Sunday, April 16, 2023

Sunday School Lesson

A few weeks ago in teacher development meeting we were asked to talk about LGBT issues with our kids In Sunday School.  (We teach the 16-17-year-olds)  It's a very important topic that our youth are facing more and more each day. So today was the day.  

Our youth need to understand the truth (the doctrine).  They need to know and understand the Lord's commandments and stance on same-sex attraction, same-sex marriage, and transgenderism.  And be able to contrast that with the lies they're being bombarded with in school and society.

I have seven pages of notes so I don't think I will add them here but I will include our handouts. On second thought, it's easier to just copy and paste my notes.  Unfortunately we didn't even get to the New Testament and our lesson on testimony.  But, nonetheless, truth was taught.  Scroll down to the very bottom for pictures of the handouts. (Lisa worked hard making the temple cookies, which were a big hit.)

I wanted to make sure to emphasize the doctrine and policies of the church.  Therefore we went over the family proclamation – pertinent points in bold.  And part of the church handbook which discusses LGBT issues.  I also included a short portion on the law of chastity which is pertinent to LGBT issues.  Here are my lesson notes:

Tammy’s Sunday School Lesson April 2023

LGBT and Matthew15-17, Mark 7-9

 

the FAMILY

A PROCLAMATION TO THE WORLD

The First Presidency and Council of the Twelve Apostles of The Church of Jesus Christ of Latter-day Saints

We, the First Presidency and the Council of the Twelve Apostles of The Church of Jesus Christ of Latter-day Saints, solemnly proclaim that marriage between a man and a woman is ordained of God and that the family is central to the Creator’s plan for the eternal destiny of His children.

 

All human beings—male and female—are created in the image of God. Each is a beloved spirit son or daughter of heavenly parents, and, as such, each has a divine nature and destiny. Gender is an essential characteristic of individual premortal, mortal, and eternal identity and purpose.

 

In the premortal realm, spirit sons and daughters knew and worshipped God as their Eternal Father and accepted His plan by which His children could obtain a physical body and gain earthly experience to progress toward perfection and ultimately realize their divine destiny as heirs of eternal life. The divine plan of happiness enables family relationships to be perpetuated beyond the grave. Sacred ordinances and covenants available in holy temples make it possible for individuals to return to the presence of God and for families to be united eternally.

 

The first commandment that God gave to Adam and Eve pertained to their potential for parenthood as husband and wife. We declare that God’s commandment for His children to multiply and replenish the earth remains in force. We further declare that God has commanded that the sacred powers of procreation are to be employed only between man and woman, lawfully wedded as husband and wife.

 

We declare the means by which mortal life is created to be divinely appointed. We affirm the sanctity of life and of its importance in God’s eternal plan.

 

Husband and wife have a solemn responsibility to love and care for each other and for their children. “Children are an heritage of the Lord” (Psalm 127:3). Parents have a sacred duty to rear their children in love and righteousness, to provide for their physical and spiritual needs, and to teach them to love and serve one another, observe the commandments of God, and be law-abiding citizens wherever they live. Husbands and wives—mothers and fathers—will be held accountable before God for the discharge of these obligations.

 

The family is ordained of God. Marriage between man and woman is essential to His eternal plan. Children are entitled to birth within the bonds of matrimony, and to be reared by a father and a mother who honor marital vows with complete fidelity. Happiness in family life is most likely to be achieved when founded upon the teachings of the Lord Jesus Christ. Successful marriages and families are established and maintained on principles of faith, prayer, repentance, forgiveness, respect, love, compassion, work, and wholesome recreational activities. By divine design, fathers are to preside over their families in love and righteousness and are responsible to provide the necessities of life and protection for their families. Mothers are primarily responsible for the nurture of their children. In these sacred responsibilities, fathers and mothers are obligated to help one another as equal partners. Disability, death, or other circumstances may necessitate individual adaptation. Extended families should lend support when needed.

 

We warn that individuals who violate covenants of chastity, who abuse spouse or offspring, or who fail to fulfill family responsibilities will one day stand accountable before God. Further, we warn that the disintegration of the family will bring upon individuals, communities, and nations the calamities foretold by ancient and modern prophets.

 

We call upon responsible citizens and officers of government everywhere to promote those measures designed to maintain and strengthen the family as the fundamental unit of society.

 

This proclamation was read by President Gordon B. Hinckley as part of his message at the General Relief Society Meeting held September 23, 1995, in Salt Lake City, Utah.

 

38.6.5

Chastity and Fidelity

The Lord’s law of chastity is:

·         Abstinence from sexual relations outside of a legal marriage between a man and a woman.

·         Fidelity within marriage.

Physical intimacy between husband and wife is intended to be beautiful and sacred. It is ordained of God for the creation of children and for the expression of love between husband and wife.

Only a man and a woman who are legally and lawfully wedded as husband and wife should have sexual relations. In God’s sight, moral cleanliness is very important. Violations of the law of chastity are very serious (see Exodus 20:14; Matthew 5:28; Alma 39:5). Those involved misuse the sacred power God has given to create life.

A Church membership council may be necessary if a member:

·         Has sexual relations outside of a legal marriage between a man and a woman, such as adultery, fornication, same-sex relations, and sexual encounters online or over the phone (see 32.6.2).

·         Is in a form of marriage or partnership that is outside of a legal marriage between a man and a woman, such as cohabitation, civil unions and partnerships, and same-sex marriage.

·         Uses pornography intensively or compulsively, causing significant harm to a member’s marriage or family (see 38.6.13).

The decision about whether to hold a membership council in these situations depends on many circumstances (see 32.7). For example, a council is more likely to be necessary to help a member repent if he or she has violated temple covenants or if the sin was repetitive.

See 32.6.1.2 for when a council is required for sexual sins.

In some cases, personal counseling and informal membership restrictions may be sufficient (see 32.8).

 Questions/comments on the law of chastity?

38.6.15

Same-Sex Attraction and Same-Sex Behavior

The Church encourages families and members to reach out with sensitivity, love, and respect to persons who are attracted to others of the same sex. The Church also promotes understanding in society at large that reflects its teachings about kindness, inclusiveness, love for others, and respect for all human beings. The Church does not take a position on the causes of same-sex attraction.

God’s commandments forbid all unchaste behavior, either heterosexual or same-sex.

 [talk about same-sex attraction as an unfortunate trial for some – give examples]

 Church leaders counsel members who have violated the law of chastity. Leaders help them have a clear understanding of faith in Jesus Christ and His Atonement, the process of repentance, and the purpose of life on earth. Behavior that is inconsistent with the law of chastity may be cause for holding a Church membership council (see 38.6.5). It can be forgiven through sincere repentance.

 If members feel same-sex attraction and are striving to live the law of chastity, leaders support and encourage them in their resolve. These members may receive Church callings, have temple recommends, and receive temple ordinances if they are worthy. Male Church members may receive and exercise the priesthood.

[reiterate that anyone who keeps the law of chastity is worthy, regardless of sexual orientation]

All members who keep their covenants will receive all promised blessings in the eternities whether or not their circumstances allow them to receive the blessings of eternal marriage and parenthood in this life (see Mosiah 2:41).

 [many people, not just those who suffer from same-sex attraction, don’t have the opportunity to marry, and subsequently live celibate lifestyles.  Including those with physical and mental disabilities.]

 The Church provides the following resources to better understand and support people whose lives are affected by same-sex attraction:

·         “Same-Sex Attraction,” Gospel Topics, topics.ChurchofJesusChrist.org

·         “Same-Sex Attraction,” Life Help, ChurchofJesusChrist.org

In addition to the inspired help of Church leaders, members may benefit from professional counseling. Leaders may contact Family Services for assistance. See 31.3.6 for contact information.

38.6.16

Same-Sex Marriage

As a doctrinal principle, based on the scriptures, the Church affirms that marriage between a man and a woman is essential to the Creator’s plan for the eternal destiny of His children. The Church also affirms that God’s law defines marriage as the legal and lawful union between a man and a woman.

Only a man and a woman who are legally and lawfully wedded as husband and wife should have sexual relations. Any other sexual relations, including those between persons of the same sex, are sinful and undermine the divinely created institution of the family.

38.6.23

Transgender Individuals

Transgender individuals face complex challenges. Members and nonmembers who identify as transgender—and their family and friends—should be treated with sensitivity, kindness, compassion, and an abundance of Christlike love. All are welcome to attend sacrament meeting, other Sunday meetings, and social events of the Church (see 38.1.1).


[tell story of transgender patient in ID rotation as fourth-year medical student]


Gender is an essential characteristic of Heavenly Father’s plan of happiness. The intended meaning of gender in the family proclamation is biological sex at birth. Some people experience feelings of incongruence between their biological sex and their gender identity. As a result, they may identify as transgender. The Church does not take a position on the causes of people identifying as transgender.

 

Most Church participation and some priesthood ordinances are gender neutral. Transgender persons may be baptized and confirmed as outlined in 38.2.8.10. They may also partake of the sacrament and receive priesthood blessings. However, priesthood ordination and temple ordinances are received according to biological sex at birth.

 

Church leaders counsel against elective medical or surgical intervention for the purpose of attempting to transition to the opposite gender of a person’s biological sex at birth (“sex reassignment”). Leaders advise that taking these actions will be cause for Church membership restrictions.

Leaders also counsel against social transitioning. A social transition includes changing dress or grooming, or changing a name or pronouns, to present oneself as other than his or her biological sex at birth. Leaders advise that those who socially transition will experience some Church membership restrictions for the duration of this transition.

Restrictions include receiving or exercising the priesthood, receiving or using a temple recommend, and receiving some Church callings. Although some privileges of Church membership are restricted, other Church participation is welcomed.

Transgender individuals who do not pursue medical, surgical, or social transition to the opposite gender and are worthy may receive Church callings, temple recommends, and temple ordinances.

Some children, youth, and adults are prescribed hormone therapy by a licensed medical professional to ease gender dysphoria or reduce suicidal thoughts. Before a person begins such therapy, it is important that he or she (and the parents of a minor) understands the potential risks and benefits. If these members are not attempting to transition to the opposite gender and are worthy, they may receive Church callings, temple recommends, and temple ordinances.

If a member decides to change his or her preferred name or pronouns of address, the name preference may be noted in the preferred name field on the membership record. The person may be addressed by the preferred name in the ward.

Circumstances vary greatly from unit to unit and person to person. Members and leaders counsel together and with the Lord. Area Presidencies will help local leaders sensitively address individual situations. Bishops counsel with the stake president. Stake presidents and mission presidents must seek counsel from the Area Presidency (see 32.6.3 and 32.6.3.1).

For further information on understanding and supporting transgender individuals, see “Transgender” on ChurchofJesusChrist.org.

 1 Corinthians 3:16–17

16 Know ye not that ye are the temple of God, and that the Spirit of God dwelleth in you?

17 If any man defile the temple of God, him shall God destroy; for the temple of God is holy, which temple ye are.

 Questions/comments on LGBT doctrine/policy?

Testimony

Matthew 16:13–17

13 ¶ When Jesus came into the coasts of Cæsarea Philippi, he asked his disciples, saying, Whom do men say that I the Son of man am?

14 And they said, Some say that thou art John the Baptist: some, Elias; and others, Jeremias, or one of the prophets.

15 He saith unto them, But whom say ye that I am?

16 And Simon Peter answered and said, Thou art the Christ, the Son of the living God.

17 And Jesus answered and said unto him, Blessed art thou, Simon Bar-jona: for flesh and blood hath not revealed it unto thee, but my Father which is in heaven.

 What did Jesus teach about how we receive a testimony?

Have any of you had to explain how you know the gospel is true?

Have any of you shared your testimony with family or friends?

Alma 5:45–46

45 And this is not all. Do ye not suppose that I know of these things myself? Behold, I testify unto you that I do know that these things whereof I have spoken are true. And how do ye suppose that I know of their surety?

46 Behold, I say unto you they are made known unto me by the Holy Spirit of God. Behold, I have fasted and prayed many days that I might know these things of myself. And now I do know of myself that they are true; for the Lord God hath made them manifest unto me by his Holy Spirit; and this is the spirit of revelation which is in me.

 

How did Alma gain his testimony?

The Lord speaking to Oliver Cowdery :

Doctrine and Covenants 6:14–15, 22–23

14 Verily, verily, I say unto thee, blessed art thou for what thou hast done; for thou hast inquired of me, and behold, as often as thou hast inquired thou hast received instruction of my Spirit. If it had not been so, thou wouldst not have come to the place where thou art at this time.

15 Behold, thou knowest that thou hast inquired of me and I did enlighten thy mind; and now I tell thee these things that thou mayest know that thou hast been enlightened by the Spirit of truth;

22 Verily, verily, I say unto you, if you desire a further witness, cast your mind upon the night that you cried unto me in your heart, that you might know concerning the truth of these things.

23 Did I not speak peace to your mind concerning the matter? What greater witness can you have than from God?

Doctrine and Covenants 8:2–3

2 Yea, behold, I will tell you in your mind and in your heart, by the Holy Ghost, which shall come upon you and which shall dwell in your heart.

3 Now, behold, this is the spirit of revelation; behold, this is the spirit by which Moses brought the children of Israel through the Red Sea on dry ground.

 How do we recognize personal revelation/truth?

Answer:

Doctrine and Covenants 9:7–9

7 Behold, you have not understood; you have supposed that I would give it unto you, when you took no thought save it was to ask me.

8 But, behold, I say unto you, that you must study it out in your mind; then you must ask me if it be right, and if it is right I will cause that your bosom shall burn within you; therefore, you shall feel that it is right.

9 But if it be not right you shall have no such feelings, but you shall have a stupor of thought that shall cause you to forget the thing which is wrong; therefore, you cannot write that which is sacred save it be given you from me.

 Mark 9:14–29

14 ¶ And when he came to his disciples, he saw a great multitude about them, and the scribes questioning with them.

15 And straightway all the people, when they beheld him, were greatly amazed, and running to him saluted him.

16 And he asked the scribes, What question ye with them?

17 And one of the multitude answered and said, Master, I have brought unto thee my son, which hath a dumb spirit;

18 And wheresoever he taketh him, he teareth him: and he foameth, and gnasheth with his teeth, and pineth away: and I spake to thy disciples that they should cast him out; and they could not.

19 He answereth him, and saith, O faithless generation, how long shall I be with you? how long shall I suffer you? bring him unto me.

20 And they brought him unto him: and when he saw him, straightway the spirit tare him; and he fell on the ground, and wallowed foaming.

21 And he asked his father, How long is it ago since this came unto him? And he said, Of a child.

22 And ofttimes it hath cast him into the fire, and into the waters, to destroy him: but if thou canst do any thing, have compassion on us, and help us.

23 Jesus said unto him, If thou canst believe, all things are possible to him that believeth.

*24 And straightway the father of the child cried out, and said with tears, Lord, I believe; help thou mine unbelief.

25 When Jesus saw that the people came running together, he rebuked the foul spirit, saying unto him, Thou dumb and deaf spirit, I charge thee, come out of him, and enter no more into him.

26 And the spirit cried, and rent him sore, and came out of him: and he was as one dead; insomuch that many said, He is dead.

27 But Jesus took him by the hand, and lifted him up; and he arose.

28 And when he was come into the house, his disciples asked him privately, Why could not we cast him out?

29 And he said unto them, This kind can come forth by nothing, but by prayer and fasting.

 

Three observations to help us gain more faith.

On one occasion Jesus came upon a group arguing vehemently with His disciples. When the Savior inquired as to the cause of this contention, the father of an afflicted child stepped forward, saying he had approached Jesus’s disciples for a blessing for his son, but they were not able to provide it. With the boy still gnashing his teeth, foaming from the mouth, and thrashing on the ground in front of them, the father appealed to Jesus with what must have been last-resort desperation in his voice:

“If thou canst do any thing,” he said, “have compassion on us, and help us.

“Jesus said unto him, If thou canst believe, all things are possible to him that believeth.

“And straightway the father of the child cried out, and said with tears, Lord, I believe; help thou mine unbelief.”1

 

After retelling the account found in Mark 9:14–29, Elder Jeffrey R. Holland taught:

 

“Observation number one regarding this account is that when facing the challenge of faith, the father asserts his strength first and only then acknowledges his limitation. His initial declaration is affirmative and without hesitation: ‘Lord, I believe.’ I would say to all who wish for more faith, remember this man! In moments of fear or doubt or troubling times, hold the ground you have already won, even if that ground is limited. …

“The second observation is a variation of the first. When problems come and questions arise, do not start your quest for faith by saying how much you do not have, leading as it were with your ‘unbelief.’ … I am not asking you to pretend to faith you do not have. I am asking you to be true to the faith you do have. …

 

“Last observation: When doubt or difficulty come, do not be afraid to ask for help. If we want it as humbly and honestly as this father did, we can get it” (“Lord, I Believe,” Ensign or Liahona, May 2013, 93–94).

 Our handouts:


double-sided handout attached to Temple cookie:


Sunday, April 9, 2023

He Is Risen

Matthew 28:5-7

5 aAnd the angel answered and said unto the women, Fear not ye: for I know that ye seek Jesus, which was crucified.

6 He is not here: for he is arisen, as he said. Come, see the place where the bLord lay.

7 And go quickly, and tell his disciples that he is risen from the dead; and, behold, he goeth before you into Galilee; there shall ye see him: lo, I have told you.


Mark 16:6

6 And he saith unto them, Be not affrighted: Ye seek Jesus of Nazareth, which was crucified: he is arisen; he is not here: behold the place where they laid him.


Luke 24:6

6 He is not here, but is arisen:…

He is risen!  Happy Easter everybody.

Monday, April 3, 2023

General Conference and Easter

I know it's been a while since I've blogged so I thought I would just write a quick little post about General Conference and Easter.

I love General Conference.  It is always uplifting and spiritually renewing.  This conference especially because everything was focused on our Savior, Jesus Christ.  Even all the songs!  It was awesome.

In fact, President Oaks' whole talk was quoting Jesus from the Scriptures.  Palm Sunday was mentioned more during this weekend than in all other previous conferences combined.

I thought Uncle Gary might speak this conference because it's been six years since he last spoke in General Conference. He didn't.  But we did get to hear from some of his colleagues that were called to be general authority seventies at the same time he was, so I'm thinking probably in October he will speak.

I don't think any of the transcripts are out yet.  So I can't post any quotes, but I will give a synopsis.  Our prophet, President Russell M. Nelson, spoke about contention and speaking ill of others.  Obviously he told us to avoid those things. He encouraged us to be peacemakers.  Try to find something virtuous, lovely, or of good report in people instead of seeing only the bad.  He said that a good way to discern a true follower of Jesus Christ is by how compassionately they treat others. He made a funny joke about everybody thinking that it applies to someone else.  Brother or sister so and so sure need to hear this.  But he said to look introspectively to see if we can improve ourselves.  He also announced 15 new temples to be built around the world.  This brings the total to 315 temples announced, under construction, or operating.  The prophecy that temples will dot the earth is being fulfilled.

Interestingly, two talks were given on patriarchal blessings.  But most of the talks focused on Christ and His atoning sacrifice – including His resurrection which we are obviously celebrating this coming Easter Sunday.  I also loved that all of the music was also focused on our Savior.  One of my favorite songs, "This Is the Christ" was performed by the Tabernacle choir.

The older I get the faster conference seems to fly by.  Each two hour session seemed like 20 minutes.  I'm grateful for the opportunity we have twice a year to hear from our prophets, seers, and revelators and other church leaders.  Elder Holland was sick and was not present – and was dearly missed.  I think he's one of everybody's favorite speakers.  He doesn't seem to be doing well and may be graduating soon.  But hopefully he'll be back in October.

This is a crazy, messed up world we live in.  And, unfortunately, it's getting worse.  That's why General Conference is such a welcome respite from the world, a beacon of light in an ever darkening world, and a much-needed spiritual uplift.

I hope we will all focus and reflect on our Savior, Jesus Christ, this week as it is Holy Week (the week leading up to Easter).  One of the quotes I really liked from conference (I can't remember who said it) but he said that the reason we celebrate Christmas is because of Easter.

I wish Easter was celebrated like Christmas is.  Celebrating our Savior's birth is wonderful.  But the reason He was born – is what we celebrate at Easter.

I am so thankful for my Savior and for his unconditional love and sacrifice for me.

That's my two cents.

Sunday, March 19, 2023

Sunday School Lesson

Today our Sunday School lesson was Matthew 11-12, Luke 11.  Talking about coming unto Jesus and being yoked with Him.  We also talked about the Sabbath day, honoring it and keeping it holy.

Lisa taught the lesson today.  I made the handouts as per instructed.  :-) Lisa put together cute little baggies with Easter candy and the handout.  Easter will be before our next lesson because we won't be teaching first Sunday in April due to general conference.

Lisa always does a good job.

Here are the handouts with her words and photo of the finished handouts. 





Thursday, March 16, 2023

Falsified Medical Record

I'm really irked right now with humanity.  Namely so-called medical professionals.  This morning Lisa took me to an eye appointment.  It's been almost 4 years since I've had a diabetic eye exam and I need a new prescription for eyeglasses.  I called around to many optician offices and no one will see me because they claim they can't accommodate my wheelchair and my not being able to be transferred.  

So I made an appointment with Cascade eye and skin – which is the place I went to only a few days before dad died– which was my last eye exam.  I remember it well.  They were able to treat me then and gave me my exam.  So, even though they no longer take my insurance, I was willing to pay out of pocket to go back to get my eye exam.

Well, to make a long story short, they wouldn't treat me because I can't wear a mask.  I explained that I can't drive my wheelchair with the mask on.  So they told me I had to wear a mask while I'm sitting there.  I told them I have a hard time breathing because I only have use of my diaphragm and not intercostal or abdominal muscles to assist me in breathing.  (I was already having a hard time breathing today). They didn't care.  They wanted to murder me by suffocation.  So,I told her I can't and we will just have to leave.  So, we just left the waiting room and came home.

But, that's not what this blog is about.  Although, coincidentally, it's in the same office building as the gastroenterology appointment I had which is what this blog is about.

I had a useless gastroenterology follow-up on Monday.  The PA – Shayla Fawcett – diagnosed me with and treated me empirically for small intestinal bacterial overgrowth (SIBO) on December 16, 2022. Which incidentally the treatment was antibiotics (Augmentin) which made my condition much worse.  So it turns out, that the diagnosis of SIBO was wrong. And I'm still suffering the repercussions of that misdiagnosis every day since I took the antibiotics in January.

Okay, so fine, there's nothing they can do to help me.  I had zero intention of going back for another useless follow-up.  Which I told the scheduler when she called to schedule another follow-up.  But what irks me is the falsifications on my soap notes (medical records).

The funny thing is, I probably never would've even seen the soap note from my March 13, 2023 follow-up if they hadn't sent me an email telling me I had a message to read.  So I logged onto my gastroenterology my chart and read my soap note.

Then I got mad because it was full of lies.

There was no physical exam performed.  There was no breath test for SIBO performed ever.  And, she did not discuss with me any risk factors for metoclopramide except tardive dyskinesia.  Even after I specifically asked her for other risk factors.

Here are the excerpts from my soap note and my communication with their office via my patient portal messaging system on their website.




To Practice: Patient Portal Manager
From Patient: Tamara Stone (DOB:***)
Sent Date: 3/15/2023 9:24:12 AM
Location: WAGI (Washington Gastroenterology)
Type: Clinical
Subject: soap note
​ ​
I have a problem with the soap note that Shayla wrote for my follow-up on March 13, 2023. ​ ​In the note it states that a breath test was done for sibo which came back negative. ​ ​No such test was done.
​ ​
It also states that a physical exam was performed. ​ ​She did not perform a physical exam on me. ​ ​She did not come close enough to look at me let alone touch me to perform a physical exam. ​ ​It also states ambulatory under physical exam. ​ ​Which is incorrect. ​ ​
​ ​
And, the note also states that risk factors for metoclopramide were discussed. ​ ​The only risk factor she mentioned was tardive dyskinesia. ​ ​Even after I specifically asked her what the other risk factors were, she reiterated just tardive dyskinesia. ​ ​So the other risk factors mentioned in the soap note were never discussed during my visit.
​ ​
I am not happy with these falsifications in my medical records.
​ ​
Sincerely,
​ ​
Tammy Stone
​ ​
This was the reply I got:

--------------------
To Patient: Tamara Stone (DOB: ***)
From Practice: Brittany B. (DH) Clinic Manager - PUY, SUN
Sent Date: 3/15/2023 11:33:53 AM
Location: WAGI (Washington Gastroenterology)
Type: Clinical
Subject: Re: soap note
​ ​
I sincerely apologize for the mistyped portions of the visit. To clarify regarding the concerns:
The physical exam documented is all visual and based on communication (no abdominal exam was done this visit or documented, nor were other portions that required me to touch the patient). ​ ​I did by mistake document ambulatory in the initial functional/cognitive portion, however in the musculoskeletal portion it is accurately documented that she is in a wheelchair and has quadriplegia.
The mistyped ambulatory portion was corrected in an addendum. I also corrected the mistyped portion in the diagnosis comments regarding Breath Test for SIBO. She was treated empirically for SIBO at previous visit rather than order Breath Test at that time, as I discussed with her in clinic SIBO less likely as she did not respond well to empiric treatment with Augmentin. We did discuss tardive dyskinesia as the primary risk/concern with increased/long term Reglan use (risk of tardive dyskinesia increases with long
term use and higher dosage), but I wanted to provide you with further information on the handout as you had asked those questions.
Shayla Fawcett PA-C
​ ​
There was an addendum done to the visit notes to correct the mistakes. We are so sorry for the errors and thank you for bringing this to our attention. I will publish that to your patient portal. Please let me know if we can be of any further assistance.
Thank you,
​ ​
Sincerely,
Brittany ​ ​
Clinic Manager
--------------------

This was the addendum (notice that it was not signed):
​ ​
This was my reply:

To: Patient Portal Manager
03/15/2023 12:22 PM
Subject: Re: soap note
Location: Washington Gastroenterology
Type: Clinical
I appreciate the addendum but it's still not correct. ​ ​The soap note clearly states that the negative breath test for SIBO was on that visit – March 13, 2023 – not the prior visit in December. ​ ​The addendum only mentions not doing the breath test in December.
​ ​
Also, I never received any handout at the visit, nor afterwards. ​ ​The only information I got regarding risk factors for metoclopramide are on the soap note which specifies that we discussed multiple risk factors during the visit. ​ ​The only risk factor discussed during the visit was tardive dyskinesia.
​ ​
Please fix the addendum so that it is accurate.
​ ​
Thank you,
Tammy Stone

I got no reply.  I sent another message a couple of hours ago asking for a signed addendum with the correct information.  As of right now, no reply.

Okay first of all, as to the physical exam.  She stated that it was all visual and verbal. Isn't that what a history is?  That's the history part of the history and physical. Not the physical.  How is a physical exam visual (from 5 feet away) and verbal?

Secondly, she stated that nothing was documented that she couldn't visually assess.  How could she see that my sclera wasn't jaundiced or that my conjunctiva was pink or that my pupils were equal from 5 feet away?  And how could she tell that my neck was supple and there were no masses and that my trachea was midline from 5 feet away?  But that's not even what irked me.

She specifically stated that she performed a breath test for SIBO which came back negative.  Blatant lie.  No such test was performed in either of my visits in December 2022 or March 2023.  And another blatant lie was that she discussed the risks of metoclopramide with me.  She did tell me about tardive dyskinesia.  And I asked what some of the other risk factors were and she said that was basically it, just tardive dyskinesia.  Then in the note she lists all the other risk factors that she said she discussed with me.  Then, in the addendum she has the audacity to state that she gave me a hand out of the risk factors.  Blatant lie.  I was not given any handout regarding metoclopramide risk factors at the visit, nor afterwards in my patient portal documents.

And, if you notice she didn't even sign the addendum.  So, it's not even recorded.  She just sent it to me to appease me.  And it wasn't even correct!

I'm fine with people making mistakes.  Mistyping something or even overlooking something that's automatically entered and not fixing it are excusable mistakes.  What I'm not okay with are blatant lies.

Stating that you performed a breath test – which was never administered – is a blatant lie.  Or stating that you discussed a multitude of risk factors and listing them individually– which only one was discussed – is a blatant lie.  Then stating in the addendum that a handout of said risk factors was given to me–when no such handout was given at the visit nor afterwards – is a blatant lie.

Why lie on medical records?  If you wanted to say that I had a negative breath test, then why didn't you perform one?  If you want to say you discussed risk factors for metoclopramide with me then why did you only mentioned one during our visit, even after being asked specifically what the other risk factors would be?  Because she didn't know any others.  That's why.  She had to look it up and then put it in the soap note as if she discussed it with me.  Then when I called her out on it, she claims she gave me a hand out of the risk factors, when she didn't.  Blatant lie.  And if you want to claim you did a physical exam, could you not at least feel the neck and look in the eyes?

I despise dishonesty.  And it appears as though she's not going to fix the addendum nor sign it.

Word to the wise – do not do business with Shayla Fawcett (physician assistant) at Washington gastroenterology.  She's a terrible medical provider who lies on medical records. These were not simple mistakes.  And whose misdiagnosis caused me to be much worse off than if I had never been treated by her.  And I sure wish I hadn't been..

Also, do not do business with Cascade Eye and Skin at the same Sunrise location in Puyallup Washington.  They are tyrants who discriminate against handicapped people.

That's my two cents.

Sunday, March 12, 2023

By Degrees

One constant in life is that things always change.  And like the law of entropy, if we are not constantly working towards order, good and righteousness, it's easy to fall into a state of evil, disarray and disorder.

Many people tend to think that they are the exception to the rule.  But there's one thing about laws of nature, and laws in general – they apply to everyone.

There are a couple of scriptures in The Book of Mormon that mention things changing "by degrees".  This can be very dangerous.  When things change gradually, people tend to readily accept it or not notice the change.

The first scripture that comes to mind is when Lehonti was poisoned "by degrees" until he died.

Alma 47:18 

"And it came to pass that Amalickiah caused that one of his servants should administer poison by degrees to Lehonti, that he died." 

The story of the frog in the pot gradually being heated until it died comes to mind.  The rising water temperature happened so gradually that the frog didn't notice it until it was too late and he was cooked.

The same thing happens to us.  Small things like watching a movie with "just a couple of bad parts".  People justify it by claiming that it's a good movie, except for… a couple of bad words, a mild sex scene, a little nudity, some violence, etc.  But otherwise, it's a great movie!  No.  If there are bad things in the movie, it's a bad movie.

That's how Satan works.  He throws a little bit of bad in with the good to poison us by degrees.  Why do we allow this?  Why do we watch movies with profanity, sex, violence, etc.?  Why do we rationalize being poisoned by degrees just because most of the movie is good?

Another example is social media.  Why do people follow certain people on social media who post things that poison by degrees?  For instance, worldly influencers who live questionable lifestyles.  Or perhaps friends or family who were once good examples of righteousness and are now apostate and evil.  Most apostates when they leave the church can't leave the church alone.  They must constantly be bashing the church and flaunting their open rebellion. Who needs that poison in their lives?  Certainly not I.

I personally don't like seeing people yield to temptation and fall into Satan's grasp.  But that's what happens when you allow yourself to be poisoned by degrees.  Eventually the gradual poisoning reaches a threshold where you die spiritually. 

Often times we care too much about what others' perceptions of us are.  We worry about offending someone by unfollowing them or perhaps having them make fun of us for not wanting to watch a certain movie or TV show.  But what's more important – hurting someone's feelings or your eternal salvation?  Yes, it's that serious.  And honestly, if someone is shallow enough to be offended by you unfollowing them on social media, then they are not worthy of your friendship anyway.

The world we live in has become so evil that even the news has become nothing but the philosophies of Satan being spread as truth.  When it is the complete opposite.  That's why I haven't watched the news in over a decade.  TV shows are the same thing.  I also haven't watched them in decades but on the rare occurrence that I'm stuck watching a TV show for a few minutes waiting for my channel to be turned, I am completely disgusted with the pure evil that is allowed on TV and that people invite into their homes. They are literally allowing their minds and spirits to be poisoned by degrees.

If it were physical poison, instead of spiritual poison, people would avoid it like the plague.  But because it poisons your spirit instead of your body, people not only accept it, they seek it.  That's why so many strong people are dropping like flies.  They are being poisoned by degrees.

On a brighter note though, it works the other way as well.  Instead of being poisoned by degrees, we can prosper by degrees.

Mosiah 21:16 

"And it came to pass that they began to prosper by degrees in the land, and began to raise grain more abundantly, and flocks, and herds, that they did not suffer with hunger."

When we humble ourselves and strive to do what is right, we prosper by degrees.  The Lord blesses us.  If we are persistent, we will grow in our prosperity and spirituality.

Again, because it is gradual,we may not notice much of a difference in our everyday lives.  But prospering by degrees is a daily, drop by drop occurrence.  Just like the five wise virgins who accumulated oil for their lamps "by degrees" drop by drop on a daily basis.  They were ready to meet the bridegroom when he came because of their daily effort to fill their lamps with oil "by degrees".

People don't usually change – either for the good or the bad – drastically or suddenly.  But by degrees.  It's what we do on a daily basis that determines who we are.  Our daily choices determine our destiny, by degrees.

Every good thing we do every day is a drop of oil added to our lamps.  Do we choose to fill our lamps with oil, by degrees, and prosper?  Or are we more concerned with the ways of the world?  Do we choose drops of poison instead of drops of oil every day?  Do we choose to be poisoned by degrees rather than prosper? 

May we all choose to prosper by degrees rather than be poisoned by degrees.

That's my two cents.