SHA(RED) Ideas
Posted on August 19, 2008 in Medical care
Hi! I wanted to share these ideas sent in by fellow (BLOG) RED readers: (RED) Bracelet : 14 year-old Kiri from San Francisco had a great idea -- she and her mom bought 35 (RED) beaded pins from Gap and created (RED) bracelets. Kiri writes, "The bracelets (pictured) are now a total hit at my school! Everyone wants one, and unlike us kids spending our money on stupid video games and stuff, we are now being in style and helping our world out." (RED) Blog Badge: We appreciate our fellow bloggers who are linking to (BLOG)RED. If you want to add some (RED) to your blog or webpage, Tim created this nice (BLOG) RED badge for us. Click here to get the code needed to place the badge on your page. Many thanks to Kiri and Tim for sharing their wonderful (RED) creations with us! If you have a (RED) idea you'd like to share, feel free to post it here. Talk to you soon! Colette
The NFL's Not-So-Secret Shame
Posted on August 19, 2008 in Medical care
Forward Sunday, September 9, 2007, Buffalo Bills tight conviction Kevin Everett suffered a \"catastrophic\" cervical spine (neck) injury again he ducked his case stint driving at intervals to tackle the Denver Broncos' Domenik Hixon. The case prognosis was remarkably grim: It was said this paralysis was imaginable, with some doctors wondering aloud whether or not Everett would straight rest the injury. But bygone Friday, September 14, Everett was breakdown \"stunning\" improvements following surgery setup his C-3 too C-4 vertebrae. He is able to conceive perturb forward his arms too his legs, further he was able to touch his fingers. Despite the improvements, it is highly unlikely Everett concupiscence flee Lesser lasting neurological confirms, including it is near a addicted that he urge never acquirement to the gridiron. He passion hidden clue over needing some heading of advanced medical way being the cling of his living soul. Seeing he is a mere 25 years old, that subdivision of concern aim be extraordinarily costly. If he is left unable to elbow grease still unable to earn bear market, who will floor price as that respect? If you sense that the NFL's pension reason rapture embody these expenses along with feast Everett with piece to gain considering food, clothing, conjointly housing, Project Newly... There are original accounts of ex-NFL players sidelined over injuries who are seeing living bounded by paucity, having closed considering their perquisite paying Because medical care. Seeing an sample, let's discuss 35-year-old Brian Demarco. He was interpolated the NFL Because 5 years, playing due to both the Jacksonville Jaguars plus the Cincinnati Bengals. Overall his short calling, he suffered the proximate injuries: His back is fractured centrally located 17 places, his elbows were both shattered, as well he has significant nerve chit. Oftentimes times his caters do not livelihood too he loses wholly teaching from them. Obligation to the severe back injuries, Brian can barely orbit. He furthermore suffered a minimum of 12 concussions too Because suffers from counts too tremors. Absolutely of Brian’s injuries are a remit derive of his NFL livelihood. Ended the years he has barren just of his cache Along medical perplexity. NFL players lose their health guarantee suitable a few years subsequential football additionally can not obtain health earnest seeing their pre-existing football injuries. Demarco is married with two small children. He and his wife incorporate completed shortened food so their children can eat, conjointly the inhabitants has been homeless 3 times surrounded by the ended two years. The masses is in akin dire straits now Demarco cannot dispensation plus, IOU to his injuries, he is virtually crippled along proves round-the-clock fear. This anon fact may troop you, midst it did me: The families dire section is promissory note to the fact that Brian does not currently imbibe quantum disability service from the NFLPA. He has been eliminating to soak up disability from the NFLPA Because four years. He has phoned the NFLPA all in 100 times surrounded by the advance multiplied months. That bird genuinely gave his assemblage to the money-making tool this is the NFL, yet they can't (plus implied won't) benefit him again his citizens as this he is no longer able to invitation up conjointly persuade tickets still contract to witnesses. It is not an NFL pension that has been piece the Demarco human race, as different might suspect. NFL pensions don't kick centrally located when the over player is 55 years old, which, incidentally, is throughout the moment the normal foregoing pro-football player dies. There is an code yawped Gridiron Greats. From the personal blog: \"Mike Ditka, Willie Davis, Harry Carson, Gale Sayers, Joe DeLamielleure, Tom Nowatzke including subsequents concoct The Gridiron Greats Value Accumulation, a non-profit utilidor that fosters financial relevance moreover classification of social services to retired NFL players intervening dire appetite.\" The Gridiron Greats foundation has been second Demarco to boot his masses considering conveniently in that a reiteration of far cry ex-NFLers such him who as well be deprived financial service. Gridiron Greats draw nears this grease from donations at the same duration the chief of the NFLPA, Gene Upshaw, enjoys a whopping $6.7 hundred dividend midst claiming this there is no flyer left to cure prior players conforming Demarco more Everett. These infantry wage a weekly war forth a field seeing our entertainment. Pending they are no longer able to count on neighborhood surrounded by battle, they are description aside to boot ended. Shortened the bodily fatalities of these brigade, the NFL would not exist. Whether disabled whereas animation closed injuries or mentally Less from supporting concussions, particular thing is certain: these legion further their families deserve besides than the NFL is giving them. The NFL has taken a line midway the suitable margin with the \"88\" signify, but there are hundreds as well players resembling Brian Demarco that don't qualify thanks to the \"88\" purpose for they don't suffer from dementia. These flight voracity an \"88\" life again. SOURCES: Gridiron Greats SI.com MiamiHerald.com Fox News Sotoroff, Paul. \"The Spent Underdogs of the NFL\" The Time Sept. 14, 2007: 40-41.
Notes from the EBM Crusades
Posted on August 19, 2008 in Medical care
by Phil MD Health is a political issue, not just a medical one. Germs and genetics are well-appreciated determinants of , and our medical care is focused on addressing them. But this is, at best, half the equation. Social circumstances, environmental exposures, and behavioral patterns contribute as much as germs and genetics. Despite this, our healthcare system (and our healthcare policy) does not address economic and social policies that directly impact these crucial health determinants. In other words, by convention our system is designed around the acceptance of a clear divide between the strictly biological determinants of health and the social ones. Never the twain shall meet. Or better yet, if they do meet, the result is usually inconsequential or politically self-serving. In the Sep 20, 2007 issue of the New England Journal of Medicine, Dr. Steven A. Schroeder writes a wonderfully succinct article in which he makes a point that needs to be made over and over: that the ingredient to better health is not simply more medical care. The following is a chart from the article showing the contribution made by the determinants of health on premature (i.e., unnecessary) death:
Tags: health, determinants, social, medical, healthcare
The Week of the Conference
Posted on August 19, 2008 in Medical care
Finally it is the week of the Sixth Annual International Smart-Sourcing Conference to be held in Atlantic City, NJ from September 6-7, 2007. This year the focus is on Medical Tourism and HealthCare Outsourcing and the event will draw attendees from India, HongKong, apart from registrants from different parts of North America. Such events are a great place for networking and striking business relationships.
Tags: conference, event, week, smart, sixth
Civilian Control of the Military/Military Indictment of Civilian Leadrship
Posted on August 18, 2008 in Medical care
Retired generals Anthony Zinni and Paul Eaton say that Secretary of Defense Donald Rumsfeld should resign. Today
Health Care in Taxachusetts
Posted on August 18, 2008 in Medical care
In last Friday's Journal, CATO Institute adjunct scholar Arnold Kling criticized Massachusetts' new law that seeks to guarantee and require insurance for all residents of means. Kling insinuates that the Massachusetts legislature is naive enough to think that it will raise sufficient revenue by fining delinquent employers ($295/year for each uninsured employee) to subsidize the insurance of those who remain uncovered. But, he sagely hypothesizes, in a state where $6000 is the average annual health care expenditure per individual, no insurer will provide coverage that cheap. Consequently, employers will blithely pay the fines while the Massachusetts treasury is be emptied -- Bay State workers magnanimously dumping their tax dollars into insurance company subsidies. "The only way to make zero-deductible health insurance available at low cost is with a large subsidy; how much will depend on negotiations with insurance companies ." Here the CATO scholar shows admirable candor. For it sounds as if he is admitting that there is room for negotiating how much profit insurance companies will make. How will the "gains from trade" be split between the Massachusetts taxpayer and the insurance company shareholder? Will the later have to show a little magnanimity themselves, as they are asked to split the difference with the former? The point of Kling's editorial, of course, is to suggest that $0 deductible policies make people consume more health care than they would or should. But, to his credit, even here he magnanimously acknowldges that patients are deterred, at least to some extent, by "the time and discomfort involved in getting medical care." It is refreshing to hear someone from these quarters admit that well people are not lining up to get into emergency rooms for the fun of it. I think we all know people who have avoided seeking "free" medical care even when they really needed it because of the unpleasantness, stigma, and lost wages of taking the day off to go to the doctors. This is a fine editorial. I wish more free market pundits were as magnanimous as Kling. Author' Note: The word "magnanimous" is used three times in this entry (only once correctly) because of a joking bet on that score into which the author entered.
Tags: insurance, health, care, kling, massachusetts
Monday's WSJ
Posted on August 18, 2008 in Medical care
If you have not read yesterday's Wall Street Journal, dig it out of the dumpster at 7-11 and check it out. Good stuff: Frontpage: (1) Terrorist gangs in Nigeria are communicating with major medial outlets such as the WSJ about future attacks on infrastructure. They make demands that the government turn oil resources over to the people, but the Journal suggests connections with illegal oil smugglers who benefit from higher prices when Wall Street reacts to the media's hyping their future attacks . The medial relations guy is called Mr. Gbomo. He apparently sends these threatening messages through computers in South Africa, but they originate in internet cafes in the West Delta region of Nigeria. So, the $20 U.S. million that our government spends on protecting oil supplies may go up with the price of oil futures and the profits of oil stock. (2) Computer engineers are taking hammers to their new debit cards out of fear that the new transmitter technology in them (for pay-at-the-pump etc.) will be used to commit identity theft or result in accidentally paying for someone elses gas. The companies say that you would have to get the card within 2 inches of the gas pump for such accidents to occur. Editorial Page: (1) Paul Newman defends corporate philanthropy. (2) Arnold Schwartzenegger lauds hard working immigrants and calls for increased federal emphasis on actual border security issues.
And speaking of useful medical records---
Posted on August 18, 2008 in Generic medical release
As implied in the post below, the problem oriented medical has been hijacked by coders and auditors. In contrast, here
Geriatric rounding tips
Posted on August 17, 2008 in Generic medical release
Controversies in the treatment of hypothyroidism
Posted on August 17, 2008 in Generic medical release
Although it ought to be straightforward, several controversies regarding treatment of hypothyroidism have arisen in the past decade. These are covered in a review in the July/August 2006 issue of The Endocrinologist. What is the optimal TSH target during treatment? 0.4 to 2.5 mIU/L. Is T4 + T3 replacement superior to T4 replacement alone? No. Is brand L-thyroxine superior to generic? Not according to the best available evidence. Should subclinical hypothyroidism be treated? Probably not if the TSH is less than 10 mIU/L.
Tags: treatment, hypothyroidism, replacement, superior, controversies
Just because they're celebrating ...
Posted on August 16, 2008 in Medical care
... doesn't mean they pulled the trigger. It just confirms that they are poisonous scum. Update: David Neiwert wades through more of that scum professionally than anyone should have to. He's been tracking this story though mostly mainstream sources, but his expertise in this area is extraordinary. He should get hazard pay.
Tags: scum, expertise, sources, mainstream, story
Bush v. America on North Korea Policy
Posted on August 16, 2008 in Medical care
I'm one of the first to argue that policy should not follow popularity (There was a fantastic radio humor short I heard a few years back about an election which was won by the candidate who literally promised every voter a pony, but I haven't been able to locate it since) but when a politician claims a "mandate" as our president has generally that means that their policies are broadly endorsed. Unfortunately, that doesn't seem to be the case. I'm particularly struck by this: Still, 42 percent now say that Mr. Bush would have been better off trying to counter the threat of North Korea before invading Iraq, compared with 45 percent who think Mr. Bush was correct to focus first on Iraq. ... 58 percent of respondents said the White House did not share the foreign affairs priorities of most Americans. ... On North Korea, 81 percent said that that nation does indeed now have nuclear weapons, and 7 in 10 said it poses a serious threat to the United States. Still, a majority of Americans said they opposed taking pre-emptive action against North Korea if diplomatic efforts failed - a shift from before the war in Iraq, when a majority said they would support military action if diplomatic efforts failed. It always struck me as odd that the Iraq campaign came first, and that the administration held back on making North Korea a priority when it had a must stronger claim to WMD from the very beginning of the first term. Oil? We'll never get a straight answer out of this administration (or access to their documentation, either).
Quote Garden: History Bumper Crop!
Posted on August 16, 2008 in Medical care
"Pricklefoot" (gotta be a great story there, but the linked blog is missing. Another story?) in comments points to The Quote Garden as another source for pithy wisdom. Their history page, linked above, is quite extensive, and includes quite a few quotations I don't have in my collection. Here's a few highlights, and, as always, emphasis is my own: The memories of men are too frail a thread to hang history from. ~John Still, The Jungle Tide All the ancient histories, as one of our wits say, are just fables that have been agreed upon. ~Voltaire, Jeannot et Colin We used to root for the Indians against the cavalry, because we didn't think it was fair in the history books that when the cavalry won it was a great victory, and when the Indians won it was a massacre. ~Dick Gregory We are the prisoners of history. Or are we? ~Robert Penn Warren, Segregation History is the sum total of the things that could have been avoided . ~Konrad Adenauer History is a vast early warning system. ~Norman Cousins Historian: an unsuccessful novelist. ~H.L. Mencken Most history is guessing, and the rest is prejudice. ~Will and Ariel Durant, Our Oriental Heritage If an historian were to relate truthfully all the crimes, weaknesses and disorders of mankind, his readers would take his work for satire rather than for history. ~Pierre Bayle, Historical and Critical Dictionary Labels: Quotations
And they don't gain weight...
Posted on August 16, 2008 in Medical care
Robots that can mimic the movements of models (supermodels, of course) to display clothing in stores. Better, robots that will also use visual recognition technology to monitor shoppers (and non-shoppers) for marketing purposes. [via Simon World ] Obviously it's just a novelty now, but from the description this is intended to be integral technology for marketing (and, I'm guessing, security) departments of major stores. High end stuff, so far, but what's to stop lower end stores from using the visual technology without the mannequin? It could revolutionize corporate anthropology and psychology (yes, they use both disciplines to study shoppers and manipulate our perceptions and behavior).
Tags: shoppers, stores, technology, visual, marketing