5 Steps to Office Organization ~ Step 1 of 5 ~ Prepare!

Organizing Book cover5 Steps to Office Organization ~ Step 1 of 5 ~ Prepare!

The Easy Way to Organize: How to Get Rid of the Mess Without the Stress

Visualize how you want your office to look and function before you start your organizing project.  See yourself creating the space you desire with ease.  Affirm that this project will go smoothly and that you will be able to quickly make decisions on what to keep and what to pass on.  See yourself meeting clients in this newly created organized space and feeling confident that you will close the deal.
You know where all of your client files are located, you can quickly create a marketing packet for the networking meeting in 15 minutes, you know that all of your supplies are ready within arm’s reach and you know that the support you need is in place to carry out the process.  You move like water in a river; flowing over and around obstacles with great ease.  You know right where everything is and you know just what to do.  With this vision in mind you are ready to get started.  You now have the mental picture of your office and you may want to take time to actually draw a picture if you are a visual learner.  This will help keep you on track if you start to feel overwhelmed with the process.
Organizing can be physically tasking on a body as well.  If you have heavy furniture that needs to be moved, you need to ask for help.  You also need to prepare yourself physically by drinking a lot of water and eating throughout the process.  You can quickly deplete your energy if you are not careful and if you push yourself too hard.  Take frequent breaks to close your eyes and see that end result, drink some water and eat a snack.
Congratulate yourself during your process as well.  Celebrate in the success that you are creating for yourself.  Your commitment to getting organized is an amazing step in the right direction for your business and for you personally.

Ask yourself, Who uses the space that is to be organized?  Make sure that they are on board with your organizing efforts and work together to create a plan for your space.  How much time can we dedicate to this project?  When starting to organize a physical space, you will quickly become overwhelmed if you don’t set some parameters at the beginning of the project.
When taking everything out of the space and sorting each item, we create massive piles that seem even more disorganized than when we had everything hidden behind doors and drawers.  You need to designate an amount of time and make sure to only work in one section at a time so that everything can be put back at the end of your session.  Typically, you can sort an office in 4-6 hours.  If you only have 2 hour chunks of time, I suggest that you just focus on zones in your office. The Easy Way to Organize: How to Get Rid of the Mess Without the Stress

For example; start with the horizontal surfaces first.  Clear those into your sorting tubs and then on the next section do the upper cabinets, then lower cabinets, saving the file cabinets for last.  I talked about sorting tubs.  You want to make sure that you have all of the organizing supplies that you will need in order to be successful in your efforts.  Tubs or totes, garbage cans, labels, timer, and help.

We have 4 week Group Organizing Accountability Coaching programs dedicated to supporting you with your organizing efforts. You can also join a supportive mastermind team with Chicks Connect to keep you accountable and celebrate with you along the way.

Jewels Muller
www.jewelsmuller.com

www.ChicksConnect.com
Chicks Connect CEO and Founder
541 390.9873
Jewels@ChicksConnect.com

MRI Dense Breast Tissue

Quick update if this is your first visit.
1. Mamogram
2. Second Mamogram
3. Biopsy
4. Call from the Dr. You have Atypical Lobular Hyperplasia go see a surgeon
5. Now you are up to speed

I went to my appointment with Dr. Nathalie Johnson last week. Dr. Johnson was referred to me by one of my Facebook friends who responded to my first post about this journey.

I filled out a lot of paperwork and realized that I don’t have a clear picture of my family medical history. We have a family that doesn’t discuss these things so as not to bother anyone.

My wonderful mother took me to the appointment so between the two of us, we tried to piece together the info. My mom is an only child so that part was easy but my Dad’s mom had 5 sisters who all had families. We believe that two of them died of breast cancer.

Dr. Johnson was great. She talked to me about ALH and what that means. She sent me an article that I will try to attach to this post. She did a breast exam and told me that I have very dense breast tissue which makes the Mammograms hard to read and recommended that I have a MRI. She also said that we might do genetic testing and perhaps she would need a larger tissue  sample removed for further study.

We were sent to another room and Janet said that I would need to call her the first day of my next period to schedule the MRI 7-10 days after. Well, today is the first day of my period so I called and scheduled my MRI for next Thursday.

So, at this stage, we are clarifying family history, waiting for the MRI, and waiting to hear back from Dr. Johnson to see if the Pathologist needs a bigger tissue sample.

I have had a couple of little freak out moments in my head but nothing too serious. I will look at my notes and add some raw in the moment feelings and thoughts. I tend to send myself recorded emails so I need to do some editing before posting so they make sense, but let me go searching for the few that I sent myself over the last couple of weeks.

One thought… Sudden urge to get extremely organized and have everything in order coupled with the desire to crawl into bed and make it all go away.

Another thought… First tears and lump in my throat. Text from Larissa. Someone who knows about cancer all too well. Simple check in, but it was the idea that she was thinking of me, I am sure, expertly praying for me. I say “expertly” because she is a total level 4 prayer Goddess. She is facing her own journey with her hubs.

This one is really random…. so the situation is…. you were abducted by aliens and they inserted 2 grenades into your body and stitched you back up. There’s a 10% chance that those grenades will explode and kill you. There’s a 90% chance that they are duds. What do you do?

By removing the grenades it will leave a disfiguring scar, not necessarily noticeable by the general public. Definitely when you get in and out of the shower you will take note and the scar is something your husband would see. So the question becomes, are you vain if you want reconstructive surgery after the removal of the grenades? Would you go the creative route and get a tattoo?

That is it for today. I will locate that article and see about adding it to this post a bit later but I want to get this posted now from my phone.

Hugs to all of you for a wonderful Saturday. We are off to play Pickleball then help TJ’S parents with some home stuff. I would love to hear from you in the comments.

Always learning always teaching,
Jewels

The Breast Biopsy

The Breast Biopsy

The entire process was described to me step by step which really helped me know what to expect. I will try to recount what the beautiful Denise shared with me. She was amazing and put me at ease through the entire process.

I arrived at Providence Milwaukie Hospital and checked in.  I sat down with TJ, my husband, for just a few moments and then Denise came out with a smile on her face and called for me to follow her. She introduced herself and started with the instructions. It is so refreshing NOT to have to think or make decisions when you are in stressful, overwhelming situation. She talked me through everything. She guided me to a little room where she asked me to leave my purse and coat. Then we went into another room where she sat me down and told me about the entire procedure. Step by step. Here is what I remember…

“You will go back into the little room where you left your purse and coat and you will remove your shirt and bra and put on the gown so that it opens in the front. Lock everything in the closet and take the key and put it around your wrist. Then come out and meet me. We will come back into this room and take some X-rays with the mammogram machine to compare them to the images that we already have. We will locate the calcifications and make sure that we are looking at the correct place on your right breast. Once we identify that we are in the right place we will have the Dr. come in and ask you some of the same questions that I am asking and he will have you to sign a consent form.

Next we will go to the room where the procedure will take place. We will help you onto the table face down with your right breast in the hole. We will try to make you as comfortable as possible. Then I will cover you up with a blanket to keep you warm. Once we have you situated we will raise the table and take some more X-rays with a different Mammogram Machine. We will take a few pictures and triangulate the spot of calcifications. We will use a sharpie marker to create a mark on your breast.

You will be awake during this process and the local anesthetic will have a bit of a sting. We will stick in the needle after rubbing some numbing agent on the spot. I will rub your back to help with this pain as it is going in. Some say it feels like a sharp pain. (I know she used technical words to describe all of this but I am just going by what I remember and hopefully it is helpful).

Once we have you numb, we will take the tool that will remove the specimen and we will insert it into your breast and withdraw the calcifications. We aren’t trying to extract all of the calcifications but rather to gather a good sample in order for the lab to read the specimen. There will be a “Pop” sound and we will warn you when that is coming so it doesn’t startle you. That means that we have the specimen. We will then put it on the petri dish and take a few photos to make sure we have an adequate specimen. During that time, we will have you remain where you are in case we need to go back in to take out more.

If we are all set with a good specimen, then we will insert your internal jewelry (a piece of titanium) that will indicate where we removed the calcifications. This will help to identify the spot should a surgeon need to do a follow up. We will then get you cleaned up, put pressure on it with my hand, and dress it with a bandage.

We will help you up when you are ready to sit up and come down off of the table. We will go back in and take some more X-rays with the mammogram machine, not putting too much pressure. Then we will have you get dressed and you can go home.

You can take Tylenol for pain. Keep the bandages on for the next 3-4 days. Don’t fully submerge in water for the next week but feel free to shower. If you see any signs of infection contact us. You may also have a hematoma which is a collection of blood that forms a lump. Make sure to contact us if that happens as well.

When you hear from us these are the results you can expect

  1. The calcifications are cancerous
  2. The calcifications are NOT cancerous
  3. You have something called Atypical Lobular Hyperplasia

If the calcifications are not cancerous and you don’t have ALH we will continue on as normal with your check-ups. If they are cancerous, we will move forward with a surgeon consult. If there are signs of ALH you will also need to schedule an appointment with a Breast Surgeon so that they can remove a larger sample. Do you have any questions?”

Hopefully I was close enough on the description from Denise. Here is my account of what happened which is pretty much spot on to her description.

Mammogram X-rays like normal. I saw the X-rays. They double checked and asked me if it was the right boob that they would be doing the biopsy on. I said yes. The Anesthesiologist came in and asked me the same question and I signed the consent. We went to the room and there was a table with a hole in the center where my boob would fit. I climbed up, opened my gown, and placed my boob in the hole. She moved me around a bit and then lifted the table. I felt like a car getting my tires changed.

She took the X-rays again, marked the spot with the sharpie, and turned on the vacuum sounding thing, which is the tool that extracts the specimen. I was as comfortable as I could be. She kept on talking me through things in her soothing tone. She asked me if I was allergic to Iodine because she used that to clean the spot. Then she numbed the spot with a topical anesthetic. She then held my hand and rubbed my back while the doctor inserted the needle of pain. Not that big of a deal but it made my toes wiggle and I did squeeze her hand pretty hard. It was over quickly and I was numb.

They double checked their mark, took the suction tool and removed the specimen. They placed it in a petri dish and took some photos of it in a different room. Only minutes later, they determined that it was a good specimen and they could finish up. They inserted the internal jewelry, put pressure on my breast, had me roll over and she cleaned me up and placed a bandage over the incision.

I sat up, stepped down the few steps of the ladder and followed Denise to the Mammogram machine again. I forgot to mention that a 3rd person came in while this was happening and she was the one to take all the specimen and label it. She also provided a helping hand to Denise as she was bandaging me up. They said in 4 or so hours the numbing would be gone and I might feel some discomfort. I took a Tylenol just before that time was up. I took two more before bed and 1 more in the morning. I didn’t need to take any after that. Just the regular Tylenol you can buy from the store. Not a prescription.

She took the remaining X-rays and didn’t squeeze too hard. It was numb anyway so I didn’t feel much. Then I went to my closet and got dressed. Make sure to wear a two part outfit. Not a dress. You leave your pants and shoes on. Make sure to bring a comfortable bra that will hold the girls in place. They will give you an ice pack and some gauze. You can rotate the ice pack. 20 minutes on and 20 min in the freezer.

YOU ARE NOT ALLOWED TO DO ANYTHING FROM THIS POINT ON FOR THE NEXT DAY OR SO.

I am telling you this. Of course you can, they say don’t lift anything heavy but if you have gone to the trouble of reading this entire Blog post then follow this advice. Find someone who will take care of you. If you don’t have any family members ask a girlfriend for a favor that you will gladly repay when it is her turn for a Dr. Visit. You need to just sit and do nothing but read a good book, watch a fun program, sleep, or write some letters but get yourself in bed and let others wait on you. That is an order. At least for the next 24 hours. I say this because I love you and I want you to love yourself. <3

Well, then you just wait for the results, which I posted in my first blog here.

If I have left out any part or something important please comment below so I can make an edit to the post. I wasn’t thinking I would need to remember what happened because I was sure it would be nothing. Well…. I guess there is a different plan in store for me.

The Call… You have Atypical Lobular Hyperplasia

May 15, 2015

The Call… You have Atypical Lobular Hyperplasia

Today was the day the anesthesiologist gave me a call to discuss the test results of my breast biopsy on May 13, 2015. It’s funny how they always start with the good news and then do the… but…. I think I would like to know that there will be good and bad news rather than the good news first, feeling elated and then that but comes and the fall from elated is significant.
It was hard to concentrate on the Information after the… but, but I heard words and phrases like, “You will need to schedule an appointment with a surgeon.”  And “You have something called Atypical… blah blah blah.” Luckily, TJ was there and asked me to have him repeat what he said.

Tip #1… have someone with you to write things down.

Tip #2… Make sure they understand what they are hearing or you could end up with a Globular instead of a Lobular.  🙂
He cleared it up before the end of the phone call and was super helpful. He went right to the internet and Googled Atypical Lobular Hyperplasia. He started reading all of the information to me… but, I didn’t hear a thing.
I started to take note of how my stomach was feeling. I thanked him for sharing and let him know that I needed to eat something in order to calm my stomach. I really didn’t want to know all of the details yet. I wasn’t ready. I knew that I needed to go back in and have a surgeon cut up my boob. That is what I knew.  That was enough for that moment. I still have the bloody patch on my boob from the biopsy and they want to go back in. That is what I know so far.
I also knew that I am not the first person to go through this and that my extended network would have my back and would have lots of information. I posted on Facebook and have felt the love and advice pour in since this post. Thank you Facebook friends and family.

“Looks like I will be doing research on a topic, that a few months ago was not on my radar. Here is what has happened so far…
1.  Mamogram
2.  Second Mamogram
3.  Biopsy on Wednesday due to calcification found in the breast
4. Call from Dr. “You now need to go to the surgeon. You have ALH  ‪#‎AtypicalLobularHyperplasia”‬

So, I will be blogging about this for those of you that are interested in the journey. Always learning…. always teaching. Love to all of you.”

I will start from the beginning in my next post so that you have all of the information in case you find it helpful. This will be my account, and by no means the right path for everyone, but rather my path because I am me.
Much love and support to all of you.
Jewels