29 November 2009

Lego Matrix....

So cool

prps (@Mike_Elgan)

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Daniel Webster Beware 2009

2009 MENSA Invitational

 
The Washington Post's Mensa invitational once again asked readers to take any word from the dictionary, alter it by adding, subtracting, or changing one letter, and supply a new definition.
Here are the 2009 winners:

 1.  Cashtration (n.): The act of buying a house, which renders the subject financially impotent for an indefinite period of time.

 2.  Ignoranus : A person who's both stupid and an a'hole.

 3.  Intaxication : Euphoria at getting a tax refund, which lasts until you realize it was your money to start with.

 4.  Reintarnation : Coming back to life as a hillbilly.

 5.  Bozone (n.): The substance surrounding stupid people that stops bright ideas from penetrating. The bozone layer, unfortunately, shows little sign of breaking down in the near future.

 6.  Foreploy : Any misrepresentation about yourself for the purpose of getting laid.

 7.  Giraffiti : Vandalism spray-painted very, very high.

 8.  Sarchasm : The gulf between the author of sarcastic wit and the person who doesn't get it.

 9.  Inoculatte : To take coffee intravenously when you are running late.

10. Osteopornosis : A degenerate disease. (This one got extra credit.)

11. Karmageddon : It's like, when everybody is sending off all these really bad vibes, right? And then, like, the Earth explodes and it's like, a serious bummer.

12. Decafalon (n.): The gruelling event of getting through the day consuming only things that are good for you.

13. Glibido : All talk and no action.

14. Dopeler Effect: The tendency of stupid ideas to seem smarter when they come at you rapidly.

15. Arachnoleptic Fit (n.): The frantic dance performed just after you've accidentally walked  through a spider web.

16. Beelzebug (n.) : Satan in the form of a mosquito, that gets into your  bedroom at three in the morning and cannot be cast out.

17. Caterpallor ( n.): The color you turn after finding half a worm in the fruit you're eating.

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Teenager Perception of the world

When I was a boy of fourteen, my father was so ignorant I could hardly stand to have the old man around. But, when I got to be twenty-one, I was astonished at how much he had learned in seven years #Quotes - Mark Twain

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27 November 2009

Is tax on 'Cadillac' health insurance plans fair?

Is tax on 'Cadillac' health insurance plans fair? The plan described as "Cadillac" hardly seems that great and not exactly a top income earner to be penalized with additional taxes?
http://usat.me/?36891546

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26 November 2009

From the Hospital to Bankruptcy Court

From the Hospital to Bankruptcy Court
Most of us are all one illness away from bankruptcy
Lawyers and court officials say that medical debt is causing more bankruptcies. Compelling evidence that healthcare reform is mandatory

http://s.nyt.com/u/C2j

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25 November 2009

I wish you Enough...

Recently I overheard a Father and daughter in their last moments together at the airport. They had announced the departure. 

Standing near the security gate, they hugged and the Father said, 'I love you, and I wish you enough.' 

The daughter replied, 'Dad, our life together has been more than enough. Your love is all I ever needed. I wish you enough, too, Dad.' 

They kissed and the daughter left.  The Father walked over to the window where I was seated. Standing there I could see he wanted and needed to cry. I tried not to intrude on his privacy, but he welcomed me in by asking, 'Did you ever say good-bye to someone knowing it would be forever?' 

'Yes, I have,' I replied.  'Forgive me for asking, but why is this a forever good-bye?'. 

'I am old, and she lives so far away. I have challenges ahead and the reality is - the next trip back will be for  my funeral,' he said. 

'When you were saying good-bye, I heard you say, 'I wish you enough.' May I ask what that means?'

He began to smile. 'That's a wish that has been handed down from other generations. My parents used to say it to everyone.' He paused a moment and looked up as if trying to remember it in detail, and he smiled even more. 'When we said, 'I wish you enough,' we wanted the other person to have a life filled with just enough good things to sustain them.' Then turning toward me, he shared the following as if he were reciting it from memory. 

I wish you enough sun to keep your attitude bright no matter how gray the day may appear.

I wish you enough rain to appreciate the sun even more. 

I wish you enough happiness to keep your spirit alive and everlasting. 

I wish you enough pain so that even the smallest of joys in life may appear bigger.

I wish you enough gain to satisfy your wanting. 

I wish you enough loss to appreciate all that you possess. 

I wish you enough hellos to get you through the final good- bye. 
He then began to cry and walked away. 

They say it takes a minute to find a special person, an hour to appreciate them, a day to love them; but then an entire life to forget them.

 

I sincerely wish you ENOUGH!

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First Orthopaedic Surgeon in Space to Use His Medical Skills on Mission

Operating the robotic arms is similar to performing arthroscopic surgery in many ways," Dr. Satcher said in a preflight interview with AAOS Now, a publication of the American Academy of Orthopaedic Surgeons. "Many of the skills an astronaut needs are the same skills surgeons need.

this is true of video games as well I suspect...

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Tursn out Humans are not the only ones who can count backwards

Ants can count backwards too

http://www.npr.org/templates/story/story.php?storyId=120587095&ft=1&f=1001

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24 November 2009

Thanksgiving Turkey Ball

Another way to enjoy Thanksgiving

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Soccer Sniper

Download now or watch on posterous
Se_busca_(muy_bueno).wmv (7644 KB)

Soccer shooter – wish he was on our team

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Brilliant strategy to Improve Fitness

Making climbing stairs fun

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Who Get's The Last Beer?

Click here to download:
The_Winner.wmv (3213 KB)

Clever

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20 Medical Advances to Be Thankful For

20 Medical Advances to Be Thankful For

http://online.wsj.com/article/SB10001424052748703819904574553930012357104.html

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23 November 2009

The Tale of Two Patients in Limerick Form

Clever presentation of 2 patient experiences and the good and bad of patient research and clinically accessible information

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20 November 2009

A Son's Premonition, And A Final Baseball Game : NPR

He was the happiest little boy you ever saw. He gave me a high-five and went into the dugout," Gregg recalls, "and then he collapsed."

A Little League field in Charlottesville, Va., is named after Brian C. Korbon

From the NPR Story Corp this morning - a 9 year old boy who knew he would not make it to double digits and was ready to "go on his trip"

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The Regenerative Nature of Meditation

He and a number of his colleagues meditate, and as they meditate they measure differences in their brainwaves. Right? And I basically said I would predict that those very same things that when you meditate and you have positive brainwave changes would also have an effect on your stem cells. He very graciously, and this is an N of one, let us measure cells in his blood before and after meditation. And what we found was a huge increase in the number of positive stem cells in blood. Largest increase I've ever seen after 15 minutes of meditation.

"Largest ever" increase in +ve stem cells resulted from meditation

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19 November 2009

Blow You rMind - Minority Report Arrives in SixthSense

This is so cool - to borrow from Mike Elgan's catch phrase... I want one (prp to @HISTalk)

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Top 10 Ways Doctors can Annoy Patients | What Docs do For Revenge

1.  Require ridiculous paperwork

At every visit, a patient should be required to fill out paperwork that captures information that they have provided at every previous visit.  Certainly it makes sense to ask if a person has changed insurance since the last visit, and wanting an updated medication and allergy list is good practice.  The true art, though, is in asking questions like: “Has your mother’s maiden name changed since your last visit?” or “Please list all medications (including over-the-counter) that you have taken over the last 3 years?”

2.  Waiting Room Lottery

Being called from the waiting room to the exam room should not depend on when each person arrived; it should be totally random.  Few things frustrate as much as seeing someone who clearly came in after you get called back before you.  It is quite fun to watch the reactions of people when others are called before they are.  Many office staffs take bets on who will be the first to erupt.

3.  Use a complicated and unreliable voicemail system

It is unacceptable for people to be able to actually talk to humans unless they have spent a minimum of 15 minutes meandering through the voicemail system.  The reason for this are as follows:

  1. It weeds out people who aren’t all that sick as well as those who are not going to be dedicated patients.
  2. It increases the volume of patients coming in with high blood pressure and ulcers.
  3. It creates a convenient scape goat if anything goes wrong.  ”Dang.  It must be our lousy voicemail system again…”

4.  Have unreasonable rules

Patients who are more than 30 seconds late for their appointment must be made to reschedule, and that appointment should be a minimum of two weeks after the missed appointment.  We only hope that patients don’t notice it when we are 45 minutes late to see them….  Charging $10 per page for people to get their own records is another way to create fury.  It’s good fun.

5.  Use the scale strategically

The scale in a doctor’s office is a powerful weapon that should be wielded with skill.  Many patients are as nervous to stand on the scale as they are coming to the doctor in the first place.  Increasing weight should always lead to a lecture about the dangers of obesity, and the weight on the scale should always be set to read at least 10 pounds more than is accurate.  Having the scale in a public place or having a staff member with a very loud voice can increase the trauma the scale can inflict.  Always check blood pressure immediately after weighing the patient, as the inevitable high reading can give extra fodder for lectures on the dangers of obesity.

6. Lecture

“Do you realize smoking is bad for you?”  That is one of my all-time favorites.  It assumes that the patient has missed the news about cigarettes not being a fountain of youth.  Perhaps they haven’t discovered that newfangled invention called television.  But lectures about the dangers of cigarette smoking, heavy drinking, or poor eating habits should not happen once – most patients expect that to happen;  they should be given every visit, even the ones that have nothing to do with these vices.  Have a foot fungus?  Expect a lecture about not exercising.

7.  Look frazzled

Some doctors are masters at always entering a room looking harried and rushed, which makes the patient feel guilty about burdening the doctor any more.  It really is bothersome for these patients to come with so many problems.  Giving a pained expression when the person starts talking about things is sure to shorten the visit.  So what if they are paying to be seen, the doctor is having a bad day and they should be nice to him!

8.  Don’t explain much

Prescribing medications or ordering numerous tests is part of the job.  We are paid to make all the decisions and patients should trust us!  Why should we have to explain to our patients why they should take the medication we give?  Why should they know the purpose of having a cholesterol rechecked every 3 months?  Leaving patients a little unsure about why tests are ordered will keep them from asking those pesky questions about interpretation.  Just tell them that “it looks fine” and that should be enough.

9.  Tell them there is “nothing wrong”

The baby was up all night screaming with a temperature up to 103.  Yet when they come into the office, the child looks fine and is sleeping…like a baby.  The best response from the doctor is to look at the parent with a “Why did you bring a healthy child in to see me?  Why are you wasting my valuable time?” expression.  Look the child over and declare the child healthy.  The fever and screaming are probably things the parents just made up to get attention; either that or they were hallucinating.

10.  Always somehow relate their condition to a mental health issue

Relating all problems to depression or “stress” is a great way to put patients in a difficult position.  Assuming it before any tests are run is even better.  ”I know how hard things have been for you over the past few months” is a good way to get things going.  The chest pain is probably hysteria of some sort and a good prescription of Zoloft will clearly make things get better.  This allows everything the patient says to be taken lightly, as it all represents part of their defense mechanisms in dealing with their mental problem.

Great list of irritations - I especially like the first. Fix this filling in of the same information every time at every physician office.

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What 'Patient-Centered' Should Mean

 

-->
Health Affairs, 28, no. 4 (2009): w555-w565
(Published online 19 May 2009)
doi: 10.1377/hlthaff.28.4.w555
© 2009 by Project HOPE
 

Web Exclusives

What ‘Patient-Centered’ Should Mean: Confessions Of An Extremist

Donald M. Berwick

   Abstract
 
"Patient-centeredness" is a dimension of health care quality in its own right, not just because of its connection with other desired aims, like safety and effectiveness. Its proper incorporation into new health care designs will involve some radical, unfamiliar, and disruptive shifts in control and power, out of the hands of those who give care and into the hands of those who receive it. Such a consumerist view of the quality of care, itself, has important differences from the more classical, professionally dominated definitions of "quality." New designs, like the so-called medical home, should incorporate that change.

Excellent article by Donald Berwick shaking up the concept of "Patient-centeredness". When a patient asks to have a friend or family member accompany them during a procedure telling them they can't because it's just not done or you are not comfortable with that is not acceptable. Patients deserve to influence and control their care: "it is that property of care that welcomes me to assert my humanity and my individuality. If we be healers, then I suggest that that is not a route to the point; it is the point."

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18 November 2009

Oil Drilling takes place in LA

Crazy find by Mike Elgan - LA is the 3rd largest active oil field on the US
http://www.huffingtonpost.com/2009/11/18/secret-oil-rigs-in-los-an_n_362153.html

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Activites to Avoid as you age

Sage advice for avoiding sudden cardiac problems as you age from ER Dochttp://erstories.net/archives/1429

>>>>

When you have achieved the age of 75 and beyond, ESPECIALLY if you managed to make it with the assistance of a internal cardiac defibrillator (ICD) there are a few things I would submit you should leave to the younger generation.

Namely:

A. Shoveling Snow - the biggest No No I can think of

B. Raking Leaves - not as bad as snow but wet leaves are pretty damn heavy

C. Playing Tennis - Probably OK if your heart is good. Probably not OK if you have had an MI in the past

D. Lifting a heavy TV set - duh.

E. Pushing your car down the street when it breaks down - also a big duh.

These were the final activities of some men I have seen in the ER over the last year. For Chrissakes, you are retired, you have some money. Pay someone to do this stuff for you or in the case of tennis, watch from the sidelines with a drink in hand! Come on - you deserve to relax during your golden years!

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16 November 2009

Dear Mum Letter - Son Elopes

A mother passing by her son's bedroom was astonished to see the bed was nicely made, and everything was picked up. Then, she saw an envelope, propped up prominently on the pillow.  It was addressed, 'Mum' With the worst premonition, she opened the envelope and read the letter, with trembling hands.

 'Dear, Mum.

 It is with great regret and sorrow that I'm writing you. I had to elope with my new girlfriend, because I wanted to avoid a scene  with Dad and you.  I've been finding real passion with Stacy, and she is so nice, but I  knew you would not approve of her, because of all her piercing's, tattoos, her tight Motorcycle clothes, and because she is so much older than I am.  But it's not only the passion, Mum. She's pregnant.  Stacy said that we will be very happy. She owns a trailer in the  woods, and has a stack of firewood for the whole winter.  We share a dream of having many more children.  Stacy has opened my eyes to the fact that marijuana doesn't really  hurt anyone. We'll be growing it for ourselves, and trading it with  the other people in the commune, for all the cocaine and ecstasy we want.  In the meantime, we'll pray that science will find a cure for AIDS,  so Stacy can get better. She sure deserves it!!  Don't worry Mum, I'm 15, and I know how to take care of myself.  Someday, I'm sure we'll be back to visit, so you can get to know your  many grandchildren.

 Love, your son, Nicholas.

 

 

" P.S. Mum, none of the above is true. I'm over at Jason's house. I just wanted to remind you that there are worse things in life than  the school report that's on my desk"  I love you!  Call when it is safe for me to come home

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Thinsg that make you say Ruh Row

Things that make you say 
'Ruh Row!!' 
 


 


 

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14 November 2009

Happy 60th Birthday

Paul and Anne - great friends and neighbours

Nick
GV: 301-355-0877

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Taps -- a beautiful rendition

Download now or watch on posterous
TAPS.WMV (4975 KB)

A Special Thank You to All Veterans for Your Service to our Nation!


You may never have heard the full rendition of Il Silenzioa, otherwise known as "Taps".  This is a most beautiful rendition.  The girl's name is Melissa Venema and is playing with maestro Andre Rieu from Masstriecht in the Netherlands.  Don't know her age -- looks like early teens, but says she has been performing for years and that this performance is in 2008 Masstriecht where city officials sealed off the town square and closed everything down so they get perfect noise control!

 

 

 


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09 November 2009

Awesome Police Dog

This story has circulated but is worth repeeating and showing here.....

Roy Rogers’ dog was named Bullet. I bet this dog’s name was Rocket Good dog! He most likely saved the gunman’s life. WOW!!! Notice the suspect behind the car, apparently firing a gun – you see the smoke from the muzzle, and a split second later – the Shepherd Police Dog leaps across the roof of the auto, clamps onto the suspect, and brings him down so quickly – you’ll have to watch it several times to really appreciate the valor of this dog. Go dog, go!!