April 23rd, 2011 by KerriSparling in Opinion, True Stories
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(Alternate tittle: “Bring out yer bread!”)
Now that the little bird is the big O-N-E, we have completed one year as parents. And one year doing the gluten-free diet with our baby. This was important to me because I felt strongly about the ties between the early introduction of gluten and type 1 diabetes diagnoses. And after doing some research and discussing this as a family, Chris and I decided to keep our BSparl gluten-free for her first year.
It was pretty easy, to be honest, keeping a little baby off gluten. (Especially since she doesn’t have celiac, so our decision was elective instead of required.) The ease came mostly from the fact that BSparl breastfed for almost six months, and didn’t start on solid foods until just after she turned six months old. All breastmilk and/or formula made for a pretty streamlined food schedule for that first half year. When we introduced solid foods into her diet, we went with organic rice cereal and formula first, then mushed up fruits and assorted other mushed up items (like avocado and shredded chicken breast) mixed with food pouches like these from Ella’s Kitchen. Her diet was pretty mushy for a good long time, since it took about 8 months for her first tooth to bust through. Read more »
*This blog post was originally published at Six Until Me.*
April 22nd, 2011 by Medgadget in Medical Art, News
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Humor site Cracked.com is profiling stories of five souped-up wheelchair projects. If you already have four wheels and a frame, might as well install a flame thrower on it. Or how about a motorcycle with a wheelchair docking system?
Link: The 5 Most Incredible Stories of Pimped Out Wheelchairs…
*This blog post was originally published at Medgadget*
April 22nd, 2011 by John Di Saia, M.D. in Health Tips, Opinion
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Reader Question:
I am 16 in Orange County and want a labia reduction. Can I have it without telling my parents?
For those of you who may not know, labiaplasty (sometimes called labioplasty) is an operation to change the shape of the labiae, a woman’s outer genitals. It can be performed for cosmetic or functional concerns. Some women with large labiae experience pain with tighter garments and in rare circumstances they can get in the way of sexual relations. The operations are different things to different surgeons and have been controversial to say the least.
Quite a bit in the practice of surgery of the privates is a matter of the surgeon’s philosophy. This includes the design and scope of the operation as we’ve mentioned. Traditionally for any surgery on a patient under the age of legal consent, a legal guardian (usually a parent) must consent. Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
April 22nd, 2011 by Shadowfax in Health Policy, Opinion
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I wrote at some length yesterday about the prerequisites for a medical group to self-insure. What I didn’t go into in detail was the why — the benefits and the risks. I’m going to tackle that a bit today.
Potential Benefits to self-insurance
Those who have been around a few years can testify that the medical malpractice insurance market is highly cyclic. It seems that about once a decade a crisis hits. Whether this is a rational market is another question entirely. Some have attributed these crises to macroeconomic factors, like the market crash of 2002, after which insurers had to recoup investment losses, or hurricanes and natural disasters in which insurers cost shifted onto other product lines. Other obervers cite skyrocketing medical malpractice losses as the driver of these intermittent price spikes. I don’t pretend to know the reason, but it’s a reality that prices go up, and sometimes rapidly so, for no apparent reason. Additionally, during these times of market disruption, it’s common for carriers to drop clients, leave states they perceive as too risky, or leave the med mal market altogether.
One big advantage of self-insurance is that you can control your own destiny and insulate yourself from these market forces. You set your own premium and it only has to go up if you deem it necessary and prudent. You have a carrier that is guaranteed to issue a policy, and that will never leave the market. These are not small considerations.
I know a group that liquidated because their insurer dropped them and they could not find insurance; a contract management chain picked up the contract. I know several groups whose insurer stopped writing med mal and they were left high and dry. They had to purchase a group tail at an exorbitant mark-up and scramble on very short notice to find a new carrier, whcih was excruciatingly stressful. So to have carrier permanence, guaranteed issue, and premium stability is a huge benefit of self-insurance. Read more »
*This blog post was originally published at Movin' Meat*
April 22nd, 2011 by Jennifer Wider, M.D. in Health Policy, Research
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Domestic violence knows no boundaries: cultural, socio-economic, religious, level of education, gender or age. It can occur in any relationship and to anyone, but especially to women. In fact, roughly 25 percent of women will become a victim at one time or another during her lifetime.
Abuse is defined as any act used to gain power and control over another person, which can take on many forms. It can include physical, sexual, emotional, economic, coercion, threats, isolation and/or intimidation.
Domestic violence is abuse that occurs within interpersonal relationships and has become one of the top public health issues facing women in the United States. It is a leading cause of injury to women between the ages of 14 and 44 in this country.
There are risk factors that may increase the likelihood that a person becomes a victim to domestic violence. These can include: history of violence or abuse in a past relationship, physical or mental disability, unemployment, poor living situation, substance abuse, unplanned pregnancy, recently separated or divorced, social isolation and witnessed abuse as a child. Read more »
*This blog post was originally published at Society for Women's Health Research (SWHR)*