Showing posts with label \medicine. Show all posts
Showing posts with label \medicine. Show all posts

Thursday, March 15, 2018

yeah. blame docs for the work of the drug cartels.

a picture is worth a thousand words:''


some of the overdoses are from "natural and semi synthetic" opiods, i.e.  prescribed pain killers, either accidental overdoses, suicide attempts, or lying to the doc to get the drugs.

or pills bought on the street, from legal or extralegal sources.

and of course, stealing the narcs from people dying of cancer.

But the real increase is in heroin or Fentanyl, both drugs bought and sold on the street.

(fentanyl is prescribed in pain patches, or used IV to induce anesthesia.. and heroin is illegal).

notice the spike since 2010?

That isn't docs: that was street drugs. The drug dealers knew Marijuana was being legalized, so were switching their product. And since they already catered to folks who like to get high, guess what happened?

I posted a longer version on my medical blog
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more articles from my medical blog:

everything costs more. Why does US medicine cost so much? High prices and high administrative costs.
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Steven Hawkings, Disability doesn't mean inability.

remember: He was given 2 years to live many many years ago.

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perfumes: Bah Humbug

so you get a runny nose from strong perfumes? that's now a disease.

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it's the placenta stupid.

Chromosones affect not only the baby but the placenta, and are the reason for many kids being stillborn or miscarrying.
and I note that viruses/drugs/toxins similarly cause congenital problems, for which docs were often sued.

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Transgender problems.

a lot of medical/psychiatric studies show the meme is wrong, and the politization might be making things worse, because there is now pressure to "transition" when maybe it is not the answer to the person's problem.

even the Pope is worried.

this is not a big thing here in the Philippines, because gays and transgenders are part of the family, so they have social support no matter what, beyond the activists who pressure them merely as a side issue to destroy the patriarchy.

I hope this doesn't get me thrown off of blogspot.

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 pushing non narcotics is fake news.

I posted this earlier on this blog too, but didn't have a chance to rewrite/correct it.

But essentially I was pointing out technical problems with the study:

the placebo problem, and the self selection of obsessive compulsive types willing to enter such a study, and the irony if you take pills correctly, before the pain is so bad you can't stand it, you might not need narcotics to relieve the pain.



Monday, July 10, 2017

Saturday, August 10, 2013

Stuff around the web

If you are interested in Mongolia (which I am not), the Penn Museum has a series of films about that land, past and present.

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I usually like fantasy, but was bored with the early Harry Potter films, which alas meant unlike LOTR or Percy Jackson I can't discuss the series with my granddaughter...
 Bruce Charlton explains he had a similar problem, and says they should release the later books with backstories....

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Yes, Virginia, there are such things as sprites and elves...
.and there are even carrot, angel, and broccoli sprites....
sprites



Sprites are usually reddish-orange in colour and they come in various shapes (carrot, angel, and broccoli) but with hanging tendrils below. They often occur in clusters of three or more.  Sprites generally occur high in the atmosphere at altitudes of around 65 to 75 km, but their tendrils can extend down to altitudes as low as 40 km. They are also very large; clusters of them can cover horizontal distances of 50 km across.
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Related item: How does it feel to be struck by lightning?

Includes this factoid:

'Lightning trees'

  • Lichtenberg figure - also known as "lightning tree" or "lightning flower" - is red, branching electric discharge pattern that occurs on the skin of strike victims
  • Marks formed when delicate capillaries beneath skin rupture from shock of electrical discharge
  • Usually appear within hours of incident and disappear within days; tend to occur on upper body
  • Named after 18th Century physicist Georg Christoph Lichtenberg who described similar pattern while experimenting with static electricity
Source: APS Physics
A man's back with lightning injuries that look like flower or tree branches


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Gadgets for your webpage here...

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The Oprah "racism" incident in Zurich is getting headlines but the question no one is asking: What kind of person pays $38 thousand for a handbag?

an Australian news site says that such high prices are not uncommon for the pricy market...
A $42,000 handbag? For most people, it's unthinkable.
But for the richest sliver of the global population, it's a realistic option - and buyers aren't short of choices.

In the upscale boutiques of Singapore, New York or Zurich - where Oprah Winfrey claims a sales clerk refused to show her a $US38,000 ($42,000) bag - purses priced in the four figures are common. In fact, they're so common that a higher level of luxury exists to set the super-rich apart from the merely affluent.

A budget of about $1,000 to $2,000 will buy one of the cheaper bags by luxe labels such as Prada, Hermes, Fendi, Chanel or Louis Vuitton.
Heh. And I feel guilty using my Dooney&Burke bag (ten dollars at a used clothing store) or the Coach bag Robin bought me at an outlet....both have lasted me for years...

But I rarely carry one: Too easy for motorcycle thieves to snatch, and they search them if you take them to the mall.  So usually I use a small Lacoste purse (counterfeit, of course: Two dollars at the mall)...

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Alan Lee's Hobbit illustrations.

compare and contrast to the film.

And John Howe's illustrations here.

and blog here
discusses the problems of working on location...such as pub cats that crawl on your lap.

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Speaking of cats, I saw two kids playing in the vacant lot, constructing a cage to protect some half grown kittens. I gave them ten pesos and brought one home for Lolo....not yet eating, so back to the bottle feeding of kittens.

This one looks like Greyson,  Ruby's cat who disappeared three months ago...

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Is test-tube meat kosher?

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some stuff about a new malaria vaccine on the news...sounds very preliminary...

Could it help Africa/Asia economically?

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BBC on ten things we didn't know last week:

did you know Chimps swim the breast stroke?


Friday, December 21, 2012

Stuff around the web, plus rants

ch'abej chik, Y'all...

The Good News: Well, the sun has come up and I'm still here.

The bad news: all those "new agers" including the new age nuns who were planning to evolve to a higher power today are still here too.


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If you like words, you might want to check out a new feature on First Things by Andrew Esolen: Word of the day.
Today's word is the last name "Waters" (as in John Waters).
You’d expect that somebody named Waters used to live beside some waters, just as somebody named Rivers used to live beside a river. It ain’t so. Just pronounce the name Walters as if you were from Phiwadewphia: Waowters. The dark English “l” was swawwowed up in the fowwowing consonant: cf. “walk,” “calm.” So the name Waters is a variant of Walters, as Wat was the old diminutive for Walter...The name originally denoted the ruler of an army: cf. English “wield,” German “Gewalt,” German “Heer,” army. The underlying idea is the same as in the Greek name Polemarchus: war-ruler, army-ruler.
Hmmm...John Waters as an Army General. Now, that's a thought...

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First Things often discusses religion in the public square, and today it notes how Christianity is partly behind Asia's economic prosperity, how a recent State Department memo on the state of the world ignores religion in their paper, and why they are wrong to do so:
...The report identifies an expansion of the middle class around the world as an important trend to watch. But the report misses the fact that the new middle-class strivers in places like China increasing identify with Christianity, which they see as the religion that has allowed the West, and especially America, to triumph. Apart from a quick reference to the fact that increased urbanization may help Christian (and Muslim) activists to “bolster religious cohesion,” the report doesn’t address this phenomenon.

Francis Fukuyama's book Trust noted this years ago.

When folks move from the villages (folk religion) they need a more intellectual and logical rule oriented religion. In Asia, two versions of this are Confucian ethics and Evangelical Protestantism. Even in the Philippines, the elite families often have Chinese ancestry, but the growing middle class tends to be Protestant. The other advantage of Protestantism (according to Fukuyama) is that it gives alternative lines of trust: If you need something in traditional society, you only trust your kin, so you go to the family or the rich guy your family has connections with. Now they go to a fellow church member, and know they won't be cheated.

This is also why some Muslims see Sharia law as a way to stop corruption and societal chaos.

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Gun Control? They'll just hide the guns, like they do here.

 (No, we don't have a gun: Chano follows the rules. But until his stroke, Lolo had a submachine gun in his closet, and a handgun to carry, just in case. Now we have a machete and George, the killer lab).


Yet the real problem of child murder in the USA is rarely discussed, because those dying are minority children in the inner cities, and most of those shooting/shot are gang members. But no one wants to talk about ways of disarming gang members...(and no, most of these are not drug related killing)

As for the argument back and forth on gun control vs psychiatric treatment of the crazy:

HELLO. If you have a teenager who is getting violent or unstable, either put on gun locks that they can't remove, hide/get rid of the guns, or at least take out their firing pins.

(Been there, done that, sigh).

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The headlines on the terrible murder allow folks to ignore the real crisis: the debt: via Instapundit:
 
ANN ALTHOUSE: “So I would honor the professionalism of the press corps in dragging our attention back to the fatiguing and sad occupation of attending to the federal budget.”
Freakonomics points to The Onion on what should be done. (put down coffee first then go to the link).

Related item:

Today both the AMA and the AAFP emails are bemoaning that the mandatory Medicare cut backs are still scheduled to kick in on Jan 1

Without congressional intervention, physicians face a 26.5 percent reduction in the Medicare physician payment rate on Jan. 1 as a result of the sustainable growth rate (SGR) formula. The Budget Control Act's sequestration provision calls for an additional 2 percent cut on Jan. 2 unless Congress and the White House can reach an agreement to avoid the so-called fiscal cliff.

Uh, guys: you helped the President to devise the Obamacare bill over the objections of your members, and looked the other way when it was decided to fund Obamacare with Medicare cuts, so stop crying.


As for me: I am not on Medicare because it won't pay for health care here in the Philippines
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Heirs of Durin links to an excellent article on Thorin as flawed hero.

Question: Am I the only one who thinks if LOTR resonated with those willing to defend western culture,

But what about the Hobbit? I wonder if Durin's anger and hatred in his quest to recover his lost homeland might resonate with the Palestinians?

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Related item:

As Jonathan Tobin at Commentary reported, not only did the (Israeli) embassy (in Ireland) post a picture of Mary and Jesus and write that if these two Jews tried to walk around in Bethlehem today they'd be lynched, they posted a Latma video from two years ago where we attacked the anti-Israel propaganda that passes for Middle East coverage in the execrable Irish media.
Yes: like the hate expressed against the churches holding funerals for the victims of the CT massacre,  politically correct hatred is ignored or condoned...

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And the disease of the week: Mexican beer dermatitis.




Friday, November 16, 2012

Food stories

YUM Brussel Sprouts!
recipes at link
one veggie we don't have here in the Philippines, thank God.

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What about Second Breakfast?

Try this Blackberry cake.

No we don't have blackberries here either (although I used to collect them along the abandoned train tracks when I lived in Pennsylvania mountains).

But they do grow strawberries in Baguio...

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Father Z has an article on giving out Communion to those with celiac disease...there are now gluten free hosts, and if your parish doesn't have them refer them to the link which includes addresses.

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YUM! WORMS:

Biopharmaceutical company Coronado Biosciences is conducting clinical trials using the eggs of the pig whipworm to regulate immune activity. The treatment is centered on the “hygiene hypothesis,” which asserts that today’s sterile, germ-free homes can actually make us sick. Lack of exposure to pathogens could prevent immune systems from properly regulating, explained Dr. Bobby Sandage, CEO of Coronado.

Excuse me for being cynical, but then why are there so many autoimmune disorders among Native American?

Genetics has a lot to do with it...

As for "too clean" homes, maybe it's not the cleanliness but that they see doctors more often and get diagnosed when they have very mild disease...or maybe it is the chemicals in their diet...

Wednesday, June 06, 2012

Conspiracy Stories below the fold


Conspiracy story of the day:

According to the UKGuardian, the Bilderbergers anointed Romney and Mitch Daniels as the next US president, and have decided that Syria will have a new government and have already chosen the lady to run it.

and only the nutcases are there to notice/protest:
Occupy Bilderberg rubbing shoulders with US veterans, German students who've flown over for the event, truckers from Michigan, Orthodox Jews, Ron Paul supporters, anarcho-syndicalists, academics and grandmothers.
Why? In the words of the statement from Occupy London: "the profound denial of a participatory, direct democracy which the Bilderberg Conference represents."


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what if a million people showed up to support the Pope and no one reported it?


That's how many the SeattlePI reported attended the mass with the Pope at the Milan World Congress of Families. CNS story here.

The family is the first place people become aware that the world does not revolve around just themselves, he said. It's in the family one learns that the driving force is not egoism, but self-giving, and "it is in the family that the light of peace begins to light up in the heart," a light that is meant to radiate out into the world.
The idea that a person lives in a family, rather than being a free but isolated individual, is similar to the emphasis of Confician ethics, but in contrast to the Protestant/western ideal, which emphasizes individual liberty and freedom.

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Factoid of the day: There is a patron saint of Illegal Mexican migrants seeking work in the USA:

St. Toribio Romo Gonzalez, patron saint of migrants and the most famous of the canonized 25 martyrs of the 1920s Cristero Rebellion...

Migrants seek his intervention before heading north, while those en route say sightings of St. Toribio are commonly reported during difficult times on the journey...

Stories of St. Toribio helping migrants started surfacing in the 1970s. Many such stories were told by migrants from Los Altos, a region famed for ranching, tequila distilling and blue-eyed inhabitants. Others were recounted by migrants heading for the United States.
Wikipedia link.

More here. 

One cultural note: if you are confused by the name, you need to know that in Spanish, the father's name comes first, then the mothers. So that in American usage, his last name would be Romo...

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The "Being PC means never having to bother with logic or data" articles of the day:

The sex book by a PC nun was given thumbs down by the Vatican, but the UK Catholic Herald points out it has another problem: lack of academic rigor:
Farley notes that the judgment of tradition has been overwhelmingly negative; even Kant disapproved very strongly; however now ‘most’ theologians and medical practitioners view the activity as ‘morally neutral’; in other words it all depends on reasons and circumstances. Her final word is that ‘This remains a largely empirical question, not a moral one’.
This is certainly a coherent point of view, but where is her evidence for this position? She mentions Kinsey and the empirical evidence of some human experience, but she does not explain how the change from moral evil to moral neutrality occurred. One can be forgiven for thinking that the 20th century arrived and the mists of obscurantism vanished before the bright sun of reason (‘Christian traditions … judged it harshly before the 20th century’ (p.236)) – but this is not an argument.”
ah, yes, but if you are politically correct, you can say anything you want without bothering with things such as proof, logic or footnotes, as LegalInsurrection points out about another PC female scholar.


It is 60 pages of devastating analysis of a book Warren co-authored, As We Forgive Our Debtors: Bankruptcy and Consumer Credit in America.  This is the money quote reprinted in Leahy’s article:
Most of their study replicates several earlier research publications. These are hardly mentioned. The writers make extravagant and false claims to originality and priority of research. There appear to be serious errors in their use of statistical bases which result in grossly mistaken functions and comparisons. Some of their conclusions cannot be obtained even from their flawed findings. The authors have made their raw data unavailable so that its accuracy cannot be independently checked. In my opinion, the authors have engaged in repeated instances of scientific misconduct. [emphasis added]

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The "vote early and vote often" report of the day comes from Instapundit:
And turnout sure is high: Report: 119% Voter Turnout in Madison, WI. I’ll bet it wouldn’t have been this high if they’d required photo ID. Knowing that the Justice Department is overseeing things, I’m sure there won’t be any voter fraud.
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also from Instapundit:
HMM: Mysterious radiation burst recorded in tree rings: Spike in carbon-14 levels indicates a massive cosmic event — but supernovae and solar flares ruled out. Aliens.
. . . .
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Lileks takes on the food police:

A culture that redefines food choices as moral issues will demonize the people who don’t share the tastes of the priest class. A culture that elevates eating to some holistic act of ethical self-definition - localvore, low-carbon-impact food, fair trade, artisanal cheese - will find the casual carefree choices of the less-enlightened as an affront to their belief system. Leave it to Americans to invent a Puritan strain of Epicurianism.
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 And the good news of the day: Excess exercize is bad for you.

The phenomenon has been dubbed Phidippides cardiomyopathy - after the fatal heart damage suffered by the original marathon runner.
more HERE.

Phiedippides was the runner who brought news to Athens to tell them about the victory at Marathon, and then promptly dropped dead.
 

Thursday, May 24, 2012

Medical and Science Stories below the fold

You know about Yellowstone, but do you know about Baekdu Mountain? It's another "border area" where China is trying to take over, but is is also a supervolcano similar to Yellowstone.

And this book review includes this factoid:
Around 7700 years ago, an eruption twice the size did strike the conterminous USA (in Oregon). Remarkably, the memory of the eruption, which formed the magnificent landform known as Crater Lake, lingers in the oral traditions of the Klamath Native American tribe.
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Americans Find Doing Their Own Taxes Simpler Than Improving Diet and Health

76 percent agree that ever-changing nutritional guidance makes it hard to know what to believe. And when it comes to making decisions about food, consumers today rely most often on their own research rather than third-party experts. Six out of 10 Americans have given a lot of thought to the foods and beverages they consume (58 percent) and the amount of physical activity they get (61 percent). Yet, only 20 percent say their diet is very healthful and 23 percent describe their diet as extremely or very unhealthful; less than 20 percent meet the national Physical Activity Guidelines.
Actually, I don't believe this survey mirrors what people do, and suspect they are merely giving the answers they think they should give.

We are told to think about our health, so we agree we think a lot about our health and what we should eat. But the dirty little secret is that most folks have a life, so eat the best we can. And because the press is constantly telling us that we eat a lousy diet, this is the answer we give to the pollsters.

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What if they sued and  no one in the MSM noticed? The Anchoress asks. 
Like the kid who hides under the blanket figuring the boogeyman won’t see him, the mainstream media has decided that if they just ignore the 12 lawsuits launched against the Obama administration by 43 Catholic entities, the reality of them will go away; they simply won’t exist, and the Supreme Court won’t see them, either!
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It's not just the Philippines who was told (via a "mistake" by a government news anchor) that they were part of China: Now Australia has been put on notice.
AUSTRALIA cannot juggle its relationships with the United States and China indefinitely and must choose a ''godfather'' to protect it, according to a prominent Chinese defence strategist.
The warning by Song Xiaojun, a former senior officer of the People's Liberation Army, comes after Foreign Minister Bob Carr was told by his Chinese counterpart that Australia's close military alliance with the US was a throwback to the Cold War era.

Of course, the dirty little secret is that the only one in the area that might try to take over Australia is China....
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Wired article on when whales walked in Egypt has some neat photos....

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An "expert" taskforce advises against that PSA test.

The problem: A lot of the positives would never spread and kill people, and some of the positive tests would result in death no matter if you treated it for not. And a lot of cancers are in the extreme elderly who die of heart disease etc. before the cancer would kill them.
And the treatment is long, expensive, and can cause impotence.

The problem? There is no good way to tell which is which.

The Aussies disagree with the US panel:

According to the Prostate Cancer Foundation of Australia around two-thirds of Australian men aged 40 to 74 have been given the Medicare-covered PSA test. He says testing will prevent 600 of the 3300 prostate cancer deaths expected this year.


But this study suggests it is cost effective:

a European trial found 1000 men aged between 55 and 69 would need to be screened in order to prevent one death. 
compare and contrast: you would need 1500 mammograms to save one life.

Can you say "death panels" children?

Each PSA costs from between $70 to $400. And then there is the cost of screening for borderline tests (including a biopsy).

I am always reminded of one of Michener's stories, The Milk Run, where the Navy spent 2 million dollars for air cover to rescue a downed pilot, who at the end of the story says "but it was worth it if you were the pilot".  And maybe it was worth it if you were LT(JG0 George Bush whose life was saved in a similar type incident.

so what do docs do?
The joke is if their PSA was only slightly high, they'd accidentally throw away the lab slip.
If it was very high, they'd get treatment...


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Friday, May 18, 2012

Headlines below the fold

Donna Summer has died. in our prayers...

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Did a drone almost cause a midair collision with a commercial jet in Denver?

and whose drone was it?

Update: Strategypage reminds us: Balloons can also be used to spy, and are cheaper.
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Azithromycin is a good antibiotic, with fewer side effects and fewer pills to take than other antibiotics for pneumonia. but it is associated with heart deaths?

It is related to Erythromycin, which has many drug interactions, so I suspect the problem is here. But Azithromycin has less effect on the liver enzymes, so the problem should be minor. Do they need new studies? Or is it because we use this more expensive one for higher risk patients?

(I once published a study on Clarithromycin interaction with anti convulsants in our institution, and one question was why I didn't use Azithromycin, which supposedly had fewer interaction problems. The reason was that that drug had only been released a month earlier, and was not yet the drug of choice for Mycoplasm pneumonia.)

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WAGD Headline of the day: 4700 "near earth objects" that could hit earth...and that's only the ones they know about.

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The key to a longer life: Ragu on your spaghetti, followed by a cup of coffee...
But you’ve got to do it right.  The high concentration of cancer-fighting antioxidants comes from prolonged cooking of tomatoes, and it doesn’t work with vegetable oil.  You’ve got to use extravirgin olive oil.  And you have to take your time (to cook it), as I learned when I first starting studying Neapolitan cuisine. 
So presumably the cheap tomato sauce here won't work....
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The dead voting is nothing new to anyone growing up in the northern cities of the US, but when Florida finds 53000 dead voters, it makes you wonder how many zombies voted for Gore in Florida in 2000....

on the other hand, they should have taken lessons from Gloria.

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What hath Drudge wrought? Or maybe I should say Beitbart:



Wonder why the press didn't find this five years ago.

full rant at BNN: The problem is not that Obama might have been born abroad, it is that he simply doesn't how American culture works...

Saturday, April 14, 2012

Medical Stuff below the fold

The line between being aware and not aware gets fuzzier all the time.
If a patient is conscious during surgery but doesn’t remember any of it, is that good enough? It’s a bit like the tree falling in the forest with nobody to hear it. An anesthesiologist’s koan. If even the patient has no recollection of surgery, was he aware?
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 Related item: the problem of post concussion syndrome is discussed here. there has been a lot of studies on post concussion syndrome due to the IED injuries in Iraq in veterans.

And I found it interesting that the second and third book of the Hunger Games trilogy has some of the characters dealing with injuries including PTSS...

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The US Catholic bishops draw a line in the sand. on an important constitutional issue, and get noticed on page A 19 of the NYTimes...which describes it as a political debate between the right and left wings of the church.

If the MSM ignores an issue, does it exist?

The dirty little secret is that if the bishops threaten to close the hospitals, they will laugh and let them...and then take them over on the cheap...which may be what's behind the rule.

And I'm still trying to get information on the Obamacare mandate that mandates everyone buying health insurance has to buy a second insurance policy to cover abortion...I keep reading snippets about it, but no good information about it.

 Even this pro abortion BBC post admits it's about Obama getting reelected. Which is why Anne Romney is now the face of the "enemy"...it's not that she didn't work (Sarah Palin did work and was demonized)...it's because they decided it was a worthy vocation to be married and raise children...

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Tell the cost cutters that cancer chemotherapy is worth it, even if you define "worth it" in dollar amounts.

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 The latest diet advice: Red wine and peanuts.

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British rationing board cuts back on "hands on" physical therapy. Yeah, I've seen this in the US too: tell you what to do and then let you do it on your own.

The article is fairly good about explaining the problem of this cheapskate approach. Ironically, the IHS was fairly good at supplying physical therapy for our patients: maybe because it was a drug free way to treat musculoskeletal pain without addictive drugs in a high risk population.

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Monday, February 18, 2008

Medical news you can use



Biggest Medical story that is ignored: The large decrease in deaths and disease from the pneumonia vaccine for kids

The adult vaccine is simple, but children didn't produce an immune response below age 2, so they "conjugated" it by combining it to another disease antigen...and voila, antibodies...

Prevnar seems to be working, as the graph shows.

And of course here comes the paranoia: Worries it will cause an epidemic of diabetes..or resistant diseases...or that other vaccines given at the same time won't work as well...

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WaPost reports: "stress" increases the rate of Cervical cancer. or maybe not...if you read the article, it's the perception of stress that seems to do it...

No mentioned: promiscuity is associated with an increased rate of Cervical cancer...and promiscuity is more common in girls with low self esteem/poor coping mechanisms.

We docs are seeing more and more cervical cancer in very young women including teen agers...a lot more than we saw 40 years ago...but fewer deaths thanks to pap smears.

Normal married women do get cervical cancer,but at a much lower rate, and at a much later age: the average age is 40...and women with a single circumcized male partner have even a lower rate.
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Finally, a cure for obesity:

Diet and exercize
...well, duh, even Hippocrates knew that...
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One problem with the influenza virus is that it changes antigens (the coating of the virus particle that antibodies can attack...if the antigen changes, the vaccine doesn't work).
This seems to be happening this year....the shot only protected against 40 percent of the disease...and although Tamiflu still works, the virus is now resistant to other anti flu medicines