Can you imagine your kids on this stuff? Two ounces of Cracker Jack’d will have 70 mg of caffeine – as much caffeine as a cup of coffee. Frito-Lay reports that the snack won’t be marketed to children and will be labeled different from the traditional Cracker Jack boxes.
Not sure how I feel about this.
On one hand, I think that companies should be able to market any legal product that they want. How is taking Cracker Jack’d any different than using energy drinks or No-Doz caffeine pills?
On the other hand, I don’t think that changing the labeling and marketing the product only to adults is going to prevent children from eating the Jack’d version. Kids still smoke a lot of cigarettes. In addition, unless Frito-Lay colors the popcorn differently – such as red popcorn for Jack’d version and traditional caramel color for the regular version – I foresee a lot of unintentional ingestions/overdoses. If there’s no way to differentiate caramel corn outside of the box, how can someone tell if their snack has been Jack’d?
One way to bring down medical costs. GruntDoc mentioned this group of docs on his blog as well. Oklahoma surgery center publishes list of prices for pretty much all-inclusive surgical care, and the prices are one-fifth of what the nearby Integris Health hospital system charges. For example, a bilateral sinus procedure costs $33,000 at the hospital – not including surgeon or anesthesiologist fees. The same procedure at the surgery center – including all doctors’ fees – is $5,885.
A plane trip and hotel plus surgical fees would cost a lot less than what most local hospitals charge. Domestic medical tourism – what a concept.
Hoping this care model expands.
VA Medical Center sued for prescribing four month supply of Seqoquel to patient who abused prescription drugs and previously attempted suicide by overdose. The patient was successful in her fourth suicide attempt when she took most or all of the pills and was found dead in her apartment.
When the shoe is on the other foot, now government attorneys argue that Seroquel is not particularly lethal (good thing for that or else the patient may have died from her overdose) and was “effective in treating [the patient’s] psychosis when taken as directed” (it was also effective in killing the patient when she took too much of it). Despite the risk of overdose, the attorneys argue that the greater risk to the patient was that she would run out of Seroquel, which seemed to help her. But one of the documented side effects of Seroquel is “suicide attempts.”
Obviously, we need to charge all the government employees involved in the patient’s care with murder.
After all, how is this case that much different from all the cases where the government is charging doctors with murder when patients overdose from using narcotic prescriptions inappropriately?
Making pediatric patients happy to wait. All rooms in Stanford’s Packard Children’s Hospital emergency department have iPads included. “One iPad is worth 10 milligrams of morphine,” says the department director. Until the iPad is dropped on the floor, that is.
I also wonder whether the idea will have unintended consequences. What if more than one kid is in the room? How do the hospitals manage “inventory control”? Will kids who don’t have iPads at home feign illness to go back to the emergency room? Any issues with privacy if parents look things up on the internet or take pictures using the iPad? Will patients/families become upset if there are not enough iPads to go around? How will hospitals deal with those expectations? Will there now be Press Ganey complaints because patients don’t wait long enough?
I give these docs credit for their ingenuity and don’t think that the above issues should preclude this practice, but I hope that there will be further reports describing any downsides to providing $500+ iPads as entertainment for waiting patients before this becomes a standard.
Canadian study shows that patients with mental illness related complaints wait a little longer for physician evaluation (82 vs. 75 minutes median), but that when crowding in the department increases, the patients with mental illness related complaints wait an average of 48 minutes less than other patients.
A couple of rare medical conditions in the news recently:
Angelman Syndrome – where children are unable to stop smiling and have significant developmental delays
Sleeping Beauty Syndrome or Kleine-Levin Syndrome – where victims sleep for extended periods of time or are awake for short periods of time in a fugue state which they do not remember. The subject of this article allegedly once slept for 64 days.
Dr. Bob Solomon writes a thought-provoking article in ACEP News about whether nurse practitioners will be able to fill the primary care physician shortage — a shortage that will only worsen as the Affordable Care Act is implemented.
Speaking about a shortage of primary care physicians, Dr. Natasha Deonarain writes on KevinMD.com about why she decided to opt out of taking Medicare. She predicts that the system will collapse by 2014 – the same year that all those patients get their new insurance.
Some Canadian patients will soon be able to surf the internet to determine what hospital can treat their emergency the quickest. That begs the question whether someone with an emergency should be sitting at the computer looking up hospital wait times, but that’s beside the point.
Unfortunately, not every patient knows what constitutes an “emergency.” England’s Nottingham hospital creates ad campaign urging people only to come to the hospital for emergencies. One of the ads is life-size cutouts of people in a line who “shouldn’t” have come to an emergency department and then the picture of a burial wreath at the end of the line with a statement that the patient “should have been at the front of the queue.”
That health care program that was passed last year to make health care more “affordable” – the Affordable Care Act – appearing to be having increasing number of unintended expensive side effects.
Premiums for employed workers estimated to rise 9% nationally next year. Wal-Mart will require employees to pay up to 36% more for their coverage.
Some employers who don’t already offer full benefits or whose benefits do not meet the ACA requirements are cutting employee hours. Part-time employees don’t subject employers to the Affordable Care Act requirements.