Friday, February 1, 2019

Vol VII No. 740 Part 4

Before you vent about your doctor on social media, read this

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KevinMD Plus newsletter@kevinmd.com via aweber.com 

Thu, Jan 31, 5:11 AM (20 hours ago)
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Here are the stories you missed on KevinMD.  Thank you for your continuing readership.
 

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KevinMD Plus: Jan 31, 2019

Before you vent about your doctor on social media, read this

John and I met as young children and were high-school sweethearts. We married and put him through college and had four children during the process. He joined the Air Force to pay for medical school, and we spent four years overseas to help pay off the costs of his education. We recently counted how many […]
 
In medicine, what’s in a name?

Before I could see her, I could hear her. My patient, a young woman with messy braided hair, was grunting with every effort to breathe. The noises quieted slightly when I reached her bedside, but her tears continued to fall between gasps. Her body movements were exaggerated, rooted in the rhythm of her labored breathing […]

Get ready for health care disruption

Just like you, I’m trying to make sense of the world around me. But there are no templates for the bridge that health care’s building for its future. All we can do is listen to weak signals and amplify them. Recently (and finally), CVS bought Aetna for $69 billion. I spoke to someone intimately familiar […]

Your patients are counting on you

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I recently attended a state medical society’s annual meeting where the agenda consisted of an awards program, several speakers and a keynote address.  The highlight of the evening, however, was listening to patients share their stories with the local medical community.  We’ve all heard from […]

Why doctors-in-training need better nutritional education

Obesity is a global epidemic, and its prevalence is increasing in every part of the world. While we have new medications and complex surgical techniques that promote weight loss, the awareness of healthy eating habits and dietary education are still the most important factors in helping control body weight. Unfortunately, nutrition knowledge appears confined largely […]
 

Thousands of physicians are browsing this job board. They love its selection of over 12,000 openings across the U.S.. Physicians are finding opportunities they almost missed.
 

Should residency programs review their applicants’ social media history?

By now, I’m sure most of you probably have heard about the Cleveland Clinic first-year resident who was fired last September when it became known that in 2012 she had tweeted she would “purposely give all the yahood [Jews] the wrong meds …” The website Canary Mission documented numerous tweets expressing similar thoughts. She has apologized but will likely have great […]

The problem with abbreviations in the medical record

Several patients seen in our practice recently were significantly and dramatically transformed by the electronic health record (EHR). And not in a good way. Take, for instance, the patient whose outside chart was reviewed when she showed up in our office for a follow-up appointment after an emergency department visit. The notes from the emergency […]

Are clinically integrated networks a cure for checkbox medicine?

Years ago, I was contacted by a health plan about an elderly nursing home patient who had not been screened for osteoporosis. While brittle bones are a big problem in skilled nursing settings, the real problem for this health plan was its low HEDIS score for “osteoporosis testing and management.” Because of the underlying financial […]

What advocacy means to this physician

Patients first Patient care brings me enormous satisfaction. Nearly 40 years ago, when I chose medicine as a career, this was a driving force. Within moments of patients coming into my office, they often share aspects of their life history known only to their closest friends and family. Bestowing this trust is a huge honor […]

When a child dies, this pediatrician grieves

I found his obituary today. Kids do not always have obituaries. I am not sure why. Perhaps it is because children are not supposed to die and no one quite knows what to say. Still, I always look for them. He loved the color green. His death was so unexpected. I have never seen a […]

Sometimes, the biggest challenge to eliminate health disparities is geography

Driving north in a snowstorm Tuesday of Thanksgiving week I certainly took my time. I left after our Suboxone clinic wrap-up conference, around 7:30 p.m., and arrived at my unplowed driveway in Caribou about 1 a.m. On the way up, I saw two ambulances, one from Caribou and one from Presque Isle, on their way […]

Geriatric medicine is a calling

Often people (mostly residents and medical students) ask why on earth did I choose to do a geriatric fellowship? My response is because it is the medicine of the future. While we are all aging, the fastest growing age groups are those born between 1946 to 1964. The Baby Boomers. The Silver Tsunami. The Grey […]

Doctors: Never forget the importance of eye contact

Eye contact is one of the most basic mammalian traits that signals an interaction. Anybody who has a dog or cat at home sees on a daily basis how much animals value eye contact (and with dogs, it signals you’ve lost the battle!). In the case of health care, during frequent emotional exchanges between two […]

Is personalized medicine mostly marketing and hype?

“Personalized” medicine sounds appealing. Rather than just guessing at what medication to try, a genetic test can figure out, in advance, which medications will be effective and which medications are more likely to make you sicker. Except it doesn’t work. It’s mostly marketing and hype. The FDA has officially warned consumers and physicians that genetic tests sold […]

Generics aren’t going to help the cost of chemotherapy drugs

Chemotherapy drugs have become ridiculously expensive. Many new drugs come to market costing more than $100,000 per patient for a full course of treatment. Often, patients have to pay a significant portion of these costs. For example, a 20% co-insurance rate, typical for basic Medicare coverage, leaves patients responsible for more than $20,000 of chemotherapy costs, […]

Negotiation tips for new doctors

In an ideal world, we should all be compensated fairly for our services and skills.  The reality, as we all experience, is an amalgam of mistakes and victories.  One hopes that with time our skills will translate to a greater number of victories.  Most greenhorns entering the workforce are unfortunately poorly equipped to assess their […]

A story of treatment failure and end-of-life decisions

Part 4 of a series. By the time my father’s metastatic prostate cancer was diagnosed, he was already experiencing symptoms of poor appetite and weight loss, which grew progressively worse following his first hospital admission. As his nutritional status continued to decline, the protein level in his blood decreased, causing significant fluid buildup in his legs […]

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 Not For Profit - For Justice
100% Non Commercial, Fearless, Forthright & Independent 
January 31/ February 01, 2019
"We must speak with all the humility that is appropriate to our limited vision, but we must speak,"  Rev. Dr. Martin Luther King Jr.

"The United States needs to stay out of Venezuela. Let the Venezuelan people determine their future. We don't want other countries to choose our leaders - so we have to stop trying to choose theirs." - Rep. Tulsi Gabbard (D-HI)

"It is the first responsibility of every citizen to question authority." - Benjamin Franklin

"If there is ever a fascist takeover in America, it will come not in the form of storm troopers kicking down doors but with lawyers and social workers saying. "I'm from the government and I'm here to help." - Jonah Goldberg, Liberal Fascism: The Secret History of the American Left from Mussolini to the Politics of Meaning

"Fascism is capitalism plus murder." - Upton Sinclair
 
Op-Ed

Sanctions of Mass Destruction: America's War on Venezuela
 
By Garikai Chengu
Pay to playPrior to American sanctions, socialism in Venezuela had reduced inequality and poverty whilst pensions expanded..   - Continue
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How US trained Juan Guaido for Regime Change
 
By Max Blumenthal
Pay to playJuan Guaido's "real constituency is in Washington" and he's at the forefront of a years-long destabilization campaign orchestrated by the US.   - Continue
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President Maduro addresses the American people - Don't let Trump start a Vietnam war in Venezuela
 
Watch - English Translation
Pay to playMaduro said that he hopes that reasonable US citizens will prevail, adding that America "is a great country, and it is much more than Donald Trump."   - Continue
======
Peculiarities of US Imperialism in Latin America
 
By James Petras
Pay to playThe US intervention in Venezuela is the longest war of our century- (eighteen years) - exceeding the US invasion of Afghanistan.  - Continue
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EU launches mechanism to bypass US sanctions on Iran
 
By Virginia Pietromarchi
Pay to playEU opens new channel for humanitarian trade with Iran, showing its willingness to stand against US policies.   - Continue
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Time to Break the Silence on Palestine
 
By Michelle Alexander
Pay to playThe days when critiques of Zionism and the actions of the State of Israel can be written off as anti-Semitism are coming to an end.   - Continue
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When 'Former' Spies Run Wild, Bad Things Happen
 
By Moon Of Alabama
Pay to playHow 'former' NSA staff, built a snooping center for the United Arab Emirates.   - Continue
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US revisits Vietnam Syndrome in Afghanistan after 17 years of war and destruction
 
By Finian Cunningham
Pay to playWashington is only polishing the optics, while finessing "the terms of surrender."   - Continue
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A Lawless Government
 
By Paul Craig Roberts
Pay to playSince Donald Trump won the Republican presidential nomination, the media has been allied with the military/security complex and the Democratic Party in an effort to deep-six Trump.   - Continue
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Jackboots in the Morning: No One Is Spared From This American Nightmare
 
By John Whitehead
Pay to playThis becomes a problem of life and death for Americans.   - Continue
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God wanted Donald Trump to be United States president: White House press secretary
 
By ABC Australia
Pay to playMs Sanders said it was hard to take a morality lecture from Democrats.   - Continue
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A Pale Blue Dot
 
Must read - By Carl Sagan
Pay to playThink of the rivers of blood spilled by all those generals and emperors so that, in glory and triumph, they could become the momentary masters of a fraction of a dot.   - Continue

 
HARD NEWS
 
MIDDLE EAST
 
 
 
 
 
 
 
 
 
 
 
 

As Malaysia and Ireland Find Out, You Stand Up for Palestinian Rights at Your Peril

 
 
 
 
 
 
 
AFRICA
 
 

More than 60 people killed, thousands flee Nigeria violence: UN

 
 
 
 
ASIA
 
 
 
A Security Company Cashed In on America's Wars-And Then Disappeared;Sabre International Security employed guards for the Canadian embassy in Kabul. When a bombing left many of them dead or wounded, the company vanished.
 
 
 
EUROPE
 
 
 
 
 
 
GLOBE
 
Judge refuses to unseal charges against Julian Assange: U.S. government keep their investigation into Wikileaks founder secret
 

Sign the I am WikiLeaks open letter!

 
Apple pulls the plug on Facebook's internal iOS apps; Apple has revoked Facebook's ability to deploy and use apps
 
 
 
AMERICAS
 
ICE force-feeding detainees on hunger strike: Lawyers say some detainees are losing weight rapidly after not eating or drinking for more than 30 days.
 
 
 
 

Propaganda alert: Venezuelan army defectors appeal to Trump for weapons

 
 
 
 
 
 
 
 
CIA in Venezuela: 7 rules for regime change;Venezuela is seen as a private domain where Washington can do what it pleases, with or without the support of other countries.
 
 
 
 
 
 
Trump blasts intel chiefs as 'passive and naive': "The Intelligence people seem to be extremely passive and naive when it comes to the dangers of Iran. They are wrong!"
 
Mueller's team seized cache of possible evidence against Roger Stone ; Federal investigators probing Roger Stone seized multiple hard drives containing years of communication records from cellphones and email accounts.
 
 
 
 
 
 

Peace and Joy

Tom Feeley
Cost Of War
 
Number Of Iraqis Slaughtered In US War And Occupation Of Iraq "1,455,590"

Number of U.S. Military Personnel Sacrificed (Officially acknowledged) In America's War On Iraq:  4,801

Number Of  International Occupation Force Troops Slaughtered In Afghanistan :
3,430 
 
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