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Recent Accident to My Son

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    Brian finished his first week at CMS and everything went fine except he left his car lights Thursday morning and the battery was dead when he was ready to go home. Brain called AAA and had the car jumped in about 20 minutes so it was no big deal. I never realized that the buzzer that sounds when the lights are left on only works when the driver's door opens. Because Brian uses a ramp on the passenger side the buzzer never sounds if the lights are on. I brought a device on Amazon that automatically controls the car lights. I go to Baltimore next week so I'll have it installed by the shop that installed the car alarm on the Honda Element.

    I was reading the Phoenix newspaper this morning and I was surprised to see CMS mentioned in two different articles related to health. One was about changes that were approved by CMS in the Arizona Universal Health Care program and the other was something to do with new Medicare rules that also were developed and approved by CMS. Now I notice when CMS is mentioned.

    Brian told me Thursday that his boss has assigned him to work on three teams at CMS. He said that typically a person is assigned to work on one team. It seems like Brian's boss is expecting Brian to make a significant contribution.

    Roger

    Comment


      Thanks for the update!
      Yep, that issue with the vehicle lights buzzer has caught us several times during our working years. Did not know there was a "fix" for this.

      Brian is in a great position to give his point of view on Medicare policy. Just wondering if Medicare has a Consumer Advisory Board of some kind that gives input from Medicare recipients.

      Comment


        Brian likes the job and with the new Medicare Pay for Performance policy there's a lot of work that is right down Brian's alley. He has been assigned to work on five committees so he's working hard to get up to speed. Brian is working from home today and he told my wife yesterday not bother him today because he has a lot of work to do.

        The auto lite control module was installed on Brian's Honda Element so that will prevent any more dead batteries from leaving the lights on.

        Roger
        Last edited by Roger; 23 Oct 2016, 6:41 PM.

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          Great to hear! Thanks for the update. Brian is a testament to the capability of a tenacious spirit, determined will, and involved support system. A welcome and wonderful counter point to the, at times vocal, 'poor pitiful me' narratives around here. Awesome!
          "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

          "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

          Comment


            Originally posted by Roger View Post
            Brian likes the job and with the new Medicare Pay for Performance policy there's a lot of work that is right down Brian's alley. He has been assigned to work on five committees so he working hard to get up to speed. Brian is working from home today and he told my wife yesterday not bother him today because he has a lot of work to do.

            The auto lite control module was installed on Brian's Honda Element so that will prevent any more dead batteries from leaving the lights on.

            Roger
            I'd been reading about the Medicare Access and CHIP Reauthorization Act (MACRA) in the news this month. Tying physician payment to quality performance measures had me concerned that more doctors were going to opt out of taking new Medicare patients. I was also thinking that patients with SCI would be outliers in some of these measures and, as a result, doctors might not want to add new SCI patients to their roster. I'm glad that Brian is a member of this committee. He will be directly affecting one of the biggest changes to medical care in our lifetime.
            Last edited by 2drwhofans; 21 Oct 2016, 3:29 PM.

            Comment


              Brian has been working at the Center for Medicare Services for about four weeks and so far so good. He's really likes the work and he's very busy. One day a week he works from home and on the other days the hours are flexible. Two days a week he's able to leave work at ~4:00 pm and go to Kennedy Krieger to workout. If there's a negative, the commute to and from work can be challenging because of the traffic but like I said so far so good.

              Roger

              Comment


                Everything is going well at CMS and Brian is working hard. His boss has put him in for 10 hours per week overtime for the rest of the year.

                Brian received an email today notifying him that the paper that he has working on has been accepted for publication in the Archives of Physical Medicine and Rehabilitation. The title of the paper is: Functional Goals and Predictors of their Attainment in Low-Income Community Dwelling Adults. I wouldn't want to add up the total number of hours that Brian spent on this paper. It was a big effort coding and analyzing all of the patient data.

                Tomorrow, my wife and I fly to Baltimore for Thanksgiving. I'll fly back to Phoenix on the Monday after Thanksgiving and Ann will stay in Baltimore for two weeks before flying back to Phoenix.

                Roger

                Comment


                  Congrats to Brian on his publication! I look forward to reading it in the journal. Hope you all have a great Thanksgiving!

                  (KLD)
                  The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                  Comment


                    Great news! Wish I had access to that publication as I'd like to read it.
                    Very best to you and your family for the holidays!

                    Comment


                      The government gives you a step increase automatically every 2 years. If congress approves- you get a big 1% pay raise if it is not frozen- we didn't get one for 3 of the last 10 years. However, there are awards for incentive- like publishing an article etc.. Some Mangers are very generous , some not. We have already heard how tight the budget is for the upcoming year. The best thing about working for the government is that you get a pension- I believe after 3 years of employment you are eligible and you get 1% for every year of employment when you retire- I think you have to be age 55 or 59.
                      CWO
                      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                      Comment


                        Trump transition team is discussing eliminating the pension for federal employees, and offering only a 401k without matching funds, as well as hiring freezes, and possibly even salary cuts for the "overpaid" federal employees, so can't depend upon what has been done in the past as far as benefits, salaries, etc. etc.

                        (KLD)
                        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                        Comment


                          I talked with Brian today. It turns out that the initial funding provided to Johns Hopkins for the paper that he wrote was provided by CMS. The paper was reviewed and approved by CMS prior to being submitted for publication. So CMS is well aware that Brian has written a health care policy paper that's being published. Earlier this week Brian's boss to him for him to update his resume and then talk to HR about submitting a protest of his current grade level. We'll see sometime in January if Brian's grade level is adjusted.

                          Roger

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                            great news of the publication congrats Brian you deserve it!! hopefully with the new president transition his job won't be effected. good luck Brian sounds like they love you!!!
                            T6 Incomplete due to a Spinal cord infarction July 2009

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                              KLD i think he is not going to be as bad as everyone is making it out to be however we will have to wait and see!
                              T6 Incomplete due to a Spinal cord infarction July 2009

                              Comment


                                KLD:
                                If these proposed changes to federal retirement are implemented, they would be for new hires. The TSP G-fund has been used almost annually as a federal piggy bank for balancing the budget numbers.

                                Not that I expect campaign promises to be kept, but the President-Elect's first 100 day plan exempts those in medical professions:
                                "a hiring freeze on all federal employees
                                to reduce the federal workforce through attrition(exempting military, public safety, and public health). "


                                Roger:
                                Please congratulate Brian on his article getting accepted for publication. Also, what a great boss he has going to bat with HR to get him a higher pay grade.

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