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Oh Baby: Infant Denied Health Coverage Due To Weight

If you still think we don’t need healthcare reform in the U.S., consider this: A 4-month-old baby is being denied health coverage by an insurer in Grand Junction, Colo., because the baby is too fat, the Denver Post reports. Details: The 4-month-old boy is in the 99th percentile for his age in height and weight. He is being exclusively breast fed by his mother and has grown from around 8 pounds 4 ounces at birth to nearly 17 pounds. Four. Months. Old. Pediatrician deemed him healthy. Parents are healthy and relatively fit, and  also have a healthy 2-year-old boy.

And people say the government is going to destroy our healthcare system?

OK, let’s be reasonable: Chances are, once the wildfire of press around this spreads sufficiently the company will rescind its decision and offer this lad coverage. (And, for the record, he could be covered by the family’s prior insurer but the parents decided to shop around because that firm raised the family’s rates by 40 percent after the boy was born.)  And, no, I don’t know of other cases where someone was denied coverage for the “pre-existing condition” of having been born hungry. So in the interest of fostering adult-level debate let’s acknowledge that this is probably a VERY isolated case and does not reflect the ethos of all insurers everywhere.

But still: A fat baby getting denied coverage is beyond ridiculous. Read more »

Can You Name The 10 Vaccines That Adults May Need?

We’ve all heard about the importance of getting our flu shots this season, but did you know that there are 10 vaccines commonly recommended for adults? I spoke with Dave Lucas at ABC News about the low rates of adult vaccinations in the US, and encouraged people to ask their doctors if they’re up to date with their vaccinations.

On September 30th I participated in a social media event with the Immunization Action Coalition and learned from Executive Director, Dr. Deborah Wexler that: Read more »

Are You A Swine Flu News Junkie?

Then you definitely need to subscribe to MedPage Today’s special swine flu news feed.

Just click here:

MedPage Today Swine Flu News

Get regular, peer-reviewed news updates delivered to your RSS reader of choice…

Also stay tuned for updates from the International Influenza Vaccines for the World conference, in Cannes, France. MedPage Today has sent reporters there and will be giving Better Health key updates. I’ll keep you posted.

Writers Of Satirical Newspaper, The Onion, Deny Knowledge Of Otters

The Onion

I have been a fan of The Onion for many years. Its authors have mastered the art of news satire, and although they’re often irreverent, they’re equal opportunity lampooners. I always wondered what The Onion’s writers were like in person, and yesterday my wish to know them better came true at the National Press Club.

The writers are “20-30 somethings” with a wicked sense of humor and a healthy dose of self-confidence. They describe themselves as “schlubs” who have many “schlubby” friends. Most got their start working as reporters for small, midwestern newspapers. They dress casually and claim to be paid very little.

Of course, I bounced up to the panel as soon as the event was over and congratulated them on their science reporting and asked them to reveal to me who wrote the spoof article on medical peer review. It’s one of my favorite Onion articles of all-time, as it follows the science paper of a 5th grader (he wrote it about otters) as it undergoes peer scrutiny, shredding and denial for publication. You can read the article here.

Sadly, the panel members denied any memory of the otter article. I countered with my appreciation for their video news “Most Children Strongly Opposed To Children’s Healthcare” and they nodded politely. One writer asked me if I thought their scientific spoof articles were on-target, or if they betrayed their major lack of understanding of science in the first place.

“Well, as you writers well know,” I said, “‘science is hard.’ But you seem to be getting the right messages across. The medical community needs more reports like ’Fifth Grade Science Paper Doesn’t Stand Up To Peer Review.’ There’s not much to laugh about in healthcare these days.”

I snapped a few photos of the mysterious authors for my fellow Onion fans. Do you have a favorite Onion article or headline?

P.S. When asked why the paper was called The Onion, one of the panelists said that the first team of writers were so poor they ate onion sandwiches to survive (eww), so they named the paper after their food of choice. The company currently employs about 30 people (20 for video production and 10 newspaper writers). Fortunately those present at the event did not seem to have onion breath.

Onion Breath Test

Onion Breath Test

NBA All-Star Grant Hill On His MRSA Infection

Methacillin resistant staphlococcus aureus (MRSA) is a deadly bacterium that is becoming more and more common inside and outside the hospital setting. No one is immune, not even babies like this one who died from an unknown exposure. Seven-time NBA All-Star Grant Hill has also experienced the ravages of MRSA. I interviewed him about his near-death experience.

Dr. Val: Tell me about your recent experience with a severe staph infection.

Grant: I got my MRSA infection in 2003, afterI had a surgery on my ankle in the hospital. I had never heard of MRSA before and it was a very scary ordeal(at certain points, I didn’t think I was going to make it)and it took me a long time to recover. Dealing with my own infection made me realize just how severe MRSA could be. I want to make sure others do not have to go through what I went through. I got lucky with my infection because the doctors recognized it and we were able to treat it. I will always have scars on my ankle from the infection, so I never really forget what I went through and how lucky I was to survive.

Dr. Val: How common are staph infections among basketball players?

Grant: I don’t know exact statistics regarding basketball players, but the scary thing is, now it’s not just in hospitals. Now you’re finding MRSA infections in community settings like gyms, schools, homes and locker rooms. So there is definitely a need for conversation about this, and also about ways to prevent it.

Dr. Val: As an insider, what kind of behaviors have you observed that might put players at higher risk for contracting MRSA?

Grant: One thing I have learned through all of my injuries is that tomorrow is never really promised. As athletes there are so many ways that we can get injured, we can’t underestimate something like MRSA, especially because there are easy ways to prevent it. It’s important for players to know that MRSA can be spread by sharing athletic equipment, towels and razors. To help stop the spread of MRSA in locker rooms and on sports teams, players need to wash their hands frequently and stick to using their own personal items. They also need to know that when working out, they should keep a towel down between them and shared equipment. When it comes to locker room surfaces, those should be disinfected with a bleach solution. I am very conscious of all these prevention methods in my life, because I realize how important the prevention side of it is.

Dr. Val: Now that you’ve had a staph infection, what precautions do you take to prevent re-infection?

Grant: All those little things my mom used to tell me to do still ring true. I make sure to wash my hands frequently and cover any of my cuts -I keep a whole stash of bandages in my locker. I also keep my towels to myself and disinfect with a bleach solution, that’s really easy to make. It only takes a few minutes out of my day to take these steps, but I know first-hand that it can make a world of difference. You know, I often find myself telling my daughters the same things because as a father, it is important that I keep my family safe and healthy.

Dr. Val: What should athletes know about MRSA and what advice do you have for them?

Grant: Athletes of all ages should be encouraged to hit the court or the field and have a good time while remembering the easy prevention steps. Because I have spent so much time not playing, due to injury, I am having so much fun just playing. Everyone should remember that theycan help prevent the spread of MRSA easily, so no one has to waste time on the sidelines.

Dr. Val: What’s the most important thing that you’d like to tell Americans about MRSA?

Grant: Wow, how much time do you have? I really want people to realize that MRSA is a serious infection. As I’ve mentioned, before I got it and I hadn’t even hear about it. My ordeal really opened my eyes to this and that it can affect anyone! The scary truth is that more deaths each year are caused by MRSA than AIDS. But, there are easy things people can do to help reduce the spread of MRSA. This includes: washing your hands frequently, not sharing your personal items like towels and disinfecting with a bleach solution. There is more information and tips about how to prevent getting MRSA, including a playbook of prevention, at stopmrsanow.org.

*This post was originally published at my other blog site – URL pending*

This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.

Latest Interviews

Caring For Winter Olympians In Sochi: An Interview With Team USA’s Chief Medical Officer Dr. Gloria Beim

I am a huge fan of the winter Olympics partly because I grew up in Canada where most kids can ski and skate before they can run and partly because I used to participate in Downhill ski racing. Now that I m a rehab physician with a reconstructed knee I…

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How Do Hospital Executives Feel About Locum Tenens Agencies And Traveling Physicians?

I recently wrote about my experiences as a traveling physician and how to navigate locum tenens work. Today I want to talk about the client in this case hospital side of the equation. I ve had the chance to speak with several executives some were physicians themselves about the overall…

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Latest Cartoon

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Latest Book Reviews

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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Unaccountable: A Book About The Underbelly Of Hospital Care

I met Dr. Marty Makary over lunch at Founding Farmers restaurant in DC about three years ago. We had an animated conversation about hospital safety the potential contribution of checklists to reducing medical errors and his upcoming book about the need for more transparency in the healthcare system. Marty was…

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