Category Archives: Health

Suggestions for becoming a positive deviant

Harvard surgeon and author Atul Gawande has written several books and New Yorker articles about medicine, aging, mortality, quality improvement, and philosophical musings. In many ways he reminds me of Lewis Thomas. Gawande is probably doing more than any other … Continue reading

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The Immigration Ban And The Physician Workforce

From the Health Affairs Blog: “The Executive Order restricting visas for citizens of Iran, Libya, Somalia, Sudan, Syria, and Yemen has many legal, political, and moral implications. But here we will focus on the medical implications of the executive order, … Continue reading

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AARP’s letter to Congress concerning “The American Health Care Act”

One reason (of many) the opponents of Obamacare don’t like the law, is that taxes are attached to support the program. There are a number of them and include (from Forbes): 2.3% Tax on Medical Device Manufacturers (this doesn’t hit … Continue reading

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A Family Adventure in Medical Tourism

At the moment, I’m living about 15 minutes north of Tijuana. The wall at the border is impressive restraining movement in both directions, yet the car and foot traffic are brisk and commonly backed up – and medical care is one … Continue reading

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Should I Take a Vitamin for Brittle Nails?

Ed Note: “The desire to take medicine is perhaps the greatest feature which distinguishes man from animals.” William Osler. This seems to be more than obvious by walking the isles of expensive supplements and vitamins at COSTCO and any pharmacy. … Continue reading

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Republicans reveal replacement plan for Obamacare

Oops! Someone seems to have misplaced it. Sorry, can’t seem to find it anywhere! Maybe it’s locked in drawer somewhere. But wait, there may be three or four plans, who knows? Trumpcare/Ryancare awaits the light of day.

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Great source of health, safety and aging information

Ed note: This web site http://www.agingkingcounty.org/advisory-council is well worth subscribing to for all kinds of health and safety tips. Below is just a taste of one of their articles on food safety for your edification and to whet your appetite. Food safety … Continue reading

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Trumpcare vs. Obamacare by Atul Gawande

There’s a joke going around that Congress and the President are going to repeal Obamacare — and replace it with the Affordable Health Care Act. Harvard physician and author Atul Gawande writes about how difficult the choices are in the … Continue reading

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Obamacare in Trump country

 

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An unfortunate truth

Submitted by Sylvia P.: Abuse in nursing homes received attention in a recent CNN story titled “Sick, dying and raped in America.” We are fortunate at Skyline to have strong leadership in preventing abuse but it is of national concern … Continue reading

Posted in Health, Social justice | 2 Comments

The interned and the undocumented: the immigration spectrum in the US today

From Aeon and the NYT: “With many Americans either too far away or too busy to care for their elderly relatives, the task is frequently shifted to professional caregivers – often female immigrants from cultures where caring for elders is seen as … Continue reading

Posted in Health, Social justice | 1 Comment

The difficult C. Diff

Mrs. G was admitted from the ER to our ICU in shock. This quite healthy 80 year old woman had an infected toe about a month prior to admission. It responded to antibiotics and initially she did well. But when … Continue reading

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Do you have questions about hospice?

Next Tuesday in the MBR at 3PM Questions and Answers about Hospice and Palliative Care This is an informal discussion intended to define and clarify what hospice might “look like” if you, a family member, or loved one were interested … Continue reading

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Lack of direct sunlight may reshape the human eye and impair vision

Sunlight seems to be controversial. Can’t live without it though. Sunlight is good in the morning to help set your sleep cycle. But it’s bad for your skin and causes cataracts. Yet you need it for your bones and vitamin … Continue reading

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How many of your knees hurt?

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Physician Aid in Dying Gains Acceptance in the U.S.

From the NYT: “The number of residents taking advantage of these laws in Oregon and Washington has climbed in the past two years. Still, after nearly 20 years in Oregon and eight in Washington, far fewer than 1 percent of … Continue reading

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Federal Legislation to EXCLUDE Advance Care Planning under Medicare

 Unbelievable – “Death Panel” phobia redux! Yikes! From the Medical Futility Blog: Congressman Steve King has re-introduced a bill to exclude coverage of advance care planning services under the Medicare program.Unfortunately, King fundamentally either misunderstands or deliberately mischaracterizes the current … Continue reading

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A few more thoughts

Let go of certainty. The opposite isn’t uncertainty. It’s openness, curiosity and a willingness to embrace paradox. — Tony Schwartz The Truth is rarely pure and never Simple  –  Oscar Wilde  You are on Heaven’s Most Wanted List (Church) And … Continue reading

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Avoid fake news — find accurate health policy information here

Dr. Diana Buist knows that national health policy is complex and won’t get easier in 2017. Here’s how she keeps up with news and strategy. From Group Health Research Institute’s Dr. Diana Buist: Since November 8, like many people, I’ve … Continue reading

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What really matters at the end of life – imagination!

B.J. Miller talks about his transition from a triple amputee to an MD focused on person centered care at his unique Zen Hospice in San Francisco. Just to let you know, Klein Galland will give a presentation about Hospice care … Continue reading

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The Latest Trends in Income, Assets, and Personal Health Care Spending Among People on Medicare

Most people on Medicare are of very modest means. The slide show below shows that the 50% of the Medicare population had incomes below $24,000; whereas 5% had incomes above $93,000 and only 1% above $163,000. Click on the slides … Continue reading

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Therapy Cats for Dementia Patients, Batteries Included

From the NYT: “The robotic cats, called Joy for All Companion Pets, are made by Hasbro. They hit the market last year and cost $99 — considerably less than previous generations of robotic therapy animals, which have been around since … Continue reading

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It’s not the fat, the toxin is sugar!

From Aeon: “Researchers in harder sciences have a name for such situations: ‘pathological science’, defined by the Nobel Laureate chemist Irving Langmuir in 1953 as ‘the science of things that aren’t so’. Where experimental investigation is prohibitively expensive or impossible to … Continue reading

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Brain Training Programs – a critique

There continues to be hope that the use of technology can somehow improve the functioning of the brain, perhaps slowing or preventing the onset of dementia. There are many studies, but a recent peer reviewed literature review in a scientific … Continue reading

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Healthcare and the Human Spirit: Walt Whitman on the Most Important Priority in Healing the Body and the Soul

There’s a lot (most everything) about Walt Whitman that I don’t know. Recently I’ve been introduced to a wonderful web site called brainpickings, delightfully filled with essays such as this one about Walt Whitman’s views on health care and the … Continue reading

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