WhiteCoat

Healthcare Update Satellite — 06-23-2014

The right to carry a concealed weapon only exists if your doctor says so. Many states are requiring that physicians certify whether patients are competent to carry a concealed weapon. Some states require mandatory reporting of those deemed not competent to carry a concealed weapon. Of course, the natural extension of such laws is that if the doctors make an inappropriate determination, then the doctors can be held liable if the certifiee does something inappropriate with the weapon.
This New England Journal of Medicine article shows that many doctors aren’t comfortable making that determination.
Then again, I’ve heard colleagues threaten that if they’re required to report people, they’re just going to make anonymous certifications that every police officer they see is not capable of carrying a concealed weapon, then forward them to the state using USPS Delivery Confirmation to prove that the reports were received.
We really shouldn’t stop at physician certifications of competency for gun ownership. We should expand the physician certification to encompass other areas in which people could be potentially harmed. For example, physician determination of competency should be required for positions such as judges, CEOs, prosecutors, and anyone who comes into contact with a child. Dammit, we need to protect the children.

We’ll have to re-publish this study again around November, but for now, keep in mind that using hypertonic saline nebulizers to treat bronchiolitis causes less improvement than just using regular saline.

Many people reportedly complaining of headaches after using Google Glass. Harvard optometrist notes that they aren’t really headaches but a “discomfort in the eye muscles” from looking in strange directions.
Wait. That optometrist said nothing of the sort. Those quotes were taken out of context. Only a few people feel the pain. There are no health risks. Now retract your story or we’ll bury you in the search rankings.
Also see my other post discussing problems using Google Glass for medical applications.

Listen up you administrators and hospital board members … plaintiff lawyers are wising up. Children’s Hospital in New Orleans sued for institutional negligence when deadly fungus spreads through NICU on bed linens and kills five children.
By alleging institutional negligence, the lawyers avoid the $500,000 malpractice cap and also extend the statute of limitations.
No medical providers were named in the lawsuit, either.

This is amazing. Drug trial for arthritis causes interesting side effect. Person with alopecia receiving tofacitinib (Xeljanz) in a clinical trial grows full head of hair.
hair
Our government’s failure to control our borders is now having significant repercussions for the health of our nation’s residents. Deadly diseases such as tuberculosis, dengue fever, and Chagas disease coming into country along with all of the illegal immigrants.
Author of the article describes how President Obama is implementing the Cloward Piven strategy to overwhelm the public health system in order to replace it with a national welfare system to end poverty.
Worked well in Venezuela, didn’t it?

57% of all Italians fear being harmed by physicians. 44% disapprove of their national health care system. The European Commission notes that “Much still remains to be done in terms of patients’ rights, safety, and empowerment to report medical malpractice”within the European Union.

Patient taken to Houston’s St. Joseph Medical Center for an “anxiety attack.” Two hours later, the patient was reportedly discharged. The patient didn’t come home for several days. Finally, the patient was found on the hospital’s fourth floor stairwell. Now the patient’s daughter is “convinced someone from the hospital should pay.”
Hat tip to Scott for the link. Thanks!

When an attorney sued a hospital after mother and twin neonates all die from tuberculosis, he held a news conference stating that “There may have been a motivation to find a cause for her condition other than tuberculosis … If the cause was some other infection, they wouldn’t need the state government in there to investigate … a tuberculosis diagnosis invites oversight and opens up a can of worms.”
Now the hospital is suing the attorney for defamation, alleging that the attorney is implying that the hospital engaged in a cover up.
Paging Barbara Streisand …

Why are we providing better healthcare to those who killed thousands of Americans than we do to the veterans who put their lives on the line to protect us?
“The ratio of patients to doctors in Guantanamo prison is 1.5 to 1. For America’s 9 million veterans receiving VA health care and 267,930 VA employees, the ratio is 35 patients to 1 doctor. Additionally, in late 2008, when Obama was president-elect, he and his staff were warned not to trust the wait times reported by VA health care facilities. But instead of fixing the problem, their focus was closing Guantanamo and improving the comfort of detainees. Even though they already lived under some of the best prison conditions ever seen.”

Another fascinating case. Usually necrotizing fasciitis (a.k.a. “flesh eating bacteria”) causes massive tissue damage, often resulting in death or amputation of limbs. In this case, doctors cured necrotizing fasciitis using a wound vac, antibiotics and irrigation of the wound with an ingredient in household cleaners.

Patient’s pseudoseizure causes doctor to have pseudoseizure when asked to give Ativan and Morphine to treat the pseudoseizure. And I just giggle to myself thinking what would happen if a doctor really did develop a pseudoseizure when a patient went into his or her pseudoseizure.

VA tries to hunt down anonymous whistleblowers, demanding that a watchdog group turn over all records it received pertaining to “wait times, access to care, and/or patient scheduling issues” at VA facilities in Phoenix or elsewhere.
First I’d start by “losing” the requests a few times. Then I’d make them fill out all requests in triplicate. Oh wait, did you fax that? I never received it. You’ll have to re-send it. I’ll put you on a waiting list and you’ll get the information as soon as possible.
Oops. Sorry. The hard drive crashed and we lost the e-mails. No back ups, either. Darn.

6 Responses to “Healthcare Update Satellite — 06-23-2014”

  1. SeaSpray says:

    I was so concerned about the transmission of diseases that I never even considered they are trying to overwhelm the health care system. God help us and America.

    If only the press would report on this. They could put the pressure on to stop this. They have love ones too. Don’t they care if they become ill or harmed because of this border crisis? Or are they just stupid?

  2. Peter Schildhause says:

    Except for 2013, Obama has set a new record high of deportations every year he has been in office. In addition, border protection has improved. Where does the writer of this article get the impression that Obama is trying to overwhelm the system with immigrants. Perhaps the writer needs to do a little research rather than relying on the Foxnews echo chamber for his information. Regarding the number of VA Doctors (264,798 !) and over 100 doctors just to care for 166 Guantanamo inmates, I find these numbers to be a bit on the crazy/improbable side. Once again, where are these numbers coming from?

    • Mandy says:

      Once again, where are these numbers coming from?

      The GITMO numbers are coming from the Joint Medical Group at Joint Task Force Guantanamo:
      http://www.jtfgtmo.southcom.mil/xWEBSITE/fact_sheets/medical.pdf
      as linked by the “Foxnews echo chamber” piece you apparently didn’t think was worth your time reading. In fact the Joint Medical Groups stats are “Detainee/healthcare ratio: 1 medical staff for every 1.1 detainees”.

      • Peter Schildhause says:

        The article states there is 1.5 DOCTORS per detainee. The gitmo website states there are 1.1 medical personnel per detainee. No mention as to whether these personnel also provide medical care to the other personnel on the base. I don’t know about your facility but in most facilities other medical personnel far outnumber physicians, so I still doubt that there are 1.5 doctors per prisoner (or certainly not dedicated to prison care only) There were 2500 appointments for medical care last year. That means the average number of patient appointments for each of the 100 doctors is 25 per year or two a month-I hope they aren’t over worked. I used this thing called google to find the number of deportations under Obama-here is the link to Pew Research http://www.pewresearch.org/fact-tank/2014/01/24/record-number-of-deportations-in-2012/

    • http://www.latimes.com/nation/la-na-obama-deportations-20140402-story.html

      High deportation figures are misleading
      LA Times 4/1/14
      === ===
      [edited] The portrait of a steadily increasing number of deportations rests on statistics that conceal almost as much as they disclose. Actually, expulsions of people who are settled and working in the United States have fallen more than 40% since 2009, Obama’s first year in office.

      The number of people deported at or near the border has gone up as a result of changing who gets counted. The vast majority of them would not have been formal deportations under most previous administrations.

      The change helped the administration look tough in its early years
      === ===

      Peter Schildhause, perhaps you need to do a little research rather than relying on the leftist echo chamber for your information.

  3. Sevesteen says:

    “Many states are requiring that physicians certify whether patients are competent to carry a concealed weapon”

    I’m curious about this statement, because I’ve been reasonably active in concealed carry issues, and it’s the first I’ve heard of requiring a physician’s statement as part of a carry license. It is possible, but more likely a local requirement added on in “may issue” states, designed primarily to make getting a license as difficult as possible. (Yes, I know it’s not Dr Whitecoat’s statement)

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