Recently in health and illness Category

Is this good or bad?

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Consensus emerging on universal healthcare
One of my concerns about universal health care is that it might force providers to act against their conscience and/or force taxpayers to fund procedures that they find personally abhorrent. Another concern is that a medical bureaucracy might decide to not fund certain classes of provider (midwives, nurse-practitioners, chiropractors, dentists, optometrists, osteopaths) due to pressure from the AMA and other health care unions. Will parents be forced to immunize their children to protect the herd? (I am not saying that immunizations are bad, here, but rather looking at the parent's 'freedom of choice'?). Will the Amish and other plain communities be forced to buy into commercial health insurance? Lots of questions, no clear answers. On the other hand, our current system is not very functional either. Very few persons are paid well enough or have sufficient savings to pay for routine health care, let alone a hospitalization for a major illness or a complicated childbirth or an accidental injury. And since for the last 50 years we have focused, as a culture, on high tech specialty care rather than high touch primary care, health and illness care costs have spiraled out of control. I just don't know.

I do hope and pray that whatever changes there are will help persons like my patient who was just told that her insurance won't cover care from a midwife. No matter that I am certified, licensed, work within the system and have hospital privileges. Midwives as a class are categorically excluded. And it is perfectly legal.

live from medical records

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I used to have to deal with a dictation/transcription service that was probably outsourced. We had some choice typos, but we usually managed to catch and correct the most egregious. My favorite was the misinterpretation of "She hit a deer with her car" which somehow became "She had a beer with her car"
The choice selections below were sent to me recently. Enjoy!

* The lab test indicated abnormal lover function.
* The baby was delivered, the cord clamped and cut, and handed to the pediatrician, who breathed and cried immediately.
* Exam of genitalia reveals that he is circus sized.
* She stated that she had been constipated for most of her life until 1989 when she got a divorce.
* The patient was in his usual state of good health until his airplane ran out of gas and crashed.
* Rectal exam revealed a normal size thyroid. (Long fingers?)
* Between you and me, we ought to be able to get this lady pregnant.
* A midsystolic ejaculation murmur heard over the mitral area.
* The patient lives at home with his mother, father, and pet turtle, who is presently enrolled in day care three times a week.
* Both breasts are equal and reactive to light and accommodation.
* She is numb from her toes down.
* Exam of genitalia was completely negative except for the right foot.
* The patient was to have a bowel resection. However, he took a job as stockbroker instead.
* When she fainted, her eyes rolled around the room.
* Examination reveals a well-developed male lying in bed with his family in no distress.
* She has no rigors or chills but her husband says she was very hot in bed last night.
* She can't get pregnant with her husband, so I will work her up.
* Whilst in Casualty she was examined, X-rated and sent home.
* On the second day the knee was better and on the third day it had completely disappeared.
* The patient has been depressed ever since she began seeing me in 1983.
* I will be happy to go into her GI system, she seems ready and anxious.
* Patient was released to outpatient department without dressing.
* The patient is tearful and crying constantly. She also appears to be depressed.
* Discharge status: Alive but without permission.
* The patient will need disposition, and therefore we will get Dr. Blank to dispose of him.
* Healthy-appearing, decrepit 69 year old male, mentally alert but forgetful.
* The patient has no past history of suicides.
* The patient expired on the floor uneventfully.
* Patient has left his white blood cells at another hospital.
* Patient was becoming more demented with urinary frequency.
* The patient's past medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days.
* She slipped on the ice and apparently her legs went in separate directions in early December.
* Patient has chest pains if she lies on her left side for over a year.
* He had a left-toe amputation one month ago. He also had a left-knee amputation last year.
* By the time he was admitted, his rapid heart had stopped, and he was feeling much better.
* The patient is a 79-year-old widow who no longer lives with her husband.
* The patient refused an autopsy.
* Many years ago the patient had frostbite of the right shoe.
* The bugs that grew out of her urine were cultured in the Casualty and are not available. I WILL FIND THEM!!!
* The patient left the hospital feeling much better except for her original complaints.

The new pollutant


totally amazing


woo hoo!

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How scary is this?


no big surprise here

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Fish devastated by sex-changing chemicals in municipal wastewater | Science Blog
A new concern ecologically is the NuvaRing contraceptive, which has these chemicals embedded in a silicone ring. In order to be sure that there is a high enough level of the hormones to last for the minimum period of 3 weeks, extra is usually required. When the ring is removed, the user is supposed to put it back into the foil pouch and put it in the trash. But there is no guarantee that is what happens. I have been told by patients that they just flushed the ring down the toilet.......
Here is another article on the topic (with commentary)



pray for all involved here


Fats, carbohydrates, and conception


How Diet Affects Fertility
This is interesting and confirms many suspicions I have had for a while. Now I need to get a copy of this book and compare it to Fertility, Cycles, and Nutrition.

eco friendly and church approved


the power of a mother's love


commentary - politically incorrect


Teen births up for first time in 15 years -
once again, PP suggests that contraception not abstinence is the answer.
I have seen lots of contracepting ladies get pregnant. I have never seen a pregnancy in a woman who is not having sexual relations (i.e. is abstinent).

environmental contaminants?


News from the UK


OCPs and arterial blockage risks


prayer bleg

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sorry folks, it seems that lately the only time I pop up is with a prayer request. But this is important.
My brother-in-law Matthew is in the hospital right now with a rapidly spreading infection that began in the skin of his abdomen. They are not sure what the organism is yet, but they have started IV antibiotics and may end up having to do surgery. I am thinking either MRSA or a virulent strep, but of course no one will know until the cultures grow out.

Prayers greatly appreciated.

Traumatic brain injury


A teenage girl, a terrible injury and a will to recover

Traumatic brain injury did not end up in PVS or death.....

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