Archive for the ‘Medicine’ Category

“Trepanazine” Needs a PDR Writeup, Stat

Tuesday, March 9th, 2010

So, your friendly neighborhood Ambulance Driver describes a malady for which “220 grains of Trepanazine” is the recommended treatment regimen.

You arrive on the scene for the unconscious male lying in the roadway, cruise slowly past the police cars blocking traffic, and without even getting out of your ambulance, you roll down the window and bark, “Leon! Get your ignorant ass outta the road! Someone runs over you, you might damage a perfectly good car!”

And not only does Leon obediently cease being an impediment to traffic flow, he also hobbles meekly to your ambulance and climbs aboard. You should have seen the face of the cops who called us.

Which is indeed educational, but WTF is “Trepanazine”? A Google search turns up no dosing info, no link to the manufacturer, no….Oh, wait.

“Trepanazine” as in “trepanning“, right? Drilling a hole in the skull to let out the evil spirits, or “remove the stone of madness”?
trepanning-Hieronymus_Bosch_053-w

Slight risk of lead poisoning with the dosage I believe AD refers to.

And I note that the 230 grain dose for close-range injection is far more common than 220 grains.
bullet45acp-w

“Never Bring A Knife to a What Kind of Fight?”

Thursday, February 4th, 2010

Fifteen year old girl gets pregnant despite lacking a cooter — her former boyfriend caught her performing oral sex on her new lover, and stabbed her in the stomach….

Mammograms

Sunday, December 27th, 2009

Dr. P has the go-to post on the new mammography guidlines. Detailed and accessible, this is what you need to know in the wake of the US Preventive Services Task Force’s recent ill-worded guidlines.

Unless you’ve been living on another planet, you know that in mid-November, the US Preventive Services Task Force released new recommendations on screening mammography, in which they recommended against routine mammogram screening in women under age 50, and recommended that mammograms now be every two years in women ages 50-74.

What you may not have heard is that the Task Force has acknowledged that the mammogram guidelines were poorly worded, and have revised their original statement to clarify their intentions, mostly by removing those two little words “recommends against”.

Here’s how the guidelines now read (changes in red)

  • The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.
  • The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient’s values regarding specific benefits and harms.
  • The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years or older.
  • The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of either digital mammography or magnetic resonance imaging (MRI) instead of film mammography as screening modalities for breast cancer.

Cuts through the politics and puts everything in perspective. The whole thing, which you should read, is an excellent exercise in risk assessment; even if you or someone you know is not in the risk group, you should read the whole thing just to see how it’s done.

“You Are Not Qualified”

Sunday, November 22nd, 2009

Chris Muir explains just exactly what the Senate is getting ready to debate:
daybyday-112209
[Click to embiggen.]

I’m not the only one blogging this strip today.

I wish this were funny. It’s not; it cuts way too close to the bone.

“My Lips”

Wednesday, November 11th, 2009

Here’s a thing,” from David Thompson:

Whip of the Day: Yelling at Obama

Friday, October 23rd, 2009

Mike at Cold Fury:

I’m…beginning to think that yelling at Obama for failing to protect America is like yelling at a six-year old for failing to make a dentist appointment, open a 401k and install vinyl siding on the house.

This, at the end of a post answering an often heard argument that this law or that is Constitutionally justified by the “General Welfare” clause of the Pre-Amble:

Every law ever written was aimed at someone’s idea of “the general Welfare”. Justice Taney thought he was promoting the general welfare when he returned Dred Scot to his owner.

Go read the whole thing, it’s short and worthy.

Trembling

Thursday, October 22nd, 2009

As a cold, cruel, callous, conservative it’s true that I’m under NRA/Republican Party orders to hate gay people and to want to see them marginalized as the moral lepers they are, yet even my dim and stunted conscience tells me there’s something terribly wrong with this:

U.S. District Judge Adalberto Jordan dismissed a lawsuit yesterday, essentially finding that the Jackson Memorial Hospital was within its rights to leave a dying woman alone while denying her present and immediate family to visit her, be updated on her condition, or even to provide the hospital with medically necessary information.

Named in the now-dismissed suit were Jackson social worker Garnett Frederick and attending physicians Alois Zauner and Carlos Alberto Cruz, who made the decision not to allow Janice Langbehn, Lisa Pond’s partner, to have standard family access to information, even after receiving durable Power of Attorney and a Living Will naming Janice as legal guardian with authority to make end-of-life decisions.

This is bad and broken. My main principle is that people are competent to run their own lives — and that includes who they take into their beds. I can not see how the hospital’s actions here protected anybody’s privacy, held the bulwark against decaying moral standards, kept children from having their sexual identities eroded away, or any other such nonsense.

This was just purblind idiot wickedness, more zero-tolerance insanity.

What Dies

Thursday, October 15th, 2009

First, go read Ambulance Driver telling about a doctor, and a nurse, and what they taught him about being mortal, and human.

Then go read the story at New Life Changes that AD links to, about something that must be fought, tooth and nail, all our lives, and then gently, graciously, allowed to pass when the time comes.

Then come back here. I’ll wait.


Back now? Eyes dry? Sniffles over? Nose blown? Good.

Now I’m going to be cold and cruel, and ask you the hard questions:

Do you honestly believe, at all, that this kind of medicine will survive even a single generation of government run health care?

Do you understand that this level of humanity is simply out of the reach of a civil service clerk, checking off DRGs?

Do you understand that if Obama gets his way, these people — you, sooner or later — would be nothing but a burden on the system?

Do you understand that it won’t just be medicine, but our entire culture, that will get its life support pulled when it becomes too inconvenient, too expensive, too messy?

Do you understand, now, what dies?

[update: Changed link to AD's new address.]

Illegal Aliens: Covered or Not

Saturday, August 29th, 2009

Gosh, kinda hard to tell, but on balance: Yeah, probably, although they can’t get it at the lowest possible rate. From Big Hollywood:

…Obama debunked “disinformation” alleging that illegal aliens would be eligible for the proposed plan. “That’s not true,” he objected, “There’s a specific provision in the bill that does not provide health insurance for those individuals.”

Let’s take a look at the text, shall we? The provision he cited is located on page 143 and reads as follows:

SEC. 246. NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS

Wow. Can’t get much clearer than that! It looks like the Big O is right: Undocumented aliens are excluded from collecting benefits under the plan

But… hey, wait a cotton-pickin’ minute!

On page 50, SEC. 152 explicitly prohibits discrimination under the act with “regard to personal characteristics extraneous to the provision of high quality health care or related services.”

In other words, undocumented aliens are not only eligible for ObamaCare, but their coverage is mandated.

So what’s up, Big O? Quit jacking us around! Are they covered or not?

A further reading of Section 246 reveals that the plan only disallows “Federal payments for affordability credits on behalf of individuals who are not lawfully present in the United States.”

“Affordability credits” are federal subsidies that offset the cost of monthly health plan premiums for low income earners.

So, in short, undocumented aliens are eligible for the plan under Section 152, but ineligible for premium subsidies.

I just love how the titles of laws and sections often contradict the actual content of same.

And I love how one section taketh away, but another section giveth.

The sharpest point here is about more than health care: in a bill of this size, you can’t understand the effect of a given provision until you have read and understood the way it interacts with every other provision. You can’t just do a keyword search, particularly just on titles, and have any expectation of understanding what the hell is going on.

And that doesn’t even begin to talk to about regulations that aren’t included in the bill itself, but will be written in response to the bill by the affected agencies, or worse, by agencies that will be created by the bill. Or amendments to the bill the night before the before the vote. Or the way the bill amends existing laws by reference, with no way to understand the effect without reading the text of said law. (Man, I wonder if it’s ever happened that some policy now being enforced is really null and void because Law A was amended by Law B, but then Law A was changed by Law C so that Law B now points at language that no longer exists?)

The most important question at town meetings should be, “Can you prove your last answer by citing the bill? …Really? Are you absolutely positive that’s all the bill says about that? Is there anything in the bill that explicitly prohibits [Agency In Question] from enforcing regulations to that effect?”

“We Know You’re Gonna Lie, But At Least Make It A Good Story”

Sunday, August 9th, 2009

Via everybody’s favorite Ambulance Driver:

X-Ray of a soda bottle in the abdomen

X-Ray of a soda ketchup bottle in the abdomen


Hey, AD? Is the post below about the water slide a good enough story for ya?