Canadians Shopping in U.S. for Bargain Medical Prices

Canadians buy U.S. health care as weak economy pushes down prices – The Globe and Mail.

Wait times and availability of  health care has long been sending  Canadians southward to the U.S. for care.   This migration is increasing due to economic downturns and new bargain rates for medical procedures.  U.S.  health facilities are actually negotiating  with Canadian health care brokers and matching prices.

This state of affairs has sent people of more moderate means into the U.S. health care market for such things as joint replacements and cardiac procedures.

Let’s hope that a private system can remain in place for those who think their health is worth the money.

What About the Tracheostomy for Baby Joseph?

It’s good to juxtapose some lay-person friendly medical info up with the hot button pro-life issues of the day. So…. if you want to learn about tracheostomies for babies, and trach care at home, read a long term internet resource put up by the Bissell family.

A London Ontario hospital is holding a baby, Joseph Maarachli, on a ventilator, and has been refusing to do a tracheotomy so the boy can be taken home to be with his family. He suffers from a neurodegenerative disease which will take his life.

His family already knows the drill…… they previously lost a child to this problem. She had undergone a tracheotomy procedure, and was allowed to die at home.

This time, it appears that the Canadians are clamping down with the cost containment. The tracheostomy is “not indicated” for a patient with this kind of terminal disease, although it used to be allowed. Apparently the money has gotten tighter up there, with that socialized medicine system.

Which do you think is worse for baby Joseph?….. intubated on a ventilator in the hospital, or a tracheostomy and vent at home? With all the publicity, security and legal intervention, he’s in limbo on the former. No secrets on where the Daily Mail reporter stands on this issue.

More Pelvic Inflammatory Disease

Bill to Ease Access to Birth Control Introduced | NBC Washington.

Washington DC is pondering over the counter access for birth control pills, other than Plan B.

Pharmacists would dispense them without a prescription, circumventing the need by women to see a physician and have regular exams while on the pill.

This means that more STDs will go undiagnosed until they progress to the more life threatening  pelvic inflammatory disease, and/or cause sterility.

The safety and well being of female patients is not the issue.

EASY ACCESS is the priority.

Judge strikes down healthcare reform law | Reuters

Judge strikes down healthcare reform law | Reuters.

In Florida, the U.S. District Court Judge, Roger Vinson, struck down Obamacare as unconstitutional.

This ruling is broader than the previous decision (Richmond Virginia Federal District Court)  marking the provision to force citizens to purchase insurance as unconstitutional. Also the list of plaintiffs in this case include about half of the states, so that this decision has more influence.

Judge Vinson did not stay his ruling, so that it has influence even while the inevitable appeals by the Obama administration take place.This  (HOPEFULLY) will cork up the preliminary measures leading up to full implementation of the debacle in 2014.

The No Surprise Department: Unauthorized Medical Exams.

No consent: patients probed by medical students – Madison Magazine.

Something has been up  at the Australian teaching hospitals.  Seems that the body cavities of patients are being  “gang-examined”  while said patients are in states of semi- or unconsciousness, without prior consent.   In other words,  Senior faculty members at medical schools have been ordering medical students to examine these patients intimately without prior consent having been given.  Eighty two percent of the medical students in this study were willing to follow the directives.

This  figure agrees with Pharmer’s long standing estimate that eighty percent of health care practitioners would be willing to toss away medical ethics  concerns if  their job status were at stake. The training starts early.

Having observed  the moral/ethical decline of the health care industry, this article falls into the no surprise department.

Once the killing and the healing have  become mixed, could one expect any better respect for patient autonomy than has been apparently exhibited in these cases?

Cut it Out, You Vampires!

A  44 year old Maori woman of New Zealand woman has suffered partial paralysis from a stroke which has been attributed to a HICKEY!

Yes, she suffered a clot of an artery leading to her brain after receiving a “love bite”  from her significant other, says Dr. Teddy Wu, who had treated the woman  at Middlemore Hospital in Auckland.   The case has since been reported in the New Zealand Medical Journal.

Docs say that the damage might have been worse had the difficulty not been quickly treated.

Don’t look for accurate medical reporting on this in the regular media.   You’ll  see stuff  implying  ‘warfarin dissolved the clot‘  (warfarin  helps to prevent clots), and the ‘clot in the artery…. traveled to the heart’…. (no, arteries lead away from the heart to the periphery, except in the lungs).     Someone find that journal article.

TransPOOsion – Treating Clostridium difficile the UK Way

Scientists fight bugs with poo | Reuters.

Thomas Borody, of the Center for Digestive Diseases in New South Wales instills transplanted Feces via a nasojejunal tube into the upper GI tract.

He’s had a 90 percent success rate in treating recurrent Clostridium difficile infections by this means.

Despite the success  (better than most drugs) the yuck factor is slowing down the adoption of this method.   A randomised prospective study is underway in the Netherlands, the results of which may bolster acceptance of Transpoosions.

New York’s Union Death Panel

We’ve been hearing that New York city spent a much longer period locked in by snow than was necessary, due to an intentional work slowdown by protesting union workers.

A group of supervisors with the Sanitation Dept. is under media fire for partying in a van, drinking beer, next to stranded snow plows and vehicles.  Reporting that they had run out of fuel, the guys decided to kick back and enjoy each other’s good company.  That the supervisors felt they could do this reveals something about the chain of command in New York City.

Highlighted in the news were the deaths of an elderly person and a newborn baby who could not receive medical attention during the paralysis of transportation.

The New York  union death panels deserve credit for hundreds of uncounted deaths, and perhaps the inaction of city government was purposeful.

New York is a bankrupt city,  heavy with dependents needing medical and other tax payer assistance.   The fastest way to be rid of these people is to allow natural disasters to take their toll.  Exacerbating problems by inactivity and unresponsiveness of course increases the number of “natural” deaths.

Your friendly Pharmer knows exactly what happens in a hospital during a snow storm.  The rate of new admissions, particularly through the emergency room drops off precipitously.  This  extends for as long as transportation remains  blocked by the weather.

Do people stop having traumatic  injuries, chest pains, diabetic keto-acidosis, psychotic episodes, suicide attempts, births, strokes, and other emergent medical conditions just because it snows?   Of course not!   They simply go unattended and many of them die.

The news will not tell you about Bloomberg’s New York, Union, Death Panel,  which has likely stripped hundreds, or even thousands  of dependent human individuals from the welfare, medicaid, and social security rolls, by delaying cleanup.

That’s one way to deal with a financial crisis.  Expect more of it, especially if health care becomes both government controlled and unionized.

Pulmonary Hypertension and Pregnancy

Pregnancy in PAH Is Potentially Manageable.

Dr. Dianne Zwicke, a Wisconsin cardiologist has devised a treatment regimen for managing pregnancy in patients with pulmonary arterial hypertension.

The treatment involves management of heart function during pregnancy, delivery of the baby at  36  to 37 weeks, and management of the mom’s condition in the ICU during the crucial period after delivery when maternal  mortality rate is highest.    Excess fluids  are dumped from the mother at a rate of three liters per day for 72 hours after delivery.

Dr Zwicke is not telling women with pulmonary hypertension that they should go get pregnant.  Her method, though very successful,  is not sufficiently well  tested for that, and requires monitoring and cooperation that is not available everywhere.    She has been telling already pregnant patients that they don’t have to abort the baby.

Read a news feature on Zwicke’s  treatment regimen HERE.