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September 10, 2012

Obesity is good for your heart

From, an article by Lisa Nainggolan:

Gothenburg, Sweden – Further support for the concept of the obesity paradox has come from a large study of patients with acute coronary syndrome (ACS) in the Swedish Coronary Angiography and Angioplasty Registry (SCAAR) [1]. Those who were deemed overweight or obese by body-mass index (BMI) had a lower risk of death after PCI [percutaneous coronary intervention, aka angioplasty] than normal-weight or underweight participants up to three years after hospitalization, report Dr Oskar Angerås (University of Gothenburg, Sweden) and colleagues in their paper, published online September 5, 2012 in the European Heart Journal.

Can confirm. My grandmother in the 1930s was instructed to make sure she fed her husband lots and lots of butter to lubricate his heart after a heart attack. This proved to work extraordinarily well, at least until his next heart attack.

I refer once again to the classic 1999 The Onion headline: Eggs Good for You This Week.

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October 22, 2009

Ask your senator to add midwifery to Medicaid

Now, as health care reform is being debated, would be an excellent time to ask your friendly local Senators to support adding Certified Public Midwifery to the list of healthcare providers who can receive Medicaid funds.

CPM’s are trained professionals. They are not nurse midwives and thus send women into the “regular” health care system when the women are at risk in any way. But, if you are pregnant, not at risk, and want a home birth, a CPM is the person to call. CPMs are hugely dedicated women who work long hours for little pay because they love healthy women and their healthy babies [1 2 3 4]. I say this as a proud parent of a CPM.

You can find your Senator’s email address here.


October 9, 2009

What I learned from my annual physical: Rationing, records, red blood

At my annual physical today I learned three things, in addition to the fact that I seem to be basically healthy:

1. My doctor told me that as someone over 50 years old (I’m 58), I should not get a swine flu inoculation. See, we’re already rationing medicine, the damn socialists! Of course. We always have. At least flu shots are being rationed by doctors, not by insurance companies. Rationing is the only reasonable response in a world of non-infinite resources.

2. The health center I go to has an extensive electronic record of my health, but it is designed around billing, not around my health. For example, I was diagnosed with Type II diabetes a few years ago. (I no longer have that diagnosis. Amazing what losing 40lbs and not eating sugar can do for you.) When my doctor tried to look up when he had made that diagnosis, he had to instead look for when he first prescribed an anti-diabetes drug. The electronioc record knows about which drugs I was prescribed, but doesn’t think of diabetes as something worth noting. Eventually my doctor found that diagnosis in a note of some sort, but if I were brought unconscious into an emergency room that got access to my electronic record, the attending George Clooneys would not easily see that I might have a problem with sugars.

3. I asked my doctor for my blood type because when I jog I carry a little health card with me, so as strangers are picking over my remains, they can see that I have no known allergies and thus they should feel free to test out new drugs on me. My doctor doesn’t have my blood type recorded and was puzzled that I’d want to know. It’s a residue of my youth when children were supposed to prominently write their blood type in lipstick on their foreheads in case they were trampled by a dinosaur. These days, apparently they just type you on the spot, before they steal your wallet and test out new drugs on your remains. Good to know!


August 24, 2009

Doctors and the DMCA

TechDirt reports that some doctors are having patients sign contracts that say the patients won’t rate the doctor online. Worse, the contract assigns to the doctors the “intellectual property” rights for anything the patient may write about the doctor. So, if the patient rates or reviews the doctor on a public site, the patient has violated the doctor’s copyright. This then enables the doctor to issue a DMCA takedown notice to get the site to remove the patients’ review.

Copyright. What can’t it do? Wow.

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