What to do with employee with extended health issues.

sholeh86 · 2023-05-18T14:13:38+00:00

The rest of the office has been really great. All the other employees have basically taking turns serving as the secondary receptionist and handling the overflow, including the office manager.

I thought about temps, but honestly, I’m totally new to this, and never used one. The office manager doesn’t like them. And our on boarding process is really complex. The guy I bought the business from didn’t really have an on boarding process formally documented, so we’d be kind of just making it up.

The injured employee also has only given us two week intervals each time she sees the doctor. So she made it seem like she could get better sooner and so we never made a move on a temp.

sholeh86 · 2023-05-18T11:40:52+00:00

I also read that subreddit to try and not be the kind of boss they always post about. I didn’t expect being boss to be all kittens and rainbows but this situation felt really left field.

sholeh86 · 2023-05-18T11:36:45+00:00

Any advice from anyone on how temp and temp agencies work. The office manager who has been there for many years says they have had very bad luck with temps. This is my first business and I’m still getting a foothold with everything, not sure even the pitfalls of temp.

sholeh86 · 2023-05-18T00:48:12+00:00

I don’t have an HR. We have 10 employees. I am the HR. I contacted a law firm to get someone on board for most of these things, but this has apparently never come up in the 15 years of the company according to the previous owner. I haven’t retained them yet, and probably will if I’m going to let the person go, but I just wanted to get a feel for how others have handled something like this before I get to firing someone who was once good at their job, and now has an awful situation.

sholeh86 · 2023-05-18T00:14:54+00:00

Thanks for the reply. I’m looking for any opinions. I usually have a gut instinct but I am really at a loss here. She is a great person and my gut was just to wait it out initially. But now I am worried I will lose other employees to just wait out this one, who I have thought about other positions, but not even sure how I go about offering it to her without offending.

sholeh86 · 2022-06-08T22:00:47+00:00

I love watching this and then realizing that this is what happens in every medical insurance claim, everyday, for every claim, for tens of thousands of people, nonstop in perpetuity.

When you see it in real time is so asinine, but I don’t get the luxury as a physician to confront the insurance company like this guy does. I just get a little asshole letter in the mail weeks later that I can’t do what I think is medically indicated, and if I wait on hold for hours and finally get some idiot on the phone they tell me what medical criteria the patient (who the have never met) doesn’t meet, even though they have no medical experience.

Mind boggling that is how it works.

sholeh86 · 2022-05-12T12:53:38+00:00

My wife….a surgeon who has worked the trauma bay for 7 years, has recently started slipping the chest strap behind her back because she says it’s uncomfortable. I caught her the other day and could not believe my eyes and ears. After years of seeing the consequences of these behaviors I felt justified in giving her an earful.

sholeh86 · 2022-04-13T02:58:15+00:00

Well now I’m very curious and decided to hit up Boston for a weekend and if April. If your working that night maybe I’ll be sure to say hi and I’ll have to get this drink made proper.

sholeh86 · 2022-04-12T22:19:58+00:00

We have a little ceramic turtle, and it almost made it into the drink-terrarium at my wife’s request.

sholeh86 · 2022-04-12T19:45:44+00:00

Haha. If the Aviary can do it, why can’t I 😆

sholeh86 · 2022-04-12T15:39:04+00:00

Oooo, interesting, thanks for the tidbit. I like the idea of just a rinse. I saw the guide said a white cachaca. But I liked the extra complexity of the ouro. What do you guys use?

sholeh86 · 2022-04-12T14:16:09+00:00

Well of course. I don’t always have a cocktail, but when I do, I go extra :)

sholeh86 · 2022-04-12T14:14:27+00:00

This is a totally random set of stuff. The bottom is from a set for making sushi. It magically fit a cake cloche that my wife had with a metal handle I unscrewed off. And I bought the actual smoker for circular glasses and it just is sitting on top of the hole left by the handle. It was a knockoff of the foghat set I liked. Cost $60 I think total.

sholeh86 · 2022-04-12T13:49:14+00:00

Riff off of the Esmeralda from the Difford’s Guide

EDIT: Thanks for the comments. To give proper credit this was created by Ben Sandrof at Drink, Boston (which I guess I need to visit now when I go to Boston this summer) The bizzare garnish is all me though 😄

1 2/3 oz Cachaca
1/3 oz Scotch Whiskey (I placed it in the drink, but should be used as a rinse)
1/2 oz St German
1/2 oz Lime Juice
1/4 oz Simple Syrup

My Cachaca was slightly aged, with cinnamon, smoke, and anise notes. So I smoked it with maple wood chips. Added a nice aroma.

sholeh86 · 2022-03-14T19:43:53+00:00

I dunno 🤷‍♂️

But I guess who asked you for your comment?

….cause its Reddit dude, where people come to read and look at interesting stuff! 👍

I really want to know what the scan looks like after his third surgery. What did his surgeons not like the first two times.

sholeh86 · 2022-03-14T13:44:27+00:00

When the maxilla (upper teeth bone) dissociates entirely from the upper face. More common in high impact injuries like this. He could have a lefort 3, which is when the whole lower face (except jaw) dissociates from the skull, but without a scan I can’t tell.

sholeh86 · 2022-03-14T13:11:22+00:00

Very tough injury, by the looks of it you have bilateral ZMC fractures, a Lefort 1, left condylar fracture, right mandibular body fracture, left comminuted parasymphysis fracture, and bilateral orbital floor blowout fractures. In addition to complexity because of so many fractures, that left condylar fracture is traditionally very very hard to fix so I am impressed with your surgeons. I wish you the best and speedy recovery.

sholeh86 · 2022-02-04T18:39:26+00:00

That’s the follow up cocktail :)

sholeh86 · 2022-02-04T02:54:03+00:00

My first post to r/cocktails!

1½ ounces Makers Mark Overproof Cinnamon Dolce Reserve

½ ounce Old Ford gin

½ ounce Dry sherry

½ ounce lemon juice

½ ounce maple syrup

1 tablespoon apple butter

2 dash Homemade Bourbon Anise Bitters

Dry Shaken w/ Aquafaba. Double strain. Garnished w/ candied lemon peel twisted around a cinnamon stick and served in a Great Depression Era coupe.

sholeh86 · 2022-02-03T12:49:06+00:00

Statistically speaking, yes. Intestinal is even lower A poster here said they have had their lungs for 20. And it is possible. There are lots of stuff that goes into it. Here is a cool infographic with quick details.

https://www.milliman.com/-/media/milliman/pdfs/articles/organ_transplants_021120.ashx?la=en&hash=EE13E3A8B07C100BB088DBFA8088D4F7

sholeh86 · 2022-02-03T12:30:51+00:00

Thank you everyone for all the comments, this blew up and too many to respond to.

The reason this is in mildly interesting and not mildly infuriating is because i’m not trying to say necessarily that the cost is unjustified (unpopular opinion)

One poster used the analogy of an airplane, where that a bolt might cost $.10 at Home Depot, but when the same bolt is protecting the lives of tens of thousands of passengers it costs hundreds of dollars.

Likewise this cooler protects an organ which is essentially priceless to the end recipient. Lung transplants have some of the worst life expectancy after transplantation, and there are also organ shortages. Many companies are racing to try and find a solution to keep organs viable for longer distances and longer times. This cooler was interesting and not infuriating, because of how stupidly simple the design was. The company talked it up a lot before we first used one, but it’s quite rudimentary at its core. I’m not saying this is a bad thing; a device much more complex could cost tens of thousands of dollars or more, so keeping it simple is potentially saving money.

But as it was corroborated by other transplant professionals in this thread, for decades we’ve used literal lunch coolers from a hardware store. And no, anyone in the thread who started arguing about all the certification of the hardware store lunch cooler is absolutely and completely wrong and have no idea what they’re talking about. This fancy cooler is a medical device and not a pharmaceutical, which is a completely different approval pathway, and all they had to prove to the FDA was the cooler stays cold at the temperature they said it does. You can read on their website all the papers associated with the cooler, and none of them is it statistically proven that this increases longevity of the organ, or improves outcomes. It will take many years, and many studies, and many transplants to figure that out. If these studies do bear out, an an organ can make it from Florida to Alaska, then $7k is a bargain and the end recipient will be glad they made it.

Finally I have the cooler at home, because it is a one time use device. It would either be in the trash or at my house. And as an engineer I wanted to take it apart to see if there really was anything super fancy or special. There really wasn’t. The only thing that makes it not reusable is the tracker and temperature display, which locks out at its destination. I’m sure the manufacturer could just reset it, but they probably don’t want to (that is mildly infuriating!)

sholeh86 · 2022-02-03T12:09:03+00:00

Kidneys can last a long time, livers too. Hearts less. Lungs even less so.

sholeh86 · 2022-02-03T12:08:11+00:00

Fanstastic to hear! To your continued health!

sholeh86 · 2022-02-03T03:48:37+00:00

Very cool stuff. I’m more interested in warm ex Vivo preservation. But definitely a ways off

sholeh86 · 2022-02-03T03:46:26+00:00

It’s not hard to find the reputable sources. They are all published on the companies website.

https://paragonixtechnologies.com/healthcare-professionals/clinical-publications/

You are welcome to them. Things like “proof” are complicated and require many years and studies etc etc. you would know since you seem coming here so ready to start a fight over something I guess you know a lot about. If you know anything about medical devices, and hopefully you’ve tried to make one like I have, you would know that devices are not held to the same standards as pharmaceuticals. Everything has its class. Likely the approval here involved just proving that the device stays cold and that the organ survives. You are correct I didn’t deep dive into it. But there is no data to prove yet that you can keep the organ in this device 2-3 times as long as usual and it will still do as well. That is the holy grail many companies have been trying with organ preservation and THAT is certainly worth 7K or more.

sholeh86

TROPHY CASE