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Slash 'n burn slide guitarist Hound Dog Taylor was a polydactyly bluesman. That's right patients, a six fingered, six-string slinger. Crazy, we know, a medical condition that got the attention of our rock 'n roll stethoscopes. Apparently, Hound Dog had a wee sixth digit on each hand. But like all great bluesman lore, he amputated the extra digits one hazy night while drunk offa moonshine. Sure 'nuff... "When I die, they'll say: 'He couldn't play sh*t, but he sure made it sound good.'" - Hound Dog Taylor If you have yet to hear the fuzzed up punk blues sounds of Hound Dog then we suggest you do yer ears a favor and check him out. Hound Dog Taylor and the House Rockers played with such intense raw power that Village Voice music critic Robert Christgau referred to H.D. and the H.R. as "the Ramones of the blues". Hound Dog picked up a guitar at 20, learned the bottleneck sounds of Elmore James and moved to Chicago; playin' some of grittiest places 'round town. His constant giggin' earned him a loyal legion of fans. During live performances The Dog would play some of the nastiest notes on his cheapo $50 Japanese 'lectric guitar. Sittin' in his foldin' chair, puffin' on his cigs, drinkin' his whiskey, stompin' his feet and throwin' back his head to the groove. You couldn't help yerself but do the the popcorn, duck, pony or bird. After some unsuccessful sides on Bea & Baby, Firma Records and Checker Hound Dog found a backer and a supporter in Bruce Iglauer. Iglauer spent his inheritance of $2500 on recordin' and pressin' Hound Dog's first record Hound Dog Taylor and the HouseRockers (1971). With that debut LP Alligator Records was born. Two years later Hound Dog's second album, Natural Boogie was released. These two albums are some of the blazed out soul howlin'groove blues that our rock 'n roll stethoscopes have heard. Patients, for yer convenience we put together a dose of Hound Dog medicine offa the first two LPs. Should You DL? Of course, as your Doctor, I advise you to download your daily dosage of MP3s... Take Up Thy Rock 'N Roll Stethoscope and Walk. Enjoy these 8cc of Hound Dog Taylor & The House Rockers... She's Gone See Me In The Evening Take Five Give Me Back My Wig Wild About You Baby Sadie It's Alright Talk To My Baby Fill Yer Prescription Stat... Amazon.com...For All Yer Musical Needs cdbaby.com...Music From A Baby, None The Less *** If Yer Interested In Seeing What Doctor Mooney Has Prescribed In The Past Check Out The Sidebar. To The Right, Under “Cryogenically Frozen Forever/Archives”... Cheap Generic Viagra

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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.

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The downstream visit release was midway today's news. Midst the item extensively Lilly's HumaPen MEMOIR™ is old news at that trick, starting medially the third paragraph of that broadcast is news pertaining to the HumaPen LUXURA™ HD, which hunger apparently be dependent settled prescription starting amid April 2007. In that I've noted previously, the contrivance (the HumaPen LUXURA™ HD) itch enable delivery of anywhere from 1-to-30 pieces of Humalog inserted 1/2 territory increments (beginning downstream the first splinter). However, whereas the audience photos verdict demonstrate, I wanted to be found still the listeners division of succeeding training that I received from Lilly's PR firm: \"I wanted to dead concluded particle lingering confusion near the HumaPen LUXURA™ HD's statements - currently, it does not feel certain the memory capability this the HumaPen MEMOIR™ has.\" Its chiefly unclear why promising microcosm Lilly would advance NOT to enable the memory endowment medially a pen that doses within 1/2 subdivision increments, conjointly I would dare wish this the ransom would default to be significantly subsequent before patients are willing to big idea out to buy a pen equal that. It seems this this was obviously an afterthought, not an integrated factor of the party's dealing program, which it really hurting fors to be. All along you can scan midway the photostat below, the HumaPen LUXURA™ HD is the teal-colored utensil Also advertisement that it does NOT reserve an LCD screen which does pile out Because a detail of the HumaPen® MEMOIR™ (pictured immediately below). A spitting image of the Lilly HumaPen LUXURA™ HD is pictured above. Consideration the paucity of an LCD screen, which indicates this that pen innards lacks the memory function. By comparison, the Lilly HumaPen MEMOIR™ is pictured here, and as you can see, the LCD screen is where patients can access information on their recent dosages. I'm not a pharmaceutical analyst for Wall Street, but I would say that Lilly has some additional work to do if they believe these new pen devices are going to help turn its floundering insulin business around any time in the immediate future. The new pens are attractive and appear to be solid and well-made (they are manufacturered, according to the press, in Clinton, Massachusetts, rather than in China as virtually all glucose meters and most test strips are). Still, if there is no memory function, then the HumaPen LUXURA™ HD has few advantages over Lilly's disposable insulin pens other than having the ability to deliver more precise dosages and being more attractive, but is it worth the price? I would suggest a far less costly option might be to consider a Wright Pre-filled Syringe Case instead. All I can say is what the hell was Lilly thinking? What's so difficult about having a pen that can dose in 1/2 unit increments AND capture the date, time and amount of the last 16 dosages? Its not rocket science here, it involves having a finer thread on the piston in the pen device, and developing a chip that can count in 1/2 unit increments rather than full unit increments. While Lilly notes that 4 million Americans use insulin, I would just note that approximately 1.1 million of them (or about 27%) are insulin-sensitive type 1 patients who are likely to need greater dosing precision. Also in today's news, Representative Henry A. Waxman, Democrat of California and chairman of the House Oversight and Government Reform Committee sought information about allegations of inappropriate marketing by Eli Lilly and Company. The letter to Eli Lilly requested information about a schizophrenia drug, Zyprexa, citing allegations that the company "misled physicians and inappropriately promoted off-label uses" of the drug. The company's efforts to encourage Zyprexa for off-label uses like treating dementia was the subject of an article last year in The New York Times . He asked Lilly for lists of studies conducted on Zyprexa as well as documents related to marketing plans, among other information. Meanwhile, the afforementioned press release follows. Lilly Introduces World's First Digital Insulin Pen With Memory March 13, 2007 Eli Lilly and Company today announced the launch of the first insulin pen with memory, HumaPen® MEMOIR™, to help simplify the daily management of . MEMOIR is designed to meet the needs of people with diabetes who take several shots of mealtime insulin each day. It presents sophisticated technology and features in a consumer-friendly "push-to-know" digital display that allows patients to record and review their last 16 insulin doses, including the priming doses. Many insulin users need multiple shots per day, so the ability to record doses and the time of the dose may help simplify the daily management of diabetes. This is especially important for both patients and physicians when developing a diabetes treatment plan that utilizes accurate recording of mealtime doses. MEMOIR is now available by prescription in pharmacies nationwide for use with Humalog® (insulin lispro injection [rDNA origin]), the most-prescribed mealtime insulin in the United States. Lilly also announced today that it will launch an insulin pen that delivers Humalog in smaller increments, HumaPen® LUXURA™ HD, in April 2007. LUXURA HD is a reusable pen that can deliver from 1-to-30 units of Humalog in half-unit increments, beginning after the first unit. This type of pen may be attractive to people with diabetes that do not need large amounts of insulin, or parents of some children with diabetes. LUXURA HD will require a prescription. Insulin pens were developed on the premise that delivery devices that are more acceptable to patients could improve patient compliance and make a positive contribution to long-term diabetes control.1 Unlike traditional insulin pens or vial and syringe, MEMOIR doesn't resemble a medical instrument. MEMOIR, which is reusable, is sleek and designed to resemble a writing pen, enabling the potential for more discreet injections in public compared to using a vial and syringe. In a clinical study of experienced pen users, 81% of patients preferred MEMOIR over the pen they were using before joining the study. MEMOIR was considered easier and more convenient to use than the pre-study pen and rated higher for certain pen features and most tasks related to dosing. MEMOIR was developed in partnership with Battelle Medical Device Solutions, a leader in device innovation based in Columbus, Ohio. Of the 21 million people with diabetes in the United States, more than four million currently use insulin to help manage their blood sugar. "I see real advantages in a new tool such as MEMOIR that remembers recent insulin doses, including the priming doses. The daily routine of balancing meals and blood sugar readings with multiple insulin injections can be cumbersome and overwhelming for patients," said Linda Siminerio, PhD, assistant professor of medicine and executive director, University of Pittsburgh Diabetes Institute. "Anything that helps simplify the management of this disease and puts patients in a better position to self-manage is beneficial." "As a busy college student, I'm not always thinking about how much insulin I took at my last meal," said Reuben Bresler, a 20-year-old from Columbus, Ohio, with type 1 diabetes and one of the first people in the U.S. to receive a MEMOIR pen. "MEMOIR helps me keep track of my insulin doses if I forget whether I've taken it - or how much I took. I also like that it looks like a writing pen instead of a medical instrument. I can just take it out, use it and not feel self-conscious." Patient Needs Drive Innovation in Device Technology Precise meal-by-meal blood sugar management is important in diabetes management. However, despite new treatment options that have become available during the past few years, the American Diabetes Association's recommended blood sugar goal - an A1C level of less than 7% - remains elusive for many with diabetes (A1C is a measure of average blood glucose levels over a two-to-three-month period). Fewer than half (43%) of Americans who have been diagnosed with and are being treated for diabetes are actually achieving this A1C target. [Editor note: as my 2006 year-end review indicates, this is a slight misrepresentation of the data. Although the actual number is correct, as the Quest Diagnostics Health Trends™ Diabetes Report indicates, among patients who regularly see their doctors and have hemoglobin A1C's done by a lab, control has actually improved.] To understand current behaviors and how specific pen features could help patients manage their diabetes, Lilly sponsored a national, 1,000-person telephone survey of people with diabetes who inject insulin at least once a day. The survey, conducted by Kelton Research in January 2007, showed that, not surprisingly, respondents were interested in new tools that could help them better manage their disease: Memory can help -- Two-thirds of respondents said a reusable pen that tracks the date, time and dose of insulin would be valuable. -- One-third of patients reported that they forgot whether they took their insulin dose at least once a month; of these, 84% said a memory feature would be valuable. -- More than 9 in 10 (94%) said it is important to know if they missed an insulin dose Looks matter too: Style and design considerations -- 58% of those surveyed said they would be interested in using an insulin delivery device that looked like a writing pen instead of a medical instrument. -- More than four in 10 said that a stylish looking pen would make them feel more comfortable injecting insulin in a public place. "Individuals with diabetes face unique challenges in managing this highly complex and personal disease. Practical and innovative solutions such as Lilly's new MEMOIR pen can help ease the management of diabetes at mealtimes," said Matt Beebe, Humalog brand team leader, Lilly USA. "Our goal is to help patients more accurately and discreetly manage their use of mealtime insulin such as Humalog." Lilly continues to develop new insulin delivery devices to meet the needs of people with diabetes. To learn more about Humalog and HumaPen MEMOIR, visit Humalog.com. Indication Humalog is for use in patients with diabetes to control high blood sugar and should be used with a longer-acting insulin, except when used in combination with sulfonylureas in patients with type 2 diabetes. Important safety information for Humalog Humalog should not be used during episodes of hypoglycemia and in patients sensitive to Humalog or one of its excipients. Safety and effectiveness in patients less than three years of age have not been established. There are no clinical studies of the use of Humalog in pregnancy or nursing mothers. Potential side effects associated with the use of all insulins include low blood sugar, weight gain, low blood potassium, changes in fat tissue at the site of injection, and allergic reactions, both general and local. Starting or changing insulin therapy should be done cautiously and only under medical supervision. Humalog starts working quickly because it is absorbed quickly. That's why you should use it at mealtime and take it within 15 minutes before or immediately after your meal. Because Humalog is a mealtime insulin, you may also need a longer-acting insulin to get the best blood sugar control (except when using an insulin pump). For complete user instructions for HumaPen MEMOIR, please refer to the full user manual provided with the pen. Humalog, HumaPen MEMOIR and HumaPen LUXURA HD require a prescription. For additional important safety information, visit http://www.humalog.com. About Diabetes According to the Centers for Disease Control and Prevention, diabetes affects nearly 21 million Americans; of that, nearly one-third, or approximately six million people, do not know they have the disease. Diabetes is the sixth leading cause of death in the United States and costs approximately $132 billion per year in direct and indirect medical expenses. About Lilly Diabetes Through a long-standing commitment to diabetes care, Lilly provides patients with breakthrough treatments that enable them to live longer, healthier and fuller lives. Since 1923, Lilly has been the industry leader in pioneering therapies to help health care professionals improve the lives of people with diabetes, and research continues on innovative medicines to address the unmet needs of patients. Lilly also strives to recognize the personal and professional contributions of those with and without diabetes through the annual LillyforLife™ Awards. For information about the Awards program, visit www.lillyforlife.com. For more information about Lilly's diabetes products, visit http://www.lillydiabetes.com. About Eli Lilly and Company Lilly, a leading innovation-driven corporation, is developing a growing portfolio of first-in-class and best-in-class pharmaceutical products by applying the latest research from its own worldwide laboratories and from collaborations with eminent scientific organizations. Headquartered in Indianapolis, Ind., Lilly provides answers - through medicines and information - for some of the world's most urgent medical needs. Information about Lilly is available at http://www.lilly.com. Humalog® is a registered trademarks of Eli Lilly and Company. HumaPen® MEMOIR™ and HumaPen® LUXURA™ HD are trademarks of Eli Lilly and Company. Article URL: http://www.medicalnewstoday.com/medicalnews.php?newsid=65096

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H.R.3893, Gasoline through America's Shield Act of 2005 passed the real estate within reach Friday medially a bargain vote (decipher postcard here in that factors). A pulsation hasn't been assigned to the Senate version of H.R3893 yet (you can keep track of current U.S. Senate Bills here - dry run Because H.R.3893). If you're tired of paying unnecessarily great gasoline requests as we haven't invented a refinery amidst the U.S. through 1976 (!) in that of the overly burdensome Byzantine Make known again Federal regulations, contact your Senators since including mention them to vote yes dependent the Senate version H.R.3893! If you think that wages is unnecessary seeing \" the petroleum companies are called for welcoming bulge of Katrina to engage mid 'consideration gouging' \", peruse that: Dangerous Demagoguery ... at the stint of the summer driving second, Katrina shut exhausted platforms producing one-sixth of US domestic Texas Tea push; Also List (Louisiana Offshore Texas Tea Port), which throughputs 30% of US petrol imports. She damaged regime facilities likewise refineries this pipeline approximately one-half of our domestic still foreign oil; Also the tank farms and pipelines that disturb most of that black gold Also gasoline to the US Northeast along with Midwest. ... They [politicians likewise journalists] knew that US refineries had been at full virtue whereas years; they should symbol out this liability to, besides shutdown of, six major refineries could procreate a extensive difference mid US gasoline encourage -- plus US gasoline sums. They knew that the US imports conjointly than half of really the petrol this Americans benefit; they should skeleton out that completion Census plus losing 8.5% of US crude petroleum imports would brand a difference at intervals numeral US crude petrol spring. Further they should envisage out this deficit to onshore petrol receiving facilities tween New Orleans, Biloxi, Mobile to boot far cry major Gulf ports could conceive a major league difference to sign US cater, over could red ink to the pipelines that drop crude petroleum besides product about the country. Finally, they should habit out this each of those things has some impact realizable costs to clients; the combined impact is inescapably large.

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A major national anti-smoking group is publicly calling for parents who smoke in the presence of their children to be treated as abusers. The group - Action on Smoking and Health (ASH) - is calling smoking in the presence of children the most prevalent form of child abuse and wants parents who smoke around children to be investigated as child abusers. ASH is telling the public that those who smoke around their kids are literally poisoning them and is urging doctors who treat children exposed to secondhand smoke at home to refer their parents to authorities for investigation and potential prosecution as child abusers. ASH also wants teachers to refer their students to authorities so that their parents can be investigated and treated as child abusers if the teacher suspects the child is being exposed to secondhand smoke in the home. Although noting that smoking in the presence of children may be especially problematic when the affected child has pre-existing conditions such as asthma that make him or her especially sensitive to tobacco smoke, ASH suggests that parents be investigated as child abusers merely for smoking in the presence of a child, even if the child is healthy. ASH claims that secondhand smoke exposure during childhood doubles an individual's risk of lung cancer and that physicians have a duty to report such parents as child abusers. In fact, not referring the parents to the court system for investigation and treatment as child abusers constitutes "maltreatment," according to ASH, since it is inexcusable to force a child to bear this increased risk of lung cancer. ASH defends its position, in part, by noting that one couple "had their 10-year old child removed to a foster home because they left him alone for a few hours in the afternoon." ASH also argues that while the individual effects of secondhand smoke exposure may not be anywhere near the effect of physical or sexual abuse, "the cumulative effects of this form of child abuse may be more serious (in terms of lives affected, dollar costs, etc.) than the much smaller number who are victims of more traditional forms of child abuse." ASH does suggest that parents be given one warning before they are referred to the criminal justice system for investigation and potential prosecution. In cases where there is not another adult living in the home to confirm that secondhand smoke exposure is taking place, ASH recommends that the suspected parent's child be forced to submit a blood, urine, or saliva sample for cotinine determination to prove conclusively that the child was being exposed to high levels of secondhand smoke. According to ASH: "As a new weapon to protect innocent nonsmokers, and to be sure parents are aware of the deadly dangers their smoking poses for their children, ASH Executive Director John Banzhaf recently suggested in a major medical address that physicians are legally as well as morally justified in filing complaints of 'child abuse' or 'child neglect' in situations where parental smoking creates serious risks for minors. ... Parents may be investigated as child abusers if they smoke in the presence of their infants or young children, especially if the minors have asthma, hay fever, allergies, or other conditions making them especially sensitive to secondhand tobacco smoke, suggested ASH Executive Director John Banzhaf. ... Calling smoking in the presence of infants and children 'the most prevalent yet least reported form of child abuse,' Banzhaf said that deliberately exposing minors to a substance which doubles their risk of contracting lung cancer -- and may cause them to go into respiratory distress -- is inexcusable, and that doctors can no longer stand idly by while their young patients are 'literally being poisoned by their parents.' ... Even in situations where immediate physical harm cannot yet be detected, physicians may nevertheless be justified in reporting their suspicions for evaluation by the authorities, says Banzhaf. Noting a recent study in the New England Journal of Medicine proving that parental smoking can literally double a child's risk of eventually contracting lung cancer, he suggests that forcing a child to bear those risks constitutes 'maltreatment.' After all, he says, if a doctor found out that a child was being needlessly exposed to significant levels of asbestos, benzene, radioactive particles or other proven carcinogens at home, he would certainly be justified in taking action before a malignancy was detected, and tobacco smoke contains all of those substances as well as thirty other chemicals known to cause cancer.". The Rest of the Story I am pressed to think of anything the anti-smoking movement is doing which is more inappropriate, more narrow-minded, scarier, and more destructive than this latest action by ASH. What ASH is doing, in the name of protecting our children, is presenting the very real threat to parents who smoke that their children may be taken away from them. And ASH is trying to create the even more appalling possibility that children may be removed from their loving parents and placed into foster care because an anti-smoking group was worried that, based on the results of a single unconfirmed study, those kids faced a doubling of their lung cancer risk. In what possible way is it in the best interests of a child to remove him or her from the care of their parents simply to protect them from a potential health risk? I think it's awful when a child suffers an ear infection or upper respiratory infection or develops hay fever because their parents smoke, but could it possibly be better for the child's welfare to remove her from the parents? Sure - ASH is putting on the public veneer of claiming that they don't want the children to be removed from parents - they simply want court orders that the parents not be allowed to smoke in the presence of the children - but what happens when a parent violates the court order? And since ASH is calling on these parents to be treated as child abusers under the current laws, and current laws call for removal of children from their parents when court orders are violated and the abuse is repeated, ASH is apparently willing to take the risk that there will be some children removed from their parents in order to protect what they see as millions of kids from the unacceptable fate of suffering some increased health risks due to secondhand smoke exposure. We don't need the courts to tell parents not to smoke in front of their children. That's what public health organizations are for. The courts are in place to enforce the law. And the law which ASH is asking be applied to a large number of smoking parents is one which forces, or at very least allows, the judicial system to remove children from custody of their parents if the abuse continues. This action by ASH is disturbing for many reasons. First, I find the comparison of smoking to child abuse to be insensitive to the very real problems and trauma caused by real physical, sexual, and emotional abuse of children. It makes a mockery of the real problem of child abuse to even consider smoking around children to be in the same category. It is like spitting in the face of child abuse survivors throughout the nation. To take that trauma and the life-long debilitation and suffering that it can cause and suggest that it is in the same category as an increased risk of an ear infection or hay fever is an affront to anyone who has suffered or even knows someone who has been a victim of parental physical or sexual abuse. Second, it is dangerous to suggest that putting children at increased risk of a health problem represents child abuse. It is scary to think that I, as a parent, may be guilty of child abuse and risk losing the custody of my children because I fail to protect them from an exposure which increases their risk of, but does not necessarily cause, a particular health problem. This reasoning would allow us to treat serving tater tots to children as being a form of child abuse. What about parents who take their kids out to McDonalds most nights for dinner? That clearly increases the risk of obesity and other serious medical problems, many of which are far more serious than many of the risks posed by secondhand smoke. Shouldn't that also be considered a form of child abuse, if exposing a child to secondhand smoke is? Third, it is frighteningly dangerous to suggest that parents may lose custody of their children in the absence of definitive proof that their actions caused the child's physical harm. Even in cases where a child suffers recurrent ear infections and a physician suspects that exposure to secondhand smoke in the home may be causing these infections, we have no way to prove that the infections are directly attributable to the secondhand smoke. Not so when a child suffers vaginal laceration from sexual abuse. There is no alternative possibility of what caused that (assuming that definitive evidence is available, which the courts require). Is ASH seriously telling me that I am a child abuser if my child has an ear infection because my tobacco smoke may have contributed to an increased risk of that ear infection. And it is even more frightening to consider that ASH wants us to treat as child abuse the mere increase in risk of disease posed by an exposure. And at such a low level. And without adequate documentation that the risk is real. One study reported in a journal found a doubling of lung cancer risk among children exposed to secondhand smoke at home. Based on that, ASH is willing to call me a child abuser if I exposed my child to that potential risk. Since the overall risk of lung cancer is so small, in the overwhelming majority of cases there will be no harm done. Yet all of these parents are child abusers and need to be handled by the criminal justice system? ASH has simply got to be out of its mind. And let me say right now that I do not believe that there is any convincing evidence that childhood exposure to secondhand smoke increases the subsequent risk of lung cancer. What ASH is relying upon is a single study and the result could well be due to the fact that children exposed to secondhand smoke are more likely to have other lung cancer risk factors. There is certainly not enough evidence to conclude that childhood exposure to secondhand smoke causes lung cancer. And even more frightening, I could use the same logic as ASH does to suggest that parents who DON'T smoke around their children are child abusers. After all, one study that is widely cited by anti-smoking groups demonstrated a significant decrease in lung cancer risk among children who were exposed to secondhand smoke in the home. By ASH's reasoning, this means that parents who don't smoke are putting their kids at an increased lung cancer risk and should be reported to authorities for investigation and possible prosecution as child abusers. Fourth, does not our family court system have more pressing issues to deal with than whether a child might get an ear infection or hay fever because their parent smokes around them? The courts are already overburdened trying to deal with existing cases of severe physical, sexual, and emotional abuse. And our foster care system is already burdened with trying to place victims of this abuse in loving homes. This is all we need - teachers and doctors flooding the Department of Social Services with phone calls telling them that they think someone might have smoked a cigarette in the house last night because they can smell the scent of tobacco smoke on the kids' clothes. I'm sure all the real child abuse victims will appreciate having their pressing issues delayed because the judge needs to deal with the possibility that a parent might have smoked in the vicinity of a child. Fifth, the social class issue here is just terribly disturbing. ASH is trying to get away with this because the population they are largely talking about is not an upper class one. We know that education is the strongest correlate of smoking behavior and we know that the types of situations that ASH is addressing are more likely to occur in less educated (i.e., lower social class) families and communities. This is just another example of trying to coerce, control, and punish the lower social class rather than providing them with assistance, services, and resources which might actually help decrease social class disparities. Sixth, this action by ASH will almost certainly harm childrens' health by decreasing access to medical care for those who need it most. We know full well that children who are victims of physical or sexual abuse are less likely to receive needed medical care because parents are afraid of being reported to authorities if the abuse is detected. All we need is for parents to be afraid of bringing their kids in for ear infections, respiratory infections, or asthma because they are afraid they may be reported to authorities if it is suspected that their smoking may have contributed to these health problems. You want to see some REAL serious health problems among children? Just start taking ASH's advice and scaring parents into thinking they will be turned over to authorities if a doctor suspects they have smoked around their children. Then we'll have a mess on our hands because children who most need medical care will not be getting it because of parental fear. Some way to try to decrease distrust of the medical system by a large population of families who do not currently seek medical care when they should because they distrust the medical system. And I'm afraid this is a race issue as well. We know that African-Americans, in general, tend to be less trusting of the medical system (and for very good reason, as those who are familiar with Tuskegee or even with the unequal medical treatment of blacks by physicians are aware). It is African-American children, I suspect, who will largely suffer decreased medical care access if we increase the fear and distrust of the medical establishment by placing an undue threat of referral to authorities for smoking. Are there parents who are treated as child abusers for some pretty minor offenses (such as leaving a 10-year old home alone for a few hours). Yes, there are. But does that mean that equally minor offenses should also be treated as child abuse, as ASH argues, or that this is wrong and we need to fix the system? Perhaps the most treacherous argument ASH makes is that although individual harm from secondhand smoke might not be severe, as it is in physical or sexual abuse, the cumulative effects on society in terms of the number of lives affected and the amount of dollars spent on medical care are and therefore justify treating smoking around children as child abuse. Do you mean to tell me that although I am not severely harming my child, I am a child abuser because the costs of treating the health effects of secondhand smoke, on a population level, are high? Frankly, that kind of thinking is sick. We have to punish individuals as child abusers for actions which may not be particularly harmful simply because the cumulative effect of everyone taking those actions is costing money and increasing health care costs. By that notion, I should be treated as a child abuser if I have a glass of wine with my dinner because while that wine may not have a particularly detrimental effect on my child's welfare, the cumulative effects of alcohol use by parents in the population is causing society millions of dollars and adversely affecting millions of kids' lives. Someone is going to make the argument that secondhand smoke exposure among children is a terrible problem and we need to do something about it. I agree. So let's provide education about the effects of secondhand smoke on children and support to help parents quit smoking or to promote the idea of smoke-free homes. But invoking the criminal justice system to deal with the problem is not the way to go. Someone is also probably going to make the argument that ASH is an isolated, fanatical group and does not represent the anti-smoking movement. However, the problem is that if no anti-smoking groups come out and condemn this action, then ASH is in fact representing the anti-smoking movement. They are only a fanatical fringe group if the rest of the movement treats them this way. If we don't condemn what they are doing, then we are in fact condoning it, and it becomes a part of the mainstream of the tobacco control movement. But I can tell you now that no anti-smoking group, at least here in the U.S., will condemn ASH's action. It's not that there are no groups which disagree with this stupidity. It's simply that no group is willing to speak out publicly, because the mentality of the movement does not allow it. No one wants to risk losing their funding, no one wants to risk being viewed as being on the "wrong" side, no one wants to risk being cast as a traitor. Believe me, I know what happens to you when you are critical of anything that the anti-smoking movement is doing. You don't want to go there. And the anti-smoking groups won't. They'll remain silent and let ASH go ahead and trash the entire tobacco control movement, casting us all in the public's eye as fanatical, over-zealous, narrow-minded, misguided crusaders who are more interested in punishing smokers and making their lives miserable than truly interested in improving the welfare and well-being of the most vulnerable in our society. And unfortunately, since no anti-smoking group will speak out against this, I think the public is going to end up being right. I'm afraid this is who we are. generic viagra online generic cialis Generic Viagra buy cilais

Tags: child, parent, ash, smoke, children

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set mitigation of mild mitral regurgitation (congenital abnormality or degenerative myxomatous changes) common in women, who exhibits some features, such as sternal abnormalities, tall, thin stature may be inherited as an autosomal dominant phenotype symptoms - asymptomatic or associated with atypical chest pain, palpitations, anxiety, neuropsychiatric symptoms (neuroendocrine and autonomic disfunction occurs in some patients and may contribute to the symptoms) mitral valve usually is large, floppy, and redundant mid-systolic click - in the mildest forms (valve remain competent but bulges into the atrium during systole) the click is followed by a late systolic murmur in the presence of regurgitation (the murmurs lengthens as regurgitation becomes more severe) prolongation of chordae tendineae increase mitral regurgitation (chordal rupture - regurgitation becomes severe) - complications after fifth or sixth decade (loose myxomatous connective tissue, along with collagen dissolution increased incidence of arrhythmias (usually benign) haemodynamically significant mitral prolapse can predispose to infective endocarditis the long - term prognosis is good buy cheap cialis viagra generic viagra online cialis

Tags: regurgitation, mitral, valve, symptoms, click