November 1st, 2009 by RamonaBatesMD in Better Health Network, Health Policy, Opinion
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I am not as well educated in healthcare policy or politics as Dr Wes, Dr Val, KevinMD, Movin’ Meat, or Dr Sid Schwab. I keep reading and listening, trying to understand and decide where I stand. I seem to be more of a centrist (I think).
I was not able to attend any of the previous town hall meetings held in Little Rock on healthcare, but was able to attend the one today. It was sponsored by the Americans for Prosperity. The headline speaker was John Stossel. I am happy to note it was a civil discourse though that may be due to most of them leaning the same way.
I didn’t come away any clearer than before.
I do tend to agree with Stossel that “when insurance is paying” (and not the individual) “it changes behavior.” We aren’t as engaged in the decision making when someone else is paying. However, it is very difficult to get straight answers or even estimates when it comes to healthcare. It’s easy to say what an x-ray might cost. It is difficult to estimate all the drugs, surgeries, care someone might need who has been involved in a major accident. WSJ Health Blog provides links to sites that can help with cost questions. Read more »
*This blog post was originally published at Suture for a Living*
October 29th, 2009 by RamonaBatesMD in Better Health Network, Health Tips
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Flipping through the 1908 textbook, A Text-Book of Minor Surgery by Edward Milton Foote, MD I found at an antique store last month, I came across the section on ingrown toenails. The causes of ingrown toenails were much the same as one hundred years.
This is a condition in which the edge of the nail, usually of the great toe, by its too close contact with the flesh beneath causes irritation, ulceration, or suppuration. There has been much discussion as to whether the nail or the flesh is the more at fault. This discussion is without profit. It is much better to study the normal conditions, and see what can be done to restore them. Read more »
*This blog post was originally published at Suture for a Living*
October 20th, 2009 by RamonaBatesMD in Better Health Network, Opinion
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This year the topic of Blog Action Day is climate change, so I have decided to briefly mention the link between population control/contraception and climate. This connection is finally getting attention again. It was discussed when I was in college in the 70’s but became a political hot potato when China limited the number of children their citizens could legally have.
My roommate in college, KB, was an environmental science major. She and I had many discussions (arguments) over how many children a family should have. My mother had 8 children. I also had two half-siblings from my father’s first marriage and 5 step-siblings. She came from a family of 2 children. Read more »
*This blog post was originally published at Suture for a Living*
October 15th, 2009 by RamonaBatesMD in Better Health Network
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There has been recent debate over whether circumcision should be made mandatory as a way to prevent the spread of HIV, so I thought I would share the section on circumcision from the 1908 textbook, A Text-Book of Minor Surgery by Edward Milton Foote, MD.
Circumcision
This little operation can be performed in a number of ways. The practice among the Hebrews when circumcision is performed as a religious rite is to draw the foreskin well forward, to cut it off with one stroke of a long knife, to immerse the penis in wine held in the mouth of the rabbi to stop the hemorrhage, and then to wrap it in linen rags. It is not surprising that dangerous hemorrhage and infection sometimes follow this procedure, and a few lives have been lost in consequence.
Equally reprehensible is the practice among some surgeons of trying to perform this little operation in the shortest possible time. For this purpose clamps have been devised to hold the foreskin so that both the external and reflected portions can be cut away by a single stroke of the knife. It is obvious that the amount of skin thus removed cannot be controlled with certainty, and even if the line of incision be a perfectly smooth circular one, a thing which rarely happens, the adjustment in length of the external and internal portions of the prepuce is at best uncertain. There is no part of the body concerning which most patients are more sensitive, so that the surgeon ought to be willing to give up a few minutes of his time in order to secure a perfect result. Read more »
*This blog post was originally published at Suture for a Living*
October 10th, 2009 by RamonaBatesMD in Announcements, Better Health Network
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As promised last week, here’s the autograph quilt for BWE. The quilt is going to be used as a door prize. It has 64 white spaces for attendee’s autograph (name and blog title). I used batiks in blue, green, and brown shades. The quilt is machine pieced and quilted. It is 43 in square.
Here you can see some of the fabrics used. Read more »
*This blog post was originally published at Suture for a Living*