"So when you give to the needy, do not announce it with trumpets, as the hypocrites do in the synagogues and on the streets, to be honored by men. I tell you the truth, they have received their reward in full."
Matthew 6:2

I’d Laugh…

Wednesday, February 28th 2007
UncategorizedHealth NewsPharmacuticals

…but Hepatitis A is no fun. CNNSI is reporting on how they themselves might have exposed guests at a recent party Sports Illustrated threw to Hepatitis A (the only funny part is reading the article on their news site).

The Los Angeles County Department of Public Health urged anyone who ate raw food at the Sports Illustrated event, held at the Pacific Design Center in West Hollywood, to receive an immune globulin shot by Wednesday.

Health officials and event hosts were also contacting attendees of three smaller events between Feb. 14 and 20 that were within the 14-day window during which immune globulin can be administered to prevent illness.

Authorities identified nine other events involving the affected food handler at a time when the worker could have been infectious, but those attendees were already beyond the 14-day window for immune globulin.

Read More »

Humans To Artic & Antarctic


InternationalOther ScienceGlobal Warming

The polar bears and penguins (respectively) are already looking for places to hide as man increases his presence on the two least habitable places on earth. The goal, or main goal of, these arctic and antarctic research expeditions, is to study the earth’s warming.


If All Of Greenland’s Ice Melted The Ocean’s Would Rise By 20 Feet

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Prevalence of HPV


Healthcare PolicyHealth NewsPoliticsLaw

Two studies in this weeks JAMA are getting major media attention. One of them on how antioxidant supplements actually increase your likelihood of death is interesting but the real gem is a look at the prevalence of human papillomavirus in women. And what do you know the article is free on JAMA’s website.


The Real Question: How Long Until The FDA Regulates It?

Off topic: How many other medical students out there who are AMA members actually read their copies of JAMA (which collect on my coffee table). I’m actually using it as bathroom reading recently, which I think is actually a good thing. Probably TMI.

Anyway, what is the prevalence of the HPV infection in women?

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Wrong Again American Intelligence


Health NewsPoliticsInternational

Castro’s health has been “failing” for some time and I just completely trusted American intelligence reports that he was basically already in his grave. However, a call in to his friend - Venezuelan President Hugo Chavez’s - radio show yesterday shows that apparently is not the case.

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Taking All Bets…

Tuesday, February 27th 2007
PoliticsInternationalIranian Nukes

…where does this end up?

On the one hand,

As representatives of the five United Nations Security Council members plus Germany met here in the wake of Iran’s latest refusal to halt its uranium enrichment efforts, there were signs that the Islamic Republic’s proposal to cap such enrichment at very low levels may be winning some support in Europe.

But strong opposition from the U.S. and Britain to anything less than a full suspension makes a deal at this point unlikely, said analysts and diplomats familiar with the issue, and most were predicting a gradual ratcheting up of U.N. sanctions and a continuing impasse.

Iranian officials “have made a series of miscalculations of how united the international community is,” a British diplomat, speaking under standard diplomatic protocol of anonymity, said as envoys from the six nations met behind closed doors at the British Foreign Office

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Defending Bush’s Health Care Plan


Healthcare PolicyHealth NewsPoliticsUninsuredHealthcare CostsInsurance


“Insurance? Market?”

Conceding that health care reform over the next decade will have to provide coverage for virtually everyone in this country, which would I rather see:

  • A mandate (individual and some sort of pay-or-play deal), with tax breaks, and overreaching regulation of the insurance industry to make coverage affordable
  • Or a plan implementing some sort of massive expansion of either social insurance (Medicare-For-All) or public assistance?

While having objections to both, the two are clearly not equal under my personal political philosophy. The first one is more desirable. And Bush’s individual market tax break/employer funded tax “levy (?)” proposal is a step in that direction.

Via Managed Care Matters comes a series of posts on Health Care Policy & Marketplace Blog arguing that the private market (with, unfortunately, some government encouraging) can work to dramatically expand health insurance coverage in this country.

Here’s the most telling post explaining why the plan is a step in the right direction and here’s a post offering the most optimism I’ve seen considering the Democratic controlled Congress.

Bird Flu In Kuwait


Health NewsAvian Flu

Do I have to post every time Drudge reports the spread of bird flu in a country? Can’t you just go to Drudge itself to see this stuff?

Apparently not.

Kuwait has 12 H5N1 cases in turkeys and chickens. My first question: there are turkeys in Kuwait?

I’m A Red Bull Man Myself


Medical SchoolTrainingHumorBasic ScienceVideo



Four Years Of Film School & It Still Looks Like A Chimp Made It

It’s the week before tests.

My life = Red Bull + fast food + little sleep.

And I’m only a second year medical student. I don’t want to think about the next six or seven (or maybe more) years (with the exception of my fourth year).

Watching medical education and training promote such poor habits the ironing irony is delicious. Especially considering my rants on how lifestyle choices contribute to America’s comparatively poor health quality measurements and to increased health spending in this country.

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Communicating The Differences


Medical SchoolTrainingBasic Science

It was the second patient during my musculoskeletal physical exam lab. I was the first of my small group into the room where a rhuematology fellow and an older patient waited.

The patient’s fingers looked too short for the hands and deformed. The thumbs were hidden under the palms. During our short time together the full functionality (or lack there of) of the hands became apparent. This was advanced rheumatoid arthritis.

It struck me how absolutely deforming and devastating this disease was.

More than 40 million Americans suffer from ‘arthritis’. What does that even mean? By far when people tell you they have arthritis they speak of osteoarthritis.


From Mayoclinic.com

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Grand Rounds Vol 3, #23


Health NewsGrand Rounds

Grand Rounds is up at Musings of a Dinosaur. A submission by Creating the Godcomplex looks over an attempted (unfortunately, successful) self/amateur abortion. Not a pretty story but my pick of the week from Grand Rounds.

Next week it is up at a regularly read blog of mine, at GruntDoc. Submissions are due by 7pm on Monday, March 5th.

Stupid Time Warner Cable

Monday, February 26th 2007
UncategorizedLaw

Get ESPNU on your line up! If I had it I would’ve seen Duke Lacrosse (finally) back in action with a little bit of a thumping of Dartmouth. It has been too long.

A season lost. Three players indicted on rape charges. Nearly a year of criticism for everyone associated with Duke lacrosse. On Saturday, for a few hours, it didn’t seem to matter as much. Playing their first game in 11 months, the Blue Devils beat Dartmouth 17-11 in front of a big crowd cheering their every move.

It is still too long for Evans (whose already graduated), Seligmann (who is being recruited to play for Brown, instead of returning to Duke), and Finnerty.

People Resist Mandates


Healthcare PolicyHealth NewsPoliticsLaw

No surprise, but some families have filed suit against Governor Perry’s attempt to make the HPV vaccine mandatory for middle school girls.

The lawsuit challenges Perry’s authority to issue the order and seeks to block any state money from being spent on the vaccine until that question is resolved, said Kenneth Chaiken, the attorney representing the families.

“The school-age girls of Texas are not guinea pigs who may be subjected to medial procedures at the apparent whim of Texas’ governor,” according to the lawsuit, which was filed Thursday in Travis County.

While I understand opposition to the mandate the lawyer’s plea of “school-age girls” as “guinea pigs” is just ridiculous. An HPV vaccine has been tested in more than 11,000 women in studies like this three-year one by Villa, et al published in The Lancet Oncology (Summary/Abstract, Registration Required).

Burnt Orange Report is hosting a copy of the lawsuit. In any case this lawsuit is moot. The article linked to above briefly mentions the Texas House of Representatives efforts to overturn Perry’s order. That bill is going to succeed easily,

Wednesday’s Public Health Committee vote was 6-3, with all the Republican members and one Democrat voting to reverse Perry’s order. Three other Democrats voted against the bill, which now goes to the full House for consideration.

Passage is all but guaranteed since 90 of the 150 House members have signed on as co-sponsors, said the author of House Bill 1098, Rep. Dennis Bonnen.

“I’m very pleased that the majority of the committee saw the wisdom of not putting every 11-year-old girl into a mandated situation of a vaccination that we don’t know all the facts about,” said Bonnen, R-Angleton.

James Cameron The Showman


InnovationsMiscellaneousInternationalHumor

Well, James Cameron’s next “project” turns out not to be Avatar (and yes, I found my copy of scriptment, and yes I think it is actually real…and no, I haven’t finished reading all of it yet). No Cameron is a producer and regular P.T. Barnum for a documentary claiming that the tomb of Jesus Christ and his family has been found. (H/T The Middle East Blog)

The story starts in 1980 in Jerusalem’s Talpiyot neighborhood, with the discovery of a 2,000 year old cave containing ten coffins. Six of the ten coffins were carved with inscriptions reading the names: Jesua son of Joseph, Mary, Mary, Matthew, Jofa (Joseph, identified as Jesus’ brother), Judah son of Jesua (Jesus’ son - the filmmakers claim).

The findings in the cave, including the decipherment of the inscriptions, were first revealed about ten years ago by internationally renowned Israeli archeologist Professor Amos Kloner.

Since their discovery, the caskets were kept in the Israeli Antiquities Authority archive in Beit Shemesh, but now two have been sent to New York for their first public exhibition.

I’m a practicing Christian, but even if I wasn’t call me skeptical. Get this bizarre claim,

According to the filmmakers, the film’s claim is based on close work with world-famous scientists, archeologists, statisticians, DNA specialists and antiquities experts.

Read More »

Oscars

Saturday, February 24th 2007
Miscellaneous

I am a film school grad, but I have seen so few movies this year that I’m not sure my Oscar predictions are worth anything more than anyone else who reads EW or the internet. I’ve seen just one of the best picture noms.

But I’ve clamored together what seems to be a consensus from those in the know. The best and supporting actors and actresses are all but certainties it appears, the best picture is a two film race, and the best director is practically locked up as well (note: don’t believe any of the last second Greengrass hype, this is Marty’s year).

Click ‘Read More’ for my predictions & see how many I got right.

Read More »

How To Explain Libertarianism To The Bleeding Heart


PoliticsMiscellaneous

The title is misleading. This is a specific critique of and response to ‘How To Explain Things To Libertarians‘ on Pandagon which was found through Reddit.

The author, Chris Clarke, starts us off by mocking the online recruitment efforts of organized libertarianism. Specifically the ‘World’s Smallest Political Quiz’. Yeah, that thing is stupid. Here’s a less humorous and more dedicated critique of that ridiculous little political affiliation quiz.

On to the critique of Pandagon’s post. Most Libertarians do indeed pragmatize as they get deeper, as the post claims; they try to adapt the political philosophy to the realities of the tyranny of the masses. Apparently Chris’ post isn’t for those who have become less of the “zealot” variety of Libertarian.

The trouble with Chris’ post is that it misses the critical issue. The post overrelies on a sort of utilitarian, end result look at the world.

[C]oncede that some taxes are necessary to pay firefighters, who recognize that their success as business people might just depend on public education to give them a pool of potentially competent employees, and so forth.

Well, the first argument is that the post is assuming it can predict an alternate reality. As if that public school educated successful business man would’ve turned out worse without those education appropriated tax dollars. I point this out, because I’m going to use the same technique later to criticize some of Chris’ points.


All This Photo Did Was Make Me Want That Outfit

The major argument, and where Libertarians should try to keep the debate is that the sentence above assumes that true “zealot” libertarians care about any of these end results. Even a “zealot” can concede that more government spending could make education ‘better.’ But weighing a strong right to property against some strange “right” to education isn’t a contest at all for a libertarian (note: it goes without saying that taxes deny someone the right to property; discussions of appropriations always weigh the right to property against whatever you’re going to spend that government revenue on).

I don’t think this is an example of the unpragmatic nature of Libertarianism, although that is one of its major criticisms. People from a range of personal political philosophies use this sort of reasoning all the time.

Read More »

About The Blog


Medicine, healthcare policy, and random commentary from a medical student still on the naive side of the fence.
I'm a third year medical student in Texas.

I did my undergrad work in USC's School of Cinema-Television Cinematic Arts. I have a Bachelors of Fine Arts in Writing for Screen & Television. I loved it, but a future of waiting tables and taking meetings with B-List producers was not for me.

This blog is ostensibly to discuss healthcare policy and maybe educate a few of my fellow medical students. But it will stray into current events, politics, and other science topics when they draw my interest



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