On call last night in ED (A&E for non-US readers!). People wonder how US healthcare costs can be so ridiculously high wrt OECD averages, yet the average health outcomes of the population can be so shockingly poor wrt other OECD countries. Here are some of the actual “Chief Complaints” as recorded by triage nurses:
Pt found naked at a porn store after being down for an unknown time, arrives with blood around perioral area.
Unbearable torture since 12/25/2013. Reports weakness and insomnia for past 49 months.
Pt states she got mad her parents would not let her go out.
Cuticles are painful. Per Pt: I bought a new soap but I’m afraid to use it. My fingers are getting puffy.
Upon arrival they were met by a 16-year-old male, covered in blood, who refused to let them in, resisting their efforts to open the gate with “superhuman strength” and later becoming combative … the teen’s 18-year-old girlfriend was also combative with emergency responders, and both of them spit blood into the faces of the firefighters … The officers gained control of the scene and emergency workers were able to begin assisting the teen suffering from a seizure, possibly brought on by a bad LSD episode. Inside, the deputies discovered eight partygoers, many covered in blood.
My balls! The Stupidity!
“You have 100 million viruses sprayed up the nose, along with other things like MSG (monosodium glutamate) and sugar, which causes inflammation … Someone who gets vaccinated could say, ‘Well the flu didn’t kill me.’ But when you’re sitting there with Alzheimer’s, ALS, MS or you’re watching your kid develop seizures or become autistic you’re going to kick yourself in the butt for allowing your child or you yourself receiving it.”
Conveniently, Mr Handler’s LinkedIn page lists him as an employee of the “Price-Pottenger Nutrition Foundation”, where Dr Harper is a board member. PPNF is an organisation based on extrapolating dietary preferences of cats to human health (ie, raw meat and raw dairy with lots of saturated fat is optimally healthy) and advocates mainly for increasing dietary meat consumption. It also occasionally publishes “scholarly” books pimping Focal Infection Theory, an ancient “just so” medical theory largely discredited by the mid-part of the last century and enjoying a modern popularity really only with homeopathic and naturopathic fakirs. Focal Infection Theory also led to some horrific surgical abuses during the darkest years of early biological psychiatry.
Original Star Wars original 1976 trailer. Darker, edgier, grittier (as befits mid-1970s movie tone) and no signature William theme makes this a whole different movie.
On call last night, got a spectacular consult. Elderly person w/ poorly controlled HIV, sent in from a facility. By report, “acting out and throwing self to floor, evaluate for psychiatric disease and 5150 danger to self please”. On exam this person was AOx0, slurring, mumbling, in obvious pain and distress, and unable to follow commands. On quick exam, turned out to have 1) Fresh R humeral fracture, 2) Recent femoral fracture, 3) Recent L humeral fracture, 4) Recent pelvic fracture. The “psychiatric disease” improved tremendously with pain control. Still had to explain patiently why a 5150 was not indicated.
At the heart of the Irish economy has always been the philosophy of tax competitiveness. Tax competitiveness has taken our country out of poverty. People in the revenue accept that if you engage in that policy then some people are going to go out, and some people are coming in. It has been a successful policy. On the cranky left that is very annoying, I can see that. But tax competitiveness is why Ireland has stayed afloat. When the Germans tried to impose a different tax regime on the country in exchange for a bailout, the Taoiseach said they would rather not have the bailout. So U2 is in total harmony with our government’s philosophy.
Boys with toys…
On Aug. 1, 2005, Lt. Gen. Keith Alexander reported for duty as the 16th director of the [NSA] … Alexander brought many of his future allies down to Fort Belvoir for a tour of his base of operations, a facility known as the Information Dominance Center. It had been designed by a Hollywood set designer to mimic the bridge of the starship Enterprise from Star Trek, complete with chrome panels, computer stations, a huge TV monitor on the forward wall, and doors that made a “whoosh” sound when they slid open and closed. Lawmakers and other important officials took turns sitting in a leather “captain’s chair” in the center of the room and watched as Alexander, a lover of science-fiction movies, showed off his data tools on the big screen. “Everybody wanted to sit in the chair at least once to pretend he was Jean-Luc Picard”.
The total wealth of American households is estimated at more than $60 trillion. It is heavily concentrated in very few hands. A conservative estimate given the lifespans of Americans would be that 2 percent ($1.2 trillion) is passed down each year, mostly from the very rich. Yet estate and gift taxes raise less than $12 billion, or just 1 percent of this figure each year.