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Comment End of life expectations (Score 2) 646

I think the general public needs to know that pretty much every patient having chest compression that I've seen being brought into the ER have been dead. That's roughly 0/100. Now if it happens in front of you, a MD, now that's a different story - maybe 30-40% go on and live their lives.

Movies portray CPR, resuscitation, end of life, defibrlllation (the heart "jump start" paddles), etc, in a wholly unrealistic way, and I think it's wrong to continually mislead the public. They have no idea about breaking multiple ribs on the persons chest, electric burns from the defibrillator, brain damage from hypoxia, etc

There may be differences between the above mentioned methods of CPR, but I bet they are trivial, and even more so for the general public.

I'm an oncology surgeon still taking trauma call, and I've seen more than my fair share of death. There are many things we can do to prolong life, but until you, or a loved one gets to that point, then it's hard to say what you will do, and how much you will panic at losing a loved one.

Comment Re:I wonder (Score 1) 433

It's been illegal for many years now, for MDs to accept ANY form of gratuity from drug reps, and the vast majority of MDs out there have never, ever, received any sort of payback from any drug company.

The only interaction now is basically being a guest at a lecture, where you have to listen to another MD give a talk on some subject, with no product names being mentioned, and get to eat a piece of rubber chicken..

Comment Already had one case (Score 1) 433

I already had a patient, who was Mexican, with resistant Klebsiella with a bad knee infection.
Had to amputate his leg, as it was killing him. He's doing better now.

I have a remote, but not too distant fear, of having to practice medicine, specifically surgery, without the benefit of antibiotics. That would probably mean a near end to most elective surgery and huge decrease in average life scan. No more total joint replacements, vein bypasses, organ transplants, etc.

Comment Advantages vs a bike - none/few? (Score 1) 93

How would this be better than a short wheelbase bike (which would inherently have more stability)? Yes you can do a quick 180 turn, but how often is that necessary?
I guess having a short rear - anti wheelie outrigger wheel (like those seen on wheelchairs) would take away the "magic" of the device, or make it seem less reliable.

Somebody give me a convincing argument.

Comment Most New tech is expensive (Score 1) 426

If America is to compete with other country sponsored industries - i.e. China massively funding most of their new technologies, then it's not unreasonable.
All new technologies are expensive - remember CD players? went for $1,000 initially.

Electricity is MUCH cheaper than gas - it would be nice to stop our hemorrhaging of billions of dollars to the middle east, and suck the power out of those countries., making them irrelevant.
Green energy is the only way to go, for environmental reasons, as well as political, and economic.

Comment Re:Extremely old news (Score 1) 1014

Hmm, Most Catholics that I know are aware of this. As a matter of fact, I haven't encountered ANY who disbelieve in evolution.
The main group of people who don't believe in evolution are protestants - offshoots from Catholicism from the 1500's, and don't like to think of Catholics being Christian - weird.

Comment Implantable bombs - already been done (Score 3, Informative) 1017

Again the be all, end all of all this searching, will be terrorists with bombs either in their rectum, or surgically implanted.

This has already been done SUCCESSFULLY in Saudi Arabia in 2009 ., and they used a cell phone trigger. Suicide bomber died, but didn't kill the Saudi Prince. There happened to be audio going, and it catches the cell phone going off inside!! the bombers abdomen - wow....
NPR link
http://www.npr.org/templates/story/story.php?storyId=113509667

Comment Increased costs - for profit insurance (Score 1) 254

Hello,
  I am a surgeon, and I can tell you a lot of the cost is from all the middle men (ins companies), and defensive medicine. It's not the doctors who are making the big bucks. One of my patients said to me.
  "Yeah Doc, the bill was big, but your part of the bill was peanuts - I feel sorry for you."

Most MDs pay about 10% off the top of profits for a billing service because it's so complex.
Many additional x-rays, lab tests are also ordered because we worry about "missing" something, and being sued. There are articles published about MDs doing that - its a real phenomenon. That's probably another 10% as well.
Large malpractice insurance (average $30k to $200K per year!!)- guess who has to pay for that...
Insurance companies - they are a new middle man. A whole industry has popped up, and the patient care has to burden the cost. They also inundate doctors offices with paperwork (20 page disability forms)- making it a pain in the ass to collect money. Many groups hire Physician assisstants to fill out paperwork, because there is so much of it.

SO yeah - costs have gone up,

Comment so $20k to $200Kper year isnt expensive? (Score 1) 581

Doctors on average lose about 10% of the money they COLLECT to pay for malpractice. That can range anywhere from $20,000 up to $200,000 per year .

Most doctors also work about 70 hours a week too, So if they cut their hours back to what a regular person works, then the cost would be about 20% of their patients bill.

Your statement logically makes no sense, comparing apple to oranges, or doctors costs to all spending. You mistakenly assume that total spending all goes back to the MD. There are many other costs included in spending, such as paying for the nurse, lab fees, hospital fees, medicine, therapy - most of which does NOT go to the doctor.

Defensive medicine - approximately 35% of all x-rays are ordered for defensive purposes.
http://blogs.forbes.com/aroy/2011/02/25/penna-study-35-of-all-health-imaging-costs-are-driven-by-malpractice-litigation/

I don't think you know what you're talking about, or have logically made a grievous mistake.

Comment Newer cars and RFID key chips (Score 1) 280

I have a Porsche, and the key comes with an RFID chip to unlock the sterring column, so even if the theives wirelessly unlock my doors, they still aren't going to start it.

Probably just towing it away on a flatbed is much easier, and less conspicuous.

Many cars now come with pretty good factory stereos - reducing the risk. Many stereos also have pretty good anti theft tech as well. I rarely hear of anyone anymore having a stereo stolen.

Comment Checklists haven't done squat (Score 1) 332

There was a big push, by consultants to have airplane/flight type checklists in hospitals to cut down on mistakes. So far after 2 years, no one has demonstrated any significant change in anything -(wrong site surgeries, poor outcomes, etc), other that wasting everyones time.

Atul Gawande "Massively better results" probably arose from just having people introduce themselves, or might have been third world dependent. A quote from his own paper, cited a study of American surgeon having no significant change in infections, morbidities or mortalities.

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