Should...

manage con sub better: contracts, urines, exams, documentation, saying no, etc. manage screening and metrics for aco better more well ex and hum ex evidence based more update prob and med lst do emr etc. yet the energy, time, motivation is lacking so what to do may the angels give me guidance. but one good event today: T.H. visit and discussion of the importance of the spiritual vs the pressures of the moment and the oppressive present. I'll fly away to the Shadowlands.