Tag: Healthcare

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A roundup of stories/posts/videos I found interesting: The Jacquard Loom is historically important,  not only for its direct impact on the textile industry but also for the inspirational role that it played in the emergence of punched cards and computers.  Jacquards are still very much a live industrial technology, although the warp threads are now […]

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Another Professional Hit Job in Florida

 

We are watching the latest effort to execute a political hit job on a man who is tremendously qualified to be the next surgeon general in Florida. And the actions against him are an embarrassment to the state, to science, and to the ethics of medicine.

The action I’m referring to is an upcoming hearing, conveniently scheduled on Tuesday, as part of the process to approve Dr. Joseph Ladapo to be surgeon general. (I’m suggesting the timing of this information is not a coincidence.) The story begins when Dr. Ladapo first applied for a professorship at the University of Florida College of Medicine, and received a recommendation from his supervisor at UCLA. In a two-page letter to the university, Dr. Carol Mangione, chief of the division of general internal medicine and health services research at UCLA Department of Medicine, listed his credits:

She noted his ‘outstanding research and clinical teaching accomplishments,’ which led to his promotion to a tenured associate professorship in 2020 for his distinguished contributions to the division.

What I Learned in my Due-Date Group (Also, I Had a Baby)

 

After the death of my first son at 33 weeks, I was hesitant to say anything when I soon became pregnant again. As part of my desire to be more involved with this second pregnancy, I joined the due date group on my pregnancy tracker app for the month I was due. Over 10,000 women due the same month from around the English-speaking world joined the group, and the posts were…interesting. Some of the information exchanged was helpful, but by and large, the posts broke down into two categories: ranting and seeking advice. Some posts were shocking in their drama, while others made you roll your eyes. Here’s what I learned from reading the concerns of other young women.

Having babies out of wedlock

When a Nurse Is the Patient’s Family

 

Over my years at Ricochet, I’ve been very plain about my choice of career.  It’s my handle.  Most nurses feel similarly; being a nurse isn’t just a job.  It isn’t just a career.  It’s an identity.  Much like the military, nursing school tears you down to rebuild you in the form of a nurse.

We adopt this willingly at first, grudgingly later, then with resignation, then with acceptance, and later, far later, with a touch of regret, perhaps.

Hubwonk host Joe Selvaggi talks with Pioneer Institute’s Dr. Bill Smith about his recently released paper entitled, “340B Drug Discounts, An Increasingly Dysfunctional Federal Program,” which analyzes the evolution of a well-intentioned program to offer discounted drugs to the uninsured from a benefit that had helped charitable hospitals to one that has exploded to generate billions in profits while serving fewer uninsured.

Guest:
William S. Smith is Senior Fellow and Director of the Life Sciences Initiative at Pioneer Institute. He has 25 years of experience in government and in corporate roles, including as vice president of public affairs and policy at Pfizer, and as a consultant to major pharmaceutical, biotechnology and medical device companies. He held senior staff positions for the Republican House leadership on Capitol Hill, the White House, and in the Massachusetts Governor’s office. He earned his PhD with distinction at The Catholic University of America (CUA).

Radonda Vaught Is a Scapegoat

 

Radonda Vaught is a scapegoat.  Nurses everywhere are in revolt.  If you thought nursing was in trouble before (projected healthcare worker losses in the next 5 years are around 45%), nurses are choosing to quit based upon the precedent in this case.

Let us start from the beginning.

Radonda Vaught was a graduate of West Kentucky University, an experienced ICU nurse, preceptor, and leader at her hospital Vanderbilt University Medical Center.  She had been employed there since 2015 with no previous incidents. She had a clean license and practiced as most nurses do; at the bedside at a hospital. One day, she was caring for her patient Charelene Murphey who was a 75-year-old with a brain bleed (technically a subdural hematoma). The medication error occurred on Dec. 26, 2017, when she was scheduled for a PET scan but was found to be incapable of lying still long enough to endure the study.

Member Post

 

I’m reaching the end of my tether with my job.  It might not just be my job.  It might be my career choice.  Nursing, as it stands, is becoming a really ugly profession.  In addition to job duties (which increase endlessly), there’s the very real legal liability of not being able to perform these duties, […]

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Do You Know Where Your Nurse Is?

 

Who wears a tracker during their time inside that can locate them wherever they are and the time that they spend in any given location in real-time?

If you said criminals on house arrest, you’d be right. But if you said licensed nurses you’d also be right.

Hospitals use technology, also called RTLS (Real-Time Location Systems), in order to track nurses everywhere in a hospital.  This is not required of the physicians, physical therapists, EKG techs, radiology techs, secretaries… but it is required of the nursing staff.

Belief vs. Reality and Survival vs. Idealism

 

We all want to believe that if we were alive when it happened, things would have been different. We would have sheltered the Jews. We would have helped the heretics. No witches (old women) would have burned. We would have stood up for them, demanded justice, inserted ourselves into the situation, and made it better. We would have insisted upon our God-given rights.

We would have used the rule of law to protect ourselves.

Small, Inspiring Victories

 

So many of us are feeling the fatigue of fighting for our country every day. The destructive and mindless decisions are endless. I became acutely aware of how worn out I am by reading David Foster’s latest post. I realized that my condition is so difficult to endure because it is wearing on me mentally, emotionally and physically: I find myself continually analyzing the predicaments our country is engaged in; the distress of that reality intensifies with each ugly news story; and the result of both the emotional and mental upset is a weariness that I work hard to shake. Even with exercise, proper diet and prayer, the state of our country is taking its toll on me.

But I had an idea that I think can help all of us: frequently identifying small victories. I use the word frequently because I do believe that we are seeing protests, rebellions and revelations that tell us that although we are in a serious struggle, little by little the country is at least waking up and noticing the many ways that the Leftist elite has compromised our cherished and honorable way of life. And ordinary citizens aren’t happy.

When Politics and Healthcare Meet No One Wins

 

When politics and healthcare meet, no one wins. Certainly not me, anyway.

As a practicing nurse in California, I am mandated by law to comply with a two-dose mRNA vaccine with booster. Regardless of masking and a downward trend, the California Department of Public Health has instituted guidelines that pressure all medical staff (and medically adjacent) to get a booster if they’ve already been vaccinated. Religious exemptions will only be tolerated if they were previously known, documented, and thoroughly supported. No “new” exemptions will be allowed.

Tale of Tamiflu

 

Practicing pharmacy over the years you start to get a feel for what works and what does not.  Feedback is constant both welcome and otherwise.  Some drugs just seem to work for a wide range of people. Amoxicillin, cefdinir, and azithromycin are just a few of our greatest hits from behind the counter.  On the opposite side, we have drugs that despite approval and mass marketing never really seemed to take off.  Tamiflu is a great example.

It was hailed and marketed as a cure for the flu and there was a point due to demand, I would spend an inordinate amount of time opening capsules to compound it into a suspension for younger patients when the commercial product would go on backorder.  Despite dispensing a lot of it, the rave reviews never seemed to follow and it would be prescribed less and less.  The most loaded question in healthcare is how was your day and I recall once quipping to another pharmacist “just another day padding Roche’s bottom line, how about you?”

This week on Hubwonk, host Joe Selvaggi talks with Josh Archambault, Pioneer Institute’s Senior Fellow in Healthcare, about the healthcare provisions in the pending Build Back Better Act and their likely impact on the coverage and cost to Americans in the wake of Covid-19.

Guest:

Child Sacrifice in the US

 

Child sacrifice, attributed to ancient world pagan culture, kills beautiful, young, healthy children to appease deities in times of famine or drought. In times of trouble, the beautiful daughter of a king might be sacrificed as they sought the blessing of the supernatural. During the Covid pandemic, we also sacrifice the healthy young to appease those paralyzed by fear. In both cultures, the healthy young are subject to mandates or rituals that don’t placate the disaster yet harm our children’s well-being.

At the outset of the pandemic, governors instituted a lockdown which forced healthy people to quarantine at home in contrast to previously when the sick were told to stay home. Playgrounds were cordoned off with yellow caution tape and basketball nets were tied up to prevent children from using them. Neighbors ratted out kids for playing soccer at the local schoolyard. Although we knew that the young were rarely afflicted and rarely vectors of infection, children were told they would kill grandma unless they stayed home. Whereas we previously worried about excessive screen time hampering social interactions, emotional well-being, and physical health, we instituted policies that encouraged isolation and increased screen time.

Echoes of Fascism

 

For me, this video had echoes of the Kapos who operated in the concentration camps under the Nazis. The young lady’s sweet and gentle manner wasn’t reassuring to me, either.

Threats to Privacy Are Limited by New Florida Law

 

Have you ever considered how your privacy could be violated through the use of your DNA? Florida legislators have taken this danger seriously by being the first state to expand on federal laws protecting the use of DNA testing results:

‘Given the continued rise in popularity of DNA testing kits,’ Sprowls said Tuesday, ‘it was imperative we take action to protect Floridians’ DNA data from falling into the hands of an insurer who could potentially weaponize that information against current or prospective policyholders in the form of rate increases or exclusionary policies.’

Federal law prevents health insurers from using genetic information in underwriting policies and in setting premiums, but the prohibition doesn’t apply to life, disability, or long-term care coverage.

Surgery, Regulations, and the Rainbow Connection

 

Actually, the latter topic is much more pleasant than the former two, so let’s start with the Muppets. The Rainbow Connection was the theme song for The Muppet Movie, back when there was only one Muppet movie and the title could afford to be general. Kermit the Frog is sitting in a swamp playing a banjo singing that song. A hopelessly lost talent scout wanders by; Kermit corrects his path. In return, the talent scout tells this frog he may have a chance in Hollywood. And so Kermit sets out on a journey.

Why are there so many songs about rainbows? What’s on the other side?
Rainbows are visions but only illusions; rainbows have nothing to hide.

This week on JobMakers, Host Denzil Mohammed talks with Dr. Babak Movassaghi, founder of InfiniteMD (acquired last summer by ConsumerMedical), which connects patients with top U.S. medical professionals through second-opinion video consultations, guiding patients to better care. When the world shut down due to COVID-19, Dr. Movassaghi’s company was already prepared to serve patients via telehealth. In this episode, they discuss his fascinating pivot from physics and professional football in Germany, to healthcare and innovation here in the U.S., an extension of his ability to navigate multiple identities as an Iranian-German living the American Dream.

Guest:

Magnet(TM), Clinical Ladder, and Hospitals: Getting More for Less

 

Glowing nurses. So diverse. Young, old. Thanks to nursingworld.org for the picture that I borrowed.

Today, I’m going to write one of the most controversial professional articles in nursing. If one goes to Duck Duck Go and searches “Magnet hospitals” or “Clinical ladder for nursing”, one will see nothing but article upon article about professional advancement. Even going back 10 years, there are many websites devoted to how Clinical ladder programs (CLPs) make for “better nurses” and “better hospitals”. There are many articles about programs at different hospitals. There are pictures of glowing nurses, talking about their blessed profession, talking about how fulfilled they are by being able to give more. It helps them to become better nurses and make better hospitals.

I’m going to share a secret: it doesn’t.