Yes, we did.
Nancy Pelosi knows how to count votes, and we all win.This is a big deal.It's not a great bill. But it's a lot better than no bill.More soon. But I've got to mark the moment. (Source: hemodynamics)
Source: hemodynamics - March 22, 2010 Category: American Health Source Type: blogs

Repub's vow: no snitchin '
Someone called Stupak a " baby killer " on the Senate floor. (But... isn ' t a baby killer a guy who votes against the Children ' s Health Insurance Program? I must be confused.)Campbell, initially suspected as the lawmaker who shouted the phrase, told reporters that he didn ' t say it and believed that it came from a member sitting a row behind him, where the Texas Republicans usually sit. Campbell said he heard " a Southern accent " ." The people who know won ' t give it up, " Campbell told reporters.He said the remark was " clear as a bell. " (Source: hemodynamics)
Source: hemodynamics - March 22, 2010 Category: American Health Tags: abortion children health policy healthcare justice obama republicans snitches Source Type: blogs

Repub's vow: no snitchin'
Someone called Stupak a "baby killer" on the Senate floor. (But... isn't a baby killer a guy who votes against the Children's Health Insurance Program? I must be confused.)Campbell, initially suspected as the lawmaker who shouted the phrase, told reporters that he didn't say it and believed that it came from a member sitting a row behind him, where the Texas Republicans usually sit. Campbell said he heard "a Southern accent"."The people who know won't give it up," Campbell told reporters.He said the remark was "clear as a bell." (Source: hemodynamics)
Source: hemodynamics - March 22, 2010 Category: American Health Tags: abortion children health policy healthcare justice obama republicans snitches Source Type: blogs

Michelle cheering for Sasha
From the White House:"President Barack Obama, First Lady Michelle Obama, Vice President Joe Biden, and Dr. Jill Biden, react while watching Sasha Obama and Maisy Biden, the Vice President's granddaughter, play in a basketball game in Chevy Chase, Md., Feb. 27, 2010. (Official White House Photo by Pete Souza)" (Source: hemodynamics)
Source: hemodynamics - March 11, 2010 Category: American Health Tags: loyalty michelle obama sports Source Type: blogs

If you thought talking smack about CAC scans got people mad...
The man who discovered PSA writes an op-ed piece arguing forscrapping it as a screening tool. (Source: hemodynamics)
Source: hemodynamics - March 11, 2010 Category: American Health Tags: cancer prevention primary care prior probability PSA Source Type: blogs

On NPR.org: " Overshooting Obama's Health "
New writing of mine,posted elsewhere (and broadcast on All Things Considered on 3/4/10):" It doesn ' t take a CT scan to know that President Obama should keep exercising, watch his diet, and quit smoking. So deciding not to do a test like a coronary artery calcium CT scan isn ' t just about avoiding the financial cost of the test. If the results of the test won ’t change what we recommend, then the patient is taking risks for data that won’t make a difference. " (Source: hemodynamics)
Source: hemodynamics - March 4, 2010 Category: American Health Tags: cardiovascular health policy heart disease prevention prior probability testing Source Type: blogs

On NPR.org: "Overshooting Obama's Health"
New writing of mine,posted elsewhere (and broadcast on All Things Considered on 3/4/10):"It doesn't take a CT scan to know that President Obama should keep exercising, watch his diet, and quit smoking. So deciding not to do a test like a coronary artery calcium CT scan isn't just about avoiding the financial cost of the test. If the results of the test won ’t change what we recommend, then the patient is taking risks for data that won’t make a difference." (Source: hemodynamics)
Source: hemodynamics - March 4, 2010 Category: American Health Tags: cardiovascular health policy heart disease prevention prior probability testing Source Type: blogs

Black tar heroin coming to white people near you
Graph: Black tar heroin vs powder heroin, and HIV among injection drug users vs HIV among men who have sex with men, in a map of the US and Canada fromCiccarone and Bourgois 2003--click on the graph for a full-size picture.Black tar heroin is moving east,says the LA Times, in this first part of a three part article I'll be reading over the next days, being moved by folks from Xalisco, Mexico. The strategy described in theLA Times article involves low-profile low-weaponry low-volume operations targeting white people who've been using prescription opiates, and moving small cheap quantities of black tar heroin as an alternati...
Source: hemodynamics - February 15, 2010 Category: American Health Tags: Afghanistan bacterial ecology black tar heroin drug companies drug dealers Mexico Source Type: blogs

There'll always be a Texas: nurses prosecuted for reporting improper behavior by a physician
It ' s certainly possible that nurses might report a doctor to bosses or regulators just to be spiteful. But the system has to make reporting easy, and safe, to make sure that quality issues don ' t get missed. That ' s what makes it such a travesty tocriminally prosecute nurses for reporting concerns about a doctor ' s conduct. It would be a travesty even if the nurses ' concerns ultimately weren ' t legitimate. But it ' s especially egregious when what ' s being reported is, in fact, bad behavior--stuff like emailing patients to promote his own herbal supplements that he was selling on the side.New York Times covers the ...
Source: hemodynamics - February 8, 2010 Category: American Health Tags: doctors healthcare justice nurses quality social power Source Type: blogs

There'll always be a Texas: nurses prosecuted for reporting improper behavior by a physician
It's certainly possible that nurses might report a doctor to bosses or regulators just to be spiteful. But the system has to make reporting easy, and safe, to make sure that quality issues don't get missed. That's what makes it such a travesty tocriminally prosecute nurses for reporting concerns about a doctor's conduct. It would be a travesty even if the nurses' concerns ultimately weren't legitimate. But it's especially egregious when what's being reported is, in fact, bad behavior--stuff like emailing patients to promote his own herbal supplements that he was selling on the side.New York Times covers the case.Texas Nurs...
Source: hemodynamics - February 8, 2010 Category: American Health Tags: doctors healthcare justice nurses quality social power Source Type: blogs

The VA feels different this year...
iPhone photo in the lobby of the West Roxbury VA hospital. Maybe it shouldn't, because it's the same hospital and the same patients--with a few more younger guys back from Iraq and Afghanistan than the last time I was here--but the president and retired General Shinseki (now the chief of the VA) make it feel a little different to walk in the door. (Source: hemodynamics)
Source: hemodynamics - January 26, 2010 Category: American Health Tags: hospitals obama Shinseki Veterans Administration Source Type: blogs

The Veterans Administration: the Linux of medical records
I just spent three weeks in our local Veterans Administration system. Mention "VA" to any group of doctors and you are sure to hear funny stories; a great many doctors have at least some of their medical training within VA hospitals, and those hospitals are full ofcharacters among boththeir staff and their patients.VA hospitals have various frustrating aspects you'd expect from a large federal bureaucracy. But they also share a common sense of purpose and community unusual in other hospitals. Because of their commitment to a particular group, they feel almost like massive community health centers, in which there is a sense...
Source: hemodynamics - January 23, 2010 Category: American Health Tags: electronic medical records GUI medical teams Veteran's Administration VistA Source Type: blogs

doctor with a bomb
Above: Radovan Karadzic, psychiatrist and perpetrator of the Srebrenica massacre and other atrocities in Bosnia. Below: Ikuo Hayashi, a neurosurgeon and one of the perpetrators of the Tokyo subway sarin gas attack.Yet another doctor has apparently joined the ranks of violent absolutists, as aJordanian doctor working as a CIA informant turned out to be a double agent, and blew up CIA agents and a Jordanian intelligence agent. This particular man, having blown up a bunch of people who can reasonably be described as combatants, can't be said to be a terrorist as much as akamikaze, but apparently in the cause of advancing jiha...
Source: hemodynamics - January 5, 2010 Category: American Health Tags: Al Qaeda doctors terrorism Source Type: blogs

My ideal outfit when I was four, now being actually worn.
Click for:Coolest outfit ever.I wanted a dress really bad at that age, and also I always loved Spiderman, and also, like him, I liked dinosaurs (he's holding one, and he's got a dinosaur book in the other hand), so, hey, I'm looking at this kid, and I'm saying,Living the dream, young brother. Living the dream. (Source: hemodynamics)
Source: hemodynamics - December 14, 2009 Category: American Health Tags: fashion skirts Spiderman Source Type: blogs

Buy for the Borum
Paul Levy, the Beth Israel Deaconess Medical Center's CEO, is using his blog to publicize online auctions to support community health centers affiliated with the BIDMC. Right now there's an auction to support the Sidney Borum, Jr, Health Center. The Borum is dear to my heart, so let me take this moment to ask you toconsider buying something... much of which remains at a considerable discount. (For instance, tickets to the Messiah at a fraction of their face value, which is how everyone likes their messiahs.) (Source: hemodynamics)
Source: hemodynamics - December 6, 2009 Category: American Health Tags: clinics GLBT homeless Paul Levy Sidney Borum Source Type: blogs