2

are trying to be improved ... a pretty good ratio if you ask me!

Point is, we have to make the right statements and ask the right

questions to keep improving. Change the statement to, " wow,

the IMP model is helping me realize ways I can really do better, " or

perhaps " great, because of feedback from Gordon, I've got the tools

that I can use to provide better care! " (remember,

Gordon was my chief resident back in the day... he's given me some real

painful feedback in my life!)

Since it's Spring, and I'm coaching little league baseball, I'll use an

analogy. Consider a baseball player who strike

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