Visit msnbc.com for breaking news, world news, and news about the economy
Monday, August 16, 2010
Sunday, April 18, 2010
Sonoma County CA separates elderly gay couple and sells all of their worldly possessions
Clay and his partner of 20 years, Harold, lived in California. Clay and Harold made diligent efforts to protect their legal rights, and had their legal paperwork in place--wills, powers of attorney, and medical directives, all naming each other. Harold was 88 years old and in frail medical condition, but still living at home with Clay, 77, who was in good health.
One evening, Harold fell down the front steps of their home and was taken to the hospital. Based on their medical directives alone, Clay should have been consulted in Harold's care from the first moment. Tragically, county and health care workers instead refused to allow Clay to see Harold in the hospital. The county then ultimately went one step further by isolating the couple from each other, placing the men in separate nursing homes.
Ignoring Clay's significant role in Harold's life, the county continued to treat Harold like he had no family and went to court seeking the power to make financial decisions on his behalf. Outrageously, the county represented to the judge that Clay was merely Harold's "roommate." The court denied their efforts, but did grant the county limited access to one of Harold's bank accounts to pay for his care.
What happened next is even more chilling.
Without authority, without determining the value of Clay and Harold's possessions accumulated over the course of their 20 years together or making any effort to determine which items belonged to whom, the county took everything Harold and Clay owned and auctioned off all of their belongings. Adding further insult to grave injury, the county removed Clay from his home and confined him to a nursing home against his will. The county workers then terminated Clay and Harold's lease and surrendered the home they had shared for many years to the landlord.
Three months after he was hospitalized, Harold died in the nursing home. Because of the county's actions, Clay missed the final months he should have had with his partner of 20 years. Compounding this tragedy, Clay has literally nothing left of the home he had shared with Harold or the life he was living up until the day that Harold fell, because he has been unable to recover any of his property. The only memento Clay has is a photo album that Harold painstakingly put together for Clay during the last three months of his life.
With the help of a dedicated and persistent court-appointed attorney, Anne Dennis of Santa Rosa, Clay was finally released from the nursing home. Ms. Dennis, along with Stephen O'Neill and Margaret Flynn of Tarkington, O'Neill, Barrack & Chong, now represent Clay in a lawsuit against the county, the auction company, and the nursing home, with technical assistance from NCLR. A trial date has been set for July 16, 2010 in the Superior Court for the County of Sonoma.
Read more about NCLR's Elder Law Project.
Are you disturbed by the story of how Clay Greene was treated by the County? Please blog about this, pass it on over Facebook or Twitter, just do whatever you can to help raise the visibility of what happened to Clay. Send a letter to the local paper, the Santa Rosa Press Democrat at letters@pressdemocrat.com. Send them this link to NCLR's page.
Want to stay up to date on this case? Follow NCLR and Bilerico Project on Twitter.
Wednesday, March 25, 2009
Conservadems? That's not what I voted for!!!
I watch MSBNC almost every night....and several hours of the day when I'm home. I've been listening to Rachel Maddow talking about the "Conservadems" and I am really ticked off.
In case you don't know....this is a term to represent a group of Democrats who are attempting to undermine President Obama's agenda. At least in my case, and I think in most others, these people were elected because we wanted a change.....and they promised to help pass President Obama's agenda....an agenda he was quite clear of during the campaign. They cannot possibly say they were not aware of what Mr Obama wanted to accomplish!
Right now I am really upset. I voted for Kay Hagan in North Carolina because I wanted to elect someone that was in agreement with what was supposed to be a change for America. If I wanted business as usual, I would have voted to retain Mrs Dole. If I wanted to continue the Republican agenda of cutting taxes and then slashing public programs I would have voted for Dole.....but I wanted someone who believed as I did. I wanted someone that would work to change the way our country is run!
Kay Hagan ran as a Democrat. She repeatedly stated that she represented change. She repeatedly told us that she would follow the President's agenda. She did not run as a conservative, fiscal or religious!
There is an online petition to call for these so-called Conservadems to change their ways.....find it here: CONSERVADEMS You Should Be Replaced! and please pass it on!
Oh yea....here's a list of the Conservadems. If you voted for one and are angry, sign the petition and give them a call:
TOM CARPER (DE)
BLANCH LINCOLN (AR)
MICHAEL BENNET (CO)
MARK BEGICH (AK)
KAY HAGAN (NC) (CALL: 202-224-6342
HERB KOHL (WI)
MARY LANDRIEU (LA)
JOE LIEBERMAN (CT)
CLAIRE MCCASKILL (MO)
BEN NELSON (NE)
BILL NELSON (FL)
JEANNE SHAHEEN (NH)
MARK WARNER (VA)
MARK UDALL (CO)
EVAN BAYH (IN)
For others, you can look up your representatives' contact information here.
Friday, March 13, 2009
Jim Cramer Interview by Jon Stewart
Just in case the embed doesn't work, here are the links:
Jim Cramer Pt. 1
Jim Cramer Pt. 2
Jim Cramer Pt. 3
Thursday, January 08, 2009
Sanjay Gupta? For Surgeon General?
Obama asks CNN's Sanjay Gupta to be next surgeon general
The popular television personality, a practicing neurosurgeon, reportedly would be provided a broader portfolio to make wellness, fitness and healthcare reform a top priority.
Reporting from Washington and New York -- President-elect Barack Obama has asked Dr. Sanjay Gupta to be the next U.S. surgeon general, looking to a popular television personality to help provide a public face for his healthcare agenda.
Best known as a health and medicine correspondent for CNN and CBS, Gupta, 39, is a practicing neurosurgeon in Atlanta and a member of the faculty at the Emory University School of Medicine.
The surgeon general oversees some 6,000 officers in the commissioned corps of the Public Health Service. Officers work as physicians, nurses, dentists and other health professionals in various federal agencies -- including the Centers for Disease Control and Prevention, the Coast Guard and the Bureau of Prisons.
Past surgeons general have wielded the most influence, however, by using the bully pulpit to focus attention on major health issues. And Gupta would come to the post with an unparalleled public profile and background as a communicator.
Sanjay Gupta? Oh, please Mr Obama, no! Great smile.....popular on-air personality.....but not Surgeon General!
A little about me. I am a RN (class of '76) and have been an avid reader of medical topics for several years. Over the past few years, because of my own increasing age as well as some of the articles and research I've looked at, I have become a proponent of many non-conventional treatments and practices. The areas I am especially interested in are diet and nutrition, cardiovascular disease, and diabetes and other diseases of carbohydrate metabolism. I am a low carb advocate even tho I still struggle with weight and other health issues. I am also an advocate of an interactive doctor patient relationship. I believe all should investigate any disease, condition, prescription etc on their own and doctors should encourage this rather than look at it as questioning their authority. I believe strongly that we are pushing medications to excess, often without even attempting other means of treatment. I believe that many of the non-conventional treatments are viewed as a threat to doctors, nutritionists, and others and are attacked rather than looked into with an open mind.
So.....regarding Dr Gupta......I guess it all depends on what you want for a Surgeon General. If you are looking for a person that will be little more than a spokesperson for the AMA, AHA, ADA et all....if you are looking for someone to try to block real health care reform.....if you are looking for a puppet that doesn't do his (or her) own research, but instead depends on talking points provided by pharmaceutical companies....OK, he's the perfect choice.
But, if you want a Surgeon General is someone that will oversee not only the Public Health Service, but also promote truly healthy lifestyle changes...not what is being promoted today, but changes that really will make a difference....well, I'd say keep looking.
There are so many things that are pushed onto the public that have little or no scientific background. Much of the research that is done is poorly done and many times the results are misinterpreted. I would like to see a Surgeon General that looks at all the the policies and practices and study each issue and check out the research himself. Not just read the summaries, but look at the data and make his own interpretations. Of course I'd want this person to do this with an open mind, not just looking to verify his/her beliefs.
Currently much of the "current wisdom" in the medical industry is based on faulty or non-existent research. You cannot conclude anything from observational (or co-hort) studies, you can only form a hypothesis. You cannot promote a practice based on tradition....or beliefs that have since been proven wrong. You cannot continue to push policy and practices on people where the data just isn't there.
The American Heart Association (AHA) has sold out to Big Pharma and various food manufacturers. Allowing the AHA seal of approval on foods that do nothing to promote heath. Allowing Big Pharma to repeatedly conduct "education" seminars that are little more than sales pitches. Ignoring evidence that many of their practices are at least useless and in some cases dangerous. The American Medical Association too.....either they are complicit with manufacturers and drug companies or they just do their own research.....but they are continuously promoting practices and policies that are not based in science.
And the American Diabetic Association? Well they promote a diet based on the very thing that diabetics have trouble handling! Despite studies done to show more effective treatment, treatment that minimizes complications as well as the need for medications, they continue to promote the same treatments that they have for decades. They repeatedly cite "research". Poorly done, misinterpreted research maybe...but not well designed, well executed studies that show results they don't want to see.
The whole medical establishment repeatedly promotes a diet that is based on processed food!! Think of it.....the largest part of the food pyramid is grains. With few exceptions, grains must be processed in order for them to be edible for humans. So....we base our diet on a processed food? And! At the same time, we should limit protein and fat to very small portions. Even tho we likely evolved on large quantities of fats and proteins with minimal (and mostly seasonal) fruits and vegetables and virtually no grains, the diet that is promoted today pushes limiting naturally occurring fats and protein and encourages processed foods.
Please Mr Obama, look into some others for this position. Look
for someone that is more free-thinking. Someone who does his/her own
research and looks at the data and design of studies before forming an
opinion. Someone that is willing, if necessary, to take on the "big
guys" (ADA, AHA, AMA, Big Pharma, etc) and question or correct policies
and procedures that are ineffective or even dangerous.
For further reading, I highly recommend:
Good Calories Bad Calories by Gary Taubes (or any article written by Mr Taubes)
Blood Sugar 101 by Jenny Ruhl
Dr. Bernstein's Diabetes Solution by Dr Richard K bernstein
Weston A Price Foundation: Know Your Fats
The Great Cholesterol Con: The Truth About What Really Causes Heart Disease and How to Avoid It by Dr. Malcolm Kendrick
Wednesday, December 10, 2008
Phone Call from God
Bush
Receives a Call from the Almightyby Loren Adams - December 10, 2008
GOD:
Gabriel, do me a favor. Would you
dial up George W. Bush for me, please sir?GABRIEL:
Your Excellency, do you mean Bush? George Walker Bush, the 43rd U.S. President, the one who stole
elections, lied his country to war, and set the world
on course to depression?GOD:
Yeah, that one. I believe his
number at the White House is 202-666-WARS.[Phone
rings at the White House; George picks up.]GW:
Howdy!GOD:
This is God speaking, George. You
know, "Jehovah, Yahweh, Allah, Alpha & Omega, the Beginning and the
End, the Everlasting Father, the Almighty...."GW:
Yeah, yeah, I know. I talk to ya every day, hold
Presidential Prayer Breakfasts all the time, attend Bible studies, and pray
lots. I got my instructions to bomb Baghdad from you, remember?GOD:
Well, no, son. I never gave you authority to commit a million souls to eternity
in My Name. That's your acquaintance Lucifer's department. Mine is to bring
life and purpose for existence. Have you ever heard of the commandment,
"Thou shalt not kill"?GW:
Why, shucks! I thought you was talkin' - orderin' me to make
war. Does that mean I got it wrong
'bout you wanting me to be president?GOD:
Yes, you got that wrong too. Really wrong! Why, no, I never meant for
you to be
president. That's why Albert Gore got the most votes the first time
around and
John Kerry won more votes that weren't counted. I prefer democracy.
And, no, I never ordered you or anyone else to make war in my name.
That's sacrilegious, son. You hear? Blasphemy.GW:
But Daddy & Mommy taught me it was all right to make war -- just so long if
it profits corporations that make people rich and powerful.GOD:
No, that was Lucifer talking to you, your friends and relatives, not me. You know the guy -- Beelzebub, Angel of
the Morning, the Prince of Darkness, the Author of Confusion, the Accuser of
the Brethren, the Great Divider & Deceiver, Scratch, Satan, or commonly
known as the Devil? Yeah, that
guy. He's the one who likes wars,
death and destruction. Not me.GW:
Oh. (Long pause) But what about
your son Jesus turning over the tables of the money changers?GOD:
You mean you want to compare turning over a few tables in the temple to
mounting wars and murdering millions of people?GW:
Well, I gotta problem. I thought for sure you had ordered me
to bomb Afghanistan. Then
Iraq. Then go after Iran if I get
'nuff time. They had weapons of mass destruction that weren't accounted for and we
didn't know how to find out if they had `em....GOD:
So, why didn't you ask me? If they
had them, I'd be the one to know. Inspectors can't see under rocks. I can. I'm your
"source," right? You
claim to have had divine instructions to go to war, yet you didn't have the
same divine intelligence whether or not those weapons were there, right? What it boils down to, you were so
gun-ho about using my name to legitimize war, you didn't ask Me if they had WMD in the first place.GW: Oh.... (Long pause) Well, I never thought of that.... I just knew that Daddy sold them to Saddam back 25 years ago, so I assumed....
GOD:
You did what? "Assume"? That's
a 6-letter word — when broken down, the term makes an ASS out of U &
ME. I never "ASSUME"
anything, son. I know. 'Omniscient' -- they describe me.GW:
What about "faith"? I
had "faith" that Saddam had weapons of mass destruction and was ready
to use them on us. Shouldn't we
act on "faith"?GOD:
Now, you're getting your terms mixed up, son. "Faith" is the substance of things HOPED FOR, the
evidence of things not seen, for sure. Did you HOPE for war, or were you just HOPPING to war? "Faith" is referring to
ME! Not some
rusty old weapons out in the middle of the desert that any smart Boy Scout
could verify weren't working for 15 years. Naw, I believe you were just wanting to play war and see others die because you
never had to face consequences yourself.GW:
What about Saddam? Didn't I do the
right thing catching and having him executed?GOD:
You caught him?GW:
I mean, the Kurds caught him a few days before and told our guys where to pick
him up. Then an Iraqi kangaroo court had him hung.GOD:
That's better.... No, Saddam was scheduled to depart earth in three years
anyway, according to St. Peter's calendar. So capturing him was just a show for your right-wing
base. I don't mean to jerk the
applause button from under your "accomplishment," but there was no
need. I had it covered.GW:
I thought you told me to strike Saddam....GOD:
No, like I said before, that was Satan. Obviously you get voices mixed up. Lucifer disguises his to sound like Mine -- the
peacemaker, when all the time he's out to start wars and kill people. Adolf Hitler claimed to hear from me
all the time he attacked one nation after another, sending 50 million souls to
eternity prematurely. You've
obviously fallen into the same old trap that Adolf did. You get confused by
listening to guys from CARLYLE and PROJECT FOR A NEW AMERICAN CENTURY. You, know, the guys who wanted to make
a new Roman Empire out of America? The guys that planned the war before 9/11? The war profiteers? Out to make a buck on somebody else's
blood?GW: Oh.... (Long pause) Hey, I'm your "faith-based" guy on earth! My pals are uh Ted Haggard and uh Pat
Robertson and uh James Robinson and uh....GOD:
Forgive me, but I don't know any of them. Who'd you say they were?GW:
Well, uh, uh, I ASSUMED they were with you! You know, the fundamentalists....GOD:
There you go again.... ASSUMING... Fundamentalists think they have a
monopoly on Me; think they have all the answers and
therefore don't have to ask anything these days. For instance, I created the world and universe the
equivalent of billions of earth years, yet the time-span was only days in
My-time. They assume I established
the universe in 24-hour earth-day increments to coincide with their narrow
views. Such stupidity! I confess,
fundamentalists evolved from monkeys.
Now, go tell that to your
political base and see what kind of reaction you get. Makes me almost
want to repent I ever created them. They don't speak for me. I speak
for me. And by the way, I don't
like you serving plastic turkeys on Thanksgiving to my troops. Who's
stupid idea was that?GW:
Karl and Dick do all my planning. Karl told me photo-ops are most important in keeping power. And I, uh,
and I take no responsibility.GOD:
Now, how do you propose getting out of this war?GW:
Well, I ... and uh... I don't know, God. Think I'll leave it for the next guy....GOD:
Now, that's the smartest thing I've heard you say all day! The next president will be in charge of
cleaning up all your messes. You've stirred up the hornets’ nest but don't have
a clue how to keep the hornets from stinging your people. If you would have studied Proverbs instead of right-wing rags you
wouldn't be crying about a tarnished legacy.GW:
May I ask one last thing, God?GOD:
Sure, what is it?GW:
Did I cause the end of the world? Armageddon?
GOD:
No. I decide the end of the world,
not you. Especially not you! You're not bright enough. Now, get to packing so the next
president can come in and start trying to repair the damage you've made! And remember: I never order anyone to
make war and murder. The thief
comes not but to steal, kill, deceive, and destroy, but I have come to bring
life more abundantly. He that
loves not, does not know me, for I am the source of
all love. Have you not read the Bible I gave you?
Original article is here.
Tuesday, December 02, 2008
30-mile pile a symbol of FEMA delays
30-mile pile a symbol of FEMA delays
SMITH POINT, Texas - A 30-mile scar of debris
along the Texas coast stands as a festering testament to what state and
local officials say is FEMA's sluggish response to the 2008 hurricane
season.Two and a
half months after Hurricane Ike blasted the shoreline, alligators and
snakes crawl over vast piles of shattered building materials, lawn
furniture, trees, boats, tanks of butane and other hazardous
substances, thousands of animal carcasses, perhaps even the corpses of
people killed by the storm.State
and local officials complain that the removal of the filth has gone
almost nowhere because FEMA red tape has held up both the cleanup work
and the release of the millions of dollars that Chambers County says it
needs to pay for the project.
FEMA says they are working as fast as they can, given the red tape and regulations. Apparently they have to figure out who's land it is before they can clean it up!
What?? After a storm like Ike? Shouldn't this be a case where the government goes in, does what needs to be done. It's not just a matter of debris, there are also chemicals and animal remains in this mess!The federal government is responsible for public lands or hazardous
waste, while private landowners must handle their own cleanup but can
apply for assistance. Much of the debris has been left to rot while
crews determine whose land the junk is on and what's in it.
Mold is a danger after disasters like this. We all remember pictures of New Orleans after Katrina. This is also an area where mold can take off overnight, and this debris is wet from the storms, and the area is still warm enough to promote the growth of mold.
This is disgusting! Will January 20 ever get here?
Link to full article
Thursday, November 20, 2008
Get another job or turn in your license!
With this ruling, there is an increased chance that a woman in an ER that has been raped will not be given the choice of getting a prescription to Plan B ("the morning after pill"), or a woman going to a local pharmacy (maybe the only one in her neighborhood or for miles around) being refused when trying to fill such a prescription, or even a woman being refused birth control pills! Simply because the person she deals with is against abortion, birth control, etc.
OK.....here's my real problem with all of this. These people should get out of the business or at least find another job! If you do not want to, or cannot perform these duties, find another job. Simple.
I am a RN, and have been for over 32 years. As a RN it was my duty to follow doctors orders, even if I disagreed with them, unless I knew it would cause a patient harm. For example, a patient comes into an ER with flu symptoms. This patient has no other medical problems....no diabetes or heart disease, no chronic conditions, pretty much a healthy adult with the flu. If the ER doc orders an antibiotic, which is useless against viral infections I must administer it. I can argue with the doc, but if he insists and writes the order, I am required to follow it. Now change the story to a person with a known allergy to penicillin and a doctor's order for penicillin, well now it is my duty to refuse to give the medication. The difference is that in the case with the allergy there is a very good chance this prescription will cause harm, while giving it for the flu with no allergy will not likely cause harm.
Now, what would happen if, in the first case, I refused to give the medication? At the very least I would be disciplined, at worst I could be fired.
I have a cousin that is a Jehovah's Witness. She doesn't believe in receiving blood or blood made products. She should she be able to refuse to give a patient a unit of blood? It is her religious belief that no one should be given blood products....but how long do you think it would take for her to be fired if she claimed it was against her religion?
I have no problem with people having religious convictions. I just have a problem with them imposing those convictions on others.
If a doctor or nurse doesn't want to be involved in abortions or birth control or the morning after pill, they shouldn't work in areas where those issues will arise. If a pharmacist has a problem with birth control or Plan B they should get into another business.
Friday, November 14, 2008
Disgusting!
I almost cried when I read this article today: Acid attack keeps Afghan girls away from school
Men on motorcycles splashed acid on young women (girls actually) who were apparently going to school. Simply because they were headed to school, to learn, they were attacked, viciously attacked. Men with bottles filled with acid stopped and threw it at groups of girls on their way to school. Some of them were with teachers. Some of the girls were lucky, but at least one will be scarred for life and one still cannot see....she may be blind for life.
Horrible, disgusting. But it's even worse. This was a planned attack. According to MSNBC, at the same time, in 3 different places men on motorcycles attacked girls simply because they were going to school. A planned attack!
Monday, November 10, 2008
Olbermann: Gay marriage is a question of love

Finally tonight as promised, a Special Comment on the passage, last week, of Proposition Eight in California, which rescinded the right of same-sex couples to marry, and tilted the balance on this issue, from coast to coast.
Some parameters, as preface. This isn't about yelling, and this isn't about politics, and this isn't really just about Prop-8. And I don't have a personal investment in this: I'm not gay, I had to strain to think of one member of even my very extended family who is, I have no personal stories of close friends or colleagues fighting the prejudice that still pervades their lives.
And yet to me this vote is horrible. Horrible. Because this isn't about yelling, and this isn't about politics. This is about the human heart, and if that sounds corny, so be it.
If you voted for this Proposition or support those who did or the sentiment they expressed, I have some questions, because, truly, I do not understand. Why does this matter to you? What is it to you? In a time of impermanence and fly-by-night relationships, these people over here want the same chance at permanence and happiness that is your option. They don't want to deny you yours. They don't want to take anything away from you. They want what you want—a chance to be a little less alone in the world.
Only now you are saying to them—no. You can't have it on these terms. Maybe something similar. If they behave. If they don't cause too much trouble. You'll even give them all the same legal rights—even as you're taking away the legal right, which they already had. A world around them, still anchored in love and marriage, and you are saying, no, you can't marry. What if somebody passed a law that said you couldn't marry?
I keep hearing this term "re-defining" marriage. If this country hadn't re-defined marriage, black people still couldn't marry white people. Sixteen states had laws on the books which made that illegal in 1967. 1967.
The parents of the President-Elect of the United States couldn't have married in nearly one third of the states of the country their son grew up to lead. But it's worse than that. If this country had not "re-defined" marriage, some black people still couldn't marry black people. It is one of the most overlooked and cruelest parts of our sad story of slavery. Marriages were not legally recognized, if the people were slaves. Since slaves were property, they could not legally be husband and wife, or mother and child. Their marriage vows were different: not "Until Death, Do You Part," but "Until Death or Distance, Do You Part." Marriages among slaves were not legally recognized.
You know, just like marriages today in California are not legally recognized, if the people are gay.
And uncountable in our history are the number of men and women, forced by society into marrying the opposite sex, in sham marriages, or marriages of convenience, or just marriages of not knowing, centuries of men and women who have lived their lives in shame and unhappiness, and who have, through a lie to themselves or others, broken countless other lives, of spouses and children, all because we said a man couldn't marry another man, or a woman couldn't marry another woman. The sanctity of marriage.
How many marriages like that have there been and how on earth do they increase the "sanctity" of marriage rather than render the term, meaningless?
What is this, to you? Nobody is asking you to embrace their expression of love. But don't you, as human beings, have to embrace... that love? The world is barren enough.
It is stacked against love, and against hope, and against those very few and precious emotions that enable us to go forward. Your marriage only stands a 50-50 chance of lasting, no matter how much you feel and how hard you work.
And here are people overjoyed at the prospect of just that chance, and that work, just for the hope of having that feeling. With so much hate in the world, with so much meaningless division, and people pitted against people for no good reason, this is what your religion tells you to do? With your experience of life and this world and all its sadnesses, this is what your conscience tells you to do?
With your knowledge that life, with endless vigor, seems to tilt the playing field on which we all live, in favor of unhappiness and hate... this is what your heart tells you to do? You want to sanctify marriage? You want to honor your God and the universal love you believe he represents? Then Spread happiness—this tiny, symbolic, semantical grain of happiness—share it with all those who seek it. Quote me anything from your religious leader or book of choice telling you to stand against this. And then tell me how you can believe both that statement and another statement, another one which reads only "do unto others as you would have them do unto you."
You are asked now, by your country, and perhaps by your creator, to stand on one side or another. You are asked now to stand, not on a question of politics, not on a question of religion, not on a question of gay or straight. You are asked now to stand, on a question of love. All you need do is stand, and let the tiny ember of love meet its own fate.
You don't have to help it, you don't have it applaud it, you don't have to fight for it. Just don't put it out. Just don't extinguish it. Because while it may at first look like that love is between two people you don't know and you don't understand and maybe you don't even want to know. It is, in fact, the ember of your love, for your fellow person just because this is the only world we have. And the other guy counts, too.
This is the second time in ten days I find myself concluding by turning to, of all things, the closing plea for mercy by Clarence Darrow in a murder trial.
But what he said, fits what is really at the heart of this:
"I was reading last night of the aspiration of the old Persian poet, Omar-Khayyam," he told the judge. It appealed to me as the highest that I can vision. I wish it was in my heart, and I wish it was in the hearts of all: So I be written in the Book of Love; I do not care about that Book above. Erase my name, or write it as you will, So I be written in the Book of Love."
Monday, October 27, 2008
The future of health care?
I have been a Registered Nurse (RN) for over 32 years (ugh!) and have worked in several different areas. My first job was working with handicapped and developmentally delayed children, then I worked general medical and surgical floors in a couple of fairly large suburban and urban hospitals. I've worked in cardiac and intensive care as well as a cardiac monitoring center. I've worked in dozens of nursing homes. In addition to direct patient care, I've done utilization review and case management for an insurance company, a physician's group and a large, nationally known hospital. Currently I work for a company that has several electronic products for doctors, nurses, case managers and others in health care fields.
I've also been an avid reader and researcher of several medical issues including new drugs, vaccines, and devices; the pharmaceutical industry; the management of diseases like heart disease and diabetes; and various other health related issues. With the Internet it is possible to get more information and varying opinions, which allows one to make informed opinions.
It's very disconcerting to see some of the issues and realize that the very people that are making these bad policies are likely going to be the ones that will advise our next president. The very people that advocate drugs, drugs and more drugs are going to be making their recommendations. The people that are advocating treating diabetics with high carbohydrate diets, the people that are in favor of treating cholesterol levels that have no influence on heart disease, the people that are claiming fat is bad for us and grains are good, and the people that want to vaccinate everyone against everything (even if the vaccine isn't effective or the risk is minor).....these are the people that are going to be having their say about what the future of health care should be.
Are we going to hear from the people that have been damaged by unnecessary and/or ineffective treatment? Are we going to hear from those that have serious doubts about the healthfulness of certain diets? Are we going to hear from those that believe that currently the health care industry is broken? That the FDA. ADA, AMA and others are in the pockets of the pharmaceutical industry? Probably not.....and even if we do, they will be the minority and ignored.
Our costs are out of control because of poor policies. Our costs are out of control because anyone with insurance can get almost any test, drug or device they want. Our costs are out of control because there is too much emphasis on something that doesn't matter (high blood cholesterol) while something else is ignored (high blood sugar), and the ignored factor is much more dangerous and damaging!
Thursday, October 09, 2008
Does this make sense?
So anyway, I go into the library, get a form, fill it out, seal it and give it to one of the clerks. Nice, simple, no problem.
Now.....I figure as long as I'm there I should ask for a new library card. Here in NC the cards are by county, and I've moved to a new county.
So, I go back to the clerk, who pulls up something on her computer, asks for a photo ID and at least 1 item that shows my current address....and a phone number.
So I can vote by just filling out a form, but I have to prove who I am to borrow a book??
Monday, September 22, 2008
Economy fears
Last fall I sold my house in an effort to prevent loosing it. I wasn't behind in payments, although I had been a year earlier. I had a lot of debt, but none of it credit cards, and most of it medical, and a big portion as a result of taking care of (some would say bailing out) my adult son. I don't have a great credit history, but I have always paid my debt in full, I have never tried to deal with those I owed, I just paid what was due as I felt I should. (I did have 1 medical bill "disappear" several years ago and I never checked up on it....it was my ex's responsibility but I know he didn't pay it)
So anyway, I sold my house because money had gotten tight and I was feeling like I was paying for a whole lot of house that I didn't need. My house was 7 rooms (3/2) and I only used 4 of them. It was expensive to heat and cool and needed some work....a lot of work. My son still lived with me and once he left I would be down to 3 rooms, less than 1/2 the house....but all except 1 room had to be heated and cooled because of the layout. I also, truthfully, wanted my son to move out.
Because my house needed work and I was unable to get a loan to fix it up, I ended up selling to a nice young man who planned to fix it up and eventually sell it. Most of what it needed was cosmetic, but it also needed big things like windows and a new deck. I was not unhappy with the price I got....not happy, but not unhappy. It was the beginning of the market failure here in NC and I was just glad to get rid of it.
I had another house all lined up, but was unable to get a loan, due mostly to the sub-prime debacle, which was just starting to make the news. I wasn't a holder of a sub-prime loan, but because of the whole issue banks were not happy to loan to people without stellar credit....and mine wasn't. I ended up giving up on the house and moved into an apartment. (I got approved finally the day after I gave up the house, which made me think it was an omen) I'm still in the apartment, and not expecting to be out soon. The housing market here in NC is definitely a buyer's market, but no one is giving loans and there's a change in the wind with work.
OK...so work. The company I work for is the latest in a long list of companies.....the first one that I worked for sold our division, to a company that then sold us to another....and now that company is merging with an even larger company....but this merger is being effected by the financial crisis. The bank that was all set to guarantee the loan involved in the merger is one of the biggies that has recently requested (and denied) assistance from the feds in order to keep their business afloat. So until this is settles, apparently our merger is on hold. Everything has been done....all the paperwork has been approved, all the approvals have been given and all the appropriate hoops have been cleanly jumped through....but without that guarantee the merger will not take place. Oh yea....the building we're in has been sold and no one knows what will happen if we don't merge and move to the new company offices...offices that will not likely be available unless and until the merger takes place.
I am single and live alone....just me and my 2 dogs. I have some significant medical issues which cost a fair amount, but not as bad as many people (and many on much lower incomes). Right now I live close to work so I spend little on gas, but if our office moves my travel will be about 5 times the distance and 10 times the aggravation. I can stop eating out, which really isn't all that often lately.....I can cut back on some food....and I guess I'll have to do with the clothes I have. As long as I have a job, I have no fear that I'll starve or become homeless.
As long as I have a job. That is a scary thing to think of when you're in your mid-50s and not in perfect health. Is my job at risk? I don't think so. Will it be if this financial problem isn't handled right? I don't know. Do I have faith that our government will do it right and fix it properly....well, that I'm not so sure of.
I do NOT understand all of what is going on. I have a fair understanding of how banks and businesses work with borrowing and loaning and depreciating etc, but I am by no means an expert. I have stock, but it's company stock and pretty much just sits there. I also have a little stock related to my retirement, and so far that's holding fairly steady.
But if this isn't done right we can be thrown into a severe recession and possibly even depression. What really scared me was hearing last week a financial expert say that we would only go into a depression if "we really worked at it".....and that if anyone could throw the company into a depression, it would be the guy that is currently in charge!
I hope this is done right....and the next administration is able to do something to get us out from under the massive debt we have incurred over the past 7 years!
Saturday, June 21, 2008
Monday, June 16, 2008
A new Special Comment from Keith Olbermann.
Tonight, a Special Comment on Sen. John McCain’s conclusion that it’s "not too important" when American forces come home from Iraq.
Thoughts, offered more in sorrow, than in anger. For two full days now, the Senator and his supporters have been outraged at what they see as the subtraction of context from this extraordinary remark.
This is, sadly, the excuse of our time, for everything. Still. If the Senator claims truncation, we will correct that, first.
"A lot of people," Matt Lauer began, "now say the surge is working."
"Anybody who knows the facts on the ground say that," the Senator interjected.
"If it’s now working, Senator," Lauer continued, "do you now have a better estimate of when American forces can come home from Iraq?"
"No," answered McCain. "But that’s not too important. What’s important is the casualties in Iraq. Americans are in South Korea. Americans are in Japan. American troops are in Germany.
That’s all fine. American casualties and the ability to withdraw. We will be able to withdraw. General Petraeus is going to tell us in July when he thinks we are. But the key to it is we don’t want any more Americans in harm’s way. And that way they will be safe, and serve our country, and come home with honor and victory — not in defeat, which is what Sen. [Barack] Obama’s proposal would have done. And I’m proud of them, and they’re doing a great job. And we are succeeding. And it’s fascinating that Sen. Obama still doesn’t realize it."
And there is the context of what Sen. McCain said. Well, not quite, Senator.
The full context is that the Iraq you see, is a figment of your imagination. This is not a war about "honor and victory," Sir. This is a war you, and the President you support and seek to succeed, conned this nation into.
Yes, sir. You.
Of the prospect of war in Iraq, you said, "I believe that success will be fairly easy –" John McCain., September 24, 2002.
"I believe that we can win an overwhelming victory in a very short period of time –" John McCain, September 29, 2002.
Of the ouster of Saddam and the Baathists: "There’s no doubt in my mind that once these people are gone, that we will be welcomed as liberators – " John McCain, March 24, 2003.
Asked, about a long-term commitment in Iraq, "are you talking about something in terms of South Korea, for instance, where you would expect U.S. troops to be in Iraq for decades?"
"No," you answered. "I don’t think decades, but I think years. A little straight talk, I think years. And I hope that we can gradually reduce that presence – " John McCain, March 18, 2004.
You were asked about the troops, and the future.
"I would hope that we could bring them all home. I would hope that we would probably leave some military advisers, as we have in other countries, to help them with their training and equipment and that kind of stuff."
"…I think one of our big problems has been the fact that many Iraqis resent American military presence. And I don’t pretend to know exactly Iraqi public opinion. But as soon as we can reduce our visibility as much as possible, the better I think it is going to be – " John McCain, January 31, 2005.
When a speaker at your town hall, five months ago, referenced the President’s forecast that we might stay in Iraq for 50 years, you cut him off.
"Make it a hundred! We’ve been in Japan for 60 years. We’ve been in South Korea 50 years or so. That would be fine with me. As long as Americans are not being injured or harmed or wounded or killed. That’s fine by me … – " John McCain, January 3, 2008.
And your forecast of your hypothetical first term.
"By January, 2013, America has welcomed home most of the servicemen and women who have sacrificed terribly so that America might be secure in her freedom. The Iraq war has been won – " John McCain, May 15, 2008.
That, Sen. McCain, is context.
You have attested to: a fairly easy success; an overwhelming victory in a very short period of time; in which we would be welcomed as liberators; which you assured us would not require our troops stay for decades but merely for years; from which we could bring them all home, since you noted many Iraqis resent American military presence; in which all those troops coming home will also stay there, not being injured, for a hundred years; but most will be back by 2013; and the timing of their return, is not that important.
That, Sen. McCain, is context.
And that, Sen. McCain, is madness.
The Government Accountability Office just released a study Tuesday that concludes that one out of every ten soldiers sent to Iraq, takes with them medical problems "severe enough to significantly limit their ability to fight."
In five years, we have now sent 43-thousand of them to war even though, they were already wounded.
And when they come home, is not that important.
Jalal al Din al Sagir, a member of the Islamic Supreme Council of Iraq, and Ali al Adeeb, of the rival Dawa Political Party, gave a series of interviews last week about the particulars of this country’s demand for a "Status of Forces," agreement with Iraq, a treaty which Mr. Bush does not intend to show Congress before he signs it.
The Iraqi politicians say the treaty demands Iraq’s consent to the establishment of nearly double the number of U.S. military bases in Iraq,from about 30, to 58, and from temporary, to permanent.
Those will be American men and women who must, of necessity, staff these bases - staff them, in Mr. McCain’s MCEscher dream world in which our people can all come home while they stay there for a hundred years but they’ll be back by 2013.
And when they come home, is not that important.
Last year, a 20-year old soldier from the Bronx, on the day of his re-deployment to a second tour in Iraq, said he just couldn’t face the smell of burning flesh again. So, Jonathan Aponte paid a hit man 500 dollars... to shoot him in the knee.
Mount Sinai Hospital in New York reported treating a patient identifying himself as another Iraq-bound soldier, who claimed he had accidentally swallowed a pen at the bus station. No one doubted his story until examinations proved there was a second pen in his stomach bearing the logo of Greyhound Bus Lines.
In 2006, says his sister, a 24-year old Army Specialist from Washington State, on the eve of his second deployment, strapped a pack full of tools to his back, and then jumped off the roof of his house, injuring his spine.
And when they come home or more correctly all those like them who did not risk death or disability to avoid going back, when they come home, is not that important.
You’ve sold them all out, Senator. You.
You, whose sacrifice for this country was as all-encompassing and as horrible as the rest of us can only imagine in our darkest moments.
You, who survived, so that you could make America a better place where young men did not have to go and die in pointless wars or be maimed or be held prisoner or have to hire hit-men to shoot them in the knee because that couldn’t be worse.
You, who should know better.
Where, Senator, is the man who once said "veterans hate war more than anyone else, because veterans know, because veterans know these brave Americans, and others, know, that there is nothing more painful than the loss of a comrade."
Where is he, Sir? Where is the man who described that ineffable truth?
Oh, so long ago you touched the essence of the reality of Iraq. Your comments about your lost comrades, yesterday.
The men and women in Iraq, today, Senator, they are your comrades, too.
And you are condemning them to die.
To die, for your misdirection, for Mr. Bush’s lies, for whoever makes the money off building 58 permanent American bases and all the weapons and all the bullets and all the wiring so costly and so slip-shod that it electrocutes our comrades as they step, not to fight freedom’s enemies, but into the shower at the base.
That, Senator, that is context.
It is an easy thing to dismiss Sen. McCain as a sad and befuddled figure, already challenging for some kind of campaign record for malaprops.
Just yesterday in Philadelphia he answered Sen. Obama, not by defending or explaining his own "not that important" remark, but by seizing upon Obama’s "bitter" remark - or trying to.
Obama had foolishly said that some, in despair, in small towns, cling to their religion and their guns.
Sen. McCain vowed he’d go to those towns and tell them, "I don’t agree with Senator Obama that they cling to their religion and the Constitution because they’re bitter."
It was hard not to dismiss with a laugh, Sen. McCain, or any Republican, for even accidentally implying that he’s clung to the Constitution, not after the last seven years.
It was hard, the day before, not to become almost bemused when the Senator tried to say he would veto every single bill with ear-marks, but wound up, instead, vowing "I will veto every single beer."
It was hard, this week, not to laugh at how Sen. McCain could offer any serious defense against the accusation that he is running for President Bush’s third term, when a 2006 interview suddenly surfaced in which McCain said he would consider Dick Cheney for a position in a McCain administration.
"I don’t know if I would want him as Vice President. He and I have the same strengths. But to serve in other capacities? Hell, yeah."
These are all very funny, in a macabre yet unthreatening way.
And then one remembers Sen. McCain’s inability to separate Sunni and Shia, or his insistence that Iran is training Al Qaida for service in Iraq, and then being corrected about it, and then saying the same thing again anyway.
And then one is, inevitably, drawn back again to the overlooked substance of yesterday’s remark...
"If (the surge) is now working, Senator, do you now have a better estimate of when American forces can come home from Iraq?"
"No."
No?
The surge is working and even that still tells Sen. McCain nothing about when we can ransom our soldiers?
Wasn’t that the ultimate purpose of the surge? To get them out?
If we cannot tell, if McCain cannot even guess, doesn’t that, by definition, mean... the surge isn’t working?
And ultimately we are drawn back to the "not... too... important" remark, in its full context:
The context of the kaleidoscope of confused rhetoric, and endless non sequitur, and mutually exclusive conclusions—and what they add up to: a veritable tragedy, a microcosm of the American tragedy that is Iraq, a tragedy of a man who himself will never understand… "the context."
Your tragedy, Sen. McCain?
No. I’m sorry.
This tragedy is of Justin Mixon of Bogalusa, Louisiana. And it’s of Christopher McCarthy of Virginia Beach. It’s of Quincy Green of El Paso, and Joshua Waltenbaugh of Ford City, P.A. The tragedy is of Shane Duffy of Taunton Mass, and Jonathan Emard of Mesquite, Texas. It’s of Cody Legg of Escondido in California, and David Hurst of Fort Sill in Oklahoma. The tragedy is of Thomas Duncan the 3rd of Rowlett, Texas, and Tyler Pickett of Saratoga, Wyoming.
And who are they, Senator?
They are ten Americans, who have died in Iraq since the first of this month. There are four more. The Defense Department has not yet identified the others.
And while you, Senator, may ask for all the context you can get, those ten men... will never know any of it.
Because the true context here, is that if you could ask those American war heroes, or the family and the friends that loved them, if they have a better estimate of when American forces can come home from Iraq…
They could rightly say, "No. But that’s… not… too… important."
© 2008 MSNBC Interactive
Monday, May 12, 2008
RA and PRA diagnosis
Sunday, September 16, 2007
Kimkins survivors
Now, anyone who's been following the chatter in the low carb community knows that there's a lot of controversy about the Kimkins plans, and that it looks like the whole scam is about to blow wide open. Many members have been banned from the site and have looked for an found other sites to get the support and help they need.
You know....this whole thing turns my stomach and makes me want to cry for the victims.
Here's the story, from what I can gather on the net.
Back several years ago a poster on a forum said she had lost close to 200 pounds in a relatively short period of time. This poster went by the name of Kimmer. Over the course of many postings over many months, Kimmer said she was a woman who lived in California with her son. She also said she had foster children, specifically male teens. Apparently there was also a claim of being on permanent disability and having defaulted on college loans. Apparently there have been several confirmations that this Kimmer is actually a woman named Heidi Diaz, who lives in Corona, CA. (I encourage you to look up and at the evidence and make your own conclusions, but the sources I've seen look pretty convincing)
People on the forum were impressed by Kimmer's before and after pictures and started asking her questions about her plan. Eventually they started asking for advice in following her plan, and she more firmly defined it. Apparently there were several plans. After a while Kimmer was apparently approached by someone who suggested setting up a website of her own where she could post her plans and set up a forum for members. There would be a fee for membership. That fee started around $15 and is currently around $60. The fee was supposed to be for the support forums, a personal page, email, etc. The plans were readily available all over the net! (And there are a few!
I never joined Kimkins as the first time I looked into it I found it was a low fat plan. At that point I just dismissed it as one I wasn't interested in. I did notice there was a lot of chatter on the forums about Kimkins, but never really paid much attention. I noticed more and more ads for Kimkins on all the diet sites....and noticed that even links that looked like they were for different things also lead to the Kimkins site. Women's World did an article about Kimkins and boy did the Internet light up with activity to the Kimkins site as well as various weight loss forums!
While this was going on, there began to be a few in the low carb community that were questioning the wisdom of these plans. There were also bloggers that were trying and openly promoting Kimkins, even some of the lower calorie plans.
Now, generally there are 2 groups that use low carb as a diet, and of course there are subgroups. The first group is mainly interested in weight loss....and the faster the better. The second group is more concerned with the health aspects of low carb while working at loosing weight. Within each group you're going to find differences of opinion on whether calories "count" or not, if high fat or low fat is better, if you should eat high protein or high fat, etc. Personally I am of the health group and believe both fat and protein are good in any amounts (as long as they're as natural as possible) and that carbs should be avoided unless they are veggies, fruit and some dairy. I also believe that calories do count, but low carb calories are generally better tolerated than high carb calories.
So anyway....while Kimmer was building her site and more and more people were joining and talking about the plans on other sites, there started to be seen people who had personally been harmed by the diet or were concerned about things that were being said on the Kimkins site forums. And I guess it was right about here that Jimmy Moore publicly joined Kimkins and began to heavily advertise for the plan. (Jimmy has since quit the plan and publicly apologised to his readers)
Jimmy Moore's enthusiastic approval of Kimkins really upset the low carb community. Jimmy's is a very heavily read site and many of his readers are people looking into low carb. By Jimmy approving the Kimkins plans, he was saying that these plans were low carb and safe. (There is also controversy as to whether these plans are to be considered "low carb" or "low calorie". Personally I say they are "very low calorie" diets that happen to be VERY low in carbohydrates and fats) Jimmy's endorsement upset many in the low carb community, myself included.
Now you are seeing blogs reporting fantastic results of following Kimkins as well as blogs explaining the dangers of a very low calorie diet. There are blogs with before and after pictures and blogs talking about the hair loss, weakness, inability to exercise and even loss of menses related to the effects of the diets. There were blogs praising Kimmer and the Kimkins plans and there were now blogs questioning the very existence of Kimmer, aka Heidi Diaz. The pro-Kimmer postings were definitely being overshadowed by the anti-Kimkins postings.
The charges that people are saying about Kimmer and Kimkins?
1. Kimmer is in fact Heidi Diaz, a woman that lives in Corona, California. This woman appears to be morbidly obese. No one knows if she ever lost the weight she claimed to have lost, but even if she did, she apparently was unable to sustain the loss.
2. That Kimmer is posting advice to severely limit the intake of calories to the point of starvation levels.
3. That Kimmer is posting advice to use laxatives on a daily basis.
4. That Kimmer is allowing and even advising at least 1 teenager on her site.
5. That posts on the Kimkins support forum have been edited or deleted. These posts are posts questioning the wisdom of the advice given by Kimmer.
6. That Private Messages have been accessed by the administration staff on the Kimkins site.
7. That members have been banned from the site,, but given no refund and in many cases any explanation.
8. That some of the before and after pictures on the site are fake.
9. That Kimmer accepted money for non-existent foster children as a result of posts about money problems on the site.
To me, there are 2 disturbing things about this whole thing. One is that this woman has been pushing and promoting a very dangerous diet plan without any training in the field. And the other is the way she preyed on a group of people that were vulnerable and, in many cases, desperate.
The plans that many are upset about are the plans that encourage very low calories. Some of these plans are said to have a high of 800 calories!! Fat is restricted as much as possible and vegetables are severely limited. Some argue that these plans are only for short-term use, while others note that there is no time limit stated with the plans and Kimmer is advising people to stay on them for the long-term. Even in the short-term, diets that call for calories as low as these promote should only be undertaken with close medical supervision. I have known several people who have been put on very low calorie diets by their physicians and they were all very closely monitored. They were also told to watch for certain signs of starvation like hair loss and loss of menses.
Kimmer preyed on people, mainly women it seems, who are desperate to loose weight at almost any cost. Some only had a small amount to loose, but desperately wanted to get back to their "goal" weight, and many others had 100 pounds and more to loose. The one thing in common that these people had is that they'd tried other plans and weren't successful....or weren't as successful as they wanted to be. These people were willing to do something dramatic if that something worked....and by all reports, Kimkins did work!
Apparently the support forums on the Kimkins site were great. Many wonderful people posted there and many friendships were formed as a result of belonging to Kimkins. Good thing, as now many of these disillusioned members are finding each other on other sites, including Jimmy Moore's new forum. Many refer to themselves as Kimkins survivors, and survivors they are!! They are now starting to figure out how to eat healthy and loose weight. Many are going to different low carb plans, but are still reluctant to increase their fat or calories too much. They are upset, and rightly so, that not only were they used by Kimmer, but they are also now being used by anti-Kimkins bloggers who are using their words without permission. They are afraid to trust again. The damage done by Kimkins is not only physical.
Luckily there are plenty of support groups on the Internet. I follow several low carb/diet support sites and I'm seeing threads and posts from new members who are former or still current Kimkins members. And the other members on these forums are doing what they can to help. Many of these sites have tools to help track your intake and progress and members that are more than willing to answer questions and provide information and support for those that are asking for it. If you aren't already a member of a support group, I highly recommend joining one. Here are links to some of the favorites on the net:
Active Low Carbers Forum
Jimmy Moore's site
Spark People
Low Carb Friends
Protein: minimum 100g/day. Ideal 130+g/day
Carbohydrate: Beginning Jan 1, minimum 15g/day, less than 50g/day. Subtract fiber grams only.
Fat: as desired of the following:
- Coconut oil (and other tropical oils)
- Butter
- olive oil (not for high heat cooking)
- Nut oils (avoid for high heat cooking)
- Bacon fat (minimal unless bacon nitrate free)
- animal fat (fresh)
Intermittent fasting: 24h Jan 1, 2007, as desired.
Exercise: minimum 3X/week
- Cardio: walking daily, starting minimum of 20 minutes.
- Strengthening/toning: Body For Life program
Grains: minimal.
Corn, canola, soy and other "industrial" oils: do not use.
HFCS and trans-fats: check all labels and avoid whenever possible.
Artificial sweeteners: minimal use. Mainly use oligofructose (Sweet Perfection brand)
I base my plan primarily from Protein Power Life Plan (2000 edition) with strong influence of Dr Atkins New Diet Revolution (?1992 edition).
Note, this document is in progress, and may be updated at any time.
Updated 9/16/2007
Tuesday, November 21, 2006
Millions face risk from drug-coated stents
This is from MSN, quoted verbatim:
Potentially lethal heart devices a frightening problem for patients, doctors
Millions of Americans could be walking around with tiny time bombs in their hearts.
The concern centers on devices called drug-eluting stents. Doctors implant them in the hearts of about a million Americans a year to treat coronary artery disease. They generate some $5 billion a year in sales for the two companies that make them. But they may be doing more harm than good.
Next month a panel of experts will try to advise the Food and Drug Administration on what to do about it. But many top doctors and scientists admit they are in uncharted waters with a frightening problem that was largely unanticipated. By one estimate the devices already kill 2,000 Americans a year — and no one knows what the long-term danger will be.
To understand the potential hazard, it helps to look at the history of efforts to open the arteries to the heart when they get clogged with cholesterol-containing plaque. That blockage leads to shortness of breath and the chest pains called angina. If the artery closes completely the result is a heart attack with destruction of heart muscle and often death.
Beginning around 1980, doctors started using tiny balloons inserted on wires through the veins and guided by X-rays to push open the clogged arteries. This procedure, called angioplasty, often worked — but with a problem. In about half the cases the artery would close up again within a few weeks or months, an outcome called restenosis. The re-shutting of the arteries occurs because the blood vessels respond to the treatment as if they suffered a slight wound. They try to heal by growing more cells which can clog the artery again.
Thwarting the body's own healing process
To solve the problem, starting in 1994, cardiologists put tiny pieces of wire mesh called stents around the balloons. These stay in place as a piece of scaffolding to try to keep the arteries open.
These helped, but not enough.
Cells still grew over the wire, and in 20 percent to 30 percent of the cases, the vessel clogged again.
Drug-eluting stents (DES) appeared as the next solution. These give off a drug that prevents cell growth, and for that, they work well. The restenosis rate fell to about 5 percent. In 2003, soon after the FDA approved them, drug-eluting stents captured most of the market, even though they cost about $2,000 compared to $800 for the bare metal version.
Then a new hazard started to appear.
Doctors began seeing patients suffer from heart attacks that seemed to be triggered by the new stents. Because the drug-eluting stents are so effective at stopping the cell proliferation inside the arteries, the DES's end up as a piece of metal sticking out in the artery. That creates a perfect place for a blood clot to form and instantly block the artery. The result? A potentially fatal heart attack.
Dr. Jeffrey Moses of Columbia University, who conducted some of the original studies of the DES's, estimates the danger of a blood clot at 1 in 500 patients a year. For every million of the devices implanted, that would add up to 2,000 clots a year — although not all of them would be fatal.
But an estimate from Drs. Sanjay Kaul and George Diamond from Cedars Sinai in Los Angeles, published on the Web site of the American College of Cardiology, estimates that deaths from the new devices exceed 2,000 a year. Studies from Europe regard the danger to be many times higher. Because the devices are so new no one knows how long the hazard persists.
Already, many cardiologists are cutting back from using the devices. Sales are dropping dramatically. The FDA panel may well recommend they not be used at all.
Companies are searching for alternatives, including balloons that give off the drugs and would be removed at the time of the procedure, as well as stents that dissolve a few weeks after they are implanted.
What's next?
The big question now facing the FDA is: What should the estimated 4 million patients who already have a DES do?
The devices cannot be removed safely or easily. One preventive measure is to keep the patient on the blood-clotting medication Plavix for months or even indefinitely. But that medicine can cause severe bleeding, including a type of deadly stroke, and it costs more than $1,200 a year.
DES manufacturers Boston Scientific and Johnson & Johnson could end up rivaling Vioxx maker Merck as targets of lawsuits from people who suffer heart attacks.
The origin of this terrifying problem is that medical devices, like drugs, get tested for a few months in a few hundred or at most a few thousand of people before the FDA approves them.
Many experts are clamoring for better methods of assuring safety before devices like these go into millions of people for a lifetime.
http://www.msnbc.msn.com/id/15816251/
Please note the lines about the Europe saying failure rates are much higher than US estimates!!!
Also, note that these "complication" didn't show up until after approval? Why is that? Is it because the manufacturer gave incomplete or incorrect data to the FDA? It certainly wouldn't be the first time!!!
What ever happened to "First, do no harm"? I guess that should be removed from they Hippocratic oath?