MEDICAL TUESDAY . NET
Community For Better Health Care
Vol V, No 12,
In This Issue:
A small but passionate group of doctors say that electricity applied deep in the brain can jolt patients out of irreversible comas. That's when the real problems begin.
For someone left for dead 12 years ago, Candice Ivey
seems to be doing pretty well. She's still got her homecoming queen looks and
A-student smarts. She has earned a college degree and holds a job as a
recreational therapist in a retirement community. She has, however, lost her
ballerina grace and now walks a bit like her feet are asleep. She slurs her
words a little, too, which sometimes leads to trouble. "One time I got
pulled over," she says in her
In November 1994, when Ivey was 17, a log truck T-boned her Chevy Blazer. She remembers nothing of the next two months. But it's all seared into the memory of her mother, Elaine, especially the part where the doctors told her that Candice, who was in a coma and breathing by respirator, should be pronounced dead. Her brain, they said, was entirely and irreversibly destroyed by a week of swelling and bleeding and being pushed up against the inside of her skull like a ship scuttled on a reef.
A few days later, however, Candice proved the doctors wrong. Unhooked from the respirator, she continued to breathe on her own - something she couldn't have done if she were truly brain-dead. Now Elaine faced the horrible decision of whether or not to feed her child. The doctors warned her that Candice would probably never wake up, and if she did, she almost certainly would be unable to live independently. In the worst case, she would enter the permanent twilight known as a persistent vegetative state, in which she might sleep and wake and move her limbs, yawn and sneeze and utter sounds, but not in a way that was purposeful. Elaine decided to keep the feeding tube in place, which, she recalls, made the neurosurgeon furious. "He thought I was just prolonging her agony and that I would have a vegetable on my hands," she says. "But when it's your child lying there, you'll do anything."
In this case, anything included letting an orthopedic surgeon named Edwin Cooper try an experimental treatment. He approached Elaine out of the blue soon after the accident and urged her to let him put an electrified cuff on Candice's wrist. It sent a 20-milliampere charge - enough to make her hand clench and her arm tremble a little - into her median nerve, a major pathway to the brain. It might rouse her from her coma, he said.
"I thought it was hokey, if you want to know the truth," Elaine says. She agreed nonetheless - she was, she says, "drunk as a coot" from a combination of "nerve pills and a full glass of whisky" - and the cuff went on. Within a week, Elaine was sure that Candice was stirring. Her doctors doubted it. "They kept telling me it was just reflexes, but a momma knows." Then, just before New Year's Day, a month after the accident, Cooper asked Candice how many little pigs there were. She held up three fingers.
Now 29, Candice Ivey is thrilled to see the 64-year-old Cooper when he shows up at her door. She gives him a big, warm hug and sits close to him on the couch. They chat about the presentation on traumatic brain injury that she recently gave to nurses at Cooper's hospital, and how hearing the story of her ordeal again brought him to tears. As she tells me of her injury and its aftermath, she comes back time and again to her gratitude. "The wreck was my fault," she says. "But getting better, that was God's doing. He sent Dr. Cooper to my momma, didn't he?"
Edwin Cooper has been sent, or has sent himself, to about 60 severely brain-injured people since the mid-1980s, when he first made the accidental discovery that electrical stimulation had effects on arousal. He was using a neuro-stimulator to relieve spasticity in the limbs of microcephalics, people with abnormally small skulls who often have reduced mental capacity and poor muscle control. During the treatment, he recalls, one patient started looking around his room and smiling when people walked in, instead of staring blankly. Cooper had already observed that when he placed the stimulator on one arm of a quadriplegic patient to strengthen the muscles there, the opposite arm also got stronger. He concluded that the electricity was making its way to the brain, crossing to the opposite hemisphere, and stimulating arousal centers in the process. He began to wonder about the effect this might have on unconscious people. "I thought, if someone were normal and able-bodied but in a coma, maybe this would make a difference, maybe help wake them up," Cooper says. "It was like maybe we could reboot the brain."
started testing this hypothesis in 1993. Candice Ivey was one of his first
research subjects, and her recovery remains the most spectacular. But Cooper
has gathered data on 37 other patients in two studies (at the
To read the rest of the article, please go to www.wired.com/wired/archive/14.09/brainshock.html.
Gary Greenberg (email@example.com) is a Connecticut-based writer and psychotherapist.
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The closest thing to a lifetime sinecure in
New data from the U.S. Bureau of Economic Analysis
confirm that the average federal civilian worker earns $106,579 a year in total
compensation, or twice the $53,289 in wages and benefits for the typical
private worker. This federal pay premium costs taxpayers big bucks because
Uncle Sam's annual payroll is now $200 billion a year. No wonder that, with a
per capita income of $46,782 a year,
And this pay disparity keeps widening. The Cato Institute's Chris Edwards tracks government compensation, and he finds that in 1950 the average federal bureaucrat received $1.19 for every dollar that a private employee earned. By 1990 that ratio had risen to $1.51 and is now $2. In 2005 federal wages rose 5.8% compared to 3.3% in the private sector.
Since 2000 only one major industry, the booming oil and gas sector, has kept pace with the automatic pay increases for employees of "Club Fed." Federal pay has risen by 38%, double the 15% pay increase in private pay from 2000-2005. This is roughly double the rate for private workers in manufacturing, retail, finance, health care and construction.
It's true that many federal employees are in white collar occupations that often command high pay, but studies find that public sector workers enjoy a 20-30% pay bonus above comparably skilled private workers. And this differential does not account for one of the biggest benefits of a government job: civil service rules giving virtual lifetime job security. Airline mechanics, auto workers and software designers must all worry about business-cycle downturns or changes in technology or outsourcing, but Uncle Sam's 1.8 million civilian employees live in a recession-proof bubble.
As for performance, Mr. Edwards reports that only one in 5,000 federal non-defense employees is fired for cause each year. One federal manager recently told us of an administrative assistant who missed work "about half the time" thanks to an assortment of ailments, sick children and funerals for a mother who died on three separate occasions. When the agency heads finally fired her, they were slapped with an anti-discrimination lawsuit and the half-time worker pulling down a full-time salary was reinstated. . . To read the entire article, please go to http://online.wsj.com/article_print/SB115560164971035701.html
For an alternate point of view, go to http://online.wsj.com/article_print/SB115707704297451445.html.
Gov. Arnold Schwarzenegger signed a bill Wednesday that includes a provision added in the waning days of the legislative session allowing his administration to nearly double the pay of 50 top state bosses.
Under Assembly Bill 2936, the workers -- mostly heads of agencies and departments -- could get as much as 125 percent of the governor's salary, although the governor says he intends to extend the raise to only one or two officials.
Schwarzenegger doesn't take his pay. But in 2007, the salary assigned to his office is scheduled to increase to $206,500. That would mean the top administrators would qualify for as much as $258,125. Under current law, the salaries of the top supervisors are set in state law and top out at about 138,000. . .
To read more about purchasing votes and the rape of the public till, please go to http://nl.newsbank.com/nl-search/we/Archives?p_product=SB&p_theme=sb&p_action=search&p_maxdocs=200&s_dispstring=(bosses%20could%20get%20big%20raises)%20AND%20date()&p_field_advanced-0=&p_text_advanced-0=("bosses%20could%20get%20big%20raises")&p_perpage=10&p_sort=YMD_date:D&xcal_useweights=no.
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I have been a doctor for over 36 years. As a vascular surgeon in
Of course the NHS has changed tremendously since I qualified and many of those changes are for the better. With the help of new medical technologies, powerful drugs and new surgical techniques, people are living longer and their expectations from doctors have never been higher.
I doubt that Aneurin Bevan would recognise today's health service: it is a huge, monolithic body that employs more than 1m people and on average about 48m patients have contact with the NHS every year. The government has invested unprecedented funds in the NHS and some parts of the service are getting better. Waiting lists are a good example and - it is important to say so - it is not all doom and gloom.
However, all over the country, doctors are
seriously worried about where the NHS is going. This was very clear last week
at the British Medical Association's annual meeting in
News emerged on Friday that the government had been quietly encouraging tenders from the private sector for a wide range of roles in the management and support of primary care trusts: I am concerned that it only seems to be a short step to move from there to clinical services.
The NHS is struggling to manage deficits.
Many healthcare professionals are losing their jobs and even some doctors face
the risk of redundancy. Given that the
Last week in
These centres really worry me. When a GP refers a patient to a certain consultant now, a bureaucrat at a management centre - often not even a trained doctor - reviews the case and has the power to redirect the patient to another consultant's list. This is ostensibly to make sure patients go to specialists with shorter waiting lists.
But the GP may have chosen a particular consultant for a good reason. Nobody should be able to second-guess the GP. . . .
No wonder the clinical workforce is up in arms. The BMA is a broad church with doctors from every part of the political spectrum and widely differing views on what to do to save the NHS. What unites us is the will and determination to keep the NHS comprehensive and free to patients, ethically rationed by clinical priority, equitably resourced and funded out of general taxation.
These fundamental values cannot be maintained if the NHS is broken up and tendered to private corporations. This is my vision for the NHS and I'm worried the government is taking us away from that.
The government's favoured method of raising quality and keeping prices down is to do what they do in supermarkets and offer choice and competition. There is no doubt it works in supermarkets - plenty of choice, good quality and low prices. But will it work in a health service where more "customers" - we doctors are old- fashioned enough to call them patients - do not mean more profit but more cost. . . .
The very last thing the
My plea to government - one I shall make very clearly at the health summit - is to involve doctors in decisions at all levels. Many doctors are natural innovators but have become distanced from the running of the health service. I believe the only way to stop the rot is by clinicians becoming involved in every aspect of managing, running and shaping the NHS.
To read the entire article, please go to www.timesonline.co.uk/article/0,,2092-2252273_1,00.html.
James Johnson is chairman of the British Medical Association
Since Kaiser Permanente already has clinicians involved in every aspect of managing, running, and shaping KP, they should have no problem in running the NHS.
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4. Medicare: Free Health Care Is A Fatal Notion, by Amy Ridenour, NCPA
Although national health care may be the Holy Grail of
American liberalism, Amy Ridenour of the
It would be bad enough if national health care merely offered patients low-quality treatment. Even worse, Ridenour finds, it kills them:
In addition, medicrats often distribute resources based on politics rather than science, leaving a disorganized and inefficient system for many patients, says Ridenour:
For all its problems, says Ridenour, the United States' more market-friendly health system offers patients better care and would deliver greater advancements if government adopted liability reform, interstate medical insurance sales, unhindered health savings accounts and other pro-market improvements, says columnist Deroy Murdock.
Source: Deroy Murdock, "Free health care is a
fatal notion," DailyBreeze.com,
For more on Health Issues: www.ncpa.org/sub/dpd/index.php?Article_Category=16
Government is not the solution to our problems, government is the problem.
- Ronald Reagan
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This week, I saw a cardiac patient who had an emergency coronary artery bypass as he was returning from an overseas tour. When he got back, he developed a wound infection and they had to reopen his chest to debride the wound. He had lost 20 pounds in the process with his weight having gone from 185 to 165. He was trying to recover ten pounds by eating more, doing exercise, and playing golf. He was trying to find out what was keeping him so light. He also had back pain and thought this might somehow be the result of some malignancy.
I pointed out that his current weight calculated to a body mass index (BMI) of 24, which is at the upper limits of normal. (Looking at the appropriate weight for each height produces a body mass index. A BMI of 19-24 is normal, 25-29 is overweight, 30-34 is obesity, 35-39 is marked obesity and over 40 is morbid obesity. To calculate your BMI, go to www.nhlbisupport.com/bmi/.)
Our examination included a careful check on possible lymph nodes, liver enlargement, abdominal masses, prostate nodules, stool check on the rectal glove which was negative. (President Reagan's colon cancer was found on his prostate examination when the stool on the doctor's exam glove was positive for blood. Hence, the double importance of men over 55 having prostate and stool hematest checks yearly.) All were negative.
We reviewed his medical record and found an unbelievable number of laboratory tests and x-rays. He wanted more MRIs and CT exams. He had a number of both, all of which were negative for any abnormal masses. He wanted them repeated. These were all current within the last three months. He wanted more blood panels. He had every conceivable panel and these were all recent. The liver tests were slightly abnormal but not in the hepatitis ranges. He was borderline anemic, but only 0.5 gm% down. His iron level was normal. I told him that his weight was really high normal, that these few abnormal tests could be repeated in another three months, or six months after the current sampling, and he should to try to adjust to his new ideal body weight.
When he left, I don't think he was a happy man. There was easily more than $10,000 worth of testing done in the past three months. His insurance took care of 100 percent. An extra $10,000 would have added nothing to his health or allayed his anxieties.
What are the answers? If this patient went to formal review, the administrative review may have felt sorry for him and allowed the expensive repeating of testing. However, there would have been no medical basis for his decision. The best control of medical costs is having the physician in charge. However, the patient must be at some financial risks to want to listen to the physician. This patient responsibility coupled with the physician's guidance reduces health care costs consistent with the highest level of medical care. It cannot be duplicated by any reviewing agency or administrative oversight. Eliminating the reviewing agencies and administrative oversight will save $ billions.
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6. Medical Myths: Government has real role in providing health care solutions for residents
Careful, Gov. Arnold Schwarzenegger. Your ghostwriter seems to have just made you an opponent of Medicare.
The opinion piece in question was designed to detail your reasons for vetoing Senate Bill 840 by Sheila Kuehl, D-Santa Monica. SB 840 would have revolutionized the state's health care system. Private insurers would have gone out of business. The state would have started paying directly for the health care of millions of Californians.
"I cannot support a government-run health care system," you wrote (or, more accurately, someone wrote for you).
Hmm. So what exactly is Medicare? Or, more important, what are Republicans and Democrats really fighting about when it comes to providing affordable health care to more Californians, and how can anyone find the elusive political compromise?
SB 840 sought to create one payer of health care -- the state -- for residents of California. That would be the so-called "single-payer" solution to our health care ills. The very term "single payer" tends to create political divides. And along those divides, the very real role of government in health care gets misunderstood.
"Socialized medicine is not the solution to our state's health care problems," wrote Schwarzenegger in vetoing SB 840. Actually, socialized medicine is as American as apple pie. No greater example is Medicare.
Medicare is essentially a single-payer form of health care. One payer -- the federal government -- provides the bulk of the funds to hospitals and doctors for the necessary care of millions of senior citizens. . .
Our problem with SB 840 was how the Democrats dangled it as veto bait from the get-go. No quest for common ground ever appeared evident, either by Democrats or Schwarzenegger. It was all about Democrats embracing government as the solution and Republicans denouncing it. In vetoing SB 840, Schwarzenegger followed the script.
Real progress in lowering health care costs and insuring more Californians will take a far more serious effort than the theater surrounding SB 840. It will start with the recognition that government is not the bad guy, and that government has an indispensable role in any solution. www.sacbee.com/324/story/20346.html
[In an adjacent article, the author says it's time to choose between Medicare and Missiles. If we forgo missles to defend ourselves, when we are taken over, there won't be any Medicare. Yes, the choice between Medicare and Missles is really a no-brainer. We have to thank the editors at Sac Bee for putting government programs in such a focused perspective.]
Government has not provided any real health care solutions with either Medicare or Medicaid.
Disaster is looming in both programs. In fact, they are on life support.
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Joe: I need a job where my immense Ego seems normal. I've decided to be a doctor. I will determine who lives and who dies.
How many terminal diseases do you think you'll treat in a medical career?
Joe: Who said anything about terminal? I will find a way to make any disease terminal. I'm going to write a book, "How to legally commit homicide and make it look like medically assisted suicide."
What if a guy comes in with just mild hypertension?
Joe: I will devise the lethal combination of
antihypertensive drugs that the patient is already taking that will make him
glide off into
Dr Rosen: Have you heard that Newsweek Magazine states that preventative health care is expected to grow from $300 billion to $1 trillion in just a decade?
Dr Michelle: How will people be able to afford that? We'll have to make preventive medicine a covered health insurance benefit.
Dr Rosen: You've got to be kidding. That will double insurance costs and make preventive medicine unaffordable.
Dr Michelle: Only the government will be able to regulate and reduce the costs of preventive care.
Dr Rosen: Every regulation and control that government has implemented since the advent of Medicare in 1965, has just skyrocketed the cost unnecessarily. It has done more to put the cost of health care out of reach than physicians, hospitals, and high tech combined. It's time to get government out of health care.
Dr Michelle: I can't believe you Rosen. Are you saying that Medicare isn't the best thing that has ever happened for sick and old people?
Dr Rosen: Sick people are now paying more than half of their heath care costs, which is more than the 100 percent they were paying in 1965. So without Medicare, sick seniors wouldn't be paying any more and be in control of their health care including quality of care.
Dr Michelle: Rosen, you make me sick. I think I'll wander across the street to my office and see sick patients before I really get ill.
* * * * *
Warner, MD, President of the
. . . Let me
share with you another little piece of my education that has a bearing on all
this planning. While I was a medical student, I took an unusual opportunity to
see the world by participating in the KU University of the
One of the most intriguing places I visited that year
While the rest of the
(We will be discussing with Dr Warner options to obtain the rest of his speech, which has not been posted on the KMS.org web site.)
* * * * *
9. Book Review: Freakonomics, by Steven Levitt, Reviewed by Gerry Smedinghoff
In 1965, after several years of steadily increasing auto fatalities, Ralph Nader declared that the automobile was the scourge of the country and must be disciplined. Yet, in the two decades from 1925 to 1945, the auto fatality rate (measured in deaths per mile traveled) had dropped by 50 percent. And in the next 20 years from 1945 to 1965 - when his landmark book Unsafe at Any Speed was published - the auto fatality rate was reduced by another 50 percent. But instead of praising the auto industry for its unprecedented and phenomenal safety record, in the absence of government regulation, he chose to accuse it of criminal negligence.
Nader may have known numbers, but he was completely ignorant of statistics. What he didn't know was that while auto fatalities were increasing at an alarming rate, Americans were buying cars and driving at an even more alarming rate. In other words, he never adjusted the fatality data for exposures. But while actuaries and statisticians may have ignored or even mocked his buffoonery, Nader became famous and built a legacy, laughing all the way to the bank.
The mass media may now be in the process of anointing
a new Ralph Nader, a
economics professor named Steven Levitt, co-author of the new book Freakonomics: A Rogue Economist Explores the Hidden Side of Everything. A more accurate subtitle would be, "A Rogue Economist Asks the Right Questions but Gets the Wrong Answers."
In spite of the book's problems, Levitt's work and methodology are a huge improvement on Nader's hatchet job of the auto industry. This is why Milton Friedman cites John Maynard Keynes as one of the most important economists of the 20th century:
Because brave pioneers must be allowed to get everything wrong, before more knowledgeable successors can get things right. Thus the benefit of this book is not what Levitt says but how he teaches his readers to think.
Levitt's primary fault is that he appears to pose his questions only to himself, where a little peer review and insider expertise would have saved him the trouble of writing much of the book and saved readers from being misled by it. Levitt just can't help but believe that the first possible explanation that comes to his mind to explain two correlating variables must be correct. His secondary fault is that he fearlessly dives into the most treacherous of academic exercises, employing the discipline of economics to explain everyday phenomena that don't appear to make sense, without realizing just how difficult and frustrating this task can be. Which is another way of saying that most economists find it difficult to do much better. But to Levitt's credit, he does expose several popular media myths with robust statistical data. . .
Gerry Smedinghoff is the director of actuarial
services for TriWest Healthcare Alliance in
* * * * *
Dr James Johnson, President of BMA: The
very last thing the
Bureaucratic doctors would lose all their power if they didn't have a 12-month waiting list to manipulate.
Today's health service: it is a huge, monolithic body that employs more than 1m people and on average about 48m patients have contact with the NHS every year.
Are these 48m physician visits or 48m patients in contact to get on a waiting list requiring follow-up contacts to see how they're progressing along that list?
Dr James Johnson: In my vision for the NHS, there needs to be more focus on emergency care and the improvement of long-term conditions.
With one million employees of the NHS, I'm sure there must be at least one million visions as to what's wrong - just like any other government program.
Old doctors never die, they just lose their patience. Sometimes they also lose their patients.
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John and Alieta Eck, MDs, for their first-century solution to twenty-first century needs. With 46 million people in this country uninsured, we need an innovative solution apart from the place of employment and apart from the government. To read the rest of the story, go to www.zhcenter.org and check out their history, mission statement, newsletter, and a host of other information. For their article, "Are you really insured?," go to www.healthplanusa.net/AE-AreYouReallyInsured.htm. For the latest on their Antigua Project, please go to www.zhcenter.org/custom.asp?id=188800&page=3 . You may be interested in a Medical Timeshare in a resort.
NEUROLOGY is a Third-Party-Free
Michael J. Harris, MD - www.northernurology.com - an active member in the American Urological Association, Association of American Physicians and Surgeons, Societe' Internationale D'Urologie, has an active cash'n carry practice in urology in Traverse City, Michigan. He has no contracts, no Medicare, Medicaid, no HIPAA, just patient care. Dr Harris is nationally recognized for his medical care system reform initiatives. To understand that Medical Bureaucrats and Administrators are basically Medical Illiterates telling the experts how to practice medicine, be sure to savor his article on "Administrativectomy: The Cure For Toxic Bureaucratosis" at www.northernurology.com/articles/healthcarereform/administrativectomy.html.
Dr Vern Cherewatenko concerning success in restoring private-based medical practice which has grown internationally through the SimpleCare model network. Dr Vern calls his practice PIFATOS - Pay In Full At Time Of Service, the "Cash-Based Revolution." The patient pays in full before leaving. Because doctor charges are anywhere from 2550 percent inflated due to administrative costs caused by the health insurance industry, you'll be paying drastically reduced rates for your medical expenses. In conjunction with a regular catastrophic health insurance policy to cover extremely costly procedures, PIFATOS can save the average healthy adult and/or family up to $5000/year! To read the rest of the story, go to www.simplecare.com.
Dr David MacDonald started Liberty Health Group. To compare the
traditional health insurance model with the
Dr. Nimish Gosrani has set up a blend between concierge medicine and a cash-only practice. "Patients can pay $600 a year, plus $10 per visit, to see him as many times in a year as they want. He offers a financing plan through a financing company for those unable to plop down $600 all at once." Patients may also see him on a simple fee-for-service basis, with fees ranging from $70 for a simple office visit to $300 for a comprehensive physical. Dr. Gosrani reports that he saves two hours per day that he used to spend dealing with insurance company paperwork. To read more, go to http://cgi.photobooks.com/scripts/troll.cgi?dbase=moses&page=2&setsize=10&practice=Nimish+C.+Gosrani%2C+MD&pict_id=2001670.
Vaughan is another
· Madeleine Pelner Cosman, JD, PhD, Esq, who has made important efforts in restoring accountability in health care, has died (1937-2006). Her obituary is at www.signonsandiego.com/news/obituaries/20060311-9999-1m11cosman.html. She will be remembered for her important work, Who Owns Your Body, which is reviewed at www.delmeyer.net/bkrev_WhoOwnsYourBody.htm. Please go to www.healthplanusa.net/MPCosman.htm to view some of her articles that highlight the government's efforts in criminalizing medicine. For other OpEd articles that are important to the practice of medicine and health care in general, click on her name at www.healthcarecom.net/OpEd.htm.
David J Gibson, MD, Consulting Partner of Illumination Medical, Inc. has made important contributions to the free Medical MarketPlace in speeches and writings. His series of articles in Sacramento Medicine can be found at www.ssvms.org. To read his "Lessons from the Past," go to www.ssvms.org/articles/0403gibson.asp. For additional articles, such as the cost of Single Payer, go to www.healthplanusa.net/DGSinglePayer.htm; for Health Care Inflation, go to www.healthplanusa.net/DGHealthCareInflation.htm.
Dr Richard B Willner, President, Center Peer Review Justice Inc, states: We are a group of healthcare doctors -- physicians, podiatrists, dentists, osteopaths -- who have experienced and/or witnessed the tragedy of the perversion of medical peer review by malice and bad faith. We have seen the statutory immunity, which is provided to our "peers" for the purposes of quality assurance and credentialing, used as cover to allow those "peers" to ruin careers and reputations to further their own, usually monetary agenda of destroying the competition. We are dedicated to the exposure, conviction, and sanction of any and all doctors, and affiliated hospitals, HMOs, medical boards, and other such institutions, who would use peer review as a weapon to unfairly destroy other professionals. Read the rest of the story, as well as a wealth of information, at www.peerreview.org.
Society International, Verner S. Waite MD, FACS, Founder; Henry Butler MD,
FACS, President; Ralph Bard MD, JD, Vice President; W. Hinnant MD, JD,
named after Ignaz Philipp Semmelweis, MD (1818-1865), an obstetrician
who has been hailed as the savior of mothers. He noted maternal mortality of
25-30 percent in the obstetrical clinic in
To view some horror stories of atrocities against physicians and how organized medicine still treats this problem, please go to www.semmelweissociety.net.
Dennis Gabos, MD, President of the Society for the Education of Physicians and Patients (SEPP), is making efforts in Protecting, Preserving, and Promoting the Rights, Freedoms and Responsibilities of Patients and Health Care Professionals. For more information, go to www.sepp.net.
Robert J Cihak, MD, former president of the AAPS, and Michael Arnold Glueck, M.D, write an informative Medicine Men column at NewsMax. Please log on to review the last five weeks' topics or click on archives to see the last two years' topics at www.newsmax.com/pundits/Medicine_Men.shtml. This week's column is A Lawyer by Any Other Name . . . found at www.newsmax.com/archives/articles/2006/9/13/91053.shtml.
Association of American Physicians & Surgeons (www.AAPSonline.org), The Voice for Private Physicians Since 1943,
representing physicians in their struggles against bureaucratic medicine, loss
of medical privacy, and intrusion by the government into the personal and
confidential relationship between patients and their physicians. Be sure to scroll down on the left to
departments and click on News of the Day or go directly to it at www.aapsonline.org/nod/newsofday332.php
and read about Privacy breaches reported by nearly half of federal
contractors. The "AAPS News,"
written by Jane Orient, MD, and archived on this site, provides valuable
information on a monthly basis. Read the latest newsletters at www.aapsonline.org/news.htm.
Scroll further to the official organ, the Journal of American Physicians and
Surgeons, with Larry Huntoon, MD, PhD, a neurologist in
Annual Meeting of the AAPS, in
DOCTORS OPPOSE AMA EFFORTS TO HALT MEDICARE PAY CUTS
"It's NOT about the money."
Bookmark www.aapsonline.org/, as your gateway to a vast amount of important information.
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Words of Wisdom
Thomas Sowell: If you had asked me whether singing "Sweet Georgia Brown" in Polish would be funny, I would have said "NO." But, when Mel Brooks and Anne Bancroft sang it as a duet in Polish, I laughed so hard that my sides literally hurt. Most of us - if not all of us - are grossly incompetent at other people's jobs. That is why it is so dangerous to have politicians telling doctors, farmers, bankers, entrepreneurs and others what to do.
Leo Tolstoy: From the day when the first members of council placed exterior authority higher than interior, that is to say, recognized the decisions of men united in councils as more important and more sacred than reason and conscience; on that day began lies that caused the loss of millions of human beings and which continue their unhappy work to the present day.
Stand Up for what is Right, Even if you're Standing Alone.
Edward Langley, Artist 1928-1995: What this country needs are more unemployed politicians.
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Dr. Ralph C. Teall, a longtime
Dr. Teall was active in professional issues
while practicing family medicine for almost four decades. He opened his first
office in a small space near Sutter's Fort in 1935 with money he scraped
together by working as a doctor in a
He served as president of the Sacramento Medical Society in 1949 and was elected president of the California Medical Association in 1965 after working on the first schedule of "usual, customary or reasonable" fees. His efforts helped established uniformity among doctors for costs of medical services. . .
Dr. Teall also was a compelling public speaker with a booming voice, keen grasp of policy issues and persuasive arguments, colleagues said. He became vice president of the American Medical Association in 1971 and remained active in professional activities long after retiring from his medical practice in 1973.
A caring doctor and jovial colleague, he was widely respected for his dedication to professional issues and his willingness to mentor new doctors.
Dr. Teall was born in 1907 in the
He continued working to put himself through
medical school at the
He returned to
In a 1993 interview with Sacramento Medicine,
Dr. Teall reminisced about changes in
"You hear a lot of complaining these days, and there are those (doctors) who are in it for the money, but most are still motivated by the desire to do something for people," he said. "And that's never going to change."
To read the entire obit, please go do www.sacbee.com/300/v-print/story/24294.html.
On This Date in History
On this date in 1960, the first presidential debate occurred. Candidates John F Kennedy and Richard M Nixon started a trend in national election campaigns with their televised, face-to-face confrontation. The power of words and their delivery - not to mention a close shave - were never more dramatically illustrated. It became a common forum for presidential campaigns in the future, offering voters both a chance to contrast and compare the opinions of the candidates without media bias.
On this date in 1919, President Woodrow
Wilson collapsed. He had been
on the road conducting a forty-date speaking tour. His mission was to garner
the nation's support for the Treaty of Versailles. Unfortunately, he did not
rally the people to accept the far-reaching, global nature of the treaty, which
would have involved the
On this date in 1815, the Act of the Holy
Speaker's Lifetime Library, © 1979, Leonard and Thelma Spinrad