oscarsear

Maynard............. it is estimated from prior vaccination data that there are roughly 100 allergy related deaths for 160 million vaccinations. Your presumption of 1 in 5000 is - well - preposterous. The risk of death from not having vaccines can be enormous. Look at the Ebola virus epidemic last year. No Ebola vaccines existed and it was the worst case scenario.......... and that reflects what once happened prior to vaccines with the more common pathogens. Look at the mortality data for yellow fever building the Panama Canal. Why do you think families once commonly had 15 children? They reasonably expected half of them to die before the age of 10 and that was often the case. As for the business ethics of the pharm industry, that is likely a valid point.............. but they are not going to be tragically reckless just for the sake of brand name. They cannot be associated with gross product failures. As for children known to be immunosuppressed or allergic getting vaccinated - that is the failure of the frontline clinician - not the manufacturer of the vaccine. High risk groups are well understood and pediatricians should do their utmost to avoid putting any of their patients in peril. There were 41 deaths from measles in just 2014 among non vaccinated adults and children. Those occurred in a populace that is largely vaccinated, so herd immunity still kept many safe. Imagine the mortality if nobody was vaccinated and measles ran through the population? Your risk benefit analysis here is very skewed.

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It's typical for people to wonder why their ER bill is astronomical. All they know is that they had a need they considered emergent and went to the facility and got it checked out. If is serious they get help.......... often very involved and timely life saving care. If it turns out minor that gets evaluated and they go home. They they see the costs and are outraged that an aspirin tablet goes for $500. What they do not grasp are the costs of keeping that ER open and ready 24/7 to meet any demands expected to include major civil disasters. Vaccines are similar. Firms are tasked with formulating product for anticipated infectious diseases, manufacturing same in huge quantities, storing the product and making it ready for mass distribution at will. If the pandemic does occur the product gets bought and used. If not then the product is wasted. The gov't is asking an industry to provide a public health service and the industry agrees with the proviso that some of the downsides are limited. No drug is ever 100% harmless. To suggest that the industry will use this accommodation to become reckless with quality control is quite cynical. Society is interesting. Now they are clamoring for hamburger flippers, etc to get paid $15 per hour for menial labor. They accept the notion that real estate agents can make mega$$$. What should a lowly nurses aide get paid for keeping elders cleaned of runny feces if burger boy gets $15/hour? What should a surgeon earn if Joe Blow Real Estate mogul captures 1/2 $million$ selling houses? Good healthcare is taken for granted. People now abuse their own health presuming that medicine can readily mend any and all ailments and they are almost correct. Then when nature reminds us of our human frailties as with Ebola, the world wrings its hands, points fingers and frets, and rightfully so. There's another HIV monster brewing somewhere. Let measles, polio or small pox back out of pandora's box and you'd really lament the consequences. Infectious diseases once ravaged the world regularly. Now that they are managed that tragedy has not been witnessed nor personally experienced. Those who think they know better - don't. Watch a baby die unnecessarily eaten by some microorganism a simple vaccination would've prevented and you too will rethink this issue.

Y'all are gonna get hammered again................ be careful, please be careful

Gawd that's worse than waterboarding..........

Maynard, having two brothers, a father, and three first cousins that are medical doctors, a sister that is a pharmacist, a wife that is a BSN RN with three certs and an advanced practice Masters, a cousin that is a PhD nurse anesthetist, a five first cousins that are degreed RN nurses, I will say that your view is prejudiced in the overall spectrum of health care. For your specific situation I do agree, but eye surgeries are a miniscule tip of the medical care iceberg. For folks who are not totally conversant with NPs and PAs, a PA cannot see a patient without having their attending IN THE SAME BUILDING, for consultation when needed. They cannot write scripts. In Missouri, a NP can see patients, proscribe scripts, and diagnose patients on an independent basis, provided their attending is within a 50 mile radius for consultation. There is a marked difference between an advanced practice nurse and a PA. For most people, a nurse held them in their first minute of life, and if they are lucky, a nurse will be holding their hand amongst family members in their last minute of life. At hospitals, nurses bathe their patients, shampoo their hair, give haircuts, trim finger and toenails, bring ice for their patients' drinks, wake them up, tuck them in, feed them meals, check their vitals, round many times a day, administer their meds, keep them comfortable, converse with them and lend an ear when no one is around, and provide the healing touch when needed. Please don't dishonor the nursing profession by saying you would never accept care from their most highly trained of advanced practice nurses. They deserve more respect than you are giving. Very true. You can find NP's incredibly well trained and often more competent than MD's. Why? Because their training can be more specific, less generalized. Diabetic care is an excellent example. Most MD's think they understand diabetes and are quite willing to treat the problem. Unless they're an endocrinologist they are likely pretty clueless about the best way to tailor diabetic care. But you can find NPs that do know diabetes. I am of the opinion the family practitioner MD's should go the way of the neanderthal. Most intake can be managed by NP's and PA's - especially when augmented by computers. MD's should become advanced practitioners able to deal with serious medical issues. And everyone should quit smoking (anything), eat less, exercise more, imbibe a lot less and get more rest. We all can all contribute good or bad to this conundrum, so we all play our own part in how we conduct our own lives.

Healthcare providers are just as aghast at how the systems once worked and how they now operate as anyone. Often you'll hear how disillusioned providers become once they enter practice. As I said............ the country needs to decide if it wants to be a dominating world power or socially responsible. Individuals should determine to live safer and healthier lifestyles. Socialized medicine can affordably work. But we're delusional thinking we can keep everyone in skittles and take proper care of ourselves too. It is not working. (NOTE: Your decision to forgo MRI coverage is precisely what I mean by bureaucratic medicine. The MRI is one of the most useful imaging studies available. They are not that costly. They are not rare machines. There is no shortage of trained MRI personnel. But they made it a price point issue - artificially. Now you have limited your coverage through manipulation. That scan is often the headwaters of accurate treatment, very definitive. If included it opens the gateway to lots of quick necessary procedures. If eliminated that care continuum panoply is now less accessible. You did not just give up MRIs. You gave up the doorway to good medical care. And they understood that.)

Unfortunately politics plays a roll in pretty much everything that individuals have no control of and rely on government to take care of or remedy--Imo, the healthcare debate was all political in the public forum with most folks shouting out comments they heard on tv.... I agree with the quote above, but the wealthy were the only ones assured of healthcare the way the system was going and those with insurance are still in the high percentage of bankruptcies because of healthcare costs. Fwiw, we have the ACA in it's present state today because lawmakers couldn't get the 60th vote for a Single Payer System and the minority along with campaign considerations stuck to keeping the Insurance companies involved (and keep it 'Private'). It actually was the old time Conservatives that won in that regard but what is coming to light is that Healthcare is not cheap (especially in this country) and prior to the ACA, folks on the individual market were paying a considerably higher percentage of those costs--I will also add that, again most people have no idea what their actual needs would be in an emergency and all taxpayers pay the cost regardless if they have insurance. I do agree............. what we had before ACA wasn't very good. I do feel that the ACA has made it worse for those reasons I stated and others. The bureaucratic overhead is incredibly more complex and time consuming. I know many practitioners who have entirely abandoned 3rd party systems now running private pay practices. Guess what? They can afford to treat anyone for less than the copays on ACA plans. In other words w/o the administrative overhead they can deliver healthcare to their patients for far less and the those same patients are now required to pay to the feds. If America chooses to become a social democracy then do that and do it correctly. The reasons social medicine works better in some countries is that it is more of a priority. They do not field 7 battle ready carrier groups. They take care of their citizenry. Medicine is not cheap. Not even close. It is technical, complex, dirty and dangerous. Remember changing dirty diapers on your children? Imagine the care of the incontinent elderly? What would you expect to be paid to keep and elderly male clean of smeared feces? Before the ACA emergent care, etc may have been delivered blindly whereas now the ACA has put a $$$ value to that care and assigned the debt to select Americans to be paid under penalty of law. The caliber of that care is not better. The value of the care is not better. The access to the care is not better. The cost of that care is exorbitant because the admin relied upon the age old nemesis of the insurance industry to project the coverage and the costs. The fox was placed in charge of the henhouse. Hawaii's system has already gone insolvent. Your premiums are about to rise dramatically. Your copays are nuts. IMHO the ACA took a bad situation and really made it a disastrous mess and not one to be easily corrected.

Yes........... there has been a trend towards diversification of healthcare delivery vehicles. No........... this is also a real matter of the ACA and its perspectives on the definitions of care and which populations will be getting care, who pays for care and who gets care paid for by others. The ACA now determines benefits and defines cost benefit outcomes. Bureaucrats now define clinical care plans. The elderly population faces some cold choices. Here we discourse on simple eyecare medicine. Look into elder care. Look into hospice and palliative medicine. Did you know that if you die under hospice care that there are no formal inquiries? If you die in a nursing home - there will be no autopsy? We are talking about carte blanche when it comes to elder care. Imagine when assisted suicide gets enacted? If gov't policy demands a lower standard of care and the practice of that care has no oversight and minimal consequences - what happens to quality of care, the quality of life? You spend your entire life being healthy and your are healthy. You are living an active retirement and you suffer a simple accident. You break a hip. The best medical solution is a hip prosthesis. But - the ACA says you're too old. Makes no difference that you are otherwise in excellent condition, you have no comorbidities. You do not get your procedure approved. You now get to be crippled at best. So, yeah.......... politics now plays a huge roll in healthcare, its quality, its delivery and its economics............. and IMHO, it is not very well done in any regard. Medicine by gov't committee is not medicine. You'd better be wealthy if you want to retire and remain healthy.

Part of my point about my attempts at humor and the flu shot analogy is that I don’t know anyone anymore that schedules an appointment with their family doctor along with incurring an office visit charge for a flu shot. In addition, I have yet to find where one of the nurse practitioners, or anyone else I have dealt with, has not followed the proper procedures or missed my arm with the needle and hit me elsewhere. The benefit to me is providing many more options within my time constraints, less expensive and I suspect frees up the doctor's time for issues better matched to his or her vast experience level. The surgeries in question seem to be very old and established procedures and I suspect that once various doctors become qualified the process will evolve similar to the flu shots where these doctors will most likely become just as experienced or even more experienced. I suspect that one benefit would be that the shift would free up time for the “better trained” surgeons/physicians to perform the more risky and groundbreaking surgery procedures that will bring the higher dollars to them for which they currently may not have time to appropriately focus and hopefully lower the risk to us patients. In theory the result should be better overall skill development for everyone to benefit from as patients. I know it is somewhat different; however, if I didn't carve out the sections of my work where I have developed reliable process and procedures and delegated them to the latest "rising stars" then focused my time on new issues and problems, I would soon become overworked and obsolete. Too late! The first four words of the first sentence of the original post were political. Schu, please read the above posts as we have already lost 30,000 plus posts and many threads have vanished on this forum in the past month or so and a lot of associated history that many of us have contributed to along with those 30,000 plus posts have vanished. In addition, several have quit posting completely due to people continuing to attempt to bring their political views into threads with what seems to be attempts to create chaos. "We" did not lose anything. Klipsch decided that these forums were not to be 'forums' of intellectual content and debate. That is a loss for the group as a whole because this is how important current issues get discussed and how people learn. There is a lot of brain power available here (used to be a lot more) and it is a waste to see it quashed and limited. Where some see chaos - others find wisdom and enjoy the repartee.

There's no doubt that the ACA will completely alter the complexion of healthcare services in America and the results will be neither cheaper nor better nor more accessible. The hardest pill to swallow will be for those who once could afford health reasonable insurance. They will be paying a lot more for a lot less, and it will likely get worse each successive year because the workers have been saddled with the costs and there are no limits as to where those will go. Already many household have house and car payment sized premiums. This is a real anchor on the dynamics of our economy.

What, no tennis courts? Otherwise it's a perfect fit.

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Needed to upgrade el computer and wanted to stick with Apple/Mac stuff. My olde IMac has been a tank and still operates fine... it is just near functional incompatibility. Ended up with a Mac-Mini........ the smaller of the 2 products offered. For the $$$$ this thing is a spectacular deal. Some call it bare bones but if you do not require intense computing power it is perfect. I got an external CD driver/burner, used my existing wireless suite and matched to a small HDTV as a monitor. I should be good to go for another 8 or 9 years. Just sharing............

When you be here for instructions? Oh, I see this is more than mere conjecture. This is real world stuff. Agreed - 'Yes Dear' - is about the safest answer. And, say it like you sincerely mean it, or else.

3rd option........... take control of it.

The deal is this........ Kings associates were not given guardianship for the man. King did assign them specific Powers Of Attorney to manage his business and one of them was appointed as executor of his estate. Now a POA does not give anyone the right to stop family members from seeing their relations. Guardianship, yes, POA - no. That means that if the kids were denied visitation privileges so see their father then those directions had to have come from Mr. King himself. The man was very elderly and very much not in good physical condition. For his age and known medical problems - he lived a pretty long time. It would appear more like his handlers did everything possible to keep him healthy and working - not the other way around. This smacks of bitter, money grubbing- infighting kids - probaby why BB King wanted nothng to do with them in the 1st place. Now they tarnish the mans passing. Pathetic.

Crud........... My IQ was tested when I was young. Now that I check I qualified for MENSA way back then. Now I feel like a loser. Could have done so much more with my life. Oh well - I will lay blame on my parents. Yeah, that's the ticket......... they should have done better by me. Jerks.

..............http://www.chonday.com/Videos/trcugatorlo3

Better just redefine this at the top 100 with all of them being tied @ # 1. There's Moondance - Van Morrison. Nilsson Schmillson - Hendrix - Cream - Moody Blues - Pink Floyd - The Band - INXS - All Of Motown - etc... so on - ad infinitum It is not a top ten list - it is a cornucopia of delight.

Very purdy........... good luck.

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R.I.P. http://www.chonday.com/Videos/bbkingtri3

My 1st rescue Greyhound was named Prize (not by me). We went out back late one evening mostly for a potty run and as usual she's right by my side. Then, she decided it was play time and instantly started into her dog circles. She'd just whirl in like one spot - fast - instantaneously fast. She flings around and her bony hip hammers the side of my thigh and I drop like a sack of doorknobs. Of course she thinks I'm joining in the fun and starts to course the yard at 2 million MPH. I am unable to walk whilst this gleeful dog gracefully buzzes all about me laying on the lawn, moaning. I crawled over to the patio chairs and pulled myself up and hopped back inside on the remaining functional leg. The other one was cramping. The dog was exhilarated. A very, very nice bruise and one very, very happy dog.

Most, if not all, of us have - or have owned - loving pets. They'd not ever do us intentional harm but they often do not know their own size or when they do inflict undue pain and suffering upon the hand that kibbles their lives. Give us your tales and don't limit it to just dogs. For starts.......... long ago we had a deaf albino cat. Not big as cats go, just normal size and a real sweetheart. About 2:30 one morning I hear this odd noise outside the bedroom window. The window was directly behind the bed so I sat up turned around and opened the curtains to see what I could see. There I spied the neighbors dog burrowing underneath the fence into my yard. I had no notion that the cat was also sitting in that window watching the same festival of canine stupidity. And she was not expecting my head to join her. She did not hear me and was intent on watching el doggy and then she noticed your's truly. WHAM! One single paw full force right across the nose - no claws just blunt instrument brut force. I was seeing stars, tears of vast suffering automatically welled up and streamed down the face. 2 black eyes (really). Tough one to explain at work. "Sure the little kitty beat you up." Adored that cat. Had her since a kitten, saved her from walking across a freeway at that time. She lived a long and happy life and never apologized for this singular transgression. Funny as hell to be honest. Surprised the nose wasn't fractured.